Marcin Krajczy, Mariusz Migała
Fizjoterapia Polska 2019; 19(2); 174-176
Fizjoterapia Polska 2019; 19(2); 174-176
K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58
M. Krajczy, K. Bogacz, J. Łuniewski, Z. Śliwiński, D. Gąbka, J. Szczegielniak – Review of literature on the application of Kinesio Taping (KT) in internal diseases: in surgery, cardiology and pulmonology . Fizjoterapia Polska 2018; 18(2); 32-42
Introduction. So far, there have been few materials on Kinesio Taping (KT), in particular those meeting the criteria of scientific fact-based materials. The available literature includes articles on the possibility of using KT, but the results presented are not unequivocal. Some hypotheses and theories are contradictory, and many of them are not supported with any study results, and the conclusions presented seem questionable.
Objective. The objective of this study is to present the current state of knowledge of the possibility to apply the KT method in internal diseases: in cardiology and pulmonology.
Material and methods. The first stage was conducted from October to November 2017. It included preliminary selection aimed at identifying the works on the possibility of applying dynamic taping. The second stage of the research was conducted from December 2017 to January 2018, and consisted in a detailed analysis of the selected works on application and assessment of effects of dynamic taping in surgery, pulmonology and cardiology.
Results. When assessing the effects of KT in internal diseases in cardiology and pulmonology, the effects were classified as poor effects (PE), effects (E) and anti-effects (AE), when the results of the trial do not confirm the therapeutic activities. 2 E were discovered in assessing the effects of KT in surgery (2 articles). 3 E were discovered in the study of application in pulmonology (3rd article). No articles of the A reference level, concerning application of KT in cardiology.
Conclusions. Three conclusions were formulated on the basis of analysis of the source materials:
1. There has been a recent progress in the research into the possibility of applying dynamic taping in physical therapy, including in internal diseases: pulmonology and cardiology.
2. There are few prospective, randomized trials associated with application of dynamic taping, conducted on a large enough group of patients.
3. Few articles in the literature that explain the principles of DT, meet the criteria of research based on scientific facts.
review of literature, kinesiology taping, surgery, cardiology, pulmonology
K. Bogacz, M. Woszczak, J. Łuniewski, M. Krajczy, B. Pańczyszak, J. Szczegielniak, M. Kiljański – Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test; Fizjoterapia Polska 2018; 18(1); 96-106
Objective. The aim of the paper was to assess the results of physiotherapy of COPD patients whose elgibility for the relevant rehabilitation model was assessed with the help of the 6-MWT test and the treadmill test according to the modified Bruce protocol.
Materials and methods. 80 individuals suffering from COPD treated as in-patients at the MSWiA Specialist Hospital in Głuchołazy between May 2017 and September 2017 were examined. After a 3-week comprehensive physiotherapy, the exercise stress test, spirometry test and dyspnoea assessment on the modified 10-point Borg scale were repeated in both groups of COPD patients.
Results. Calculations were performed using the IBM SPSS software. In order to assess consistency between the distribution of the results with the normal distribution, the Kolmogorov-Smirnov test was used. As the distribution differed from the normal distribution, nonparametric methods were used for further analysis. In order to assess the significance of differences between the two groups in terms of quantitative variables, Mann-Whitney tests were used, while Wilcoxon tests were used for dependent samples to assess the significance of changes over time in the same patients (bound pairs). The statistical significance threshold was set at p < 0.001. Conclusions 1. A significant improvement was noticed in the level of exercise stress tolerance after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test. 2. A significant improvement was shown in the values of spirometric indicators after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test. 3. A significant decrease was shown in the level of dyspnoea after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test. Key words: COPD, modified Bruce protocol, 6-MWT test, physiotherapy
B. Pańczyszak, K. Bogacz, J. Łuniewski, M. Krajczy, J. Szczegielniak – Functional assessment of the shoulder joint in volleyball players from different age groups; Fizjoterapia Polska 2018; 18(1); 50-60
Objective. The aim of the paper was to perform functional analysis and assessment of the range of movement of the joints of the pectoral girdle in the dominant and non-dominant limb in volleyball players. Materials and methods. The study involved 40 competitive volleyball players divided into 2 groups. The shoulder joint movement range assessment involved active performance of specific movements by the participants while lying down. The tool used to take the measurements was a standard goniometer, while the movements were performed in different planes in a specified and systematic way in accordance with the SFTR method. The second stage involved the performance of 3 proposed functional tests to assess the complex range of movements of the shoulder girdle. The tools used to assess the tests performed were a standard goniometer and a flexible tape measure. Results. The results of the tests were subjected to statistical analysis with the use of the Statistica 10 software. Statistical significance was set at p < 0.05. In addition, the average motion ranges and functional test results were compared. Conclusions 1. Both the Youth group and the Senior group showed a significant decrease in the range of internal rotation of the dominant limb as compared to the non-dominant limb. In addition, a deficit was found in the Youth group in horizontal flexion of the dominant limb. 2. The results of the functional tests show worse results of the “safety pin” test for the dominant limb in both groups. In the Youth group, the difference amounted to 7.4 cm and in the Senior group - 10.1 cm as compared to the non-dominant limb. 3. The Seniors achieved higher ranges of flexion in the sagittal plane and the Youth in extension and horizontal extension. 4. Athletes with a higher internal rotation range of the shoulder joint of the dominant limb achieved higher results in the “safety pin” test. Key words: Volleyball players, shoulder joint, functional assessment
M. Krajczy, E. Krajczy, E. Gajda-Krajczy, B. Frydrych, K. Bogacz, J. Łuniewski, J. Szczegielniak – Evaluation of effects of kinesiotaping with use of the intelligent fourier M2 neurological robot in patients with hemiparesis; Fizjoterapia Polska 2018; 18(1); 32-48
Purpose. The purpose of the study is to assess the effects of dynamic taping (DT) using a smart neurological robot Fourier M2 in patients after cerebral stroke with hemiparesis.
Materials and methods. The study included 28 patients (10 women and 17 men, average age: 63, 48) after ischemic cerebral stroke with hemiparesis (14 left-sided, 13 right-sided) who expressed their informed consent for participation in the study. The patients were divided into groups using the ALEA software, with its own randomization algorithm, into group TG and CG – 14 participants in each. In order to conduct the study, there was used the Fourier M2 smart rehabilitation robot designed for diagnostics and therapy of upper limbs.
Results and conclusions. The study demonstrated statistically relevant effects on the 1st, 3rd and 4th day of the study in the form of a percentage improvement in active movement in the TG group as a result of application of dynamic taping.
The assessment of the remaining study results demonstrated both the effects of dynamic taping and the effects of the therapy with the use of a neurological robot in patients after cerebral stroke with hemiparesis. The assessment of those effects showed the therapy effects were comparable in both groups.
The Fourier M2 smart robot is s useful and objective tool for diagnostics, therapy and assessment of the effects of physical therapy in patients after cerebral stroke with upper limb dysfunction.
kinesiotaping, neurological robot, fourier M2, cerebral stroke, hemiparesis
FP 2014; 14(1); 42-49
Wstęp. Złamania nasady dalszej kości promieniowej, stanowią nadal duży problem kliniczny. Wydaje się, że w procesie fizjoterapii chorych po złamaniu przedramienia skuteczne może być plastrowanie dynamiczne (PD). Celem pracy jest ocena wpływu wybranych aplikacji PD na efekty fizjoterapii u chorych po złamaniu nasady dalszej kości promieniowej typu Collesa leczonych zachowawczo. Materiał i metody. Badaniami objęto 38 chorych leczonych w Zakładzie Rehabilitacji Leczniczej SP ZOZ w Nysie w okresie od stycznia 2012 r. do listopada 2013 r. Nabór do obu grup odbywał się losowo. Chorych podzielono na 2 grupy. Grupę badanych (BA) stanowiło 20 chorych (16 kobiet i 4 mężczyzn), u których stosowana była fizjoterapia z wykorzystaniem urządzenia Hand Tutor oraz aplikacje PD. Grupa kontrolna (KO) obejmowała 18 chorych (15 kobiet i 3 mężczyzn), u których była stosowana tylko fizjoterapia z wykorzystaniem urządzenia Hand Tutor. Po przeprowadzeniu badania wstępnego, u chorych z grupy BA stosowano aplikacje mięśniową – tonizującą mięśnie zginacze nadgarstka oraz więzadłową lub korekcyjną – na okolicę nadgarstka.
Aplikacje PD były wymieniane co 4 dni. Fizjoterapia trwała 10 dni. W trakcie oraz po zakończonej fizjoterapii przeprowadzono badania zgodnie z ustalonym protokołem. Wyniki. Aplikacje PD stosowane w procesie fizjoterapii u chorych z grupy BA zwiększyły zakres ruchomości aktywnej i pasywnej oraz poprawiły jakość ruchów, w porównaniu z badanymi chorymi grupy kontrolnej. Zaobserwowano także, że deficyty ruchów (różnice między ruchami pasywnymi i aktywnymi) zmniejszyły się bardziej w grupie BA. Wnioski. 1.W badaniu końcowym nie stwierdzono istotnych różnic wskaźników pomiędzy chorymi z obu grup. Badania wykazały poprawę funkcji nadgarstka w zakresie częstości ruchów aktywnych oraz zakresu ruchomości w obu grupach. 2. W grupie BA stwierdzono istotnie wyższe wyniki badania końcowego częstotliwości ruchów oraz ruchomości nadgarstka, w stosunku do badania początkowego.
złamanie Collesa, fizjoterapia, plastrowanie dynamiczne (PD), Biofeedback, Hand Tutor
Background. Fractures of the distal radius constitute a serious clinical problem. It seems that appliance of elastic therapeutic tape may be an effective method of physiotherapy among patients suffering from the forearm’s fracture.Aim of the study. The aim of the study is to assess the impact of selected elastic therapeutic tape applications on physiotherapy’s effects among patients treated conservatively after Colles’ fracture. Material and methods. The study included 38 patients treated in the Rehabilitation Department of Health Care Centre in Nysa in the period from January 2012 until November 2013. Participants were randomly divided into 2 groups. A study group (SG) consisted of 20 patients (16 women and 4 men), while a control group (CG) was composed of 18 patients (15 women and 3 men). Therapy for all of the participants was based on usage of the Hand Tutor device. Additionally, after a preliminary examination, patients from the study group received selected applications of elastic therapeutic tape as follows: muscular – toning for the wrist’s flexors and ligamentous or corrective for the wrist area. Applications were replaced every 4 days. Physiotherapy lasted 10 days. According to the established protocol, during and after completion of physiotherapy regular checkups were conducted. Results. Elastic therapeutic tape’s applications used in the process of physiotherapy in SG’s patients increased range of motion for both active and passive movements and improved quality of them compared to the patients from CG. It was also observed that deficit of movements (difference between range of passive and active motions) decreased more in the SG’s patients.
Conclusions: 1. In the final study no significant differences has been showed in the studied parameters between the groups. Research has presented wrist’s functions improvement in the frequency of active movements and range of motion in both groups. 2. Significantly higher results in the final examination of the frequency and wrist’s mobility in general were shown in comparison to the initial results.
Colles’ fracture, physiotherapy, elastic therapeutic tape, biofeedback, Hand Tutor
|Pobierz/Download/下載||Pobierz artykuł w j. angielskim/Download an English version|
M. Krajczy, E. Krajczy, A. Szczegielniak, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, J. Szczegielniak: Physiotherapy after a_hand surgery pm przypadku / Physiotherapy after a hand surgery performed with a diagnostic and functioerformed with a diagnostic and functional therapy device. Case study. Fizjoterapia Polska 2015;15(3);46-54
Background. Surgical treatment after fingers flexor tendons’ injury requires a consequent physiotherapy of the handthat is basedonwell-establishedessential procedures. There are no reports on comprehensive hand physiotherapy treatment aftertraumatic injuries of the tendons, blood vessels and nerveswith an application of theHand Tutorsystem in the therapeutic process.
Aim of the study. The aim of the study is to present a comprehensive hand physiotherapy after surgery and revision of the tendonswith a rehabilitation system with biofeedback- Hand Tutor TM, which is a modern system designed for the therapy of sensory, motor and cognitive disorders of the hand.
Materials and methods. The study presents a case of a 42 year-old man. The patient suffered from the injury of a right hand with a significant damage of tendons, artery and ulnar nerve, operatet on 2012. Complications after the performed surgery were observed during the recovery (inflammation, swelling and tissue adhesions). In the therapy early comprehensive hand physiotherapy was introduced (with an application of the system for hand physiotherapy with biofeedback – Hand Tutor TM).
Results. The study shows that introduction of an early, comprehensive physiotherapy together with the Hand Tutor device was successful in terms of the wound healing process and significant improvement in hand function after surgery. It appears that appropriately selected physiotherapy procedures may positively influence the effectiveness of the general therapy. Final results showed significant improvement in passive and active range of motion of the injured hand as well as in the speed of the movements. The study also showed a reduction of the subjective levelof the pain and the return of the ulnar nerve function.
early comprehensive physiotherapy, Hand Tutor, traumatic tendon injury
M. Krajczy, A. Bąk, K. Bogacz, J. Łuniewski, T. Dybek, J. Szczegielniak – Assessment of kinesiology taping effects in patients with intestinal passage disorders caused by ostoperative adhesions based on test measuring hydrogen level in exhaled air. Preliminary reports. FP 2016; 16(2); 6-13
Introduction. One of the ways to treat patients with intestinal passage obstruction due to adhesions after surgery can be physical therapy with the use of kinesiology taping.
Aim. The aim of the study was to evaluate the effects of kinesiology taping (KT) in the normalization of intestinal transit and assessment of hydrogen molecules exhaled by patients.
Material and methods . The study involved 20 patients (15 women, 5 men, average age 48.85 years) with the disorder of intestinal passage obstruction due to adhesions after surgery. Patients were divided randomly into test group BA (12 women, 4 men, average age, 47.67 years) and control KO (3 women, 1 man, average age 54.25). InBA group elastic therapeutic tape was applied to improve the intestinal transit. InKOgroup the placeboeffect was used (applications without therapeutic relevance). Hydrogen molecules in exhaledairtestwas used to evaluate the effects of kinesiology tapingapplications. Additionally, the number of defecation per day was assessed and stool form scale by Boston was used. All test were carried out prior to application and at 1, 5, 10, 15, 20 and 24 day after application of KT. The level of hydrogen molecules in exhaled air was checked before the KTapplication and in the 5 and 15 day after application of KT.
Results. The study demonstrated a statistically significant increase in the number of defecation per day, normalization of stool consistency and reductionof hydrogen molecules in in exhaled air in BA group.
Conclusions. The results shown effectiveness of kinesiology taping in the process of digestion and intestinal passage normalization.
assessment of hydrogen molecules exhaled by patients, kinesiology taping, intestinal passage obstruction, adhesions after surgery