Tag: Anna Lipińska

Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic

Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz


Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz – Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic. Fizjoterapia Polska 2022; 22(4); 154-161

DOI: https://doi.org/10.56984/8ZG1A62sK

Abstract
The COVID-19 pandemic resulted in an almost immediate need to limit social contact, including access to full-time education.
Teaching in the 2020/2021 academic year relied almost entirely on remote education. Medical students felt the problem of the lack of student-patient contact in particular. Internships and apprenticeships were kept to a minimum, and in many universities there were no apprenticeships, which also translated into the lack of acquisition of practical knowledge, which is very important in the work of a future medic.
The study covered students from all voivodeships. The nationwide character of the study made it possible to obtain objective results.
The objective of the study was to examine the level of satisfaction and acquired skills of students of the medical faculty, i.e. physiotherapy within remote education.
The results of the study and the literature review show that the preferred form of education in medical faculties is a mixed form of education, and student satisfaction with the remote form is rather low. It has been shown that this method of education does not lower the level of satisfaction, and at the same time has a positive effect on the economic aspect of studying.

Key words:
student satisfaction, physiotherapy, remote learning, COVID-19 disease

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The influence of kinesiotaping applications on lymphoedema of an upper limb in women after mastectomy

Anna Lipińska, Zbigniew Śliwiński, Wojciech Kiebzak, Tomasz Senderek, Janusz Kirenko

Anna Lipińska, Zbigniew Śliwiński, Wojciech Kiebzak, Tomasz Senderek, Janusz Kirenko – The influence of kinesiotaping applications on lymphoedema of an upper limb in women after mastectomy. Fizjoterapia Polska 2007; 7(3); 258-269

Abstract
Background. Doctor Kenzo Kase is a creator of the method Kinesio Taping. In the course of years-lasting experiences he worked out a plas-ter called Kinesio Tex, which applied during therapy in the form of application affects a patient not only during a visit, but also after its finishing supporting autotherapy of an organism. The usage of the method of kinesiotaping at women after mastectomy influences on the decrease of oedema lymphatic and normalization of muscular tension. Material and methods. Researches were conducted in Rehabilitation Ward of Swiętokrzyskie Oncology Centre in the period from November 2006 to February 2007. The group consisted of 25 women at the age of 40 to 70 years old (the average of their age 55,16 years) treated because of breast cancer with oedema lymphatic. Every woman taking part in the experiment was subjected to kinesiotaping therapy. The research of measurement of oedema lymphatic, the muscular strength of indicated muscular structures as well as the range of movement in a humeral joint, elbow joint, wristradial joint were carried out in four series: before the first application (research I), before every next (research II, III) and after the last application (research IV). In the break between researches a patient was obliged to follow rules referring to behaviour after mastectomy. Results. Assessment of the efficiency of an upper limb at women after mastectomy shows that a 20 – day cycle of improving with the use of lymphatic applications of the kinesiotaping method considerably reduced oedema lymphatic which 24%, increases range of motion 20 % and normalization of muscular tension brings satisfactory therapeutic effects. Conclusions. Lymphatic applications accelerate lymphatic and venous microcirculation, reduces the stasis of lymph in intercellular spaces. Decrease of oedema contributes to the improvement of movement range in all joints of an upper limb and normalization of muscular tension con-tributing to the increase of muscular strengt.
Key words:
Kinesio Taping Method, lymphatic applications, mastectomy, lymphoedema
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Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński – Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke. Fizjoterapia Polska 2009; 9(2); 133-142

Abstract
Background. The authors present an assessment of gait pattern in stroke patients subjected to comprehensive physiotherapy inclu-ding Kinesiology Taping applications. Material and methods. The KT group included 20 patients (13 men and 7 women) who were subjected to Kinesiology Taping. KT applications were not used in the control group, which consisted of 5 women and 15 men. Ali patients underwent physical, neurological and functional examinations, which constituted the basis for designing a rehabilitation program. Results. The analysis of the results indicates that functional KT application to the anterior tibial muscie, ligamentous KT application to the Achilles tendon and muscular KT application to the soleus muscie significantly contributed to improving ankle joint function. Patients treated with KT applications demonstrated improved gait patterns, visible as balanced step length and an extended support phase main-taining the body weight. When learning and analyzing the gait pattern, the midstance phase (fuli loading) is a significant element prece-ding the propulsion phase. This assessment of gait patterns following KT application in stroke patient is an innovative study. Conclusions. Muscular and ligamentous Kinesiology Taping applications reduce the spastic tension of the lower limb muscles para-lyzed as a result of cerebral stroke, The beneficial effect of Kinesiology Taping described by the founders ofthis method reduces the congestive edema of the limbs paralyzed as a result of a cerebral stroke and improve the gait pattern. The rehabilitation program applied in this study increased the gait speed of the stroke patients.
Key words:
Kinesiology Taping, muscular applications, ligamentous applications, corrective applications, cerebral stroke
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Thermovision recordings of skin surface temperatures following selected physical therapy procedures and comparison of procedure efficacy

Zbigniew Śliwiński, Wojciech Kufel, Marek Woszczak, Grzegorz Śliwiński, Anna Lipińska

Zbigniew Śliwiński, Wojciech Kufel, Marek Woszczak, Grzegorz Śliwiński, Anna Lipińska – Thermovision recordings of skin surface temperatures following selected physical therapy procedures and comparison of procedure efficacy. Fizjoterapia Polska 2009; 9(4); 321-331

Abstract
Background. The results of a thermovision study of the body surface of patients subjected to various physical therapy procedures are presented. Pain intensity is also assessed using a Yisual Analogue Scale (VAS). The aim ofthe paperis to compare the efficacy of these procedures. Material and methods. The study involved 38 patients (15 males and 23 females) aged 19-78 years (mean age 58.1 years) with diagnosed degenerative changes and pain syndromes ofjoints of the lower extremities (13 patients), upper extremities (7 patients) and the vertebral column (18 patients). Ali patients were divided into 4 groups and subjected to NSAID iontophoresis (Group 1), anodę galvanisation (Group 2), galvanisa-tion followed immediately by an NSAID rub-in (Group 3), and NSAID rub-in alone (Group 4). Pain intensity was assessed using a subjective scalę (VAS) on the first, fifth and tenth procedurę day The distribution of temperature in the treated area was also recorded with an Agema 570 thermo-vision camera on the day of the first and last procedure. Results. A subjective reduction in pain intensity was recorded in all groups. Patients from the first group reported 50.2% improvement, patients from Group 2 reported 44.9% improvement, Group 3 reported 62.2% improvement, and Group 4 reported 38.9% improvement over baseline (first day of treatment). Changes in skin surface temperature were also observed but were not significant for Group 4. Conclusions. In the subjective opinion of the patients, the most efficacious procedure was anode galvanization immediately followed by an NSAID rub-in. The superior efficacy of this procedure appears to be related to the higher dose of medication being introduced into the treated area and greater skin hyperaemia compared to iontophoresis alone. Medication rub-in following galvanisation is effective and more cost-effective as the-re are no drug losses due to the drug remaining in the vehicle, as is observed during an iontophoresis procedure.
Key words:
iontophoresis, galvanic current, rub-in, thermovision, linear VAS scale
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DKK设备在物理治疗中的应用。适用症和禁忌症

Wojciech Kaczmarek, Paweł Łęgosz, Renata Szczepaniak, Anna Lipińska, Krzysztof Mucha

W. Kaczmarek, P. Łęgosz, R. Szczepaniak, A. Lipińska, K. Mucha – The new Dynamic Spine Correction (DSC) device: indications and contraindications. Fizjoterapia Polska 2018; 18(4); 62-72

摘要
治疗中使用动态脊椎矫正设备；经过后来修正，根据Wojciech Kaczmarek专利编号PL 229766及编号US 9,949,884 B2。设备在欧盟动态脊椎矫正器（DKK）及新理疗法项目框架下，由Bio.morph Sp. z_o.o.公司开发和制造。DKK设备可在物理治疗师监控下独立进行康复，也可在脊椎关节阻塞的动态生理性关节内动作恢复时持续控制脊椎的活动。借助新的诊断系统可将脊椎健康状态可视化、记录患者的工作参数并记录结果，并对当前患者状态及理疗进展进行客观评估。
新诊断解决方案及动态脊椎矫正和神经肌肉姿势再训练等新方法的使用（以下简称DKK），可以有效治疗功能性障碍且结合疼痛综合症的脊椎疾病，同时降低病患因使用特定治疗技术、具过度毒性和低特异性的材料及药物所带来的健康风险。其设计可消除因未受控制的治疗等为病患所带来的健康风险。

关键词：
脊椎功能性障碍的物理治疗、脊椎动态矫正和活动化、神经肌肉的姿势再训练。

 

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Analysis of statics of the pelvis in radicular and pseudoradicular syndrome of the lower part of the spine

Bartłomiej Halat, Paweł Jędrzejewski, Agnieszka Jędrzejewska, Anna Lipińska, Zofia Śliwińska, Zbigniew Śliwiński

B. Halat, P. Jędrzejewski, A. Jędrzejewska, A. Lipińska, Z. Śliwińska, Z. Śliwiński – Analysis of statics of the pelvis in radicular and pseudoradicular syndrome of the lower part of the spine. FP 2014; 14(2); 6-24

Abstract

Introduction. Radiculopathies and pseudoradiculopathies are the most common pain syndromes of the lumbar spine. This issue became a civilization disease and affects people of various ages. Goal. The goal of this work was to compare analgetic effectiveness of physiotherapy in radiculopathies and pseudoradiculopathies and to identify an association between syndromes of vertebral origin disorders of muscular elasticity as well as to assess the effects of therapy on pain-induced discomfort.
Material and methods. Study included 40 patients divided into two groups. Group A consisted of patients with radiculopathy, while group B comprised pseudoradiculopathy subjects. Muscle energizing techniques (MET), Hold Relax method and classical massage of musculofascial structures were applied in therapy. It also involved physiotherapeutic procedures (Interference currents, Tens, Iontophoresis, UD, Laser, Sollux). Results. Based on the Oswestry questionnaire it was determined that among group A patients level of disability was reduced by 38%, while in group B it decreased by 31%. In both study groups therapy contributed to reduction of pain measured in VAS scale by 58%. Lumbar spine mobility measured with Schober test increased by 11% in group A and by 5% in group B. Administered physiotherapy contributed to normalization of length and tension of musculoligamentous structures. Conclusions. Study results show that radiculopathies and pseudoradiculopathies affect the disorders of pelvic statics presenting with shortening of muscle fibers and increased activity of connective tissue structures in this region. Physiotherapeutic methods applied in treatment of radiculopathies and pseudoradiculopathies significantly reduce pain. Some techniques (MET) restore muscle elasticity, contributing to lessening of discomfort.

Key words:
statics of the pelvis, Piedallu’s sign, Oswestry questionnaire, normal values of muscle fiber length, VAS scale

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Possible applications of dynamic taping in women after the removal of lymph nodes because of breast cancer

Anna Lipińska, Magdalena Lipińska-Stańczak, Paweł Macek, Renata Szczepaniak, Sławomir Jandziś, Zbigniew Śliwiński

A. Lipińska, M. Lipińska-Stańczak, P. Macek, R. Szczepaniak, S. Jandziś, Z. Śliwiński: Possible applications of dynamic taping in women after the removal of lymph nodes because of breast cancer. FP 2015;15(4);16-31

Abstract
Introduction. In Poland and in the world breast cancer is the most frequent malignancy among women. Complications occurring after the applied therapy lower the quality of patients’ life. One of the many adverse effects of breast cancer treatment is lymphedema. Removal of lymph nodes and damage to lymphatic vessels make the transport of high-molecular proteins difficult, and at the same time, they have an influence on an increase in the colloid-osmotic pressure, water retention in the inter-tissue space, the loss of lymphatic vascular tone and reduction of the hydrostatic pressure. If not treated, lymphedema causes ailments in the form of recurrent inflammatory conditions of the skin, lymphatic vessels, which greatly reduces the patients’ psychophysical efficiency and promotes the development of lymphosarcoma of the upper limb on the side of mastectomy. One of the methods of lymphedema treatment is Kinesiology Taping. In Poland, the term dynamic taping is more and more frequently used. Application of this method causes that healing processes occur in the patient in a painless and natural way.
Aim. To present the possibilities of using lymphatic techniques of dynamic taping in women after mastectomy and to assess the impact of the applications on the secondary lymphedema.  The author decided to verify the main objective through the following research hypotheses:
1.Applications of dynamic taping reduce lymphedema in women after mastectomy.
2.Techniques of the Kinesiology Taping method influence the change of motion ranges in the joints of the upper limb.
Material and research methods. The study was performed in the Department of Rehabilitation of Holycross Cancer Centre in Kielce. The study group consisted of 73 patients after mastectomy diagnosed with secondary lymphedema of the upper limb. The volume of upper limbs was measured with the use of a measuring cylinder filled with water. Measurements of motion ranges in the joints of upper limbs were performed with the use of a goniometer.
Results and conclusions. Analysis of the results shows that the employed lymphatic applications reduce lymphedema, increase the range of motion in the joints of the upper limb on the operated side and promote healing processes, contributing to the improvement of physical efficiency and the quality of life.

Key words:
breast cancer, lymphedema, dynamic taping, Kinesiology Taping

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