Tag: fizjoterapia pooperacyjna

An evaluation of the rehabilitation for patients recovering from knee joint trauma surgically treated by internal osteosynthesis

Paweł Ryngier, Edward Saulicz, Rafał Gnat, Tomasz Wolny

Paweł Ryngier, Edward Saulicz, Rafał Gnat, Tomasz Wolny – An evaluation of the rehabilitation for patients recovering from knee joint trauma surgically treated by internal osteosynthesis. Fizjoterapia Polska 2001; 1(4); 369-375

Abstract
Background. When the knee joint is immobilized, the sliding of joint surfaces is quickly reduced, primarily as a result of the periartricular contraction of the soft tissues (especially the articular capsule). This kind of mechanical imbalance between gliding and rolling is additionally strengthened by the disturbance of muscle equilibrium, both between different muscle groups (the femoral quadriceps and the ischio-crural muscles) and within the thigh muscle itself (between the vastus medialis and the rectus femoris). In the latter case, this status may also lead to the physiological route of knee-cap slide. In view of the complex arthromechanics of the knee joint and the proper distribution of muscle strength for its functioning, the purpose of our research was to study the impact of selected techniques of manual therapy and some of the motion patterns of the PNF method on improving the activity of the knee joint patients with injuries in the vicinity of this joint surgically treated by internal osteosynthesis. Material and methods. The study involved two groups of 17 people who were treated surgically for injuries to the vicinity of the knee joint. After a period of immobility the active mobility of this joint was assessed in all patients, along with the strength of the muscles functionally connected with the knee joint and subjective pain complaints. The studied patients from both groups underwent routine rehabilitation. Selected traction and mobilization techniques for the knee joint were additionally introduced for the patients from the main group, with exercises based on the notion of post-isometric relaxation and some motion patterns taken from PNF models. Results. The statistical analysis of the quantitative data we acquired pointed to a larger range of improvement in the mobility of the knee joint, associated with a somewhat larger simultaneous increase in the strength of the evaluated muscle groups among the patients from the main group.

Key words:
Immobilization, kinesitherapy, manual therapy

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Postoperative complications in patients after thoracic surgery

Maciej Mraz, Agnieszka Stasiak, Małgorzata Mraz

Maciej Mraz, Agnieszka Stasiak, Małgorzata Mraz – Postoperative complications in patients after thoracic surgery. Fizjoterapia Polska 2001; 1(4); 366-368

Abstract
Thoracic surgery is a serious intervention- which- together with anaesthesia – disturbs the physiological functions of the patient’s organism. In the postoperative period there is a risk that the patient will develop complications. Postoperative complications include any disorder appearing within the first thirty days following surgical intervention. They may be developed by the patient in the circulatory system (thrombophlebitis of legs, pulmonary oedema) and in the digestive system (intenstinal peristalsis disorder). In postoperative patients disorder is also observed in the immunological system. All of these postoperative complications can be prevented by intensive physiotherapy.Our study included 41 postoperative patients. They were all subject to physiotherapy but had not been prepared physiotherapeutically before thoracic surgery because of a very short period between admission and operation (1 to 3 days). Postoperative complications were found in 16 out of 41 patients. Dominant were respiratory complications – atelectasis and pneumatosis. Patients who underwent thoracic surgery on Thursday or Friday more readily developed postoperative complications because of the lack of physiotherapeutic attention during the weekend. Pre- and postoperative physiotherapy was found to influence the frequency of postoperative complications. The frequency of complications developed by postoperative patients depended on the intensity of physiotherapy in the first three days following surgery.

Key words:
Thoracic Surgery, Postoperative Complications, postoperative physiotherapy

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Functional recovery in patients receiving rehabilitation after operative treatment of post-traumatic extraaxial cerebral haematoma

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki, Wiesław Tomaszewski

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki, Wiesław Tomaszewski – Functional recovery in patients receiving rehabilitation after operative treatment of post-traumatic extraaxial cerebral haematoma. Fizjoterapia Polska 2010; 10(4); 271-279

Abstract
The number of patients treated surgically for post-traumatic extraaxial cerebral haematoma is growing every year, thus becoming a significant therapeutic problem. The main aim of the study is to describe changes in functional status, progress in the resolution of neurological deficits and changes in the level of consciousness of patients receiving comprehensive rehabilitation after surgery for a post-traumatic extraaxial cerebral haematoma and to determine differences and similarities in the rate of recovery of these functions. The study involved a group of 43 patients receiving operative treatment of post-traumatic extraaxial cerebral haematoma. The International Muscle Paresis Scale, the Modified Barthel Scale and the Rankin Scale were used to evaluate the severity of the neurological deficit and disability, while the Glasgow Coma Scale was used to assess patients’ level of consciousness. These were standardised in order to allow comparison of the temporal pattern of change and a comprehensive evaluation of the functions under examination. The patients receiving physiotherapy after surgery for post-traumatic extraaxial cerebral haematoma demonstrated significant improvements in all functions under investigation. The quickest recovery was observed in functional performance and the ability to perform activities of daily living. Recovery of the level of consciousness was much slower and pareses resolved the most slowly. 1. Surgery and early post-operative rehabilitation lead to effective functional recovery but the rate of recovery of individual functions may vary. 2. Early rehabilitation of patients after extraaxial cerebral haematoma evacuation increases the possibility of the development of compensatory mechanisms and contributes to positive outcomes of rehabilitation.
Key words:
Craniocerebral Trauma, post-traumatic extraaxial cerebral haematoma, post-operative physiotherapy
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