Tag: Janusz Kubacki

General functional dependencies required in the design of sauna complexes in public access facilities

Hanna Adamczyk-Bujniewicz, Janusz Kubacki, Krystyna Kwaśny, Henryk Knapik

Hanna Adamczyk-Bujniewicz, Janusz Kubacki, Krystyna Kwaśny, Henryk Knapik – General functional dependencies required in the design of sauna complexes in public access facilities. Fizjoterapia Polska 2003; 3(1); 85-90

Abstract
The increasing tempo of modern life is causing greater demand for various forms of recreation. New types of facilities are being constructed, among which are so-called Water Parks. An integral element of these facilities is the sauna complex. This is an area containing an aggregation of saunas and baths with a broad spectrum of effects. For the proper design and operation of these complexes it is essential to be familiar with the broad range of possibilities offered by the sauna, and to possess some basic knowledge of physiological reactions. Sauna complexes for public use should be designed on the basis of familiarity with stimuli and all the elements that influence the desired outcome of a sauna session. A properly designed environment in such facilities enables them to be fully and effectively utilized.

Key words:
recreation, biological renovation, regeneration

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A new type of cervical traction generating mechanical pulsations (vibration) in the comprehensive treatment of patients with cervical spondylosis

Krzysztof Gieremek, Edward Saulicz, Zbigniew Śliwiński, Monika Grygorowicz, Aleksander Socha, Janusz Kubacki

Krzysztof Gieremek, Edward Saulicz, Zbigniew Śliwiński, Monika Grygorowicz, Aleksander Socha, Janusz Kubacki – A new type of cervical traction generating mechanical pulsations (vibration) in the comprehensive treatment of patients with cervical spondylosis. Fizjoterapia Polska 2003; 3(2); 99-105

Abstract
Background. The objective of the present study was to evaluate the therapeutic effectiveness of a new type of vibration traction (Glisson type) as compared to traditional cervical traction (Glisson type) in patients diagnosed with degenerative disc disease or spondylarthrosis of the cervical spine. Material and methods. Two groups of ambulatory patients treated for spondylosis of the cervical spine were included in this study. The study group (n=35) and the control group (n=33) were subjected to the standard comprehensive treatment (massage therapy, short wave diathermy, infrared therapy, electrotherapy using Bernard’s current, ultrasound therapy). The cervical traction set used in the study group was additionally equipped with a device generating vibration (frequency 100 Hz, amplitude 0,2 mm), installed just above the cervical loop. Results. The statistical analysis (Chi2 = 9,672, for a = 0,046) revealed considerable correlation between the type of cervical traction used and the results of the treatment, indicating higher effectiveness of vibration traction. Statistical analysis also proved increased range of motion in the cervical spine in the all planes, as well as improved left and right hand grip function. Conclusions. The study proved that the treatment of cervical traction (Glisson type) equipped with additional vibration device was well tolerated by patients. The use of this type of traction resulted in sooner subsidence of existing symptoms such as pain, increased muscle tone and hypersensitivity to touch of cervical spine musculature.

Key words:
Glisson traction, wibration massage, cervical spondylosis

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Evaluating the effectiveness of mechanical methods on the basis of published reports

Mirosław Kokosz, Edward Saulicz, Janusz Kubacki

Mirosław Kokosz, Edward Saulicz, Janusz Kubacki – Evaluating the effectiveness of mechanical methods on the basis of published reports. Fizjoterapia Polska 2003; 3(4); 347-356

Abstract

Background. Movement based-therapy is becoming increasing popular. In fact, it can be said to be dominant modality in contemporary kinesitherapy. One of the most important criteria justifying the use of a particular therapeutic method is its clinical suitability. In this article, we attempted to establish the effectiveness of mechanical methods on the basis of a literature search. For this purpose we used our own system of evaluating the quality of published reports.Material and methods. We analyzed 20 articles from the literature devoted to the problem of evaluated the effectiveness of mechanical methods. The research reports were then ranked on the basis of the authors’ own method of evaluating their quality.Results. The results of our meta-analysis suggest that kinesitherapeutic methods are more effective than individual treatment methods used in isolation. Conclusions. A literature search in the available data bases produces numerous works discussing therapeutic techniques or diagnostic methods. There are relatively few articles, however, that evaluate the effectiveness of movement-based therapy. There are no unified criteria for the evaluation of effectivenessm which means that in the analysis of outcomes achieved from using one and the same kinesitherapeutic method there are major discrepancies in the results obtained by different authors.

Key words:
kinesithearpy, meta-analysis, manual therapy
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Realloplasty of the knee according to the inications and researches on prosthesis stability

Janusz Kubacki, Mirosław Kokosz, Krystyna Kwaśna

Janusz Kubacki, Mirosław Kokosz, Krystyna Kwaśna – Realloplasty of the knee according to the inications and researches on prosthesis stability. Fizjoterapia Polska 2006; 6(1); 1-6

Abstract

The term realloplasty corresponds with surgical procedure of prosthesis refixing, removing and then reimplantation of a new prosthesis. One should distinguish between revision of joint after alloplasty and the realloplasty. Revision and realloplasty complement one another. Revision could be connected with removal of prosthesis or its part and implantation of a new prosthesis. The problems at revision after a knee joint alloplasty and realloplasty, have been discussed on the basis of our observations and medical literature review. The purpose of this publications, is to show failures complications for realloplasty. It was turned out that the most serious problem for the stability of prosthesis components is bone cement. That is why uncemented implants are recommented for application and researches on bioactivs composits, which influence the stability of prosthesis. In the new situation after revision and realloplasty, specialistic rehabilitation is indispensable taking into consideration all past complications and failures which have influence on rehabilitation program and its continuation. Close cooperation with orthopaedic surgeon is neccessary to obtain information about all disorders present after surgical procedure.

Key words:
realloplasty, indications, prosthesis stability
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Isokinetic measurements – areas of application in physiotherapy

Monika Grygorowicz, Janusz Kubacki, Bogdan Bacik, Krzysztof Gieremek, Anna Polak

Monika Grygorowicz, Janusz Kubacki, Bogdan Bacik, Krzysztof Gieremek, Anna Polak – Isokinetic measurements – areas of application in physiotherapy. Fizjoterapia Polska 2006; 6(3); 238-244

Abstract
The aim of the paper is to present the concept of isokinetic exercises, which was introduced by Hislop and Perrine in 1967 for the first time. No article was found in Polish literature that in consolidated way would discuss mentioned subject. Hence, in support to numerous foreign scientific reports, authors have decided to present the isokinetic exercise to Polish physiotherapists and medical doctors. Thisle et al define isokinetic exercise as dynamic muscle contraction with controlled and holded speed of movement (iso-steady kinetic-movement) performed with specific devices used to that kind of exercises. isokinetic tests are a very precise diagnostic tool that enable an estimation of degree of soft tissues damage. General use of isokinetic strength measurement in clinical practice is based on its obvious validity and reliability in qualification of state and neuromuscular function. Followers of isokinetic tests confirm that it gives possibilities of precise assessment of muscle properties as well as objectification of results. Results enable very precise diagnostic of tested muscles in different biomechanical conditions of performing movement. Tests allow functional muscle assessment through comparison of contralateral, ipsilateral work, with confrontation with corresponding data or with results in control groups. Moreover, graphical presentation of dependence between recorded parameters in every point of tested range of movement is possible. It favors isokinetics in using it to diagnostic in postinjured states of movement system. The areas of application and rules of performance isokinetic testing were described in this article. The main biomechanical parameters which are used in analysis of muscle dynamic properties were discussed additionally.

Key words:
isokinetic exercises, peak torque, biomechanical indicators, dynamic conditions

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The influence of vibration training on human body

Magdalena Piecha, Piotr Król, Janusz Kubacki, Anna Polak, Arkadiusz Stanula, Marek Najder, Daria Chmielewska

Magdalena Piecha, Piotr Król, Janusz Kubacki, Anna Polak, Arkadiusz Stanula, Marek Najder, Daria Chmielewska – The influence of vibration training on human body. Fizjoterapia Polska 2006; 6(3); 192-197

Abstract
Vibration training nowadays is a very popular kind of practice in sport, fitness and rehabilitation. It can be used both by professionals as a complementary element of their traditional strength training, and by elderly as a way to improve their physical shape. There have been numerous research investigating the influence of vibration training on a human body. According to the opinion of many authors, vibration training has a beneficial impact on a human body. Major adaptation responses concern a muscle tissue. Most of the research have proven the increase of maximal strength, explosive strength and mechanical power. Because of the increase of density in a bony tissue, vibration training can successfully be used in the prevention of osteoporosis. Many authors report about stimulating influence of vibrations on the cardiovascular system: blood vessels expand, blood flow increases hence the nutrition and oxygen delivery in cells gets more efficient. Also, there have been many positive changes in postural stability and the hormonal system. Moreover many authors point out the positive effect of vibrations on humans suffering of a back pain. The case of implementing vibrations in a particular activity, sport or therapy is still open. A proper and well directed vibration training needs precise parameters of mechanical oscillations (frequency, amplitude of movement, acceleration) as well as an individual approach in training set up (type and duration of the exercises, number of repetition, muscle group being involved). This publication introduces the review of the literature and research concerning the influence of a single vibration session as well as a long-term vibration training on a human body.

Key words:
vibrations, vibration training, mechanical oscillations

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The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król

Ewa Grymel-Kulesza, Anna Polak, Janusz Kubacki, Bronisława Skrzep-Poloczek, Piotr Król – The effect of a multi-modality therapy including active exercises, classic massage, cryotherapy and a combination of ultrasound and electrical stimulation on rotator cuff injuries. Fizjoterapia Polska 2007; 7(2), 107-123

Abstract

Background. The study assessed the effectiveness of a multi-modality therapy for shoulder rotator cuff injuries. The treatment included kinesitherapy, classic massage therapy, cryotherapy and ‘the combination treatment’ (ultrasound plus electrical stimulation). The effects of cryotherapy and the combination treatment for rotator cuff injuries were compared. Materials and methods. The study involved 30 patients with confirmed chronic symptoms of rotator cuff injury. The patients were assigned at random to two groups. Exercises and classic massage of the shoulder area (according to a uniform program) were used in both groups. Additionally, one group (Group A) was exposed to a combination treatment comprising ultrasound and electric stimulation of trigger points in the rotator cuff muscles, whereas Group B was treated with cryotherapy of the shoulder area. Criteria for assessing treatment effectiveness included changes in mobility of the shoulder joint, strength of the rotators, and the presence and intensity of pain. Results and Conclusions. The treatment produced significant and positive effects in both groups. Treatment effects were somewhat better in Group A than in Group B, with statistically significant between-group differences with respect to pain reduction and improved mobility and strength of some muscles. Multi-modality physiotherapy including kinesitherapy and the combination therapy (ultrasound and TENS) is an effective method for treating the sequelae of rotator cuff injuries. Direct combination therapy of myofascial trigger points offers somewhat better results than cryotherapy.

Key words:

injuries of rotator cuff, physiotherapy, ultrasound, electrical stimulation, cryotherapy, combination treatment

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Changes in the human body stability system under the influence of vibrations

Magdalena Piecha, Piotr Król, Janusz Kubacki, Grzegorz Juras

Magdalena Piecha, Piotr Król, Janusz Kubacki, Grzegorz Juras – Changes in the human body stability system under the influence of vibrations. Fizjoterapia Polska 2008; 8(2); 97-104

Abstract
Via neuromuscular stimulation, vibration training induces changes in the tissues and systems of the human body. Major adaptive responses are seen in muscle tissue. Increased maximal strength, explosive strength and mechanical power of muscles after vibration training, were the basis for using vibration platforms in gymnasiums and spa centres. Numerous studies have also been published which describe changes in the cardiovascular system, endocrine system, bone and soft tissue following vibration training. The results of studies investigating the impact of vibration training on the stability of human body are equivocal. Owing to the vertical position of the body combined with a small base of support, the quiet standing position is easily influenced by destabilising factors. The control of the balance system is based on information originating from receptors in muscles and tendons whose functions are disturbed by vibrations. The complexity of human stability control processes and the lack of systematic methods of vibration training (frequency of vibration, amplitude of duration of training sessions, muscle groups involved) make the effect of mechanical oscillations on human stability an issue that is yet to be fully elucidated and is thus a very interesting research area. This paper contains a review of the literature and research concerning the influence of single vibration sessions as well as long-term vibration on the human body.
Słowa kluczowe
vibrations, vibration training, stability of human body
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Assessment of changes in the excitability of the medial antebrachial cutaneous nerve caused by localised cooling procedures

Edyta Jarzębska, Anna Polak, Janusz Kubacki, Krzysztof Gieremek

Edyta Jarzębska, Anna Polak, Janusz Kubacki, Krzysztof Gieremek – Assessment of changes in the excitability of the medial antebrachial cutaneous nerve caused by localised cooling procedures. Fizjoterapia Polska 2009; 9(1); 39-50

Abstract
Background. The reasons for taking advantage of low temperatures for therapeutic purposes include their anaesthetic and anti-inflammatory effeets. The present stucly aimed to assess changes in the excitability of the medial antebrachial cutaneous nerve (MACN) resulting from local cryotherapeutic procedures. Materials and methods. The investigation involved 108 healthy volunteers aged 20-25 years and randomly assigned to three groups (A, B and C). Immediately before the cryotherapy procedure, skin temperature was measured in the area innen/ated by the medial antebrachial cutaneous nerve in all participants. The chronaxy of this nerve was also determined. Groups A and B subse-ąuently received cooling procedures at -10°C with a gel compress applied to the arm and forearm area (i. e. the area innen/ated by the MACN). In Group A, the compress was applied for 20 minutes and in Group B for 4 minutes. In Group C this area was sub-jected to a 2-minute cooling procedure using liquid nitrogen vapour at -160C. Chronaximetry and skin temperature measurements were repeated immediately on completion of the cooling procedure and 20 minutes later. Results. A statistically significant prolongation of chronaxy in relation to its baseline values was obsen/ed in Group A both immediately after the procedure and 20 minutes later. In Group B, statistically significant prolongation of chronaxy was seen between the values obtained immediately after the procedure and those measured before the procedure. In group C, chronaxy was signifi-cantly longer 20 minutes after the procedure vis-a-vis its baseline value. Conclusions. All cooling procedures applied reduced excitability of the medial antebrachial cutaneous nen/e. Decreased exci-tability was maintained over the longest period in Groups A and C.
Key words:
cutaneous nerve, excitability, cryotherapy
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Focused and radial shock wave in orthopedics and physiotherapy

Piotr Król, Andrzej Franek, Wiesław Zinka, Janusz Kubacki, Anna Polak, Ewa Franek

Piotr Król, Andrzej Franek, Wiesław Zinka, Janusz Kubacki, Anna Polak, Ewa Franek – Focused and radial shock wave in orthopedics and physiotherapy. Fizjoterapia Polska 2009; 9(1); 1-20

Abstract
This article aims at presenting current knowledge about shock wave therapy and especially analysing the results of research on the influence of focused and radial shock wave in the treatment of pseudarthrosis, tendinosis calcarea of the shoulder, calcanean spurs, plantar fasciitis, tendinitis and enthesitis, etc. Orthopaedics and physiotherapy have been using focused shock wave therapy for two decades now, but radial shock wave therapy has a history of only several years. As a consequence, there is a dearth of studies corroborating the thera-peutic efficacy of this method, although the available results are very encouraging. Most studies concentrate on presenting the effects of focused shock wave in the treatment of pseudarthrosis, where the shock wave impact is purely destructive. In other conditions, the mechanism of action of both focused and radial shock wave is obscure, although the procedures are very effective. Because the only alternative available to many patients, especially those with tendinosis calcarea of the shoulder and calcanean spurs, is a surgical procedure, the application of shock wave, a low-invasive and highly effective method, is fully justified.
Key words:
focused shock wave, radial shock wave, physiotherapy
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