Tag: Marek Kiljański

Congresses of Polish Physiotherapists Associations in the years 1962-2011

Sławomir Jandziś, Teresa Pop, Dorota Szczygielska, Marek Kiljański

Sławomir Jandziś, Teresa Pop, Dorota Szczygielska, Marek Kiljański – Congresses of Polish Physiotherapists Associations in the years 1962-2011. Fizjoterapia Polska 2012; 12(2); 179-187

Abstract
The authors have described XV Congresses of the Polish Physiotherapists Associations held in the years 1962-2011. They have presented the congresseses’ sites, organizers, topics, invited guests from within and outside the country, the results of national election of next associations and the most important resolutions. The thesis is a result of research on activities of the Section of Physical Education Masters working in Rehabilitation of the Polish Association of Disabled People (PTWK) transformed into the Physiotherapy of PTWK Section, and then into the Polish Society of Physiotherapy. Following terms are used in this thesis: archival materials from the repository PTWK act, reports on the activities of PTF, materials from the National Congresses of physiotherapists environment, professional medical press and few studies. Analysis of these documents shows that the activities of Associations of Polish Physiotherapists in the years 1962-2011 had a significant contribution to the development of medical rehabilitation in Poland.
Key words:
Polish Society of Physiotherapists, history, Congresses
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The use of pedobarography in physiotherapeuticprocedures – analysis of educationstandards, fields of application – and reality; part 2

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – The use of pedobarography in physiotherapeuticprocedures – analysis of educationstandards, fields of application – and reality; part 2. Fizjoterapia Polska 2020; 20(4); 122-136

Abstract

Diagnosis of human body posture and assessment of functionality, in physiotherapeutic procedures, is mainly carried out by viewing methods and by photogrammetric or videogrammetric methods, which do not provide angular measurements, anthropometric, time-space measurements, etc. Highly specialized imaging tests are medical procedures, which significantly affects their availability. Also, in terms of their economics, application and invasiveness. Thus, their purpose is significantly limited in the initial diagnostics process, and in particular in current physiotherapeutic assessment.
In the world, for over 30 years, gait, balance, selected biomechanics parameters and body functionality have been evaluated by pedobarography. However, other scientific studies of the authors indicate that the method is very little known in Poland by medical staff. Despite the fact that it has been included in the list of guaranteed benefits since 2011, no procedures for its implementation have been specified. An important aspect of pedobarography is the consistency of its directions of use with the standards of training the profession of a physiotherapist. The obvious and logical conclusion is that the lack of knowledge in the area of the method does not allow its development. An important issue is to assess whether education standards are directly consistent with the directions of pedobarography in the rehabilitation process.

Key words:

rehabilitation, physiotherapy, posture tests, gait tests, feet, foot defects, pedobarography, orthopedics, rehabilitation, neurology

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Medical devices prescribed in the practice of physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Marcin Mikos, Marek Kiljański, Zbigniew Śliwiński, Jan W. Raczkowski

M. Curyło, M. Rynkiewicz-Andryśkiewicz, M. Mikos, M. Kiljański, Z. Śliwiński, J. W. Raczkowski – Wyroby medyczne wydawane na zlecenie w praktyce fizjoterapeuty. Fizjoterapia Polska 2020; 20(3); 180-183

DOI: https://doi.org/10.56984/8ZG14054B

Abstract
The act on the profession of physiotherapy was a long-awaited legal regulator regulating the profession of physiotherapy. Physiotherapy became not only an independent medical profession, but also a profession of public trust.
The provisions of the act on the profession of physiotherapy have resulted in the introduction of further legislative changes, including those regarding the possibility of prescribing medical devices.
In practice, this regulation filled the gaps in the scope of competences of physiotherapists. Pursuant to the new regulations, the list of medical devices that can be prescribed by physiotherapists with the right to independently provide physiotherapeutic services has been extended, with simultaneous differentiation of competences in this area for masters of physiotherapy and specialists in the field of physiotherapy.
Key words:
medical devices, act on the profession of physiotherapy, competences of physiotherapists, list of medical devices
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Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Katarzyna Kordus, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, K. Kordus, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1. Fizjoterapia Polska 2020; 20(2); 160-176

Abstract
Changes resulting from incorrect plantar foot pressure distribution can lead to degenerative changes of hard and soft tissues. Especially clear connection can be noticed between excessive pressure on feet and occurrence of ulcers and chronic wounds, especially those secondary to diabetes and motor and sensory neuropathy. Pedobarography is widely used to assess the value as well as time and space parameters of pressure when standing and walking. This means that this procedure can prove useful in many fields, including orthopaedics, rehabilitation, orthopaedic appliances as well as in traumatology and treating bad posture.
Pedobarography is a diagnostic procedure that is not highly specialist (besides physicians, it can be performed by non-physician practitioners) that is why it can be used by specialists of many fields. In most countries where prophylactics of feet disorders, especially the diabetic foot syndrome, is highly developed, pedobarography is one of the basic diagnostic procedures of the guaranteed healthcare services. In Poland, it is included in the list of guaranteed healthcare benefits of the National Health Found since 2011. However, there are grounds to think that pedobarography is not commonly used, mainly due to insufficient knowledge of medical staff on this method. Considering the fact that this diagnostic procedure plays an important role in preventing disorders resulting from incorrect pressure migration, it is crucial to analyse directions of its application and factors influencing its development. The aim of this paper was to assess availability of pedobarography and to analyse factors facilitating and limiting its development.

Key words:
pedobarography, orthopaedics, rehabilitation, traumatology, bad posture, ulcerations, Charcot’s neuro-osteoarthropathy, custom-made orthopaedic insoles

 

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Analysis of pelvis statics in amateur swimmers and recreational runners

Paulina Majos, Marek Kiljański, Kamil Markowski, Zbigniew Śliwiński

P. Majos, M. Kiljański, K. Markowski, Z. Śliwiński – Analysis of pelvis statics in amateur swimmers and recreational runners. Fizjoterapia Polska 2020; 20(1); 100-105

 

Abstract
Introduction. In recent years, an increasing number of people are choosing to be physically active. The most popular sports include swimming, running or cycling. Disorders of pelvic statics can affect the incidence of injuries during physical activity.
Objective. The main objective of this study is to show the relationship between proper pelvic statics and the incidence of injuries during amateur running or swimming based on analysis of available literature.
Material and methods. A review of the current literature available on the given topic was carried out. The materials needed to analyze the topic come from specialized magazines and articles found on the Internet. Internet search engines were used: Google Scholar and PubMed.
Discussion. Running is a popular physical activity around the world. Musculoskeletal injuries in runners are common and can be attributed to the inability to control the pelvic balance in the frontal plane. The pelvis also plays a significant role in swimming. Its correct position allows you to maintain optimal movement of the lower limbs, which results in greater economy and increased speed.
Conclusions. Incorrect pelvic statics affect the incidence of injuries of the lower limb muscles. The pelvis position modifies the economics of walking, running and swimming. The symmetry of the pelvis during swimming determines the correct technique and increases the efficiency of the lower limbs.

Key words:
pelvis statics, gait economics, amateur swimming, lower limb muscle injuries

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根据2018年5月9日关于支持严重残疾人的特殊解决方案的法案，在治疗康复领域接受治疗的患者概况

Karol Wojciechowski, Krzysztof Mirecki, Marek Kiljański, Jan Szczegielniak

K. Wojciechowski, K. Mirecki, M. Kiljański, J. Szczegielniak – Profil pacjentów usprawnianych w zakresie rehabilitacji leczniczej na podstawie ustawy z dnia 9 maja 2018 r. o szczególnych rozwiązaniach wspierających osoby o znacznym stopniu niepełnosprawności. Fizjoterapia Polska 2019; 19(3); 168-172

摘要
研究目的在试图分析针对具严重残疾证者所提供的康复服务。
研究材料包括与国家健康基金会罗兹分会签订医疗康复合同的服务提供机构所提供的报告数据，其针对具严重残疾证明者提供合并范围内的服务，报告中的数据由服务提供者于2018年7月1日至2018年12月31日间编制。
根据数据分析显示，严重残疾者（占受访者总数45.13 %）最常接受门诊物理治疗，29.63%的患者接受门诊康复护理，19.12% 的患者在家中接受理疗。
研究材料的评估显示出最常接受康复治疗的患者年龄在51-84岁之间（占受访者总数62.23 %），最小的患者组为年龄在16岁以下及85-101岁间的患者（分别占受访者总数3.26% 及 6.04%）。根据评估显示，服务提供者所提供报告中最常见的主要诊断为小儿脑瘫（占总受访者总数8.65%）及偏瘫（占总受访者总数7.71%）。
该研究显示报告中最常处理的结算项目为与处理患者的个别工作，占所有程序的17.06 %。

关键词：
治疗康复，残疾程度显着

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Evaluation of combination therapy with the use of low-frequency magnetic field and ultraphonophoresis for patients with chronic osteoarthrits of the knee

Marek Woszczak, Kacper Kucz, Marek Kiljański, Marta Woszczak

M. Woszczak, K. Kucz, M. Kiljański, M. Woszczak – Ocena terapii skojarzonej polem magnetycznym niskiej częstotliwości i ultrafonoforezy u pacjentów z przewlekłą chorobą zwyrodnieniową stawów kolanowych. FP 2013; 13(3); 48-54

Summary
The aim of the study was to evaluate the combination therapy involving low-frequency magnetic field and phonophoresis applied lo patients suffering from osteoarthritis (ICD – M 77).
The assessment of physical condition was made through 6 climbs of a patient onto a 17 centimeire step within 30 seconds, the first step was made with less aching leg.
Thanks to this test the group of patients qualified to the study was homogeneous. The study involved 62 people (47 women, 75 men) aged 41-86, randomly assigned to two comparative groups. The patients’ health was assessed by means of WOMAC scale, Pain Assessment Scale VAS and functional kneeling test. The examination was conducted twice: before the beginning of the treatment and after a series of physiotherapeutic sessions. Group A was treated with the combination therapy including magnetic field and ultraphonophoresis
Group B was treated with low frequency magnetic field in addition, both groups were abo subjected To kinesiotherapy strengthening the four-headed muscle of the femur. For the statistical analysis of the research the Statistical Package for Social Sciences was employed (PASW 78). To check the effectiveness of the therapy in group A the Test of Relevant Statistical Differences t-siudent for paired data was applied.

Key words
osteoarthritis of the knee, low-frequency magnetic field, phonophoresis

 

 

经过四年的专业法律监管后，物理治疗师的情况

Marek Kiljański, Dariusz Jasiński

M. Kiljański, D. Jasiński – The situation of physiotherapists after four years of legal regulation of the profession. Fizjoterapia Polska 2019; 19(2); 168-173

摘要
简介。 在过去十年中，物理治疗师的财务状况恶化。 它受到各种因素的影响 – 法定变化，通货膨胀以及波兰缺乏足够的康复资金。 在2015年对该专业进行法律监管后，物理治疗师不断招致职责，但这并不能转化为足够的收入。 受过良好教育的物理治疗师 – 专家在医疗保健系统中的价值也越来越低。
目标。 在这项工作中，我们将尝试考虑物理治疗师是否正确，要求更高的工资，以及他们的雇主和波兰的医疗保健系统能否负担得起。

关键词：
物理治疗师的薪水，医疗保健的财务，NFZ，物理治疗专家

 

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背神经根切断术 – 一种治疗脑瘫儿童痉挛状态的神经外科手术方法：目前的指示状况使

Monika Wolska, Marek Kiljański, Witold Rongies

M. Wolska, M. Kiljański, W. Rongies – Selective Dorsal Rhizotomy (SDR) – neurosurgical method in treatment of spasticity in CP: the current state of knowledge. Fizjoterapia Polska 2019; 19(2); 66-75

摘要
痉挛为脑瘫儿童的主要症状之一，对儿童的活动、日常生活中的参与有不利影响，也对其在社会中的功能有影响。慢性痉挛造成肌肉和结缔组织结构变化的发展，导致萎缩、僵硬，最后萎缩至无法接受药物治疗的程度。脑瘫儿童的生活舒适程度恶化及护理上的问题是促使我们寻求治疗痉挛的持久有效方法的主因。
为患者选择最佳治疗形式取决于以下要素：损伤的位置及其严重程度、临床症状、患者年龄及可用的治疗方法等。
背神经根切断术（SDR – 英文为Selective Dorsal Rhizotomy）为一种治疗儿童脑瘫痉挛状态的神经外科手术方法，治疗不可逆转，永久性地减少痉挛状态。关于手术资格、适应症和短期及长期效果等方面还存在许多争议。每年有越来越多的国际临床试验证实该治疗对患者功能状态改善具正面影响。研究目的在将治疗本身、资格标准、使用的研究工具和理疗治疗后报告等知识的收集和系统化，并指出手术治疗的效果。

关键词：
背神经根切断术、SDR、理疗、痉挛、脑麻痹

 

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