Tag: Zbigniew Śliwiński

Comparative analysis physiotherapy in children with atypical autism

Natalia Habik, Paweł Wieczorkowski, Zbigniew Śliwiński

N. Habik, P. Wieczorkowski, Z. Śliwiński – Comparative analysis physiotherapy in children with atypical autism. FP 2016;16(4);72-81

Abstract

Introduction. The autism is an all-embracing development disorder that affects all areas of the child functioning. It causes disturbances in the interpersonal communication. It leads to difficulties in submission to social rules due to the lack of their understanding.
Material and Methods. In this research the case of two children has been described, Zazanna and Aleksander, who took part in the physiotherapeutic sessions with the physiotherapist at the National Autistic Society in Kielce, once a week for 1 hour.  The research was held in the period from November 2015 to March 2016. The children were 4 years old. The PEP model with a scale 0-5 was used to evaluate the children.
Results. The children with atypical autism have disturbances in perception, communication and speech.  The least difficult are for them tasks related with gross motor and visual-motor coordination. The examined boy was more promising comparing to the girl.
Conclusions. The children with diagnosed atypical autism differ in terms of psychophysical development depending on their gender. According to the psychoeducational profile PEP, the physiotherapy reduces disorders resulting from the diagnosed autism spectrum. The gender has significant influence on the fine and gross motor development in children with ASD.

Keywords:

autism, ASD, physiotherapy, psychoeducational profile

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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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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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Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method

Marek Wiecheć, Agnieszka Chudzik, Zofia Śliwińska, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński

M. Wiecheć, A. Chudzik, Z. Śliwińska, D. Lietz-Kijak, E. Kijak, Z. Śliwiński: Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method. Fizjoterapia Polska 2015;15;(3);24-34

Abstract

Introduction. The lower back pain syndromes can be defined as a series of ailments associated mainly with the lumbosacral section of a spine. The intervertebral discs disorders and degenerative processes are being  considered the major cause of these syndromes. A lower back pain may also be caused by the anatomical structures of a spine. The treatment of a lumbosacral pain is always a complex procedure. It includes kinezytherapy, physiotherapy and aims to reduce the pain, strengthen the muscular corset, restore the range of movement, muscle strength, and to re-educate patients in the areas of the correct posture patterns and the physical activities. Materials and Methods. In the research participated 38 patients with the diagnosed lumbar degenerative disc disease. The patients had been divided into 2 groups – control group and study group. All the participants, before they took part in the research, had been subjected to various forms of treatment and had been taking pain and anti-inflammatory medications. The study group had undergone treatment according to the McKenzie method, while the control group had  applied the Maigne syndrome exercises. Both groups were treated with the physiotherapeutic procedures. After completing the exercises, each group filled out a questionnaire regarding the treatment. Objective: To determine the impact of treatment according to the McKenzie method on changes in the functional status of patients with the lumbar degenerative disc disease. Conclusions. The research has shown, that the application of the McKenzie method yielded positive results in terms of the increased range of movement within the lumbosacral spine section, in all patients. McKenzie method exercises do have an impact on the peripheral joints of the spine. The physiotherapy treatment according to the McKenzie method, applied in the study group, resulted in a reduction of pain in the l-s spine section, in 100% of patients. The Maigne method application in patients with the diagnosed lumbar degenerative disc disease, only in a mild way alters the patients’ sensation of the lower back pain.

Key words:
lumbar intervertebral discs, McKenzie method therapy, therapy by Maigne

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Hardware-software medical rehabilitation complex for vertebral diseases patients

O.A. Panchenko, Zbigniew Śliwiński, S.M.Radchenko, A.V. Kabantseva

O.A. Panchenko, Z. Śliwiński, S.M.Radchenko, A.V. Kabantseva: Hardware-software medical rehabilitation complex for vertebral diseases patients. Fizjoterapia Polska 2015;15(3);6-11

Abstract
The distinctive feature of modern medical rehabilitation procedures is a high information level of diagnostic and therapeutic techniques, new diagnostic tools for external manipulation with a human body (rehabilitation equipment, hardware – software complexes and so on) based on the most advanced cybernetic and electronic microtechnology methodologies, programming etc.
All of those systems are focused on accurate dosing parameters provision, maintaining of its values in terms of patient’s physiological characteristics variability, and so on.
So called biofeedback complex plays the most important role in all these systems. Its purpose is to aim development and improvement processes and self-regulation mechanisms for physiological functions in various pathological conditions. Such systems in Ukrainian rehabilitation facilities are still rare, but our experience proved their practice effectiveness and promoted our own promising rehabilitation method.
The aim of our investigation is to research and analyze multi-functional hardware-software system EN-TreeM in vertebral diseases patients’ rehabilitation course.
According the results of our investigation we can make a conclusion, that single session kinesitherapy effect on musculoskeletal system disorders for patients of both sexes is characterized by muscle strength increase and endurance. Kinesitherapy stimulating effect on the human body improves the functional state of the neuromuscular system. Qualitative characteristics of strength value for female and male patients as a result of rehabilitation session increased by an average of 1 (95% BI 0; 2) kgs (p < 0.05); muscle endurance for female patients varied by an average of 2 (95% ВІ 1; 3), for male patients 1 (95% ВІ 0, 4) (p < 0.05). Rehabilitation course showed an increase muscular endurance of male patients by an average of 4 (95% CI 2, 6), statistically significant differences for female patients’ endurance parameters before and after were not recorded.
Miographical studies have shown that the value of chronaxia by kinesitherapy rate remained stable for female and male patients, varied by 70 ± 16 (95% BI 60; 123) ms. This shows the lability of muscle tone for male ones due to the high proportion of striated muscle.
Clinical observations showed good kinesitherapy procedures tolerability and lack of adverse reactions. All patients reported pain reduction or initial pain relief. The improvement occurred even after the first procedure. When rehabilitation course was finished, there was significant reduction in pain and inflammation and even complete relief of pain and destructive inflammatory responses. Range of motion was increased. Vertebrogenic pain relief was observed after 2-5 days of treatment, radicular pain relief was observed after 4-6 days of treatment.
Kinesitherapy and cryotherapy usage in treatment of musculoskeletal system disorders for patients of both sexes are well tolerated. There are no side effects, such treatment promotes inflammation regression, reduces the severity of pain and reflex tonic syndromes.

Key words:
Hardware-software, medical rehabilitation, vertebral diseases

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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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Possible applications of dynamic taping in women after the removal of lymph nodes because of breast cancer

Anna Lipińska, Magdalena Lipińska-Stańczak, Paweł Macek, Renata Szczepaniak, Sławomir Jandziś, Zbigniew Śliwiński

A. Lipińska, M. Lipińska-Stańczak, P. Macek, R. Szczepaniak, S. Jandziś, Z. Śliwiński: Possible applications of dynamic taping in women after the removal of lymph nodes because of breast cancer. FP 2015;15(4);16-31

Abstract
Introduction. In Poland and in the world breast cancer is the most frequent malignancy among women. Complications occurring after the applied therapy lower the quality of patients’ life. One of the many adverse effects of breast cancer treatment is lymphedema. Removal of lymph nodes and damage to lymphatic vessels make the transport of high-molecular proteins difficult, and at the same time, they have an influence on an increase in the colloid-osmotic pressure, water retention in the inter-tissue space, the loss of lymphatic vascular tone and reduction of the hydrostatic pressure. If not treated, lymphedema causes ailments in the form of recurrent inflammatory conditions of the skin, lymphatic vessels, which greatly reduces the patients’ psychophysical efficiency and promotes the development of lymphosarcoma of the upper limb on the side of mastectomy. One of the methods of lymphedema treatment is Kinesiology Taping. In Poland, the term dynamic taping is more and more frequently used. Application of this method causes that healing processes occur in the patient in a painless and natural way.
Aim. To present the possibilities of using lymphatic techniques of dynamic taping in women after mastectomy and to assess the impact of the applications on the secondary lymphedema.  The author decided to verify the main objective through the following research hypotheses:
1.Applications of dynamic taping reduce lymphedema in women after mastectomy.
2.Techniques of the Kinesiology Taping method influence the change of motion ranges in the joints of the upper limb.
Material and research methods. The study was performed in the Department of Rehabilitation of Holycross Cancer Centre in Kielce. The study group consisted of 73 patients after mastectomy diagnosed with secondary lymphedema of the upper limb. The volume of upper limbs was measured with the use of a measuring cylinder filled with water. Measurements of motion ranges in the joints of upper limbs were performed with the use of a goniometer.
Results and conclusions. Analysis of the results shows that the employed lymphatic applications reduce lymphedema, increase the range of motion in the joints of the upper limb on the operated side and promote healing processes, contributing to the improvement of physical efficiency and the quality of life.

Key words:
breast cancer, lymphedema, dynamic taping, Kinesiology Taping

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Assessment of the Effectiveness of the Physiotherapy in Patients with the Coxarthrosis, Treated in Spa Facilities

Zbigniew Śliwiński, Marlena Maskiera, Marta Makara-Studzińska, Grzegorz Śliwiński, Małgorzata Starczyńska

Z. Śliwiński, M. Maskiera, M. Makara-Studzińska, G. Śliwiński, M. Starczyńska: Assessment of the Effectiveness of the Physiotherapy in Patients with the Coxarthrosis, Treated in Spa Facilities. FP

Abstract
Introduction. The objective of this study has been to assess the effectiveness of the physiotherapy in patients with the coxarthrosis, treated in Spa facilities. Materials and Methods. The study involved 49 patients (29 women and 20 men), who have been treated in the “Słowacki” Spa in Busko-Zdrój, during their 21 days rehabilitation stay. The patients have had degenerative changes in the hip joint, which have not been surgically treated. The patients have been divided into two groups. To the study group (24 persons) the physiotherapy treatments have been applied. In the control group (25 persons), in addition there has been the kinezytherapy applied. Each of the patients has gone through: questionnaire survey, measurement of the range motion in the hip joints, muscle strength evaluation with the Lovett scale, assessment of the pain severity in the VAS scale, functional tests (Linder 2, abdominal compression test, Patrick Faber test, SLR, Tinetti test,”Up & Go” test, gait analysis according to Perry). Results. After the 21-day rehabilitation treatment, the majority of patients have shown a significant decrease in the subjective pain sensation, a significant improvement of the hip motion functions and a reduced risk of the patient falling down. The carried out research has indicated, that better results have been achieved in the control group, where the kinezytherapy treatment has been applied in addition. Conclusions. 1. Physiotherapy has an impact on increasing the hip joint range of motion, in all directions, particularly in the flexion an abduction movements. 2. The rehabilitation procedure improve the gait stereotype in patients with the osteoarthritis of the hip joint. 3. The Spa rehabilitation therapy reduces the risk of falling down in patients with degenerative changes in the hip joints.

Key words:
Rehabilitation, physiotherapy, coxarthrosis, spa therapy treatment

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Application of the Kaltenborn-Evjenth Orthopaedic Manual Therapy Concept in the Treatment of Shoulder Impingement Syndrome

Jolanta Darowska-Olszewska, Natalia Rogaczewska, Justyna Sadowska, Zbigniew Śliwiński

J. Darowska-Olszewska, N. Rogaczewska, J. Sadowska, Z. Śliwiński – Application of the Kaltenborn-Evjenth Orthopaedic Manual Therapy Concept in the Treatment of Shoulder Impingement Syndrome. FP 2016;16(1);48-60

Abstract
Introduction. The aim of the study has been to evaluate the impact of the manual therapy according to the Kaltenborn-Evjenth Concept on the range of motion, joint play and the muscle strength in the shoulder joint, in patients with the shoulder impingement syndrome. In addition, the changes of the intensity of pain have been analysed.
Materials and Method. The total of 53 persons have been examined. The test group consisted of 42 patients with the shoulder impingement syndrome caused by the shoulder damage, with the diagnosis code of ICD 10: M75, while the control group encompassed 11 patients with the shoulder impingement syndrome caused by the cervical radiculopathy, diagnosis code of ICD10: M50. The patients had undergone the therapy every other day, for the period of 4 weeks. Measurements of the range of motion had been taken, the joint play and muscle strength in the shoulder joint had been evaluated. The pain experienced had been assessed according to the VAS scale. Before launching the therapy, and after it was completed, the patients filled out a questionnaire regarding the treatment. The results obtained constituted the indication for the direction of the orthopaedic manual treatment techniques, according to the Kaltenborn-Evjenth Concept.
Resulsts. The results of the research have shown, that the application of the Kaltenborn-Evjenth manual therapy has led to the increased motor activities and has helped to decrease the intensity of the shoulder pain in 100% of the examined patients.
Conclusions. The therapy according to the Katlenbor-Evjenth OMT Concept, applied in the cases of the shoulder impingement syndrome, has had a significant impact on the functional improvement of the shoulder joint and has contributed to the lowering of the intensity of pain.

Key words
shoulder impingement, Kaltenborn-Evjenth method, treatment, VAS pain scale

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The Assessment of Impact of the Kinesiology Taping on Changes in the Selected Motor Skills in the Hypermobile Female Dancers

Marlena Drężewska, Ewa Frączek, Zbigniew Śliwiński

M. Drężewska, E. Frączek, Z. Śliwiński – The Assessment of Impact of the Kinesiology Taping on Changes in the Selected Motor Skills in the Hypermobile Female Dancers. FP 2016;16(1);6-22

Abstract
Background. Both physical and mental effort undertaken in pursuit of perfection in the dance makes improving the quality of motor skills for dancers is just as important as the development of skills. In the literature there are reports that Kinesiology Taping facilitates muscle activity which contributes to increase their strength. The aim of the study was to eval-uate the effectiveness of KT application in improving muscle strength in female dancers with joint hipermobility after injury.
Material and methods. The research involved 44 jazz female dancers with musculoskeletal pain in lower part of the body. Average age of dancers was M = 20,12; SD = 2,88; Min = 18; Max = 25. All patients reported joint hipermobility by Sachse. In the dancers KT applications for three weeks, three times were used for selected groups of muscles, peripheral joints and spine after a screening test. Before and after treatment muscle strength of selected muscles were measured using a dynamometer MicroFet2.
Results. The analysis results indicate that the use of KT applications significantly contributed to the increased muscle strength following: quadratus lumborum, piriformis, gluteus medius, gluteus maximus, iliopsoas, biceps femoris, semitendinosus ald semimembranosus and adduc-tors (p < 0,005). There was no statistically significant difference in muscle strength after ap-plications for: latissimus dorsi, rectus femoris and tensor fascie late (p > 0,05).
Conclusions. Applications KT of dancers hypermobility of musculoskeletal pains have sub-stantial impact on the muscle tone and strength of muscle examined.

Key words:
Kinesiology Taping, dance, muscle strength, hipermobility

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