Tag: diagnosis

Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome

Agnieszka Drozd, Maja Nowacka-Kłos, Rita Hansdorfer-Korzon


Agnieszka Drozd, Maja Nowacka-Kłos, Rita Hansdorfer-Korzon – Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome. Fizjoterapia Polska 2023; 23(3); 146-164

DOI: https://doi.org/10.56984/8ZG143k5q

Abstract
The consequences of damage to brain structures often includes various types of perceptual and motor disorders. One of them is Pusher Syndrome (PS). It is defined as a disturbance in the perception of the body position in the frontal plane, which in turn makes it difficult to maintain a correct vertical posture. It occurs most often in patients after a stroke of the right hemisphere of the brain, in the posterolateral region of the thalamus, and its frequency is estimated at about 9–50%. However, it is still a little-known syndrome and too rarely diagnosed. Correct, early diagnosis of pusher syndrome and the introduction of appropriate physiotherapy allows us to shorten the patient’s rehabilitation time and speed up his/her recovery. The objective of the study is to present the principles and possibilities of therapy for patients with pusher syndrome.

Key words:
pusher syndrome, diagnosis, principles of therapy, physiotherapy

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Strategies of procedure in manual therapy

Tadeusz Kasperczyk, Robert Walaszek

Tadeusz Kasperczyk, Robert Walaszek – Strategies of procedure in manual therapy. Fizjoterapia Polska 2001; 1(2); 173-178

Abstract
Orthopedic manual therapy is involved with treatable joint and bone disorders, i.e. dysfunctions characterized by blocking. Its scope encompasses all diagnostic, preventive, and treatment techniques involving the spine, the limbs, and all other joints.The purpose of this article is to discuss the principles and course of treatment in manual therapy, understood as particular strategies of procedure. This includes the techniques of therapeutic procedure within the framework of three periods: Period I, which involves procedures prior to mobilization or manipulation, in order to create the best possible conditions for this operation; Period II, which pertains to the actual operation (techniques) of removing the block; and Period III, which includes procedures subsequent to manipulation, both immediately after the operation and in a later period of time. The article discusses in detail the proper tasks for each of these periods. Contraindications for manual therapy are also listed.

Key words:
manual therapy, Diagnosis, manual techniques

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Injuries and diseases of the knee joint – diagnostic evaluation

Jerzy Widuchowski, Wojciech Widuchowski

Jerzy Widuchowski, Wojciech Widuchowski – Injuries and diseases of the knee joint – diagnostic evaluation. Fizjoterapia Polska 2004; 4(4); 297-306

Abstract

In traumatic injuries and diseases of the knee joint establishing a correct diagnosis is a very important part of therapeutic management. In many cases it is not easy. The reason for this is the possibility of simultaneous injury of many different anatomical joint structures, and as a result the occurrence of clinical symptoms that vary in intensity and often overlap. In diagnostic procedures, the most important task is to establish which of the anatomical structures has been damaged as a result of acute or chronic trauma, and how extensive the loss of joint function actually is. Making a correct diagnosis in acute traumatic injuries of the knee should be done as quickly as possible. The present study contains an outline of diagnostic evaluation in traumatic injuries and diseases of the knee joint. Each part of this outline is fully discussed.

Key words:
knee joint, diagnosis, injury
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Foot defects in children attending first class of primary school in Silesian voivodeship

Paulina Głowacka, Marcela Przyłudzka

P. Głowacka, M. Przyłudzka – Foot defects in children attending first class of primary school in Silesian voivodeship. Fizjoterapia Polska 2019; 19(2); 94-105

Abstract
Introduction. Foot defects concern ever-greater social group. They develop due to muscle weakening and the instability of ligament-capsular apparatus, thus leading to static and functional foot disorders. The habits of maintaining incorrect body position, lack of education in this field and of preventive measures are the factors conditioning triggering of the issue.
The aim of the work. Static analysis of the feet using plantokonturography in children aged from 7 to 10 and presenting the dependencies among sex, body mass and height (BMI) and the mentioned parameters.
Material and methodology. 30 children took part in the diagnosis, 15 girls and 15 boys from primary schools of Silesian voivodeship. In plantokonturography analysis four parameters have been taken into consideration: Clark’s angle index, “W” Wejsflog index, gamma heel angle, and hallux valgus alpha angle.
Results. The statistically important correlation between BMI and increased alpha and gamma angles have been observed. Lowered values of Clark’s angle index have been observed with all the examined. Population.
Conclusions. 1. With all the examined population the lowered foot arches have been observed. 2. Body mass, BMI, play significant role influencing foot longitudinal and transverse arches.

Key words:
foot defects, plantokonturography, diagnosis, foot arch

 

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Using Relation Index Wr in Radiologic Diagnosis

Wojciech Kiebzak, Beata Książkiewicz, Michał Kosztołowicz, Małgorzata Kiebzak

W. Kiebzak, B. Książkiewicz, M. Kosztołowicz, M. Kiebzak – Using Relation Index Wr in Radiologic Diagnosis. FP 2016; 16(3); 34-41

Abstract
Introduction. In treatment procedure, due to strategy and evaluation of changes, high importance has precise medical physiotherapeutic diagnosis. In this study it was substantiated that the chest X-ray picture evaluated in ILO (International Labour Organization) classification is less precise method in diagnosis of silicosis that HRCT (High Resolution Computed Tomography) examination.
Purpose of This Study. Using the relative index Wr in diagnosing silicosis nodules in classical radiography evaluated in ILO and received using the HRCT method to check effectiveness of the both methods.
Material and Method. From the group of 358 patients with diagnosed silicosis, 65 males were selected in whom the HRCT chest examinations were made in an interval not longer than 6 months from the last X-ray picture in ILO classification. In each patient on the X-ray picture and the HRTC exam the diameters of the smallest and the biggest nodules were measured. Then, an average values from nodule measurements were calculated in each exam.
To achieve results, the following statistical methods were used: scale T1 [1],
relation index Wr, in intervals: Wr∈[0.9; 1.1], Wr<0.9 and Wr>1.1. In these intervals, the correlation coefficients between nodule diameters in ILO classification and HRCT using Pearson’s method.
Results. The correlation between average nodule diameters in individual Wr intervals is very high or very certain and H0 was rejected (exceptional is Wr>1.1 interval for rosettes). Therefore, it was demonstrated that the chest X-ray picture evaluated in the ILO classification and the HRCT examination similarly allow diagnosing the disease – silicosis, but the type of nodules may be found only using the HRCT.
Conclusions. The HRCT method is more efficient than the classic chest X-ray as it detects nodule types, namely  centrilobular, under pleural, peribronchovascular rosettes and tree budding.

Key words:
ILO, HRCT, relation index, T1 scale, diagnosis, silicosis, physiotherapy

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