The Usefulness of Hippotherapy in the Rehabilitation of Cerebrally Palsied Children. Pilot Study

Dariusz Białoszewski, Izabela Korabiewska, Monika Lewandowska, Katarzyna Wasiak

Dariusz Białoszewski, Izabela Korabiewska, Monika Lewandowska, Katarzyna Wasiak – The Usefulness of Hippotherapy in the Rehabilitation of Cerebrally Palsied Children. Pilot Study. Fizjoterapia Polska 2011; 11(2); 175-181

Abstract
Zootherapy has been introduced in recent years as an adjunct approach to traditional physiotherapy in patients with cerebral palsy (CP). Hippotherapy is less popular in Poland compared to other European countries or the USA, with few reports of investigations carried out in accordance with the EBM paradigm. The aim of the present study was to evaluate the usefulness of hippotherapy in comprehensive rehabilitation of children with cerebral palsy.The study involved 40 cerebrally palsied children who were randomly divided into two equal-sized groups (A and B). Both groups received home-based rehabilitation according to the Proprioceptive Neuromuscular Facilitation (PNF) method. Group A additionally received hippotherapy. The children’s motor function was determined using the Gross Motor Function Measure (GMFM).In Group A was 0.02 for ChP=5.226, 1 df. The parameter determined in the study exceeded this critical value, thus allowing the conclusion that the effect of home-based rehabilitation combined with hippotherapy on overall health improvement was statistically significant (p<0.05). In Group B, the right-tailed critical value (p) was 0.429 for Chi2=0.625, 1 df. The parameter determined in the study did not exceed the critical value, thus not allowing the statement that home-based rehabilitation had a significant effect on overall health improvement.1. The study shows significantly better results of rehabilitation in children treated with combination of PNF and hippotherapy. 2. The results indicate the need for randomized prospective studies involving larger test groups.
Key words:
Cerebral Palsy, Rehabilitation, hippotherapy, physiotherapy
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Analysis of career development among Physiotherapy graduates based on a profiled electronic survey. Pilot study

Dariusz Białoszewski, Joanna Gotlib

Dariusz Białoszewski, Joanna Gotlib – Analysis of career development among Physiotherapy graduates based on a profiled electronic survey. Pilot study. Fizjoterapia Polska 2011; 11(3); 213-226

Abstract
Background. The amended Higher Education Act, mandatory for all Polish university-level schools since 1st October 2011, introduces an
obligation to analyse the career development of graduates as part of procedures aiming to assess the quality of education (Art. 13a). The objective
of this study was to analyse the career development of those graduating from Bachelor-level and Master-level programmes in Physiotherapy using
a profiled electronic survey.
Material and methods. A total of 132 persons (students of 26 university-level schools) responded to an on-line survey profiled especially for
the specific degree programme. Women accounted for 74% of the study group and men represented 21% [A 5% TO OBOJNAKI? ] . The average
age of respondents was 25 years (range: 21-39; SD=3.9). Forty-six per cent of participants graduated from Bachelor-level programmes (AI) and
54% completed Master-level studies (AII). Statistical analysis was carried out with STATISTICA 9.0 (licensed to WMU) and based on the Mann-
Whitney U test (p<0.05).
Results. Thirty-five per cent of graduates started to search for employment immediately after obtaining the diploma (p=NS). Twenty per cent
of the respondents looked for a job for less than one month; most used the Internet for that purpose (p=NS). Most participants worked in
kinesiotherapy (p=NS). The largest proportion of AI and AII found employment thanks to the help of family members. Over 40% of the respondents
would like study towards obtaining a specialisation in physiotherapy, while more than 25% were not aware of such a possibility. Twenty per cent of
AI and thirty-three per cent of AII used the services of a Career Office. A majority considered working abroad but only a small group was familiar
with the conditions of undertaking employment in other countries.
Conclusions. 1. Research on career development among graduates of Physiotherapy degree programmes based on profiled, targeted on-line
questionnaires sent directly to graduates seems to represent a good method of studying their career paths. 2. It is necessary to supplement the
research on career development among graduates of Bachelor-level and Master-level programmes with a survey among their potential employers.
3. It seems necessary to make available wider information about undertaking employment abroad by physiotherapists as well as to intensify and
promote the activity of university-based Career Offices. 4. As informal relations play an important role in the process of finding jobs among
physiotherapists, it is advisable to encourage employers to use job competitions more widely in order to eliminate such practices. 5. The study
results represent a starting point for wider, extended and prospective multi-centre research.
Key words:
Graduates, physiotherapy, Employment, job market, electronic questionnaire
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Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib – Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy. Fizjoterapia Polska 2012; 12(2); 141-146

Abstract
Background. The parents’ satisfaction with life and their acceptance of their child’s illness are important factors that directly and / or indirectly influence the process of rehabilitation of children with cerebral palsy. The aim of this study was to evaluate the effect of hippotherapy on the level of satisfaction with life and acceptance of illness among parents of children with cerebral palsy. Material and methods. The study was conducted in 2008-2010 among 94 parents of cerebrally palsied (CP) children partici­pating in hippotherapy sessions in Warsaw. The study used an original questionnaire with questions dealing with the effect of hippotherapy on selected psychological factors in the parents. The questionnaire was completed by the parents twice: before and after a one-year hippotherapy course. Two psychometric scales: the Satisfaction with Life Scale (SWLS) and the Acceptance of Illness Scale (AIS), were also used, both adapted for Polish by Juczyński. The results were analyzed statistically.Results. Overall satisfaction with life among the parents increased significantly (p&lt;0.05) during the year-long hippotherapy course. There was also a statistically significant increase in the parents’ acceptance of their children’s condition. Conclusion. Hippotherapy in CP children significantly increases their parents’ satisfaction with life and acceptance of their children’s illness.
Key words:
hippotherapy, Satisfaction with Life, acceptance of illness, Cerebral Palsy, Parents
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Vocational plans and opinion about employment of final-year first-cycle students of Physiotherapy in selected European countries

Joanna Gotlib, Anna Cabak, Ugur Cavlak, Stefan Janev, Irena Kunicka, Berta Paz Lourido, Dariusz Białoszewski

Joanna Gotlib, Anna Cabak, Ugur Cavlak, Stefan Janev, Irena Kunicka, Berta Paz Lourido, Dariusz Białoszewski – Vocational plans and opinion about employment of final-year first-cycle students of Physiotherapy in selected European countries. Fizjoterapia Polska 2012; 12(2); 129-140

Abstract
Introduction and aim of study. Many factors, including legal regulations pertaining to the practice of physiotherapy and employment possibilities, can influence the vocational plans of physiotherapy graduates. The aim of the study was to analyse the vocational plans of students in selected European countries. Material and methods 299 students: 20 from Bulgaria (BG), 100 from Spain (ES), 21 from Latvia (LV), 58 from Turkey (TUR), and 100 from Poland (PL), 225 females, with a mean age of 23.05 years (SD: 2.71; min/max: 21-39). An anonymous, voluntary questionnaire in national languages. Statistica 9.0, Kruskall-Wallis test, p&lt;0.05. Results Most PL students (58%) wanted to enrol in a second-cycle programme, ES (58%) wanted to take up work, TUR (48%) to continue education by attending training courses (p&lt;0.01). TUR declared familiarity with employment opportunities more frequently (86%) than PL (31%) and ES (63%) (p&lt;0.01). TUR declared more frequently (96%) than their PL (10%) and ES counterparts (22%) that it was easy to find work in their country (p&lt;0.01). PL, ES and TUR were most likely to declare that it was easy to find work in EU countries. Conclusions 1. Students believe that finding a job is easier in other EU countries than their own and so, when they enter university, they plan to look for a job abroad or they count on an improving situation on the domestic job market. 2. A professional information service on job opportunities in EU countries should be developed offering objective employment information for physiotherapists in EU. It should include predictions covering the next 3-4 years.
Key words:
physiotherapy, Graduates, first-cycle studies, employment, international multicentre study
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Motivation to Commence University Studies and Satisfaction with Studying Physiotherapy Among Master’s Degree Students of Polish University-level Schools of Different Educational Profiles

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski – Motivation to Commence University Studies and Satisfaction with Studying Physiotherapy Among Master’s Degree Students of Polish University-level Schools of Different Educational Profiles. Fizjoterapia Polska 2012; 12(3); 213-227

Abstract
The aim of the study was to analyse factors which motivate students to commence university studies as well as to analyse the level of satisfaction with studying among a group of Master’s degree students in their final semester. 1942 second year Master’s degree students. Voluntary and anonymous questionnaire studies. The approval of the Ethical Review Board of WUM was not necessary. The questionnaire was developed by the authors and comprised 74 questions. STATISTICA 10.0 (license WUM), tests: Chi-square, Kruskall-Wallis, and Mann-Whitney U (p&lt;0.05). The students declared the level of satisfaction with studying at PM: 3.44, PWF: 3.54 and IP: 3.52 (H=17.167; p&lt;.000). A half of the study group would choose a Physiotherapy course again, 30% would choose the same university. 36% got acquainted with the curriculum of a Master’s degree course (p=NS). 56% reported that the curriculum content concerning orthopaedics was repeated most often, manual therapy and massage was repeated least often (34%). The largest proportion of the students declared that a Master’s degree course improved their skills. 1. The modification of curricula seems to be necessary. It should consists in prolongation of the duration of a Bachelor’s degree course and in putting a greater emphasis on a strictly occupational training and more efficient use of hours devoted to the work with patients. 2. The modification may be performed with the use of the curricula which are consistent with the guidelines of European and National Qualification Frameworks. The emphasis there is put mainly on outcomes of education and e-learning. 3. The assessment of the level of satisfaction with learning at a Master’s degree Physiotherapy course among students who had changed the educational profile of a university, as well as a detailed analysis of the curricula of a Master’s degree course seem to be important in order to extend the study.
Key words:
physiotherapy, a Master’s degree course, educational profile of a university-level school, Quality of teaching, satisfaction with studying
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Development as a physiotherapist towards professionalization during a Master’s degree course among students of university-level schools of different educational profiles

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski – Development as a physiotherapist towards professionalization during a Master’s degree course among students of university-level schools of different educational profiles. Fizjoterapia Polska 2012; 12(4); 313-325

Abstract
The professionalization of the physiotherapist profession is a dynamic process in Poland, which can be seen in the number of academic organizational units, formation of PTF, and development of academic research. The study aimed to analyse the process of professionalization among a group of final semester Master’s degree students of Polish university-level schools of different educational profiles.1942 second year Master’s degree students took part in the study. 1600 students were qua­lified to the statistical analysis: 570 PM students, 464 PWF students, and 566 IP students. Voluntary and anonymous que­stionnaire studies. The questionnaire was developed by the authors and comprised 74 questions. STATISTICA 10.0 program (Warsaw Medical University license) and the following non-parametric statistical tests: Chi-square, Kruskall-Wallis, and Mann-Whitney U (p&lt;0.05).Only 6% of students engaged themselves in the activity of a Student Research Society (SRS) (p&lt;.000). Only 28% of students actively took part course in a scientific conference (p&lt;0.834). As little as 18% of students actively parti­cipated in a research study/research project (p&lt;.000). The vast majority of students declared that they did not publish any article. 40% of the students declared participation in additional occupational courses. The vast majority of students had found out about the courses from the Internet (H=7.896, p&lt;0.019) and declared that they would like to get objective infor­mation on the courses during their university classes (H=0.247, p&lt;0.883). 1. University-level should develop programmes to pick up outstandingly talented individuals in order to provide them with an individual path of scientific development and build closer tights between these graduates and the school in the future. 2. Physiotherapy students seem to have a practical attitude towards the post-graduation training, which is more oriented to the content and usefulness and less oriented to temporary trends in physiotherapy. 3. There is an urgent need that university-level schools educating prospective physiotherapists develop educational programmes which would deal to a greater extend than it is at present with modern methods used in physiotherapy and which would constitute specific guidebooks in which students would be able to find information on the best parallel and post-graduate directions of further studies.
Key words:
professionalization, certified occupational courses, scientific work, postgraduate education
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Computer-assisted rehabilitation of aphasia in the assessment of Polish patients – the results of a proprietary survey

Anna Obszyńska-Litwiniec, Dariusz Boguszewski, Monika Lewandowska, Izabela Korabiewska, Maria Kłoda, Andrzej Ochal, Dariusz Białoszewski

A. Obszyńska-Litwiniec, D. Boguszewski, M. Lewandowska, I. Korabiewska, M. Kłoda, A. Ochal, D. Białoszewski – Computer-assisted rehabilitation of aphasia in the assessment of Polish patients – the results of a proprietary survey. Fizjoterapia Polska 2020; 20(1); 188-194

Abstract
Objective. The objective of the study was to determine the general level of acceptance for the use of the AfaSystem computer tool to assist in aphasia rehabilitation among Polish patients, as well as to learn patients’ subjective opinions about the positive and negative aspects of working with the program.
Material and methods. 32 patients covered by 2-month therapy using AfaSystem participated in a proprietary survey concerning the level of satisfaction with the use of software in therapy. In the first part of the survey, patients made an overall assessment of the program on a scale of 1 to 5. In the second part, they indicated the most important advantages of such therapy and the difficulties encountered.
Results. Patients indicated that their level of satisfaction with the use of the program was very high. The most important advantages were the increased motivation to exercise, therapy attractiveness, low rehabilitation costs, as well as the ease of use of the program. The disadvantages included limited possibilities of material individualization, the lack of video material and the lack of interactivity.
Conclusions.
1. The use of the AfaSystem computer tool in the rehabilitation process is accepted by patients with post-stroke aphasia.
2. Patients handle the program well and find it attractive.
3. It is advisable to supplement the functionality of the software with high-quality audiovisual materials, extensive individualization of the exercise material, as well as interactivity.

Key words:
aphasia, speech rehabilitation, computer program

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Progressive spastic four-limb paresis. Suspected Strumpell-Lorrain disease. Case study

Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka, Marcin Jelitto, Izabela Korabiewska, Karen Shahnazaryan, Dariusz Białoszewski

M. Kłoda, G. Brzuszkiewicz-Kuźmicka, M. Jelitto, I. Korabiewska, K. Shahnazaryan, D. Białoszewski – Progressive spastic four-limb paresis. Suspected Strumpell-Lorrain disease. Case study. Fizjoterapia Polska 2020; 20(1); 150-159

Abstract
Strumpell–Lorrain disease is a rare progressive disease also called hereditary spastic paraplegia. It is a genetic neurological disorder with a diverse course, characterized by usually very severe progressive spastic paresis of the lower limbs. It is one of the neurodegenerative diseases of the motor neuron.
The subject of the study was a 27-year-old woman with suspected hereditary spastic tetraplegia.
The subject experienced the first symptoms of the disease at the age of six. The patient’s parents observed toe walking and frequent falls due to improper foot placement.
Physiotherapeutic procedures were aimed at improving stability of the torso and functional improvement of the patient, including daily activities along with the extension of the time spent outside the bed. Improvement of her motor functions, including faster performance of activities in a shorter time.
Physiotherapy has a significant role in the treatment of patients with neuromuscular disorders. It applies to functional, physical, psychological and social aspects. Patients with this type of disease are very often lonely and unhappy, which affects their mental health. The possibility of participating in physiotherapeutic procedures means that such a person not only improves his/her physical condition; it also strongly affects mental health and improves functioning in society.

Key-words:
Strumpell–Lorrain disease, hereditary spastic paraplegia

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Impact of computer-assisted speech therapy on naming skills in patients with post-stroke aphasia

Anna Obszyńska-Litwiniec, Monika Lewandowska, Dariusz Boguszewski, Izabela Korabiewska, Maria Kłoda, Dariusz Białoszewski

Anna Obszyńska-Litwiniec, Monika Lewandowska, Dariusz Boguszewski, Izabela Korabiewska, Maria Kłoda, Dariusz Białoszewski – Impact of computer-assisted speech therapy on naming skills in patients with post-stroke aphasia . Fizjoterapia Polska 2019; 19(4); 156-161

Abstract
Objective. The objective of the study was to determine the impact of intensive, computer-assisted rehabilitation of speech disorders on improving naming skills among post-stroke aphasia patients.
Material and method. A total of 73 patients with aphasia were included in the study. After hospitalization, patients were assigned to the study group
(n = 36) or to the control group (n = 37). A diagnostic test was performed in both groups using the Boston Naming Test (BTN). Patients in SG participated in the intensive rehabilitation AfaSystem program for 2 months. Patients in CG received standard speech therapy care. After completion of the therapy, all patients were again subjected to the BNT test. Then, the results obtained before and after the intervention were compared. Statistical analysis was used to evaluate the results.
Results. After completing 2-month computer-assisted therapy, patients in SG achieved a much greater improvement in BNT naming skills than patients in CG. This difference was statistically significant and amounted to p = 0.0044
Conclusions
1. Intensive rehabilitation using the AfaSystem computer tool significantly contributes to the improvement of naming skills in patients with post-stroke aphasia.
2. The use of computer tools to support aphasia therapy can ensure high intensity of rehabilitation, which is considered to be a necessary condition for effective treatment of speech disorders.’

Key words:
aphasia, speech therapy, computer program, anomy

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Ocena przydatności rehabilitacji domowej w podnoszeniu sprawności fizycznej i psychospołecznej osób niepełnosprawnych

Michalina Musiałek, Dariusz Białoszewski, Maciej Janiszewski, Aleksandra Maciąg, Mirosław Dłużniewski

M. Musiałek, D. Białoszewski, M. Janiszewski, A. Maciąg, M. Dłużniewski – Ocena przydatności rehabilitacji domowej w podnoszeniu sprawności fizycznej i psychospołecznej osób niepełnosprawnych. FP 2013; 13(3); 34-40

Streszczenie
Wstęp: Rehabilitacja domowa jest świadczeniem realizowanym w ramach opieki zdrowotnej. Dla osób niepełnosprawnych to zwykle jedyna możliwość utrzymania sprawności fizycznej na osiągalnie najwyższym poziomie. Celem pracy było zbadanie czy rehabilitacja domowa niesie korzyści, w zakresie sprawności fizycznej i psychospołecznej osób niepełnosprawnych.
Materiał i metody: 50 osób niepełnosprawnych, w wieku 31-89 lat, objętych rehabilitacją domową, zaangażowano do badania ankietowego. Ocenie poddano stan pacjentów przed rozpoczęciem programu rehabilitacji – 1 Cześć ankiety, oraz po półrocznym okresie usprawniania – Część 2. Zapytano o osobiste doświadczenia pacjentów, dotyczące ich stanu fizycznego, psychospołecznego, lokomocji, czynności codziennych, upadków, oraz dolegliwości. Następnie przeanalizowano różnice odpowiedzi w obu częściach ankiety, celem zweryfikowania efektów rehabilitacji. Podsumowując wyniki posłużono się metodami statystycznymi w programie Statistica GPL. Wyniki: Analiza porównawcza ankiety, z wykorzystaniem statystyk podstawowych i testu kolejności par Wilcoxona wykazała, min. poprawę stanu fizycznego (p<0,05) i psychicznego (p< 0,05), wzrost sprawności lokomocyjnej (p<0,01), możliwości wychodzenia z domu (p<0,05) i redukcje lęku przed upadkiem (p<0,05). 96% ankietowanych zaobserwowało korzyści zdrowotne rehabilitacji domowej. Wnioski: 1. Rehabilitacja domowa przynosi korzyści, w zakresie sprawności fizycznej i psychospołecznej. 2. Szczególnie ważna jest u osób niepełnosprawnych „unieruchomionych w łóżku” oraz niesamodzielnych w osobistych czynnościach dnia codziennego i w pełnieniu ról społecznych.

Słowa kluczowe
niepełnosprawność, rehabilitacja domowa, jakość życia

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