Tag: Damian Szubski

Rheumatoid arthritis and rheumatoid foot in physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski – Rheumatoid arthritis and rheumatoid foot in physiotherapy. Fizjoterapia Polska 2021; 21(2); 172-183

DOI: https://doi.org/10.56984/8ZG0DD753

Abstract
Rheumatic diseases are not fatal, but they result in shorter life expectancy of the patients suffering from them. This applies to all inflammatory rheumatic diseases, especially rheumatoid arthritis (RA). Rheumatic diseases, in which most of all the joint inflammatory process develops with progressive joint damage, are the cause of patients’ disability, prevent patients from working and everyday functioning, also at home, and affect all aspects of social life. The objective of rehabilitation in RA is to relieve pain, reduce or inhibit inflammation, and maintain the proper functioning of the locomotor system while slowing down or ceasing structural lesions in the joints.
Key words:
Rheumatoid arthritis, RA, rheumatoid foot, disability, orthopaedic equipment
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Assessment of the impact of prosthetic foot support flexibility on gait in a patient after lower limb amputation at thigh level

Mateusz Curyło, Agnieszka Ciukszo, Marcin Zaczyk, Damian Szubski, Łukasz Strzępek, Bolesław Karwat, Jan W. Raczkowski

Mateusz Curyło, Agnieszka Ciukszo, Marcin Zaczyk, Damian Szubski, Łukasz Strzępek, Bolesław Karwat, Jan W. Raczkowski – Assessment of the impact of prosthetic foot support flexibility on gait in a patient after lower limb amputation at thigh level. Fizjoterapia Polska 2021; 21(2); 56-63

DOI: https://doi.org/10.56984/8ZG0DDEF8

Abstract
Objective. The article presents the results of experimental studies, the main objective of which was to determine how the degree of flexibility of the lower limb prosthesis support system impacts the pattern of secondarily learned gait in a patient after amputation. Material and methods. The study was carried out on a patient (35-year-old man) after lower limb amputation at the level of 1/3 of the proximal femur, who followed a previously planned walking path. Inclusion criteria: gender F and M, amputation at 1/3 of the proximal femur, age below 40, traumatic amputation, average level of activity, use of a prosthesis for at least one year. Exclusion criteria: age over 40, amputations below 1/3 of the proximal femur, amputations for vascular reasons, activity level below average, use of a prosthesis for under one year. During the study, the patient was equipped with three support systems corresponding to three degrees of flexibility of the prosthetic foot (soft, medium, hard). Biomechanical data during gait was collected using FlexinFit by Sensor Medica for assessing the pressure between the foot and the inside of the shoe. Results. In the entire gait cycle, the support phase on the healthy limb was the longest. The hard support system generates the greatest asymmetry of the transferred loads between the limbs. In this support variant, the difference in load between the healthy limb and the amputated limb was 1,330 kg/m2, which represented an asymmetry of 21%. In terms of load distribution, the best support was medium support – medium support flexibility, for which the difference in load between the healthy limb and the amputated limb was 770 kg/m2, which was an asymmetry of 12%. Conclusions. When designing a prosthesis for people after lower limb amputation, it is crucial to correctly adjust its features to the individual needs of each patient (adjusting prosthesis kinematics, adjusting support system stiffness), so that gait is possibly closest to normal with low energy demand.
Key words:
lower limb amputation, gait analysis, prosthetic gait, prosthetic rehabilitation
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