Author: Marcin Krajczy, Edyta Krajczy, Ewa Gajda-Krajczy, Bartosz Frydrych, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak

Evaluation of effects of kinesiotaping with use of the intelligent fourier M2 neurological robot in patients with hemiparesis

Marcin Krajczy, Edyta Krajczy, Ewa Gajda-Krajczy, Bartosz Frydrych, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak

M. Krajczy, E. Krajczy, E. Gajda-Krajczy, B. Frydrych, K. Bogacz, J. Łuniewski, J. Szczegielniak – Evaluation of effects of kinesiotaping with use of the intelligent fourier M2 neurological robot in patients with hemiparesis; Fizjoterapia Polska 2018; 18(1); 32-48

Abstract

Purpose. The purpose of the study is to assess the effects of dynamic taping (DT) using a smart neurological robot Fourier M2 in patients after cerebral stroke with hemiparesis.
Materials and methods. The study included 28 patients (10 women and 17 men, average age: 63, 48) after ischemic cerebral stroke with hemiparesis (14 left-sided, 13 right-sided) who expressed their informed consent for participation in the study. The patients were divided into groups using the ALEA software, with its own randomization algorithm, into group TG and CG – 14 participants in each. In order to conduct the study, there was used the Fourier M2 smart rehabilitation robot designed for diagnostics and therapy of upper limbs.
Results and conclusions. The study demonstrated statistically relevant effects on the 1st, 3rd and 4th day of the study in the form of a percentage improvement in active movement in the TG group as a result of application of dynamic taping.
The assessment of the remaining study results demonstrated both the effects of dynamic taping and the effects of the therapy with the use of a neurological robot in patients after cerebral stroke with hemiparesis. The assessment of those effects showed the therapy effects were comparable in both groups.
The Fourier M2 smart robot is s useful and objective tool for diagnostics, therapy and assessment of the effects of physical therapy in patients after cerebral stroke with upper limb dysfunction.

Key words:
kinesiotaping, neurological robot, fourier M2, cerebral stroke, hemiparesis

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Magnetostimulation in the treatment of chronic wound after removal of muscle peroneus longus as a traffic accident consequence – case report

Jarosław Pasek, Tomasz Pasek, Grzegorz Cieślar, Aleksander Sieroń

J. Pasek, T. Pasek, G. Cieślar, A. Sieroń – Magnetostimulation in the treatment of chronic wound after removal of muscle peroneus longus as a traffic accident consequence – case report; Fizjoterapia Polska 2018; 18(1); 26-31

Abstract

Undoubtedly, the ever frequent use of physical medicine methods in many fields of medicine is a fact. A wide spectrum of procedures enables instituting suitable treatment, reducing treatment time, as well as social and economic costs of treatment. The above applies to pathological states and injuries of the locomotor system, soft tissues, as well as chronic wounds. The pharmacological treatment applied proves to be insufficient, costly, and lengthy in many cases. The paper reports positive result of treatment of a 17-year old patient with persistent chronic wound after removal of long fibular muscle (due to its necrosis) in the right leg, as consequence of a traffic accident. In the treatment, magnetostimulation (variable magnetic field) procedures were applied for 12 weeks, leading to complete healing of the surgical wound. The wound healing allowed the patient to move about unaided (without elbow crutches, feeling no pain), while the positive outcome of treatment enhanced the patient’s quality of life. Physiotherapeutic methods commenced on admission to the complex treatment in patients on dermatology ward conduct to total healing wound.

Key words:
traffic accidence, magnetic fields, treatment, magnetostimulation

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Evaluation of the effects of dynamic taping in changing the selected motor characteristics in hypermobile dancers

Marlena Skwiot, Zbigniew Śliwiński

M. Skwiot, Z. Śliwiński – Evaluation of the effects of dynamic taping in changing the selected motor characteristics in hypermobile dancers; Fizjoterapia Polska 2018; 18(1); 14-24

Abstract

Introduction. Dynamic taping is enjoying ever-growing popularity as an effective aid for treating injuries both in professional and non-professional dancers. The aim of the study was to evaluate the effectiveness of the application of dynamic taping in improving the selected motor characteristics in hypermobile dancers. Materials and methods. The study included a total of 46 female concert dancers between 18 and 25 years of age (M = 20.06, SD = 2.67), specialized in jazz dancing, who had been diagnosed with joint hypermobility syndrome using the Sachs scale. Within the examined group, dynamic taping was applied following the screening tests, and the applications were changed three times (every 7 days) during the therapy. The observed changes in motor characteristics were assessed using the muscle flexibility tests, the muscle strength measurements performed with a dynamometer and the hip joint mobility measurements carried out with a digital inclinometer. Results: The application of dynamic taping produced statistically significant results in the restoration of normal muscle flexibility. The analysis results confirmed the effectiveness of applying dynamic taping in increasing muscle strength as well as active mobility range of the hip joint in dancers (p < 0.05). Findings: The multidisciplinary physical therapy of dancers should include a variety of techniques and methods, with particular emphasis on the appropriate selection of dynamic taping applications. The increase in muscle tone with the simultaneous increase in the active mobility range of the hip joint and the reduction of subjective pain sensation confirm the beneficial impact of dynamic taping on the changes of motor characteristics related to the joint hypermobility syndrome.

Key words:
dancing, hypermobility, dynamic taping

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Comparison between the effectiveness of therapy using a high-frequency electromagnetic field and the therapy using ultrasound waves in the degenerative and overload diseases of the locomotor system

Lidia Kościelny, Krystyna Stanisz-Wallis, Bożena Latała, Magdalena Wilk-Frańczuk

L. Kościelny, K. Stanisz-Wallis, B. Latała, M. Wilk-Frańczuk – Comparison between the effectiveness of therapy using a high-frequency electromagnetic field and the therapy using ultrasound waves in the degenerative and overload diseases of the locomotor system. Fizjoterapia Polska 2018; 18(1); 6-13

Abstract

Objective. The objective of this study is to assess the effectiveness of treating degenerative diseases of the locomotor system using a high-frequency electromagnetic field in comparison with ultrasound treatment.
Materials and methods. 77 people aged 42-84 with exacerbation of pain ailments and limitation of motor skills resulting from degenerative diseases, were qualified for the study. The patients were divided into 3 groups. The following procedures were performed in group I (27 persons): cryotherapy, laser therapy and kinesiotherapy. The following procedures were performed in group II (27 persons): cryotherapy, laser therapy, ultrasounds and kinesiotherapy. The following procedures were performed in group III (23 persons): cryotherapy, laser therapy, high-frequency electromagnetic field, kinesiotherapy. The procedures were performed for 10 days in all the groups. There was applied the motor skill assessment survey and pain assessment. The tests were performed on the 1st and 10th day of the procedures.
Results. In each group, the treatment applied occurred to be effective, which was statistically relevant. In group III, the median difference was highest. Similarly, the change in pain was most significant in group III, the therapy using an electromagnetic field occurred most effective.
Conclusions. A significant difference between the initial and final pain was noted in the 3 tested groups. A significant difference in the level of pain appeared in the 3 tested groups. The higher effectiveness of electromagnetic field therapy was demonstrated.

Key words:
rehabilitation, degenerative lesions, physical therapy

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Assessment of differences in body fat of the persons playing handball in grades 1, 2 and 3 of junior secondary school, depending on the level of training and physical fitness

Marek Woszczak, Katarzyna Bogacz, Katarzyna Syrewicz, Marcin Szczepanik, Jan Szczegielniak

M. Woszczak, K. Bogacz, K. Syrewicz, M. Szczepanik, J. Szczegielniak – Assessment of differences in body fat of the persons playing handball in grades 1, 2 and 3 of junior secondary school, depending on the level of training and physical fitness. FP 2017; 17(4); 84-105

Abstract

The physiology of physical effort is based on diagnosing how physical activity, effort or sports affect the proportions or activity of a human body. A training programme or effort of the given group, e.g. boys training handball while studying in a lower secondary school, may consist in improving the health and functioning of a body and increasing the level of sports fitness.
The objective of the study was to assess the level of body fat of people training handball, depending on their level of training, physical fitness and age.
The study covered a group of 83 boys studying in the 1st, 2nd and 3rd grades of lower secondary school. The study applied the International Physical Fitness Test. It was also necessary to take body measurements necessary for calculating such indices as: Body Mass Index (BMI), Slenderness Index (SI), Rohrer’s Index (RI) and the Waist Hip Ratio (WHR). The assessment of body fat of the students was based on the measurements of skinfolds.
The best results in terms of BMI were demonstrated by 3rd grade students – 85.71% had correct body weight. In the measurement of waist size of the eldest students, the standard deviation was lowest, which demonstrates lower diversity of results among the boys from the 1st and 2nd grade. When measuring the skin folds, it was noted that the results were higher over age. The International Physical Fitness Test demonstrated that the eldest boys had better general results than the younger ones.
All the tested boys demonstrated a higher than average level of fitness. The level of physical fitness improves with age. However, for the purpose of obtaining more authoritative research results, more people should be tested.

Key words:
body fat, handball, junior secondary school, physical fitness

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Anxiety among therapists working with children with autism

Paweł Wieczorkowski, Natalia Habik, Zofia Śliwińska, Zbigniew Śliwiński

P. Wieczorkowski, N. Habik, Z. Śliwińska, Z. Śliwiński – Anxiety among therapists working with children with autism. FP 2017; 17(4); 76-82

Abstract

Introduction. The anxiety among the therapists working with the children diagnosed with autism is associated with the fear and concerns associated with planning and conducting the therapeutic process. The objective of the study is to analyse the situations in which therapists experience discomfort and anxiety during classes and exercises with the persons diagnosed with autism. The studies conducted included observations of the causes of anxiety behaviours, the degree of their intensity and elimination.
Materials and methods. The analysis covered 16 therapists working in the Polish Autism Society. The research was conducted from December 2014 to January 2015. The therapists were aged between 22 and 45. The research made use of a diagnostic survey conducted using questionnaires.
Results. The most frequent symptoms of anxiety among the therapists working with autistic children are nervousness and higher heart rate. The best way of handling anxiety is relaxation. The most frequent cause of anxiety among the therapists working with autistic children is physical and verbal aggression demonstrated by children and absence of effects of work.
Conclusions. An important think to remember when working with autistic children is that work problems should not be brought home. The point is to eliminate occupational burnout. An important element that eliminates anxiety is finding the time for relaxation.

Key words:
autism, children, therapy, anxiety

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Effects of cognitive exercise therapy on upper extremity function in stroke patients – A case study

Joanna Pawełczyk, Katarzyna Adamczewska, Jacek Lewandowski

J. Pawełczyk, K. Adamczewska, J. Lewandowski – Effects of cognitive exercise therapy on upper extremity function in stroke patients – A case study. FP 2017; 17(4); 70-75

Abstract

Purpose. The purpose of this study was to evaluate the effects of cognitive exercise therapy on upper extremity function in a female stroke patient.
Materials and methods. The study was conducted on a 76-year-old female patient who suffered an ischemic stroke and exhibited severe left-sided hemiparesis. The patient underwent a 6-week therapy regimen based on the cognitive exercise treatment method, with 3 therapy session each week. Therapy progress was evaluated every two weeks using the Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES).
Results. The patient showed motor function improvement on all MESUPES subscales. The overall progress was 31%. The highest rate of improvement (45%) was recorded on the first part of the scale (MESUPES I), which evaluated general movements. In the second part, the patient showed a 25% improvement in joint mobility and a 17% improvement in coordination.
Conclusion. The cognitive exercise therapy proved to be an effective treatment for improving upper extremity function of the patient.

Key words:
neurorehabilitation, stroke, Perfetti method, cognitive exercise therapy

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Cryotherapy as Part of the Post-Stress Disorder Rehabilitation Complex

O.A. Panchenko, Zbigniew Śliwiński

O.A. Panchenko, Z. Śliwiński – Cryotherapy as Part of the Post-Stress Disorder Rehabilitation Complex. FP 2017; 17(4); 62-68

Abstract

Aim. The aim of our investigation is to estimate cryotherapy and complex rehabilitating procedures effectiveness for the patients who suffer of some post stress disorders. The aim of psychotherapeutic treatment for PSD suffering patients is to relieve such patients from some traumatic event intrusive memories and following emotional pains. Every patient should have got possibility to be involved in present day social and economic activities.
Material and methods.
Research approaches and materials: the clinical and experimental psychological investigations have been conducted with 114 patients, who suffered of various post stress disorders on the basis of psychoneurological department of the State Institution “Scientific Practical Medical Rehabilitating Diagnostic Centre of the Ukrainian Health Ministry” Konstantinivka city, Donetsk region, Ukraine. The main (experimental) group consisted of post stress disorders suffering patients. This group consisted of 74 patients, who, along with corresponding medical treatment according to the clinical medical treatment protocol, attended course of general extreme air cryotherapy (GEACT). The control group consisted 70 patients.
The equipment to create extreme low temperature (beneath -100°С), was cryochamber “Cryo Therapy Chamber” Zimmer Midizin Systeme (Germany). It was possible to treat the patients both individually and in groups (3-4 persons). All the procedures were conducted according to O.A. Panchenko’s methodology. The patients had been selected according to inclusion-exclusion criteria. All the patients were volunteers, they were properly informed about extremely low temperature influences and about such medical investigation conditions.
Conclusions.
Today, cryotherapy is widely spread in various fields of medical science. This methodology constant technical improvement and any side effects absence promote this methodology to be popular around the Globe. General extreme air cryotherapy is an ideal model of psychophysiological stress. As a result, patients’ psychophysiological and psychological conditions improvements have been observed.

Key words:
cryotherapy, post-stress disorders, rehabilitation complex

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The use of Rehabilitative Ultrasound Imaging (RUSI) and sonofeedback in the assessment of the activity of transversus abdominis muscle

Katarzyna Michalak, Beata Czechowska, Tomasz Wolny, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska

K. Michalak, B. Czechowska, T. Wolny, S. Motylewski, E. Poziomska-Piątkowska – The use of Rehabilitative Ultrasound Imaging (RUSI) and sonofeedback in the assessment of the activity of transversus abdominis muscle. FP 2017; 17(4); 50-61

Abstract

Purpose. The purpose of the study was to evaluate thickness and symmetry of Transversus Abdominis muscle (TrA) during rest and activation with the use of Rehabilitative Ultrasound Imaging (RUSI) and the assessment of sonofeedback effectivness in learning and control of TrA activity.
Material and methods. The study was conducted on 28 healthy subjects (17 women and i 11 men) aged 19-22 years (mean 21±1,08 years). The subjects undergone RUSI assessment considering thickness of TrA in rest and during contraction. Basing on results the Activation Ration and Percent of Muscle Change were calculated.
Results. Mean thickness of TrA in rest was 3,19 mm among women and 4,37 mm among men. During controlled activity thickness of TrA increased by 69% on right side and by 64% on left side and respectively by 70% and 64% among men. The results showed a significant difference in TrA thickness between right and left side at rest and during contraction among men. During sonofeedback recorded thickness of TrA was significantly higher comparing to results without control of sonofeedback. TrA activity was lower in the group with low back pain and it was 64%, while in pain-free group the activity was 72%.
Conclusions.
1. RUSI is an effective method to evaluate the morphology and activity of the Transversus Abdominis muscle at rest and during controlled activation;
2. The decrease in thickness and activity impairment of TrA is related to the occurrence of low back pain;
3. The use of sonofeedback enables significant improvement in activation and equalization of TrA asymmetry.

Key words:
Rehabilitative Ultrasound Imaging, RUSI, functional diagnostic, transversus abdominis, muscle activity

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Evidence-based physiotherapy practice in Lithuania: attitudes, application, and barriers

Grazina Krutulyte, Egle Lendraitiene, Daiva Petruseviciene, Ieva Piezaite, Marek Kiljański

G. Krutulyte, E. Lendraitiene, D. Petruseviciene, I. Piezaite, M. Kiljański – Evidence-based physiotherapy practice in Lithuania: attitudes, application, and barriers. FP 2017; 17(4); 42-49

Abstract

Background. No research has been done in Lithuania regarding the knowledge and attitudes of physiotherapist relative to the use of evidence in practice. WCPT policy statement indicate that physiotherapist are responsible for the application of scientific evidence in practice and have to ensure that the treatment of patients is based on the best available evidence. Scientific evidence has to be combined with clinical experience, taking into consideration the patients’ beliefs, values, environment, and needs.
The aim of the study was to analyze the attitude of Lithuanian physiotherapist towards EBP practice and its application.
Methods. The study used 37 item “EBP Questionnaire”. Using this questionnaire, a randomized survey of physiotherapists practicing in Lithuania was performed.
Results. The final sample size was 229 subjects (response rate – 78%). The majority of the respondents demonstrated a positive attitude towards EBP and guidelines: 93.2% of the surveyed physiotherapist in Lithuania stated that the application of EBP is necessary, and 90.4% of the respondents stated that EBP guidelines are important in clinical practice. The majority of physiotherapists agreed that EBP helps to make decisions in the choice of treatment. Less than one-half of the respondents stated that they read 2 to 5 scientific articles related to their clinical practice per month. One-third of the respondents indicated that the treatment techniques they applied weren’t based on clinical evidence. The most common barrier to the implementation of EBP was a lack of time (29.9%).

Key words:
Evidence-based practice, physiotherapy

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