Tag: Krzysztof Czupryna

An analysis of rehabilitation outcome for infants with torticollis, based on an original examination sheet

Małgorzata Matyja, Krzysztof Czupryna, Mirosław Kokosz, Justyna Golba

Małgorzata Matyja, Krzysztof Czupryna, Mirosław Kokosz, Justyna Golba – An analysis of rehabilitation outcome for infants with torticollis, based on an original examination sheet. Fizjoterapia Polska 2001; 1(4); 354-360

Abstract
Introduction. Compulsory asymmetrical positioning of the head with a tint to one side and a twist to the opposite side is called torticollis. Its consequences can be both local and global. The global symptoms, resulting from the impact of the spatial head position on the distribution of muscle tension in the entire body, are less frequently described. Materials and method. The authors have developed an examination sheet for infants with asymmetrical head control, which makes it possible to objectivize the diagnosis of local and global symptoms, and to control their correction in the course of rehabilitation. Conclusions. An assessment of the results obtained shows that the global symptoms must be taken into account in therapy, since as a general rule they appear later than the local symptoms.

Key words:
Torticollis, examination sheet, rehabilitation of infants

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An evaluation of gait disturbances in children undergoing rehabilitation for cerebral palsy

Janusz Nowotny, Krzysztof Czupryna, Jacek Sołtys

Janusz Nowotny, Krzysztof Czupryna, Jacek Sołtys – An evaluation of gait disturbances in children undergoing rehabilitation for cerebral palsy. Fizjoterapia Polska 2003; 3(2); 189-196

Abstract
Cerebral palsy (CP) belongs to the group of dysfunctions in which impairment of the gait function is a constant element. The goal in rehabilitation is to steer the process of compensation in such a way that the gait pattern produces a minimum of disturbances and limitations in locomotion. Objective evaluation is essential for purposes of planning rehabilitation and monitoring outcome. Since the evaluation of gait can be parameterized, the authors have presenting methods for making such an evaluation, concentrating on two types of tests. The possibility of evaluating gate symmetry is presented, based on the use of the Parotec® system, along with evaluation based on analysis of particular gate markers, using the Zebris system. Certain practical remarks are given in the conclusion, essential for planning and managing the course of rehabilitation for children with cerebral palsy.

Key words:
Cerebral Palsy, evaluation of gait disturbances, rehabilitation

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Some possibilities for alleviating gait disturbances in children undergoing rehabilitation for cerebral palsy, in the light of baropedographic tests: a preliminary report

Janusz Nowotny, Krzysztof Czupryna, Jerzy Pietruszewski, Małgorzata Matyja

Janusz Nowotny, Krzysztof Czupryna, Jerzy Pietruszewski, Małgorzata Matyja – Some possibilities for alleviating gait disturbances in children undergoing rehabilitation for cerebral palsy, in the light of baropedographic tests: a preliminary report. Fizjoterapia Polska 2003; 3(3); 217-223

Abstract

Background. A pathological gait stereotype often occurs in children with cerebral palsy. The effort is made during rehabilitation to alleviate some of the symptoms, but this requires a precise survey of the component factors involved in the abnormal gait pattern that can be remedied. Atypical methods are sometimes used in rehabilitation, and their suitability also needs objective verification. Material and methods. Our study presents the possibilities for objective gait evaluation using baropedographic tests based on the Parotec® system. The possibilities of improving gait symmetry are also presented, using the example of children undergoing rehabilitation for cerebral palsy who have also been receiving botulin injections or the so-called inhibitive plaster casts. Results and Conclusions. These additional therapeutic devices facilitate further treatment and have a positive impact on improving the symmetry of gait in these children. We also found that this testing can be a valuable source of information for the therapist, pointing out which parameters of abnormal gait should be focused on during further rehabilitation.

Key words:
Cerebral Palsy, evaluation of gait disturbances, botulin, inhibitive plaster casts
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Postural consequences of muscle tone disorders in children with cerebral palsy (hemiparesis)

Andrzej Szopa, Małgorzata Domagalska, Krzysztof Czupryna, Maciej Płaszewski

Andrzej Szopa, Małgorzata Domagalska, Krzysztof Czupryna, Maciej Płaszewski – Postural consequences of muscle tone disorders in children with cerebral palsy (hemiparesis). Fizjoterapia Polska 2007; 7(3); 241-249

Abstract
Background. The spontaneous adjustment of abnormal muscle tone in CP children leads to abnormal postural and motor patterns development. The aim of this work was to recognize and define some of compensatory postural patterns in CP children. Material and methods. The group of 18 children with hemiplegia, aged 5-14, were taken into the examination. The objective measurement of they postural patterns while standing, kneeling (of one and both legs) and sitting was done with a help of photogrammetry. In the same time using baroresistive platform a force distribution on the support base were measured. Results. In case of standing position two kinds of postural patterns were observed — the progravitational pattern and the anti-gravitational pattern. In every children with progravitional pattern lateral spine curvature were observed. Their values were significantly higher than similar in antigravitational pattern. In standing on one leg and half kneeing the arrangement of postural parameters were the same. In sitting in children with progravitional type mutual arrangement of shoulders and pelvis line was changed to parallel and in children with antygravitional type overloaded side changed to opposite. Conclusions. 1. The postural patterns through hemiparetic children are habitual and have differentiated character according to character of paresis. 2. Development of postural patterns is predictable, it is possible to steer the compensation during the treatment.
Key words:
cerebral palsy, compensatory antigravity mechanisms, postural patterns
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Postural problems of children with CP based on hemiparesis

Małgorzata Domagalska, Krzysztof Czupryna, Andrzej Szopa, Janusz Nowotny

Małgorzata Domagalska, Krzysztof Czupryna, Andrzej Szopa, Janusz Nowotny – Postural problems of children with CP based on hemiparesis. Fizjoterapia Polska 2008; 8(3); 253-259

Abstract
Background. Injury to the immature brain leads to impaired development of the antigravity mechanism. The adoption of progressively higher body positions is only possible due to compensatory mechanisms. The aim of the study was to diagnose postural disorders in children with CP with respect to the adopted compensatory mechanisms. Material and methods. Eighteen children with advanced hemiparesis, aged from 5 to 14, took part in the study. Objective posturometric measurements were taken while the patients maintained a standing position without assistance. Photogrammetric measurements was used to evaluate the spatial arrangement of individual body segments, with pressure forces on the support base being assessed simultaneously using a baroresistive platform. Results. Patients demonstrated two types of postural patterns: a progravity pattern and an antigravity pattern, which differed mainly in terms of the patient habitually overloading or unloading one of the lower limbs, changing the position of the centre of gravity projection on the support base and a characteristic relation of the shoulder and pelvic lines. Conclusions. The nature of postural disorders in CP children depends on the anti- or progravitational nature of the paresis. The development of postural disorders in CP children is predictable and should therefore be taken into account from the very beginning of rehabilitation
Key words:
cerebral palsy, compensatory antigravity mechanism, postural problems
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The influence of external loading on weight compensatory changes and pelvic behaviour during walking in scoliotic children

Olga Nowotny-Czupryna, Krzysztof Czupryna, Anna Brzęk, Małgorzata Domagalska, Andrzej Szopa

Olga Nowotny-Czupryna, Krzysztof Czupryna, Anna Brzęk, Małgorzata Domagalska, Andrzej Szopa – The influence of external loading on weight compensatory changes and pelvic behaviour during walking in scoliotic children. Fizjoterapia Polska 2008; 8(4); 436-444

Abstract
Background. Compensatory changes in the spatial arrangement of body segments are a characteristic sign of the development of scoliosis. Additional external loads may lead to intensification of existing signs in both static and dynamic conditions. The manner of carrying heavy objects on a daily basis is a key factor here. The aim of this paper was to assess some changes in static and dynamic parameters associated with carrying the school pack in children with scoliosis.Material and methods. Thirty-six children aged 8-15 years with low-grade scoliosis were examined. Foot pressure in static conditions was recorded using a force platform without additional loading, and with a 4 kg external load carried in a symmetric or asymmetric manner. Three-dimensional gait analysis was also performed using a Zebris® system. Parameters were registered during walking without and with the external load.Results. Signs of asymmetric foot pressures were observed that intensified during external loading of spine (both symmetric and asymmetric). These changes were not clearly related to body posture parameters. There were also signs of gait asymmetry that intensified during walking with asymmetrical external loading. The most marked changes were observed with respect to pelvis-related gait determinants. The magnitude of changes was related to the manner of carrying the school pack rather than to body posture parameters. Conclusions. External loads intensify the asymmetry of foot pressure distribution as a result of spontaneous and unpredictable compensatory dislocations. The manner of carrying the school pack is not irrelevant in children with scoliosis.
Key words:
scolioses, foot pressure, gait, locomotion, external loading, gait determinants
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Body posture changes during first six years of school education

Janusz Nowotny, Krzysztof Czupryna, Aleksandra Rudzińska, Olga Nowotny-Czupryna

Janusz Nowotny, Krzysztof Czupryna, Aleksandra Rudzińska, Olga Nowotny-Czupryna – Body posture changes during first six years of school education. Fizjoterapia Polska 2008; 8(4); 378-383

Abstract
Background. Screening examinations undertaken in periods of intensive body growth (growth spurts) and including an assessment of body posture are a basic form of prevention. These examinations help to pick out children at risk of developing faulty postures or with established postural defects so that they can benefit from corrective measures, if necessary. The aim of the work was to examine body postures of adolescents during their second growth spurt and to compare the results with postural data obtained at the age of seven.Material and methods. The study initially involved 116 subjects, of whom 63 were qualified for further assessment. Their posture was examined twice, at the ages of 7 and 13, using a modified scoring system. The results were compared.Results. The results confirmed the presence of postural variability. The posture of a third of the participants did not change. Of the others, improved postures were seen in half of them and postural deterioration in the other half. The second examination did not reveal any severe posture faults, but there were fewer children with normal postures. In the period between the examinations most of the children with faulty postures had attended corrective gymnastics classes once a week at their schools.Conclusions. 1. The results confirmed variability of body posture, leading both to spontaneous improvement and postural deterioration. 2. There are some possibilities for spontaneous improvement but only in children with minor posture faults.
Key words:
body posture, screening examinations, variability of body posture
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Functional testing in physiotherapy

Janusz Nowotny, Olga Nowotny-Czupryna, Krzysztof Czupryna

Janusz Nowotny, Olga Nowotny-Czupryna, Krzysztof Czupryna – Functional testing in physiotherapy. Fizjoterapia Polska 2009; 9(3); 245-257

Abstract
Apart from clinical signs and symptoms, a trauma or disease will often give rise to a dysfunction that impairs the performance of activities of daily living. An optimal rehabilitation program should be based on a thorough understanding of the patienfs basie problems, including functional difficulties. This is madę possible not only by routine clinical examinations, but also by special tests and recently introduced functional evaluations using professional apparatus. The results of these examinations also enable evaluation of treatment progress. The aim of the paper was to review the issue of functional testing with respect to basie problems of disability and the planning and monitoring of rehabilitation. The consecutive parts of the paper discuss functional testing on the basis of examples of common postural and locomotor problems (impairments and limitations). Emphasis is placed on the need of objective examinations and possibilities for quantifying test results. Attention is also drawn to the ability to place various manifestations of disease within cause-and-effect chains and the necessity of appropriate interpretation of test results.
Key words:
handicaps, disabilities, functional evaluation, treatment planning
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Base of support in babies with central origin movement disorders

Krzysztof Czupryna, Grzegorz Serkies, Janusz Nowotny

Krzysztof Czupryna, Grzegorz Serkies, Janusz Nowotny – Base of support in babies with central origin movement disorders. Fizjoterapia Polska 2011; 11(2); 107-114

Abstract
The development of infantile cerebral palsy (IPC) precedes movement disorders of central origin (MDCO). In early rehabilitation of the children at risk of IPC, not only early diagnosis, but also the assessment of posture and movement patterns in these children is essential. The purpose of this study was to assess the load distribution in the base of support in infants with MDCO while assuming the supine and prone position, in the context of suspension response evaluation in these infants.The sample included 14 infants with MDCO and 8 healthy infants. The size and arrangement of the base of support was studied on the special platform, in the infants assuming the prone and supine positions. The values of the size of the base of support as the percentage of the front or back body surface as well as load distribution in the right, left, upper and lower body were calculated.In younger infants, the arrangement of the support base of in recumbent position was found to be asymmetric. The asymmetry was more pronounced in the supine position and definitely larger in MDCO infants. Also a bigger load applied on the lower body was observed, especially in the prone position.Bigger asymmetry in both positions was noted in MDCO infants as compared to healthy infants; in the supine position, the tendency to apply bigger load on the lower body was observed.
Key words:
movement disorders of central origin, base of support, Vojta
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Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems

Krzysztof Czupryna, Olga Nowotny-Czupryna, Joanna Szymańska, Renata Szczepaniak

K. Czupryna, O. Nowotny-Czupryna, J. Szymańska, R. Szczepaniak – Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems. Fizjoterapia Polska 2019; 19(3); 54-61

Abstract
There is a strong relation between the type and severity of the disease/disability, the effects of treatment and/or improvement on one hand, and the quality of life on the other. In the case of a disabled child, this relation also includes members of the family. The criterion of a reduced quality of family life is the limitation of its participation in social life assessed in the area of 6 aspects, i.e.: communication, interpersonal relations with the child, mobility, self-care, domes-tic life and social life. The aim of the work is to present everyday problems in the area of the above mentioned aspects of a family with a disabled child in connection with the necessity to acquire new competences by its members.

Key words:
quality of life, disability, limitations of family in social life

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