Tag: Marek Kiljański

Blended Learning in Physiotherapy Education: Magic Mix That Improves Quality of Student Learning

Thirumalaya Balaraman, Narasimman Swaminathan, Zbigniew Śliwiński, Marek Kiljański

T. Balaraman, N. Swaminathan, Z. Śliwiński, M. Kiljański – Blended Learning in Physiotherapy Education: Magic Mix That Improves Quality of Student Learning. FP 2016;16(4);24-28

Abstract

Background.
Teaching face to face and partly online is called blended teaching. In practical oriented subjects like physiotherapy more hands on training is required. Hence online teaching may not help to meet the learning outcomes. But a combination of face to face and online may be very effective in delivering the course contents. In this paper the effect of blended teaching on students learning is discussed.
Aim.
The aim of this paper is to discuss the efficacy of blended learning to improve the quality of student learning in physiotherapy education.
Materials and methods.
At INTI International University, we delivered physiotherapy selected courses in blended mode using various tools in the Blackboard platform. We also used zoom and skype to deliver in-classroom lectures with international expert from overseas. The efficacy of this method was evaluated through student’s feedback and performance in the formative and summative assessments
Results.
The students participated in these courses perceived blended teaching strategies very effective and convenient. Blended learning encouraged more collaboration between students which was evident based on their summative exam scores.
Conclusion.
Blended teaching strategies may be effective in physiotherapy education to improve the quality of students learning. A higher quality studies will provide more evidence.

Key words:
blended learning, physiotherapy education, physiotherapy education,

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Comparison of phisical fitness phisiotherapists 20 years of service with phisical fitness phisiotherapist’s students

Anna Stecz, Marek Kiljański

A. Stecz, M. Kiljański – Comparison of phisical fitness phisiotherapists 20 years of service with phisical fitness phisiotherapist’s students. FP 2016;16(4);6-12

Abstract

Aim. The aim of this study was to compare the physical fitness of phisiotherapists from the 20 years of work experience with the physical fitness of physiotherapy’s students. They were also subjected to analysis of the performance of the respondents.
Material and Methods. The study was conducted in the period from April 2015 to March 2016 in a group of 48 healthy people. Patients were divided into 2 groups: 24 physiotherapy students (13 women and 11 men) and 24 physiotherapists (14 women and 10 men). For the analysis of the research material was used a questionnaire, which contained 15 questions about physical activity and habits studied and selected samples from the Zuchora’s Index of physical fitness (agility, jumping, speed, strength of abdomen muscles).
Results. The tested samples of fitness, there were no statistically significant correlation between the subjects’ age and level of implementation of individual skill tests. However, the average results of the respondents obtained in each of the tests say that the physiotherapists scored higher in an attempt flexibility and strength mm. belly while students in speed and jump try. It turned out to be statistically significant correlation between the frequency of physical activity undertaken and the level of efficiency.
Conclusions. The students obtained higher scores in an attempt to speed and jumping, while physiotherapists in an attempt to strength of abdomen muscles and flexibility. There is no statistically significant correlation between the subjects’ age and level of physical fitness. The frequency of physical activity influences the level of efficiency in the study groups.

Keywords:

movement, physical fitness, physical activity, endurance, physiotherapists

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The characteristics of patients undergoing neurological rehabilitation

Karol Wojciechowski, Marek Kiljański, Krzysztof Mirecki, Jan Szczegielniak

K. Wojciechowski, M. Kiljański, K. Mirecki, J. Szczegielniak – The characteristics of patients undergoing neurological rehabilitation. FP 2015; 15(3); 78-89

Abstract
The present paper is an attempt to characterize the profile of a patient referred for neurological rehabilitation.
The research material included data collected from nine units of intramural neurological rehabilitation which had signed contracts with the Lodz Voivodeship Department of the National Health Fund.
The analysis of research material with respect to the age of patients undergoing neurological rehabilitation has shown that the most commonly rehabilitated patients were those aged between 56-75 which constitutes 59.74% of all patients.
The research has shown that the most commonly reported diagnosis was “spastic hemiplegia” (40.58% of all patients) and “hemiplegia, unspecified” (21.19% of all patients).

Key words:
neurological rehabilitation, main diagnoses

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Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists

Łukasz Kopacz, Danuta Lietz-Kijak, Artur Perz, Elżbieta Kubala, Paulina Strzelecka, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, D. Lietz-Kijak, A. Perz, El. Kubala, P. Strzelecka, E. Kijak, Z. Śliwiński, M. Kiljański: Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists. Fizjoterapia Polska 2015;15(3);36-44

Abstract

Introduction. Dentists, due to the conditions of their work, are exposed to many loads both physical and psychological. Considering the ergonomics of work, health status of this professional group should be considered primarily in terms of diseases of the spine, especially the cervical. This applies to all items in the work, both independently, as well as in team techniques, where apart from monotypy and monotony, there is always forced posture, and large static load, that contributing to a lot of degenerative arthritis changes of the cervical spine disorders, which are the result of the above-mentioned degenerations. Material and method. The study were conducted in the Department of Propedeutics and Dental Physicodiagnostics of the Pomeranian Medical University. The study group consisted of 36 fifth-year students of dentistry at the Faculty of Medical-Dentistry, Pomeranian Medical University in Szczecin with chronic pain of the cervical spine. Group of examined persons was subjected to the treatment with Kinesiology Taping method,  in which were used muscular and ligaments technique , accordance with the methodology. In the study has been used diagnostic survey method – a questionnaire. To assess the degree of feeling pain by the subjects were used a visual analogue scale VAS in the horizontal format in the range of 0-10.
Results. Considering the range of motion of the cervical spine flexion, the Kinesiology Taping method has improved in this movement, and extension range in the cervical spine improved more than the range of flexion. Taking the scope of the movement of the bend into the side, as well as the turn of the cervical spine in the test group were significantly improved, both in motion toward the right as and left. Examined in terms of assessing the level of the declared values of pain on VAS observed a significant reduction of this disease. Conclusion. Kinesiology Taping application also favorably influenced the range of motion of the cervical spine, while improving comfort work. Kinesiology Taping method applied among young dentists had a positive effect on the declared value of pain on the VAS, which transfers into a reduction. Considering the sex of patients, in the group of women has significantly improved the range of extension, while in men the range of flexion.

Key words:
Kinesiology Taping, pain, spine

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Phenomenon of the dominant and latent blocks of the sacroiliac joint in lateral curvature of the spine – problems related to the pelvis therapy

Daniel Olędzki, Andrzej Sadowski, Tomasz Sajko, Marek Kiljański

D. Olędzki, A. Sadowski, T. Sajko, M. Kiljański: Phenomenon of the dominant and latent blocks of the sacroiliac joint in lateral curvature of the spine – problems related to the pelvis therapy. Fizjoterapia Polska 2015;15(3);12-22

Abstract

The deviation of the spine from the long vertical line of the body can be detected from the early years of a child. The deviation is closely related to the position of the pelvic bones to each other and sacroiliac joints, especially their disfunction, play an important part in this process.
Even a slight shift of the sacrum relative to a hip bone causes the change in the spatial arrangement of the pelvis complex, spine segments located above as well as the hip bones. Early intervention by early diagnosis of the disfunction in little children gives us a chance to correct efficiently the pelvis relative to the spine at the level of so-called “compensatory scoliosis” when the problem lies only in the asymetric arrangement of the pelvis that affect the spatial arrangement of the vertebrae and is totally reversable.
The research team confirmed the fact of occurring “the dominant phenomenon and latent blocks of sacroiliac joints”. Its existance has been proven in 50% of subjects.
The examination and therapy of joints is relatively difficult taking into consideration the phenomenon described in this work. In case of a therapy of only one joint, no intended results can be expected in every second case.
There should be at least two manual examinations to assess the condition of both sacroiliac joints and comparing them with the primal examination. The rule of the manual therapy and examination before and after the therapy is applied in such a case.

Key words:
sacroiliac joint, manual therapy, scoliosis, block

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“Long march” to a bill defining the profession of physiotherapist as an individual occupation

Katarzyna Wierdak,  Marek Kiljański

K. Wierdak,  M. Kiljański. “Long march” to a bill defining the profession of physiotherapist as an individual occupation. FP 2015;15(4);108-115

Abstract
The aim of the article is to present the history of the stages of development and implementation of the bill on the Profession of Physiotherapist. Since 1998 and the first attempts to regulate the profession of physiotherapist standards, through 2004, when the occupation was placed on the 223,903 position on the list of professions and specialties, to the most important event – signing the Project Bill of Physiotherapist by President of Poland Andrzej Duda on 26th October 2015. For the representatives of the Polish Society of Physiotherapy, working on the bill and effective processing meant hours spent with experts from various industries; long struggle with the medical lobby and the Supreme Council of Physicians who were against finalizing the legislative procedure; meetings in the Ministry of Health and Social Policy; talks with parliamentarians; The Polish Ombudsman; public consultation and publicizing the issue in the media. And the last step, which was to activate the physiotherapists’ environment, which lead to successful voting in the Parliament on the bill issued by Polskie Stronnctwo Ludowe one of the Polish political parties.
Conclusions. Thanks to the persistent and determined position of the Polish Society of Physiotherapy after more than 20 years since the first signs of the need, the physiotherapist occupation was pronounced an independent medical profession. Such issues as training, duties of the governing association and professional responsibility were established to prevent from performing the job by unqualified people. Everything was done for the sake and safety of Polish patients.
Scientific method. Enquiry of records devoted to physiotherapy and health safety including a bill defining the profession of physiotherapist from parliamentary sessions, media programs and articles plus publications in trade press

Key words:
profession of physiotherapist

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Therapeutic value of local cryotherapy in symptomatic treatment of patients with shoulder joint pain syndrome

Łukasz Kopacz, Żaneta Ciosek, Karolina Kot, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, Ż. Ciosek, K. Kot, D. Lietz-Kijak, E. Kijak, Z. Śliwiński, M. Kiljański: Therapeutic value of local cryotherapy in symptomatic treatment of patients with shoulder joint pain syndrome. FP 2015;15(4);54-62

Abstract

Introduction. The aim of this study was to determine the effects of the cryotherapy treatment on the mobility of the shoulder joint of the patients with osteoarthritis. We took into consideration the motion of flexion and extension. Additionally, the potential changes in the pain complaints were analyzed.
Material and methods. We examined 54 patients in the study, including 31 women and 23 men. They were put through the local cryotherapy on the shoulder joint 15 times daily. Before participating, all patients gave their informed consent to take part in the study and they were asked to rate their pain in the Visual Analogue Scale (VAS). The range of motion in the shoulder joint of every patient was measured  by goniometer before and after cryotherapy.
Results. All patients who underwent the series of cryotherapy had significant improvement of flexion and extension in the shoulder joint. Taking into consideration the general analysis of pain rated in the VAS score by the participants, we observed a significant reduction in the values of VAS indicated by the patients after the series of treatments.
Conclusions. Local cryotherapy is a reliable method that reduce pain and improve range of motion in the patients with pain syndrome of the shoulder joint.

Key words:
cryotherapy, shoulder joint, cold therapy

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Application of Deep Oscillation and Electric Stimulation in Smooth Muscles to Minimize the Selected Parameters of Muscular Fatigue

Robert Trybulski, Aleksandra Żebrowska, Wiesław Marcol, Robert Roczniok, Katarzyna Kępa, Marek Kiljański

R. Trybulski, A. Żebrowska, W. Marcol, R. Roczniok, K. Kępa, M. Kiljański – Application of Deep Oscillation and Electric Stimulation in Smooth Muscles to Minimize the Selected Parameters of Muscular Fatigue. FP 2016;16(2);14-30

Abstract

In the scientific literature on the subject, we observe an increased interest in the treatment techniques, which target the activation of lymphatic system and microcirculation, and hence the impact of different stimuli on the immune system. Unfortunately, the reports are still rather scarce. Not very well researched is the impact of the techniques stimulating lymphatic motoricity, such as deep oscillation and electric stimulation of the body flow type, on the muscle tension and the muscle pain. Physical medicine, in the area of stimuli impact on the processes of tissue regeneration, has an advantage over the manual techniques, as it utilizes the electrical and magnetic properties of the  organic compounds.
Underestimation of physiological indicators of muscles overload, such as fatigue, impaired muscle tone or muscle pain, has caused the number of injuries resulting from muscles overload raise to quite epidemic proportions. The methods and means of physiotherapy, in order to face the new challenges, are constantly evolving and have become an indispensable part of the periodization training and post traumatic physiotherapy treatment.
The aim of this study has been to analyze the impact of the innovative methods of physical medicine, such as smooth muscles electrical stimulation (Body Flow) and deep oscillation drainage (Deep Oscillation), on the phenomena of muscle pain and abnormal muscle tone. In the study participated 60 male subjects, engaged in training of the Mixed Martial Arts (MMA), 18-35 years old.
The use of physical methods of lymphatic drainage, such as the body flow and the deep oscillation, in the process of rebalancing – through the stimulation of microcirculation – of the changes in the muscle tissue associated with pain and muscle tension, appears to be effective in light of the test results presented in the study.

Key words:
deep oscillation, smooth muscles electric stimulation, microcirculation, muscular fatigue

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Comparison of injury rate among members of selected handball teams (men’s Super League and First Division), 2014/2015 season

Szymon Fugiel, Marek Kiljański

S. Fugiel, M. Kiljański – Comparison of injury rate among members of selected handball teams (men’s Super League and First Division), 2014/2015 season. FP 2016; 16(3); 68-78

Abstract
Introduction. Sport injury needs to be considered a major issue, both in amateur and competitive circumstances; it often limits athletes’ ability or totally prevents them from performing their professional activities. A number of handball teams in Poland fail to provide adequate medical facilities, which results in the situation where the players’ health is not satisfactorily cared for.
Aim. The aim of this paper is to analyse the injury rate among members of selected handball teams from men’s Super League and First Division, 2014/2015 season.
The respondents who participated in this study play in 4 different teams, 2 teams are currently in Super League and 2 in the First Division. The data was collected between August and October 2015 and the questions discussed only the sport injuries suffered in the 2014/2015 season. Injury rate coefficient was then calculated, based on the following formula: Number of injuries x 1000 hours / Actual time of injury risk exposure.
Results. The highest injury rate coefficient was calculated for Team 1, 7.86. This left the remaining teams behind with the coefficient value of 5.20 for Team 3, 3.93 for Team 4 and only 2.63 for Team 2. Injury rate coefficient calculated for these players who have been subject to screening examination and received a tailored result correction programme was recorded at the level of 2.71, as compared to 7.02 calculated for the players who have not been examined and received correction therapy. In general, handball players experienced injury primarily during the execution of a throw; these incidences amounted to 30.4% of all injuries.
Conclusions. Physiotherapist and his involvement in a handball team reduces the risk of sport injuries. Screening examination of musculoskeletal system, as well as tailored result correction programme, significantly reduce the risk of sport injuries. Therefore, technique improving exercise programmes should be created and incorporated into handball training, practising safe, injury risk-free way of executing a throw.

Key words:
sport injuries, injury rate, handball, screening examination

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Comparison of the Local Cryotherapy Treatment with the Application of Liquid Nitrogen or Carbon Dioxide

Katarzyna Bęben, Marek Kiljański

K. Bęben, M. Kiljański – Comparison of the Local Cryotherapy Treatment with the Application of Liquid Nitrogen or Carbon Dioxide. FP 2016; 16(3):6-17

Abstract
Goal. The aim of the study has been to compare the temperature of the skin surface during the local cryotherapy treatment using carbon dioxide and liquid nitrogen vapor.
Materials and Methods. The study has been carried out in the Pabianice Rehabilitation Center, at the turn of the year 2014/2015, with the group of 52 healthy volunteers of both genders, 20-36 years old, who have been subjected to an one time cryotherapy treatment. The participants have been divided into two groups, marked as B and P. In Group B carbon dioxide has been used as the refrigerant, while in Group P it has been the liquid nitrogen. We have recorded, by means of thermography, the temperature of skin surface before the cryotherapy treatment, immediately after it and after 2 minutes time.
Results and Conclusions. The comparison of the results obtained in both groups indicates, that it is the carbon dioxide, that lowers the temperature, in cryotherapy, to a greater degree. There has been the consensual response in the other hand.

Key words:
Local cryotherapy, liquid nitrogen vapors, carbon dioxide, thermography

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