Pathological changes in obstetric brachial plexus palsy (OBPP)

Maria Grodner, Jakub Sojma, Janusz Domaniecki

Maria Grodner, Jakub Sojma, Janusz Domaniecki – Pathological changes in obstetric brachial plexus palsy (OBPP). Fizjoterapia Polska 2007; 7(2), 206-218

Abstract

The article discusses the clinical picture and sequelae in children with brachial plexus palsy on the basis of the authors’ experience and relevant literature. The problem of neonatal brachial plexus palsy, which initially mainly affects the upper limb, quickly appears to be of equal importance for the development of motor skills and normal posture of the growing child. These consequences develop over time, becoming more visible as soon as the child changes his playing position from lying to sitting and standing. Impaired limb development leads to postural defects in the form of developmental postural asymmetry, abnormal spinal curvatures, disturbances of physiological curvatures of the spine and dysfunctions of upper limb joints, which invariably accompany the initial injury. An understanding of the clinical presentations of the pathology and an awareness of the time sequence and kind of sequelae attributable both to the injury and to development in the dysfunctional setting facilitates more informed and targeted treatment.

Key words:

obstetric brachial plexus palsy, pathological changes, postural defects

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Similarities and differences between traditional rehabilitation and selected models of PNF concept combined with elements of Bobath method in rehabilitation of patients following surgery of traumatic subdural and epidural hematomas

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki, Janusz Domaniecki

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki, Janusz Domaniecki – Similarities and differences between traditional rehabilitation and selected models of PNF concept combined with elements of Bobath method in rehabilitation of patients following surgery of traumatic subdural and epidural hematomas. Fizjoterapia Polska 2008; 8(1); 35-42

Abstract
Background. The main purpose of this work is to determine how early physiotherapy influences the recovery of motor capacity of the upper and lower limb and ability communicate in patients following surgical treatment of traumatic subdural and epidural hematomas. Material and methods. The study group included 84 patients who had undergone surgery due to traumatic subdural and epidural hematomas. The patients were subdivided into two subgroups according to the type of physiotherapy they received. Motor capacity of the lower limb and ability to communicate were assessed according to the Brunnström scale. The Wilcoxon test for dependent data and U-Mann-Whitney test for independent data were used to compare means. Results. The results of the study confirmed a significant improvement of motor capacity of the upper and lower limb as well as the ability to communicate in all patients. However, the recovery of the motor functions in patients subjected to physiotherapy combining selected models of the PNF-concept and the Bobath method occurred significantly faster when compared to patients treated with standard physiotherapy. No differences between the subgroups were recorded with respect to the recovery of the ability to communicate. Conclusions. The results also suggest that the greatest potential for disturbed functions exists in the early postoperative period (Days 1-5).
Key words:
early physiotherapy, PNF concept, Bobath method, traumatic subdural and epidural hematomas, motor capacity
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The PNF method in the treatment of intervertebral disc disease

Anna Olczak, Włodzisław Kuliński, Janusz Domaniecki

Anna Olczak, Włodzisław Kuliński, Janusz Domaniecki – The PNF method in the treatment of intervertebral disc disease. Fizjoterapia Polska 2008; 8(3); 241-252

Abstract
Background. Low back pain syndromes are a social and medical problem affecting 40-50% of the population. The most common cause of low back pain syndromes is changes within the intervertebral disc. The abnormalities may affect the stability of the motion segment. The aim of this work is an analysis of the application of selected procedures of the PNF method and McKenzie method in the treatment of 1st-, 2nd- and 3rd- degree L4/L5 or L5/S1 intervertebral disc injury. Material and Method. Patients were divided into two homogeneous groups. The experimental group (30 people) was subjected to exercises according to the PNF and McKenzie methods and the control group (30 people) utilised only McKenzie exercises. Treatment efficacy was estimated during and on completion of the treatment, and 6 months after completion on the basis of the pattern of pain, range of motion in the sagittal plane, evaluation of the strength of trunk flexors and extensors and the rate of relapse. The results were subjected to a statistical analysis. Results. There was more rapid pain reduction, improvement of range of motion, strength and fewer relapses in the experimental group. The positive effects of the treatment were sustained over the six-month follow-up. Conclusion. The combined application of the two methods in the experimental group was associated with superior efficacy compared to the control group.
Key words:
intervertebral disc disease, treatment, PNF method
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Pelvic orientation in scoliotic and healthy girls

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki – Pelvic orientation in scoliotic and healthy girls. Fizjoterapia Polska 2008; 8(4); 371-377

Abstract
Background. The pelvis is one of the main elements of the postural complex and is regarded as the most important one by many authors. The aim was to identify pelvis orientation types in healthy and scoliotic girls.Material and methods. 200 patients aged 9 to 16 years with clinically confirmed scoliosis participated in the study. All patients were treated conservatively at the Department of Pediatric Rehabilitation, CMHI. The control group comprised 192 healthy girls of similar age. All measurements were non-invasive, based on palpation analysis of selected pelvic bony structures. Results. The most frequent types of pelvis orientation in healthy girls were: symmetrical and asymmetrical orientation, followed by pelvic torsion, oblique orientation and mixed orientation. In scoliotic girls the following types were the most frequent: pelvic torsion, oblique pelvis, and mixed orientation. Asymmetrical and symmetrical types were the least frequent. The differences between the groups were statistically significant. Conclusions. Asymmetric pelvis orientation is rather common among girls aged 9 to 16 years. Compensatory mechanisms appearing in healthy girls may prevent the development of postural defects in the presence of pelvic asymmetry.
Key words:
pelvic orientation, girls, scoliotic
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Relationship between repeated infrared sauna therapy and body weight

Aneta Dąbek, Małgorzata Bujar, Janusz Domaniecki, Anna Cabak

Aneta Dąbek, Małgorzata Bujar, Janusz Domaniecki, Anna Cabak – Relationship between repeated infrared sauna therapy and body weight. Fizjoterapia Polska 2009; 9(4); 332-339

Abstract
Background. Infrared sauna therapy is one ofthe least costly safest and widely used ways to eliminate toxins and combat infections and allergies. Repeated sauna use can lower elevated blood pressure and improve arterial elasticity The present study looked at the relationship between repeated sauna therapy and body weight reduction. Material and methods. We examined the effects oftwo weeks ofdaily sauna therapy on body weight in 18 obese patients and in 12 normal-weight patients using an infrared dry sauna system (65°C for 40 min). Patients were weighed before and after the sauna treatment; oral hydration with water was used to compensate for lost weight. Results. Mean body weight was significantly lower after two weeks of sauna therapy (falling by about 1.77 kg in the experimental group and 1.03 kg in the control group). The most marked weight reduction of 5.4 kg was noted in an obese class II man (BMI=36.9). Conclusion. The results suggest that repeated sauna therapy decreased body weight in both obese and normal-weight patients. We consider that repeated sauna therapy is useful in the treatment of obesity.
Key words:
infrared sauna therapy, BMI, treatment of obesity
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