Tag: Jolanta Rojczyk-Chmarek

Use of selected soft tissue therapy techniques in menstrual pain syndromes

Łukasz Skibiński, Jolanta Rojczyk-Chmarek


Łukasz Skibiński, Jolanta Rojczyk-Chmarek – Use of selected soft tissue therapy techniques in menstrual pain syndromes. Fizjoterapia Polska 2022; 22(1); 166-182

Abstract
Introduction. One of the more common ailments of young women in the reproductive period is dysmenorrhea (MSM). More than 50% of women complain of menstrual pain, and 10% of them are forced to give up their daily activities for the first 1-3 days of the menstrual cycle.
Objective of the work. The aim of the research was to check to what extent the selected techniques on soft tissues in strictly defined places will reduce the intensity of pain sensations occurring in the painful menstruation syndrome.
Material and methods. 23 women aged 19 to 48 participated in the study. Women with cyclical IBM-related pains that had been repeated for at least a year were invited to the study. Pain complaints were examined according to the VAS scale, which allows the assessment of pain on a scale of 1-10. Each visit began with the completion of a questionnaire. Thanks to it, pain sensations and other ailments or observations related to the menstrual cycle for 3 consecutive menstrual cycles were checked.
Results. The most common complaints were pain in the area of the lower abdomen, lumbar spine or head. There was a positive difference in the assessment of pain scale, pain duration and the assessment of improvement in health during menstruation. There was also a significant decrease in pain medication intake from 86 at the first treatment meeting, where only 21 was indicated at the last meeting.
Conclusions. The results of the presented studies have shown that the therapy of soft tissues at specific points has a positive effect on chronic menstrual pain and the reduction of painkillers. The author, through a detailed analysis of the subject of UBM, hopes that the presented content will increase the prevention and awareness of patients in the subject of UBM.
Key words:
menstruation, menstrual pain, visceral therapy, menstrual cycle, soft tissue therapy
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Electrostimulation as an improved physical therapy treatment of lymphoedema

Krzysztof Gieremek, Jolanta Rojczyk-Chmarek, Zbigniew Śliwiński

Krzysztof Gieremek, Jolanta Rojczyk-Chmarek, Zbigniew Śliwiński – Electrostimulation as an improved physical therapy treatment of lymphoedema. Fizjoterapia Polska 2002; 2(4); 300-305

Abstract
Introduction. Morphological and electrophysiologic properties of unstriated muscles of lymphatic vessels were outlined in the present study. The most common disordes observed in lymphatic system, as well as the mechanism of lymphoedema were discussed. Well known and commonly applied means of physical therapy treatment such as external pressure, pneumatic compression, pressure-massage, manual drainage and therapeutic exercises were reviewed in this paper. Material and methods. The main subject of the present study is the orginal method of electrostymulation of unstriated muscles, which takes into consideration individual character of electrophysiological proper-tiesof muscles located in lymphatic vessels. Types of electrical impulses used in this treatment, programme modes (therapy and prophylactic mode), as well as methodology of the treatment were discussed in details. The examples of protocols used in treatment of particular conditions and their clinical aplication were presented as well.Conoclusion. The presented apparatus for application of described methods of electrostimulation in the first construction of this type, wich considers individual structure and function of lymphatic system. This method of stymulation would be probably useful in variety of medical conditions, where lymphoedema is a major therapeutic problem.

Key words:
Lymphatic System, lymphoedema, physical therapy treatment, electrostymulation

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The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications

Jacek Polechoński, Jolanta Rojczyk-Chmarek, Kajetan Słomka

J. Polechoński, J. Rojczyk-Chmarek, K. Słomka – The precision of index finger manipulative movements as measured with a self-designed device – potential diagnostic applications. Fizjoterapia Polska 2019; 19(1); 76-85

Abstract
Aim. The paper introduces a self-designed manipulandum built to assess the parameters of motion at the metacarpophalangeal joint of the index finger. The reliability of movement precision measurements is presented; potential diagnostic applications have been discussed.
Material and methods. The study group comprised 43 young men. Movement precision was evaluated with a self-designed manipulandum. The task was to repeatedly touch the target using an isolated movement. Two parameters were assessed, ie., time and distance to target. Measurement reliability was estimated with intraclass correlation analysis.
Results. 25 to 30 movement repetitions were required to achieve reliable measurements. The findings also reveal that movement repetition might result in movement learning.
Conclusions. provided a large number of repetitions are performed, the manipulandum enables reliable assessment of movement precision. Repetition does not pose a problem since a single trial only lasts for1-1.5 s; furthermore, movement at the metacarpophalangeal joint does not cause fatigue. The conditions of movement tasks should be modified to minimize the effect of movement learning. We believe the device under test might be applied to early diagnosis of rheumatic or neurological disease leading to functional compromise of the hand.

Key words:
manipulandum, movement precision, rheumatoid arthritis, fine motor skills

 

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Biomechanical aspects of elbow joint action in rheumatoid arthritis

Jolanta Rojczyk-Chmarek, Janusz Błaszczyk, Krzysztof Gieremek, Wojciech Cieśla, Jacek Polechoński

J. Rojczyk-Chmarek, J. Błaszczyk, K. Gieremek, W. Cieśla, J. Polechoński – Biomechanical aspects of elbow joint action in rheumatoid arthritis. FP 2014; 14(1); 6-16

Abstract

Functional limitations associated with RA-induce changes within the elbow joint and result in biomechanical disturbances. Objective data on the mobility of the affected articulation would facilitate the assessment of disease severity, selection of optimal physiotherapy interventions. Materials and Methods. Our study participants performed cyclic forearm extension and flexion elbow movements with different angular velocities. Biomechanical assessment comprised of spatiotemporal properties of cyclic movements. Spatial analysis of movement included the determination of movement direction (flexion, extension) and amplitude whereas the temporal analysis included the duration of particular movement phases as well as time-frequency analysis of a movement cycle. Results. The obtained results indicate that movement parameters in patients with rheumatoid arthritis differ significantly compared to normal ranges. Movement speed and amplitude as well as frequency and duration of movement are decreased. RA patients also exhibited considerable asymmetry of cyclic flexions and extensions of the elbow joint. Conclusion. It can be concluded that a biomechanical analysis using a manipulandum apparatus is a valuable diagnostic tool allowing objective evaluation of elbow function in rheumatoid arthritis. The measurements are highly sensitive, and hence, if performed in a larger patient population, they might help develop a classification of movement dysfunction in rheumatoid arthritis of the elbow joint. The analysis might also facilitate the assessment of hand dysfunction at various stages of RA development.

Key words:
rehabilitation, elbow, biomechanical, rheumatoid arthritis

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Assessment of the effects of rehabilitation interventions for patients with rhematoid arthritis using biomechanical analysis of elbow function

Jolanta Rojczyk-Chmarek, Joanna Cieślińska-Świder, Krzysztof Gieremek, Wojciech Cieśla, Jacek Polechoński

J. Rojczyk-Chmarek, J. Cieślińska-Świder, K. Gieremek, W. Cieśla, J. Polechoński – Assessment of the effects of rehabilitation interventions for patients with rhematoid arthritis using biomechanical analysis of elbow function. FP 2015; 15(1); 36-47

Abstract

Background. The aim of the investigations was to verify the effectiveness of a method of elbow function evaluation in patients with rhematoid arthritis. The method was expected to allow monitoring of disease progression and to help assess the effects of rehabilitation interventions.
Material and Methods. Cyclic flexion-extension movements in the elbow joint were examined in 82 individuals. The measurements were carried out with a computer-controlled unit for studying elbow movements (manipulandum). The study participants performed movements 1) of minimum speed, ie., the slowest possible movement, 2) of preferred speed consistent with patient preferences and habits, and 3) of maximum speed. The measurements were carried out before and after a 3-week rehabilitation program.
Results. The obtained results indicate that the rehabilitation intervention caused improvement in several parameters of the investigated movements. Movement amplitude (range of movement),  angular velocity (especially angular velocity of elbow extension) increased, the symmetry index decreased while no changes were observed in movement cycle duration for preferred and maximum speed.
Conclusions. The results indicate that this method of isokinetic movement evaluation allows objective assessment of articular pathologies and rehabilitation/pharmacotherapy outcomes. Our investigations suggest that, in order to obtain reliable information on the patient’s functional status, the measurements should be performed during preferred and maximum speed elbow movements. Information thereby obtained might be of considerable importance for selection of appropriate physiotherapy interventions.

Key words:
rehabilitation, elbow, biomechanical, rheumatoid arthritis

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The effect of music on selected hemodynamic parameters in patients suffering from unresponsive wakefulness syndrome

Jacek Polechoński, Jolanta Rojczyk-Chmarek, Krzysztof Gieremek, Miroslawa Tyliba

J. Polechoński, J. Rojczyk-Chmarek, K. Gieremek, M. Tyliba – The effect of music on selected hemodynamic parameters in patients suffering from unresponsive wakefulness syndrome. FP 2017; 17(1); 96-103

Abstract

Background. The aim of the study was to evaluate the effect of different music genres of different intensity levels on heart rate and arterial blood pressure in patients suffering from unresponsive wakefulness syndrome.
Material and methods. The study group comprised 16 patients in stable vegetative state; selected hemodynamic parameters were evaluated during and after exposure to different music genres of different intensity levels.
Results. The results revealed a significant stimulating effect of music played at 80 dB on several hemodynamic parameters of patients with unresponsive wakefulness syndrome. Disco music caused an increase in heart rate as well as elevation of systolic and diastolic pressures. Rock music only resulted in significant systolic blood pressure elevation.
No statistically significant alterations in hemodynamic parameters was noted when music was played at 60 dB.
Conclusions. Exposure to music may cause significant alterations of heart rate and arterial blood pressure of patients in a vegetative state – depending on music genre and intensity level. Changes in hemodynamic parameters might be indicative of an impact of music on the emotional state, which is closely associated with cardiovascular responses.

Key words:
apallic patients, patients in a vegetative state, music, hemodynamic parameters, music therapy

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