The low-frequency alternating magnetic field prevention of osteoporosis

Włodzisław Kuliński, Andrzej Misztela, Tomasz Rybak, Józef Mróz

Włodzisław Kuliński, Andrzej Misztela, Tomasz Rybak, Józef Mróz – The low-frequency alternating magnetic field prevention of osteoporosis. Fizjoterapia Polska 2001; 1(3); 268-270

Abstract

Background. Osteoporosis is one of the most importance diseases of contemporary civilization, diagnosed in over 25% of women and 10% of men over the age of 60. This article describes the negative impact of the growth of civilization on the development of osteoporosis. Recommendations are given for proper nutrition. The article also discusses the mechanisms governing the potential impact of physical exertion, one of the strongest stimuli of osteogenesis, on the prevention of osteoporosis. The authors suggest the possibility of preventing osteoporosis by daily exposure, 15-20 minutes long, ultraviolet light in patients with risk factors caused by the use of drugs (steroids). This article evaluates the therapeutic efficacy of a low-frequency alternating magnetic field (LFAMF) in the prevention of bone mass loss in patient’s long-term steroid treatment. Material and methods. Our research involved 25 men with chronic obturative pulmonary disease (COPD) receiving long-term steroid therapy. The patients were administered a program of LFAMF therapy, receiving 2-3 month-long treatment courses within a one-year period. Before and after LFAMF therapy the patients were evaluated for the degree of pain intensity and the number of COPD exacerbations, and their BMD and T-scores were compared densitometrically. Results. In all patients after two years of treatment we found less pain, a more than two-fold reduction number in the number COPD exacerbations, and increased bone mass.

Key words:
low-frequency alternating magnetic field, Osteoporosis, prophylaxis
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Problems in physico- and physiotherapy of patients in the course of HIV infection and AIDS infection

Włodzisław Kuliński, Anna Muszyńska, Jerzy Kruszewski

Włodzisław Kuliński, Anna Muszyńska, Jerzy Kruszewski – Problems in physico- and physiotherapy of patients in the course of HIV infection and AIDS infection. Fizjoterapia Polska 2002; 2(1); 68-70

Abstract
In 1989, the first case was diagnosed of the disease later called acquired immune deficiency syndrome (AIDS). According to WHO data, by the end of 1998 over 30 million persons around the world were known to be infected by the human immunodeficiency virus (HIV); every day 16,000 new cases of HIV infection are reported, and several million people have died of AIDS. In Poland, by the end of 1999 several thousand persons had been infected with HIV, of whom several hundred had been diagnosed with AIDS. From the moment of infection to the full development of the disease takes about ten years. AIDS is spreading on an epidemic scale. Pharmalogical treatment is imperfect and only serves to slow the progress of the infection and delay the onset of AIDS. In the development of the disease we observe the appearance of changes in the central and peripheral nervous systems, caused directly by the action of the virus and by the worsening impairment of cell immunity. Multi-focal leukoencephalopathy is found in the brain, and in the peripheral nervous system there are symptoms of sensory polyneuropathy, followed by demyelinating neuropathy and symptoms of damage to multiple peripheral nerves. In practice, peripheral neuropathy occurs in conjection with subacute encephalitis and paresis of the cranial nerves, primarily V, VII and VIII. Lesions in the vicinity of the spinal cord cause weakening of muscle strength, sphincter disorders, and progressive plegia of the limbs. In many patients we also observe symptoms in the joints. In the physico- and physiotherapeutic treatment of these patients we recommend variable low-frequency magnetic fields for subacute encephalitis with involvement of the cranial nerves (the article specifies the parameters for the procedures and the exposure time, also for patients with symptoms of peripheral neuropathy and limb plegia). The possibilities of selective physicotherapy by other means is discussed. Physical therapy procedures are also presented in the course of joint disorders, and kinesitherapeutic procedures are discussed. In the balance of the article the detailed rules for personal hygiene in handling these patients are discussed. The risk of transmitting HIV infection during physio- and physiotherapeutic procedures has been estimated at 5-10%. We have not had much experience in Poland with managing this group of patients. This article should be regarded as an attempt to raise problems which should be solved in cooperation.

Key words:
Physical Medicine, rehabilitation, prevention

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The PNF method in the treatment of intervertebral disc disease

Anna Olczak, Włodzisław Kuliński, Janusz Domaniecki

Anna Olczak, Włodzisław Kuliński, Janusz Domaniecki – The PNF method in the treatment of intervertebral disc disease. Fizjoterapia Polska 2008; 8(3); 241-252

Abstract
Background. Low back pain syndromes are a social and medical problem affecting 40-50% of the population. The most common cause of low back pain syndromes is changes within the intervertebral disc. The abnormalities may affect the stability of the motion segment. The aim of this work is an analysis of the application of selected procedures of the PNF method and McKenzie method in the treatment of 1st-, 2nd- and 3rd- degree L4/L5 or L5/S1 intervertebral disc injury. Material and Method. Patients were divided into two homogeneous groups. The experimental group (30 people) was subjected to exercises according to the PNF and McKenzie methods and the control group (30 people) utilised only McKenzie exercises. Treatment efficacy was estimated during and on completion of the treatment, and 6 months after completion on the basis of the pattern of pain, range of motion in the sagittal plane, evaluation of the strength of trunk flexors and extensors and the rate of relapse. The results were subjected to a statistical analysis. Results. There was more rapid pain reduction, improvement of range of motion, strength and fewer relapses in the experimental group. The positive effects of the treatment were sustained over the six-month follow-up. Conclusion. The combined application of the two methods in the experimental group was associated with superior efficacy compared to the control group.
Key words:
intervertebral disc disease, treatment, PNF method
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Evaluation of physiotherapeutic management of patients with multi-level cervical discopathy after interbody implant surgery

Włodzisław Kuliński, Wojciech Haładyna, Arkadiusz Wilk, Jan Podgórski, Marzenna Bazan, Józef Mróz, Paweł Leśniewski

Włodzisław Kuliński, Wojciech Haładyna, Arkadiusz Wilk, Jan Podgórski, Marzenna Bazan, Józef Mróz, Paweł Leśniewski – Evaluation of physiotherapeutic management of patients with multi-level cervical discopathy after interbody implant surgery. Fizjoterapia Polska 2010; 10(2); 149-155

Abstract
Cervical discopathy is a serious medical and social problem. Displacement of the intervertebral disc into the vertebral canal compresses spinal nerve roots and/or the spinal cord. Cage fusion and the implantation of a mobile disc prosthesis have recently been introduced in surgery. The aim of the study was to assess the effectiveness of physiotherapeutic management of patients with multi-level cervical discopathy treated by microdiscectomy and cage fusion. A group of 23 patients was followed up over six weeks, including 20 patients after two-level surgery (Group A) and 3 after three-level surgery (Group B). The progress of rehabilitation was evaluated on the basis of :- muscle strength (Lovett test), – range of motion, – regression of pain (VAS scale) and paraesthesiae. In Group A, neck pain disappeared in 18 patients, and paraesthesiae in the upper limbs disappeared in 12 patients; 14 patients fully recovered muscle strength in the limbs, and 16 patients recovered the full range of motion in the shoulder joints. In group B, two patients reported regression of the neck pain, one fully recovered muscle strength, and two recovered the full range of motion in the shoulder joints. Conclusions1. The physiotherapy of patients with multi-level cervical discopathies following cage fusion surgery was an effective adjunctive treatment in this group of patients. 2. Early institution of appropriate procedures may result in full motor recovery
Key words:
cervical discopathy, implants, physiotherapy
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Physiotherapy following hip arthroplasty: treatment analysis

Włodzisław Kuliński, Rafał Pilichowski

W. Kuliński, R. Pilichowski – Physiotherapy following hip arthroplasty: treatment analysis. Fizjoterapia Polska 2020; 20(5); 30-42

Abstract

Background. Hip osteoarthritis (HOA) is an important clinical and social problem and is considered a civilisation disease. HOA is a chronic condition causing joint cartilage damage. Its symptoms increase slowly, resulting in considerable limitations in hip joint mobility and severe pain. Advanced degenerative changes constitute one of the main indications for arthroplasty.
Aim. To assess the effects of hip arthroplasty and physiotherapy on patient functioning.
Material and methods. The study was conducted in a group of 30 patients after arthroplasty procedures at the Regional Polyclinical Hospital in Kielce in 2019. The patients completed WOMAC survey questionnaires twice, before and after rehabilitation.
Results. All patients showed a considerable improvement in physical performance and reported resolution of pain during everyday activities.
Conclusions. Arthroplasty and comprehensive rehabilitation performed in the study patients improved the ranges of motion in the hip joints, which contributed to improvements in gait, functioning, and physical performance, and to a significantly better quality of life.

Key words:
hip osteoarthritis, arthroplasty, physiotherapy
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Wpływ hipoterapii na wybrane czynniki fizyczne i psychiczne u dzieci z autyzmem

Włodzisław Kuliński, Łukasz Bomba

W. Kuliński, Ł. Bomba – The effect of hippotherapy on children with autism – physical and psychological factors. Fizjoterapia Polska 2020; 20(3); 142-156

Streszczenie
Wstęp. Autyzm jest uznawany za zaburzenie rozwojowe, prawdopodobnie determinowane biologicznie i przejawiające się w różnych sferach funkcjonowania dziecka.
Cel. Celem badań była ocena wpływu rocznej hipoterapii na funkcjonowanie fizyczne i psychiczne u dzieci z autyzmem w wybranych obszarach.
Materiał i metody. Rodzice i dzieci chore na autyzm w wieku 5–7 lat, którzy w ostatnich 2 latach przebyły terapię z wykorzystaniem hipoterapii. W celu dokonania oceny wpływu rocznych oddziaływań wychowawczo-edukacyjnych na poszczególne sfery rozwojowe dzieci z autyzmem skorzystano ze zmodyfikowanej skali PEP-R, uzupełnionej kwestionariuszem własnej konstrukcji na temat cech demograficzno-społecznych oraz w zakresie przebiegu choroby. W analizie statystycznej stosowano test t-Studenta oraz współczynnik korelacji Pearsona. Za statystycznie znamienne przyjmowano te wyniki testów, dla których poziom istotności był mniejszy lub równy 0,05 (p < 0,05).
Wyniki. W toku rocznego procesu terapeutycznego z wykorzystaniem hipoterapii nastąpiła poprawa w rozwoju motoryki i reakcji emocjonalnych u dzieci z autyzmem. Wysoka motoryka dzieci z autyzmem ma pozytywny wpływ na sferą emocjonalną. Niższy stopień autyzmu cechuje wyższy poziom funkcjonowania fizycznego i psychicznego dzieci z autyzmem niż dzieci z umiarkowanym i dużym stopniem autyzmu.
Wnioski. Hipoterapia jest jednym z obszarów terapii osób z autyzmem.
Słowa kluczowe:
autyzm, leczenie, hipoterapia
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心机梗死后的患者理疗

Włodzisław Kuliński, Sylwia Pająk

W. Kuliński, S. Pająk – Physiotherapy in patients after myocardial infarction. Fizjoterapia Polska 2019; 19(4); 6-22

简介。心机梗死为现代文明的一项严重社会和健康问题,心脏康复在这些患者的治疗中占有重要位置。
目的。评估心机梗死后患者所进行康复治疗的有效性,及其对心血管和呼吸系统效能的影响。
材料。针对斯塔拉霍维采县立卫生保健中心的30名患者进行心脏康复治疗,为期三周。
根据作者的患者检验卡来分析治疗效果,该卡包括病历和体检两部分。病历部分包含个人访谈和病史,及以博格量表为模型的日常活动所花费精力的主观评估。体检方面进行每日血压和脉搏测量,于自行车测功机上训练前及训练后5分钟进行。在康复开始前和15天的康复期结束后进行因变量验证。
结果。康复治疗结束后,血液循环能持续适应增加的力,显示出收缩压和舒张压及心脏收缩的频率降低。
结论。
1. 实施心脏康复治疗对心机梗死后患者的效率改善有助益。
2. 首次训练后即观察到收缩压值降低,及心血管系统对精力付出增加的持续适应,从动脉和脉搏压力正常化可看出。
3. 所进行的康复疗程显示出对患者日常生活功能有正面影响。

关键词:
心机梗死、理疗

 

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运动疗法在腦癱 – 臨床方面理

Włodzisław Kuliński, Barbara Dulnik

W. Kuliński, B. Dulnik – Kinezyteraphy in the cerebral palsy – clinical aspects. Fizjoterapia Polska 2019; 19(3); 106-116

摘要
简介。小儿脑瘫(MPD)为在早期成长阶段永久性脑损伤所造成的运动和姿势障碍综合症,此为儿童残疾最常见的原因,其达成年后随时间推移而能力恶化。
目的在显示运动疗法对小儿脑瘫患者的重要性。
材料和方法。共20名在森德克工作疗法工作坊及拉库夫综合康复和健康推广中心接受运动改善课程的患者参与研究(其中有12名女性及8名男性,年龄在20至60岁之间)。患者的临床表现为:因上运动神经元及皮质脊髓束损伤所造成的运动及姿势障碍等症状。使用诊断调查问卷的研究方法,研究中使用的问卷涵盖受试者的生活及其功能性的相关为题及其对所进行的康复计划的评估。
结果。所获得的研究结果证实运动疗法对改善小儿脑瘫患者的重要性,定期的运动康复治疗对身体状况及日常生活功能性的改善均有助益。
结论。理疗使患者的功能性达到最高可能,并能防止疾病相关并发症的发展。

 

关键词:
小儿脑瘫、运动疗法

 

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艾滋病毒患者的物理治疗 – 病例说明、预防原则

Włodzisław Kuliński

W. Kuliński – Physiotherapy in HIV/AIDS infected patients – case presentation, principles of prevention. Fizjoterapia Polska 2018; 18(3); 6-10

摘要
前言。自1981年获得性免疫缺陷综合症(AIDS)首例被诊断出来,根据世界卫生组织数据显示,截至目前全球已有3千5百万人感染艾滋病毒。据估计,波兰约有35000名感染者,该疾病的进展包括中枢及周围神经系统和运动器官的变化,转诊进行物理治疗者包括下列症状:下肢麻痹、括约肌及协调功能障碍、持续性的关节疼痛等。
材料和方法。提出具有上述特定障碍类型的HIV感染患者的物理及康复程序,谈论预防为病患进行疗程的医护人员感染HIV的原则,并提出预防医护人员感染HIV的方法。
结论。预防原则的应用和及时采取预防行动可保护医护人员免于感染HIV。

关键词:
艾滋病毒/艾滋病感染、物理治疗、预防原则

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Fizjoterapia w ciężkich postaciach zespołu Guillaina-Barrego – demonstracja przypadków, analiza postępowania

Włodzisław Kuliński

W.Kuliński – Physical therapy in severe cases of Guillain-Barré syndrome – case presentation, management. Fizjoterapia Polska 2018; 18(2); 6-10

Abstract

Background. Guillain-Barre syndrome (GBS) is an acute neuropathy with an incidence ranging from 0.6 to 2.2 cases per 100,000. The aetiology of GBS has not yet been explained. 20% of GBS patients do not fully recover.
Material. The paper presents the clinical picture observed in two men with particularly severe GBS and the physical therapy and rehabilitation conducted in these patients.
Results. The patients were discharged from the Department of Rehabilitation after 6 and 18 months of treatment, respectively, and returned to work.
Conclusions. 1. Even though the course of GBS can sometimes be very severe, full recovery is possible. 2. Intensive physical therapy and rehabilitation should be conducted from the onset of the disorder, even if no improvement occurs over several months.

Key words:
Guillain-Barre syndrome, physical therapy and rehabilitation

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