Tag: Andrzej Szczygieł

Mobility and shaping of curvature of the spine in children with defective body posture

Andrzej Szczygieł, Anna Ślusarczyk

Andrzej Szczygieł, Anna Ślusarczyk – Mobility and shaping of curvature of the spine in children with defective body posture. Fizjoterapia Polska 2003; 3(3); 261-271

Abstract

Background. This article presents the problem of evaluating the anatomical structure (amount of curvature) and functional capacity of the spine in children with posture defects. This is a vitally important problem for the implementation of treatment. The article also presents selected stretching exercises using tapes, balls, and Thera Band accessories, on the basis of the results obtained. Material and methods. Our research involved a total of 194 children, of whom 91 formed the control group (no posture defects). Children whose examination results diverged from normal posture were assigned to the defective posture group. These children were tested at the Cracow School Sports Center, in the Department of Rehabilitation Gymnastics, where they participated in correctional exercises. The control group was tested at two selected Cracow primary and junior high schools. The subjects’ ages ranged from 10 to 13 years, with a mean of 11.3 years. The tests included the range of movement in the thoraco-lumbar spine in frontal projection left and front, as well as the depth of kyphosis in standing and prone position.Results. The results we obtained showed statistically significant differences in the tested spine parameters and the depth of thoracic kyphosis.Conclusions. The proposed exercises appear to be of considerable use for increasing the effectiveness of rehabilitation for children with posture defects.

Key words:
spinal curvature, spinal range of motion, stretching, therapeutic exercises, body posture
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Early results of conservative treatment of children with idiopathic scoliosis using the SpineCor System

Mariusz Janusz, Andrzej Szczygieł, Anna Leszczyńska, Lucyna Horodecka-Wardęga, Agnieszka Smatras

Mariusz Janusz, Andrzej Szczygieł, Anna Leszczyńska, Lucyna Horodecka-Wardęga, Agnieszka Smatras – Early results of conservative treatment of children with idiopathic scoliosis using the SpineCor System. Fizjoterapia Polska 2008; 8(4); 410-417

Abstract
Background. The SpineCor method, the effectiveness of which is evaluated in the present paper, was introduced to Poland two years ago and has been used in few centres. The present paper evaluates the effects of dynamic bracing over a period of two years. Material and methods. The subjects were 121 children undergoing treatment at the Paediatric Rehabilitation Hospital in Radziszów. Parameters analysed included Cobb’s angles (radiographic), the Risser test and a clinical evaluation of spinal rotation before and immediately after the placement of the brace, and at one year after placement. Results. Clinical evaluations and a classification based on the SpineCor Assistant System (SAS) revealed a predominance of right-sided thoracic (RT) scoliosis (47.3%), particularly type III (RT3) (24.7%). Significant differences between means after the application of the SpineCor brace were shown in Cobb’s angles in the primary and secondary arches and in clinical rotation. There was a high correlation between Cobb’s angle progression in the primary arch and the Risser test (r=0.46), time from brace placement to first menstruation (PM), r=0.33, and regularity of follow-up (r=0.43). Conclusions. The results indicate a significant change in the clinical parameters of sciolosis following the application of a SpineCor brace as regards halting the progression of the scoliosis angle and reduction in clinical rotation of vertebrae. A reduction in Cobb’s angle within a year of placement of a SpineCor brace was recorded in 7-10-year-old children. Progression or no change in Cobb’s angle was seen in those aged 11-12 years and those older than 17 years of age.
Key words:
idiopathic scoliosis, conservative treatment, dynamic braces
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Proposal for rehabilitation after conservative treatment and in the presence of complications in Colles’ fracture – selected aspects

Aneta Bac, Dorota Czechowska, Andrzej Szczygieł

Aneta Bac, Dorota Czechowska, Andrzej Szczygieł – Proposal for rehabilitation after conservative treatment and in the presence of complications in Colles’ fracture – selected aspects. Fizjoterapia Polska 2009; 9(2); 181-190

Abstract
Colles’ fracture is one of the most common types of forearm fractures, affecting mainty women around the age of 60, most often those suffering from osteoporosis. On the basis of literature data and the authors’ own experiences, the article presents protocols of physiotherapeutic management ofpatients with fractures ofthe distal epiphysis ofthe radius and management of complications associated with these fractures. The therapeutic procedure consists of three basie stages. The first two are the repositioning and immobilization of the fracture, sometimes preceded by surgical intervention. The third stage consists in intensive physiotherapy aiming to speed up the bone healing process, restore as much wrist mobility as possible, restore limb strength and function, and prevent or cope with possible complications. Physiotherapists dealing with a Colles fracture employ a yariety of exercises using specialist equipment and modern manual therapy techniques, such as the „hold-relax techniques, Brian Mulligan’s MWM, and, in later stages, active exercises aga-inst resistance. The goal of the therapy is to achieve fuli range of motion in the joint, inerease muscle strength and improve pro-prioception. Working with the patient, the therapist can utilize appropriate equipment, functional exercises related to actMties ofda-ily living, and physical agents. As with any musculoskeletal injury, fractures of the distal epiphysis of the radius may be accompa-nied by various complications. These can be divided into early (loss of reposition, median nerve neuropathy etc.) and late complications. The latter group includes incorrect union of fractured bone, carpal tunnel syndrome, wrist instability etc. Early and appropriate physiotherapy may prevent many secondary complications and speed up fuli functional recovery of the patient.
Key words:
Colles fracture, exercises, mobilisations with movement, secondary complications
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Efficacy of Kinesiology Taping in the rehabilitation of children with low–angle scoliosis

Aneta Bac, Łukasz Stagraczyński, Elżbieta Ciszek, Maciej Górkiewicz, Andrzej Szczygieł

Aneta Bac, Łukasz Stagraczyński, Elżbieta Ciszek, Maciej Górkiewicz, Andrzej Szczygieł – Efficacy of Kinesiology Taping in the rehabilitation of children with low–angle scoliosis. Fizjoterapia Polska 2009; 9(3); 202-210

Abstract
Background. There are a number of methods of conservative management of idiopathic scoliosis, including Kinesiology Taping, which utilises elastic tapes to reduce pain or correct joint alignment. The goal of this study was to determine the effect of Kinesio Taping on selected parameters in children with low-angle scoliosis. Material and methods. The subjects were two groups of 22 children each, all diagnosed with low angle scoliosis on the basis of a physical examination and radiographic evidence. The patients from the control group were subjected to a special therapeutic programme. Sessions were held three times a week for 45 minutes for a total of three weeks. During the other 2 days the children exercised at home twice a day. In the experimental group Kinesiology Taping was additionally applied. Spinal mobility, the rounding of the back, the intensity of pain, the degree of muscular tension and the level of activity and regularity of doing the exercises were evaluated in both groups. Results. In the experimental group, Kinesiology Taping had the most marked effect on back rounding, muscular tension and increasing the children’s average level of activity. Pain intensity was reduced initially but later returned to baseline levels (short-lasting effect). According to the parents and the therapist, the children fitted with Kinesio-Tex tapes (experimental group) were better motivated to do the exercises regularly. Conclusions. The results of this preliminary study seem to support the hypothesis that Kinesiology Taping can be a good adjunct to traditional therapy in children with low-angle scoliosis.
Key words:
scoliosis, Kinesiology Taping, rehabilitation
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Medical taping for restoration ofhand function after extensive forearm injury – analysis of bioelectrical changes

Marcin Put, Andrzej Szczygieł, Wiesław Żukowski

Marcin Put, Andrzej Szczygieł, Wiesław Żukowski – Medical taping for restoration ofhand function after extensive forearm injury – analysis of bioelectrical changes. Fizjoterapia Polska 2010; 10(1); 84-91

Abstract
Background. Extensive forearm injuries can significantly limit hand function. While planning a rehabilitation programme, it may be worthwhile to combine various therapeutic modalities in order to achieve the best outcomes. Material and methods. We describe the case of a 59-year old patient who sustained an extensive injury to the palmar side of the forearm, with damage to the median and ulnar nerves. Moreover, a big scar (deep tissue adhesions) caused muscular restrictions and pain (paraesthesiae), significantly limiting the rangę of movement. The patient was treated with conventional physiotherapy (kinesiotherapy, electrotherapy laser therapy underwater wibratory massage, magnetic field therapy and classic massage) follow-ed by selected techniques of medical taping. The purpose of the taping treatment (scar correction technique) was to lift the scar, decrease the tension between connective tissue and the damaged nerves and increase the interstitial space (space correction technique) in order to create optimal conditions for regeneration ofnerve structures. As a result, the skin was folded which increas-ed the space between deep layers ofsoft tissues, facilitating the flow ofblood and lymphatic fluid and speeding up regeneration. The therapy was carried out for six weeks. Prior to and on completion of the treatment, the rangę of motion was measured in selected joints as well as an sEMG of selected muscie groups was performed.Results and Conclusions. The results indicate a beneficial effect of medical taping on the rangę of motion in the affected joints and insignificant improvement in bioelectrical muscie actMty While these results are very promising, further studies are obviously needed to confirm the efficacy of medical taping in the treatment ofthis type of dysfunction.
Key words:
medical taping, rehabilitation, bioelectrical changes
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Spinal column shape in pupils with mild, moderate and severe, idiopathic intellectual disability

Adrian Kużdżał, Andrzej Szczygieł, Robert Walaszek

Adrian Kużdżał, Andrzej Szczygieł, Robert Walaszek – Spinal column shape in pupils with mild, moderate and severe, idiopathic intellectual disability. Fizjoterapia Polska 2010; 10(1); 37-48

Abstract
Background. To date, no studies are available concerning the relationship between the shape of the spinal column and the level of mental retardation. The aim of the present study was to evaluate the spinal column shape in children and adolescents with mild, moderate, and severe intellectual disability.Material and methods. 413 boys and girls aged eleven to thirteen were examined, including 204 persons with various levels of intellectual disability and 209 of their mentally healthy peers, who formed the control group. The Metrecom System, a computerised instrument for three-dimensional diagnostic studies of the musculoskeletal system, was used to examine the shape of the spinal column. 3-D anthropostereometric parameters obtained using the Metrecom System were used to de – scribe in detail and classify individual types of spinal column shape.Results. The intellectually disabled children and youth, in comparison to the healthy population, had much worse postures and an increased incidence of spinal column deformities. The degree of intellectual disability was correlated with the frequency and severity of spinal column deformities.Conclusions. Our results point to an urgent need to verify the current health care practice and improve health care policies, including appropriate methods of medical rehabilitation and corrective therapy of spinal column deformities that would account for the degree of intellectual disability.
Key words:
body posture, spinal column, intellectual disability, Metrecom System
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The occurrence of join hypermobility syndrome (JHS) in 15-year old girls and boys in the context of diagnostic, therapeutic and prophylactic problems

Edyta Mikołajczyk, Andrzej Szczygieł, Agnieszka Jankowicz-Szymańska, Patrycja Kopf

Edyta Mikołajczyk, Andrzej Szczygieł, Agnieszka Jankowicz-Szymańska, Patrycja Kopf – The occurrence of join hypermobility syndrome (JHS) in 15-year old girls and boys in the context of diagnostic, therapeutic and prophylactic problems. Fizjoterapia Polska 2012; 12(3); 229-240

Abstract
Taking into consideration a frequent occurrence of hypermobility syndrome (12-24% adults in Poland) and its possible health consequences, it is important to perform a specialist screening research in the population of children and adolescents. The aim of the study was to estimate the frequency of occurrence of the joint hypermobility symptoms among the youth and to analyse the significance of the differences in the results of individual tests performed in the two groups. A total of 60 girls and 60 boys at the age of 15 participated in the study. The sample was divided into three mobility types (according to Sachse) based on 13 clinical tests. JHS (hypermobility syndrome) was diagnosed in 10 girls (8.3% of the subjects). The comparison between the two groups of subjects showed statistical significance (p<0.05) for trunk retroflexion, global flexion, passive movement of the thumb towards the forearm and hyperextension in the knee and elbow joints. 1. Gender determines the occurrence of joints hypermobility in healthy children. This refers particularly to: retroflexion and flexion of the trunk, hyperextension of the elbows and knees and the movement of the thumb to the palmar aspect of the forearm. 2. The frequent occurrence of extreme flexibility of passive stabilizers of selected peripheral and spinal joints in the adolescents seems to be an important issue that physiotherapists and physical education teachers should be made aware of. 3. If joint hypermobility is detected, the exercises improving muscle strength and stabilising the joints should be implemented in or der to reduce the risk of musculoskeletal injures.
Key words:
Hypermobility, school children, Sachse’s criteria of motion
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Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections

Mateusz Curyło, Katarzyna Cienkosz, Jan W. Sosnowski, Andrzej Szczygieł, Irena Szczepańska, Piotr Wróbel, Magdalena Wilk-Frańczuk,  Jan W. Raczkowski

M. Curyło, K. Cienkosz, J. W. Sosnowski, A. Szczygieł, I. Szczepańska, P. Wróbel, M. Wilk-Frańczuk,  J. W. Raczkowski – Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections. FP 2017; 17(1); 116-124

DOI: https://doi.org/10.56984/8ZG075474

Abstract

Introduction. Sedentary lifestyle connected with the civilizational development and the work in sitting position cause glenohumeral joints dysfunction, most often in the form of overload-pain ailments.
Purpose of this study. The purpose of this study was to compare the physiotherapeutic effects with the application of mobilization with motion according to Brian Mulligan and the pectoral girdle muscle tapping, and the used circumarticular injections.
Material and Methods. The research included 27 patients. The first group (16 persons) was treated with the circumarticular injections of medicines of the corticosteroids group. In the second group (11 persons) the manual therapy according to Brian Mulligan’s concept and the muscle tapping were used. The examinations were performed before the therapy and after three weeks. The used measurements included the shoulder pain and disability index SPADI, provocative tests HIN, HIB, POP, Job, “painful arc” (70°-120°), “belly–press”, goniometric measurement and the subjective pain feeling at the night time. In order to check if the used therapy type had any effect on the upper limb function improvement, the statistical analysis was made in the variance with a_mixed scheme, where the inter-group factor was the type of therapy, and the intra-group factor was the measurement moment: before and after completion of the therapy. Data were processed using Microsoft Excel and Statistica software.
Results. The applied therapy methods influenced improvement of the glenohumeral joint movement range in both groups. The group 2 had better results in reduction of periodic pain ailments and sleep disturbances.
Conclusions. Both used therapeutic programs improves functioning and reduce pain ailments in the investigated group, however the use of 2 therapeutic techniques in the group 2, according to Mulligan’s concept and the muscle tapping, brought significantly greater improvement in the clinical condition evaluation and in the patients’ subjective assessment.

Key words:
painful shoulder syndrome, manual therapy, physiotherapy

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