Tag: rehabilitacja

Evaluation of manual dexterity after treatment with botulinum type A(B), selected kinesitherapeutic methods: a case study

Sebastian Głowiński, Karol Łosiński, Agnieszka Grochulska, Gabriela Płotka, Adam Hałaburda

S. Głowiński, K. Łosiński, A. Grochulska, G. Płotka, A. Hałaburda – Evaluation of manual dexterity after treatment with botulinum type A(B), selected kinesitherapeutic methods: a case study. Fizjoterapia Polska 2020; 20(4); 40-48

Abstract
Introduction. Botulinum treatment involves the reduction of spasticity in patients qualified for this type of treatment. The main aim of this treatment is to increase the quality of life by improving functionality. In some situations, however, objective tests indicate a deterioration of movement parameters, and at the same time the patient reports improved performance of basic self-care activities. In this case, the decision to continue the therapy depends on the patient’s subjective feelings.
Material and methods. The study concerns a 20-year-old patient with right-sided spastic paresis resulting from the surgical treatment of left thalamic haemangioma in 2008. The patient was qualified for botulinum toxin treatment under the NFZ programme in 2019. The above-mentioned therapy was applied in combination with selected methods of neurophysiological rehabilitation. The aim was to maximize the positive effects of the therapy: to improve the range of mobility and reduce associated reactions, with minimal loss of manual activities of the right upper limb. Tests were performed to assess muscle tone according to the Ashworth scale, and precision grip according to the “Guidelines of the National Council of Physiotherapists for Health Services”. Additionally, the range of motion in the hand joints was measured using the vision system. A subjective 10-degree scale was proposed to assess the incidence of associated reactions during everyday activities.
Results. The results obtained indicated discrepancies between the objective results of standard tests and the patient’s subjective evaluation. According to the patient, despite the loss of some of her hard-earned mobility patterns, her quality of life improved.
Conclusion. Botulinum injection combined with physiotherapy slightly increased the range of motion in the hand joints, decreased the associated reactions, and slightly improved manual dexterity.

Key words:
spasticity, rehabilitation, physiotherapy, botulinum

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Effect of Electromyogram-Triggered Stimulation versus Alternating Electromyogram Stimulation on Hand Functions in Chronic Stroke Patients: A randomized controlled trial

Dany Alphonse Anwar Habib, Abeer AboBakr El-Wishy, Ebtessam Mohamed Fahmy, Heba A. Bahey El Deen, Shaimaa Shaheen Mohammed, Abd El-HamiedIbrahim El-Sayed Mohammad

Dany Alphonse Anwar Habib, Abeer AboBakr El-Wishy, Ebtessam Mohamed Fahmy, Heba A. Bahey El Deen, Shaimaa Shaheen Mohammed, Abd El-HamiedIbrahim El-Sayed Mohammad – Effect of Electromyogram-Triggered Stimulation versus Alternating Electromyogram Stimulation on Hand Functions in Chronic Stroke Patients: A randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 172-179

Abstract
Aim. The purpose of this study is to compare between electromyogram-triggered stimulation versus alternating electromyogram stimulation on hand function in chronic stroke patients. Material and Methods. Forty five chronic stroke patients of both sexes were divided into 3 equal groups (A, B and C). Each group received the same designed physical therapy program for hand function training in addition to electromyogram-triggered stimulation for group A and alternating electromyogram stimulation for group B. Each patient was assessed before and after the two months of intervention protocol by box and block test to evaluate manual dexterity and by electromyography (EMG) threshold to evaluate peak muscle torque. Results. There was significant post-treatment increase in manual dexterity and peak muscle torque mean scores in all groups. The percentage of improvement was higher in group B compared to other groups. Conclusion. Adding alternating electromyogram stimulation or electromyogram-triggered stimulation to a designed physical therapy program for hand function training improves hand function and peak muscle torque in chronic stroke patients. Alternating electromyogram stimulation was more effective than electromyogram-triggered stimulation.
Key words:
Electromyogram-triggered stimulation, alternating electromyogram stimulation, rehabilitation; stroke, hand function
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Methods of manual rehabilitation and assessment of their effectiveness on the example of a patient after temporomandibular joint dislocation

Przemysław Pasiak, Tomasz Tomaszewski

P. Pasiak, T. Tomaszewski – Methods of manual rehabilitation and assessment of their effectiveness on the example of a patient after temporomandibular joint dislocation. Fizjoterapia Polska 2020; 20(3); 108-114

Abstract
Introduction. The paper presents rehabilitation methods used for facial cranial diseases, and also discussed the most common causes predisposing to dislocation of the temporomandibular joint. These disorders are a multifaceted problem. In their healing process, at various stages, it is necessary to involve both specialists in maxillofacial surgery, orthodontists, speech therapists, psychologists and physiotherapists.
Objective of the work. The aim of the study was to discuss physiotherapy methods used in the treatment of temporomandibular joint disorders and to assess their effectiveness on the example of a patient after a right temporomandibular joint dislocation.
Materials and methods. In the work based on the description of the patient who came to the physiotherapy office in whom the right temporomandibular joint was dislocated, the therapeutic procedure used by specialists in the field of maxillofacial surgery and physiotherapists was presented.
Results. The implementation of rehabilitation brought the following effects: increasing the range of mobility of the jaw, reducing pain, reducing edema, and muscle relaxation.
Conclusions. Physiotherapy should be one of the elements of comprehensive treatment of patients with temporomandibular joint disorders.
Key words:
temporomandibular joint, rehabilitation, maxillofacial surgery
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Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Katarzyna Kordus, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, K. Kordus, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1. Fizjoterapia Polska 2020; 20(2); 160-176

Abstract
Changes resulting from incorrect plantar foot pressure distribution can lead to degenerative changes of hard and soft tissues. Especially clear connection can be noticed between excessive pressure on feet and occurrence of ulcers and chronic wounds, especially those secondary to diabetes and motor and sensory neuropathy. Pedobarography is widely used to assess the value as well as time and space parameters of pressure when standing and walking. This means that this procedure can prove useful in many fields, including orthopaedics, rehabilitation, orthopaedic appliances as well as in traumatology and treating bad posture.
Pedobarography is a diagnostic procedure that is not highly specialist (besides physicians, it can be performed by non-physician practitioners) that is why it can be used by specialists of many fields. In most countries where prophylactics of feet disorders, especially the diabetic foot syndrome, is highly developed, pedobarography is one of the basic diagnostic procedures of the guaranteed healthcare services. In Poland, it is included in the list of guaranteed healthcare benefits of the National Health Found since 2011. However, there are grounds to think that pedobarography is not commonly used, mainly due to insufficient knowledge of medical staff on this method. Considering the fact that this diagnostic procedure plays an important role in preventing disorders resulting from incorrect pressure migration, it is crucial to analyse directions of its application and factors influencing its development. The aim of this paper was to assess availability of pedobarography and to analyse factors facilitating and limiting its development.

Key words:
pedobarography, orthopaedics, rehabilitation, traumatology, bad posture, ulcerations, Charcot’s neuro-osteoarthropathy, custom-made orthopaedic insoles

 

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Evaluation of the effectiveness of massage therapy in combination with other rehabilitation treatments in the treatment of back pain syndrome

Monika Molga, Damian Durlak

M. Molga, D. Durlak – Evaluation of the effectiveness of massage therapy in combination with other rehabilitation treatments in the treatment of back pain syndrome. Fizjoterapia Polska 2019; 19(2); 46-58

Abstract
Objective. The objective of the study was to evaluate the effectiveness of classic massage therapy in combination with other rehabilitation treatments and its influence on the reduction of pain intensity in people diagnosed with back pain syndrome.
Material and method. The study was conducted using a questionnaire form at the HIPOKRATES clinic in Krakow. The study involved 150 people who underwent massage therapy, and physiotherapy and kinesitherapy treatment recommended by a physician. To assess the effectiveness of massage therapy in combination with other treatments, the degree of pain intensity was determined in all patients using the VAS visual analog scale before and after completed rehabilitation. The questions also concerned the duration of back pain, knowledge of the principles of ergonomics, use of other treatments besides massage therapy, the time after which the pain was reduced and the duration of positive effects, the effects of massage therapy combined with other rehabilitation treatments, and well-being.
Results. On average, in people using rehabilitation, pain symptoms began to decrease after the fourth treatment. After a series of treatments, most of the respondents experienced improved functioning in everyday life, and pain and increased muscle tone decreased. The patients’ well-being improved considerably, and the dose of painkillers taken was reduced.
Conclusions. Massage therapy in combination with kinesiotherapy and physiotherapy is an effective form of therapy for the treatment of back pain syndrome.

Key words:
back pain, massage therapy, rehabilitation

 

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Medycyna Fizykalna i Rehabilitacja na kongresie w Łodzi

Rehabilitacja pacjentów z chorobą nowotworową oraz terapia obszaru dna miednicy – to tylko niektóre z tematów jakie znalazły się w programie tegorocznego Kongresu Medycyny Fizykalnej i Rehabilitacji w Łodzi. Wydarzenie gromadzące kilkuset lekarzy oraz fizjoterapeutów odbędzie się w dniach 20-23 września przy okazji 26 edycji międzynarodowych targów REHABILITACJA.

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The effects of health resort treatment on hand function in female rheumatoid arthritis patients

Ewa Puszczałowska-Lizis, Paulina Murdzyk, Sławomir Jandziś, Marek Kiljański

E. Puszczałowska-Lizis, P. Murdzyk, S. Jandziś, M. Kiljański – The effects of health resort treatment on hand function in female rheumatoid arthritis patients; Fizjoterapia Polska 2018; 18(1); 74-82

Abstract

Introduction. Rheumatoid arthritis (RA) is a systemic, chronic, immune-mediated disease of connective tissue. The disease mostly affects the hand joints, leading to weaker hand grip and functional limitations, which in many cases hinders everyday functioning and makes the patients dependent on the assistance of others. The aim of this study was to evaluate the effects of health resort treatment on improving hand function in female RA patients in comparison with a group of female patients receiving ambulatory treatment.
Materials and methods. The study included a group of 120 women between 35 and 45 years of age suffering from RA, 60 of which were rehabilitated in the “Ziemowit” Health Resort in Rymanów-Zdrój. The other 60 female patients received ambulatory care in the Occupational Health Center in Sanok. Both pinch grip and key grip tests were performed as well as the Grind test. The analyses were conducted with the aid of the Wilcoxon test and the Pearson non-parametric chi-square test of independence.
Results. After the treatment was completed, the number of women who were capable of correctly performing the pinch and key grips and did not feel pain in the carpometacarpal joint of thumb in the Grind test increased in both groups. A statistically significant increase in the scores (in accordance with the adopted binary system) of the respective tests, which indicates an improvement in the outcome measures, was also observed.
Conclusions. The comprehensive health resort treatment and ambulatory care have similar effects on the improvement of hand function parameters in female RA patients.

Key words:

rheumatic diseases, functional limitations, rehabilitation

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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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Isokinetic testing and exercises in physiotherapeutic practice

Andrzej Czamara, Katarzyna Krzemińska, Aleksandra Królikowska, Łukasz Szuba, Marek Kiljański

A. Czamara, K. Krzemińska, A. Królikowska, Ł. Szuba, M. Kiljański – Isokinetic testing and exercises in physiotherapeutic practice. FP 2017; 17(4); 6-17

Abstract

The aim of the paper was to present the attitude to measurements and exercises performed under isokinetic conditions during physiotherapeutic procedures, based on the literature review and the authors’ experience. The authors discuss basic issues of the physiology of muscles, types of muscle contractions and activity, and changes in muscle tension. They presents the principles of torque value measurement and the assessment of other biomechanical parameters, carried out under conditions of maximal isometric tension tone as well as under dynamic-isokinetic conditions. The exercises performed under isokinetic conditions and isometric (static) conditions are described in various aspects of clinical physiotherapy. Attention is focused on the indications and contraindications to using such kind of tests and exercises in physiotherapy, as related to other branches of medicine.

Key words:
kinesitherapy, isometry, dynamics, rehabilitation

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The assessment of effect of early post-hospital rehabilitation on the lung ventilation function in patients with cardiovascular disease

Katarzyna Bogacz, Marek Woszczak, Jan Szczegielniak

K. Bogacz, M. Woszczak, J. Szczegielniak – The assessment of effect of early post-hospital rehabilitation on the lung ventilation function in patients with cardiovascular disease. FP 2017; 17(2); 132-139

DOI: https://doi.org/10.56984/8ZG0D9D95

Abstract

Objective. An assumption as made that tests performed before and after a 3-week cardiovascular rehabilitation would allow the assessment of its effect on the lung ventilation function in patients post MI and CABG.
Material and methods. The analysis involved determination of mean values of all spirometric values and comparing them with expected values before and after the rehabilitation program. In order to check if mean values of both tests were significantly different, they were compared using the t Student test for paired samples, and mean increases of all indexes were calculated.
Test results. Lung function tests performed in study subjects gave results allowing precise analysis of lung ventilation function in patients post MI and CABG, and an assessment o the effect of comprehensive cardiovascular rehabilitation, including respiratory exercises, on ventilation function of those patients. t-Student test was applied for the assessment of differences with the significance level of p < 0.01.
Conclusions. The program of cardovascular rehabilitation involving respiratory exercises, accounts for improved lung ventilation function in patients post MI and CABG, and should be used at each stage of rehabilitation of those patients.

Key words:
Cardiovascular disease, rehabilitation

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