Tag: Magdalena Wilk

Continous passive motion as a method of kinesitherapy in the treatment of brachialgia

Bogusław Frańczuk, Wojciech Szwarczyk, Magdalena Wilk, Maciej Kasparek, Janusz Otfinowski

Bogusław Frańczuk, Wojciech Szwarczyk, Magdalena Wilk, Maciej Kasparek, Janusz Otfinowski – Continous passive motion as a method of kinesitherapy in the treatment of brachialgia. Fizjoterapia Polska 2001; 1(2); 123-126

Abstract
Background. The purpose of this article is to describe the treatment outcomes for patients with bracchialgia who received, in addition to standard rehabilitation, treatment by continuous passive movement (CPM) as well. Material and methods. The research involved 55 patients under treatment in the Clinic of Traumatology at the Jagiellonian University’s Collegium Medicum, in accordance with the standard approach to rehabilitation. In 25 these cases (group II), CPM treatment was applied additionally. In order to evaluate rehabilitation outcome, the Visual Analogue Scale (VAS) was applied to assess pain symptoms, the range of active movements was tested in the humeral joint (especially painful abduction), and a two-degree self evaluation scale was applied to measure satisfaction with the state of health: satisfactory (the limb can be used with relative facility) or unsatisfactory (major limitations in the functions of the upper limb). The patients were tested twice: once before treatment and again after its completion. Conclusion. The results obtained justify the conclusion that patients with post-traumatic brachialgia, when subjected to rehabilitation obtain a reduction in pain symptoms, an increase in joint mobility, and improvement in the subjective evaluation of the state of health. Greater improvement is obtained by patients when continous passive motion (CPM) is added to the program. CPM can be recommended as a method for kinesitherapy in the rehabilitation of bracchialgia.

Key words:
continous passive motion, bracchialgia

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The application of high-tone power therapy in the rehabilitation of patients with soft-tissue damage to the knee joint

Magdalena Wilk, Wojciech W. Fibiger, Bogusław Frańczuk

Magdalena Wilk, Wojciech W. Fibiger, Bogusław Frańczuk – The application of high-tone power therapy in the rehabilitation of patients with soft-tissue damage to the knee joint. Fizjoterapia Polska 2002; 2(2); 118-121

Abstract
Background. This article presents the preliminary results from the treatment of patients with traumatic knee injuries using high-tone power therapy (HiToP). Material and method. The research involved 10 patients treated in the Traumatic Surgery, Orthopedics, and Rehabilitation Clinic of the Jagiellonian University’s Collegium Medicum in Cracow. The device used for the procedures was a high-tone power therapy apparatus of German manufacture – HiToP – which has been approved for use in European Union countries. The patients received a series of 10 procedures (45 min. each) performed every other day. Results. Improvement was obtained in all patients. Conclusions. The preliminary treatment results for traumatic knee injuries are encouraging.

Key words:
high-tone power therapy, medium frequency current, knee injury

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Analysis of changes in the strength of muscles acting on the hip joint in patients recovering from hip arthroplasty

Magdalena Wilk, Bogusław Frańczuk

Magdalena Wilk, Bogusław Frańczuk – Analysis of changes in the strength of muscles acting on the hip joint in patients recovering from hip arthroplasty. Fizjoterapia Polska 2003; 3(4); 309-315

Abstract

Background. Observed changes in muscle strength are the basis for selecting therapeutic exercises and assessing rehabilitation outcome. The Lovett Scale is a subjective measure, so we attempted to objectivize the results using tensometric tests and objective measurement of muscle strength based on the method of Wotyczek and Zembaty.Material and methods. We studied 98 patients operated for degenerative changes in the hip joint. These patients were randomly divided into two groups: Group 1, rehabilitated over the first 7 days using a continuous passive motion device (CPM), and Group 2, which received standard rehabilitation. After 7 days the two groups received the same rehabilitation. Muscle strength was measured with the Lovett scale preoperatively and on the 3rd, 7th, and 11th days post-operatively, and again 1, 3, and 6 months later. At 6 months post-operatively we conducted tensometric measurements in a group of 20 patients.Results. The course of changes in muscle strength was similar in both groups. On Day 3 post-operatively decreased strength was noted in all tested muscles. In subsequent testing muscle strength increased, but for the first three months the increase was significantly higher in Group 1 (with CPM). These differences disappeared at 6 months post-operatively. The results from the Lovett scale were compared to tables with the results of tensometric measurements according to the Wojtyczek-Zembaty method. No statistically significant differences were noted.Conclusions. After hip arthroplasty using total prostheses muscle strength is restored to physiological norms within 6 months.

Key words:
hip replacement, Lovett muscle strength scale, rehabilitation
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Outcome of early rehabilitation with continous passive motion for patients recovering from surgical reconstruction of the knee due to degenerative changes. A preliminary report

Magdalena Wilk, Bogusław Frańczuk, Rafał Trąbka, Wojciech Szwarczyk

Magdalena Wilk, Bogusław Frańczuk, Rafał Trąbka, Wojciech Szwarczyk – Outcome of early rehabilitation with continous passive motion for patients recovering from surgical reconstruction of the knee due to degenerative changes. A preliminary report. Fizjoterapia Polska 2004; 4(2); 163-166

Abstract

Background. Due to the increasing number of surgical knee constructions, there is a constant search for new solutions in surgical techniques and rehabilitation methods. The goal of rehabilitation is to enable the patient to return to normal activities of daily living and recover functional independence as soon as possible. Continuous passive motion (CPM) is one of the methods currently used for patients recovering from surgical reconstruction of the knee. Material and methods. Our research involved 60 patients who had received total endoprostheses due to degenerative changes in the knee, divided at random into two groups. Both groups received the same rehabilitation program except for CPM, which was applied only in group I. All patients were examined twice (before and after surgery) to measure body mass, range of movement in the knee joints (using a Sanders digital inclinometer), and muscle strength in the femoral quadriceps. Results. The outcome was more favorable in group I, where CPM was used, both in terms of the average range of movement and on the VAS scale. The patients in group I also reported greater satisfaction. CPM applied in early rehabilitation for this patients accelerates the recovery process. Conclusions. The introduction of CPM in the early post-surgery period contributes to shortening recover time, increases the range of movement in the operated knee, reduces pain and tension in soft tissues, facilitates healing, and accelerates the resorption of hematomas.

Key words:
total endoprosthesis, range of movement, muscle strength
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The effect of early rehabilitation on locomotor function in post-stroke patients – preliminary report

Emil Domański, Magdalena Wilk, Wojciech Kiebzak, Zbigniew Śliwiński

Emil Domański, Magdalena Wilk, Wojciech Kiebzak, Zbigniew Śliwiński – The effect of early rehabilitation on locomotor function in post-stroke patients – preliminary report. Fizjoterapia Polska 2008; 8(1); 83-95

Abstract
Background. Cerebral stroke is defined by the WHO as sudden onset of rapidly developing clinical signs of focal disturbance of cerebral function, with symptoms lasting longer then 24h, or leading to death, caused by changes in the arterial or vascular system of the brain. The aim of this study was to assess the effect to early rehabilitation on the locomotor function in stroke patients. Material and method. A group of 30 patients with hemiparesis within 24h after the onset of stroke and after 14 days of rehabilitation. The locomotor assessment was carried out according to the PNF functional status of muscles and gait patterns. Activities of daily living were evaluated according to the Repty Functional Index (RFI) and the Simple Chart of Locomotor Activities (PKCM). The level of disability was graded to the Rankin scale. For logistic reasons, the study did not include a control group, so that the paper is treated as a preliminary report.Results. Locomotor improvement was achieved in 40% of patients, with reduction in disability in 50%. Improved locomotor function led to urinary function improvement in 50% of patients. Motor dysfunction of the upper limb was reduced thanks to physiotherapy in 40% of patients. Conclusions. Early rehabilitation leads to improved function as defined by the functional status of muscles and hait patterns. The adopted rehabilitation programme resulted in improved functional indepedence evaluated on the basis of the Repty Functional Index (WFR) and Simple Chart of Activities (PKCM). The locomotor improvement resulted in urinary improvement in 50% of patients. Early rehabilitation improved the locomotor function of the paretic upper limb. The conclusions need to be verified in further studies with control groups.
Key words:
cerebral stroke, hemiparesis, early rehabilitation, functional status
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Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients. Fizjoterapia Polska 2008; 8(1); 23-34

Abstract
Background. Cerebral stroke is a very serious life-threatening condition regardiess of the clinical picture at the onset. In most cases cerebral stroke is a consequence of systemic vascular diseases such as atherosclerosis or hypertension. Material and methods. The study group comprised 103 patients, including 52 post-stroke patients with a paretic upper limb and 51 healthy participants. The group of stroke patients included 18 women and 34 men, while the healthy group consisted of 41 women and 10 men. The mean age of the male patients was 55.6 and of the female patients 66.1 years. The mean age of the control group was 37.2 years. Local cryostimulation was applied to the hand and forearm of the paretic limb in the stroke patients and to the hand the forearm of the right upper limb in the healthy group. The limb was exposed to cold for 6 minutes. The temperatures were measured using an Agema 570 thermovision camera.Results. Subjecting only one forearm to cryotherapy procedures results in a decrease in temperature. In the post-stroke patients the return to the basseline value after the procedure was more rapid. This is possibly connected with more efficient mechanisms protecting the body against loss of warmth, since in this group temperature values were higher. In the control group the temperature in the non-cooled limb decreases by an average of 1.6 st.C, compared to only 1.3 st.C in the stroke patients. Conclusions. The temperatures of an area in the forearm exposed to 6 minutes of cryotherapy were different in the post-stroke patients and in the healthy controls. This is probably attributable to stroke-related brain damage. Contralateralization, i. e. the decline of temperature in the non-cooled limb, occurred both in the post-stroke patients and in the healthy controls. Temperature decreases produced by the exposure of limbs to cold were higher in the stroke patients than in the healthy participants. The temperature returned to baseline more rapidly in the post-stroke patients. The temperature in the cooled limb dod not return to, or exceed, baseline value fifteen minutes after the procedure.
Key words:
cerebral stroke, cryostimulation, thermovision, vascular play
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Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients. Fizjoterapia Polska 2008; 8(2); 197-205

Abstract
Background. High-tone power therapy is a new method of nerve and muscle stimulation with electric current of a frequency corresponding to the acoustic band of electric oscillation between 4 400 Hz to 12 300 Hz. The usa of two pairs of electrodes serves to generate a dynamic electric field deep inside the tissues. The aim of the study was to assess upper limb function in hemiparetic stroke patients who undrwent high-tone power therapy in the course of rehabilitation. Materials and methods. The study group consisted of 16 men aged 46-72 years (mean 54) and 4 women aged 67-74 years (mean 71) who had suffered strokes of various aetiologies. Arm function was determined on the basis of grip strength testing, ranges of motion (ISOM) and spasticity level (Ashworth scale). Results. Grip strength increased with simultaneous improvement in angular ranges of motion in the radiocarpal joint of the paretic limb. Spastic tone in the limb decreased by 0.35 on the Ashworth scale. Analysis of linear measurements revealed statistically significant changes of circumferences only at the upper arm level. Conclusions. Comprehensive physiotherapy including horizontal therapy performed in stroke patients produced significant functional improvements in the paretic upper limb. High-tone power therapy is well tolerated by hemiparetic patients with despite the long duration of the procedure.
Key words:
Ashworth test, high-tone power therapy, hoSti-Scan stimulation, secondary effect
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Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak – Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report. Fizjoterapia Polska 2008; 8(3); 325-334

Abstract
Background. Physiotherapy employs a number of kinesiotherapeutic methods based on understanding the course of the development- and movement-related neurophysiological processes, with PNF being one of the methods. Rehabilitation of stroke patients produces better results if different methods are combined, e. g. PNF and KT. Material and methods. The study involved 15 post-stroke patients, including 10 men and 5 women, aged 39-72. Each subject was examined once. Two muscle tone tests according to the Ashworth scale and three functional tests of the paralyzed upper extremity (prior to the therapy, on completion of PNF therapy and following functional KT application) were performed. The upper extremity function test consisted in the subject picking up an object. The distance [cm] between the object and the table surface was measured. Each patient underwent a 45-60 minute rehabilitation session using the PNF method. Additionally, KT was applied onto the radiocarpal joint extensor muscles.Results. Muscle tone according to the Ashworth scale did not change. The mean functional test results [cm] were as follows: 3.8 prior to the therapy, 6.6 post-PNF, and 7.8 post-KT. In two subjects the functional test results did not change, whereas the upper extremity function in the remaining 13 subjects improved after PNF therapy. A marked improvement was observed following the application of KT. In 10 patients, the additional KT application considerably facilitated PNF-based rehabilitation. Conclusions. A combined PNF and KT therapy contributes to improvement of function in the paralyzed extremity. Functional KT application proved to be useful and to facilitate PNF rehabilitation, and so the two modalities may and even should be combined. Although the patients were only subjected to a single PNF session, the function of the upper extremity improved. An even more marked improvement was observed following the functional application of KT. Muscle tone according to the Ashworth scale did not change significantly on completion of the therapy. However, it did not have a decisive influence on the positive results of the functional tests. We did not observe a correlation between the combined PNF and KT therapy and the duration of the post-stroke period was.
Key words:
Kinesiology Taping applications, PNF method, cerebral stroke
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Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński – Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens. Fizjoterapia Polska 2008; 8(3); 267-271

Abstract
Background. The aim of the study was to evaluate the effectiveness of cryotherapy and physiotherapy regimens in patients with indications for use of these procedures in the knee joint region or knee joints. Material and methods. The study was performed in the Cracow Rehabilitation Centre in 2008. The study involved a group of 38 patients who underwent cryotherapy of the knee joint region. The patients were dMded into two groups. Group 1 included patients who performed lower limb exercises immediately after the cryotherapy procedure, and patients in group 2 performed exercises 30 minutes following the cryotherapy procedure. Changes in thermograms were recorded in all patients. Results. Mean temperature in the affected knee joint before treatment was x=30.19°C in group 1 and 31.46°C in group 2. The differences between the study groups revealed in examination 2 were also not statistically significant. Examination 3 showed signi-ficant differences. The mean value of the temperature range was x=28.54C in Group 1 and 23.38°C in Group 2. The last exami-nation, performed 30 minutes after the completion of the cryogenic therapy procedure, showed a mean temperature of the treated knee joint of x=28.99°C in Group 1 and x=29.43C in Group 2. Conclusions. Tissue temperature in the knee joint region increased at a slower rate in patients who did not undergo kinesi-therapy immediately after cryotherapy of that region.
Key words:
knee joint, cryotherapy, thermovision, physiotherapy
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Preliminary results of rehabilitation according to a Rehabilitation Protocol in the early post-operative period after arthroscopic, transportal single – and double-bundle reconstruction of the anterior cruciate ligament with semitendinosus and gracilis tendons

Magdalena Wilk, Rafał Trąbka, Wiesław Tomaszewski

Magdalena Wilk, Rafał Trąbka, Wiesław Tomaszewski – Preliminary results of rehabilitation according to a Rehabilitation Protocol in the early post-operative period after arthroscopic, transportal single – and double-bundle reconstruction of the anterior cruciate ligament with semitendinosus and gracilis tendons. Fizjoterapia Polska 2009; 9(1); 97-103

Abstract
Background. Damage to the anterior cruciate ligament results in marked functional impairment of the entire lower extremity and pro-prioceptive deficits. A number of arthroscopic techniques are now used for ACL reconstruction, the most important goal of the treatment always being complete restoration of joint function and the best possible stabilisation to allow the patient to return to professional and sports actiyity at pre-injury levels. Material and methods. The study was carried out at the Cracow Rehabilitation Centre in the years 2007-2008. Thirty-three patients recovering from arthroscopic ACL reconstruction were enrolled. The paper presents the model of physiotherapeutic rehabilitation practised at the Centre sińce 2006. Patients were examined twice: before and after the course of physiotherapy. Results. In the study group of 33 patients, 48.5% had left knee ACL damage and 51.5% had damage to the right knee joint. The range of motion was 53° at examinaiion 1, compared to 109° at examination 2. Muscle strength also increased by a mean of 1.6 degree on the Lovett scale (1.5 for the auadriceps femoris and 1.7 for the biceps femoris, semitendinosus and semimembranosus) and pain reduction as assessed with a VAS scale. 79% of the patients rated their treatment outcome as excellent or good and 21% rated it as satisfactory or poor.Conclusions. The treatment results show that the model of rehabilitation provides for quick restoration of normal function in the operated limb.
Key words:
transportal reconstruction, ACL, early rehabilitation model
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