The atteration of the value of muscle forces in the programme of physiotherapy after the reconstruction of anterior cruciate ligaments

Andrzej Czamara

Andrzej Czamara – The atteration of the value of muscle forces in the programme of physiotherapy after the reconstruction of anterior cruciate ligaments. Fizjoterapia Polska 2002; 2(4); 263-272

Abstract
Introduction. The aim of this research was the analysis of the alteration of the value of forces of the extensors and flexors of knee joints in the 13th week and the 6th month of physiotherapy of the patients after the reconstruction of anterior cruciate ligaments. Material and method. The research involved 46 patients, 25 of whom were women. 39 patients, 19 of whom were women, who had undergone at least a six-month physiotherapy were qualified for the analysis of the alteration of the value of forces. The author offered a four-step physiotherapy programme. In the 13th week and then at the beginning of the 6th month the moment of forces was measured and the analysis of the balance of the moment of forces of the flexors to extensors of knee joints was made. Results. A statistically essential increase of the moment of forces of traumatic limbs, both in a group of men and women, was reached in the 6th month as compared to the 13th week of physiotherapy. No statistically important differences were noted in a men’s group at the beginning of the 6th month. The results in the traumatic limbs were comparable the value of the moment of forces of healthy limbs. At the same time a women’s group got, in the traumatic limbs, about 80-90% of the value of the moment of forces of the muscle groups of healthy limbs. Some essential statistic differences were noted. The value of the balance of the moments of forces of the operated limbs’ muscles altered approaching in the 6th month the values of healthy limbs. Conclusions. The increase of the mean value of the moment of forces in traumatic limbs was reached in the treated groups. The dynamics of the increase of the value of the moment of forces proved better in men. It appears that the analysis of the changes of balance of flexors to extensors may prove useful in the monitoring of the process of physiotherapy.

Key words:
Anterior Cruciate Ligament, physiotherapy, moment of forces

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Physiotherapeutic technics used in Yalta health resorts in the treatment of chronic bronchitis

Volodymyr Mizin

Volodymyr Mizin – Physiotherapeutic technics used in Yalta health resorts in the treatment of chronic bronchitis. Fizjoterapia Polska 2003; 3(2); 197-204

Abstract
A review of the literature in Poland shows no reports on the treatment potential of the physiotherapeutic techniques used in the treatment of chronic bronchitis in the health resorts of Yalta (in Crimea). The goal of this article is to present the current picture of this treatment. The clinical goals and tasks for prevention, resort treatment and rehabilitation in chronic bronchitis are discussed. The effects and doses for the physiotherapeutic factors used in Yalta health resorts are described, including aerotherapy, inhalation, aromatotherapy, electrotherapy, light therapy, magnetotherapy, ultra sound therapy, acupuncture, massage, gymnastics, physical training, climatotherapy, thalassotherapy, balneology, heat therapy and phytotherapy

Key words:
chronic bronchitis, physiotherapy, resort treatment

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Physiotherapy following surgical repair of knee cartilage

Andrzej Czamara

Andrzej Czamara – Physiotherapy following surgical repair of knee cartilage. Fizjoterapia Polska 2003; 3(4); 401-411

Abstract

This article presents a four-stage physiotherapy program for use after certain surgical operations on knee joint cartilage, adapted to the dynamics of tissue healing and reconstruction. In the first stage, the load-bearing time of the operated lower limb in vertical configuration is differentiated, depending on the degree and site of damage and the surgical technique, as well as the patient’s own goals and personal characteristics. Physical agents are also used, along with passive movement of the knee joint without load on CPM devices. Isometric and co-contraction exercises are also used. The patient is taught to walk while relieving the operated limb with crutches. In the second phase of rehabilitation, in addition to routine methods, we use gradual loading on the limb in vertical position, using objective measurements obtained from tensometric platforms. In the third phase standard rehabilitation methods are used. In addition we have implemented monitoring of gradually increased loads, with the goal of restoring limb function, i.e. walking on a level surface and at a variable grade, and basic motor characteristics. The fourth stage is intended for persons whose goal is to return to sport or other professional work requiring a high level of physical activity.

Key words:
knee joint cartilage, knee joint cartilage injuries, physiotherapy, rehabilitation program
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An original method for analyzing thermo-images as an objective supplement to diagnosis outcome evaluation in knee pain syndrome

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Mirosław Janiszewski, Małgorzata Łukowicz

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Mirosław Janiszewski, Małgorzata Łukowicz – An original method for analyzing thermo-images as an objective supplement to diagnosis outcome evaluation in knee pain syndrome. Fizjoterapia Polska 2003; 3(4); 375-383

Abstract

Background. This article presents a technique for analyzing thermovision images by calculating the knee-limb temperature index (KLTI). The usefulness of this technique for diagnosis and outcome evaluation is assessed. Material and methods. 41 patients with knee pain syndrome in 67 joints were examined, along with 30 healthy controls. The intensity of knee joint dysfunction was evaluated on a 0-30 point scale according to a specially developed test the sheet. Results. In the control group, the KLTI was in the range from -1.4°C to -0.2°C; the range from -1.31°C to -0.5°C was the norm for 90% of the population. In the experimental group, the KLTC place from -0.5°C to +1.8°C. The differences between the KLTI values in the two groups was statistically significant. There was also correlation between the intensity of dysfunction and the KLTI. In the experimental group the values were lower after treatment. Conclusions. The KLTI is a highly specific and sensitive instrument for evaluating knee pain syndrome. The technique described here is a valuable diagnostic supplement, objectivizing outcome evaluation in these patients.

Key words:
thermovision, knee pain syndrome, physiotherapy
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Physiotherapy in patients with implanted cardiac pacemakers

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak – Physiotherapy in patients with implanted cardiac pacemakers. Fizjoterapia Polska 2006; 6(3); 245-250

Abstract
Since the implantation of the first cardiac pacemaker in 1958 by Ake Sening and Rune Elmqvista, there has been gigantic progress in this field of medicine including both the range the equipment and the techniques of implantation. Today electrotherapy is a rapidly developing field of invasive cardiology. Cardiac pacemaker implantation is a very common procedure. Its popularity has increased year by year because the number of indicators is higher. This operation is often the only chance for patients suffering from heart rhythm disorders. In spite of the propagation this treatment method, rehabilitation of these patients is still underestimated. Meanwhile the role of the rehabilitation, as shown in some research, can be as crucial as properly programming the pacemaker. Special attention should paid to patients with implanted rate response devices. Our research shows that patients who are actively rehabilitated after the implantation procedure can get back to normal life more easily and that the number of complications which are connected with patients’ inability to understand of this method is lower. Cooperation between doctors and physiotherepeutists should be a standard. Unfortunately in the most cases it is only a theory. Meanwhile our experiences bring us in creation of standard procedures which are, in spite of patients’ opinion, very useful. There are many questions and queries connected both equipment and rehabilitation process of these patients. It must us to write this publication, where in complex form, implantation of cardiac pacemaker, characteristic of implanted patients and rehabilitation procedures were presented according to our and other authors opinion.

Key words:
physiotherapy, cardiac pacemaker, activity sensor

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Attitude of physiotherapists towards elderly patients with mental and behavioural disorders

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski

Joanna Szczepańska, Joanna Kowalska, Grażyna Greń, Marek Woźniewski – Attitude of physiotherapists towards elderly patients with mental and behavioural disorders. Fizjoterapia Polska 2006; 6(3); 216-221

Abstract
Background. To verify whether cognitive deficits and mood disorders of older inpatients negatively influence the attitudes of physiotherapists towards them. Material and methods. Examination in Geriatric Rehabilitation Unit. 52 patients (78± ,4 years) and 7 physiotherapists. Cognitive status and mood of the patients were examined using the Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS) respectively. GDS was performed only in patients with MMSE 15. The therapists filled an anonymous questionnaire concerning the quality of working with particular patients. This enabled the following division: group (P+) patients working with whom the physiotherapists evaluated as pleasant, group (P-) patients who were negatively evaluated by the physiotherapists as working with them was difficult and tiresome. Results. In group (P-) MMSE values were significantly lower than in group (P+), and they were 15,2±7,5 vs. 23,1±3,7 respectively (p=0,0) and GDS values were significantly higher in comparison with group (P+), and they were 21,3±4,8 vs. 14,6±5,9 respectively (p=0,0). Conclusions. The patients evoking negative attitudes of physiotherapists (impatience, irritability, aversion) had mainly severe cognitive deficits (MMSE<19) and severe depressive symptoms (GDS>20). This may be an additional factor decreasing effectiveness of physiotherapy in this group of patients.

Key words:
cognitive impairment, depression, elderly persons, physiotherapy

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Ground reaction forces of the gait in patients undergoing physiotherapy after articular cartilage surgeries

Andrzej Czamara, Tadeusz Trzaska

Andrzej Czamara, Tadeusz Trzaska – Ground reaction forces of the gait in patients undergoing physiotherapy after articular cartilage surgeries. Fizjoterapia Polska 2006; 6(4); 289-297

Abstract
Background. The goal of our study was the evaluation of the ground reaction forces (N) of vertical component in flat surface gait in patients undergoing 10 to 14 weeks of physiotherapy after chosen surgeries of the knee joint cartilage. Material and methods. We measured ground reaction forces of the gait in 58 people. 31 patients after the carrier surface of knee joint cartilage surgeries and 27 people with no cartilage injuries were examined. When the patients developed individual gait after 10 to 14 weeks of physiotherapy, we measured ground reaction forces of their gait. The examination was carried on a track with, computer programmed, mtd-balance tensometric platforms. Results and Conclusions. Between 10th and 14th week after the surgery, the patients regained the gait. The values of ground reaction forces of the gait during stance phase for the operated limbs were close to the results of healthy limbs. The results did not differ from the results reached by the people with no cartilage injuries and oscillated between 1,19 to 1,21 of body weight. Moreover, minor asymmetry was reported between left and right limbs in groups with no articular cartilage injuries and in patients which did not exceed 5%.

Key words:
physiotherapy, gait, knee joint cartilage, ground reaction forces

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Diversity of body composition among female students of physiotherapy at the Medical University in Bydgoszcz

Andrzej Lewandowski, Ryszard Grucza

Andrzej Lewandowski, Ryszard Grucza – Diversity of body composition among female students of physiotherapy at the Medical University in Bydgoszcz. Fizjoterapia Polska 2007; 7(2), 171-178

Abstract

Background. Human motor abilities, and particularly occupational physical activity patterns, undergo constant changes in response to the progress of civilisation. A career as a physiotherapist may be associated with adaptation of the body to the increased exertion, leading to the development of particular types of body composition. However, it is also possible that the process of selection of applicants for physiotherapy studies or student identification with the physiotherapist community leads to such adaptation manifesting itself while the student is still at college. Material and methods. Ninety-three female students in their third year of Physiotherapy were examined during the years 2001-2003. The somatic characteristics of the students were determined and analysed using the typology system of Wanke and Kolasa. Results. The female physiotherapy students did not exhibit any characteristic types of body composition. Analysis of somatic characteristics revealed a preponderance of the I element while the contribution of the H element was the smallest. There were insignificant differences regarding somatic characteristics between years of study. Some similarity was detected between the physiotherapy students and female medical students. There were also some differences compared to characteristics shared by the general population of Polish women. Conclusions. The results indicate that the choice of studies and future careers in physiotherapy as well as being a physiotherapy student had little effect on the body composition of the females. There was a trace effect of the general sporting ability test taken at the entrance examination on the somatic composition of the future physiotherapists.

Key words:

body structure, physiotherapy, typology, gender differentiation, social environment

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The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król – The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries. Fizjoterapia Polska 2007; 7(2), 107-123

Abstract

Background. The study assessed the effectiveness of a multi-modality therapy for shoulder rotator cuff injuries. The treatment included kinesitherapy, classic massage therapy, cryotherapy and ‘the combination treatment’ (ultrasound plus electrical stimulation). The effects of cryotherapy and the combination treatment for rotator cuff injuries were compared. Materials and methods. The study involved 30 patients with confirmed chronic symptoms of rotator cuff injury. The patients were assigned at random to two groups. Exercises and classic massage of the shoulder area (according to a uniform program) were used in both groups. Additionally, one group (Group A) was exposed to a combination treatment comprising ultrasound and electric stimulation of trigger points in the rotator cuff muscles, whereas Group B was treated with cryotherapy of the shoulder area. Criteria for assessing treatment effectiveness included changes in mobility of the shoulder joint, strength of the rotators, and the presence and intensity of pain. Results and Conclusions. The treatment produced significant and positive effects in both groups. Treatment effects were somewhat better in Group A than in Group B, with statistically significant between-group differences with respect to pain reduction and improved mobility and strength of some muscles. Multi-modality physiotherapy including kinesitherapy and the combination therapy (ultrasound and TENS) is an effective method for treating the sequelae of rotator cuff injuries. Direct combination therapy of myofascial trigger points offers somewhat better results than cryotherapy.

Key words:

injuries of rotator cuff, physiotherapy, ultrasound, electrical stimulation, cryotherapy, combination treatment

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The pediatric physical therapy intervention using kinesiotaping in Estonia

Hille Maas, Reet Koort, Valentin Sander

Hille Maas, Reet Koort, Valentin Sander – The pediatric physical therapy intervention using kinesiotaping in Estonia. Fizjoterapia Polska 2007; 7(3); 355-361

Abstract
Kinesiotaping is based on the philosophy aiming at giving free range of motion in order to allow the body’s muscular sys-tem to heal itself bio-mechanically. This attitude makes it extremely effective for pediatric patients with neurological impairment [1]. Based on this concept, Kinesio Taping fastens motor learning process, avoids using compensatory patterns and confirms child’s normal movement patterns daily using, facilitated by a physiotherapist or parents. Kinesio Taping increases interstitial space and, due to this pressure and irritation, caused by muscle and ligament tightness, the neural and sensory receptors are taken off. This effect significantly decreases uncomfortness of gait in toddler children, and improves their stability, resulting in better balanced reciprocal stance phase of gait. For upper extremity dysfunctions, caused either by central nervous damage or peripheral injuries, improvement is also possible using proximal Kinesio Taping location as it guarantees better stability of the trunk and facilitates, via better balance, also more selective hand functions. Kinesio Taping applied to pediatric patients with neurological impairment should be based on regular and adequate physical therapy assessment procedures and tools, as the changes may occur in motor learning process level and movement patterns in children due to using kinesiotaping rapidly and in order to guarantee permanent progress. There is a constant need to reevaluate and reassess kinesiotaping location and amount.
Key words:
Kinesio Taping, physiotherapy
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