Tag: Piotr Majcher

The ego extending orthopedic brace in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease)

Marek Fatyga, Piotr Majcher, Andrzej Skwarcz

Marek Fatyga, Piotr Majcher, Andrzej Skwarcz – The ego extending orthopedic brace in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease). Fizjoterapia Polska 2001; 1(3); 306-310

Abstract

Juvenile thoracic kyphosis, known as „Scheuermann’s Disease”, is characterized by deepening of the thoracic kyphos and changes is the vertebral bodies, taking place during the period of intensive growth of the young organism. The purpose of our article is to present the “EGO” extending orthopedic brace, which corrects spinal deformities on the sagittal plane. In the EGO brace correction of thoracic kyphosis is obtained by a three-point support with stabilized pelvis: anteriorly on the stemum, posteriorly at the peak of the kyphos. In order to obtain proper correction of thoracic kyphosis, it is necessary to force the pelvis into a posterior tilt through high support of the abdominal integuments and rib arches and low support on the buttocks posteriorly, which affects the reduction and stabilization by clinical and radiological testing. Among the indications for the application of the EGO brace are various forms of non-permanent kyphotic deformities of the thoracic spine in the early phase of their development, thus prior to indications for the comprehensive conservative treatment program developed at the Lublin center for juvenile thoracic kyphosis: a multistage treatment using extending braces after preparation by physiotherapy. The EGO orthopedic brace is also successfully applied after the completion of staged correction in plaster casts, when the vertebral bodies have been reconstructed. The task of the brace at that point is to fix the correction that has been obtained.

Key words:
extending orthopedic brace, Scheuermann, thoracic kyphosis
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Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease)

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Anna Krawczyńska, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Kinesitherapy in the treatment of juvenile thoracic kyphosis (Scheuermann’s Disease). Fizjoterapia Polska 2001; 1(3); 303-305

Abstract

The course of juvenile thoracic kyphosis, known as Scheuermann’s Diseases, brings about static and dynamic changes within the spine, the shoulder girdle, and the pelvic girdle, negatively affecting the patient’s posture. Changes in the spine due to growth deformities in the vertebral bodies lead to musculo-capsular spasms and adynamia in overextended muscles and ligaments.The basic aim of kinesitherapeutic procedures in the treatment of juvenile thoracic kyphosis is to restore normal muscular equilibrium by stretching the contracted muscles and strengthening the weakened ones. There are also exercises intended to improve the range of joint movement and to teach the patient to assume and maintain proper body posture. In cases of radiologically confirmed growth disorders affecting the vertebral bodies, treatment by extending corrective braces is required. In such cases kinesitherapy and physicotherapy are intended to prepare the patient to obtain good correction in the orthopedic brace and reduce the so-called “plaster losses”. The authors point out the value of kinesitherapy in the process of treating patients with juvenile thoracic kyphosis. A program of exercises intended to reconstruct a normal is also discussed.

Key words:
musculo-capsular spasms, adynamiarange of mobility, posture
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The psychological situation of the disabled patient after injury to the spine and spinal cord

Mariola Żuk, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Mariola Żuk, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – The psychological situation of the disabled patient after injury to the spine and spinal cord. Fizjoterapia Polska 2002; 2(1); 65-67

Abstract
Background. Motor disability places the person affected in a difficult psychological situation for many reasons. Some of these reasons are directly associated with the circumstances of hospital treatment and rehabilitation. Others involve life after dismissal from the hospital and return to social life. In the present study the authors share their experience in clinical work with patients disabled by injury to the spine and the spinal cord.Material and method. Based on a study of 602 patients treated for spinal injuries in the period 1986-2000, the authors discuss their psychological situation. Of these patients, 357 had suffered damage to the central nervous system, while 245 had not.Results. In order to achieve a good outcome in rehabilitation, the patient needs the help of the treatment team and the immediate environment. The return to life outside the hospital is easier when particular conditions are fulfilled in the person’s environment. Thus during the course of in-patient rehabilitation steps are taken to create for the patient a sort of “social niche”, into which s/he will enter after discharge from the hospital.Conclusion. It is of vital importance to include the patient in the activities of a self-help group, in which the immediate family is also engaged.

Key words:
Self-Help Groups, social belonging, family support

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Medical rehabilitation of spinal injury patients without central nervous system damage

Piotr Majcher, M. Fatyga, A. Skwarcz

Piotr Majcher, M. Fatyga, A. Skwarcz – Medical rehabilitation of spinal injury patients without central nervous system damage. Fizjoterapia Polska 2002; 2(1); 61-64

Abstract
Based on the experience of the authors’ rehabilitation center is Lublin, the authors present the model of medical rehabilitation they have developed for patients with spinal injuries not involving damage to the central nervous system. The model is dependent on the type of treatment used for spinal injury (surgical or non-surgical). In the case of patients requiring surgery using internal fixation, medical rehabilitation includes preparation of the patient for surgery (over and above nursing activities) by means of respiration exercises, followed by kinesitherapy and physicotherapy after surgery in order to restore physical fitness as quickly as possible. In non-surgical procedures, medical rehabilitation includes physiotherapy, broadly conceived, involving one of three schemes: functional treatment without internal fixation, functional treatment after the application of internal fixation (young persons), and functional treatment for persons with cervical spinal injuries, using direct cranial traction. The authors point out the necessity for cooperation in the entire treatment team in proper rehabilitation procedure.

Key words:
internal fixation, kinesitherapy, physicotherapy

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Principles for non-surgical procedures in the treatment of scoliosis

Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – Principles for non-surgical procedures in the treatment of scoliosis. Fizjoterapia Polska 2002; 2(4); 306-310

Abstract
This article presents the authors’ own experience in the comprehensive non-surgical treatment of scoliosis. Various types of corrective and stabilizing orthopedic braces are presented. Orthopedic equipment should be tailored to the needs of the individual patient, depending on the etiology of the curvature, the type and dimensions of the distortion, and the age of the young patient. Indications and counterindications for treatment by orthopedic braces are given. Significant reduction in the deformation of posture can be obtained by using a correctional brace even in cases when proper application does no more than to slow the progression of curvature. The authors also discuss abnormalities in the orthotic treatment of spinal deformities encountered in daily practice with ambulatory patients. Kinesitherapy is indicated as an essential supplement to the brace, and not as a substitute for it.

Key words:
Scoliosis, non-surgical treatment of scoliosis, orthopedic braces

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Perception of the physiotherapist profession by first-year students of Polish universities of various educational orientations

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński – Perception of the physiotherapist profession by first-year students of Polish universities of various educational orientations. Fizjoterapia Polska 2009; 9(2); 109-121

Abstract
Background. In Poland at present, physiotherapy studies are offered at three types of school: medical universities, universities of physical education, and schools not specialising in either the medical sciences or physical education. The aim was to compare the perception of the physiotherapist profession by first-year students of different types of universities. Material and methods. The study sample comprised 1145 1st year BA programme students from eleven schools in Poland. The study utili-sed the diagnostic poll method – a questionnaire, which comprised three parts. The Kruskal-Wallis test was used along with the median test and the Chi-squared test (p<0.05). Results. Most students stated that the professional status of physiotherapists is lower than that of doctors (above 52%), but is higher than that of nurses (above 70%). 92% of the students believed that physiotherapists and physicians should work together as partners (p=NS). The vast ma-jority (70%) of the students believed that the physiotherapist profession is related to medicine rather than physical education. Conclusions. 1. The educational orientation of the university did not influence first-year students’ perception of their futurę profession in this study with most of the surveyed stating that physiotherapist is a medical profession. 2. In the light of the findmgs of foreign authors, there is a ne-ed to carry out a study in Poland that would address the issue of the position of the physiotherapist in the therapeutic team in relation to the doctor and the team nurse as well as the other members of the team: dietitian, psychologist and occupational adviser.
Key words:
medical education, physiotherapy, type of university, perception of the profession
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Motivations for studying physiotherapy and familiarity with employment situation among physiotherapy students at variously oriented university-level schools in Poland

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński

Tomasz Wolny, Edward Saulicz, Rafał Gnat, Mirosław Kokosz, Michał Kuszewski, Andrzej Myśliwiec – Motivations for studying physiotherapy and familiarity with employment situation among physiotherapy students at variously oriented university-level schools in Poland. Fizjoterapia Polska 2009; 9(3); 232-244

Abstract
Background. There is considerable interest in studying physiotherapy in Poland and in many countries of the European Union. The objective was to identify the factors that motivate applicants to choose Physiotherapy studies and find out what students know about working in Poland and other EU countries. Material and methods. The study sample comprised 954 1st year BA students from eleven universities: medical sciences (MS), physical education (PE), and other universities (OU). The statistical analysis was based on questionnaires obtained from : 211 MS, 118 PE and 625 OU. Results. Students relied on advice of active physiotherapists when choosing a study programme: 62% ME, 57% PE and 68% OU. Respondents would like to study for the Master’s degree and take up work: 55% PM, 56% PWF and 62% IP. Students were not familiar with employment opportunities: 87% MS, 91% PE and 73%. The most important factors aiding in finding a job are knowledge and skills: 43% MS, 42% PE and 45% OU. Conclusions. 1. The respondents did not choose studies by accident but based their decision on stereotypes. 2. Universities should set great store by their teaching standards as applicants decide to choose a university on the basis of opinions about the particular university. 3. There is a need to develop a professional information service on study opportunities in physiotherapy in Poland that would necessarily include objective information regarding employment opportunities for physiotherapists in EU countries and in the world.
Key words:
employment situation, motivation, European Union, physiotherapy, type of university
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Analysis of changes in attitudes towards starting the chosen career among physiotherapy students during their Bachelor program studies at university-level schools of differenteducational orientations

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kuła, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński, Andrzej Wall

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kuła, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński, Andrzej Wall – Analysis of changes in attitudes towards starting the chosen career among physiotherapy students during their Bachelor program studies at university-level schools of differenteducational orientations. Fizjoterapia Polska 2010; 10(1); 25-36

Abstract
Background. The education of physiotherapists in Poland takes place at three types of university-level schools: medical universities, universities of physical education and universities of other orientations. The orientations differ in terms of: educational traditions, teaching quality and various approaches to the subject of study. The objective of this study was to analyze the perception of the futurę career in physiotherapy by comparing first- and third-year students from universities of different orientations. Material and methods. The study involved 1145 students from 11 university-level schools. The same students were sun/eyed twice: during the first and third year of their studies. The research tool was a yoluntary anonymous questionnaire designed by the authors containing a total of 88 questions. The analysis (Statsoft STATISTICA 8) was based on the following non-parametric statistical tests: the chi-square (x2) test, Kruskal-Wallis test and Wilcoxon signed-rank test (p<0.05). Results. The third-year students were morę willing to undertake Master-level studies and significantly less willing to embarkon their chosen career than when they were in the first year. While the familiarity with opportunities for starting their career as physiotherapists had increased significantly, most students still declared that they were not familiar with them. Most students claimed that it was easy to findajob in other European Union countnes. Conclusions. 1. In the study group, the school orientation had no significant influence on the students’attitude towards their futurę chosen career. 2. It is important that the education curricula for the students of Bachelor-level studies in physiotherapy be complemented with objecth/e source.
Key words:
students, vocational attitudes, starting a career, European Union
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Analysis of physiotherapy students’ opinions on curricula in university-level schools of different educational orientations

Dariusz Białoszewski, Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński

Dariusz Białoszewski, Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński – Analysis of physiotherapy students’ opinions on curricula in university-level schools of different educational orientations. Fizjoterapia Polska 2010; 10(2); 136-148

Abstract
Introduction and Objective. Physiotherapy as a university degree programme was first offered in Poland in 1997, with courses including 3-year Bachelor-level and 2-year Master-level programmes. The education of physiotherapists in Poland currently takes place at three types of university-level schools: medical universities (MS), universities of physical education (PE) and university-level schools of orientations not connected with medicine or physical education (OU).This study aims to analyse and compare opinions of MS, PE and OU students on the curricula offered by the three types of university-level schools. Material and methods. The study involved a total of 593 students in their third year of Bachelor programme studies from 10 university-level schools of different educational orientations. Participation in the study was voluntary and anonymous involved completing a questionnaire distributed in March and April 2009. The questionnaire, designed by the authors, consisted of 4 parts and contained a total of 88 questions. The statistical analysis of the survey data (STATISTICA 9.0) was conducted using the Kruskall-Wallis test. Results. The majority of MS students believed the amount of practical classes was appropriate, while PE and OU participants assessed it as insufficient (p=NS). The MS students were satisfied with the amount of time of working directly with patients during clinical classes, while their PE and OU counterparts found the time insufficient. The largest number of MS, PE and OU participants declared that training in special techniques in physiotherapy was insufficient (p=NS). Conclusions. 1. It would be advisable to combine the clinical experience of medical universities with the facilities and teaching staff of specialists in physiotherapy-related courses available in universities of physical education in order to improve the quality of physiotherapy education in Poland.2. In view of the current level of research in physiotherapy, it seems important to provide students with high quality training in state-of-the-art physiotherapy techniques.
Key words:
physiotherapy, students, Bachelor-degree programmes, medical universities, universities of physical education
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Motivations for studying physiotherapy and familiarity with employment situation – differences between female and male students of physiotherapy at university-level schools in Poland

Katarzyna Barczyk, Joanna Gotlib, Aleksandra Bauer, Dariusz Białoszewski, Piotr Majcher, Maciej Płaszewski, Anna Cabak, Olga Nowotny-Czupryna, Wojciech Kułak, Janusz Sierdziński

Katarzyna Barczyk, Joanna Gotlib, Aleksandra Bauer, Dariusz Białoszewski, Piotr Majcher, Maciej Płaszewski, Anna Cabak, Olga Nowotny-Czupryna, Wojciech Kułak, Janusz Sierdziński – Motivations for studying physiotherapy and familiarity with employment situation – differences between female and male students of physiotherapy at university-level schools in Poland. Fizjoterapia Polska 2010; 10(4); 307-316

Abstract
Background. The present paper analyses and compares the factors that motivate female and male students of physiotherapy to take up these studies and examines students awareness of the employment situation in their future profession.
Material and methods. The diagnostic poll method (anonymous and voluntary question naire). The study sample comprised 1st year Bachelor programme students from eleven university-level schools. The statistical analysis was based on question naires obtained from 954 students. The survey was carried out in 2006, at the beginning of the 1st semester of the Bachelor’s programme. Outcome measures The Mann–Whitney U test was used at a significance level of p<0.05. Results. Personal interest was the only factor that influenced the decision to study physiotherapy and differentiated between the male and female students. For a significantly higher percentage of the female students (p<0.001), studying physiotherapy had been a life-long ambition. The vast majority of the students stated that they were not familiar with all opportunities for finding employment as physiotherapists. The vast majority of the students believed that it is easy to find employment as a physiotherapist in other European Union countries, with female students stating so significantly more frequently (p<0.05) than their male counter parts
Conclusion. Men and women share similar expectations of their future job and motivations
Key words:
sex differences, physiotherapy, education, occupations, perception, students
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