Tag: Witold Rongies

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
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Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction

Joanna Jaczewska, Witold Rongies, Marek Zaleski

Joanna Jaczewska, Witold Rongies, Marek Zaleski – Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction. Fizjoterapia Polska 2012; 12(3); 201-212

Abstract
The aim of this study was to evaluate the effectiveness of physical exercises used in the treatment of vertigo and balance disorders caused by vestibular dysfunction. The study group consisted of 30 patients (22 women and 8 men, aged 30-84) with vertigo and/or balance disorders of vestibular origin. Half of the patients (10 women and 5 men, aged 30-79) took the medicine. All patients attended in an individually selected programme of exercises dependent on diagnosis. The control group consisted of 15 patients (10 women and 5 men, aged 30-74) treated only pharmacologically. In order to investigate the effect of rehabilitation, a modified DHI questionnaire was used. For statistical evaluation, an analysis of variance with repeated measurements was performed. Statistical significance was assumed at a level of 0.05.In the group of patients who participated only in the programme of vestibular rehabilitation, an improvement of the questionnaire score was on average 48%. The result in the group performing exercises and additionally taking medication improved on average by 45%. In the control group only 15% of improvement was achieved. The difference in the results is statistically significant. 1. Vestibular rehabilitation has proved to be an effective treatment approach for vertigo and balance disorders caused by diseases of the vestibular system. 2. The age had no significant effect on the result of rehabilitation. 3. An improvement was noted, both in structural, functional and emotional aspects.
Key words:
vestibular system, vertigo, dizziness, balance, vestibular rehabilitation
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Evaluation of pre and post operative physiotherapy using the Lysholm scale on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction

Sebastian Zduński, Witold Rongies

S. Zduński, W. Rongies – Evaluation of pre and post operative physiotherapy using the Lysholm scale on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction. Fizjoterapia Polska 2020; 20(1); 130-143

Abstract
Background. Most anterior cruciate ligament (ACL) injuries require surgery and physiotherapy. One important factor that determines physiotherapeutic success is achieving optimal function already before an ACL reconstruction surgery.
Material and methods. A total of 72 randomly enrolled patients, who had been diagnosed with a complete ACL tear and qualified for surgical reconstruction, were included in this study. The experimental group comprised 37 patients aged from 18 to 60 years (mean age 37 ± 10.3 years). All patients from this group underwent a physiotherapy regimen based on established rehabilitation practices over a period of 4 weeks preceding the surgery. The control group comprised 35 patients aged from 18 to 60 years (mean age 34 ± 10.0 years) who did not undergo any preoperative physiotherapy regimen.
Results. At the second time point, both the experimental and control groups exhibited significant improvement in Lysholm scores in comparison with baseline scores (p < 0.05). The Lysholm-Gillquist score in the experimental group was better in the experimental group. There was a significant difference in Lysholm functional knee scores in experimental and control subjects at postsurgical week 6 and 12 (p < 0.05).
Conclusions. 1. Physiotherapy in patients with a complete ACL tear is an important and beneficial factor improving knee function prior to ACL reconstruction.
2. Functional knee scores (assessed with the Lysholm scale) obtained in both groups after the reconstruction surgery confirmed the effectiveness of surgical procedures and physiotherapeutic protocols.

Key words:
knee joint, anterior cruciate ligament, Lysholm-Gillquist scale

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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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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

Evaluation of physiotherapy results after anterior cruciate ligament reconstruction using the Knee and Osteoarthrosis Outcome Score (KOOS) questionnaire

Sebastian Zduński, Witold Rongies, Marcin Ziółkowski, Tomasz Kozieł, Janusz Sierdziński

S. Zduński, W. Rongies, M. Ziółkowski, T. Kozieł, J. Sierdziński – Evaluation of physiotherapy results after anterior cruciate ligament reconstruction using the Knee and Osteoarthrosis Outcome Score (KOOS) questionnaire. FP 2017; 17(2); 60-70

Abstract

Introduction. In recent years, there has been an increase in the number of knee injuries with subsequent total anteriur ligament injury (ACL). ACL lesions in most cases require specialized surgical and physiotherapeutic treatment. The main goal of rehabilitation is to restore the full function of the knee joint and the entire lower limb. Interest in methods of assessing the outcome of ACL reconstruction procedures has increased recently. A number of questionnaires and scales were developed to assess the outcome of treatment. An example is the Knee and Osteoarthrosis Outcome Score (KOOS).
The aim of the study. Assessment of near and distant outcomes of post-arthroscopic anterior cruciate ligament reconstruction in the selected model of Knee and Osteoarthrosis Outcome Score (KOOS).
Material and methodology. Randomized study included 72 patients with a complete rupture of the ACL identified for operative reconstruction. The study group included 37 patients aged 18 to 60 years (mean 37 ±10.3 years). All subjects in this group were subjected to a physiotherapy for 4 weeks prior to reconstructive surgery. In total, 10 to 12 therapeutic sessions were conducted. The control group included 35 patients aged 18 to 60 years (mean 34 ±10.0 years) who did not perform the preoperative physiotherapy program. The postoperative physiotherapy program was the same in all subjects studied.
Results. There was a statistically significant improvement in the functional assessment of the knee joint after reconstruction of the ACL using the KOOS questionnaire in the Study and Control groups at subsequent measurement points (p < 0.05). Better results in the Study Group were found in almost all subgroups of KOOS (symptoms, stiffness, daily activities, activity, quality of life) 6 and 12 weeks after ACL reconstruction. However, there was no statistically significant difference between the Study and Controlled Group (p > 0.05). There was a statistically significant difference in the “stiffness” of the KOOS scale after 12 weeks (p < 0.05). There was also a statistically significant difference in the SP3 (skipping ability) of the KOOS scale after 12 weeks (p < 0.05).
Conclusions. 1. Obtained results in both examined groups, in terms of functional capabilities evaluated by the KOOS questionnaire after reconstruction, confirm the good quality of performed surgical procedures and physiotherapeutic activities.  2. A better KOOS score in the Study Group indicates the high therapeutic value of preoperative rehabilitation.

Key words:
anteriur cruciate ligament, knee joint, physiotherapy, KOOS questionnaire

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