Physiotherapist – a medical profession of public trust. Do the rules for preparing physiotherapeutic documentation contradict this…?

Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik


Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik – Fizjoterapeuta – zawód medyczny zaufania publicznego. Czy zasady sporządzania dokumentacji fizjoterapeutycznej temu przeczą…?. Fizjoterapia Polska 2022; 22(4); 102-105

DOI: https://doi.org/10.56984/8ZG1A66RB

Abstract
The Act on the profession of physiotherapist constitutes the profession of physiotherapist as a medical profession of public trust, the authors subject to legal analysis whether, in accordance with this Act, other legal acts properly qualify the above competences granted under the Act.

Key words:
act on the profession of physiotherapist, medical profession of public trust, medical documentation, medical law in physiotherapy

Article only in Polish language

Patellar dislocation – conservative or surgical treatment

Dariusz Lusina, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Jan W. Raczkowski


Dariusz Lusina, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Jan W. Raczkowski – Patellar dislocation – conservative or surgical treatment. Fizjoterapia Polska 2022; 22(4); 28-31

DOI: https://doi.org/10.56984/8ZG1A60LR

Abstract
Patellar dislocation is an emergency, requiring immediate medical intervention, followed by the cooperation of the orthopedist and physiotherapist in returning to full health, as well as reducing the risk of relapse. The kneecap is an integral part of the knee joint and is responsible for its proper functioning. Among the methods of treatment used, there are conservative and surgical methods. The article is an attempt to answer the question whether there is an advantage of some methods over others. Materials available on the PubMed and Cochrane Library websites were used to obtain answers to the question asked. Due to different standards of management, the advantage of surgical over conservative has not been established, but there are researchable factors that may help in making therapeutic decisions.

Key words:
patellar dislocation, conservative treatment, surgical treatment

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Sacro-lumbar orthosis in lower back pain syndromes – literature review

Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski


Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski – Sacro-lumbar orthosis in lower back pain syndromes – literature review. Fizjoterapia Polska 2022; 22(3); 164-168

DOI: https://doi.org/10.56984/8ZG142R1m

Abstract
Purpose of study. The purpose of this study is to analyze the effect of sacral-lumbar orthoses on the occurrence of pain in patients with low back pain (LBP) and the effects of these orthoses on the muscles that stabilize the trunk based on the available literature.
Methods. For the purpose of this study, the following databases were searched: Pubmed, Scopus, ScienceDirect, Medline, and others using the Google Scholar search engine using the following keywords: low back pain, lbp exercise, low back pain epidemiology, low back pain orthosis, low back pain therapy, LBP treatment, lumbar sacral orthosis.
Results. 26 of the 92 articles searched by the above method were analyzed in relation to the subject of the use of sacral-lumbar orthoses in patients with spinal pain syndrome. The analysis did not show that wearing a corset negatively affects muscle strength. Most current studies recommend using a corset in combination with exercise and/or pharmacotherapy for LBP.
Conclusion. There are not enough studies to conclusively determine the effect of lumbar sacral orthoses on the sensation of pain in the lumbar spine. Among the main limitations of the analyzed studies are difficulty in measuring pain, as pain is a subjective sensation, and the significant number of possible causes of LBP, which are sometimes difficult to specify.

Key words:
sacral-lumbar orthosis, spinal pain syndrome, lower back pain

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Orthotic management in the rehabilitation of children with plano-valgus foot

Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska,Marcin Mikos, Jan W. Raczkowski

Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska,Marcin Mikos, Jan W. Raczkowski – Orthotic management in the rehabilitation of children with plano-valgus foot. Fizjoterapia Polska 2021; 21(5); 124-131

DOI: https://doi.org/10.56984/8ZG209371

Abstract
Plano-valgus foot is a common three-plane deformity that appears at developmental age. It is characterized by the eversion of the calcaneus in relation to the tibia, foot pronation and lowering of the medial longitudinal arch under load. Joint hypermobility and significant body weight are believed to increase the prevalence of plano-valgus foot at all ages. There is no consensus on the proper management of flat feet. This disagreement is primarily due to the fact that there is no clear-cut approach to distinguishing pathological or physiological flat feet and to determining who needs treatment. One of the methods of supporting foot correction is the use of orthopaedic equipment in the form of shoe insoles or SMO/RING orthoses. The introduction of repositioning in the lower ankle joint is intended to restore the natural foot support system and to reduce the compensation at higher levels in the joints of the lower limbs, in the pelvis and torso.
Key words:
plano-valgus foot, posture defect, orthopaedic insole, orthosis
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Medical records in the practice of a physiotherapist. Legal and administrative aspects

Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Marlena Rynkiewicz-Andryśkiewicz, Ewa Kucharska, Jan W. Raczkowski

T. Pęcherz, M. Curyło, M. Mikos, M. Rynkiewicz-Andryśkiewicz, E. Kucharska, J. W. Raczkowski – Medical records in the practice of a physiotherapist. Legal and administrative aspects. Fizjoterapia Polska 2021; 21(4); 226-228

DOI: https://doi.org/10.56984/8ZG20AZF1

Abstract
Medical records are very often treated by medical staff as an additional, unpleasant and unnecessary duty. However, it is currently the basic, undeniable source of defence against all claims of patients, both formal, regarding the correctness of the records, and substantive, related to the allegations of medical malpractice during the provision of medical services.
Key words:
medical records, malpractice, patient rights, GDPR, responsibilities of a physiotherapist
Article only in Polish language
Article only in Polish language

Non-invasive treatment of plagiocephaly with the use of corrective helmets in infants

Agnieszka Ciukszo, Mateusz Curyło, Marcin Mikos, EwaKucharska, Jan W. Raczkowski

A. Ciukszo, M. Curyło, M. Mikos, E. Kucharska, Jan W. Raczkowski – Non-invasive treatment of plagiocephaly with the use of corrective helmets in infants. Fizjoterapia Polska 2021; 21(4); 32-41

DOI: https://doi.org/10.56984/8ZG20A36D

Abstract
The use of skull correction is controversial, and treatment recommendations and reporting of results vary. The most commonly observed deformities of the skull are: plagiocephaly, brachycephaly and scaphocephaly. Treatment includes repositioning, physical therapy, and orthotic treatment with an adapted cranial remoulding orthosis (CRO). Positional plagiocephaly should be differentiated from torticollis, which is also one of the main causes of this deformity. Cranial remoulding orthosis yields better and faster results in younger patients, with age the degree of correction slows down with age. CRO is most effective when initiated before the 5th month of age. Apart from positioning therapy, physiotherapy and the use of a CRO shortens the treatment time and improves the results in severe cases of head asymmetry.
Key words:
plagiocephaly, brachycephaly, corrective helmets, infant rehabilitation
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Legal protection of the physiotherapist as a profession of public trust

Marcin Mikos, Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Tomasz Pęcherz, Ewa Kucharska, Jan. W. Raczkowski

Marcin Mikos, Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Tomasz Pęcherz, Ewa Kucharska, Jan. W. Raczkowski – Legal protection of the physiotherapist as a profession of public trust. Fizjoterapia Polska 2021; 21(3); 194-196

DOI: https://doi.org/10.56984/8ZG1411DD

Abstract
Physiotherapists are regarded as one of the medical professions of public trust. The Act on Physiotherapist Occupation establishes physiotherapists as a medical occupation of public trust. Medical professions of public trust, such as doctors, nurses, and paramedics, have special legal protection not available to physiotherapists. The Act on Physiotherapists has not defined the physiotherapist as a civil servant. It directly deprives physiotherapists of special legal protection that is assigned to civil servants.
Key words:
Physiotherapist – medical profession of public trust, legal protection of physiotherapist, civil servant, the danger of practising physiotherapy
Only Polish version

Following the recommendations concerning pulmonary rehabilitation by parents of children with cystic fibrosis

Oktawia Kuna, Halina Woś, Bożena Kordys-Darmolińska, Agnieszka Ciukszo, Jacek Durmała, Zbigniew Śliwiński, Marcin Mikos, Jan W.Raczkowski, Mateusz Curyło

Oktawia Kuna, Halina Woś, Bożena Kordys-Darmolińska, Agnieszka Ciukszo, Jacek Durmała, Zbigniew Śliwiński, Marcin Mikos, Jan W.Raczkowski, Mateusz Curyło – Following the recommendations concerning pulmonary rehabilitation by parents of children with cystic fibrosis. Fizjoterapia Polska 2021; 21(1); 178-186

DOI: https://doi.org/10.56984/8ZG079497

Abstract
Introduction. When performed according to the most recent standards, rehabilitation and nebulization enable the prevention of progression of cystic fibrosis.
Aim. The aim of the study was to assess the parents’ knowledge concerning the disease, education of pro-health attitudes, taking care of pulmonary rehabilitation equipment, and following the recommendations on how to perform inhalations correctly.
Materials and methods. Seventy-four parents with at least one child affected by cystic fibrosis participated in a survey, where we applied our own questionnaire.
Results. A majority of the parents claim to possess knowledge about the disease and to be familiar with the specialist terminology; however, a control question does not confirm that. Only 50% of the respondents take advantage of a positive influence of physical effort on the respiratory function, whereas 50% of the children assume incorrect positions during nebulization, and merely half of the parents maintain nebulization equipment in the right way.
Conclusions. Parents still need further education concerning their children’s condition, the principles of their rehabilitation, hygiene, the ways of properly maintaining the equipment, as well as dosing the suitable amount of physical activity on a daily basis.
Key words:
cystic fibrosis, rehabilitation, nebulization, physical activity, education
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Medical devices prescribed in the practice of physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Marcin Mikos, Marek Kiljański, Zbigniew Śliwiński, Jan W. Raczkowski

M. Curyło, M. Rynkiewicz-Andryśkiewicz, M. Mikos, M. Kiljański, Z. Śliwiński, J. W. Raczkowski – Wyroby medyczne wydawane na zlecenie w praktyce fizjoterapeuty. Fizjoterapia Polska 2020; 20(3); 180-183

DOI: https://doi.org/10.56984/8ZG14054B

Abstract
The act on the profession of physiotherapy was a long-awaited legal regulator regulating the profession of physiotherapy. Physiotherapy became not only an independent medical profession, but also a profession of public trust.
The provisions of the act on the profession of physiotherapy have resulted in the introduction of further legislative changes, including those regarding the possibility of prescribing medical devices.
In practice, this regulation filled the gaps in the scope of competences of physiotherapists. Pursuant to the new regulations, the list of medical devices that can be prescribed by physiotherapists with the right to independently provide physiotherapeutic services has been extended, with simultaneous differentiation of competences in this area for masters of physiotherapy and specialists in the field of physiotherapy.
Key words:
medical devices, act on the profession of physiotherapy, competences of physiotherapists, list of medical devices
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