Author: Jacek Polechoński, Jolanta Rojczyk-Chmarek, Kajetan Słomka

The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications

Jacek Polechoński, Jolanta Rojczyk-Chmarek, Kajetan Słomka

J. Polechoński, J. Rojczyk-Chmarek, K. Słomka – The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications. Fizjoterapia Polska 2019; 19(1); 76-85

Abstract
Aim. The paper introduces a self-designed manipulandum built to assess the parameters of motion at the metacarpophalangeal joint of the index finger. The reliability of movement precision measurements is presented; potential diagnostic applications have been discussed.
Material and methods. The study group comprised 43 young men. Movement precision was evaluated with a self-designed manipulandum. The task was to repeatedly touch the target using an isolated movement. Two parameters were assessed, ie., time and distance to target. Measurement reliability was estimated with intraclass correlation analysis.
Results. 25 to 30 movement repetitions were required to achieve reliable measurements. The findings also reveal that movement repetition might result in movement learning.
Conclusions. provided a large number of repetitions are performed, the manipulandum enables reliable assessment of movement precision. Repetition does not pose a problem since a single trial only lasts for1-1.5 s; furthermore, movement at the metacarpophalangeal joint does not cause fatigue. The conditions of movement tasks should be modified to minimize the effect of movement learning. We believe the device under test might be applied to early diagnosis of rheumatic or neurological disease leading to functional compromise of the hand.

Key words:
manipulandum, movement precision, rheumatoid arthritis, fine motor skills

 

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Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study

Meshanti Kumarasamy, Narasimman Swaminathan, Marek Kiljański, Zbigniew Śliwiński

M.Kumarasamy, N. Swaminathan, M. Kiljański, Z. Śliwiński – Compliance to home exercise program (HEP) among subjects under physiotherapy care: Report of a qualitative study. Fizjoterapia Polska 2019; 19(1); 70-74

Abstract
This study examined the extent of compliance towards HEP among subjects undergoing physiotherapy sessions in selected clinical settings. The findings of this study would provide insights on the perceived enablers and barriers that influence compliance towards prescribed home exercises.
Methodology. This qualitative inquiry study interviewed twenty subjects – 12 males and 8 females under physiotherapy care at various outpatient musculoskeletal rehabilitation at selected private hospitals and physiotherapy clinics located in the states of Kuala Lumpur and Negeri Sembilan of Malaysia. Subjects’ responses on the perceived opinions and experiences with prescribed home exercises were audio recorded through a semi-structured interview. The responses obtained were analysed further using keyword coding and content analysis.
Results and Analysis. Self-motivation, determination and commitments are the best-explored enablers for active involvement. Barriers that significantly lead to disengagement in home exercises among the participants of this study includes lack of time, work commitments, personal characteristics, disease nature or injury status and ineffective exercise prescriptions.
Conclusion. Content analysis of the recorded responses revealed that the predictors of compliance to home exercises is multifactorial. This study provides a baseline data for understanding the perceived enablers and barriers towards participation in home exercises; these findings will aid the health care professionals in implementing the measures to maximize compliance level among patients undergoing physiotherapy.
Highlights
• Compliance to home exercises are affected by various factors
• Lack of time, work commitments and injury status affect the home exercise compliance
• Self-motivation is the most important enabler for the compliance to HEP
• Nature of the disease affects compliance to HEP

Key words:
home exercise program, physiotherapy, musculoskeletal rehabilitation

 

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Characteristics of lateralization in children aged 5-7 years

Sylwia Potępa, Aleksandra Czaplińska, Alicja Salwach, Lawia Szkoda, Andrzej Szopa, Małgorzata Domagalska-Szopa

S.Potępa, A. Czaplińska, A. Salwach, L. Szkoda, A. Szopa, M. Domagalska-Szopa – Characteristics of lateralization in children aged 5-7 years. Fizjoterapia Polska 2019; 19(1); 60-68

Abstract
Autism spectrum disorder (ASD) represents an extensive class of symptoms manifested as deficiencies in such fields as communication, social development and stereotypical behavioural patterns. Autism symptoms appear in social interactions issues, mood disorders, somatosensory disorders, concentration problems. The conversion disorders are frequently diagnosed in autistic children. Maintaining the standing balance is an immensely important skill in the child’s development, which consists in controlling the centre of gravity over the support plane. Appropriate balance is necessary for successful performance of numerous daily actions. Retarded development of balance impedes the future motor development and affects the opportunity of the children’s involvement in interactions with peers.
The purpose of this paper was an impartial evaluation of balance skills in children with autism spectrum disorder.
Material and methods. 30 children 5-7 year-old with ASD, including 22 boys and 8 girls. Methods: The Scoring Form for Fullerton Advanced Balance (FAB) Scale test was used for evaluation of the balance.
Results. The lowest results were obtained in the tandem walk and stand on one leg test. The test results varied in specific age groups, however, the differences were not significant. Substantial differences were displayed in tandem gait test for specific age groups.
Conclusions. In children with ASD disorders in balance skills occur.

Key words:
lateralization, functional asymmetry, side dominance

 

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The influence of static splayfoot on body posture within knee joints and spine in children

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

DOI: https://doi.org/10.56984/8ZG0178mY

Abstract
Aim of work. The aim of this work was to assess body postures of primary school pupils and to assess the influence of static splayfoot on bad posture within lower limbs and spine.
Material and Methods. Research sample included 306 grade four pupils attending primary schools in Kluczbork municipal district. The research test were conducted at the turn of 2017 and 2018. The results gathered in the test were subjected to statistical analysis to determine correlations between particular body posture deformities. Correlation analysis was used to determine correlations between the assessed variables.
Results. The analysis of posture fault occurrence in the research population showed variables of statistical significance for spine curvatures, flat foot and cross knees. Additionally, knee joints flexion contracture was reported in one child.
Conclusions.
1. Bad body posture within lower limbs and spine are common among grade four pupils.
2. There is a strong correlation between splayfoot and deformities within knees and spine.

Key words:
Splayfoot, body posture, children, health

 

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The effects of Whole body vibration energy on bone mineral density in post-menopausal women: A systematic Review

Mohannad Hawamdeh, Zaid Modhi Mansour, Saad Al-Nassan, Ziad Hawamdeh, MohammadEtoom, FarisAlshammari, Abdul-Majeed R. Almalty, Shaden Albustanji

M. Hawamdeh, Z. Modhi Mansour, S. Al-Nassan, Z. Hawamdeh, M. Etoom, F. Alshammari, Abdul-Majeed R. Almalty, S. Albustanji – The effects of Whole body vibration energy on bone mineral density in post-menopausal women: A systematic Review. Fizjoterapia Polska 2019; 19(1); 46-50

Abstract
Aging increases the incidence of bone fractures due to the loss of bone mass especially with postmenopausal women Purpose. The aim of this systematic review is to re-evaluate the clinical trials done on the efficacy of WBV treatment of osteoporosis in postmenopausal women.
Approach. Data search and studies selection: The following databases Pub-Med, Medline, Science Direct and Google Scholar have been searched. The searches were conducted using the following key words: “Whole Body Vibration (WBV)”, “Osteoporosis,” “Post-Menopausal Woman,” “Bone Mineral Density (BMD).” Data Extraction: we extracted sample size, age, Study design, outcomes at baseline, whole body vibration details and the main findings.
Results. some studies showed that WBV increased bone mineral density, most studies showed that it hasn’t significantly increases bone mineral density in post-menopausal women.
Conclusion. we concluded that there is no consensus on the effects of WBV technique on bone mineral density.

Key words:
Osteoporosis, Aging, Fracture, Osteopenia

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Evaluation of balance in 5-7-year-old children with autism spectrum disorder

Alicja Salwach, Aleksandra Czaplińska, Sylwia Potępa, Małgorzata Domagalska-Szopa, Andrzej Szopa

A. Salwach, A. Czaplińska, S. Potępa, M. Domagalska-Szopa, A. Szopa – Evaluation of balance in 5-7-year-old children with autism spectrum disorder. Fizjoterapia Polska 2019; 19(1); 38-44

Abstract
Autism spectrum disorder (ASD) represents an extensive class of symptoms manifested as deficiencies in such fields as communication, social development and stereotypical behavioural patterns. Autism symptoms appear in social interactions issues, mood disorders, somatosensory disorders, concentration problems. The conversion disorders are frequently diagnosed in autistic children. Maintaining the standing balance is an immensely important skill in the child’s development, which consists in controlling the centre of gravity over the support plane. Appropriate balance is necessary for successful performance of numerous daily actions. Retarded development of balance impedes the future motor development and affects the opportunity of the children’s involvement in interactions with peers.
The purpose of this paper was an impartial evaluation of balance skills in children with autism spectrum disorder.
Material and methods. 30 children 5-7 year-old with ASD, including 22 boys and 8 girls. Methods: The Scoring Form for Fullerton Advanced Balance (FAB) Scale test was used for evaluation of the balance.
Results. The lowest results were obtained in the tandem walk and stand on one leg test. The test results varied in specific age groups, however, the differences were not significant. Substantial differences were displayed in tandem gait test for specific age groups.
Conclusions. In children with ASD disorders in balance skills occur.

Key words:
autism, balance, postural control

 

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Judo as an alternative rehabilitation method in multiple sclerosis

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

Abstract
Objective. To evaluate the efectiveness of training judo as a part of a physiotheraphy programme in MS patients
Materials and methodology. 4 female RR-MS patients, aged between 32 and 49, have taken part in a 8-week programme. Their condition was evaluated twice – before and after the therapy. Two surveys have been carried out: one prepared by the authors of the study and Multiple Sclerosis Impact Scale (MSIS-29). In order to evaluate the functional state the following methods have been used: Functional Reach Test, 10 m TW (Time Walking) test and the Lovett test (for the following muscles: rectus femoris, biceps femoris, rectus abdominis, deltoideus).
Results. After the therapy the most persisting ailments decresed considerably. The functional tests showed better results and the patients had a better phycological disposition.
Conclusions. Judo training improved both functional and psychogical condition of the patients in the rehabilitation group. The programme proved to be an alternative form of physiotherapy for MS patients.

Key words:
multiple sclerosis, physiotherapy, judo, physical activity

 

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Assessment of the effectiveness of therapy using TENS and interferential currents in patients with low back pain

Paulina Wójcik, Joanna Kałuża-Pawłowska, Patryk Kiljański, Marek Kiljański

P. Wójcik, J. Kałuża-Pawłowska, P. Kiljański, M. Kiljański
– Assessment of the effectiveness of therapy using TENS and interferential currents in patients with low back pain. Fizjoterapia Polska 2019; 19(1); 22-29

Abstract
Admission. Lower back pain is one of the most common problems associated with locomotor disorders. They are a serious medical problem, but also due to the prevalence of social and economic problems. Treatment of pain in the lower spine is a comprehensive treatment, includes kinesitherapy, physiotherapy and aims to reduce pain, inflammation and increased muscle tone.
Material and methods. The study involved a group of 60 people with pain in the lower spine. The subjects were divided into two equally 30-person groups. In both groups, physical treatments were used laser therapy and magnetotherapy. In addition, TENS was performed in the first group, while in the second group, interference currents were used. The study used a questionnaire, pain assessment on the VAS scale and the Schober test.
Objective. The aim of the study was to compare the effect of TENS currents and interference currents in terms of reducing pain and increasing the range of motion of the lower spine.
Results. The applied physical treatment had a positive effect on the patients’ condition. Statistical tests have shown a reduction in pain in patients and an improvement in the range of motion in the spine.
Conclusions. TENS currents are a more effective method in the treatment of lower back pain. The results of the research showed that the use of TENS currents allowed to obtain positive effects in the form of increasing the range of spinal mobility, all subjects in this group experienced a reduction in pain.

Key words:
lumbar spine, pain, TENS currents, interference currents

 

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The problem of difficult to heal wounds and pressure ulcers in physiotherapy

Beata Skolik, Paula Migała, Mariusz Migała

B. Skolik, P. Migała, M. Migała – The problem of difficult to heal wounds and pressure ulcers in physiotherapy. Fizjoterapia Polska 2019; 19(1); 6-20

Abstract
The paper presents the effectiveness of treatment of pressure ulcers and difficult to heal wounds with the use of phototherapy, more precisely polarized light, which is one of the elements of modern physical therapy, and thus physiotherapy. The aim of the work was to show the positive effect of polarized light on accelerating the healing process, tissue regeneration and improving the quality of life of a patient with a pressure ulcer with high exudate and a patient with non-surgical wound healing.
The lecture presents the effects of conducting therapy with the use of laser biostimulation and polarized light, in the case of a difficult to heal wound after dissection of sutures and polarized light in the treatment of sacral ulcer. The prophylaxis of prevention of the above-mentioned was discussed. phenomenon and the effect of laser therapy and phototherapy, using the Bioptron lamp, for tissue regeneration. There are considerations related to the limitations of the therapeutic process. Also presented are the consequences associated with slowing the patient’s return to full efficiency resulting from the formation of wounds as a therapeutic problem.

Key words:
bedsore, polarized light, treatment of bedsore, sacrum, hard to heal wounds

 

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The effect of massage with an electrostatic field of different frequency on the tension of selected skeletal muscles of the shoulder girdle

Patryk Kiljański, Joanna Kałuża-Pawłowska, Krzysztof Gieremek, Marek Kiljański

P. Kiljański, J. Kałuża-Pawłowska, K. Gieremek, M. Kiljański – The effect of massage with an electrostatic field of different frequency on the tension of selected skeletal muscles of the shoulder girdle. Fizjoterapia Polska 2018; 18(4); 138-158

 

Abstract
Objective of the work. The aim of the study is to show whether the electrostatic field massage has an effect on the fall in resting tension of the upper part of the trapezius muscle.
Material and methods. 20 people participated in the study, men and women aged 23-29. The subjects’ lifestyle was varied. The research group consisted of people practicing recreational sports, spending a lot of time in front of a computer or by reading books, as well as people doing casual work. All subjects were characterized by an active lifestyle.
The “Szirmai” myotonometer was used for measuring muscle tone. The Physiomed Deep Oscillation was used for massaging with the electrostatic field. The massage took place in two stages, each one with the use of a field with different frequency, respectively – 50 Hz (test No. 1) and 150 Hz (test No. 2). The interval between the tests was 2-3 weeks.
Results and conclusions. The research shows that electrostatic field massage has an effect on the muscle tone drop at both 50 Hz and 150 Hz. Statistically there was no significant difference in the reduction of muscle tone between 50 Hz and 150 Hz.

Key words:
massage, muscle tone, frequency, Deep Oscillation

 

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