Tag: Grzegorz Sobota

Influence of exoskeleton therapy on gait parameters in patients with cerebral palsy

Adam Trzyna, Anna Brachman, Tomasz Łosień, Grzegorz Sobota


Adam Trzyna, Anna Brachman, Tomasz Łosień, Grzegorz Sobota – Influence of exoskeleton therapy on gait parameters in patients with cerebral palsy. Fizjoterapia Polska 2022; 22(2); 194-201

Abstract
Objective. The study presents the results of research aimed at assessing the influence of exoskeleton therapy on the basic spatiotemporal and kinetic parameters of gait in patients with cerebral palsy (CP).
Material and methods. Seventeen patients with CP (II GMFCS) participated in the study. The training program lasted 8 weeks with a two-week break in the middle of the entire cycle (3 weeks – 2 weeks off – 3 weeks). The training session lasted 90 minutes. The patients trained wearing an exoskeleton (Ekso GT) under the supervision of a qualified physiotherapist. The gait analysis was performed on the Zebris FDM-TDL treadmill for the preferred and maximum tolerated velocity, before and after the entire training program.
Results. When walking at maximum tolerated velocity, participants improved velocity, step rate, step length, gait cycle length, and gait cycle time. Contact times have significantly changed for the forefoot, midfoot, and heel areas. The stance phase time for the left and right sides decreased significantly. The above-mentioned parameters for the preferred velocity did not change statistically significantly.
Conclusions. Positive changes were observed for conditions more difficult than the preferred gait. More research is needed in different configurations of intensity, volume and duration of the entire rehabilitation cycle to optimize the rehabilitation program and maximize outcomes.
Key words:
exoskeleton, cerebral palsy (CP), gait analysis, gait re-education
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Robotic-assisted locomotor training in a 7-year-old child with hemiplegia. Case study

Ewelina Żak, Grzegorz Sobota, Jacek Durmała

Ewelina Żak, Grzegorz Sobota, Jacek Durmała – Robotic-assisted locomotor training in a 7-year-old child with hemiplegia. Case study. Fizjoterapia Polska 2012; 12(2); 159-168

Abstract
Background. The aim of the study was to assess the effectiveness and influence on gait parameters of a 4 – week automated training by a driven gait orthosis. Material and methods. Treadmill training with a driven gait orthosis was used for a 7 year with hemiplegia. Her disability represented 1 level in the GMFCS scale. The child received 18 sessions over 4-week period (5sessions/week, mean therapy duration was 45 minutes per session). Pre and post-training evaluations were performed on kinematics gait parameters using motion capture system (BTS-Smart). Results. After therapy were observed return or approximate value of the evaluated parameters to a normative level of control group. Conclusions. Even small changes in temporal and distance parameters of gait could improve comfort and quality of the patient’s gait. After therapy, there was noted improvement in most of the gait parameters pointing to positive impact of this form of therapy in patient with impaired gait described.
Key words:
Cerebral Palsy, gait analysis, locomotor training, three-dimensional motion analysis
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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