Tag: Mirosław Kokosz

An analysis of rehabilitation outcome for infants with torticollis, based on an original examination sheet

Małgorzata Matyja, Krzysztof Czupryna, Mirosław Kokosz, Justyna Golba

Małgorzata Matyja, Krzysztof Czupryna, Mirosław Kokosz, Justyna Golba – An analysis of rehabilitation outcome for infants with torticollis, based on an original examination sheet. Fizjoterapia Polska 2001; 1(4); 354-360

Abstract
Introduction. Compulsory asymmetrical positioning of the head with a tint to one side and a twist to the opposite side is called torticollis. Its consequences can be both local and global. The global symptoms, resulting from the impact of the spatial head position on the distribution of muscle tension in the entire body, are less frequently described. Materials and method. The authors have developed an examination sheet for infants with asymmetrical head control, which makes it possible to objectivize the diagnosis of local and global symptoms, and to control their correction in the course of rehabilitation. Conclusions. An assessment of the results obtained shows that the global symptoms must be taken into account in therapy, since as a general rule they appear later than the local symptoms.

Key words:
Torticollis, examination sheet, rehabilitation of infants

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Systematics of kinesitherapeutic methods

Mirosław Kokosz, Andrzej Zembaty, Edward Saulicz

Mirosław Kokosz, Andrzej Zembaty, Edward Saulicz – Systematics of kinesitherapeutic methods. Fizjoterapia Polska 2003; 3(3); 287-296

Abstract

Kinesitherapeutic methods are in more and more frequent use by physiotherapists. The significance of treatment methods based on movement is indicated by, among other things, the popularity of various kinds of short courses and post-graduate training programs in this field. In the literature one can find many different treatment programs called „kinesitherapeutic”. However, given the fact that these methods have been popular for only a few decades, there has been to date no comprehensive systematization of this component of kinesitherapy. The present study describes the authors’ definition of treatment by movement and a classification of 47 kinesitherapeutic methods, using their theoretical foundations as the criterion for classification.

Key words:
history of movement therapy, kinesitherapy methodology, systematics
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Evaluating the effectiveness of mechanical methods on the basis of published reports

Mirosław Kokosz, Edward Saulicz, Janusz Kubacki

Mirosław Kokosz, Edward Saulicz, Janusz Kubacki – Evaluating the effectiveness of mechanical methods on the basis of published reports. Fizjoterapia Polska 2003; 3(4); 347-356

Abstract

Background. Movement based-therapy is becoming increasing popular. In fact, it can be said to be dominant modality in contemporary kinesitherapy. One of the most important criteria justifying the use of a particular therapeutic method is its clinical suitability. In this article, we attempted to establish the effectiveness of mechanical methods on the basis of a literature search. For this purpose we used our own system of evaluating the quality of published reports.Material and methods. We analyzed 20 articles from the literature devoted to the problem of evaluated the effectiveness of mechanical methods. The research reports were then ranked on the basis of the authors’ own method of evaluating their quality.Results. The results of our meta-analysis suggest that kinesitherapeutic methods are more effective than individual treatment methods used in isolation. Conclusions. A literature search in the available data bases produces numerous works discussing therapeutic techniques or diagnostic methods. There are relatively few articles, however, that evaluate the effectiveness of movement-based therapy. There are no unified criteria for the evaluation of effectivenessm which means that in the analysis of outcomes achieved from using one and the same kinesitherapeutic method there are major discrepancies in the results obtained by different authors.

Key words:
kinesithearpy, meta-analysis, manual therapy
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Disturbances of pelvic control in sitting and while assuming a sitting position as a manifestation of postural hypotonia in pre-school children

Małgorzata Matyja, Edward Saulicz, Mirosław Kokosz, Marta Syryjczyk

Małgorzata Matyja, Edward Saulicz, Mirosław Kokosz, Marta Syryjczyk – Disturbances of pelvic control in sitting and while assuming a sitting position as a manifestation of postural hypotonia in pre-school children. Fizjoterapia Polska 2004; 4(1); 31-39

Abstract

Background. The purpose of our research was to evaluate the connection between the pelvis in sitting position and posture in standing position, as well as the manner of changing from supine position to sitting position. Material and methods. We examined 37 six-year-old boys and girls. Posture was assessed according to Hoppe’s modified scale of posture measurement. The manner of maintaining upright sitting position and changing from supine position to sitting position was also examined. The angle of pelvic back tilt in sitting position was examined by means a Rippstein plurimeter. Statistical analysis was based on the Spearman test, the Manova-Anova test, and the Tukey test, taking p < 0.05 as the critical level. Results. There is a clear connection between the way a young child maintains sitting position and both pelvic back tilt and the quality of posture (in both cases r = 0.67, p < 0.001). We also found a smaller but equally important connection between the way of changing from supine to upright sitting position (r = 0,44 p < 0,01) and the other parameters. Conclusions. The evaluation of pelvic control in sitting position and in the course of sitting up is a good technique for the diagnosis of postural tone in young children.

Key words:
the body posture, defects of posture, postural hipotone, the pelvis control
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S-E-T: Possibilities for use in coxarthrosis deformans

Mirosław Kokosz, Rafał Gnat, Lech Wojdyła, Jacek Mańka

Mirosław Kokosz, Rafał Gnat, Lech Wojdyła, Jacek Mańka – S-E-T: Possibilities for use in coxarthrosis deformans. Fizjoterapia Polska 2004; 4(4); 411-418

Abstract

The purpose of this article is to describe the mechanisms that ensure the stability of the hip joint. In the first part, the passive and active control subsystems are explained, as well as the controlling function of the nervous system. This feed-forward mechanism protects the musculo-skeletal system from dangerous overuse in both static and dynamic conditions. The second part of the article gives the main rules for therapeutic intervention and some examples of stability exercises that can be used in cases of coxartrosis deformans.

Key words:
kinesitherapy, active control, passive control, controlling function of the nervous system
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The suitability of the „toe-touch” test for functional testing in physiotherapy

Michał Kuszewski, Henryk Knapik, Edward Saulicz, Rafał Gnat, Mirosław Kokosz

Michał Kuszewski, Henryk Knapik, Edward Saulicz, Rafał Gnat, Mirosław Kokosz – The suitability of the „toe-touch” test for functional testing in physiotherapy. Fizjoterapia Polska 2004; 4(4); 378-384

Abstract

Background. The objective of our study was to specify the relationship between selected flexibility parameters and the results of the „toe-touch” test. Material and methods. We examined 190 people from 18 to 51 years of age (ave. 23.8 ± 5.7). In each subject, global flexibility in the sagittal plane was tested with the „toe-touch” test, then the mobility of the upper and lower lumbar spine and both hip joints was examined, as was the range of plantar flexion of the ankle (an indirect indication of the length of the muscles of the dorsal aspect of the leg) and possible shortening of the hamstrings. A Saunders’ electronic goniometer was used to make measurements (in the lower lumbar spine Schober’s measurement was also utilized). The product-moment Pearson’s correlation test was used to estimate connections between parameters. Results. Significant correlations were registered between the results of the toe-touch test and the following parameters: mobility of the upper (r = 0.79) and lower lumbar spine (r = 0.70), shortening of the hamstrings (r = -0.67), mobility of both hip joints (r = 0.36 and r = 0.34), and the range of plantar flexion of both ankle joints (r = 0.33 and r = 0.25). There was no significant connection between the „toe-touch” test and the results of Schober’s measurement. Conclusion. The „toe-touch” test is a quick, simple and reliable way to evaluate the functional status of the lower spine and lower extremities.

Key words:
flexibility parameters, lumbar spinal mobility, crural muscles, plantar flexion of the ankle, shortening of the hamstrings hip mobility
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Realloplasty of the knee according to the inications and researches on prosthesis stability

Janusz Kubacki, Mirosław Kokosz, Krystyna Kwaśna

Janusz Kubacki, Mirosław Kokosz, Krystyna Kwaśna – Realloplasty of the knee according to the inications and researches on prosthesis stability. Fizjoterapia Polska 2006; 6(1); 1-6

Abstract

The term realloplasty corresponds with surgical procedure of prosthesis refixing, removing and then reimplantation of a new prosthesis. One should distinguish between revision of joint after alloplasty and the realloplasty. Revision and realloplasty complement one another. Revision could be connected with removal of prosthesis or its part and implantation of a new prosthesis. The problems at revision after a knee joint alloplasty and realloplasty, have been discussed on the basis of our observations and medical literature review. The purpose of this publications, is to show failures complications for realloplasty. It was turned out that the most serious problem for the stability of prosthesis components is bone cement. That is why uncemented implants are recommented for application and researches on bioactivs composits, which influence the stability of prosthesis. In the new situation after revision and realloplasty, specialistic rehabilitation is indispensable taking into consideration all past complications and failures which have influence on rehabilitation program and its continuation. Close cooperation with orthopaedic surgeon is neccessary to obtain information about all disorders present after surgical procedure.

Key words:
realloplasty, indications, prosthesis stability
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Biomechanical aspects of modern models of pelvis stability. Part II: symphysis pubis and anterior oblique muscle sling

Rafał Gnat, Edward Saulicz, Mirosław Kokosz, Michał Kuszewski

Rafał Gnat, Edward Saulicz, Mirosław Kokosz, Michał Kuszewski – Biomechanical aspects of modern models of pelvis stability. Part II: symphysis pubis and anterior oblique muscle sling. Fizjoterapia Polska 2006; 6(4); 328-333

Abstract
Biomechanical model of pelvis stability based on self-bracing mechanism contributed to certain discrimination of previous proposals mentioning the pelvic ring and ascribing important stabilizing role to pubic symphysis. However, the paper presents some arguments challenging thesis about complete lack of significance of the symphysis and anterior part of the pelvic stabilising system in process of maintaining stability. Both the symphysis itself as well as anterior oblique muscle sling seem to find their own, meaningful place there. Maybe this role could not be considered primary, but surely it is supplementary one. Observations of biomechanical, clinical and evolutional nature seem to support such a point of view. Spreading of the effective range of self-bracing due to compressive forces acting on the sacroiliac joint and increased friction between its surfaces divides the burden of maintaining stability on bigger number of muscles. The adductor longus that belongs to anterior oblique muscle sling seems to locate its attach-ment in the proper area. Moreover, a view of the pelvis, where the force closure mechanism is executed by posterior muscle slings exclusively brings about compelling impression of shearing forces arising within the sacroiliac joints. Activation of the anterior portion of the stabilizing system heads off the incoming threat immediately. Also assuming the upright body posture resulted in humans in more frequent, in comparison with other species, backward excursions of the centre of gravity. In such conditions the anterior part of the pelvic stabilizing system will always be activated in order to maintain stability.

Key words:
pelvis, symphysis pubis, anterior oblique muscle sling

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Biomechanical aspects of modern models of pelvis stability. Part I: sacroiliac joint and self-bracing mechanism

Rafał Gnat, Edward Saulicz, Michał Kuszewski, Mirosław Kokosz

Rafał Gnat, Edward Saulicz, Michał Kuszewski, Mirosław Kokosz – Biomechanical aspects of modern models of pelvis stability. Part I: sacroiliac joint and self-bracing mechanism. Fizjoterapia Polska 2006; 6(4); 280-288

Abstract
Last two decades of the XXth century brought about significant progress towards recognition of stabilizing mechanisms of kinematic links within human locomotory system. Panjabi formulated his concept concerning stabilizing system of the human kinetic link, scientist from Australia explained the mechanism of stabilization of the lumbar section of the spine, linked its dysfunctions to pain ailments rising in that region of the body and proved the effectiveness of the innovative training system in reduction of severity of such symptoms. Between numerous research in that direction, a biomechanical model of sacroiliac joint stability developed by Dutch scientists from Erasmus University, Rotterdam, is worthy paying attention. This model takes into consideration two coexisting mechanisms that make maintaining stability possible: the form closure and the force closure mechanism. As result of the cooperation between the two an effect of self-bracing of the sacroiliac joint comes into being. The leading idea hidden under the surface of the model is quite similar to the one that ancient architects had in minds while developing the structure of so called roman arch. Here, sacrum plays the role of the keystone and the two femora together with innominates are the columns. After application of quite a small, transversely oriented force, resulting from musculoligamentous system activity the construction remains stable. The objective of the paper is to familiarize reader with details of biological mechanisms that built up foundation for the Dutch model of sacroiliac joint stability.

Key words:
sacroiliac joint, form closure, force closure, self-bracing effect

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The effect of stabilization exercises and rotational mobilizations on postural reactions

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż

Oliwia Mokrus, Mirosław Kokosz, Edward Saulicz, Bogdan Bacik, Mariola Saulicz, Łukasz Drożdż – The effect of stabilization exercises and rotational mobilizations on postural reactions. Fizjoterapia Polska 2007; 7(2), 95-106

Abstract

Background. The maintenance of stability and the performance of any motor task is possible thanks to the control function of the nervous system, which collaborates closely with both active and passive components of the locomotor apparatus. The aim of this study was to find out whether stabilizing exercises executed in closed kinetic chains (influencing active elements) and rotational mobilizations (engaging passive structures) could improve body balance. Material and methods. Twenty young, healthy, physically active women were randomly divided into two equal groups. The first group (I) performed stabilizing exercises and the second (II) was subjected to rotational mobilizations. Every woman was examined twice (before and after the exercise procedure). Stability in double-feet quiet stance with and without visual control was examined using a dynamometric platform. The resulting data were analysed statistically. Results. More evident changes could be seen in the frontal plane. These were more noticeable in the active stabilization exercise group (especially with reference to stiffness, where the differences were statistically significant). Conclusions. Some changes of the viscoelastic system were seen in response to both passive and active exercise procedures. More distinct changes were seen following active exercises in a closed kinetic chain (Group I), suggesting that this kind of exercise has a greater effect on postural reactions.

Key words:

stabilization, rotational mobilizations, equilibrium, visco-elastic system

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