Tag: Joanna Bukowska

Physiotherapy in patients with congenital haemorrhagic diathesis in the material of the systemic rehabilitation department

Joanna Bukowska, Agata Pawełczyk, Ireneusz Kotela, Małgorzata Szarota, Paweł Kaminiński, Magdalena Wilk-Frańczuk, Rafał Trąbka

Joanna Bukowska, Agata Pawełczyk, Ireneusz Kotela, Małgorzata Szarota, Paweł Kaminiński, Magdalena Wilk-Frańczuk, Rafał Trąbka – Physiotherapy in patients with congenital haemorrhagic diathesis in the material of the systemic rehabilitation department. Fizjoterapia Polska 2021; 21(2); 6-15

Abstract
Aim. The objective of this study is to present the process and results of physiotherapy in patients suffering from congenital haemorrhagic diathesis, treated at the Inpatient Rehabilitation Department of the Krakow Rehabilitation Centre and Orthopaedics (MSOR). Material. The analysis involved 73 patients treated at the Inpatient Rehabilitation Department between 2014 and 2019. The reason for admission was haemophilic arthropathy in the course of congenital haemorrhagic diathesis. Results. The results prove that early postoperative knee rehabilitation is effective in patients with congenital haemorrhagic diathesis after surgery. Deaver’s functional scale: before rehabilitation, the mean result was 3.65, after rehabilitation it was 2.62. Muscle strength: the assessment of muscle strength according to the Lovett scale showed improvement in 64 patients (87,67%). Range of motion: in the extension test, the condition of 57 patients (78%) improved, the mean result was better by 7.52 degrees. Conclusions. 1. The use of early physiotherapy in patients with haemophilia after knee endoprosthetics results in an improvement in gait function analysed according to Deaver’s scale. 2. Early rehabilitation of patients with haemophilia after endoprosthetics results in an increase in the range of motion of the knee joint and in muscle strength. 3. It was also found that pain in the joint undergoing surgery was reduced thanks to the applied physiotherapy.
Key words:
physiotherapy, haemophilia, endoprosthetics, arthropathy
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Rehabilitacija nakon višekratnog operativnog liječenja složenog prijeloma ankonealnog izdanka – Studija slučaja

Joanna Bukowska, Magdalena Wilk-Frańczuk, Rafał Trąbka, Tomasz Maicki

J. Bukowska, M. Wilk-Frańczuk, R. Trąbka, T. Maicki – Rehabilitation after multiple fractures of olecranon process treated surgically. A case study. Fizjoterapia Polska 2019; 19(2); 106-114

Abstract
Goal of the study is to present a process and results of rehabilitation of a patient after fracture of elbow joint – a case study.
Materials and methods are shown basing on rehabilitation of a 23-year old female patient after fracture of the right olecranon process as a result of a bike fall. She was treated surgically by reposition and stabilization of the fracture by Weber’s wire. The rehabilitation started two weeks after the operation in an ambulatory conditions, after which the full range of motion in the joint was not achieved. Flexion and extension contracture, significantly limiting everyday activities, has been established. Subsequent cycles of intensive physiotherapy influenced improvement of joint function, pain reduction and allowed to achieve goals set in an individual physiotherapeutic plan. The recovery process in the presented case was long and lasted 2.5 years due to numerous complications treated surgically.
Results. Analysis of the process shows that main physiotherapeutic approach should be aimed at limitation of inflammation, pain reduction and achieving full range of motion in the elbow joint.
Conclusion. 1. Fractures of olecranon process lead to complications. 2. Rehabilitation after fractures of olecranon process should be early, intensive and individualized. 3. Presented programme of rehabilitation allowed recovery of lost functions.

Key words:
fracture of olecranon process, complications, arthrolysis, physiotherapy, contracture

 

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