Tag: Ewa Kamińska

Vertical positioning advantages in children with cerebral palsy

Stanisław Faliszewski, Ewa Kamińska, Marzena Wiernicka, Wanda Stryła

Stanisław Faliszewski, Ewa Kamińska, Marzena Wiernicka, Wanda Stryła – Vertical positioning advantages in children with cerebral palsy. Fizjoterapia Polska 2006; 6(2); 167-171

Abstract

A primary aim of this paper is an introduction of the concrete arguments to physiotherapists, physicians, parents and other pro-fessionals who deal with rehabilitation of children with cerebral palsy, about the importance and the necessity of application into practice vertical positioning method based on the age of a child, not on the achievements of gross motor activity, at any stage of a physical therapy process. Two basic types of vertical positioning method may be distinguished depending on the condition of a patient: the passive and the active vertical positioning method. The difficulty in the active vertical positioning method, that is in the ability of taking up the standing position unaided, opposing the force of gravity, is the major rehabilitation problem of children suffering from cerebral palsy. It is manifested by the inability to take up the standing position unaided at all or the delay in it in the proportion to the vertical positioning standard (about the 16th month of a lifetime) and it results in many disadvantageous changes mentioned in this article. The passive vertical positioning with the help of vertical positioners seems to be the only alternative in this situation. The passive vertical positioning method is above all, the overcoming of incorrect postural-motor patterns in children. The vertical positioning method enables the suppression of intensified spastic tension. The passive vertical positioning facilitates the performance of different ADL, e. g. eating, doing homework, reading, the use of a computer, and has an influence on the course of physiological processes. The Neurodevelopment Treatment method acknowledges it to be a priority while using techniques of the stimulation during the physical therapy process. The only contraindication to the passive vertical positioning can be the prolonged reluctance of a child to such form of taking up the standing position. The advantages connected with vertical positioning by use of vertical positioning table of children with cerebral palsy (passive method) are considered from the sensomotor, psychological, physiological and anatomical points of view and ability to regain particular motor functions. Disadvantageous effects of a short and long-time immobilisation at horizontal position as result of hypokinesis and hypogravity are taken into account as well. The results of the reaserch carried out on people remaining in a recumbent position shortly or prolongedly in consequence of diseases and injuries as well as on healthy people, prove that bed rest cause essential disadvantageous physiological changes.

Key words:
vertical positioning, cerebral palsy, hypogravia, hypodynamia
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Postural control in scoliotic children with different functional efficiency of feet. Preliminary report

Marzena Wiernicka, Dominik Kaczmarek, Ewa Kamińska, Iwona Ciechanowicz-Kowalczyk, Grażyna Cywińska-Wasilewska, Magdalena Łańczak-Trzaskowska, Dorota Warzecha

Marzena Wiernicka, Dominik Kaczmarek, Ewa Kamińska, Iwona Ciechanowicz-Kowalczyk, Grażyna Cywińska-Wasilewska, Magdalena Łańczak-Trzaskowska, Dorota Warzecha – Postural control in scoliotic children with different functional efficiency of feet. Preliminary report. Fizjoterapia Polska 2008; 8(3); 299-309

Abstract
Background. Scoliosis is defined as a multi-dimensional deformity of the spine frequently associated with a compensatory spinal curvature and changes in pelvic and lower limb alignment. Changes in the spatial arrangement of the foot joints may affect coordination of movement patterns, muscle balance and static and dynamic proprioceptive control. The aim of this study was to assess dynamic and static postural control in children with scoliosis and different longitudinal foot arch patterns. Material and methods. The study involved 69 children aged 5 to 18 years with scoliosis confirmed by an orthopaedist. The patients were treated at orthopaedic outpatients clinics and had not undergone previous operative treatment. Longitudinal foot arch parameters were assessed with a Podoskop (Posmed, Poland) device and the Wejsflog index.. Static and dynamic postural control was assessed with a CQStab2P Stabilometric Platform (two-platform version, CQ Elektronik System, Poland) and the Delos Postural System (Delos s.r.l., Italy). Results. In the children with reduced functional efficiency of the feet, the sway path and the sway area were higher during stabilometric measurements with eyes closed. Mean postural priority among persons with inefficient feet did not exceed 60%. Conclusions. Preliminary results indicate the presence of disturbances of balance and proprioception among children with scoliosis and reduced or poor functional efficiency of the feet.
Key words:
posture, foot, scoliosis, postural balance
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Zastosowanie testu Functional Movement Screen (FMS) w celu określenia ryzyka urazu narządu ruchu wśród strażaków i żołnierzy – badania pilotażowe

Joanna Jagiełka, Małgorzata Chochowska, Ewa Kamińska

J. Jagiełka, M. Chochowska, E. Kamińska – Application of the Functional Movement Screen (FMS) test to determine the risk of musculoskeletal injuries among firefighters and soldiers – pilot study. Fizjoterapia Polska 2020; 20(1); 114-123

Abstract
Objective. Work specificity of uniformed services is characterized by a significant risk of injuries that may cause resignation from military service and results in significant social and economic costs. Many injuries can be prevented if abnormal movement patterns are noticed and corrected at the right time.
The objective of the study was to assess the quality of movement patterns and determine the risk of injuries to the musculoskeletal system among young soldiers and firefighters using the Functional Movement Screen (FMS) test.
Material and methods. Sixty men aged 19-30 (average: 26.5 years) participated in the pilot study, including 30 soldiers (S) and 30 firefighters (F).
Results: In 5 out of 7 FMS tests, F obtained better results compared to S, however statistically significant differences were observed only in: deep squat test (F: 2.67 points vs S: 2.32 points; p = 0.020) and in-line lunge test (F: 2.87 points vs S: 2.42 points; p = 0.000). In addition, F obtained a statistically better final result of the FMS test (F: 17.50 points vs.
S: 16.97 points; p = 0.046). In both groups, the lowest results were obtained in the rotary stability test (F: 2.13 points;
S: 2.10 points) and the active straight leg raise test (F: 2.20 points; S: 2.00 points) .
Conclusions. The final FMS result in the groups F and S was in the upper limit of the middle range of scores (14-17 points), estimating the risk of injuries at the level of 25-35% and indicating the need for remedial procedures. FMS can be a useful tool in assessing the risk of injury to the musculoskeletal system in the case of employees of uniformed services and be part of their prevention.

Key words:
Functional Movement Screen, żołnierze, strażacy, ryzyko urazu, profilaktyka

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Effect of sensorimotor foot stimulation on the body postural, function and load of the lower limb in patients in the late phase after stroke

Magdalena Goliwąs, Piotr Kocur, Marzena Wiernicka, Ewa Kamińska, Jacek Lewandowski

M. Goliwąs, P. Kocur, M. Wiernicka, E. Kamińska, J. Lewandowski – Effect of sensorimotor foot stimulation on the body postural, function and load of the lower limb in patients in the late phase after stroke. FP 2017; 17(2); 24-35

Abstract

There are few studies which assess the impact of stimulation of the foot in after-stroke patients. The study involved an assessment of the effects of sensorimotor foot stimulation in patients after ischemic stroke. Patients (post-stroke duration > 1 year) were randomized to the experimental group (n = 20) and control group (n = 17). Both groups completed a standard six-week rehabilitation programme. In the experimental group, the standard rehabilitation programme was supplemented by sensorimotor foot stimulation training. The analysis included: postural stability, balance, motor function, muscle tone, sensation. In both groups have not significantly changed the following parameters: center of foot pressure (COP) area and COP length. Significant changes have been observed in the experimental group with and without visual control for the following parameters: total load of lower limb directly and indirectly covered by a stroke. Symmetry Index has shown a reduction ratio in the experimental group by 13.2% in the test with and by 15.1% without visual control. In the experimental group significant functional changes have been demonstrated in motor function and balance as well as in the assessment of muscle tone within the ankle. Sensorimotor foot stimulation with standard rehabilitation procedure is a better form of physiotherapy than use standard rehabilitation only.

Key words:
Sensorimotor foot stimulation, Fugl-Meyer Assessment Scale, Symmetry Index

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Gender Dimorphism of Postural Static Stability in Children 9 to 12 Years of Age

Marzena Wiernicka, Ewa Kamińska, Dawid Łochyński,
Elżbieta Hurnik, Łukasz Michałowski, Daniel Choszczewski, Piotr Kocur, Marta Flis-Masłowska, Zbigniew Śliwiński, Jacek Lewandowski

M. Wiernicka, E. Kamińska, D. Łochyński, E. Hurnik, Ł. Michałowski, D. Choszczewski, P. Kocur, M. Flis-Masłowska, Z. Śliwiński, J. Lewandowski – Gender Dimorphism of Postural Static Stability in Children 9 to 12 Years of Age. FP 2014; 14(2); 68-76

Abstract

Introduction. Equilibrioception – or sense of balance – is dependent on a number of features of the nervous system and motor system. A rotational sense of balance is fully developed at around 6 years of age; static and dynamic balance, however, is achieved at about 12 years of age.
Purpose. This paper aims to identify dimorphic differences of postural static stability in children of the same age range.
Research Material and Method. Material: The research group consisted of 450 children aged 9 to 12, comprising 235 girls and 215 boys. Research method: The measurement of the Centre of Pressure Sway Path length (mm) and the Sway Area size (mm2) with Eyes Open and Eyes Closed (EO/EC) using CQ-STAB device. The results have been subjected to statistical analysis.
Results. The results obtained did not present a normal distribution and therefore non-parametric tests were used for the calculations. The analysis shows that girls, when compared with boys, achieved significantly better results in static stability measured by determining both the Sway Path and the Sway Area of the COP, both in EO and EC conditions.
Conclusions. Research results analysis indicated a better postural static stability in females compared to male research participants. Gender differences were observed in the study in both Eyes Open and Eyes Closed conditions; this may indicate functional developmental variability of the central nervous system responsible for postural stability control in girls and boys.

Key words:
static stability, children, dimorphism

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Balance Versus Postural Stability and Its Disorders in Patients after Ischemic Stroke – Theoretical Study

Magdalena Goliwąs, Ewa Kamińska, Marta Flis-Masłowska,
Marzena Wiernicka, Jacek Lewandowski

M. Goliwąs, E. Kamińska, M. Flis-Masłowska, M. Wiernicka, J. Lewandowski – Balance Versus Postural Stability and Its Disorders in Patients after Ischemic Stroke – Theoretical Study. FP 2017; 17(1); 38-44

Abstract
The aim of this study is to explain the differences between balance and postural stability, and the changes which occur in these traits in patients after stroke.
Human being has the natural ability to stand on two feet and to move on the two feet across an unfamiliar terrain. However these abilities do constitute a big challenge for the balance control system, which is being controlled through the three separate systems, two of which are sight, responsible for planning of the locomotion activity, vestibular system, responsible for spatial orientation of the human body. The third, and the most complex is the sensory system (composed of proprioceptors and mechanoreceptors). In terms of biomechanics the balance is defined as the ability to maintain the center of gravity of the human body above the supporting plane.
One of the most important determinants of the correct body posture is the postural stability, which wider concept and denotes the ability to recover the balance. This is possible thanks to three strategies. Patients after a stroke have a problem with the ability of spontaneous kinesthetic response. The distribution of pressure forces of the plantar side of a foot on the ground changes, it becomes difficult to maintain balance, and the consequences are frequent falls, femur fractures and problems with the basic activities of daily living.

Key words:
Postural stability, balance, stroke

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Functional assessment of movement patterns in selected martial arts and sports contestants, using the test Functional Movement Screen™

Ewa Kamińska, Sonia Porzucek, Marzena Wiernicka, Magdalena Goliwąs, Jacek Lewandowski

E. Kamińska, S. Porzucek, M. Wiernicka, M. Goliwąs, J. Lewandowski – Functional assessment of movement patterns in selected martial arts and sports contestants, using the test Functional Movement Screen™. FP 2016; 16(3); 42-49

Abstract
Purpose of this study. Functional Movement System™ is a concept created by Cook and Burton, that allows functional evaluation of movement patterns. The purpose of this study was to compare movement patterns in contestants of the three sports disciplines, determination of weak links in the cinematic chain.   Additionally, it was attempted to determine which motor organ is most exposed to incorrect movement patterns in contestants of individual disciplines.
Material and methods. In the study evaluation included movement patterns of 60 contestants that train box, judo and kickboxing by means of FMS™, including 20 women and 40 men, at the age from 18 to 30 years. The investigated persons were divided in three groups, where qualification criterion for each group was type of trained martial art or sport and training seniority.
Results. Difference between boxers, kickboxers and judokas were observed only within individual movement patterns. Their global quality was comparable for all persons.
Conclusions. Final results of FMS™ test were not statistically significantly different due to type of trained martial art or sport. In judokas it the most asymmetry was during individual tests, as many as 30% of investigated receive the lowest average result in FMS™ tests, that suggest implementation of corrective training. The areas that were most exposed in boxers and kickboxers appeared to be spine lumbar section and shoulder joint area, and in boxers only spine lumbar section.

Key words:
injury prophylactics, FMS™, box, judo, kickboxing

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）