Tag: Aleksander Sieroń

Modern possibilities of physiotherapy in the treatment of diabetes complications

Marlena Milka, Aleksander Sieroń, Jakub Adamczyk

Marlena Milka, Aleksander Sieroń, Jakub Adamczyk – Modern possibilities of physiotherapy in the treatment of diabetes complications –  Fizjoterapia Polska 2025; 25(5); 99-107

DOI: https://doi.org/10.56984/8ZGA431P6H9

Abstract
Introduction. Contemporary physiotherapeutic interventions in the management of diabetic complications encompass a broad spectrum of modalities, ranging from well-established procedures to innovative techniques such as laserobaric therapy. The physiotherapeutic methods discussed include mobilization, lymphatic drainage, oxygen therapy, laser therapy, magnetic field therapy, TECAR therapy, and Laserobaria 2.0_S. In addition, complementary therapeutic strategies are addressed, including orthotic insole selection, patient education, and the role of surgical and podiatric interventions in wound management.
Methods. This study is based on a narrative review with a selective and subjective appraisal of the literature sourced from PubMed and Google Scholar. The review includes peer-reviewed articles published between 2017 and 2024, as well as textbook literature published between 2005 and 2014.
Results. The review demonstrates the effectiveness of physiotherapeutic interventions in the management of diabetic complications. In particular, promising therapeutic outcomes associated with the Laserobaria 2.0_S device were identified in the treatment of chronic, non-healing wounds, including ulcers related to diabetic foot syndrome.
Conclusions. This review confirms the pivotal role of physiotherapy in the management of diabetic complications while simultaneously emphasizing the importance of adjunctive therapeutic procedures. It highlights the clinical relevance of manual therapy techniques, appropriate wound debridement, and physical therapy modalities. Furthermore, the findings indicate the therapeutic potential of laserobaric treatment in regenerative medicine, warranting further large-scale and controlled clinical investigations.
Key words
diabetes mellitus, diabetic complications, physiotherapy, diabetic foot syndrome, chronic wounds, laserobaric therapy
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Ultrasonography in physiotherapy and rehabilitation: A physiotherapist’s curriculum introduction.

Dominik Sieroń, Izabella Jabłońska, Maciej Kostrzewa, Dawid Lukoszek, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk, Aleksander Sieroń

 

Dominik Sieroń, Izabella Jabłońska, Maciej Kostrzewa, Dawid Lukoszek, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk, Aleksander Sieroń – Ultrasonography in physiotherapy and rehabilitation: A physiotherapist’s curriculum introduction. Fizjoterapia Polska 2023; 23(2); 104-111

DOI: https://doi.org/10.56984/8ZG0DF2DA

 

Abstract

Ultrasound examination (USG) is becoming more popular among physiotherapists. The term “rehabilitative ultrasound imaging” (RUI) refers to the use of USG in the rehabilitation process. An examination (ultrasound) is used in physiotherapeutic therapy to evaluate the tissue and function of the musculoskeletal system. The real image allows for accurate observation and stimulation of the necessary muscles during kinesiotherapy, while measurements track the treatment’s progress. Furthermore, the ultrasound examination aims to assist the physiotherapist in making an early diagnosis of dysfunctional aspects that may necessitate consultation with another specialty, thereby reducing medical errors. Preparing an educational program and conducting training in accordance with established standards and guidelines will allow physiotherapists to be adequately prepared to perform ultrasound examinations and dispel any doubts about a physiotherapist’s competence and the possibility of performing ultrasound examinations in a medical setting.

Key words: ultrasound, rehabilitation, physiotherapy, diagnostics

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Evaluation of the effect of whole-body cryotherapy on the circulatory system in patients with ankylosing spondylitis by analysis of duration and QT interval dispersion

Leszek Jagodziński, Agata Stanek, Joanna Gmyrek, Grzegorz Cieślar, Andrzej Sielańczyk, Aleksander Sieroń

Leszek Jagodziński, Agata Stanek, Joanna Gmyrek, Grzegorz Cieślar, Andrzej Sielańczyk, Aleksander Sieroń – Evaluation of the effect of whole-body cryotherapy on the circulatory system in patients with ankylosing spondylitis by analysis of duration and QT interval dispersion. Fizjoterapia Polska 2007; 7(3); 362-369

Abstract
Background. The aim of this study was to estimate the influence of whole-body cryotherapy on some selected parameters of the circulatory system. Material and methods. The investigation involved 7 male patients with ankylosing spondylitis. They were exposed to a cycle of 10 everyday 2 minute-lasting procedures of whole-body cryotherapy at a temperature of -130°C which was followed by subsequent kinesitherapy. Patients treated with drugs influencing the circulatory system and suffering from circulation and hormonal system disorders were excluded. During the day preceding the beginning of cryotherapy procedures and once more, after finishing whole-body cryotherapy cycle, echocardiography with calculation of left ventricle ejection fraction (LVET), record and analysis of heart rate variability (HRV), late ventricular potentials and QT dispersion were made. Results. No significant differences between ejection fraction, late ventricular potentials, QT dispersion values before and after the end of cryotherapy cycle were found. Whole-body cryotherapy evoked increase in total heart rate variability, which was statistically significant for most of the parameters in time analysis. Spectrum analysis showed statistically insignificant increase in spectrum power in the full range of analyzed frequencies. Conclusions. Long-lasting whole-body cryotherapy does not influence ejection fraction, late ventricular potentials and QT dispersion in patients without significant pathology of circulation. Cryogenic temperatures applied on the whole-body exerts beneficial influence of whole-body cryotherapy on adaptive processes of vegetative nervous system.
Key words:
whole-body cryotherapy, circulation system, ejection fraction, heart rate variability, late ventricular potentials, QT dispersion
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Physiotherapy management in geriatrics

Tomasz Pasek, Marcin Kempiński, Jarosław Pasek, Romualda Mucha, Aleksander Sieroń

Tomasz Pasek, Marcin Kempiński, Jarosław Pasek, Romualda Mucha, Aleksander Sieroń – Physiotherapy management in geriatrics. Fizjoterapia Polska 2007; 7(4); 455-464

Abstract
The important role of the physiotherapy in the treatment of elderly patients was recognized in the second part of the 21st century. Physiotherapy facilitates adaptation to the problems of the old age. Physiotherapeutic management includes the development of motor programmes which help elderly people to function normally and independently. Aging is a natural part of human life. Man’s role is to make it as comfortable as possible. Geriatric rehabilitation is concerned with treating elderly patients and keeping them fit, helping them to avoid some of the symptoms of chronic old age ailments. Nowadays age 65 is regarded as the beginning of old age. Some of the most characteristic features of this part of life are: difficulties in maintaining homoeostasis in the presence of stress stimuli, lower capability to carry out activities of daily living and reduced physical activity. In fact, elderly people are increasingly dependent on the help of others. Therefore there is a great need for preventative rehabilitation, whose purpose is to prepare for a physiological and healthy old age. This article describes problems connected with rehabilitation of the elderly. Currently employed physiotherapeutic and kinesitherapeutic methods are described together with state-of-the-art treatment options in physical therapy. The latter include magnetic field stimulation, which is remarkably useful in the treatment of depression, injuries and other musculoskeletal conditions and magneto-LED-therapy, a novel combination of fluctuating magnetic field and visible light irradiation possessing anti-inflammatory, antibacterial and analgesic effects.
Key words:
geriatrics, physical medicine, elderly, rehabilitation
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New possibilities in physiotherapy – magnetolaserotherapy

Jarosław Pasek, Anna Misiak, Romualda Mucha, Tomasz Pasek, Aleksander Sieroń

Jarosław Pasek, Anna Misiak, Romualda Mucha, Tomasz Pasek, Aleksander Sieroń – New possibilities in physiotherapy – magnetolaserotherapy. Fizjoterapia Polska 2008; 8(1); 1-10

Abstract
The characteristic progress in science and technology of the 21st century is being accompanied by significant research developments in the field physical medicine. Before our very eyes physics is entering more and more courageously into treatment, broadening the therapeutic armamentarium and also reducing the side effects of pharmaceutical agents in some cases. Particularly in recent years one can observe increasing interest and research concerning therapeutic application of new physical methods, including variable fields, which until now have been underused. One such method is the combined application of lasers and magnetic fields, known as magnetolaserotherapy. Magnetolaserotherapy, the combined action of laser radiation and a variable magnetic field, has led to increasingly wider use of this treatment modality in various fields of clinical medicine and rehabilitation. Document positive effects of the use of the biostimulating laser and variable magnetic field in the control of pain, acceleration of wound healing and strengthening of the immune system have already been positively confirmed in a large number of clinical studies, which directly translates into the duration, quality and patient comfort duringtreatment. The present paper is based on information contained in available publications concerning magnetolaserotherapy and the authors’ experience connected with this method. This article is a clear comprehensive review intended for specialists in broadly defined physical medicine.
Key words:
treatment, magnetolaserotherapy, rehabilitation
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Follow-up of inflammatory and erosive lesions of glans penis during magnetic and LED light therapy – a case study

Romualda Mucha, Aleksander Sieroń

Romualda Mucha, Aleksander Sieroń – Follow-up of inflammatory and erosive lesions of glans penis during magnetic and LED light therapy – a case study. Fizjoterapia Polska 2010; 10(2); 165-169

Abstract
Introduction. The aim of the study was to assess the therapeutic effects of low induction magnetic field, R red light and infrared LED light on inflammatory and erosive lesions of skin and glans penis. The subject was a 50-year-old patient with a five-year history of balanoposthitis.Material and methods. The authors followed up and assessed inflammatory and erosive lesions of the skin of the penis and glans penis in a patient with recurring balanoposthitis. The patient underwent two 3-week sessions of treatment by active emission of a low induction magnetic field, red light and infrared LED light, called magnetic field and LED light therapy. The sessions were separated by a one-week break.Results. The evolution of inflammatory and erosive lesions of the penis and glans penis in response to magnetic field and LED light therapy indicates an anti-inflammatory effect of low induction magnetic field and LED light. Satisfactory results were obtained in the form of shallowing or complete closure of the erosions as well as regression of pain and itch.Conclusions. Treatment with low induction magnetic field, red light and infrared LED light, called magnetic field and LED light therapy, may be applied in the treatment of inflammatory and erosive lesions of the penis and glans penis.
Key words:
balanoposthitis, magnetic field, LED light, magnetic and LED light therapy
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The assessment of the analgesic action of whole-body cryotherapy in patients with ankylosing spondylitis

Agata Stanek, Armand Cholewka, Grzegorz Cieślar, Irena Rosmus-Kuczia, Zofia Drzazga, Aleksander Sieroń

Agata Stanek, Armand Cholewka, Grzegorz Cieślar, Irena Rosmus-Kuczia, Zofia Drzazga, Aleksander Sieroń – The assessment of the analgesic action of whole -body cryotherapy in patients with ankylosing spondylitis. Fizjoterapia Polska 2011; 11(1); 49-55

Abstract
Currently, one of the therapeutic methods of physical medicine applied in physiotherapeutic treatment of patients with ankylosing spondylitis is the whole-body cryotherapy – the short appliance of temperatures lower than -100°C in order to trigger physical reactions in response to cold as an adjunctive method in better preparation of patients for kinesiotherapy. The aim of the study was to assess the analgesic effect of the whole-body cryotherapy in patients with ankylosing spondylitis.32 males with ankylosing spondylitis were subjected to the trial, who were divided randomly into two 16-person groups, which did not different significantly with regard to age, duration and severity of the disease. The groups underwent ten whole-body cryotherapy with subsequent kinesiotherapy procedures or only 10 kinesiotherapy procedures, respectively. On the first day before the treatment cycle beginning and the first day after treatment completion the patients assess the pain intensity by means of 10-point visual analogue scale (WAS).In patients with ankylosing spondylitis after the completion of a cycle of whole-body cryotherapy procedures the significant reduction of pain intensity amounted to 46% in average (p<0,05) was observed.Whole-body cryotherapy procedures demonstrate a significant analgesic effect in patients with ankylosing spondylitis.
Key words:
ankylosing spondylitis, whole-body cryotherapy, analgesic effect
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Effect of whole-body cryotherapy on proteinogram in patients with ankylosing spondylitis

Agata Stanek, Armand Cholewka, Katarzyna Wencel, Grzegorz Cieślar, Jolanta Gaduła, Janusz Szczypior, Karolina Sieroń-Stołtny, Zofia Drzazga, Aleksander Sieroń

Agata Stanek, Armand Cholewka, Katarzyna Wencel, Grzegorz Cieślar, Jolanta Gaduła, Janusz Szczypior, Karolina Sieroń-Stołtny, Zofia Drzazga, Aleksander Sieroń – Effect of whole-body cryotherapy on proteinogram in patients with ankylosing spondylitis. Fizjoterapia Polska 2011; 11(2); 115-122

Abstract
Whole-body cryotherapy with subsequent kinesiotherapy evokes positive anti-inflammatory effects in case of patients with locomotor system inflammatory disorders, however, the mechanism of this effect has not been satisfactorily explained so far. One of the essential laboratory indicators of the inflammatory process activity is distribution of serum protein fractions. The aim of the study was to determine the effect of whole-body cryotherapy on proteinogram parameters in the patients with ankylosing spondylitis.32 males with ankylosing spondylitis participated in the trial. The subjects were randomly divided into two groups of 16 persons who did not significantly differ with regard to age, duration and severity of the disease. Both groups underwent ten whole-body cryotherapy procedures with subsequent kinesitherapy or only 10 kinesitherapy procedures. On the first day before the beginning of the treatment cycle and on the first day after treatment completion blood samples were collected from the patients in order to determine the total protein concentrations and the share of particular serum protein fractions.On completion of the whole-body cryotherapy treatment cycle a statistically significant increase in alpha2-globulins share and a decrease in beta1-globulins share in serum proteinogram were observed in patients with ankylosing spondylitis.In patients with ankylosing spndylitis whole-body cryotherapy treatment corrects proteinograms in a different way than kinesitherapy does. The changes in the share of particular proteinogram fractions in patients subjected to cryotherapy are most probably related to the anti-inflammatory and anti-oxidative effects of cryogenic temperatures.
Key words:
ankylosing spondylitis, whole-body cryotherapy, proteinogram
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Influence of whole-body cryotherapy on hemodynamic parameters in patients with motor organs disease

Alicja Wołyńska-Ślężyńska, Jarosław Pasek, Sebastian Szajkowski, Tomasz Pasek, Jan Ślężyński, Aleksander Sieroń

Alicja Wołyńska-Ślężyńska, Jarosław Pasek, Sebastian Szajkowski, Tomasz Pasek, Jan Ślężyński, Aleksander Sieroń – Influence of whole-body cryotherapy on hemodynamic parameters in patients with motor organs disease. Fizjoterapia Polska 2012; 12(2); 113-118

Abstract
Background. Whole-body cryotherapy is a physical method that is increasingly being employed in rehabilitation. The procedure consists in stimulating the body with temperatures below -100ºC. The most common applications of cryotherapy is in the treatment of diseases or injuries of the locomotor system. Material and methods. The study comprised 222 patients: 114 females (51.3%) and 108 males (48.6%) selected to the study group, diagnosed with discopathy (107 persons; 48.1%), lumbalgia at L5-S1 (57 persons; 25.6%), and spinal column degeneration (58 persons; 26.1%). The patients underwent series of 10 whole-body cryotherapy procedures, the sessions, each lasting 1-3 minutes, were conducted every day for 10 days. Changes in the body surface temperature (before therapy and after its completion) were recorded and analyzed, in addition pulse, and arterial blood pressure after 1, 5 and 10 procedures, with respect to diagnosed disease and the patient’s gender were also analyzed. Results. Whole-body cryotherapy procedures caused significant reduction in body temperature (p<0.01). Evaluation of pulse and arterial blood pressure parameters showed that the group of patients with discopathy as well as spinal pain syndrome registered the highest changes in pulse rate value (p<0.01). Higher pulse rate fluctuations were observed in women. Results on arterial blood pressure values revealed a statistically significant increase in systolic blood pressure parameters only (p<0.01).Conclusion. Whole-body cryotherapy lead to significant drop in body surface temperature and increased pulse rate and systolic blood pressure.
Key words:
whole-body cryotherapy, treatment, Physical Medicine, motor organs disease
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An assessment of analgestic effects of vibroacoustic therapy in treating pains of umbosacral spine in office workers

Marlena Drężewska, Aleksander Sieroń, Zbigniew Śliwiński

M. Drężewska, A. Sieroń, Z. Śliwiński – Ocena efektów analgetycznych terapii wibroakustycznych w leczeniu dolegliwości bólowych części lędźwiowo-krzyżowej kręgosłupa u pracowników biurowych. FP 2013; 13(3); 8-13

Abstract

Introduction. The objective of the research was to assess analgesic effects of vibroacoustic therapy in treating pain in the lumbosacral spine among office workers.
Materials and methods. The participants of the research were 52 female office workers from Ostroleka, aged 34-58, with chronic pain of lumbosacral spine caused by overstrain and/or spondylosis. The patients underwent 10-days vibroacoustic therapy which was conducted by means of VITAFON-T device. To assess the effects of the therapy there was used VAS analogue pain scale and a modified pain rates according to Laitinen questionnaire.
Results. There was noted a substantial statistic difference in the average value of pain assessment before and after therapy (p<0.05). The mean value of pain before therapy according to VAS scale amounted to 5.81, and after therapy it constituted 3,38. The total score obtained from the Laitinen questionnaire amounted to 316, and after therapy – 194.
Conclusions. The obtained results indicate that the vibroacoustic therapy is effective in achieving analgesic effects in the treatment of pain in the lumbosacral spine among office workers.

Key words:
vibroacoustic therapy, VAS scale, Laitinen quesfionnaire

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