Selective Dorsal Rhizotomy (SDR) – neurosurgical method in treatment of spasticity in CP: the current state of knowledge

Monika Wolska, Marek Kiljański, Witold Rongies

M. Wolska, M. Kiljański, W. Rongies – Selective Dorsal Rhizotomy (SDR) – neurosurgical method in treatment of spasticity in CP: the current state of knowledge. Fizjoterapia Polska 2019; 19(2); 66-75

Abstract
Spasticity constitutes one of the main symptoms of Cerebral Palsy (CP), which has a negative influence on children’s activity, their participation in daily life, and it also impacts their functioning in the society. Chronic spasticity leads to the development of structural lesions in the muscles and in the connective tissue, and it contributes to an intensification of atrophy, rigidity, and finally contractures resistant to pharmacological treatment. Worsening comfort of life and problems with taking care of children with CP constitute other aspects, which justify searching for methods of permanent and effective treatment of spasticity.
The selection of an optimal treatment method for every patient depends on the following: location and extent of the injury, clinical symptoms, patient’s age, and available treatment methods. Selective dorsal rhizotomy (SDR) is a method of surgical treatment of spasticity in children with CP. The procedure is irreversible, and it permanently reduces spasticity. There are still many controversies regarding qualification for the procedure, indications, or short-term and long-term effects. Over the years, there are more and more international clinical studies which confirm the beneficial effect of the procedure in terms of improving the functional state of the patients. The purpose of this paper was to gather and systematize the knowledge about the procedure itself, the qualification criteria, the applied research tools, and the post-surgery physical therapy protocols, as well as to present the effects of surgical treatment.

Key words:
Selective Dorsal Rhizotomy, SDR, physical therapy, spasticity, CP

 

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4th year physical therapy Students satisfaction in Jordanian universities: A survey study

Mohannad Hawamdeh, Zaid Modhi Mansour, Saad Al-Nassan, Ziad Hawamdeh, Mohammad Etoom, Faris Alshammari, Abdul-Majeed R. Almalty, Mohammad Abo-Kabar

M. Hawamdeh, Z. M. Mansour, S. Al-Nassan, Z.  Hawamdeh, M. Etoom, F. Alshammari, A. R. Almalty, M. Abo-Kabar – 4th year physical therapy Students satisfaction in Jordanian universities: A survey study. Fizjoterapia Polska 2018; 18(4); 34-37

Abstract
Purpose. The purpose of this survey was to examine students’ satisfaction about physical therapy education in 3 Jordanian universities in addition to determining their perspective on some of the issues related to the profession before and after graduation and entering the working field. Method: An online survey accessed through a hyperlink was directed to 4th year (final year) physical therapy students who are currently studying in Jordanian universities through their virtual social network groups. The link was posted on the main student’s virtual social network groups of the three universities; it also included a message asking participants to share the link with their physical therapy peers to complete the survey. Result: 85% of responders reported that being a physical therapy student has significantly influenced their life. 76% of responders reported that studying physical therapy has positively influenced their social environment. 84% of responders reported that including a fifth year for residency is more effective. Conclusion: our survey results indicate that students are generally satisfied with the quality of education they are receiving, there is some lack in equipment, and salaries are very low post graduation. Those issues addressed in this study will be the leading point for coming studies trying to investigate what are the reasons for such deficiencies and how they can be fixed.

Key words:
Physical therapy, Students, Satisfaction, 4th year

 

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Assessment of the legal situation of physiotherapists regarding the continuation of professional qualifications

Abstract

The profession of physical therapist is subject to specific legal regulation under the Act on the Profession of Physical Therapist of 25 September 2015, the adoption of which was motivated by the need to introduce comprehensive legal solutions taking into account the specific social character of that profession. Until that act took effect, i.e. until 31 May 2016, Poland had had no statutory provisions regulating the principles of pursuing that profession.
Analysis of the adopted legal regulations indicates numerous doubts that make it difficult to issue an unequivocal legal assessment of the factual conditions occurring in practice. The above statement refers, in particular, to the persons meeting the statutory criteria that want to continue the acquired professional qualifications.
The objective of this study is to demonstrate the doubts resulting from the adopted normative provisions, to attempt to explain them, and to formulate the de lege ferenda conclusions that would allow to respect that condition.

Key words:
physical therapy, act on the profession of physical therapist, act on medical activity, right to pursue the profession of physical therapist

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Preventive Physical Therapy as a Health Need and Service. Theoretical Background

Zofia Kubińska, Kamil Zaworski

Z. Kubińska, K. Zaworski – Preventive Physical Therapy as a Health Need and Service. Theoretical Background. Fizjoterapia Polska 2018; 18(2); 58-68

Abstract

Under the Act on the Profession of Physical Therapist, preventive physical therapy is one of the health services provided within physical therapy activities. Its task is to promote pro-health behaviours and to develop and maintain fitness and endurance of people of different age, for the purpose of preventing disability.There are three levels of preventive physical therapy – primary, secondary and tertiary. Primary preventive physical therapy is addressed at the whole population or at susceptible groups. Its purpose is to provide the knowledge of and skills for maintaining health using proper types of physical activity. Secondary preventive physical therapy covers the activities undertaken after the occurrence of the first signs of disease. Its purpose is to prevent the consequences of the diseases or to inhibit the development of the expected but not yet visible, signs. Tertiary preventive physical therapy includes the activities undertaken in the case of a developed disease or dysfunction which are not possible to cure. Its purpose is to prevent the exacerbation of signs and to provide optimum compensation mechanisms.The following persons are statutorily obliged to develop the life and special skills directed towards (propedeutic) competences in the scope of preventive physical therapy: parents, teachers, health promoters, caretakers, nurses, physicians and physical therapists.

Key words:
physical therapy, preventive physical therapy, preventive treatment

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Comparison between the effectiveness of therapy using a high-frequency electromagnetic field and the therapy using ultrasound waves in the degenerative and overload diseases of the locomotor system

Lidia Kościelny, Krystyna Stanisz-Wallis, Bożena Latała, Magdalena Wilk-Frańczuk

L. Kościelny, K. Stanisz-Wallis, B. Latała, M. Wilk-Frańczuk – Comparison between the effectiveness of therapy using a high-frequency electromagnetic field and the therapy using ultrasound waves in the degenerative and overload diseases of the locomotor system. Fizjoterapia Polska 2018; 18(1); 6-13

Abstract

Objective. The objective of this study is to assess the effectiveness of treating degenerative diseases of the locomotor system using a high-frequency electromagnetic field in comparison with ultrasound treatment.
Materials and methods. 77 people aged 42-84 with exacerbation of pain ailments and limitation of motor skills resulting from degenerative diseases, were qualified for the study. The patients were divided into 3 groups. The following procedures were performed in group I (27 persons): cryotherapy, laser therapy and kinesiotherapy. The following procedures were performed in group II (27 persons): cryotherapy, laser therapy, ultrasounds and kinesiotherapy. The following procedures were performed in group III (23 persons): cryotherapy, laser therapy, high-frequency electromagnetic field, kinesiotherapy. The procedures were performed for 10 days in all the groups. There was applied the motor skill assessment survey and pain assessment. The tests were performed on the 1st and 10th day of the procedures.
Results. In each group, the treatment applied occurred to be effective, which was statistically relevant. In group III, the median difference was highest. Similarly, the change in pain was most significant in group III, the therapy using an electromagnetic field occurred most effective.
Conclusions. A significant difference between the initial and final pain was noted in the 3 tested groups. A significant difference in the level of pain appeared in the 3 tested groups. The higher effectiveness of electromagnetic field therapy was demonstrated.

Key words:
rehabilitation, degenerative lesions, physical therapy

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Evaluation of the effectiveness of two rehabilitation programmes for the patients with the shoulder impingement syndrome

Katarzyna Ogrodzka, Karolina Leśniak, Aneta Bac, Tomasz Ridan, Marek Żak

K. Ogrodzka, K. Leśniak, A. Bac, T. Ridan, M. Żak: Evaluation of the effectiveness of two rehabilitation programmes for the patients with the shoulder impingement syndrome. FP 2015;15(4); 42-52

Abstract

Aim. The study aimed to compare two specific programmes of rehabilitation for patients with the shoulder impingement syndrome, as well as to assess to what extent the National Health Service refunded rehabilitation scheme was able to restore the possibility of recovering the function in a shoulder joint, in comparison to the programme of rehabilitation devised and developed by the Authors.
Material and method. The assessment embraced the two groups of patients, 7 in each, all diagnosed with shoulder impingement syndrome. The first group only used the refunded treatments, whereas the second group underwent the Authors’ programme of rehabilitation specifically tailored to address the patients’ individual needs.
Results. Having completed the course of respective rehabilitation programmes, the patients from both groups were found to have increased the range of motion in their shoulder joints, as well as experience an appreciably reduced level of pain when pursuing their daily activities, and also when at rest.
Conclusion. The Authors’ rehabilitation programme proved an appreciably more effective procedure for tackling the shoulder impingement syndrome.

Key words:
shoulder impingement syndrome, physical therapy, efficiency

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