Tag: Monika Lewandowska

Satisfaction of life and acceptance for the disease with patients under replacement therapy – kidney transplantation

Monika Lewandowska, Izabela Korabiewska, Dariusz Białoszewski, Leszek Pączek, Joanna Juskowa

Monika Lewandowska, Izabela Korabiewska, Dariusz Białoszewski, Leszek Pączek, Joanna Juskowa – Satisfaction of life and acceptance for the disease with patients under replacement therapy – kidney transplantation. Fizjoterapia Polska 2003; 3(2); 153-158

Abstract
Background. The quality of life of the patients after renal graft transplanted is not only medical, but also a social problem. One of the suggested ways of their treatment is a holistic approach to their rehabilitation, as well as analysis of their evaluation of life conditions. Material and methods. The research involved 20 patients after renal graft transplanted, during the process of physiotherapy. This group has been scrutinized during a questionary examination (incluling SWLS, AIS) and also during a specified standard questionary. The received results have been statistically analysed according to interpretation standard adapted to Polish conditions.Conclusions and Results. The conducted examinations showed, the usefulness of the scrutiny thanks to which high interpreting results have been accomplished. The results show the acceptance of poor health conditions by the patients and low level of life satisfaction caused by the end-stage of their renal failure.

Key words:
Quality of Life, renal graft, rehabilitation

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

The Usefulness of Hippotherapy in the Rehabilitation of Cerebrally Palsied Children. Pilot Study

Dariusz Białoszewski, Izabela Korabiewska, Monika Lewandowska, Katarzyna Wasiak

Dariusz Białoszewski, Izabela Korabiewska, Monika Lewandowska, Katarzyna Wasiak – The Usefulness of Hippotherapy in the Rehabilitation of Cerebrally Palsied Children. Pilot Study. Fizjoterapia Polska 2011; 11(2); 175-181

Abstract
Zootherapy has been introduced in recent years as an adjunct approach to traditional physiotherapy in patients with cerebral palsy (CP). Hippotherapy is less popular in Poland compared to other European countries or the USA, with few reports of investigations carried out in accordance with the EBM paradigm. The aim of the present study was to evaluate the usefulness of hippotherapy in comprehensive rehabilitation of children with cerebral palsy.The study involved 40 cerebrally palsied children who were randomly divided into two equal-sized groups (A and B). Both groups received home-based rehabilitation according to the Proprioceptive Neuromuscular Facilitation (PNF) method. Group A additionally received hippotherapy. The children’s motor function was determined using the Gross Motor Function Measure (GMFM).In Group A was 0.02 for ChP=5.226, 1 df. The parameter determined in the study exceeded this critical value, thus allowing the conclusion that the effect of home-based rehabilitation combined with hippotherapy on overall health improvement was statistically significant (p<0.05). In Group B, the right-tailed critical value (p) was 0.429 for Chi2=0.625, 1 df. The parameter determined in the study did not exceed the critical value, thus not allowing the statement that home-based rehabilitation had a significant effect on overall health improvement.1. The study shows significantly better results of rehabilitation in children treated with combination of PNF and hippotherapy. 2. The results indicate the need for randomized prospective studies involving larger test groups.
Key words:
Cerebral Palsy, Rehabilitation, hippotherapy, physiotherapy
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib – Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy. Fizjoterapia Polska 2012; 12(2); 141-146

Abstract
Background. The parents’ satisfaction with life and their acceptance of their child’s illness are important factors that directly and / or indirectly influence the process of rehabilitation of children with cerebral palsy. The aim of this study was to evaluate the effect of hippotherapy on the level of satisfaction with life and acceptance of illness among parents of children with cerebral palsy. Material and methods. The study was conducted in 2008-2010 among 94 parents of cerebrally palsied (CP) children partici­pating in hippotherapy sessions in Warsaw. The study used an original questionnaire with questions dealing with the effect of hippotherapy on selected psychological factors in the parents. The questionnaire was completed by the parents twice: before and after a one-year hippotherapy course. Two psychometric scales: the Satisfaction with Life Scale (SWLS) and the Acceptance of Illness Scale (AIS), were also used, both adapted for Polish by Juczyński. The results were analyzed statistically.Results. Overall satisfaction with life among the parents increased significantly (p<0.05) during the year-long hippotherapy course. There was also a statistically significant increase in the parents’ acceptance of their children’s condition. Conclusion. Hippotherapy in CP children significantly increases their parents’ satisfaction with life and acceptance of their children’s illness.
Key words:
hippotherapy, Satisfaction with Life, acceptance of illness, Cerebral Palsy, Parents
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Computer-assisted rehabilitation of aphasia in the assessment of Polish patients – the results of a proprietary survey

Anna Obszyńska-Litwiniec, Dariusz Boguszewski, Monika Lewandowska, Izabela Korabiewska, Maria Kłoda, Andrzej Ochal, Dariusz Białoszewski

A. Obszyńska-Litwiniec, D. Boguszewski, M. Lewandowska, I. Korabiewska, M. Kłoda, A. Ochal, D. Białoszewski – Computer-assisted rehabilitation of aphasia in the assessment of Polish patients – the results of a proprietary survey. Fizjoterapia Polska 2020; 20(1); 188-194

Abstract
Objective. The objective of the study was to determine the general level of acceptance for the use of the AfaSystem computer tool to assist in aphasia rehabilitation among Polish patients, as well as to learn patients’ subjective opinions about the positive and negative aspects of working with the program.
Material and methods. 32 patients covered by 2-month therapy using AfaSystem participated in a proprietary survey concerning the level of satisfaction with the use of software in therapy. In the first part of the survey, patients made an overall assessment of the program on a scale of 1 to 5. In the second part, they indicated the most important advantages of such therapy and the difficulties encountered.
Results. Patients indicated that their level of satisfaction with the use of the program was very high. The most important advantages were the increased motivation to exercise, therapy attractiveness, low rehabilitation costs, as well as the ease of use of the program. The disadvantages included limited possibilities of material individualization, the lack of video material and the lack of interactivity.
Conclusions.
1. The use of the AfaSystem computer tool in the rehabilitation process is accepted by patients with post-stroke aphasia.
2. Patients handle the program well and find it attractive.
3. It is advisable to supplement the functionality of the software with high-quality audiovisual materials, extensive individualization of the exercise material, as well as interactivity.

Key words:
aphasia, speech rehabilitation, computer program

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

以计算机辅助语言康复治疗对中风后失语症患者命名能力的影响

Anna Obszyńska-Litwiniec, Monika Lewandowska, Dariusz Boguszewski, Izabela Korabiewska, Maria Kłoda, Dariusz Białoszewski

Anna Obszyńska-Litwiniec, Monika Lewandowska, Dariusz Boguszewski, Izabela Korabiewska, Maria Kłoda, Dariusz Białoszewski – Impact of computer-assisted speech therapy on naming skills in patients with post-stroke aphasia . Fizjoterapia Polska 2019; 19(4); 156-161

摘要
研究目的。此项研究的目的在确定强化的计算机辅助语言障碍康复治疗对中风后失语症患者命名能力改善的影响。
材料和方法。该项研究涵盖73名失语症患者，住院后患者被分入实验组（n = 36）或对照组（n = 37）。两组均使用波士顿命名测验（BTN）来进行诊断测试，实验组患者接受为期2个月的AfaSystem强化康复计划，对照组患者则接受标准语言治疗，治疗结束后所有患者均再度接受波士顿命名测验，然后在干预结束前后将所取得的结果进行比较，以统计分析评估结果。
结果。为期2个月的计算机辅助治疗结束后，实验组在波士顿命名测验量表上获得的命名能力改善比对照组的患者显著，其差异p = 0.0044具统计学意义。
结果。1. 使用Afasystem 工具进行强化康复治疗可改善中风后失语症患者的命名能力。2. 使用失语症计算机辅助治疗工具可提供高强度的康复治疗，为有效治疗语言障碍的必要条件。

关键词：
失语症、语言治疗、计算机计划、失范状态

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

The impact of dialysis therapy on selected spirometric parameters in patients with end-stage renal failure. Evaluation of lung functions in patients treated with haemodialysis

Witold Rongies, Agata Młynarska, Tadeusz Przybyłowski, Włodzimierz Dolecki, Monika Lewandowska, Iza Korabiewska, Janusz Sierdziński, Justyna Choromańska

W. Rongies, A. Młynarska, T. Przybyłowski, W. Dolecki, M. Lewandowska, I. Korabiewska, J. Sierdziński, J. Choromańska – Ocena wybranych parametrów spirometrycznych w grupie pacjentów przewlekle dializowanych z powodu schyłkowej niewydolności nerek. Ocena wydolności oddechowej pacjentów leczonych przewlekłymi dializami. FP 2013; 13(3); 14-21

Abstract

lntroduction: Haemodialysis is used in the treatment of both acute and chronic renal failure as well as in some cases of poisoning. The purpose of haemodialysis is to clear the blood of toxic substances. During a haemodialysis session the body also receives substances necessary for regenerating its buffers and for the compensation of metabolic acidosis, and excess wafer is removed from the body. Despite these beneficial outcomes, most dialysis patients report subjective fatigue at the end of a session which can manifest itself an impairment of respiratory parameters. Material and methods: The study enrolled 21 chronic dialysis patients. The study procedures consisted in carrying out a forced spirometry procedure immediately before a dialysis session and 15 minutes after completion of the session. Results: All spirometric parameters assessed in the study group of 21 patients did not change significantly after a dialysis session. There were slight improvements in FEF50 and FEF25. FVC showed mild deterioration. None of the differences was statistically significant. At the same time, there was a statistically significant correlation between the degree of dehydration (loss of body weight during dialysis) and FVC values (p<0.05). Conclusions: 1. A single dialysis session did not induce significant changes in selected respiratory parameters in the study group. 2. The observed subjective feeling of fatigue following a dialysis session in the study group was not caused by impaired respiratory function.

Key words:
spirometry, dialysis, end-stage renal failure, rehabilitation

Diagnostics of Balance and Gait Disorders in Patients with Parkinson’s Disease

Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka, Edyta Smolis-Bąk, Izabela Korabiewska, Monika Lewandowska, Dariusz Białoszewski

M. Kłoda, G. Brzuszkiewicz-Kuźmicka, E. Smolis-Bąk, I. Korabiewska, M. Lewandowska, D. Białoszewski – Diagnostics of Balance and Gait Disorders in Patients with Parkinson’s Disease. FP 2017; 17(2); 122-131

Abstract

Parkinson’s disease is a chronic, progressing affliction of the human central nervous system. It is one of degenerative diseases and affects mainly the extrapyramidal system, and in particular the substantia nigra of the midbrain.  Along with the axial symptoms of Parkinson’s disease, the other most important ones would include abnormalities of posture and gait. The improper posture has an impact on future problems with locomotion and self-service functions.
Prior to introducing any physiotherapy, there should be carried out a number of tests, which will allow both, quantitative and qualitative assessment the patient’s gait and his or her posture. These tests include among others: gait analysis performed on a treadmill of the ”Zebris” FDM-TDM type, which uses the WinFDM-T data base system, Vicon 460 system for the three-dimensional assessment of gait, Timed Up & Go, 10 MWT or Tinetti tests.
Demographic data indicate the increasing incidence of the Parkinson’s disease, which seems to be due to the gradual lengthening of a human life span. This makes it very important to properly rehabilitate and care for the patients.
As the disease progresses, patients begin to experience discomfort during their daily activities, and in locomotion, and thus their quality of life is being reduced. Here comes the great importance of implemented physiotherapy treatments, which are supposed to maintain, for as long as possible, the patients’ mobility at the level sufficient to enable their independent functioning. Introduced early enough physiotherapy procedures significantly improve gait parameters in patients with the Parkinson’s disease, thus delaying progression of the disease.

Key words:
diagnostics, Parkinson’s disease, balance disorders, gait disorders

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）