Tag: Ireneusz Pieszyński

The impact of musical performance on the occurence of selected disorders of body posture in children from a music school

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński

Mirosław Janiszewski, Anna Kluszczyńska, Ireneusz Pieszyński – The impact of musical performance on the occurence of selected disorders of body posture in children from a music school. Fizjoterapia Polska 2002; 2(1); 46-56

Abstract
Background. The aim of our study was to investigate the effects of long-term musical training on the genesis of defective posture. Material and methods. The study involved a group of 92 children who were tested twice, once in 1992 again in 1998, used a specially developed screening test. Results. A greater rate of occurrence of posture defects, including especially scoliosis, was found in children who were heavily involved in playing musical instruments. This type played was found to correlate with type and frequency of particular posture defects. Conclusion. Systematic long term of musical instruments may cause more frequent in posturogenesis and a higher rate of scoliosis.

Key words:
posture defects, scoliosis, music, screening test

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The impact of laser radiation (I=810 nm, P=100 mW) on acetylcholinesterase activity in human erythrocytes depending on the manner of energy dosage

Jolanta Kujawa, Magdalena Sadowska, Maria Bryszewska, Ireneusz Pieszyński, Mirosław Janiszewski

Jolanta Kujawa, Magdalena Sadowska, Maria Bryszewska, Ireneusz Pieszyński, Mirosław Janiszewski – The impact of laser radiation (I=810 nm, P=100 mW) on acetylcholinesterase activity in human erythrocytes depending on the manner of energy dosage. Fizjoterapia Polska 2004; 4(2); 136-142

Abstract

Background. The aim of this study was to investigate the impact of different doses and methods of applying low-power laser radiation (810 nm, 125 mW/cm2) on acetylcholinesterase (AChE) activity in human red blood cells. Material and methods. A suspension of human erythrocytes was irradiated with near-infrared laser light (810 nm, 125 mW/cm2) at different energy doses. AChE activity was measured by spectrophotometry. Km and Vmax were estimated with a Lineweaver-Burk graph, and compared with the results obtained for a non-irradiated control sample. Results. Near-infrared low-intensity laser radiation stimulated AChE activity. A fractionated dosage of energy with a larger dose applied first caused a statistically significant increase in AChE activity, more than the same dose applied continuously. Conclusions. Low-intensity near-infrared laser radiation caused AChE activity to change in a manner dependent on energy dose and the manner of energy application. The largest increase in the maximum velocity of the reaction was observed for continuous 9J. When fractionated doses (6J+ 3J and 9J+ 3J) were used, a larger increase in maximal reaction velocity was observed than for the continuous dose of 9 J or 12 J.

Key words:
low-level laser (LLL), fractionated doses, Vmax
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Impact of musical performance on the frequency of postural abnormalities in children

Anna Kluszczyńska, Jolanta Kujawa, Mirosław Janiszewski, Ireneusz Pieszyński

Anna Kluszczyńska, Jolanta Kujawa, Mirosław Janiszewski, Ireneusz Pieszyński – Impact of musical performance on the frequency of postural abnormalities in children. Fizjoterapia Polska 2004; 4(2); 117-128

Abstract

Background. An increased load on components of the musculo-skeletal system caused by musical performance can lead to postural abnormalities and overstraining of the musculo-skeletal system in young performing artists. The aim of our research was to investigate the link over the long term between play on musical instruments by children, the type of musical performance, and disturbances of body posture. Material and methods. Our research involved a group of 113 primary music school pupils. The study was conducted in 1st, 2nd, and 3rd grade pupils, 7, 9 and 11 years of age respectively. The clinical examination consisted of a physical exam and an orthopedic evaluation of the musculo-skeletal system. A questionnaire indicating the type of instrument played and the body posture during play was also used. Results. The postural abnormalities found in this population included scoliotic posture, scoliosis, and thoracic muscle contraction. Many children showed several types of postural abnormalities coexisting. A statistically significant difference in the frequency of postural abnormalities was found, depending on how long the given musical instrument had been played after five years of attendance at the music school. Conclusions. Musical performance may increase the incidence and progression of some body posture disorders in music school pupils. The load imposed by the instrument being played leads to faster development of the clinical symptoms of scoliosis in girls than in boys. The appearance and progression of the body posture disorders may be contingent on how long the musical instrument is played. The progression of clinical symptoms in music school pupils depends on the type of music performance.

Key words:
scoliotic posture, scoliosis, thoracic muscle contracture
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Treatment of acute and chronic spinal pain syndrome

Mirosław Janiszewski, Ireneusz Pieszyński

Mirosław Janiszewski, Ireneusz Pieszyński – Treatment of acute and chronic spinal pain syndrome. Fizjoterapia Polska 2004; 4(3); 288-291

Abstract

This article discusses the pathogenesis of pain in acute and chronic spinal pain syndrome, and the factors promoting the progress of spinal pain to chronic status. The use of tolperisone is discussed. Experiments involving 5130 patients have shown very high effectiveness. Decreased symptoms were observed in 73% of the patients, with a very low percentage of undesirable side effects (less than 1%).

Key words:
tolperisone, neuropathic pain, Sodium Channels
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The application of Zeel T as adjuvant therapy in the kinesitherapy of female patients with arthrosis

Mirosław Janiszewski, Ireneusz Pieszyński, Agnieszka Molisak-Klara

Mirosław Janiszewski, Ireneusz Pieszyński, Agnieszka Molisak-Klara – The application of Zeel T as adjuvant therapy in the kinesitherapy of female patients with arthrosis. Fizjoterapia Polska 2004; 4(3); 265-271

Abstract

Background. The preparation known as „Zeel T” shows chondroprotective action and inhibits the degenerative process in joints as effectively as hyaluronic acid. Due to its anti-inflammatory and analgesic action, dosages of non-steroid anti-inflammatory drugs (NSAID) can be reduced. Material and methods. Our research involved 65 women, between 25 and 55 years of age. All these women took part for one month in regular kinesitherapy sessions. This group received oral Zeel T in droplet form. In the comparative group of 60 persons, only NSAIDs were used in addition to kinesitherapy exercises. Other 60 women in comparative group were subjected to exercises together with nonsteroid medicines. Results. In both the experimental group and the control group there was a significant reduction in the Ritche index and an improvement in clinical status. An improvement in strength indices and increased range of movement were observed in the experimental group. Conclusions. Homeopathic preparations show good effects as adjuvant therapy with kinesitherapy in arthrosis.

Key words:
chondroprotection, non-steroid anti-inflammatory drugs (NSAID), electrotherapy, homeopathic drugs
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The analgesis effectiveness of continuous and fractionated doses of laser radiation in the rehabilitation of patients with chronic pain syndrome in the lumbo-sacral spine

Jolanta Kujawa, Anna Cink, Kamila Gowrys, Ireneusz Pieszyński, Jan Talar

Jolanta Kujawa, Anna Cink, Kamila Gowrys, Ireneusz Pieszyński, Jan Talar – The analgesis effectiveness of continuous and fractionated doses of laser radiation in the rehabilitation of patients with chronic pain syndrome in the lumbo-sacral spine. Fizjoterapia Polska 2004; 4(3); 237-244

Abstract

Background. Due to the complex etiopathogenesis and the diversity of treatment approaches, spinal pain syndromes constitute a serious medical problem. The chronic pain and functional disturbances accompanying discopathy have motivated a search for more effective physiotherapeutic methods, such as McKenzie’s method of biomechanical diagnosis and treatment and laser therapy. The goal of the present study was to evaluate the analgesic effectiveness of continuous and fractionated doses of laser radiation in chronic lumbo-sacral pain syndrome. Material and methods. Our research involved 88 patients with chronic spinal pain syndrome qualified for McKenzie kinesitherapy. All subjects received kinesitherapy according to the authors’ method, selected according to the biomechanical diagnosis, along with 10 laser therapy procedures. Group A (43 patients) received a continuous dose of 9 J per point, while Group B (45 patients) received a fractionated dose of 3J + 6J per point. 37 points in the lumbo-sacral region were irradiated. Results. Group B showed a significantly greater decrease in pain intensity on the VAS scale (0-10 points), and in pain frequency. Both groups were found to have a reduced deficit in range of movement according to the McKenzie Institute lumbar checklist. Conclusions. Laser therapy with fractionated doses proved to be more effective in pain relief than continuous doses. The method of dosing laser radiation had no effect on improved range of movement in the lumbar spine. Biomechanical treatment using the McKenzie method combined with laser therapy significantly reduces pain and improves the range of movement in patients with chronic lumbar pain syndrome.

Key words:
discopathy, McKenzie method, kinesitherapy, biomechanical diagnostics
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The impact of laser biostimulation combined with diclofenac inunction on treatment outcome in patient with gonarthrosis

Jolanta Kujawa, Jan Talar, Kamila Gworys, Przemysław Gworys, Jarosław Oborzyński, Ireneusz Pieszyński, Mirosław Janiszewski

Jolanta Kujawa, Jan Talar, Kamila Gworys, Przemysław Gworys, Jarosław Oborzyński, Ireneusz Pieszyński, Mirosław Janiszewski – The impact of laser biostimulation combined with diclofenac inunction on treatment outcome in patient with gonarthrosis. Fizjoterapia Polska 2004; 4(3); 185-193

Abstract

Background. In patients with chronic knee pain and degenerative gonarthrosis, a wide range of physical agents are used, along with local application of non-steroid anti-inflammatory and analgesic drugs in gel or cream form. The evaluation of the clinical and functional status associated with changes in muscle tension and blood flow in the knee region can be facilitated by thermovisual tests, which measure the intensity of infrared radiation to determine skin temperature differences. Material and methods. 99 successive patients diagnosed with gonarthrosis and knee pain persisting > 6 weeks were enrolled. All patients were randomly assigned to one of three groups: Group A (n=32), who received laser biostimulation; Group B (n=35), who received the same laser procedures, and were also instructed to use sodium diclofenac (Voltaren gel) as an inunction on the affected joint; and Group C (n=32), a comparison group. We evaluated pain intensity using the VAS scale, and measured temperature distribution with thermograms performed twice in all patients, before and after treatment. Results. Significant reductions in pain intensity and frequency were observed in groups A and B, but Group B showed significantly greater improvement. In both experimental groups, thermograms showed normalization of temperature distribution. Conclusions. An improper temperature distribution along the lower extremity and around the patella was observed in patients with knee pain syndrome. The application of laser biostimulation in gonarthrosis produces temperature normalization in the irradiated tissues and reduced pain symptoms, which was more pronounced when combined with externally applied sodium diclofenac gel.

Key words:
low intensity laser therapy, thermovision, Pain Management
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