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 impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient

Agata Gajos, Marek Kiljański

A. Gajos, M. Kiljański – Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient. Fizjoterapia Polska 2018; 18(4); 38-49

Abstract
The objective of this study is comparison of the impacts of classic massage and Lomi Lomi Nui massage in treating stress-induced mental and physical tiredness. Another objective is to compare the impact of massage on body hydration and on the level of extracellular water.
Materials and methods. The study covered 30 persons aged 25 – 65.
The patients were divided into 2 groups. Group I included 15 people (7 women and 8 men) who underwent a classic massage. Group II included 15 people (7 women and 8 men) who underwent a Lomi Lomi massage.
Before the massage, the body mass and height were measured in both groups, and then the patients underwent bioelectrical impedance analysis for the purpose of measuring body hydration and the level of extracellular water.
After the massage, impedance was measured again for the purpose of determining the difference in results after the massage. The patients were then asked to fill in a questionnaire including a question about the effectiveness of massages in decreasing mental and physical tiredness and about the impressions during and right after the massage.
Results. Both massages are effective in alleviating the symptoms of stress-induced mental and physical tiredness. The results were not statistically relevant.
The classic massage resulted in reduction in pain and muscle stiff muscles, while the Lomi Lomi massage affected the emotional aspects – the patients were relaxed, the harmony between spirit
and body was recovered, which was statistically relevant. The results of bioelectrical impedance analysis indicate that the massages affected body hydration
and the level of extracellular water. The comparison of arithmetic means of results indicated that the classic massage demonstrated a greater relationship than the Lomi Lomi massage, which was statistically relevant.

Key words:
Stress, medical massage, bioelectrical impedance

 

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Assessment of the effectiveness of local laser therapy in treatment of gonarthrosis. Work on habits

Paulina Kozieł, Marek Kiljański

P. Kozieł, M. Kiljański – Assessment of the effectiveness of local laser therapy in treatment of gonarthrosis. Work on habits. Fizjoterapia Polska 2018; 18(4); 26-33

Abstract
Introduction. Gonarthrosis is one of the most frequent diseases of the locomotor system. It is characterized not only by destruction of joint cartilage, but also by lesions in the subchondral bone layer, in the synovial membrane, joint capsule and periarticular structures. It leads to damage to the anatomical structure of the joint and to debilitation of its function which is so important in everyday functioning. Local laser therapy is one of the treatments applied in fighting with gonarthrosis. That procedure has anti-inflammatory, analgesic and edema-reducing effects. The objective of this study is to assess the results of local laser therapy, its impact on the scope of mobility and painfulness in patients suffering from gonarthrosis.
Materials and methods. The study covered 50 persons, suffering from gonarthrosis, divided into two groups, control group and study group, each with 25 members. The control group, with 19 women and 6 men, was subject to the following physical therapy procedures: cryotherapy, magnetotherapy and TENS currents. The study group, with 19 women and 6 men, was additionally subject to local laser therapy. All the persons were subject to a series of 10 procedures, from Monday to Friday, for two weeks. Before the series of procedures and right after completion thereof, the patients filled out anonymous surveys which contained the VAS pain scale, there were conducted mobility measurements of the knee joint flexure in the sagittal plane and linear measurements of the knee joint circumference.
Results. The results from both groups were subject to statistical analysis. After treatment, in both groups an improvement was noted in knee joint mobility, a decrease in knee joint circumferences and a decrease in the level of pain measured with the VAS scale in comparison with the condition from before treatment. The group with added local laser therapy demonstrated better mobility ranges and smaller knee joint circumferences.
Conclusions. Local laser therapy is an effective procedure applied in treatment of gonarthrosis. The level of pain decreased both in the control group and in the study group. The decrease was greater in the control group. The difference was statistically relevant In both groups, an improvement in knee joint mobility was observed. More improvement was noted in the study group. The difference was statistically relevant The knee joint circumference decreased both in the control group and in the study group. The decrease was greater in the study group. The difference was statistically relevant.

Key words:
gonarthrosis, local laser therapy

 

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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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Is it worth taking care of Polish medicine at the turn of the 19th and 20th century in the context of the idea of “immediate help”?

Jacek Rytkowski, Marek Kiljański, Zbigniew Śliwiński

Jacek Rytkowski, Marek Kiljański, Zbigniew Ślwiński – Is it worth taking care of Polish medicine at the turn of the 19th and 20th century in the context of the idea of “immediate help”? Fizjoterapia Polska 2018; 18(3); 94-101

 

Abstract
This paper was referring to the legitimacy – of undertaking research (much wider than before) on the history of Polish medicine turn of the 19th and 20th centuries, especially the period of 1918-1939. The text presented also obvious methodological problems that are associated with this task, for example: the problematic and essential questions are insufficient sources (excluding periodicals) for that time. The problems belong to the lack of materials significantly impedes the free work on these issues.
Besides, an important difficulty is the enormous range of meaning of these issues – together three elements are taken to discuss: the turn of the 19th and 20th century, the time before 1918 and the period 1918-1939. However, these issues are interesting enough that it should to take their analysis. This paper also discusses the concept of „emergency” as one of many elements characteristic to the „reborn” Polish medicine.

Key words:
medicine, history of medicine, emergency help, public health

An article published only in Polish, available only in the paper version of the journal

Comparison of Physical Capacity in Swimming and Non-swimming Children Aged 10-12

Aleksandra Kruk, Joanna Spurek, Marek Kiljański

Aleksandra Kruk, Joanna Spurek, Marek Kiljański – Comparison of Physical Capacity in Swimming and Non-swimming Children Aged 10-12. Fizjoterapia Polska 2018; 18(3); 36-44

Abstract
Objective. The supreme objective of this study was to compare the physical capacity of swimming children and the children that do not do any physical activity, aged 10-12.
Materials and methods. The research was conducted among 60 children, of whom 30 swim regularly and the other half do not exercise physically at all. The research subjects included 13 girls and 17 boys aged 10-12. The study used a questionnaire as well as two exercise tests: Ruffier test and 6-minute march test.
Results. It was noted in the endurance tests that swimming persons had better results than the persons who do not do sports. The Ruffier test demonstrated that the physical performance of swimmers was better at almost every level. The 6-minute march test demonstrated that swimmers are able to cover a longer distance with a smaller effort than the physically passive persons. When analysing the results from the statistical point of view, one may note a relationship between the regularity of physical activity and the degree physical capacity.
Conclusions. The capacity of the children who are physically active is greater than of those who are not. The results are also affected by ways of spending free time and the amount of time devoted daily to activity.

Key words:
physical capacity, swimming, movement, physical activity

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Professor Andrzej Zembaty

Sławomir Jandziś, Marek Woszczak, Marek Kiljański, Renata Szczepaniak

FP 2013; 13(4); 57-59

Streszczenie
Rocznica 50-lecia zorganizowanej działalności fizjoterapeutów w Polsce to okazja do przedstawienia sylwetki jednego z wybitnych przedstawicieli naszego zawodu prof. dra hab. Andrzeja Zembatego. Urodził się on 21 kwietnia 1935 roku w Jaśle w rodzinie inteligenckiej. Matka był nauczycielką, ojciec ukończył wydział prawa UJ i pracował jako sędzia w Jaśle a następnie Sanoku. Andrzej Zembaty po zdaniu matury w liceum sanockim rozpoczął studia w warszawskiej AWF, które ukończył w 1958 roku. W 1960 roku rozpoczął pracę fizjoterapeuty w Stołecznym Centrum Rehabilitacji Schorzeń Narządu Ruchu w Konstancinie oraz w 1964 roku jako nauczyciel zawodu w Medycznym Studium Zawodowym w Konstancinie. W 1972 roku, na wniosek prof. Mariana Weissa, dyrektora STOCER i kuratora Zakładu Rehabilitacji w warszawskim AWF-e został zatrudniony na stanowisku starszego asystenta w tymże zakładzie. Powrócił więc na uczelnię, z którą związał większość swojego życia zawodowego. Pełnił w niej następujące funkcję: 1979 – kierownik Zakładu Rehabilitacji Ruchowej, 1982 – pełnomocnik Rektora ds. Powołania Wydziału Rehabilitacji, 1983 – z-ca dyr. Instytutu Nauk Biologicznych, 1984 – 1987- prodziekan ds. studenckich i organizacyjnych w nowo powołanym Wydziale, 1987 – 1990- prodziekan ds. dydaktyki. Ostatnim miejscem działalności zawodowo-dydaktycznej przed przejściem na emeryturę w 1999 roku była AWF w Katowicach, gdzie Profesor kierował Zakładem Kinezyterapii

Słowa kluczowe:
rehabilitacja lecznicza, fizjoterapeuci, historia rehabilitacji


Abstract

The 50th anniversary of the organized activity of physiotherapists in Poland is an opportunity to present the figure of one of the eminent representatives of our profession, prof. Andrzej Zembaty, PhD. He was born on April 21, 1935 in Jasło to an intelligentsia family. The mother was a teacher, my father graduated from the Jagiellonian University law department and worked as a judge in Jasło and then Sanok. Andrzej Zembaty, after passing the final exams at the high school in Sanok, he began studies at the University of Physical Education in Warsaw, which he graduated in 1958. In 1960, he started working as a physiotherapist at the Metropolitan Rehabilitation Center for Motion Disorders in Konstancin and in 1964 as a teacher of the profession at the Medical Vocational College in Konstancin. In 1972, at the request of prof. Marian Weiss, director of STOCER and curator of the Rehabilitation Department at the University of Physical Education in Warsaw, was employed as a senior assistant at the same facility. He returned to the university, with whom he associated most of his professional life. He held the following function: 1979 – head of the Department of Movement Rehabilitation, 1982 – Rector’s representative for the appointment of the Rehabilitation Department, 1983 – deputy director. Institute of Biological Sciences, 1984 – 1987 – vice-dean for student and organizational affairs at the newly appointed Faculty, 1987 – 1990 – vice-dean for didactics. The last place of professional and didactic activity before retiring in 1999 was the University of Physical Education in Katowice, where the Professor headed the Kinesitherapy Unit.

Key words:
Therapeutic rehabilitation, physiotherapists, rehabilitation history

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Shaping ethical attitude of physiotherapist

Magdalena Rusin, Wojciech Kiebzak, Marek Kiljański, Michał Dwornik, Zbigniew Śliwiński

FP 2013; 13(4); 51-56

Streszczenie
Powszechne zasady i postawy etyczne funkcjonujące we współczesnej medycynie są tematem wielu dysput społecznych, w których, oprócz etyków, filozofów, lekarzy, biorą udział także fizjoterapeuci. Każdy z nich przedstawia swój punkt widzenia, który wielokrotnie jest zbieżny. Zarysowujące się różnice stanowisk dotyczą w pewnym stopniu konsekwencji zastosowania zasad deontologii w konkretnych sytuacjach zawodowych.
Kształtowanie postaw w procesie edukacji akademickiej jest zadaniem trudnym
i długotrwałym. Na dalsze formowanie postawy etycznej absolwenta fizjoterapii duży wpływ ma rodzaj wykonywanej pracy. Choć fizjoterapeuta rozpoczynający pracę zawodową posiada ukształtowaną postawę, będzie ona nadal podlegała pozytywnym lub negatywnym modyfikacjom środowiska. W społeczności fizjoterapeutów pożądaną postawą powinna być postawa etyczna, która charakteryzuje się trwałością i stanowi jeden ze składników ludzkiej osobowości, ludzkiego usposobienia.
Celem niniejszego opracowania jest zwrócenie uwagi na czynniki kształtujące postawę etyczną zarówno studenta fizjoterapeuty, jak i dyplomowanego fizjoterapeuty. Postawa ta, łącząca komponent emocjonalny, behawioralny i oceniający, powinna być zrównoważona i pełna społecznej dyscypliny, społecznej użyteczności, społecznego zaangażowania, społecznej otwartości, tolerancji, poszanowania godności, szacunku dla życia i zdrowia. Jej wypracowane wzorce to zachowania opiekuńcze, pełne odpowiedzialności, współodczuwania, poszanowania własności, z umiejętnością przekazywania rzetelnej informacji i z umiejętnością pracy zespołowej. Wynikiem takiej postawy ma być optymalizacja efektów postępowania leczniczego oraz budowanie prestiżu zawodu fizjoterapeuty.

Słowa kluczowe:
fizjoterapia, postawa etyczna, edukacja humanistyczna


Abstract

Common behavioural and ethical patterns existing in modern medicine are subject to many social debates in which physiotherapist, alongside ethicists, philosophers and doctors, have their say. All of them express their points of view, which more often than not, coincide. The differences in opinions constitute the consequences of applying deontology in certain professional cases. Forming behavioural patterns in the process of academic studies is a hard and long-lasting task. Further development of ethical attitudes of a physiotherapist will be influenced by work. Even though physiotherapists embark upon their professional paths with already formed attitudes, these will be prone to further changes, both negative and positive, depending on the environment.

Key words:
physiotherapy, ethical stance, humanistic education

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Professional culture versus physiotherapist’s culture

Wojciech Kiebzak, Magdalena Rusin, Zbigniew Śliwiński, Michał Dwornik, Marek Kiljański

FP 2013; 13(4); 44-50

Streszczenie
Rola społeczna fizjoterapeuty nie sprowadza się tylko do posiadania instrumentalnej, profesjonalnej wiedzy, jaką się posługuje, wysokiej kultury osobistej, ale także wymaga od niego postępowania humanistycznego i etycznego. Fizjoterapeuta we współpracy z członkami całego zespołu leczącego, stwarza warunki do zapewnienia swoim pacjentom optymalnego powrotu do zdrowia.
Kształcąc się, podnosząc swoje kompetencje zawodowe, przynależąc do stowarzyszeń zrzeszających fizjoterapeutów, budując wieź z innymi reprezentantami tej profesji rozwija się świadomość i tożsamość zawodową. Wspólne dążenie do jednolitych standardów kształcenia, tworzenie wzorców osobowych, kultury zawodowej, zasad etycznych, wpływa na profesjonalizację ich grupy, a profesjonalizacja to gwarant jakości świadczeń fizjoterapeutycznych i właściwego podejścia do pacjenta.
Celem niniejszego opracowania jest przedstawienie fizjoterapii jako profesji,
a fizjoterapeuty, jako profesjonalisty, człowieka doskonale przygotowanego do pracy
z człowiekiem chorym, potrzebującym, członka zespołu rehabilitacyjnego (terapeutycznego), terapeuty – humanisty, który swojego pacjenta traktuje jako summum bonum medycyny.

Słowa kluczowe:
fizjoterapia, kultura zawodu, kultura osobista, etyka, profesja


Abstract

The social role of a physiotherapist must not be reduced to displaying instrumental professional knowledge and propriety; it demands from a physiotherapist to employ humane and ethical streak in his or her practice. A physiotherapist, in collaboration with the whole medical team, creates proper conditions for full recovery. Physiotherapists develop professional identity and awareness by furthering their education, raising their professional competence, belonging to physiotherapist associations and building bonds between other representatives of this profession. What influences the level of professionalism of the group and all the same determine the quality of physiotherapeutic services and a proper approach towards the patient are mutual attempt to standardise education, create role models as well as professional culture and ethical values. The aim of this study is to present physiotherapy as a profession, and the physiotherapist both as a professional who has the highest level of professional command to treat the ill and needed, and as a member of the rehabilitation (therapeutic) team – a humanist who treats a patient as a summum bonum of medicine.

Key words:
physiotherapy, professional culture, propriety, ethics, profession

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Therapeutic value of local cryotherapy in the treatment of patients with gonarthrosis

Łukasz Kopacz, Anna Lubkowska, Iwona Bryczkowska, Piotr Skomro, Elżbieta Kubala, Marek Kiljański, Danuta Lietz-Kijak

FP 2013; 13(4); 31-36

Streszczenie
Wstęp. Celem przeprowadzonych badań była ocena wpływu zabiegów krioterapii miejscowej na zakres ruchu w stawie kolanowym u pacjentów z chorobą zwyrodnieniową stawów. Dodatkowo analizowano potencjalne zmiany w dolegliwościach bólowych pacjentów. Materiał i metody. Grupa badana liczyła 50-ciu pacjentów i była jednorodna pod względem schorzenia. W badaniu wzięło udział 39 kobiet i 11 mężczyzn. Pacjenci poddani byli 10-ciu codziennym zabiegom krioterapii miejscowej na okolicę stawu kolanowego. Przed przystąpieniem do krioterapii, pacjenci zostali poddani badaniom antropometrycznym oraz wyliczono wskaźniki BMI. Został zebrany wywiad odnośnie chorób współistniejącychi zbadano dolegliwości bólowe według skali VAS. U wszystkich badanych wykonano pomiar zakresu ruchów w stawie kolanowym za pomocą goniometru. Został on wykonany przed rozpoczęciem zabiegów oraz po ich zakończeniu. Wynik. U wszystkich pacjentów, poddanych serii zabiegów można stwierdzić znaczną poprawę w zakresie ruchu zgięcia i wyprostu w stawie kolanowym. Analizując dolegliwości bólowe oceniane za pomocą skali VAS, po zakończeniu serii zabiegów wykazano znaczne zmniejszenie wartości wskazywanych przez badanych. Rozpatrując zakres ruchu zgięcia w stawie kolanowym w obu grupach, zarówno z rozpoznaniem choroby zwyrodnieniowej stawów kolanowych oraz choroby zwyrodnieniowej wielostawowej, po serii zabiegów krioterapii miejscowej ruch znacznie się poprawił, natomiast zakres ruchu wyprostu w stawie kolanowym polepszył się w grupie z rozpoznaniem choroby zwyrodnieniowej wielostawowej. Wnioski. Krioterapia miejscowa jest korzystną metodą, redukującą dolegliwości bólowe oraz wpływającą na poprawę zakresu ruchów w stawie kolanowym u pacjentów z gonartrozą.

Słowa kluczowe:
zimnolecznictwo, gonartroza, leczenie zimnem


Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients. Material and method. The study group consisted of 50 of the patients and was homogeneous in terms of disease. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before cryotherapy, patients were examined anthropometric, and BMI was calculated indicators. Was collected interview regarding comorbidities and examined pain according to VAS. In all patient performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. All patients who underwent a series of treatments there is a considerable improvement in flexion and extension of the knee. Considering the analysis of pain assessed by VAS in all patients demonstrated a significant reduction in the value indicated by the respondents on the scale after the series of treatments. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis. Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, osteoarthritis, knee, cold therapy

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