Tag: Wojciech Szwarczyk

Continous passive motion as a method of kinesitherapy in the treatment of brachialgia

Bogusław Frańczuk, Wojciech Szwarczyk, Magdalena Wilk, Maciej Kasparek, Janusz Otfinowski

Bogusław Frańczuk, Wojciech Szwarczyk, Magdalena Wilk, Maciej Kasparek, Janusz Otfinowski – Continous passive motion as a method of kinesitherapy in the treatment of brachialgia. Fizjoterapia Polska 2001; 1(2); 123-126

Abstract
Background. The purpose of this article is to describe the treatment outcomes for patients with bracchialgia who received, in addition to standard rehabilitation, treatment by continuous passive movement (CPM) as well. Material and methods. The research involved 55 patients under treatment in the Clinic of Traumatology at the Jagiellonian University’s Collegium Medicum, in accordance with the standard approach to rehabilitation. In 25 these cases (group II), CPM treatment was applied additionally. In order to evaluate rehabilitation outcome, the Visual Analogue Scale (VAS) was applied to assess pain symptoms, the range of active movements was tested in the humeral joint (especially painful abduction), and a two-degree self evaluation scale was applied to measure satisfaction with the state of health: satisfactory (the limb can be used with relative facility) or unsatisfactory (major limitations in the functions of the upper limb). The patients were tested twice: once before treatment and again after its completion. Conclusion. The results obtained justify the conclusion that patients with post-traumatic brachialgia, when subjected to rehabilitation obtain a reduction in pain symptoms, an increase in joint mobility, and improvement in the subjective evaluation of the state of health. Greater improvement is obtained by patients when continous passive motion (CPM) is added to the program. CPM can be recommended as a method for kinesitherapy in the rehabilitation of bracchialgia.

Key words:
continous passive motion, bracchialgia

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Outcome of early rehabilitation with continous passive motion for patients recovering from surgical reconstruction of the knee due to degenerative changes. A preliminary report

Magdalena Wilk, Bogusław Frańczuk, Rafał Trąbka, Wojciech Szwarczyk

Magdalena Wilk, Bogusław Frańczuk, Rafał Trąbka, Wojciech Szwarczyk – Outcome of early rehabilitation with continous passive motion for patients recovering from surgical reconstruction of the knee due to degenerative changes. A preliminary report. Fizjoterapia Polska 2004; 4(2); 163-166

Abstract

Background. Due to the increasing number of surgical knee constructions, there is a constant search for new solutions in surgical techniques and rehabilitation methods. The goal of rehabilitation is to enable the patient to return to normal activities of daily living and recover functional independence as soon as possible. Continuous passive motion (CPM) is one of the methods currently used for patients recovering from surgical reconstruction of the knee. Material and methods. Our research involved 60 patients who had received total endoprostheses due to degenerative changes in the knee, divided at random into two groups. Both groups received the same rehabilitation program except for CPM, which was applied only in group I. All patients were examined twice (before and after surgery) to measure body mass, range of movement in the knee joints (using a Sanders digital inclinometer), and muscle strength in the femoral quadriceps. Results. The outcome was more favorable in group I, where CPM was used, both in terms of the average range of movement and on the VAS scale. The patients in group I also reported greater satisfaction. CPM applied in early rehabilitation for this patients accelerates the recovery process. Conclusions. The introduction of CPM in the early post-surgery period contributes to shortening recover time, increases the range of movement in the operated knee, reduces pain and tension in soft tissues, facilitates healing, and accelerates the resorption of hematomas.

Key words:
total endoprosthesis, range of movement, muscle strength
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Infections in patients of the rehabilitation department

Jadwiga Wójkowska-Mach, Wojciech Szwarczyk, Ewa Jaje, Konrad Bernacki, Dorota Romaniszyn, Piotr Heczko

Jadwiga Wójkowska-Mach, Wojciech Szwarczyk, Ewa Jaje, Konrad Bernacki, Dorota Romaniszyn, Piotr Heczko – Infections in patients of the rehabilitation department. Fizjoterapia Polska 2011; 11(2); 135-142

Abstract
The aim of this work was to analyze the epidemiology and colonization of resistant strains causing infections among patients treated in the Rehabilitation Department. The data gathered using a continuous passive surveillance system in the year 2007 and the results of the point prevalence study were used in the analysis.The survey was conducted in the year 2007 at a highly specialist Orthopedic Department with 749 patients were hospitalized. The local Infection Control Team detected cases of infections in their everyday work. The point prevalence study was performed by the hospital Infection Control Team in cooperation with the experts from the Chair of Microbiology (Jagiellonian University Medical College).The incidence rate for hospital infections in the year 2007 reached 1.2%. The predominant etiological factors included: Gram-negative bacilli: Enterobacter, Pseudomonas and Escherichia. The point prevalence rate was 28%. Urinary tract infections (UTI) were most common in 12 diagnosed cases. Among 4 cases of lower respiratory tract infections there was one case of severe pneumonia with mycotic etiology detected.The observed incidence rates were lower than those obtained from other studies reported in medical literature. However, the values of point prevalence confirmed the necessity of continuous surveillance in the units subjected to analysis involving surveillance and epidemiological monitoring, microbiological control and adopting a proper antibiotic treatment policy.
Key words:
rehabilitation unit, nosocomial infections, Surveillance
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Analysis of therapy results in patients with cervical spine pain according to PNF concept and elements of manual therapy

Tomasz Maicki, Rafał Trąbka, Wojciech Szwarczyk, Magdalena Wilk-Frańczuk, Bogusław Figura

Tomasz Maicki, Rafał Trąbka, Wojciech Szwarczyk, Magdalena Wilk-Frańczuk, Bogusław Figura – Analysis of therapy results in patients with cervical spine pain according to PNF concept and elements of manual therapy. Fizjoterapia Polska 2012; 12(3); 263-273

Abstract
This study shows an analysis of two rehabilitation methods in order to determine the differences between groups and changes after the therapy in terms of reducing pain, restoration of mobility and proper function of the cervical spine. The study was conducted on a group of 80 patients referred to rehabilitation due to restricted mobility and pain in the cervical spine, which resulted in impairment in everyday life. Patients were divided into two groups: group 1 consisted of 40 patients treated with PNF concept, and group 2 consisted of 40 patients treated with manual therapy elements. The study used a survey: Functional Index Scale and Oswestry scale for cervical and McGill pain Questionnaire. Additionally range of motion in certain planes was measured by the CROM device. Statistically significant differences were obtained in both groups of patients according to their individual rehabilitation program based on PNF concept and elements of manual therapy. However, patients who received PNF treatment showed greater improvement in mobility, function and pain relief. Results based analysis shows that therapy in group 1 and 2 was efficient, however PNF method proved to be more effective in comparison to treatment with manual therapy elements.
Key words:
Deep neck muscles, PNF, manual therapy, functional rehabilitation
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim