Rehabilitation results in patients after operation of discopathy in lumbo-sacral section

Teresa Pop, Krzysztof Kołodziej, Maria Pabis, Grzegorz Przysada, Piotr Szpunar

Teresa Pop, Krzysztof Kołodziej, Maria Pabis, Grzegorz Przysada, Piotr Szpunar – Rehabilitation results in patients after operation of discopathy in lumbo-sacral section. Fizjoterapia Polska 2002; 2(4); 280-284

Abstract
Background. In results from data in literature and our observations that 2% of patients with the low back pain requires operational treatment. The work presents algorithm of rehabilitation of patients after the operation of removing the nucleus pulposus in the lumbosacral section. Material and methods. Twenty patients were examined, who in a period of November 2000 till March 2001 were operated at the Neurosergical Department and rehabilitated in the Physiotherapy Laboratory of the Rehabilitation Department of the District Hospital No. 2 in Rzeszów. In order to evaluate pain a visual analogue scale VAS and five-points Likert’s scale were used. The examination was performed three times: before and after the surgery and after a three weeks’ period of rehabilitation. Results and conclusions. The algorithm of procedure in the post-surgery period was proposed, in which complex rehabilitation was taken into consideration, among others physiotherapy, psychotherapy, pharmacotheraphy, professional advising, teaching ergonomy of labour and rest.

Key words:
discopathy, Low Back Pain, nucleus pulposus, Likert’s scale

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Evaluation of the structures of shoulder joint at patients with hemiparesis after the apoplexy during rehabilitation

Andrzej Kwołek, Teresa Pop, Jacek Gwizdak, Krzysztof Kołodziej, Dorota Korab, Grzegorz Przysada

Andrzej Kwołek, Teresa Pop, Jacek Gwizdak, Krzysztof Kołodziej, Dorota Korab, Grzegorz Przysada – Evaluation of the structures of shoulder joint at patients with hemiparesis after the apoplexy during rehabilitation. Fizjoterapia Polska 2002; 2(4); 273-279

Abstract
Background. One of often met complications in rehabilitation of patients after the apoplexy are functional disturbances of the shoulder joint on the side of paresis. Connected with it painfulness and limitation of mobility makes difficult re-education of the extremity’s function. The aim of this work is evaluation of the structures of shoulder joint in the paretic extremity and comparing it with the healthy joint, as well as determination of influence of rehabilitation procedure on improvement of changes of the examined structures. Material and methods. In a group of 40 patients ultrasonographic examination was used to evaluate the shoulder joint. All patients, who in a period since December 2000 to March 2001 were hospitalised at the Rehabilitation Department of the Provincial Hospital No. 2 in Rzeszów, were directed to this examination. This examination was done twice: on the first and last day of the patient’s stay at the Rehabilitation Department. Results and conclusions. Observations during three-four weeks’ stay showed regression of pathological changes in the shoulder joint.

Key words:
shoulder, rehabilitation, ultrasonographic

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Height body mass, and physical fitness in girls and boys with and without posture defects in the former province of Rzeszów, Poland

Krzysztof Kołodziej, Andrzej Kwolek, Krystyna Lewicka, Teresa Pop, Grzegorz Przysada

Krzysztof Kołodziej, Andrzej Kwolek, Krystyna Lewicka, Teresa Pop, Grzegorz Przysada – Height body mass, and physical fitness in girls and boys with and without posture defects in the former province of Rzeszów, Poland. Fizjoterapia Polska 2003; 3(2); 113-119

Abstract
Background. The purpose of our study was to evaluate differences in the growth and physical fitness of school-age children and youth, with and without posture defects, in the former voivodeship of Rzeszów, Poland Material and methods. The research involved 3117 children of both sexes, ranging in age from 7 to 14 years, enrolled in 44 primary schools during the period 1996-1997. The children were divided into two groups, those with posture defects and those without. The examinations were performed by visual (descriptive) inspection. Posteriorly, we evaluated the carriage of the head, shoulders, shoulder blades, and pelvis, and the type of feet (acc. to Bochenek); anteriorly – carriage of the shoulder line, waist triangles, and carriage of the knees; laterally – carriage of the head and shoulders and the curvature of the spine. A characterization of the particular posture defects will be the topic of a separate study. Results. The average height and body mass of boys and girls without defects are greater than in children with defects. In exercises to measure physical fitness, children without posture defects obtained better results than those with defects. Conclusions. The results confirmed the working hypothesis that there are differences in the growth and physical fitness of girls and boys with and without posture defects. In order to reduce differences in physical fitness between children and youth with and without posture defects, measures should be taken in the schools to prevent posture defects and detect them earlier; check-ups and correctional measures should be made available for children in school or in a Posture Defects Outpatient Clinic.

Key words:
morphological features (height and body mass), Physical Fitness, posture defects

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Evaluation of the structures of shoulder joint at patients with hemiparesis after the apoplexy during rehabilitation

Andrzej Kwolek, Teresa Pop, Jacek Gwizdak, Krzysztof Kołodziej, Dorota Korab, Grzegorz Przysada

Andrzej Kwolek, Teresa Pop, Jacek Gwizdak, Krzysztof Kołodziej, Dorota Korab, Grzegorz Przysada – Evaluation of the structures of shoulder joint at patients with hemiparesis after the apoplexy during rehabilitation. Fizjoterapia Polska 2003; 3(3); 224-230

Abstract

Background. Functional disorder of the shoulder joint on the paretic side is among the more common post-stroke complications. Rehabilitation can be hindered by the associated pain, limited joint mobility, and muscle distension during the period of flaccid paresis (or plegia). The purpose of our study was to evaluate certain shoulder joint structures in post-stroke patients in inpatient rehabilitation, to compare the structural image of the shoulder joint in the affected and healthy limbs, and to identify the impact of rehabilitation on the tested joint structures. Material and methods. In a group of 40 post-stroke patients we performed ultrasonographic examination of the shoulder joints. The study group included patients who were hospitalized from December 2000 to March 2001 in the Department of Rehabilitation at Voivodeship Hospital no. 2 in Rzeszów, Poland. Examinations were performed on the first and last day of hospitalization. Results. Pathological changes were found in the shoulder joints. Over a 3-4-week rehabilitation period some improvement was noted. Conclusions. Changes in shoulder joint structure in post-stroke patients with hemiparesis occur more often on the paretic side (esp. thinning of the rotator cone, the deltoid muscle, and the tendon of the long head of the shoulder biceps, calcification, subluxation in the shoulder joint, and fluid in the bursae). Comprehensive hospital rehabilitation has a positive impact on the tested shoulder joint structures. Ultrasonography is a good method for evaluation of the anatomical structures of the shoulder joint in patients with hemiparesis.

Key words:
Shoulder Joint, Rehabilitation, Ultrasonography
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Effect of early rehabilitation on psychomotor function in children with post-haemorrhagic hydrocephalus. Preliminary report

Teresa Pop, Lucyna Sitarz, Iwona Opalińska, Halina Urban

Teresa Pop, Lucyna Sitarz, Iwona Opalińska, Halina Urban – Effect of early rehabilitation on psychomotor function in children with post-haemorrhagic hydrocephalus. Preliminary report. Fizjoterapia Polska 2009; 9(2); 171-180

Abstract
Background. Cerebral haemorrhages in newborns occur as a consequence of premature birth, Iow birth weight and newborn respiratory failure. These haemorrhages often lead to hydrocephalus with subsequent delayed psychomotor deve-lopment. Early surgery and comprehensive rehabilitation improve psychomotor functions and the ąuality oflife in this group of children. Materiał and methods. We studied 25 infants in the first six months oflife treated at the Department of Paediatric Surgery of Regional Hospital No. 2 in Rzeszów, and the Surgery and Rehabilitation Outpatient Clinic between 2004 and 2007. The psychomotor development of the infants was evaluated according to the Munich Functional Development Scalę in the third and six months oflife. The evaluation concentrated on the gross motorskills ofhead control in the prone and su-pine positions and use ofthe upper extremities forsupport. Results and Concusions. Analysis of the results confirmed the efficacy of the rehabilitation regimen. Better outcomes were obtained in children with less severe haemorrhages, i. e. with lower probability of CNS injury. The parents should be involved in the process of rehabilitation both in the hospital and at home.
Key words:
cerebral haemorrhage, rehabilitation, hydrocephalus
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Exercise tolerance in patients after coronary artery bypass grafting

Małgorzata Dobko, Teresa Pop, Kazimierz Widenka

Małgorzata Dobko, Teresa Pop, Kazimierz Widenka – Exercise tolerance in patients after coronary artery bypass grafting. Fizjoterapia Polska 2009; 9(4); 293-300

Abstract
Background. According to the World Health 2002, ischaemic heart disease (IHD) is the most common heart disease. Of 56 million deaths registered worldwide in 2001, morę than 29% were due to cardiovascular disease, and morę 12% we-re secondary to ischaemic heart disease. Common sequelae of coronary artery bypass grafting (CABG) surgery include mu-sculoskeletal dysfunctions and respiratory problems. The purpose ofthis work was to evaluate exercise tolerance in patients after CABG surgery. Material and methods. The study involved 20 ischaemic heart disease sufferers, aged 49-82 years, ąualified for a CABG procedurę under extracorporeal circulation. The patients completed a rehabilitation programme designed at the cardiac surgery department. Exercise tolerance was evaluated with the 6-minute walk test (6MWT) before surgery and on post-operative Day 7. Results. The results ofthe 6-minute walk test were statistically significant in younger patients and in those without a hi-story ofmyocardial infarction. Conclusions. There was a correlation between the left ventricular ejection fraction and the results of the 6-minute walk test.
Key words:
ischaemic heart disease, coronary artery bypass grafting, exercise
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Factors influencing the incidence of shoulder pain in post-stroke patients

Teresa Pop, Agnieszka Dziedzic, Katarzyna Łach-Pop

Teresa Pop, Agnieszka Dziedzic, Katarzyna Łach-Pop – Factors influencing the incidence of shoulder pain in post-stroke patients. Fizjoterapia Polska 2010; 10(2); 103-112

Abstract
Pain and functional impairment of the paretic shoulder are a frequent complication in post-stroke patients. The pain is mostly localised to the glenohumeral joint, but sometimes radiates to the upper arm and, infrequently, to the forearm. The paper aims at assessing the incidence of shoulder joint pain in post-stroke patients, and at investigating the predisposing factors. Material and method. The study group consisted of 81 stroke survivors (41 females and 40 males) hospitalized due to stroke in the Stroke Unit of the Neurology Ward and in the Rehabilitation Ward.The study used a questionnaire to obtain characteristics of the study group, a VAS scale to assess pain intensity, as well as the Ashworth scale and Barthel index. Shoulder joint pain occurred in 58% of the participants. Mean pain intensity was 5 according to the VAS scale. Muscle tone in the upper extremity in the study group averaged at 2 in the Ashworth scale. Among those suffering from shoulder pain, 53% experienced it in the morning.
Key words:
stroke, complications, shoulder, pain
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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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Clinical factors affecting balance and symmetry of the lower extremity weight bearing in post stroke patients

Teresa Pop, Joanna Glista, Wojciech Rusek

Teresa Pop, Joanna Glista, Wojciech Rusek – Clinical factors affecting balance and symmetry of the lower extremity weight bearing in post stroke patients. Fizjoterapia Polska 2012; 12(3); 251-262

Abstract
Cerebrovascular stroke has become the third most common cause of death in many developing countries and one of main causes of long term disability. The aim of the study was to evaluate an impact of the degree of paresis in the upper extremity and the side of paresis on balance and the lower extremity weight bearing in patients with ischemic stroke. The study group included 51 stroke patients, admitted for treatment to the Provincial Hospital No.2 in Rzeszow. The control group included 51 subjects in the same age group with no stroke history. We assessed functional efficiency of the hand according to the Brunnström scale, balance and symmetry of the lower extremity loading using stabilometric Zebris platform. Statistical analysis did not show any significant differences between the mean values obtained for the examined balance parameters in regard to the side of paresis. However, a statistically significant difference was found between the mean values obtained for the examined parameters of lower extremity weight bearing symmetry and the side of paresis. The degree of the upper extremity paresis correlates with balance parameters and lower extremity weight bearing symmetry in stroke patients with left-sided hemiparesis. The side of paresis affects the symmetry of lower extremity weight bearing.
Key words:
Cerebrovascular stroke, upper extremity paresis, lower extremity weight bearing symmetry, balance
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