Tag: Zbigniew Śliwiński

Gender Dimorphism of Postural Static Stability in Children 9 to 12 Years of Age

Marzena Wiernicka, Ewa Kamińska, Dawid Łochyński,
Elżbieta Hurnik, Łukasz Michałowski, Daniel Choszczewski, Piotr Kocur, Marta Flis-Masłowska, Zbigniew Śliwiński, Jacek Lewandowski

M. Wiernicka, E. Kamińska, D. Łochyński, E. Hurnik, Ł. Michałowski, D. Choszczewski, P. Kocur, M. Flis-Masłowska, Z. Śliwiński, J. Lewandowski – Gender Dimorphism of Postural Static Stability in Children 9 to 12 Years of Age. FP 2014; 14(2); 68-76

Abstract

Introduction. Equilibrioception – or sense of balance – is dependent on a number of features of the nervous system and motor system. A rotational sense of balance is fully developed at around 6 years of age; static and dynamic balance, however, is achieved at about 12 years of age.
Purpose. This paper aims to identify dimorphic differences of postural static stability in children of the same age range.
Research Material and Method. Material: The research group consisted of 450 children aged 9 to 12, comprising 235 girls and 215 boys. Research method: The measurement of the Centre of Pressure Sway Path length (mm) and the Sway Area size (mm2) with Eyes Open and Eyes Closed (EO/EC) using CQ-STAB device. The results have been subjected to statistical analysis.
Results. The results obtained did not present a normal distribution and therefore non-parametric tests were used for the calculations. The analysis shows that girls, when compared with boys, achieved significantly better results in static stability measured by determining both the Sway Path and the Sway Area of the COP, both in EO and EC conditions.
Conclusions. Research results analysis indicated a better postural static stability in females compared to male research participants. Gender differences were observed in the study in both Eyes Open and Eyes Closed conditions; this may indicate functional developmental variability of the central nervous system responsible for postural stability control in girls and boys.

Key words:
static stability, children, dimorphism

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The level of anxiety and the attitudes of physiotherapists towards mentally disabled children

Zbigniew Śliwiński, Justyna Wójcik, Małgorzata Starczyńska, Zofia Śliwińska

Z. Śliwiński, J. Wójcik, M. Starczyńska, Z. Śliwińska – The level of anxiety and the attitudes of physiotherapists towards mentally disabled children. FP 2014; 14(2); 40-50

Abstract

Aim: The aim of this paper is to analyse the attitudes of physiotherapists towards mentally disabled children and to analyse the influence of their attitudes on their anxiety level.
Method: The study comprised 67 respondents; 37 students of physiotherapy and 30 physiotherapists who work in special care centres. Both research groups were asked to fill out an STAI Questionnaire which determines the level of anxiety as a state and anxiety as a trait, as well as author’s original questionnaire (Scale of Attitudes of Physiotherapists Towards Mentally Disabled Children).
Results: Both research groups present positive attitudes towards mentally disabled children. The research indicates that a more positive attitude towards mentally disabled children is presented by physiotherapists who work in special care centres, as compared to the other research group. A higher level of anxiety as a state is experienced by the students of physiotherapy.
Conclusions: Anxiety may influence the attitudes of physiotherapists toward mentally disabled children. It may be inferred that the higher the score of assessment of positive attitude towards mentally disabled children, the lower the level of anxiety in physiotherapists and students of physiotherapy.

Key words:
anxiety, attitude, mental disability, physiotherapist

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Quality of life in patients with lumbar spinal pain

Zbigniew Śliwiński, Malwina Śliwa, Małgorzata Starczyńska, Wojciech Kiebzak

Z. Śliwiński, M. Śliwa, M. Starczyńska, W. Kiebzak – Quality of life in patients with lumbar spinal pain. FP 2014; 14(2); 26-39

Abstract

In recent years, increasing attention has been drawn to the need of a holistic approach to patients. Studies involving the measurement of the quality of life and taking into consideration not only the physical, but also emotional and spiritual aspects of well-being, have been conducted with increasing intensity over the last few decades. In case of disorders as common as spinal pain syndromes, the measurement of the intensity of pain is particularly important, as these diseases are a scourge for the developing societies. The goal of this study was to present and popularize data on the quality of life. The study included 38 subjects (23 females and 15 males) complaining of lumbar spinal pains. The study group was diverse in many aspects, including age distribution. The studies revealed different levels of quality of live impairment depending on the degree of impairment as the result of the disease. Conclusions based on the survey demonstrate the need to include the quality of life in the rehabilitation process. Measurements of the quality of life provide much information on the patient, their attitude to the disease as well as the rehabilitation process.

Key words:
quality of life, Roland-Morris low back pain questionnaire, low back pain, Oswestry Disability Index, Ferrans and Powers Quality of Life Index

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Analysis of statics of the pelvis in radicular and pseudoradicular syndrome of the lower part of the spine

Bartłomiej Halat, Paweł Jędrzejewski, Agnieszka Jędrzejewska, Anna Lipińska, Zofia Śliwińska, Zbigniew Śliwiński

B. Halat, P. Jędrzejewski, A. Jędrzejewska, A. Lipińska, Z. Śliwińska, Z. Śliwiński – Analysis of statics of the pelvis in radicular and pseudoradicular syndrome of the lower part of the spine. FP 2014; 14(2); 6-24

Abstract

Introduction. Radiculopathies and pseudoradiculopathies are the most common pain syndromes of the lumbar spine. This issue became a civilization disease and affects people of various ages. Goal. The goal of this work was to compare analgetic effectiveness of physiotherapy in radiculopathies and pseudoradiculopathies and to identify an association between syndromes of vertebral origin disorders of muscular elasticity as well as to assess the effects of therapy on pain-induced discomfort.
Material and methods. Study included 40 patients divided into two groups. Group A consisted of patients with radiculopathy, while group B comprised pseudoradiculopathy subjects. Muscle energizing techniques (MET), Hold Relax method and classical massage of musculofascial structures were applied in therapy. It also involved physiotherapeutic procedures (Interference currents, Tens, Iontophoresis, UD, Laser, Sollux). Results. Based on the Oswestry questionnaire it was determined that among group A patients level of disability was reduced by 38%, while in group B it decreased by 31%. In both study groups therapy contributed to reduction of pain measured in VAS scale by 58%. Lumbar spine mobility measured with Schober test increased by 11% in group A and by 5% in group B. Administered physiotherapy contributed to normalization of length and tension of musculoligamentous structures. Conclusions. Study results show that radiculopathies and pseudoradiculopathies affect the disorders of pelvic statics presenting with shortening of muscle fibers and increased activity of connective tissue structures in this region. Physiotherapeutic methods applied in treatment of radiculopathies and pseudoradiculopathies significantly reduce pain. Some techniques (MET) restore muscle elasticity, contributing to lessening of discomfort.

Key words:
statics of the pelvis, Piedallu’s sign, Oswestry questionnaire, normal values of muscle fiber length, VAS scale

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The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki,
Zbigniew Śliwiński, Maria Kłoda, Michał Sobstyl, Agata Kuźmicka

G. Brzuszkiewicz-Kuźmicka, S. Kuźmicki, Z. Śliwiński, M. Kłoda, M. Sobstyl, A. Kuźmicka  – The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas. FP 2014; 14(3); 66-75

Abstract

The objective of this study is to determine the impact of early physiotherapy on the dynamics of the recovery of the ability to perform daily activities, improvement in functional status, reduction in neurological deficits and change in the consciousness status in patients following surgical treatment of post-traumatic paracerebral hematomas.
The study material consisted of 86 patients undergoing surgical treatment of post-traumatic paracerebral hematomas. All patients were divided into two groups with the type of kinesitherapy performed as the main differentiating factor.
The grade of neurological deficit was assessed by the International Scale of Muscle Weakness, modified Barthel Index, and Rankin Scale, while consciousness was assessed on the basis of the Glasgow Coma Scale.
The return of lost function in patients undergoing rehabilitation according to selected PNF patterns and elements of Bobath therapy as compared to patients subjected to conventional kinesitherapy was characterized by better dynamics, particularly within the initial days, and progressed at a significantly higher rate. However, no relationship of this kind was observed for the recovery of consciousness. Patients have the highest potential for the return of lost functions in the early postoperative period (days 1-5).

Key words:
early physiotherapy, post-traumatic paracerebral hematomas, kinesitherapy

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The influence of cryogenic temperatures on the functional status of patients with lumbar spine pain syndrome

Ewa Demczuk-Włodarczyk, Beata Kurant, Marta Kopa-Szocińska, Zofia Śliwińska, Julita Juszyńska, Zbigniew Śliwiński

E. Demczuk-Włodarczyk, B. Kurant, M. Kopa-Szocińska, Z. Śliwińska, J. Juszyńska, Z. Śliwiński – The influence of cryogenic temperatures on the functional status of patients with lumbar spine pain syndrome. FP 2014; 14(3); 36-55

Abstract

Cryotherapy is one of the modern therapeutic methods in physiotherapy, in which the impact of cryogenic temperatures (-110ºC to -160ºC) on the human body is used.
Aim of the study.
The aim of this study is to evaluate the effect of cryogenic temperatures on the functional status of patients with lumbar spine pain syndrome.
Material and methods.
The study involved 40 patients with lumbar spine pain syndrome: 24 women and 16 men, from 35 to 55 years old. The patients were divided into two groups. There were patients who underwent systemic cryotherapy and 30-minute analytical kinesitherapy (study group) and patients who underwent only kinesitherapy (control group). The therapy lasted for 10 days. In the study, subjective methods (assessment of intensity of the experienced pain according to VAS scale, assessment of muscle strength according to Lovett scale) and objective methods (measuring the range of lumbar spine flexion – Schober’s test, measuring lumbar spine rotation) were used.

Key words:
systemic cryotherapy, lumbar spine pain syndrome

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The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis

Łukasz Kopacz,  Anna Lubkowska, Iwona Bryczkowska,
Danuta Lietz-Kijak, Zbigniew Śliwiński

Ł. Kopacz,  A. Lubkowska, I. Bryczkowska, D. Lietz-Kijak, Z. Śliwiński – The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis. FP 2015; 15(1); 6-14

Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients.
Material and method. The study group consisted of 50 of the patients. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before treatment was collected interview regarding comorbidities and examined pain according to VAS. In all patients performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis.
In assessing the two groups studied, both in the group with a diagnosis of osteoarthritis of the knee, as well as polyarticular osteoarthritis, and made a series of treatments local cryotherapy declared value level of pain on the VAS decreased. Considering the improvement by gender, it can be concluded that in women with a diagnosis of osteoarthritis of the knee improvement was much greater.
Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, gonarthrosis, knee joint

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Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders

Magdalena Gębska, Danuta Lietz-Kijak, Krystyna Opalko,
Ewelina Żyżniewska-Banaszak, Zbigniew Śliwiński, Marek Kiljański

M. Gębska, D. Lietz-Kijak, K. Opalko, E. Żyżniewska-Banaszak, Z. Śliwiński, M. Kiljański – Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders. FP 2015; 15(2); 60-67

Abstract

Introduction. In last years there has been considerable development of physiotherapy methods used in dentistry. Among them is the manual therapy as a_form of treatment of functional disorders of the stomatognathic system muscular origin. This method is still very popular among dentists. This is because a_small number of literature, and a_small amount of physiotherapists involved in manual therapy in order to eliminate the symptom of pain.
Aim of the study. determined the effect of relaxing and analgesic masseter muscles under the influence of the use of manual therapy.
Material and methods. study was performed in 20 females, aged from 40 to 45  pain diagnosed as a_disorder of the stomatognathic system. In patients conducted physical examination and clinical examination, electromyographic study of masseter muscles and pain assessment using the VAS scale. Then, the test group received manual therapy treatments.
Results. After completion of therapy and analysis of the results showed a_decrease in the electrical potentials studied muscle and decrease of the VAS scale

Key words:
stomatognathic system, manual therapy, electromyography, pain, VAS scale

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Physicodiagnostic amalysis of the ozonotherapy effectiveness on not afflicted craniofacial skin

Danuta Lietz-Kijak, Paulina Strzelecka, Elżbieta Kubala, Kamil Kosko, Aleksandra Simińska, Barbara Stępniak, Artur Perz, Łukasz Kopacz, Marta Grzegocka, Marek Kiljański, Zbigniew Śliwiński

D. Lietz-Kijak, P. Strzelecka, E. Kubala, K. Kosko, A. Simińska, B. Stępniak, A. Perz, Ł. Kopacz, M. Grzegocka, M. Kiljański, Z. Śliwiński – Physicodiagnostic amalysis of the ozonotherapy effectiveness on not afflicted craniofacial skin. FP 2017; 17(1); 46-55

Abstract
Aim. Evaluation the impact factor of therapeutic agent in the form of ozone application to temperature and feeling on superficial skin on facial part of the skull.
Material and Methods. The study included 60 patients, healthy, not taking any medication, aged 20 – 30 years old, 30 women and 30 men. Each time, before diagnostic tests, on cleansed skin determined 3 points: A – Supramentale, B – Chelion and C – projection of head of condylar process
of mandible on surface of skin. Then proceeded to double application of ozone – 30-and 60-seconds, in accordance with current standards for extraoral areas. Between the applications and measurements of sensation and temperature respected 15-minute break. Sensation measurement was carried out using PulpoEndometr device, and temperature was tested with laser pointer thermometer (CA 380). The last element was noticing sensations of pain using VAS scale.
Results. The results were analyzed using Statistica software.
Conclusions. 30-seconds of application in point. A woman pointing to the initial symptoms of analgesic, but in the general population can be seen only trailers that action. 60-seconds
of application at this point, and both applications in point. B showed a slightly increased sensitivity to stimuli. Different applications of ozone impact were noted in point. C, which was a slight decrease
in sensitivity to stimuli. It is worth noting that both applications of ozone in men at point C show some symptoms of analgesic.

Key words:
ozontheraphy, analgesia, feeling, temperature, OzonyTron

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The rehabilitation of patients after the cerebral stroke including socio-demographic factors

Marzena Kobylańska, Bartosz M. Wójcik, Renata Szczepaniak, Zbigniew Śliwiński

M. Kobylańska, B. M. Wójcik, R. Szczepaniak, Z. Śliwiński – The rehabilitation of patients after the cerebral stroke including socio-demographic factors. FP 2016;16(4);82-97

Abstract

Introduction. According to the World Health Organization, cerebral stroke constitutes the third largest cause of death just after heart disease and cancer. It is estimated that every year 4.6 million people die due to stroke, including 3.2 in developing countries and 1.2 in developed ones. It has been observed that the effectiveness of physiotherapy in patients after a stroke depends on biological factors but also on their socio-economic condition.
The dissertation goal. The goal of this dissertation is to analyze the role of socio-demographic factors in the process of physiotherapy for patients after a cerebral stroke.
Materials and methods. The research has been carried out at the neurological rehabilitation ward of the Wrocław Center for Rehabilitation and Sports Medicine. The research group consisted of 120 patients after cerebral stroke. The examination was conducted at two time intervals – on the first day of the patient’s treatment at the neurological rehabilitation ward, and after three weeks of rehabilitation. All the patients participated in the systematic physiotherapy, which is a standard procedure at the neurological rehabilitation ward, where they had a defined schedule of frequency and time of rehab. A full research cycle lasted for three weeks for every patient. The following methods were used in the research: Barthel Scale (Barthel Index, BI), Lawton Scale (Instrumental Activity of Daily Living (IADL), Rivermead Mobility Index (RMI), Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Generalized Self – Efficacy Scale (GSES), Acceptance of Illness Scale (AIS), and Visual Analogue Scale (VAS).
Results. Factors regarding the biological nature of the patient’s condition such as age, time since the stroke, type of stroke, and number of coexisting diseases have a definite impact on the low effectiveness of the physiotherapy conducted at the neurological rehabilitation ward. Socio-demographic factors, marital status, professional activity, and kind of job, also have an impact on the low effectiveness of the conducted physiotherapy.
Conclusions. Comprehensive rehabilitation of neurological patients after the cerebral stroke, taking into account socio-demographic factors is essential to achieve high effectiveness of physiotherapy.

Keywords:

stroke, physiotherapy, socio-demographic factors

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