Agata Michalska

Ultrazvučna analiza unutarnjeg pucketanja kuka

Artur Marszałek, Ewelina Marszałek, Agata Michalska, Zbigniew Śliwiński, Marcin Bugajski

Artur Marszałek, Ewelina Marszałek, Agata Michalska, Zbigniew Śliwiński, Marcin Bugajski – Internal snapping hip on ultrasound – Fizjoterapia Polska 2024; 24(3); 278-284

DOI: https://doi.org/10.56984/8ZG020A52K

Sažetak:
Uvod. Cilj ovog istraživanja je procijeniti korisnost ultrazvuka u dijagnosticiranju unutarnjeg izvanzglobnog sindroma pucketanja kuka. Unutarnji izvanzglobni sindrom pucketanja kuka uključuje pucketanje tetive iliopsoasa preko iliopektinealne eminencije, praćeno karakterističnim zvučnim ili opipljivim pucketanjem. Kod nekih pojedinaca, pucketanje je popraćeno nelagodom ili bolom u preponama, što s vremenom može dovesti do kineziobije (strah od pokreta). Korištenjem ultrazvuka, istraživači su procijenili pucketanje tetive iliopsoasa kod asimptomatskih mladih osoba.
Metode. Ukupno je ispitano 60 kukova kod 30 mladih osoba (20 žena, 10 muškaraca) u dobi od 23 do 25 godina, koji nisu prijavili bol ili imali povijest operacije kuka. Ispitivanje je ponovljeno nakon 6 tjedana. Koristio se ultrazvučni uređaj SonoScape Exp 2 prema prethodno utvrđenom protokolu. Oba ispitivanja provela je ista osoba.
Rezultati. Prisutnost sindroma pucketanja kuka (ISHS) zabilježena je u 55 (91%) kukova tijekom prvog pregleda, a u 54 (90%) tijekom ponovnog pregleda. Nije prijavljena bol tijekom pucketanja praćenog ultrazvukom, ali je zabilježena nelagoda u 36,1% slučajeva, a kineziobija u 10% ispitanih kukova.
Zaključak. Potvrđena je povezanost ultrazvučne slike i zvučnog ili opipljivog pucketanja u preponama kod ispitanih pacijenata. Visoka učestalost ISHS-a kod asimptomatskih osoba i pojava nelagode u više od 30% ispitanih kukova sugerira potrebu za daljnjim istraživanjima na ovu temu.

Ključne riječi:
pucketanje kuka, ultrazvuk, iliopsoas mišić, kineziobija

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Preuzmite besplatno članak na engleskom jeziku

The application of the Balance Trainer parapodium in the therapy of children with cerebral palsy

Agata Michalska, Jolanta Dudek, Mieczysława Bieniek, Anna Tarasow-Zych, Kamila Zawadzka

Agata Michalska, Jolanta Dudek, Mieczysława Bieniek, Anna Tarasow-Zych, Kamila Zawadzka – The application of the Balance Trainer parapodium in the therapy of children with cerebral palsy. Fizjoterapia Polska 2011; 11(3); 273-285

Abstract

Inconstant clinical image and functional state of patients with cerebral palsy as well as difficulties in achievements of intended therapy aims put forward the need for constant searching for new improvement methods by the physiotherapists. The Balance Trainer – static-dynamic parapodium equipped with Balance-Soft computer program – is the device which can be applied in the therapy and diagnostics of persons with cerebral palsy. The aim of the thesis is to estimate the possibilities to apply the Balance Trainer device in the therapy of the children with cerebral palsy. Children and youth (7 subjects) with different forms of ICP, assessed using GMFCS (levels I-IV) scale were qualified for the study. The subjects were initially examined using Balance Trainer parapodium. The tests involved assessment of gravity centre location (balance test), deflection test and the assessment of the ability to perform intended movements in the frontal and sagittal plane. Next, their posture was controlled in standing position and the initially performed tests were repeated. All the results were statistically analysed. In children with lower GMFCS levels (I-II) the treatment brought about better results than in these with higher levels of impairment (III-IV), although a therapeutic success was achieved in each case.Using the Balance Trainer device in the treatment of children with cerebral palsy one can improve both the postural control and movement coordination. The improvement level depends on the form of cerebral palsy and the functional deficiency.

Key words:

Cerebral Palsy, Postural control, static-dynamic parapodium

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Pobierz bezpłatnie artykuł w j. angielskim

Effects of Thera Togs suit on postural stability in patients with central hypotonia. Preliminary report

Agata Michalska, Jolanta Dudek, Michał Linowski, Anna Tarasow-Zych

Agata Michalska, Jolanta Dudek, Michał Linowski, Anna Tarasow-Zych – Effects of Thera Togs suit on postural stability in patients with central hypotonia. Preliminary report. Fizjoterapia Polska 2012; 12(3); 275-284

Abstract

Postural hypotonia is one of the many factors adversely affecting postural stability, understood as the attitude of resistance to interference of endogenous and exogenous interferences. It evokes a number of compensatory responses allowing the stabilization of the body and entailing changes in the reciprocal positioning of the key points: the head, the shoulders and the pelvis. This affects the spatial position of the overall center of mass (COM), changing the base of the support and physiological limits of stability. Thera Togs suit is an orthotic equipment applicable in the treatment of postural hypotonia. Through the compression it provides incentives for proprioceptors, affecting body awareness and postural stability. The paper attempts to assess the impact of Thera Togs suit on postural stability of the studied sample. The sample comprised 8 of Rehabilitation-Education-Pedagogical Centre in Kielce, diagnosed with postural hypotonia who were able to maintain an upright position. In order to evaluate the therapeutic effect of Thera Togs suit, triple stability measurements was carried out, first before putting the suit on and next after one hour and six hours of wearing the suit. A statistically significant improvement in postural stability was observed in each patient, expressed by a decrease in size and area of the confidence ellipse and reduction of the number of postural sways. The corrective effect, resulting from application of the tape, aimed at restoring a symmetrical load distribution between the feet, was not obtained. The preliminary results show an improvement in postural stability in the study group of patients.

Key words:

postural hypotonia, postural stability, orthotic equipment, Therapeutic effects

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Obecne podejście do postępowania posturalnego u pacjentów z mózgowym porażeniem dziecięcym

Agata Michalska, Zbigniew Śliwiński, Justyna Pogorzelska, Marek Grabski

Agata Michalska, Zbigniew Śliwiński, Justyna Pogorzelska, Marek Grabski – A Current Approach to Postural Care for Patients with Cerebral Palsy. Fizjoterapia Polska 2018; 18(3); 102-112

Streszczenie
Rehabilitacja stanowi zasadniczy element postępowania leczniczego w mózgowym porażeniu dziecięcym (MPD). Jednym z jej celów jest przeciwdziałanie wtórnym deformacjom mięśniowo-szkieletowym. Stosowanie różnorodnych technik w celu minimalizacji nieprawidłowości postawy oraz ułatwienia funkcji określane jest mianem postępowania posturalnego. Obejmuje ono odpowiednie pozycjonowanie pacjentów w pozycji leżącej, siedzącej i stojącej połączone z fizjoterapią.
Cel. Celem pracy jest przedstawienie aktualnego podejścia do postępowania posturalnego w oparciu o przegląd piśmiennictwa.
Wnioski. Jak dotąd nie opracowano ogólnie przyjętych zaleceń dotyczących wsparcia pozycji leżącej, siedzącej i stojącej w ramach programu posturalnego. Większość badań w tym obszarze to badania przeprowadzane na nielicznych grupach, z krótkim czasem obserwacji. Stąd trudna jest ocena skuteczności programu posturalnego, choć wyniki niektórych badań wskazują go, jako obiecującą metodę przeciwdziałania neurogennemu zwichnięciu stawu biodrowego. Uznaje się, że odpowiednie wsparcie pozycji ułatwia podjęcie aktywności i wspiera uczestnictwo osób z MPD, zwiększa poczucie kompetencji i motywuje do działania. Ze względu na zmiany konstrukcyjne sprzętu i wprowadzanie na rynek nowych rozwiązań istnieje pilna potrzeba prowadzenia dalszych badań w tym obszarze.