Tag: Krzysztof Jodzio

Language and memory disturbances: some implications for physiotherapy

Krzysztof Jodzio, Kimberly C. Lindfield, Bruce Duncan MacQueen

Krzysztof Jodzio, Kimberly C. Lindfield, Bruce Duncan MacQueen – Language and memory disturbances: some implications for physiotherapy. Fizjoterapia Polska 2001; 1(1); 1-8

Abstract
The goal of this article is to review the linguistic determinants of memory disorders, with particular attention to disturbances of short-term memory in adults with acquired language disorders caused by brain damage. The authors discuss the most common forms of memory disorders, the link between these disorders and speech disorders, and the pathomechanism of symptomatic forgetfulness in aphasia. A proposal is also made for expanded diagnostics and rehabilitation procedures for aphasics with non-aphasics cognitive disturbances. By taking into consideration the memory impairments of persons with aphasia it may be possible to improve the effectiveness of physiotherapy. This will also facilitate planning the proper therapeutic strategy.

Key words:
Aphasiamemory impairment, rehabilitation planning

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Cognitive disorders subsequent to ischemic heart disease from the physiotherapeutic perspective

Krzysztof Jodzio, Denise A. Drumm

Krzysztof Jodzio, Denise A. Drumm – Cognitive disorders subsequent to ischemic heart disease from the physiotherapeutic perspective. Fizjoterapia Polska 2001; 1(2); 117-122

Abstract
Background. The contemporary model of rehabilitation for persons with ischemic heart disease (CHNS) emphasizes the necessity to coordinate the therapeutic interventions of various specialists who come into contact with the patient. One of the essential elements of such coordination, vital to the successful cooperation of the physiotherapeutic and physiotherapeutic teams, is the proper evaluation of the impact of chronic circulatory insufficiency on disturbances of cognitive process in persons with CHNS, which was the object the present study. Material and method. The research involved two groups of patients with CHNS and a control group of healthy persons (30 persons in each group, matched for sex, age educational status). Group I consisted of patients qualified for bypass surgery, while Group II included persons referred for conservative treatment exclusively. The instruments used to evaluate disturbances of cognitive functions included Benton’s Visual Memory Test, the Logical Memory subtest form Choynowski’s Memory Scale, the Bourdon-Wiersma Attention Test, Raven’s Matrix Test (standard version), and the Tapping Test from the Halstead-Reitan Battery. Results. Persons with CHNS were found to have significant deterioration of visual memory, problem-solving skills, and psychomotor speed, in comparison to healthy persons. Moreover, cognitive disturbances were found to be less severe in patients qualified for surgery than in those qualified for conservative treatment. The patients qualified for bypass surgery made fewer mistakes in the test of attention than those treated conservatively. The results are discussed in the context of the involvement of psychological factors in the treatment and rehabilitation of ischemic heart disease. Conclusions. Persons with CHNS exhibit relatively selective disturbances of cognitive functions, including visual memory, reasoning by analogy, and hand fine motor proficiency. The presence of numerous and/or pronounced cognitive disturbances suggesting brain dysfunction is a contraindication for open heart surgery. Testing cognitive functions and psychomotor efficiency in persons with CHNS broadens the scope of traditional psychological assessment for purposes of rehabilitation, which has traditionally focused on the emotional and characteristic of patients.

Key words:
ischemic heart disease, cognitive disturbances, coronary artery bypass graft (CABG)

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