Tag: arthroplasty

Kinesiology Taping as a therapeutic method in blood ecchymosis – a case study

E. Łebek, J. Dąbek, M. Szynal, A. Ostrowska

Ewelina Łebek, Józefa Dąbek, Magdalena Szynal, Agnieszka Ostrowska – Kinesiology Taping as a therapeutic method in blood ecchymosis – a case study. Fizjoterapia Polska 2021; 21(4); 236-244

Abstract
Kinesiology Taping (KT) is a comprehensive therapeutic method that allows to obtain a therapeutic effect 24 hours a day and supporting the rehabilitation process of various ailments. For this therapy, special, 100% cotton, dynamic tapes are used, covered with hypoallergenic acrylic glue activated with heat, arranged in layers of a sinusoidal shape, similar to the flexibility of human muscles, and to the parameters of human skin.  Various effects of Kinesiology Taping are described in the medical literature, for example: muscle facilitation, reduction of muscle fatigue, reducing the soreness of the skeletal muscles with delayed pain, the so-called DOMS (delayed onset muscle soreness), supporting treatment aimed at eliminating edema and improving blood flow, reducing the pressure on mechanical receptors changes the feeling of pain as a result of the activation of the endogenous anesthetic system and limiting accumulation of chemical factors released after tissue trauma. The aim of the study was to describe two cases of using the Kinesiology Taping method in blood ecchymosis in patients after hip arthroplasty and after soft tissue injury.
Key words:
Kinesiology Taping, bloody ecchymosis, arthroplasty
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Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness

Paweł Zieliński, Rafał Trąbka, Jarosław Amarowicz, Mateusz Curyło, Paweł Kamiński, Magdalena Wilk-Frańczuk, Tomasz Maicki

P. Zieliński, R. Trąbka, J. Amarowicz, M. Curyło, P. Kamiński, M. Wilk-Frańczuk, T. Maicki – Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness. Fizjoterapia Polska 2021; 21(4); 190-203

Abstract
Osteoarthritis is the most common form of human joint pathology. It is estimated that it affects about 6% of the world’s population. In addition to the hand and knee joints, the hip joint is one of the most common joints affected by OA.
The study included 59 randomly selected patients (from a group of over 600 people operated in a similar period) of the Orthopaedics and Rehabilitation Department of the Centre for Rehabilitation and Orthopaedics in Krakow, who underwent THA due to advanced degenerative changes using a cementless prosthesis.
The objective of the study was to compare the early and late outcomes of the procedure (patient’s fitness level and subjective assessment) using the anterolateral (according to Watson-Jones) and lateral (McFarland and Osborne as modified by Hardinge) approach.
The obtained results confirm better outcomes in terms of the abduction strength scale (SO%), HHS, VAS, frequency of the Trendelenburg sign and partially mobility (external rotation) in relation to short-term follow-up (especially after 6 and 12 weeks), but not long-term follow-up (after 24 weeks and 11-12 years).
It was found that people who underwent surgery using the lateral approach (according to Hardinge) recover faster than people who underwent surgery with the use of the anterolateral approach (according to Watson-Jones).
Key words:
arthroplasty, osteoarthritis, hip joint
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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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Implementation of manual physiotherapeutic activities as an important element of supporting surgical treatment in congenital malformations of the bite and temporomandibular joints – case report

Szymon Tyszkiewicz, Marta Tyndorf, Krzysztof Dowgierd

S. Tyszkiewicz, M. Tyndorf, K. Dowgierd – Implementation of manual physiotherapeutic activities as an important element of supporting surgical treatment in congenital malformations of the bite and temporomandibular joints – case report. Fizjoterapia Polska 2019; 19(3); 38-45

Abstract
Introduction. Surgical procedures used to treat congenital craniofacial malformations may give rise to complications, resulting in impaired function of the stomatognathic system. Reconstructive correction of subsequent defects may require multi-disciplinary skills, including those of maxillofacial and microsurgery, orthodontics, speech therapy and physiotherapy. The purpose of reconstruction to restore function can be divided into two stages: firstly the establishment of correct anatomical relationships in the facial skeleton and secondly the restoration of function of individual structures of the stomatognathic system, together with the stabilisation of both function and appearance. The latter is fundamentally associated with supportive physiotherapy.
Aim of the study. The aim of the study was to determine the effectiveness of physiotherapy in the process of restoring motor functions in the stomatognathic system in a patient treated for disorders of the masticatory apparatus.
Material and methods. The article presents an account of supportive physiotherapy utilised in the healing process. The case study presented is that of a patient with congenital ankylosis of the temporomandibular joints. The patient presented in the maxillofacial department for surgical joint treatment and with associated in activity in the musculature of this region. Initial treatment involved bilateral arthroplasty with prosthetic arthroplasy, after which it was possible to proceed to restoration of functional speech. The provision of physiotherapy over a timescale of six months achieved reduction of oedema, development of the expected range of movement, reduction of pain and the achievement of deglutition.
Results. Results were maintained through continuation of therapeutic procedures, since periods of reduced activity are associated with loss of function. In order to increase functional capacity and achieve stability, the patientis to undergo microtransplantation (cable grafts) and orthodontic treatment to achieve full centricocclusion. Speech therapy and physiotherapy will also be continued.
Conclusions: Supportive physiotherapy should be a key element of treatment of patients after maxillofacial procedures, regardless of whether this is due to injury, congenital malformation ororthognathic procedures.

Key words:
arthroplasty, ankylosis, dental physiotherapy, temporomandibular joint

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Muscle energy techniques after total hip replacement

Maria Mazepa, Renata Szczepaniak, Wojciech Kiebzak,
Zofia Śliwińska, Zbigniew Śliwiński

M. Mazepa, R. Szczepaniak, W. Kiebzak, Z. Śliwińska, Z. Śliwiński – Muscle energy techniques after total hip replacement. FP 2014; 14(1); 18-26

Abstract

Introduction.  Surgical procedure involving total hip alloplasty is a common consequence of the absence of progress of rehabilitation in patients with significant degenerative lesions accompanied by severe pain and significantly limited mobility. An individual program for patient rehabilitation is established during the first 24 hours after the procedure. This is of particular importance as proper planning and implementation of physiotherapy allows to relieve pain and to achieve full functional joint mobility as well as to strengthen the muscles. We make sure that the proper muscle control and stability within the joint will restore patient’s locomotion and self-care both at the initial and later stages of rehabilitation. There are many ways and methods to improve the above mentioned parameters. Muscle energy techniques, which represent a non-invasive therapy in patients with total hip replacement, are one of these methods. These techniques, including poizometric relaxation of contracted muscles as well as active relaxation of hip joint muscles, myofascial techniques, also in combination with elements of PNF techniques, allow for effective treatment and rehabilitation of patients. Aim. The aim of the study was to compare the effects of standard physiotherapy in patients after cemented hip arthroplasty with those of physiotherapy using muscle energy techniques.
Materials and Methods. A total of 66 patients with advanced degenerative arthritis of the hip, who received surgical treatment in the form of endoprosthetics, were qualified for the study between 2013 and 2014. The patients were divided into two groups  (group I and II), 33 subjects each. Pain level, the range of hip motion as well as muscle strength were assessed in each patient. Group I received muscle energy techniques, including poizometric relaxation of muscles, active muscle relaxation and elements of PNF method. Also, myofascial techniques targeting muscles with different strengths and direction of pressure were used. Group II received standard physiotherapy.
Results. Significant improvement of pain, an increase in the range of functional motion as well as a significant improvement of muscle control of the joint were observed in the group receiving muscle energy treatment, which had beneficial effects on the locomotion of patients.
Conclusions. Muscle energy techniques had significant effects on the improvement of muscle function and stabilization in the pelvic girdle of the joint with endoprosthesis. Poizometric relaxation combined with elements of the PNF method as well as myofascial techniques effectively improved balance, coordination and gait pattern. In conclusion, physiotherapy using muscle energy techniques was shown to be a more effective method in the treatment of hip osteoarthritis as compared to the method based on standard rehabilitation program.

Key words:
arthroplasty, rehabilitation, muscle energy techniques

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