Tag: Joanna Kałuża-Pawłowska

Physiotherapeutic procedure in goose foot inflammation – case study

Radosław Kocent, Marek Kiljański, Joanna Kałuża-Pawłowska

Radosław Kocent, Marek Kiljański, Joanna Kałuża-Pawłowska – Physiotherapeutic procedure in goose foot inflammation – case study. Fizjoterapia Polska 2021; 21(5); 204-210

Abstract
Objective. The article presents a comprehensive rehabilitation procedure in goose foot bursitis. At the beginning, the causes of inflammation and its symptoms were presented.
Material and methods. The study was conducted on a specific case. The article describes the patient’s evaluation and physiotherapy recommendations for the treatment of the disease. In the field of kinesiotherapy, recommendations were made in the form of exercises stretching the shortened muscles that cause the goose foot, as well as strengthening the group of muscles activated to stabilize the knee. An important aspect of working with myofascial techniques is presented. Cryotherapy, laser therapy and sonotherapy procedures are described among the physiotherapy treatments in the rehabilitation of goose foot inflammation. The article also highlights the effectiveness of treatment thanks to the combination of physical therapy, kinesiotherapy, functional massage and re-education of gait and running. The subject of patient education to prevent the recurrence of injuries was also discussed.
Results. Therapy was administered for a period of four weeks. Positions during rest and sleep at home, exercise, walking in a newly learned, correct pattern and avoiding training errors were recommended. After the treatment was completed, pain was completely gone and the patient was fully active again.
Conclusions. Physical therapy, kinesiotherapy, massage and the patient’s compliance with the therapist’s recommendations result in the relief of ailments and a full return to various types of activity.
Key words:
goose foot inflammation, physiotherapy
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The impact of magnetostimulation on the level of urinary incontinence among women after menopause

Robert Kowalski, Joanna Kałuża-Pawłowska, Marek Kiljański

Robert Kowalski, Joanna Kałuża-Pawłowska, Marek Kiljański – The impact of magnetostimulation on the level of urinary incontinence among women after menopause. Fizjoterapia Polska 2021; 21(5); 58-69

Abstract
Urinary incontinence (UI) is according to ICS definition “every uncontrolled urine loss”. Among the broadly understood definition, there are different types of UI: effort, urgent, from overflow, mixed, transitional, bedwetting and other types of UI. The most common type from mentioned is the effort urinary incontinence and the mixed one. Due to the complex nature of UI problem, there are many methods of diagnosis and treatment of incontinence. In conservative treatment, pelvic floor muscle exercises, physical therapy (including magnetic field) and behavioral therapy are commonly used.  The aim of the study.  The aim of work is to evaluate the impact of magnetostimulation and pelvic floor muscle exercises on the level of urinary incontinence among women after menopause. Material and methodology.  The research was conducted among 30 women at the age of 45–67 years old (average ± 56) who were treated because of UI in The Independent Public Health Care Centre named Primate Cardinal Stefan Wyszyński in Sieradz in the rehabilitation ward. The patients were divided into two groups – 15 people each. In the first group participants were tested by magnetostimulation and they were doing pelvic floor muscle exercises. In the second group they were only doing pelvic floor muscle exercises.The patients have been surveyed twice, before and after 3 weeks therapy. In the study two different questionnaires (A and B) were used. They were based on Gaudenza questionnaire. Results. According to the analysis of survey data, these are the following results. In the first group improvement concerned: reduction in the frequency of UI episodes and frequency of urination, less amount of „urine loss” and UI intensity based on daily physical acivity, extending the time of the ability to control urination and better quality of life tested women. In the second group an improvement has been noticed according to subjective patient’s feelings. All data analysis results from questionnaires were not statistically significant.
Conclusions. From the analysis of the results, the following conclusions have been drawn: 1. Combination therapy of magnetostimulation with pelvic floor exercises causes more beneficial effect than applying only exercises. 2. Subjective assessment of participants on how to improve ailments connected with UI, speaks in favour of therapy with the use of magnetic field stimulation. 3. The most common type of incontinence amoung tested women after menopause was the effort one. 4. Therapy with 3–weeks programme of magnetic field stimulation increases the level of satisfaction and improves well-being of poople with UI.
Key words:
urinary incontinence, magnetostimulation, menopause, physiotherapy
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Assessment of the effectiveness of therapy using TENS and interferential currents in patients with low back pain

Paulina Wójcik, Joanna Kałuża-Pawłowska, Patryk Kiljański, Marek Kiljański

P. Wójcik, J. Kałuża-Pawłowska, P. Kiljański, M. Kiljański
– Assessment of the effectiveness of therapy using TENS and interferential currents in patients with low back pain. Fizjoterapia Polska 2019; 19(1); 22-29

Abstract
Admission. Lower back pain is one of the most common problems associated with locomotor disorders. They are a serious medical problem, but also due to the prevalence of social and economic problems. Treatment of pain in the lower spine is a comprehensive treatment, includes kinesitherapy, physiotherapy and aims to reduce pain, inflammation and increased muscle tone.
Material and methods. The study involved a group of 60 people with pain in the lower spine. The subjects were divided into two equally 30-person groups. In both groups, physical treatments were used laser therapy and magnetotherapy. In addition, TENS was performed in the first group, while in the second group, interference currents were used. The study used a questionnaire, pain assessment on the VAS scale and the Schober test.
Objective. The aim of the study was to compare the effect of TENS currents and interference currents in terms of reducing pain and increasing the range of motion of the lower spine.
Results. The applied physical treatment had a positive effect on the patients’ condition. Statistical tests have shown a reduction in pain in patients and an improvement in the range of motion in the spine.
Conclusions. TENS currents are a more effective method in the treatment of lower back pain. The results of the research showed that the use of TENS currents allowed to obtain positive effects in the form of increasing the range of spinal mobility, all subjects in this group experienced a reduction in pain.

Key words:
lumbar spine, pain, TENS currents, interference currents

 

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The effect of massage with an electrostatic field of different frequency on the tension of selected skeletal muscles of the shoulder girdle

Patryk Kiljański, Joanna Kałuża-Pawłowska, Krzysztof Gieremek, Marek Kiljański

P. Kiljański, J. Kałuża-Pawłowska, K. Gieremek, M. Kiljański – The effect of massage with an electrostatic field of different frequency on the tension of selected skeletal muscles of the shoulder girdle. Fizjoterapia Polska 2018; 18(4); 138-158

 

Abstract
Objective of the work. The aim of the study is to show whether the electrostatic field massage has an effect on the fall in resting tension of the upper part of the trapezius muscle.
Material and methods. 20 people participated in the study, men and women aged 23-29. The subjects’ lifestyle was varied. The research group consisted of people practicing recreational sports, spending a lot of time in front of a computer or by reading books, as well as people doing casual work. All subjects were characterized by an active lifestyle.
The “Szirmai” myotonometer was used for measuring muscle tone. The Physiomed Deep Oscillation was used for massaging with the electrostatic field. The massage took place in two stages, each one with the use of a field with different frequency, respectively – 50 Hz (test No. 1) and 150 Hz (test No. 2). The interval between the tests was 2-3 weeks.
Results and conclusions. The research shows that electrostatic field massage has an effect on the muscle tone drop at both 50 Hz and 150 Hz. Statistically there was no significant difference in the reduction of muscle tone between 50 Hz and 150 Hz.

Key words:
massage, muscle tone, frequency, Deep Oscillation

 

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Characteristics of injuries and injuries of water polo players

Joanna Kałuża-Pawłowska, Iwona Serwin, Robert Serwin, Marek Kiljański

J. Kałuża-Pawłowska, I. Serwin, R. Serwin, M. Kiljański – Characteristics of injuries and injuries of water polo players. Fizjoterapia Polska 2018; 18(4); 94-101

Abstract
Introduction. Sports injury is usually referred to as contusion. It is an injury that can be experienced during physical activity, of a sporting nature, mainly during training and competitions, causing sports injuries, which results in a temporary or total exclusion from further participation in sports activities.
Objective. The objective of the article is to assess the characteristics of injuries among water polo players.
Material and method. The study was carried out on the basis of the diagnostic survey method developed by the authors, with the consent of the coach and players. The questionnaire contained 20 questions, both open and metric. The questions concerned injuries and physiotherapy. The study involved 52 players of Polish sports clubs aged 15 to 30 who have played water polo for not less than 5 years.
Results. None of the studied players during their career had more than 15 injuries, however 100% of players suffered at least one injury. The most common situation in which players experienced injuries was training in the pool – 75%. After injury, in 42% of cases the examined water polo players unfortunately did not use physiotherapists. The studied water polo players most often suffered an injury of the shoulder joint – 35.1%, 26.4% of fingers, 17.5% of wrists, and 10.5% of elbows.
Conclusions. 1. Most often injuries occurred during training in the pool, which arises from low reliability of warm-ups and exercises being incorrectly performed by the players. 2. The most vulnerable parts of the body are shoulder, wrist and finger joints. 3. Water polo is a contact sport with a high level of the incidence of traumas, causing damage to joint capsules, stressing ligaments and muscles in the above-mentioned parts of the body. 4. Increasing awareness and access to professional physiotherapy will allow athletes to return to fitness levels as before the injury more quickly and prevent further injuries.

Słowa kluczowe:
water polo, sports injury, physiotherapy in sport

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Comparison of the effectiveness of certain physical therapy treatments in shoulder pain in patients with degenerative lesions

Magdalena Staniek, Marek Kiljański, Joanna Kałuża-Pawłowska, Patryk Kiljański

M. Staniek, M. Kiljański, J. Kałuża-Pawłowska, P. Kiljański – Comparison of the effectiveness of certain physical therapy treatments in shoulder pain in patients with degenerative lesions. Fizjoterapia Polska 2018; 18(4); 6-13

Abstract

Objective. The objective of this study was to assess the effectiveness of laser therapy in shoulder pain in patients with degenerative lesions. The assessment applied to impact of the respective treatments on such parameters as: pain scale, subjective evaluation of health condition, degree of functionality expressed using measurements of the range of movements of the shoulder joint (flexion, extension, abduction) and of the muscle strength based on Lovett scale before and after treatment.
Materials and methods. The research was conducted on a group of 50 patients aged 60-85, with homogenous diagnosis of: degenerative joint disease. The research was conducted in the County Center of Medical Services in Kielce. All patients were divided into two groups of 25 people. The first one included 17 women and 8 men, while the second one – 15 women and 10 men. The first group underwent three physical therapy treatments, i.e.: ultrasound, magnetotherapy, cryotherapy, while the second one was additionally subject to laser therapy.
Results. The results demonstrated that the applied physical therapy treatments in both groups significantly affected the progression of the parameters examined. A larger difference in improvement of the subjective evaluation of the health condition was recorded in the group of patients that did not undergo laser therapy. The results patients from the other group were better in terms of reduction in pain calculated in the VAS scale and of improvement of the range of movements during abduction and extension. The remaining examined parameters, such as: range of flexion and muscle strength, improved to the same degree in both groups. The only statistically relevant difference was in improvement of the range of abduction among the patients who additionally underwent laser therapy.
Conclusions. The examination conducted proved effectiveness of such physical therapy treatments as: cryotherapy, ultrasounds, magnetotherapy, performed with and without laser therapy, applied in pains of the shoulder area in patients with degenerative lesions. The therapy using a medical laser proved more effective.

Key words:

degenerative joint disease, shoulder, shoulder girdle, medical laser, laser therapy

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The impact of myofascial manipulation on gout remission duration

Iwona Serwin, Joanna Kałuża-Pawłowska, Marek Kiljański

I. Serwin, J. Kałuża-Pawłowska, M. Kiljański – The impact of myofascial manipulation on gout remission duration. FP 2017; 17(3); 38-50

Abstract

Purpose. The purpose of this study was to demonstrate the impact of myofascial manipulation on the frequency of gout attacks in patients undergoing conservative treatment for joint lesions.
Materials and methods. The study included 30 gout patients, who were suffering from restricted joint mobility and pain symptoms in the foot and the big toe, and who experienced recurrent gout attacks 3-4 times a year on average. The participants were randomly distributed into two groups: the experimental group and the control group. All of the participants underwent a 10-day physical therapy regimen in form of low-frequency magnetic field therapy and therapeutic ultrasound. The experimental group was additionally treated with myofascial manipulation of the lower extremity.
Results. Analysis of results has revealed that myofascial manipulation of the lower extremity used in the experimental group has improved the functional mobility of gout patients with lesions of foot joints.
Conclusion. Study participants, whose physical therapy regimen included myofascial manipulation (apart from the magnetic field therapy and therapeutic ultrasound), showed improved gait quality, increased tissue elasticity, decreased frequency of gout attacks, and prolonged remission duration from 3-4 months to 10-12 months.

Key words:
Gout, myofascial manipulation, prolonged remission duration

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Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease

Marek Woszczak, Katarzyna Bogacz, Magdalena Józefowicz-Korczyńska, Joanna Kałuża-Pawłowska, Jan Szczegielniak

M. Woszczak, K. Bogacz, M. Józefowicz-Korczyńska, J. Kałuża-Pawłowska, J. Szczegielniak – Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease. FP 2017; 17(2); 48-59

Abstract

Introduction. Pain, swelling and deformities of joints are the typical symptoms of a degenerative disease. The disease affects more than 60% of persons over 60 years of age. Due to this condition, every thirteenth person takes painkillers on a daily basis. Etiology of the degenerative knee joint disease comprises most often of micro traumas, injuries, overstrain, previous inflammatory conditions, improper weight distribution and congenital anomalies in the joint structure.
Research Goal. The aim of our study has been to evaluate the efficacy of local cryotherapy in patients with the degenerative knee joint disease.
Materials and Methods. The study has been carried out on a group of 86 persons, 20 to 45 years old, treated in the Rehabilitation Unit of the University Clinical Hospital No. 1 of the Medical University in Łódź. The patients have been randomly assigned to group A (40 persons) and B (46 persons.) In all the patients, there have been diagnosed degenerative changes in knee joints. In the study participated persons professionally active, able to walk.
Prior to application of treatment, all the patients were interviewed, had undergone physical and clinical examinations and were asked to fill out the WOMAC (Western Ontario and McMaster) questionnaire. An important purpose of the interview was to gather information about the patients’ lifestyle, their diet, addictions, physical activity and the potential epidemiological threats arising from the type of work they do.
Before and after completing the cycle of 10 treatment sessions, the patients were also examined physically by visual inspection, palpation, percussion, auscultation, measurements of lengths and perimeters, testing of muscle strength and functional tests. The patients were asked to anonymously fill out a questionnaire.
For all the patients were applied same treatments: ultrasounds, magnetic field, self-assisted exercises, knee joint load relief exercises. The differentiating factor in the study were the knee joint local cryotherapy treatments applied additionally for patients in group B. The evaluation was made on the basis of examinations before and after the physiotherapy treatments.
Results. Based on the examinations it can be concluded, that there has been achieved statistically significant reduction in pain according to VAS in both, group A and group B. There has also been a reduction in exudate and temperature of the joint.. There has also been registered an increase in the mobility ranges. Based on results of the test of Western Ontario and McMaster Universities Osteoarthritis Index, we have also observed an improvement in functional capacities in executing daily activities, i.e. for example climbing/descending stairs or putting on/taking off socks.
Conclusions. While interpreting the results, it has been observed that the degree of improvement in the above listed factors in group B, in which the additional local cryotherapy was applied, was statistically significantly higher than in group A, in which the treatment was not used.

Key words:
cryotherapy, degenerative knee joint disease, physiotherapy

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The profile of patients referred for systemic rehabilitation

Karol Wojciechowski, Marek Kiljański, Joanna Kałuża-Pawłowska, Jan Szczegielniak

K. Wojciechowski, M. Kiljański, J. Kałuża-Pawłowska, J. Szczegielniak – The profile of patients referred for systemic rehabilitation. FP 2015; 15(1); 48-56

Abstract

The aim of the paper is to create a_profile for patients referred for systemic rehabilitation treatment in inpatient care. The efficiency of the rehabilitation used for these patients has also been analysed.
The research material consisted of data provided by 24 Systemic Rehabilitation departments providing inpatient care, which have agreements with the Łódzki Regional Branch of the National Health Fund. All services were performed in 2013.
The analysis of the provided research material indicated that a_significant number of patients undergoing systemic rehabilitation in stationary conditions included patients in the 46-85 age group (89.48% of all respondents). The analysis of the provided research material indicated that “other spondylosis” was the most commonly reported diagnosis for patients aged between 46-75 years. The analysis of hospital discharge cards from the rehabilitation departments indicated that the discharge mode “Patient referred for further treatment in outpatient therapy” and “Completion of the therapeutic or diagnostic process” constituted approximately 50% of the total reported discharges.

Key words:
systemic rehabilitation, profile of patients, efficiency of rehabilitation

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