Application of craniosacral therapy in practice

Małgorzata Wójcik, Katarzyna Placek, Bruno Bordoni,

Małgorzata Wójcik, Katarzyna Placek, Bruno Bordoni – Application of craniosacral therapy in practice. Fizjoterapia Polska 2023; 23(5); 136-144

DOI: https://doi.org/10.56984/8ZG20BNp0

Abstract
Systematic evaluation of the evidence for the use of craniosacral therapy (CST) in practice. The following English-only electronic databases were searched: PubMed, Scopus, PEDro, Cochrane Library. The review of journal databases was conducted between March and June 2023. The databases were searched using MeSH (Medical Subject Headings) terms, keywords and logical operators. The results from the statistical analyses performed were taken into account. Only twenty-five studies met the inclusion criteria. Positive clinical results were reported for reduction of pain, reduction of crying in children, reduction of stress hormones, and improvement of patients’ general well-being. The methodological quality of the PEDro scale ranged from 1 to 11 points. The review indicates a significant effect on patient outcomes/symptoms. There is a need for multi-center studies with common CST methodology in groups with large numbers.
Trial registration: PROSPERA registration number: CRD42023430923

Keywords
craniosacral therapy, health, complementary alternative medicine, therapy, pain

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Low back pain occurrences and gynecological disorders in female equestrians and strengthening of core stability muscles lumbar spine

Marta Siedlecka, Bartosz Aniśko, Katarzyna Placek, Małgorzata Wójcik

 

Marta Siedlecka, Bartosz Aniśko, Katarzyna Placek, Małgorzata Wójcik – Low back pain occurrences and gynecological disorders in female equestrians and strengthening of core stability muscles lumbar spine. Fizjoterapia Polska 2023; 23(4); 156-162

DOI: https://doi.org/10.56984/8ZG20A371

Abstract
Introduction. Women involved in amateur equestrian activities may encounter spine pain and discomfort in the lower pelvic region.
Aim of the Study. A research hypothesis was established, suggesting that training the muscles responsible for stabilising the lumbar spine may have a positive impact on reducing both lumbar spine pain sensations and gynaecological disorders among female horse riders. The study aimed to validate the hypothesis and compare the Revised Oswestry Low Back Pain Disability Scale Questionnaire in the Polish version and the author’s questionnaire on gynaecological complaints between the study and the control group.
Material and methodology. The study involved women (n = 23) engaged in equestrian activities with an age range of 22.23 ± 2.78 years, research group n = 11 and n = 12 control group. Questionnaires used: Revised Oswestry Low Back Pain Disability Scale and the author’s on gynaecological ailments. Questionnaires were completed before and after a training session focused on exercising the stabilising muscles. Daily exercise training was conducted in the afternoon for six weeks (30 repetitions for each exercise).
Results. The results were presented in the form of graphs.
Conclusions. The six-week training of the stabilising muscles has a positive impact on reducing lumbar back pain and a slight effect on gynaecological complaints.
Key words:
horse riding, pain, stabilising muscles, gynaecological dysfunctions
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Physiotherapeutic assessment in gynecology

Małgorzata Wójcik, Katarzyna Placek, Renata Szczepaniak

 

Małgorzata Wójcik, Katarzyna Placek, Renata Szczepaniak – Physiotherapeutic assessment in gynecology. Fizjoterapia Polska 2023; 23(4); 54-64

DOI: https://doi.org/10.56984/8ZG20A1B6

Abstract
Introduction. Gynecological disorders are often manifested by experiencing pain. Disorders on the part of the musculoskeletal system can cause symptoms that can mimic diseases of internal organs, also internal organs can mimic symptoms of dysfunction for the musculoskeletal system. An ongoing disease process within a particular internal organ can trigger a reflex response from the musculoskeletal system, such as locking of the spinal joints in the corresponding organ’s spinal segment. Objective.
The purpose of this study is to present the physiotherapeutic functional diagnosis of the pelvis in relation to gynecology.
Material and methods. Two independent reviewers searched medical and public databases, such as PubMed, Scopus and PEDro, using search terms and MeSH, such as physiotherapy, functional diagnosis, functional assessment, gynecology. The inclusion criterion was an article published in a peer-reviewed journal, with no restriction on the extent of the year of publication. There were no restrictions on the language of publication. Journal databases were reviewed between May and June 2023.
Conclusions. There is a lack of description of functional physiotherapy examination in gynecology including postural and pelvic types in scientific publications.
Key words:
physiotherapy, functional assessment, gynecology
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Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic

Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz


Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz – Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic. Fizjoterapia Polska 2022; 22(4); 154-161

DOI: https://doi.org/10.56984/8ZG1A62sK

Abstract
The COVID-19 pandemic resulted in an almost immediate need to limit social contact, including access to full-time education.
Teaching in the 2020/2021 academic year relied almost entirely on remote education. Medical students felt the problem of the lack of student-patient contact in particular. Internships and apprenticeships were kept to a minimum, and in many universities there were no apprenticeships, which also translated into the lack of acquisition of practical knowledge, which is very important in the work of a future medic.
The study covered students from all voivodeships. The nationwide character of the study made it possible to obtain objective results.
The objective of the study was to examine the level of satisfaction and acquired skills of students of the medical faculty, i.e. physiotherapy within remote education.
The results of the study and the literature review show that the preferred form of education in medical faculties is a mixed form of education, and student satisfaction with the remote form is rather low. It has been shown that this method of education does not lower the level of satisfaction, and at the same time has a positive effect on the economic aspect of studying.

Key words:
student satisfaction, physiotherapy, remote learning, COVID-19 disease

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Physiotherapist – a medical profession of public trust. Do the rules for preparing physiotherapeutic documentation contradict this…?

Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik


Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski, Monika Urbanik – Fizjoterapeuta – zawód medyczny zaufania publicznego. Czy zasady sporządzania dokumentacji fizjoterapeutycznej temu przeczą…?. Fizjoterapia Polska 2022; 22(4); 102-105

DOI: https://doi.org/10.56984/8ZG1A66RB

Abstract
The Act on the profession of physiotherapist constitutes the profession of physiotherapist as a medical profession of public trust, the authors subject to legal analysis whether, in accordance with this Act, other legal acts properly qualify the above competences granted under the Act.

Key words:
act on the profession of physiotherapist, medical profession of public trust, medical documentation, medical law in physiotherapy

Article only in Polish language

Patellar dislocation – conservative or surgical treatment

Dariusz Lusina, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Jan W. Raczkowski


Dariusz Lusina, Mateusz Curyło, Marcin Mikos, Katarzyna Placek, Jan W. Raczkowski – Patellar dislocation – conservative or surgical treatment. Fizjoterapia Polska 2022; 22(4); 28-31

DOI: https://doi.org/10.56984/8ZG1A60LR

Abstract
Patellar dislocation is an emergency, requiring immediate medical intervention, followed by the cooperation of the orthopedist and physiotherapist in returning to full health, as well as reducing the risk of relapse. The kneecap is an integral part of the knee joint and is responsible for its proper functioning. Among the methods of treatment used, there are conservative and surgical methods. The article is an attempt to answer the question whether there is an advantage of some methods over others. Materials available on the PubMed and Cochrane Library websites were used to obtain answers to the question asked. Due to different standards of management, the advantage of surgical over conservative has not been established, but there are researchable factors that may help in making therapeutic decisions.

Key words:
patellar dislocation, conservative treatment, surgical treatment

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Sacro-lumbar orthosis in lower back pain syndromes – literature review

Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski


Mateusz Curyło, Tomasz Urbański, Agnieszka Ciukszo, Katarzyna Placek, Dariusz Lusina, Marcin Mikos, Jan W. Raczkowski – Sacro-lumbar orthosis in lower back pain syndromes – literature review. Fizjoterapia Polska 2022; 22(3); 164-168

DOI: https://doi.org/10.56984/8ZG142R1m

Abstract
Purpose of study. The purpose of this study is to analyze the effect of sacral-lumbar orthoses on the occurrence of pain in patients with low back pain (LBP) and the effects of these orthoses on the muscles that stabilize the trunk based on the available literature.
Methods. For the purpose of this study, the following databases were searched: Pubmed, Scopus, ScienceDirect, Medline, and others using the Google Scholar search engine using the following keywords: low back pain, lbp exercise, low back pain epidemiology, low back pain orthosis, low back pain therapy, LBP treatment, lumbar sacral orthosis.
Results. 26 of the 92 articles searched by the above method were analyzed in relation to the subject of the use of sacral-lumbar orthoses in patients with spinal pain syndrome. The analysis did not show that wearing a corset negatively affects muscle strength. Most current studies recommend using a corset in combination with exercise and/or pharmacotherapy for LBP.
Conclusion. There are not enough studies to conclusively determine the effect of lumbar sacral orthoses on the sensation of pain in the lumbar spine. Among the main limitations of the analyzed studies are difficulty in measuring pain, as pain is a subjective sensation, and the significant number of possible causes of LBP, which are sometimes difficult to specify.

Key words:
sacral-lumbar orthosis, spinal pain syndrome, lower back pain

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3D printed orthosis supporting rehabilitation of children with nervous system disorders

Agnieszka Ciukszo, Mateusz Curyło, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski


Agnieszka Ciukszo, Mateusz Curyło, Katarzyna Placek, Dariusz Lusina, Jan W. Raczkowski – 3D printed orthosis supporting rehabilitation of children with nervous system disorders. Fizjoterapia Polska 2022; 22(3); 52-58

DOI: https://doi.org/10.56984/8ZG1427jJ

Abstract
The main task of orthoses in neurological diseases is stabilization, correction and improvement of gait function. Orthoses actively support the work of muscles by proper alignment of individual body segments in relation to each other to facilitate the performance of the planned function. During upright standing, the task of the orthosis is to keep the upper ankle in a fixed, intermediate position, usually at an angle of 90°. This increases the base of support provided by the feet flat on the ground. Stabilization in the joints gives a chance to maintain the correct length of the muscles, and thus protects against contractures. Individual orthoses are used during upright standing and to improve the gait function with dedicated footwear. The brace widens the contour of the foot, so the footwear for orthoses is usually wider than the standard one, but it cannot be longer than the brace. One of the leading guidelines in gait analysis used in children with gait disorders are the criteria adopted by the Rancho Los Amigos Hospital. Despite the complexity of the problems with gait that patients report to a physiotherapist, a simple strategy should be adopted when it comes to securing with the orthosis. The role of orthopedic equipment is to support muscle failure by obtaining a stable stance phase.

Key words:
3D printing, 3D orthoses, CP (cerebral palsy), spina bifida, SMA, gait analysis

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Life quality of patients with idiopathic scoliosis treated with Chenêau Brace

Tomasz Urbański, Mateusz Curyło, Karina Rożek, Dariusz Lusina, Katarzyna Placek, Jan W. Raczkowski


Tomasz Urbański, Mateusz Curyło, Karina Rożek, Dariusz Lusina, Katarzyna Placek, Jan W. Raczkowski – Life quality of patients with idiopathic scoliosis treated with Chenêau Brace. Fizjoterapia Polska 2022; 22(2); 136-143

DOI: https://doi.org/10.56984/8ZG0DE0LR

Abstract
Objective. The main objective of this study was to determine the effect of wearing a Chêneau brace on the quality of life of patients with idiopathic scoliosis.
Methodology. The study used a short questionnaire that consisted of 12 questions – 4 questions about demographics and 8 questions about quality of life. The investigated aspects of life included difficulty in performing daily activities, feelings of embarrassment, sleep discomfort, irritability, and patients’ perceived benefits of this treatment procedure. Questionnaires were filled during follow-up visits. The study was conducted on a group of 30 patients aged 9–16 years treated for at least 6 months. Among the respondents there were 22 females and 8 males.
Results. Despite the small study group, the results of the statistical analysis confirmed the hypothesis that the brace significantly affects the quality of life of patients and has a greater impact on the quality of life of the female gender due to the disruption of aesthetics and the associated sense of shame. An association was observed between the sense of shame related to wearing a brace and the desire to “hide” the brace under clothing, as well as the perception of the benefits of wearing a brace and a lower sense of shame.
Conclusion. In the processes of rehabilitation and treatment of the patient with idiopathic scoliosis, a holistic approach that considers not only activities related directly to physiology, but also to patients’ well-being and quality of life is important.
Key words:
idiopathic scoliosis, Chêneau brace, quality of life
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