Tag: kinezyterapia

Usporedba istraživanih analiza procjene fizioterapije boli uzrokovane u području vratne kralježnice

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Eleonóra Klímová

 

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Eleonóra Klímová – Comparison of the researched analyses evaluating the physiotherapy of the pain with a cause in the region of the cervical spine –  Fizjoterapia Polska 2024; 24(3); 400-404

DOI: https://doi.org/10.56984/8ZG020AD5K

Sažetak:
Uvod. Bol u vratu je čest problem mišićno-koštanog sustava. Ovaj zdravstveni problem, kako individualni, tako i socio-ekonomski, povezan je sa smanjenjem svakodnevnih aktivnosti, smanjenjem produktivnosti rada i utjecajem na kvalitetu života.
Cilj. Procijeniti učinkovitost terapije nespecifične boli koja potječe iz vratne kralježnice u smislu primijenjenih metoda fizioterapije.
Metode. U istraživanje je uključeno 40 znanstvenih članaka objavljenih u razdoblju od 2018. do 2023. u časopisima registriranim u bazama podataka Web of Science, Science Direct i Scopus.
Rezultati. Najčešće istraživani cilj bila je edukacija pacijenata o ergonomiji, pravilnom držanju tijela i kućnim vježbama. Pripremna faza terapije uključivala je primjenu termoterapije i elektroterapije – ultrazvuka ili transkutane električne stimulacije živaca (TENS), klasične masaže, primjenu nesteroidnih protuupalnih lijekova. Često korištene tehnike bile su manipulacija i/ili mobilizacija, terapija okidačkih i osjetljivih točaka – akupresura, akupunktura, primjena suhih igala. Među terapijskim metodama najčešće su birane vježbe u obliku pilatesa, joge, Alexander tehnike, senzomotoričkog treninga, proprioceptivne neuromuskularne facilitacije, Jakobsonove progresivne mišićne relaksacije. Smanjenje bolne pokretljivosti rješavalo se primjenom lokalne imobilizacije i kineziotapinga.
Zaključak. Prema rezultatima naše analize, kombinacija nekoliko fizioterapijskih tehnika i metoda pokazala se značajno učinkovitom u smanjenju boli i poboljšanju kvalitete života.

Ključne riječi:
kineziterapija, vratna kralježnica, bol

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Kinesitherapy in compression fractures of the spine in the eveloping years: an authorial modification of exercises

Halina Protasiewicz, Ireneusz Kowalski, Jan Talar, Adam Buciński

Halina Protasiewicz, Ireneusz Kowalski, Jan Talar, Adam Buciński – Kinesitherapy in compression fractures of the spine in the eveloping years: an authorial modification of exercises. Fizjoterapia Polska 2001; 1(3); 286-291

Abstract

The authors have developed a two-stage kinesitherapeutic model for the conservative rehabilitation of compression fractures of the spine in children and youth. The first phase, called the “hospitalization phase”, lasts 4-6 weeks, while the second, the “ambulatory phase”, lasts from the 2nd to the 12th month after injury.The orientation in medical rehabilitation presented by the authors of this article combines elements typical for conservative treatment reinforced by Kempf exercises with elements of periodic application of prostheses, in the form of light orthopedic corsets. The best results are achieved by creating an autogenic muscle girdle, which simultaneously protects the spine against flexion movements by forcing extension of the spine, and by using correctional and hypercorrectional positions in the orthoses used, especially in multiple fractures. The primary purpose of kinesitherapy is to strengthen the muscle girdle and to shape the strength and endurance of the postural muscles, using positions that relieve pressure on the spine. The isometric exercises in the pressure-relieving position lead to a systematic increase in the strength of the postural muscle. Other important elements of kinesitherapy include learning to feel one’s own body, proper protection of the spine, and shaping the correct body posture. Full recovery was attained in 70% of cases after one year of modified therapy. In the control group – traditional therapy – positive results were obtained in 56%.

Key words:
compression fractures of the spine, kinesitherapy, conservative treatment, developing years
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Medical rehabilitation of spinal injury patients without central nervous system damage

Piotr Majcher, M. Fatyga, A. Skwarcz

Piotr Majcher, M. Fatyga, A. Skwarcz – Medical rehabilitation of spinal injury patients without central nervous system damage. Fizjoterapia Polska 2002; 2(1); 61-64

Abstract
Based on the experience of the authors’ rehabilitation center is Lublin, the authors present the model of medical rehabilitation they have developed for patients with spinal injuries not involving damage to the central nervous system. The model is dependent on the type of treatment used for spinal injury (surgical or non-surgical). In the case of patients requiring surgery using internal fixation, medical rehabilitation includes preparation of the patient for surgery (over and above nursing activities) by means of respiration exercises, followed by kinesitherapy and physicotherapy after surgery in order to restore physical fitness as quickly as possible. In non-surgical procedures, medical rehabilitation includes physiotherapy, broadly conceived, involving one of three schemes: functional treatment without internal fixation, functional treatment after the application of internal fixation (young persons), and functional treatment for persons with cervical spinal injuries, using direct cranial traction. The authors point out the necessity for cooperation in the entire treatment team in proper rehabilitation procedure.

Key words:
internal fixation, kinesitherapy, physicotherapy

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Systematics of physiotherapy

Janusz Orzech

Janusz Orzech – Systematics of physiotherapy. Fizjoterapia Polska 2002; 2(2); 164-168

Abstract
This article presents the newest systematics of physiotherapy that has been compiled and developed by the author. The previous systematics and divisions, including charts and schemes from the available scientific literature, have also been described and characterized, with the special approach to historical aspects of the so-called physical medicine, later termed physiotherapy. The innovative changes in the systematics as these in shape of new methods and techniques that have been incorporated seem indispensable and have been thoroughly explained by the author.

Key words:
systematics of physiotherapy, kinesitherapy, physical therapy, therapeutic massage

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Kinesitherapy following spinal injuries with or without damage to the central nervous system

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz – Kinesitherapy following spinal injuries with or without damage to the central nervous system. Fizjoterapia Polska 2002; 2(3); 257-260

Abstract
Based on many years of experience in the rehabilitation of patients with spinal injuries in Lublin, the authors present a model of kinesitherapeutic procedure from the moment of injury to the completion of treatment. The first section of the work discusses kinesitherapy in the treatment of spinal injury patients without neurological injuries. Kinesitherapeutic procedures are clearly presented depending on the choice of non-surgical treatment: functional therapy without internal fixation, functional therapy after the application of internal fixation, and functional therapy after the application of direct cranial traction. It is emphasized that in the case of patients requiring surgery with internal stabilization it is essential to prepare the patient with respiratory exercises and isometric contractions to strengthen the muscles of the back and abdomen. The second part of the article deals with kinesitherapy for spinal injury patiets with CNS damage. The authors point out the differences between various exercises depending on the neurological level and the symptoms occurring, as well as the period of time elapsing after injury. These periods are divided into: (1) from injury to verticalization, (2) from verticalization to discharge, (3) ambulatory period (return to family and society). At each stage of procedure the cooperation of the rehabilitation team is very important, as well as the use of orthopedic equipment in limb dysfunctions of varying degree.

Key words:
kinesitherapy, Spinal Injuries, Central Nervous System

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Estimation of effectiveness high-tone therapy as adjunctive factor of rehabilitation among the patients with dysfunction of movement organ

Mirosław Janiszewski, Andrzej Polak

Mirosław Janiszewski, Andrzej Polak – Estimation of effectiveness high-tone therapy as adjunctive factor of rehabilitation among the patients with dysfunction of movement organ. Fizjoterapia Polska 2003; 3(1); 66-70

Abstract
Background. The present study is an evaluation of the value of WaDiT in the rehabilitation of patients with dysfunctions of the motor apparatus. Material and methods. We examined 100 female patients aged 40-60 diagnosed with osteoarthritic lesions in the lumbar spine. All these women underwent a 3-month course of kinesitherapy; 60 of them also received WaDiT procedures prior to each kinesitherapy application. Results. The findings in the WaDiT group indicate increased mobility of the spine and improvements in the dynamic and static parameters of the posture stabilizer muscles. Such results were not found in the group of patients who received kinesitherapy alone. Conclusuons. WaDiT can be a valuable supplement to kinesitherapy.

Key words:
kinesitherapy, osteoarthritic lesion of the spine, mobility

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The usefulness of kinesitherapy in the process of rehabilitation following surgical reconstruction of the anterior cruciate ligament: a comparative analysis of exercise methods in open and closed kinematic chains

Wojciech Hagner

Wojciech Hagner – The usefulness of kinesitherapy in the process of rehabilitation following surgical reconstruction of the anterior cruciate ligament: a comparative analysis of exercise methods in open and closed kinematic chains. Fizjoterapia Polska 2003; 3(1); 1-7

Abstract
Background. Damage to the ligamental and capsular apparatus of the knee, especially the anterior cruciate ligament (ACL), leads to instability of the knee, manifesting functionally as unsatisfactory joint coordination and slippage of the plateau of the tibia. The choice of treatment should be dictated by the extent of damage incurred by the knee and the patient’s age and degree of physical activity. Surgical reconstruction of the ACL restores joint coordination, but the final outcome is largely determined by post-surgical kinesitherapy. In planning the rehabilitation program after surgical reconstruction of the ACL, it is necessary to bear in mind the impact exercises will have on knee stability, as well as on the work and load of the passive and dynamic stabilizers of the knee.Material and methods. In this article the effects of exercises in systems based on open and closed kinematic chains are subjected to statistical analysis, as well as the impact of such exercises on the relative movements of the individual structural elements of the knee.Conclusions. The results of the present study showed that kinesitherapy in open and closed kinematic chains has a positive impact on rehabilitation outcome after ACL reconstruction, while the decisive factor is the skillful combination of exercises from both types of kinematic chain.

Key words:
Anterior Cruciate Ligament, kinesitherapy, open kinematic chain, closed kinematic chain

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Evaluating the effectiveness of mechanical methods on the basis of published reports

Mirosław Kokosz, Edward Saulicz, Janusz Kubacki

Mirosław Kokosz, Edward Saulicz, Janusz Kubacki – Evaluating the effectiveness of mechanical methods on the basis of published reports. Fizjoterapia Polska 2003; 3(4); 347-356

Abstract

Background. Movement based-therapy is becoming increasing popular. In fact, it can be said to be dominant modality in contemporary kinesitherapy. One of the most important criteria justifying the use of a particular therapeutic method is its clinical suitability. In this article, we attempted to establish the effectiveness of mechanical methods on the basis of a literature search. For this purpose we used our own system of evaluating the quality of published reports. Material and methods. We analyzed 20 articles from the literature devoted to the problem of evaluated the effectiveness of mechanical methods. The research reports were then ranked on the basis of the authors’ own method of evaluating their quality. Results. The results of our meta-analysis suggest that kinesitherapeutic methods are more effective than individual treatment methods used in isolation. Conclusions. A literature search in the available data bases produces numerous works discussing therapeutic techniques or diagnostic methods. There are relatively few articles, however, that evaluate the effectiveness of movement-based therapy. There are no unified criteria for the evaluation of effectivenessm which means that in the analysis of outcomes achieved from using one and the same kinesitherapeutic method there are major discrepancies in the results obtained by different authors.

Key words:
kinesithearpy, meta-analysis, manual therapy
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Pain relief and increase of physical function by womac scale in patients with osteoarthritis after two weeks of physical exercise

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Brenda

Anna Straburzyńska-Lupa, Wojciech Romanowski, Agnieszka Romanowska, Zbigniew Brenda – Pain relief and increase of physical function by womac scale in patients with osteoarthritis after two weeks of physical exercise. Fizjoterapia Polska 2004; 4(1); 52-57

Abstract

Background. The most common reason of visiting physician among patients with OA is pain and loss of mobility of the join. Clinical experience suggests effectiveness of physical exercise in decreasing of pain and individual patient improvement in motion. This investigation was made to indicate influence of well prepared program of physical exercise on pain relief and functional ability.Material and methods. 21 women with symptomatic knee and lumbar/sacral (LS)spine OA, mean age 55 years (±4,9 years), were enrolled for two weeks exercise program. Before and after treatment patients filled out the WOMAC questionnaire to assess level of pain and global disease activity.Results and Conclusions. This study showed significant improvement of physical function and decreasing of level of pain according to patient and physician assessment after two weeks with physical exercise program in patients with OA of the knee.

Key words:
osteoarthritis (OA), physical exercise
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How to guarantee the patient’s success after shoulder arthroplasty part II: post-surgery rehabilitation

Jolanta Kujawa, Jarosław Oborzyński, Mirosław Janiszewski

Jolanta Kujawa, Jarosław Oborzyński, Mirosław Janiszewski – How to guarantee the patient’s success after shoulder arthroplasty part II: post-surgery rehabilitation. Fizjoterapia Polska 2004; 4(2); 176-182

Abstract

In the opinion of many authors, surgical reconstruction of the shoulder enables optimal recovery of functionality. The problem of post-surgical rehabilitation remains a point of however, due to differences of opinion regarding the optimal time to commerce rehabilitation, the order which exercises are introduced, and the need to modify physiotherapeutic procedures. Long-term cooperation within the treatment team and good cooperation with the patient can guarantee a positive rehabilitation outcome. The rehabilitation program should be individually tailored and modified at each stage of treatment. On the basis of a review of the literature and their own experience, the authors have developed a basic post-surgical rehabilitation program, which enables the recovery of optimal joint function. The article is illustrated by photographs showing the proposed exercises.

Key words:
early rehabilitation,kinesitherapy, physicotherapy
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