以柔道作为多发性硬化的选择性康复疗法 – 试点研究

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

摘要
研究目的:将柔道练习用在多发性硬化患者物理治疗方案中的有效性评估。
材料及方法。共4名年龄在32-49岁间患复发缓解型多发性硬化的女性参与为期8周的方案,患者状态评估分二阶段进行(接受治疗前及之后)。期间进行两份问卷调查:原始及MSIS-29标准化。功能性状态检查包括:功能範圍測試、10米TW(時間走路)及洛维特测试(用于下列肌肉:股直肌、股二头肌、腹直肌、三角肌等)。
结果。治疗后确认对最不适患者的症状有显著减轻作用,功能性测试取得较佳结果,患者精神状况更佳。
结论。在受试组中采用柔道练习使患者的功能性及心理状态均获改善,柔道计划被证实为多发性硬化患者的选择性治疗形式。

关键词:
多发性硬化、理疗、柔道、体力活动

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爱德华 • 马德伊斯基于1870-1906年间在利沃夫展开的物理治疗体育及卫生上的开创性活动

Sławomir Jandziś, Ewa Puszczałowska-Lizis, Maciej Łuczak

S. Jandziś, E. Puszczałowska-Lizis, Maciej Łuczak – Edward Madeyski’s pioneering activities for the development of physiotherapy, physical education and hygiene in Lviv in the years 1870-1906. Fizjoterapia Polska 2018; 18(4); 130-136

摘要
作者根据源材料和一些研究,介绍爱德华 • 马德伊斯基于1870-1906年间在利沃夫展开的物理治疗、体育及卫生上所进行的活动。这位热爱推广体操、理疗、卫生、营养学及健康生活方式的专业医生建立了基础体育理论,他推广健康卫生方向,是“理性体操“的拥护者,更出版了第一本波兰学校体操教学课本。此文章的主要目的在介绍鲜为人知的爱德华 • 马德伊斯基自1870年以来在利沃夫骨科体操中心所进行的理疗活动。他在那里通过物理因素(治疗体操、按摩、骨科设备)治疗患运动器官疾病的儿童,主要为脊椎弯曲。作者还介绍爱德华 • 马德伊斯基作为体育及卫生教师和推动者在十九及二十世纪之际所进行的相关活动。他的工作成为体育理论发展、体操专家培训及骨科-体操中心等活动的基础。皇帝于1889年授予教授头衔,作为对他多年来在医疗、教育和研究贡献上的认可。

关键词:
物理治疗、治疗体操、康复史

 

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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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腰椎骶椎间疼痛进行选择性理疗疗程的有效性

摘要
研究目的:研究目的在评估因骨关节炎所引起的腰锥骶椎间疼痛的选择性理疗疗程的有效性。
材料及方法:共45名腰锥骶椎间疼痛的患者参与研究,他们将接受一系列的理疗疗程。受试者将分成四组,其中三组将根据其施用的理疗疗程分组,而第四组(对照组)受试者将只服用非类固醇消炎药,时间为其他组别的疗程延续时间。病患将通过自己的简单版问卷表SF-36(第二卷)接受研究,共计11个问题,此外也使用洛维特测试及莱蒂宁量表及诊断测试(Laseque、Bragard、Thomayer)。研究于系列疗程开始前及疗程结束两星期后进行。
结果:受试者年龄在45-65岁之间,其中71.1%为女性,28.9%为男性,13.3%为体能活跃者。脊柱骨关节炎是所有受试患者产生疼痛的原因,在研究组中,其物理治疗前和结束两周后所测量的疼痛严重程度、肌肉力量水平和生活质量的结果在统计上有着显著差异。90%参与疗程者的肌肉力量增加,而对照组中只有6%的人士增加。46.6% 接受疗程者在所提到的脊柱部分活动范围获得改善,而对照组中无患者在活动范围上获得改善。
结论:理疗疗程对腰椎骶椎的病状控制具正面作用,在改善生活质量、肌肉力量、活动范围以并减少或完全消除疼痛上能有效作用。无论采用哪一种理疗疗程,其作用都比单单服用非类固醇消炎药要好。

关键词:
理疗、骨关节炎、腰椎骶椎段、非类固醇消炎药

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艾滋病毒患者的物理治疗 – 病例说明、预防原则

Włodzisław Kuliński

W. Kuliński – Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention. Fizjoterapia Polska 2018; 18(3); 6-10

摘要
前言。自1981年获得性免疫缺陷综合症(AIDS)首例被诊断出来,根据世界卫生组织数据显示,截至目前全球已有3千5百万人感染艾滋病毒。据估计,波兰约有35000名感染者,该疾病的进展包括中枢及周围神经系统和运动器官的变化,转诊进行物理治疗者包括下列症状:下肢麻痹、括约肌及协调功能障碍、持续性的关节疼痛等。
材料和方法。提出具有上述特定障碍类型的HIV感染患者的物理及康复程序,谈论预防为病患进行疗程的医护人员感染HIV的原则,并提出预防医护人员感染HIV的方法。
结论。预防原则的应用和及时采取预防行动可保护医护人员免于感染HIV。

关键词:
艾滋病毒/艾滋病感染、物理治疗、预防原则

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Ocena sytuacji prawnej fizjoterapeutów w zakresie kontynuacji uprawnień zawodowych

Abstract

The profession of physical therapist is subject to specific legal regulation under the Act on the Profession of Physical Therapist of 25 September 2015, the adoption of which was motivated by the need to introduce comprehensive legal solutions taking into account the specific social character of that profession. Until that act took effect, i.e. until 31 May 2016, Poland had had no statutory provisions regulating the principles of pursuing that profession.
Analysis of the adopted legal regulations indicates numerous doubts that make it difficult to issue an unequivocal legal assessment of the factual conditions occurring in practice. The above statement refers, in particular, to the persons meeting the statutory criteria that want to continue the acquired professional qualifications.
The objective of this study is to demonstrate the doubts resulting from the adopted normative provisions, to attempt to explain them, and to formulate the de lege ferenda conclusions that would allow to respect that condition.

Key words:
physical therapy, act on the profession of physical therapist, act on medical activity, right to pursue the profession of physical therapist

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Fizjoprofilaktyka jako potrzeba i świadczenie zdrowotne. Podstawy teoretyczne

Zofia Kubińska, Kamil Zaworski

Z. Kubińska, K. Zaworski – Preventive Physical Therapy as a Health Need and Service. Theoretical Background. Fizjoterapia Polska 2018; 18(2); 58-68

Abstract

Under the Act on the Profession of Physical Therapist, preventive physical therapy is one of the health services provided within physical therapy activities. Its task is to promote pro-health behaviours and to develop and maintain fitness and endurance of people of different age, for the purpose of preventing disability.
There are three levels of preventive physical therapy – primary, secondary and tertiary. Primary preventive physical therapy is addressed at the whole population or at susceptible groups. Its purpose is to provide the knowledge of and skills for maintaining health using proper types of physical activity. Secondary preventive physical therapy covers the activities undertaken after the occurrence of the first signs of disease. Its purpose is to prevent the consequences of the diseases or to inhibit the development of the expected but not yet visible, signs. Tertiary preventive physical therapy includes the activities undertaken in the case of a developed disease or dysfunction which are not possible to cure. Its purpose is to prevent the exacerbation of signs and to provide optimum compensation mechanisms.
The following persons are statutorily obliged to develop the life and special skills directed towards (propedeutic) competences in the scope of preventive physical therapy: parents, teachers, health promoters, caretakers, nurses, physicians and physical therapists.

Key words:
physical therapy, preventive physical therapy, preventive treatment

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Fizjoterapia w przebiegu kompleksowego usztywnienia pantalarnego gwoździem śródszpikowym (odpiętowym) u chorych z przewlekłym zespołem bólowym w rozległej deformacji

Jarosław Pasek, Tomasz Stołtny, Michał Pyda, Marek Kawecki, Daniel Spyrka, Michał Benedykt Białek, Alina Ostałowska, Sławomir Kasperczyk, Bogdan Koczy

J. Pasek, T. Stołtny, M. Pyda, M. Kawecki, D. Spyrka, M. B. Białek, A. Ostałowska, S.Kasperczyk, B. Koczy – Physiotherapy after combined surgically ankylosis crural-tarsal and crural-calcaneal interlocking retrograde nail in patients with chronic pain in extensive deformation . Fizjoterapia Polska 2018; 18(2); 52-57

Abstract

Patella stiffness is performed in situations when the panel of surgical procedures aimed at restoring the support function of the limb in the extensive deformation of the lower leg with pantalarne chronic pain syndrome has been exhausted. In the years 2010-2017, 31 comprehensive patella stiffness were performed. Treatments were performed in 27 men and 4 women, who underwent pre and post-operative physiotherapy and selected physiotherapy treatments. The work discusses the necessary information about comprehensive patella stiffness and details of the physiotherapeutic treatment of these patients.

Key words:
degenerative joint disease, physiotherapy, interlocking regressive (retrograde) nail, crural pseudarthrosis, combined surgically ankylosis

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Analiza urazów układu mięśniowo-więzadłowo-szkieletowego występujących u piłkarek ręcznych i postępowanie fizjoterapeutyczne

Sławomir Motylewski, Walenty Trandasir, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

S. Motylewski, W. Trandasir, K. Michalak, E. Poziomska-Piątkowska – Analysis of injuries of musculo-ligamentous-skeletal system occurring among handball players and physiotherapy treatment. Fizjoterapia Polska 2018; 18(2); 24-30

Abstract

Introduction. Injuries in team games are an inseparable part of today’s sport. For every athlete it is connected with a decrease in exercise capacity, need for medical help and economic consequences. Professional rehabilitation of athletes, after a traumatic event, requires work with a physiotherapist with high skills and extensive experience and the use of modern physical therapy equipment. The lack of one of those factors can lead to further loss of health by the player, prolonged rehabilitation and thus delayed return to the game
Aim. The aim of the study was to assess the type and frequency of injuries occurring among professional female handball players and the type and methods of treatment used after the injury.
Material and methods. The studied group consisted of 19 women aged 18-31 years, playing handball for at least 5 years. All of the subjects played in the first team of Korona Handball Club in Kielce. In the study a diagnostic survey method was used.
Results. The study showed that 100% of players suffered from at least one injury connected to their professional sports activity. Most often the injury occurred while landing – 33.9%, fouls – 21.4% and throws – 19.6%. 12.5% (7) of the occurred traumas required surgery and the remaining 87.5% ended in conservative treatment. In spite of the fully recovery from the injury, a large proportion of the players – 68.4% were feeling discomfort after the resumption of training and during the matches.
Conclusions. The most common injuries of professional handball female players are sprains and dislocations of the lower limbs. Most athletes undergone conservative physiotherapy treatment including kinesiotherapy and wide range of physical therapy modalities.

Key words:
handball, sports injuries, physiotherapy

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Zastosowanie treningu biegowego w głębokiej wodzie w fizjoterapii – możliwości i ograniczenia

Wojciech Cieśla, Krzysztof Gieremek, Jarosław Drabik, Tomasz Cieśla

FP 2013; 13(3); 28-33

Streszczenie
Bieganie w głębokiej wodzie – Deep Water Running (DWR) jest od lat 80-tych ubiegłego stulecia w wielu krajach Europy zachodniej i Ameryki Płn. dość powszechnie stosowanym sposobem przeciwdziałania zmniejszaniu wydolności organizmu. Ten rodzaj treningu był i jest szczególnie chętnie stosowany u sportowców, którzy doznali obrażeń ciała wykluczających ich czasowo z normalnych treningów wymagających obciążania aparatu kostno-stawowego. Wieloletnie doświadczenia lekarzy, fizjoterapeutów pokazują, że umiejętnie zastosowany trening biegowy w wodzie, posiada szereg zalet, które mogą być wykorzystane również u osób borykających się takimi problemami zdrowotnymi, jak np.: choroba zwyrodnieniowa stawów, otyłość czy zaburzenia koordynacji ruchów. DWR stosowany jest w kilku ośrodkach leczniczych i rehabilitacyjnych w naszym kraju, lecz Iiczba ich jest niewielka. Z uwagi no zalety prozdrowotne tego rodzaju treningu zasługuje on na przybliżenie jego zalet i wad oraz no krótką charakterystykę głównych założeń metodycznych.

Słowa kluczowe:
terapia w wodzie, bieg w głębokiej wodzie, fizjoterapia


Abstract

Deep Water Running, as a common way to counteract the decreasing cardio-pulmonary efficiency of body, has been known in many West European and North American countries since 1980s. This type of training was and still is willingly used by sportsman who due to injuries were temporarily excluded from normal trainings with a load of bone-joint apparatus.
Long-standing experiences of doctors and physiotherapists show that the skillfully applied Deep Water Running’s training has a lot of advantages, which can be also used by people suffering from such health problems as joints’ degeneration, obesity or physical coordination disorder. Only in a few health and rehabilitation centers in Poland the Deep Water Running is implemented. Due to health benefits of this type of training, it deserves an outline of its advantages and disadvantages as well as a brief description of the main methodological assumptions.

Key words:
water therapy, deep water running, physiotherapy

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