Tag: Włodzimierz Samborski

Phototherapy and photochemotherapy in skin diseases

Grzegorz Grzybowski, Włodzimierz Samborski, Ryszard Żaba

Grzegorz Grzybowski, Włodzimierz Samborski, Ryszard Żaba – Phototherapy and photochemotherapy in skin diseases. Fizjoterapia Polska 2006; 6(1); 92-96

Abstract

The authors describe the usefulness of the phototherapy in the treatment of skin diseases on the basis of the literature and their own experience. Various mechanisms of action of ultraviolet radiation (UVB, UVA) and their usefulness in skin diseases therapy are discussed. For many years, phototherapy UVA1, UVB, narrow-band UVB (311 nm) and photochemotherapy (PUVA) based on the combined action of psoralens (8-methoxypsoralen, 8-MOP, 5-methoxypsoralen, 5-MOP and trimethylpsoralen, TMP) and long ultraviolet waves (UVA) were used in treatment of over thirty skin diseases. The photochemotherapy follow-up study demonstrated a significant dose-related increase in the risk of adverse effects. They include chronic degenerative and pigmentary skin changes and increased risk of squamos cell carcinoma (SCC) and malignat melanoma. The incidence of SCC and malignat melanoma was higer in patients who received high-dose PUVA (>250 treatments or >2000J/cm2). To reduce these side effects, a combination of PUVA, UVB with other topical therapies and especially balneophotherapy (salt, sulfur water baths and artificial UVB), PUVA-bath (with the use of TMP solution and UVA) should be used.

Key words:
phototherapy, photochemotherapy, mechanisms of action, skin diseases
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Select physiotherapeutic methods in treatment of a hip joint degeneration

Przemysław Lisiński, Maria Tomaszewska, Włodzimierz Samborski

Przemysław Lisiński, Maria Tomaszewska, Włodzimierz Samborski – Select physiotherapeutic methods in treatment of a hip joint degeneration. Fizjoterapia Polska 2006; 6(1); 45-50

Abstract

Background. Degenerative joint disease is regarded as a civilization-related disease, and is one of the most vital problems facing global medical care at the turn of the century. In most cases this problem is connected with the hip joint, mainly among elderly people. The aim of our study was to estimate the efficiency of selected physiotherapeutic procedures
in the treatment of degenerative disease of the hip joint. Material and methods. We examined 60 persons with hip problems. The age of the patients oscillated between 47 and 77 years, with a mean of 62,8 ±10,31 years. The patients were divided into 4 subgroups, who received the same kinesitherapeutic procedures but different physical agents, such as cryotherapy, laser, magnetic field, and high-frequency impulse electromagnetic field. The duration of treatment was 21 days. We performed a full orthopedic examination before and after therapy. Results. Our results showed that the level of pain went down and the range of movement went up after treatment. Conclusions. Physiotherapy is a suitable method for treating degenerative changes in the hip joint. The time of observation was too short to allow for assessment of the improvement of the trophic properties of muscles.

Key words:
hip joint, degeneration, physiotherapy
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Methods of physiotherapy in treatment of intervertebral disc’s pathology in lumbar part of spine

Przemysław Lisiński, Agnieszka Jachowska, Włodzimierz Samborski

Przemysław Lisiński, Agnieszka Jachowska, Włodzimierz Samborski – Methods of physiotherapy in treatment of intervertebral disc’s pathology in lumbar part of spine. Fizjoterapia Polska 2006; 6(3); 222-227

Abstract
Background. Physiotherapy is very often the first step in a treatment of back pain. The aim of kinesis therapy is a probe of a damaged disc reposition. Beside of this kinesis therapy improve an elasticity of ligaments and makes stronger a paravertebral muscles. Physical therapy procedures plays significant role in a pain treatment in subjective categories of course. Material and methods. All participants of that study were selected by clinical examination and analyses of accessory investigations. Clinical examination was repeated after twenty days of treatment by different physiotherapeutic procedures. So forty patients were included in a treatment. Status of health was calculated by typical orthopedic procedure and total pain pattern questionnaire. The aim of study was to state if physiotherapy is useful method of pain treatment and to compare effects different groups of procedures. Results. All participants of that study state positive effects of a treatment which was used during twenty days. A majority of them described pain after a treatment as a small discomfort or did not feel pain at all. Beside of these findings they concluded that a frequency of pain appearance depressed in near all analyzed cases. Conclusion. Back pain caused by disc derangement positively responded on physiotherapeutic procedures. A selection of particular methods is not so important in effectiveness categories. The treatment is the most successful when kinesis therapy and physical therapy are joined.

Key words:
pain, lumbar spine, physiotherapy

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Manual Ability Classification System for children with cerebral palsy

Roksana Malak, Ewa Gajewska, Magdalena Sobieska, Włodzimierz Samborski

Roksana Malak, Ewa Gajewska, Magdalena Sobieska, Włodzimierz Samborski – Manual Ability Classification System for children with cerebral palsy. Fizjoterapia Polska 2010; 10(1); 69-77

Abstract
Background. The Manual Ability Classification System is a five-level scale for evaluating the manual ability of children with cerebral palsy aged 4-18 years. The aim of the study was to determine how the manual ability of cerebral palsied children and youth is influenced by the type of cerebral palsy and daily activities indicating various levels of psychomotor development. Material and methods. The study involved a group of 40 children with cerebral palsy aged 4-18 years attending Special Education School Complex No. 103 and Special Education Kindergarten No. 164 in Poznań. The research tool was a questionnaire containing the Manual Ability Classification System filled in by the parents. ICP type according to the Ingram classification was determined together with the level of psychomotor development.Results. Children with bilateral hemiplegia (16) represented the poorest manual abilities compared to children with spastic diplegia (13) or spastic hemiplegia (11). There was a correlation between the ease of handling everyday objects and the ability to crawl (F (1.38) = 21.466, p = 0.0004) and between the ability to stand up unassisted and the ability to stand unassisted(F(1.38)=35.894,p=. 00000).Conclusions. 1. Children with bilateral hemiplegia were most limited in their ability to handle everyday objects. 2. The ability to crawl, stand up unassisted and stand unassisted were correlated with good object handling skills.
Key words:
manual ability, infantile cerebral palsy, psychomotor development
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Proposal for a rehabilitation regimen for patients after posterior cruciate ligament reconstruction surgery. A model of biomechanical study ofthe rehabilitation process

Przemysław Lisiński, Agnieszka Gronek, Włodzimierz Samborski, Lechosław B. Dworak

Przemysław Lisiński, Agnieszka Gronek, Włodzimierz Samborski, Lechosław B. Dworak – Proposal for a rehabilitation regimen for patients after posterior cruciate ligament reconstruction surgery. A model of biomechanical study ofthe rehabilitation process. Fizjoterapia Polska 2010; 10(1); 1-11

Abstract
Background. Few rehabilitation problems raise so much controversy as the timing of rehabilitation and the choice of rehabilitation techniąues in patients following posterior cruciate ligament (PCL) reconstruction. PCL damage occurs in almost 37% of injuries to the knee joint. PCL plays a significant role in stabilising the knee joint. As the signs and symptoms of PCL damage are not so clear-cut as in injuries of other ligaments, a correct diagnosis and institution of treatment are often delayed. A key problem in rehabilitation of these patients is the need to protect the graft. Accordingly all rehabilitation procedures should be carefully supervised. Since there are few available publications concerned with the rehabilitation of patients following PCL surgery, the authors decided to present their own model of rehabilitation. The key elements of this scheme, such as the timing and choice of diagnostic and therapeutic procedures are compared to other methodologies presented in the literaturę.Fuli recovery reąuires a long period of rehabilitation that is dwided into several stages. Ultimately the fuli rangę ofmovement and appropriate muscle strength are restored, and the patient regains fuli motor control thanks to the restoration of proprioception. The authors propose a model of biomechanical investigations enabling objective evaluation ofthe rehabilitation process following PCL reconstruction surgery.
Key words:
posterior cruciate ligament, trauma, reconstruction, physiotherapy, biomechanical investigations
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Posture parameters vs. motor ability of children with cerebral palsy

Roksana Malak, Ewa Gajewska, Magdalena Sobieska, Włodzimierz Samborski

Roksana Malak, Ewa Gajewska, Magdalena Sobieska, Włodzimierz Samborski – Posture parameters vs. motor ability of children with cerebral palsy. Fizjoterapia Polska 2010; 10(2); 113-122

Abstract
The aim of the study was to demonstrate that posture quality influences psychomotor development among children with cerebral palsy. Materials and method: The study involved 33 children (16 girls, 17 boys) aged 1–18 years diagnosed with cerebral palsy who attended Special School Complex No. 103, the Wielkopolska Outpatient Clinic of Neurology, Department of Paediatric Orthopaedics and Traumatology in Teaching Hospital No. 4, and Bartek Rehabilitation Center in Poznań. The children were assessed in late 2007/early 2008 according to a standardised examination protocol. The results were analysed with Statistica 7.1 software.Results:1. There was a clear correlation between cervical spine position in the frontal plane and the ability to lift the head (p=.035). 2. There was a significant correlation between the presence of a deviation of the lumbar spine in the frontal plane and the ability to lift the head in a proper manner (p=,035). 3. Shoulder protraction influenced inappropriate forearm support patterns in a non-significant manner. Conclusions:1. The postural parameters that significantly influence the development of motor function are the position of the cervical and lumbar spine in the frontal plane. 2. Spinal shape influences the motor ability of children with cerebral palsy.
Key words:
body posture, motor activity, cerebral palsy
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Ocena zmian przeciążeniowych kręgosłupa lędźwiowego pracowników o siedzącym charakterze pracy

Magdalena Zygmańska, Anna Błaszczyk, Katarzyna Wegner, Włodzimierz Samborski, Małgorzata Ogurkowska

M. Zygmańska, A. Błaszczyk, K. Wegner, W. Samborski, M. Ogurkowska – Assessment of overload changes in the lumbar spine of employees with sedentary nature of work; Fizjoterapia Polska 2018; 18(1); 62-73

Abstract

Objective. The objective of the study was to specify the lumbar spine overload changes in women and men working in a sitting position and to establish when the feeling of discomfort intensifies.
Static position for a long periods of time leads to lumbar spine overload changes. Apart from professional risk factors, sedentary lifestyle also has a tremendous impact on degenerative changes in intervertebral discs.
Material and Methodology. A survey was conducted among 62 office employees, 29 women and 33 men aged 23-61, from a selected corporation, who experienced lumbar pain episodes. The survey was based on the subjective part of the McKenzie method test supplemented with an anthropometric part.
Results. Lumbar pain was reported by 84% percent of the subjects, with the somatic symptoms gender-differentiated and co-occurrence of neck and lumbar pain/discomfort. The pain intensified proportionately to the subjects’ age and when performing professional duties.
Conclusion. Although there are reports on the development of overload changes, sedentary work continues to cause back pain. Cervical and lumbar discomfort is indicative of compensation. An inappropriate sitting position is the reason for accelerated development of overload changes and the related pain.

Key words:

spine, low back pain, musculoskeletal system, work ergonomics, occupational risk

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