Tag: Renata Szczepaniak

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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Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems

Krzysztof Czupryna, Olga Nowotny-Czupryna, Joanna Szymańska, Renata Szczepaniak

K. Czupryna, O. Nowotny-Czupryna, J. Szymańska, R. Szczepaniak – Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems. Fizjoterapia Polska 2019; 19(3); 54-61

Abstract
There is a strong relation between the type and severity of the disease/disability, the effects of treatment and/or improvement on one hand, and the quality of life on the other. In the case of a disabled child, this relation also includes members of the family. The criterion of a reduced quality of family life is the limitation of its participation in social life assessed in the area of 6 aspects, i.e.: communication, interpersonal relations with the child, mobility, self-care, domes-tic life and social life. The aim of the work is to present everyday problems in the area of the above mentioned aspects of a family with a disabled child in connection with the necessity to acquire new competences by its members.

Key words:
quality of life, disability, limitations of family in social life

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The main factors determining the occurrence of developmental dysplasia of the hip in infants based on the analysis of medical history of newborns staying in the neonatal ward of the Szpital Wojewódzki in Tychy in 2017

Magdalena Kiecoń, Jarosław Madowicz, Paulina Głowacka, Renata Szczepaniak

M. Kiecoń, J. Madowicz, P. Głowacka, R. Szczepaniak – The main factors determining the occurrence of developmental dysplasia of the hip in infants based on the analysis of medical history of newborns staying in the neonatal ward of the Szpital Wojewódzki in Tychy in 2017. Fizjoterapia Polska 2019; 19(1); 98-107

Abstract

Aim. To investigate the frequency of occurrence of Developmental Dysplasia of the Hip in newborns and to distinguish the main factors causing its occurrence.
Material and methods. The research included medical documentation in the form of the medical history of 1591 patients in the neonatological ward of the Provincial Specialist Hospital of Megrez Sp. z o.o. in Tychy.
Results. The incidence of DDH was higher among girls than among boys, and predominantly in the right joints. The study did not detect any significant relationship between the occurrence of DDH and the type of delivery, week of pregnancy, multiplicity of pregnancy and birth weight of newborns. However, a statistically significant relationship was detected between the occurrence of physiologically immature joints and the birth weight of newborns.
Conclusions. 1. The frequency of occurrence of DDH among newborns staying in the neonatal ward of the Provincial Hospital in Tychy in 2017 was 2.7% and was lower than the literature gives. 2. The occurrence of DDH was more frequent among girls than among boys. 3. DDH occurred more frequently in a statistically significant way in the right joint. 4. A significant relationship was found between the occurrence of type IIa variations according to the Graf scale and the birth weight of the newborn. 5. There were no significant relationships between the occurrence of DDH and the type of delivery, week of pregnancy, multiplicity of pregnancy and birth weight of newborns.

Key words:
DDH, developmental hip dysplasia, pediatrics, newborns, hip joint

 

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The new Dynamic Spine Correction (DSC) device: indications and contraindications

Wojciech Kaczmarek, Paweł Łęgosz, Renata Szczepaniak, Anna Lipińska, Krzysztof Mucha

W. Kaczmarek, P. Łęgosz, R. Szczepaniak, A. Lipińska, K. Mucha – The new Dynamic Spine Correction (DSC) device: indications and contraindications. Fizjoterapia Polska 2018; 18(4); 62-72

Abstract
The Dynamic Spine Correction (DSC) device (patent PL 229766; patent US 9,949,884 B2) was designed and constructed for the use in the spine physiotherapy. The device was produced by Bio.morph Ltd. as a result of the European Union Operational Program Innovative Economy for the 2007-2013 years.
The DSC proposes new methodology for the almost independent rehabilitation. Our method with the supervision of a physiotherapist can follow-up the osteo‑kinematics of the patient’s spine as the dynamically physiological joint play that being restored in blocked spine joints.
Thanks to the new diagnostic system there is also the possibility to: a) visualize the condition of the spinal column; b) register the parameters of patient’s therapy, as well as c) the results. Thanks to that, it is possible to evaluate the patient’s current condition and the progress of the therapy objectively.
Our innovative diagnostic and therapeutic methodology – namely Dynamic Correction and Mobilization of Spine and Postural Neuromuscular Re‑education – allows for an effective treatment of the spine disorders of different etiologies. Moreover it minimizes the potential risks for the patient’s, that results nowadays from therapeutic technologies used, as well as harmful materials and medicines with low specificity (e.g. painkillers).

Key words:
Back pain, DSC, dynamic spinal correction, physiotherapy, postural neuromuscular re‑education, spine

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The functional aspects of occupational therapy

Jerzy Rottermund, Joanna Szymańska, Aneta Warmuz-Wancisiewicz, Renata Szczepaniak

Jerzy Rottermund, Joanna Szymańska, Aneta Warmuz-Wancisiewicz, Renata Szczepaniak – The functional aspects of occupational therapy. Fizjoterapia Polska 2018; 18(3); 78-85

 

Abstract
The basic intent of occupational therapy is to reduce functional limitations or to completely eliminate them, along with striving to obtain, depending on the possessed psychophysical capabilities of self-reliance, self-sufficiency and independence. The aim of the work is to point to occupational therapy as a means to improve the functional efficiency necessary to perform everyday activities.
Functions in medicine mean activities and many physiological processeses that are essential in the work of the body as a whole. In occupational therapy, the term function means a series of activities that a participant of the therapy is able to perform. The article presents and discusses the conditions for the restoration of motor functions that an occupational therapist should consider in his or her professional work.

Key words:
occupational therapy, functional efficiency, dysfunction

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Professor Andrzej Zembaty

Sławomir Jandziś, Marek Woszczak, Marek Kiljański, Renata Szczepaniak

S. Jandziś, M. Woszczak, M. Kiljański, R. Szczepaniak – Profesor Andrzej Zembaty. FP 2013; 13(4); 57-59

Abstract

The 50th anniversary of the organized activity of physiotherapists in Poland is an opportunity to present the figure of one of the eminent representatives of our profession, prof. Andrzej Zembaty, PhD. He was born on April 21, 1935 in Jasło to an intelligentsia family. The mother was a teacher, my father graduated from the Jagiellonian University law department and worked as a judge in Jasło and then Sanok. Andrzej Zembaty, after passing the final exams at the high school in Sanok, he began studies at the University of Physical Education in Warsaw, which he graduated in 1958. In 1960, he started working as a physiotherapist at the Metropolitan Rehabilitation Center for Motion Disorders in Konstancin and in 1964 as a teacher of the profession at the Medical Vocational College in Konstancin. In 1972, at the request of prof. Marian Weiss, director of STOCER and curator of the Rehabilitation Department at the University of Physical Education in Warsaw, was employed as a senior assistant at the same facility. He returned to the university, with whom he associated most of his professional life. He held the following function: 1979 – head of the Department of Movement Rehabilitation, 1982 – Rector’s representative for the appointment of the Rehabilitation Department, 1983 – deputy director. Institute of Biological Sciences, 1984 – 1987 – vice-dean for student and organizational affairs at the newly appointed Faculty, 1987 – 1990 – vice-dean for didactics. The last place of professional and didactic activity before retiring in 1999 was the University of Physical Education in Katowice, where the Professor headed the Kinesitherapy Unit.

Key words:
Therapeutic rehabilitation, physiotherapists, rehabilitation history

High-tone power therapy as an alternative to walking training in people with intermittent claudication

Joanna Szymańska, Krzysztof Czupryna, Olga Nowotny-Czupryna, Renata Szczepaniak

J. Szymańska, K. Czupryna, O. Nowotny-Czupryna, R. Szczepaniak. High-tone power therapy as an alternative to walking training in people with intermittent claudication. FP 2017; 17(3); 112-120

Abstract

Introduction. The main symptom of the CLEI impairing walking ability and functioning of the patient is intermittent claudication. The predominant form of the physical therapy during this ischaemic period is physical training, which, due to the frequent occurrence of co-morbidities, can only be taken by 25-50% of patients. Therefore, other ways of relieving symptoms associated with the CLEI have been sought. Perhaps, an alternative method might be may the high-tone power therapy, which can start the muscle pump without negative effects of contraindicated for physical exertion.
The aim of the study was to determine whether the high-tone power therapy could be an alternative for walking training on a treadmill, especially for people with contraindication for intensive physical activity.
Material and methodology 68 patients diagnosed with CLEI in the age of 40-70 were examined in 2 groups: A-main and B-control. Functional possibilities were evaluated in the area of the walking distance and the maximum walking distance in a standard treadmill test. The results obtained were compared with the literature on the increment of these distance after the physical training. Group A patients were subjected to a series sessions of high-tone power therapy; group B patients had those treatments simulated.
Results In group A, patients significantly prolonged the claudication distance and maximal walking distance. Also, significant reduction in pain duration was noticed after discontinuation of the treatment.
Conclusions The high-tone power therapy may be an alternative to walking training for patients with the CLEI, especially in those patients with a very short claudication distance and in those whose greater effort is not indicated.

Key words:

high-tone power therapy (HiToP), chronic lower extremity ischaemia (CLEI), intermittent claudication, walking training, chronic lower limb ischaemia

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Improvement in the quality of life of persons with chronic lower extremity ischaemia after high-tone power therapy

Joanna Szymańska, Olga Nowotny-Czupryna, Krzysztof Czupryna, Renata Szczepaniak

J. Szymańska, O. Nowotny-Czupryna, K. Czupryna, R. Szczepaniak – Improvement in the quality of life of persons with chronic lower extremity ischaemia after high-tone power therapy. FP 2017; 17(3); 64-73

Abstract

Introduction.The CLEI results in decreased walking ability, which is limiting physical activity due to pain. This is the main factor adversely influencing the quality of life observed in these patients. For these reasons, the most important target of physiotherapists is to reduce physical fitness loss caused by a very low level of physical activity over many years.
The aim of the study was to investigate whether the high-tone power therapy can improve functional abilities patients with CLEI in the gait, and thereby improve their self-assessed quality of life.
Material and methods The study involved 68 patients aged 40-70, who were assigned to one of two groups: the A – main, group and B – control group. Their functional abilities in gait were assessed with the use of the WIQ-Walking Impairment Questionnaire, which evaluated 4 domains: claudication distance, walking speed, claudication capacity, ability to walk steps. A group patients were subjected to a series of high-tone power therapy while in B group all the treatments were simulated.
Results Certain differences were noticed in each domain of the WIQ questionnaire, but significant ones were solely in A group. The most noticeable changes were in pain and cramps of the calf; smaller changes were related to walking distance and speed. The smallest changes were reported in the ability to walk steps. Some changes were also reported in the control group, but they were less conspicuous and only affected some domains of the WIQ questionnaire.
Conclusions The high-tone therapy results in subjective improvement in functional locomotion capacity in all domains of self-assessment of patients. Improving the function of lower extremities is conditioned by the presence of additional factors, which are kind of disorder risk factors.

Key words:
high-tone power (HiToP), quality of life, chronic lower extremity ischemia (CLEI), chronic lower limb ischemia

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Muscle energy techniques after total hip replacement

Maria Mazepa, Renata Szczepaniak, Wojciech Kiebzak,
Zofia Śliwińska, Zbigniew Śliwiński

M. Mazepa, R. Szczepaniak, W. Kiebzak, Z. Śliwińska, Z. Śliwiński – Muscle energy techniques after total hip replacement. FP 2014; 14(1); 18-26

Abstract

Introduction.  Surgical procedure involving total hip alloplasty is a common consequence of the absence of progress of rehabilitation in patients with significant degenerative lesions accompanied by severe pain and significantly limited mobility. An individual program for patient rehabilitation is established during the first 24 hours after the procedure. This is of particular importance as proper planning and implementation of physiotherapy allows to relieve pain and to achieve full functional joint mobility as well as to strengthen the muscles. We make sure that the proper muscle control and stability within the joint will restore patient’s locomotion and self-care both at the initial and later stages of rehabilitation. There are many ways and methods to improve the above mentioned parameters. Muscle energy techniques, which represent a non-invasive therapy in patients with total hip replacement, are one of these methods. These techniques, including poizometric relaxation of contracted muscles as well as active relaxation of hip joint muscles, myofascial techniques, also in combination with elements of PNF techniques, allow for effective treatment and rehabilitation of patients. Aim. The aim of the study was to compare the effects of standard physiotherapy in patients after cemented hip arthroplasty with those of physiotherapy using muscle energy techniques.
Materials and Methods. A total of 66 patients with advanced degenerative arthritis of the hip, who received surgical treatment in the form of endoprosthetics, were qualified for the study between 2013 and 2014. The patients were divided into two groups  (group I and II), 33 subjects each. Pain level, the range of hip motion as well as muscle strength were assessed in each patient. Group I received muscle energy techniques, including poizometric relaxation of muscles, active muscle relaxation and elements of PNF method. Also, myofascial techniques targeting muscles with different strengths and direction of pressure were used. Group II received standard physiotherapy.
Results. Significant improvement of pain, an increase in the range of functional motion as well as a significant improvement of muscle control of the joint were observed in the group receiving muscle energy treatment, which had beneficial effects on the locomotion of patients.
Conclusions. Muscle energy techniques had significant effects on the improvement of muscle function and stabilization in the pelvic girdle of the joint with endoprosthesis. Poizometric relaxation combined with elements of the PNF method as well as myofascial techniques effectively improved balance, coordination and gait pattern. In conclusion, physiotherapy using muscle energy techniques was shown to be a more effective method in the treatment of hip osteoarthritis as compared to the method based on standard rehabilitation program.

Key words:
arthroplasty, rehabilitation, muscle energy techniques

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