The effect of Kinesio Taping applications on motor activity in children with developmental defects

Zbigniew Śliwiński, Bartłomiej Halat, Wojciech Kufel, Beata Michalak, Marek Kiljański

Zbigniew Śliwiński, Bartłomiej Halat, Wojciech Kufel, Beata Michalak, Marek Kiljański – The effect of Kinesio Taping applications on motor activity in children with developmental defects. Fizjoterapia Polska 2007; 7(1); 52-62

Abstract

Background. The authors present the results of a study of children with developmental defects who underwent a comprehensive physiotherapeutic treatment with the Kinesio Taping method. The children were aged 18 months to 8 years. All patients took part in a 4-week rehabilitation programme at the Rehabilitation Centre in Zgorzelec. Material and methods. The study included 30 children of both sexes. All patients underwent a medical and physiotherapeutic examination, which was the basis for designing a Kinesio Taping-based rehabilitation plan. The application of Kinesio Taping was preceded by Kinesio Taping screening tests, Vojta’s screening tests and an assessment of spontaneous motor activity. The final stage of the study involved analysis of study results and assessment of the utility of the screening tests. Results. Our observations supported by the test results and their analysis prove that Kinesio Taping is a very useful physiotherapeutic modality. If applied properly, it is a valuable adjunct to therapeutic rehabilitation. Kinesio Taping enables the control of muscle tone, which directly translates into new possibilities of locomotor activity of the patients. This method helps to reduce paraesthesias and oedemas. Conclusions. Kinesio Taping applications influenced muscle and fascia tone in our study. Kinesio Taping can be used in combination with other procedures. There are no absolute contraindications to the use of Kinesio Taping as part of comprehensive physiotherapeutic management.

Key words:
developmental defects, Kinesio Taping screening tests, Kinesio Taping applications
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Kinesiotaping application in children with scoliosis

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek – Kinesiotaping application in children with scoliosis. Fizjoterapia Polska 2007; 7(3); 370-375

Abstract
Background. Scoliosis is still a serious problem, despite numerous therapeutic methods. Kinesiotapping (KT) is one of the methods, which can prove helpful in scoliosis treatment. Using proper applications, we can affect alteration of stability line and achieve balance of the spine. Material and methods. The studies were conducted in Zgorzelec Rehabilitation Centre. The participants were 18 children, who stayed there for rehabilitation, including 16 girls and 2 boys. The mean age was 12 years in this group. Changes in the waist angle were evaluated before and after KT application. Results. The obtained results indicate that application of KT in the examined group results in waist angle change, on average by 4 degrees. For left waist angle this mean value is 5.27 degrees, while for the right waist angle it is 2.58 degrees. The highest value for correction was 11.2 degrees. Conclusions. Selected KT techniques result in changes in stability line course, which is also manifested by waist angle change. Due to muscular and fascial tone normalization, the posture of a child with scoliosis changes in the frontal and sagittal plane. KT as a new method, using multiple forms and techniques, seems helpful in carrying out rehabilitation programme for children with scoliosis.
Key words:
scoliosis, KT application, angle of waist
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Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients. Fizjoterapia Polska 2008; 8(1); 23-34

Abstract
Background. Cerebral stroke is a very serious life-threatening condition regardiess of the clinical picture at the onset. In most cases cerebral stroke is a consequence of systemic vascular diseases such as atherosclerosis or hypertension. Material and methods. The study group comprised 103 patients, including 52 post-stroke patients with a paretic upper limb and 51 healthy participants. The group of stroke patients included 18 women and 34 men, while the healthy group consisted of 41 women and 10 men. The mean age of the male patients was 55.6 and of the female patients 66.1 years. The mean age of the control group was 37.2 years. Local cryostimulation was applied to the hand and forearm of the paretic limb in the stroke patients and to the hand the forearm of the right upper limb in the healthy group. The limb was exposed to cold for 6 minutes. The temperatures were measured using an Agema 570 thermovision camera.Results. Subjecting only one forearm to cryotherapy procedures results in a decrease in temperature. In the post-stroke patients the return to the basseline value after the procedure was more rapid. This is possibly connected with more efficient mechanisms protecting the body against loss of warmth, since in this group temperature values were higher. In the control group the temperature in the non-cooled limb decreases by an average of 1.6 st.C, compared to only 1.3 st.C in the stroke patients. Conclusions. The temperatures of an area in the forearm exposed to 6 minutes of cryotherapy were different in the post-stroke patients and in the healthy controls. This is probably attributable to stroke-related brain damage. Contralateralization, i. e. the decline of temperature in the non-cooled limb, occurred both in the post-stroke patients and in the healthy controls. Temperature decreases produced by the exposure of limbs to cold were higher in the stroke patients than in the healthy participants. The temperature returned to baseline more rapidly in the post-stroke patients. The temperature in the cooled limb dod not return to, or exceed, baseline value fifteen minutes after the procedure.
Key words:
cerebral stroke, cryostimulation, thermovision, vascular play
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Model of professional activity of psychologist in the Rehabilitation Department in Zgorzelec

Teresa Karadimitris, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Marta Kopa, Zbigniew Śliwiński

Teresa Karadimitris, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Marta Kopa, Zbigniew Śliwiński – Model of professional activity of psychologist in the Rehabilitation Department in Zgorzelec. Fizjoterapia Polska 2008; 8(2); 206-216

Abstract
The professional activity of a clinical psychologist in a rehabilitation departament requires a general knowledge of psychology as well as familiarity with departament-specific issues. There exist a variety of models for the professional activity of a psychologist in rehabilitation. The practice in the Rehabilitation Departament in Zgorzelec is closest to the developmental model’, according to which disability represents a predisposition to experience various problems in life and rehabilitation is the process of interaction between a disabled person and a specialist in a rehabilitation and physiotherapy. This model regards the patient as a partner in the rehabilitation process. Psychologists in a rehabilitation departament need to undertake different activities in the therapy of children and in the treatment of adults. Work wit children (and their carers) includes diagnosis, therapy, stimulation of development, psychoeducation and support for the parents. The psychologist also collaborates with educational institutions: schools and kindergartens that the patients attend as well as the Psychological and Pedagogical Counseling Centre, whose activities aim to support the children’s development. In the case of adult patients with CNS damage, the psychologist begins work with a neuropsychological diagnosis and follws with exercises to restore the affected functions. The basic activity in work with patients suffering from musculoskeletal pain is psychoeducation, which covers the concept of disease, connection between stress and the functioning of the body, identification of needs and skills required to satisfy them, work with emotions and relaxation training.
Key words:
model of professional activity, psychological diagnosis, psychotherapy, psychoeducation
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Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients. Fizjoterapia Polska 2008; 8(2); 197-205

Abstract
Background. High-tone power therapy is a new method of nerve and muscle stimulation with electric current of a frequency corresponding to the acoustic band of electric oscillation between 4 400 Hz to 12 300 Hz. The usa of two pairs of electrodes serves to generate a dynamic electric field deep inside the tissues. The aim of the study was to assess upper limb function in hemiparetic stroke patients who undrwent high-tone power therapy in the course of rehabilitation. Materials and methods. The study group consisted of 16 men aged 46-72 years (mean 54) and 4 women aged 67-74 years (mean 71) who had suffered strokes of various aetiologies. Arm function was determined on the basis of grip strength testing, ranges of motion (ISOM) and spasticity level (Ashworth scale). Results. Grip strength increased with simultaneous improvement in angular ranges of motion in the radiocarpal joint of the paretic limb. Spastic tone in the limb decreased by 0.35 on the Ashworth scale. Analysis of linear measurements revealed statistically significant changes of circumferences only at the upper arm level. Conclusions. Comprehensive physiotherapy including horizontal therapy performed in stroke patients produced significant functional improvements in the paretic upper limb. High-tone power therapy is well tolerated by hemiparetic patients with despite the long duration of the procedure.
Key words:
Ashworth test, high-tone power therapy, hoSti-Scan stimulation, secondary effect
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Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 344-350

Abstract
Present-day physiotherapeutic practice requires the therapist to be able to assess radiographs. University syllabuses in physiotherapy take this into account and students acquire this knowledge. However, there are a number of physiotherapy practitioners working at health care facilities who do not participate in post-graduate training but work with scoliotic children. Our aim is therefore to present a standard of functional and radiographic assessment of patients with scoliosis adopted in the Rehabilitation Centre in Zgorzelec. The radiograph is the fundamental tool of medical diagnostic imaging. A radiograph used for scoliosis assessment should show the entire spine, including the iliac ala and the femoral joints. It should be taken in the AP and lateral views, with the patient in a standing position. Radiographs complying with these requirements make it possible to determine scoliosis characteristics (type, Risser sign, Cobb angle, vertebral rotation angle, kypho-lordotic index, etc.), according to which appropriate physiotherapeutic management is chosen. Radiological work-up is essential for the assessment of scoliosis and for therapeutic management planning. It also allows an objective evaluation of the progress of rehabilitation. Moreover, radiographs can also be used to monitor the time course of scoliosis. Treating scoliosis without an obtaining x-ray images is like driving a car at night with the headlights switched off!
Słowa kluczowe
scoliosis, x-ray image
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Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak – Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report. Fizjoterapia Polska 2008; 8(3); 325-334

Abstract
Background. Physiotherapy employs a number of kinesiotherapeutic methods based on understanding the course of the development- and movement-related neurophysiological processes, with PNF being one of the methods. Rehabilitation of stroke patients produces better results if different methods are combined, e. g. PNF and KT. Material and methods. The study involved 15 post-stroke patients, including 10 men and 5 women, aged 39-72. Each subject was examined once. Two muscle tone tests according to the Ashworth scale and three functional tests of the paralyzed upper extremity (prior to the therapy, on completion of PNF therapy and following functional KT application) were performed. The upper extremity function test consisted in the subject picking up an object. The distance [cm] between the object and the table surface was measured. Each patient underwent a 45-60 minute rehabilitation session using the PNF method. Additionally, KT was applied onto the radiocarpal joint extensor muscles.Results. Muscle tone according to the Ashworth scale did not change. The mean functional test results [cm] were as follows: 3.8 prior to the therapy, 6.6 post-PNF, and 7.8 post-KT. In two subjects the functional test results did not change, whereas the upper extremity function in the remaining 13 subjects improved after PNF therapy. A marked improvement was observed following the application of KT. In 10 patients, the additional KT application considerably facilitated PNF-based rehabilitation. Conclusions. A combined PNF and KT therapy contributes to improvement of function in the paralyzed extremity. Functional KT application proved to be useful and to facilitate PNF rehabilitation, and so the two modalities may and even should be combined. Although the patients were only subjected to a single PNF session, the function of the upper extremity improved. An even more marked improvement was observed following the functional application of KT. Muscle tone according to the Ashworth scale did not change significantly on completion of the therapy. However, it did not have a decisive influence on the positive results of the functional tests. We did not observe a correlation between the combined PNF and KT therapy and the duration of the post-stroke period was.
Key words:
Kinesiology Taping applications, PNF method, cerebral stroke
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Vojta Screening Tests in children with CNS damage and functional applications of Kinesiology Taping

Zbigniew Śliwiński, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Jan Szczegielniak – Vojta Screening Tests in children with CNS damage and functional applications of Kinesiology Taping. Fizjoterapia Polska 2008; 8(3); 317-324

Abstract
Background. The manifestations of CNS disorders, whether it is spasticity, athetosis, ataxia, or any other, are not visible shortly after birth. They usually develop during the first 4 months of life. They can only be elicited in challenge tests, including kinesiological diagnostic work- up according to V. Vojta.Aim – to define the effect of Kinesiology Taping functional application in children with central coordination disorders. Material and Methods. The study involved 28 patients from the Inpatient Rehabilitation Centre of the Multi-speciality Independent Public Health Care Facility in Zgorzelec (10 boys and 18 girls aged 6-10 months). The mean age of the group was 8 months.Results. Changes in the subjects’ postural reactivity were produced in the course of Vojta kinesiological tests. The difference between the number of pre- and post-Kinesiology Taping abnormal reactions [%] was statistically significant for 3 out of the 7 reactions tested. The mean number of abnormal reactions was 3.12 out of 7 reactions tested. The post-KT results improved inasmuch as the number of abnormal reactions decreased on average by 1 to 2.14 abnormal reactions out of the 7 reactions tested.Conclusions. Children tolerate the therapy of Kinesiology Taping very well. KT produces changes in the spatial arrangement of body parts and improves spatial reactivity, as was observed in the Vojta tests. The Traction Response test showed body axis correction in asymmetric children. The suspension test according to Collis revealed that the application of KT on the hand exerted an effect on muscle tone.
Key words:
Vojta screening tests, Kinesiology Taping
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King-Moe Scoliosis Classification, case study: Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – King-Moe Scoliosis Classification, case study: Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 272-278

Abstract
Background. A large number of scoliosis classification systems are in use. The most popular and widely used classification, proposed by H. King and J. Moe in 1893, distinguishes 5 types of idiopathic scoliosis. Application of the classification facilitates assessment of the condition performed by multiple examiners and provides for homogeneity and comparability of the results. Material and methods. The investigation was conducted in the Child and Adult Rehabilitation Centre of the Independent Public Health Care Facility in Zgorzelec. The study involved 48 children: 37 girls aged 7-18 (mean age 12.3) and 11 boys aged 10-17 (mean age 12.7) with a mean age of the entire group of 12.4. The distribution of particular scoliosis types according to the King-Moe classification was assessed, and the results were compared with King’s and Sastre’s findings. Results. The most common was type I scoliosis – 41% (Sastre – 28%, King – 12.9 %), followed by type II -13% (Sastre -25%, King – 32.6 %). Less common are: type III – 21% (Sastre -16%, King – 32.8 %), type IV – 17% (Sastre – 29%, King – 9.2 %), type V- 8% (Sastre -2%, King – 11.6 %). Conclusions. The distribution of particular scoliosis types presented in the papers under comparison differs significantly. Classification facilitates the analysis and comparison of data presented by different centres. The use of the King-Moe system and x-ray image analysis allows a precise and standardised diagnosis of scoliosis.
Key words:
scoliosis, King-Moe classification
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Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński – Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke. Fizjoterapia Polska 2009; 9(2); 133-142

Abstract
Background. The authors present an assessment of gait pattern in stroke patients subjected to comprehensive physiotherapy inclu-ding Kinesiology Taping applications. Material and methods. The KT group included 20 patients (13 men and 7 women) who were subjected to Kinesiology Taping. KT applications were not used in the control group, which consisted of 5 women and 15 men. Ali patients underwent physical, neurological and functional examinations, which constituted the basis for designing a rehabilitation program. Results. The analysis of the results indicates that functional KT application to the anterior tibial muscie, ligamentous KT application to the Achilles tendon and muscular KT application to the soleus muscie significantly contributed to improving ankle joint function. Patients treated with KT applications demonstrated improved gait patterns, visible as balanced step length and an extended support phase main-taining the body weight. When learning and analyzing the gait pattern, the midstance phase (fuli loading) is a significant element prece-ding the propulsion phase. This assessment of gait patterns following KT application in stroke patient is an innovative study. Conclusions. Muscular and ligamentous Kinesiology Taping applications reduce the spastic tension of the lower limb muscles para-lyzed as a result of cerebral stroke, The beneficial effect of Kinesiology Taping described by the founders ofthis method reduces the congestive edema of the limbs paralyzed as a result of a cerebral stroke and improve the gait pattern. The rehabilitation program applied in this study increased the gait speed of the stroke patients.
Key words:
Kinesiology Taping, muscular applications, ligamentous applications, corrective applications, cerebral stroke
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