Tag: Krzysztof Konior

Učinak HVLA manipulacije na statičke i dinamičke posturalne parametre – studija slučaja pacijenta s blokiranim atlanto-okcipitalnim prijelazom

Przemysław Malich, Aleksandra Bitenc-Jasieńko, Agata Pasternak, Adrian Westfal, Helena Gronwald, Karina Kijak, Krzysztof Gronwald, Krzysztof Konior, Danuta Lietz-Kijak

Przemysław Malich, Aleksandra Bitenc-Jasieńko, Agata Pasternak, Adrian Westfal, Helena Gronwald, Karina Kijak, Krzysztof Gronwald, Krzysztof Konior, Danuta Lietz-Kijak – The effect of HVLA manipulation on static and dynamic postural parameters – a case study of a patient with a blocked atlanto-occipital transition –  Fizjoterapia Polska 2024; 24(1); 215-225

DOI: https://doi.org/10.56984/8ZG2EF8t5I

Sažetak
Cilj. Studija je imala za cilj procijeniti učinke manipulacije visoke brzine i niske amplitude (HVLA) na raspodjelu sile, pritisak i ravnotežu kod osoba s blokadom atlanto-okcipitalnog prijelaza, fokusirajući se na poboljšanja nakon tretmana.
Metode istraživanja. Dijagnostički testovi (kompresija cervikalne kralježnice, Spurlingov test, de Kleynov test) i pedobarografija (korištenjem EPS/R2 podloge i BIOMECH STUDIO softvera) procijenili su funkcionalnost i posturalne parametre prije i nakon HVLA terapije.
Rezultati. Početna dijagnoza pokazala je značajne poremećaje u raspodjeli sile, ravnoteži i hodu. Poboljšanja nakon HVLA terapije uključivala su:
1. Uravnoteženo opterećenje prednjeg dijela stopala tijekom stajanja, smanjenjem postotka opterećenja pete.
2. Poboljšana globalna raspodjela tjelesnog pritiska, s izraženim smanjenjem pritiska na lijevoj strani tijela.
3. Povećani rasponi anteroposteriornih i lateralnih oscilacija tijela, sa smanjenim omjerom ekstremnih udaljenosti odstupanja do površine odstupanja i smanjenom prosječnom brzinom pomaka.
4. Normalizacija kuta otmice desne noge, bez značajne promjene kuta posjete lijeve noge.
5. Blaga poboljšanja indeksa svoda stopala (AI) i prosječnog pritiska stopala tijekom hoda, s minimalnim promjenama maksimalnog pritiska stopala tijekom hoda.
Zaključci. HVLA manipulacija znatno poboljšava statičke parametre ravnoteže, ali pokazuje minimalno poboljšanje u parametrima hoda. To ukazuje na složen odnos između blokade atlanto-okcipitalnog prijelaza i poremećaja držanja, sugerirajući potrebu za daljnjim istraživanjima kako bi se istražila povezanost između defekata držanja i blokade atlanto-okcipitalnog prijelaza, kao i utjecaj tih blokada na promjene u držanju.
Ključne riječi
blokada atlanto-okcipitalnog prijelaza, HVLA manipulacija, poremećaji držanja, poboljšanje ravnoteže, pedobarografija
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Zmiany w równowadze ciała spowodowane narażeniem na urazy – badania wieloośrodkowe

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Anna Walińska, Kinga Gonta, Elżbieta Szkiler, Milena Kraft, Alina Kirpichnikova, Karolina Trąbska, Anna Parus, Tomasz Kupc, Malwina Waleryn-Sagun, Anna Szadkowska, Rafał Mosur, Kamila Mosur, Damian Szyguła, Nicola Książek, Małgorzata Barszczewska, Patrycja Janta, Aneta Mandrosa, Joanna Jarosławska, Klaudia Smolińska, Marta Szewczyk, Agnieszka Byszewska, Anna Morzyńska, Marzena Tuszkowska, Barbara Wrocławska-Tuszkowska, Marek Gapiński, Tomasz Kowalik, Karolina Adamska, Katarzyna Pawliwiec, Jan Głodowski, Konrad Kijak, Małgorzata Kowacka, Danuta Lietz-Kijak

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Danuta Lietz-Kijak et al – Changes in body balance due to exposure to trauma – multi-center studies. Fizjoterapia Polska 2023; 23(5); 313-326

DOI: https://doi.org/10.56984/8ZG20Bb3T

Streszczenie
Cel. Celem badania było ocenienie wpływu doświadczonego przez osobę zdarzenia traumatycznego na równowagę posturalną i biomechaniczne parametry chodu.
Metodologia badania. Badanie objęło 31 osób (n = 100%), w tym 22 kobiety (nk% = 70.97%) i 9 mężczyzn (nm% = 29.03), w wieku 29-60 lat. Z badania wykluczono osoby z chorobami i dysfunkcjami wpływającymi na równowagę ciała i wzorzec chodu.
Testy równowagi i chodu przeprowadzono przy użyciu pedobarografii (pedobarograf mod. EPS R2, oprogramowanie Biomech Studio v2). Test równowagi przeprowadzano w pozycji stojącej, przez 20 sekund, z próbkowaniem co 1 ms (milisekundę) – liczba próbek podczas jednego testu wynosi 20,000. Testy oceny równowagi i chodu przeprowadzono dwukrotnie. Test I obejmował testowanie w neutralnych warunkach, Test II obejmował testowanie w warunkach, w których osoba była narażona na doświadczone w przeszłości przez siebie zdarzenie traumatyczne (tzw. ekspozycja na “doświadczone traumy”).
Wyniki. Uzyskane wyniki badań wpływu ekspozycji na doświadczone traumy na równowagę ciała podczas stania wykazały istotne różnice w wahaniach ciała w najważniejszych parametrach oceny stabilometrycznej.
Uzyskane wyniki badań wpływu ekspozycji na traumę na chód osoby nie wykazały istotnych różnic między testem w neutralnych warunkach a testem podczas ekspozycji.
Wnioski. (1) Ekspozycja na doświadczone przez osobę traumy znacząco wpływa na równowagę ciała w pozycji stojącej. (2) Badania nie wykazały wpływu ekspozycji na doświadczone traumy na chód osoby w zakresie czasu kontaktu stóp z podłożem oraz na wartości maksymalnego i średniego ciśnienia; Obszar płaszczyzny, na której stopy są umieszczone na podłożu, zmienia się znacząco przed i po ekspozycji na doświadczone traumy. (3) W badaniach wpływu traumy na postawę ciała należy uwzględnić szczegółowe wyniki badań zakresu fluktuacji COP w każdej płaszczyźnie – badanie wykazało, że analiza tylko średnich wyników może znacząco wskazywać błędny wynik w ocenie równowagi ciała.

Słowa kluczowe
stres, trauma, PTSD, równowaga ciała, chód, stabilometria, pedobarografia

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Temperature measurements on facial skin surface as evaluated by infrared thermal cam-era and pyrometer following physiotherapeutic light treatments

Danuta Lietz-Kijak, Piotr Skomro, Roman Ardan, Elżbieta Kubala, Paulina Strzelecka, Małgorzata Kowacka, Konrad Kijak, Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Helena Gronwald, Zbigniew Śliwiński

Danuta Lietz-Kijak, Piotr Skomro, Roman Ardan, Elżbieta Kubala, Paulina Strzelecka, Małgorzata Kowacka, Konrad Kijak, Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Helena Gronwald, Zbigniew Śliwiński – Temperature measurements on facial skin surface as evaluated by infrared thermal cam-era and pyrometer following physiotherapeutic light treatments. Fizjoterapia Polska 2023; 23(2); 148-157

DOI: https://doi.org/10.56984/8ZG0DF529

Abstract
Any clinical procedure in dentistry, especially one that involves a breach of tissue integrity, carries the risk of complications, which can occur in any speciality. These include: postopera-tive wound pain, tissue swelling, bleeding, redness, elevated temperature, trismus, decreased sensation as a result of nerve damage. Postoperative patient care aims to minimise the risk of complications and to treat those which have developed. To this end, we can resort to physical therapy, one of the modalities of which is light therapy, using electromagnetic wave ranges of red, infrared, yellow and ultraviolet light. Yet, it remains unclear which wavelength should be used to treat any specific disease entity and which form of therapeutic light should be used in the rehabilitation of a specific complication following dental procedures? In this study, we used the Cason CA380 infrared digital pyrometer with a laser pointer and the Fluke Ti 400 thermal imaging camera. On the basis of the tests and statistical analysis, it can be concluded that the application of light significantly increases the temperature of the irradiated facial skin surface. Irrespective of the type of light used, each was associated with an increase in temper-ature. A more pronounced increase in temperature on the facial skin surface after a given ap-plication suggests that the effect of light therapy is shallow, which is relevant to the choice of a specific light wavelength to be applied in a particular disease entity or dental complication.
Key words: temperature measurement, light therapy, pyrometer, thermal imaging
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Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak, Zbigniew Śliwiński


Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak, Zbigniew Śliwiński – Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review. Fizjoterapia Polska 2023; 23(1); 188-202

DOI: https://doi.org/10.56984/8ZG07B914

Abstract
Myofascial pain syndrome (MPS) is one of the most common ailments associated with the human musculoskeletal system, characterised by the presence of the so-called trigger points (TrP – trigger point; MTrPs – myofascial trigger points). The International Association for the Study of Pain indicates that MPS may affect approximately one-third of people with chronic musculoskeletal pain, and that there is a lack of appropriate classification which can be attributed to a misunderstanding and/or misinterpretation of the pathophysiology. Given the diverse causes of pain syndromes in myofascial structures, it is vital to properly select and integrate therapeutic methods. The scientific literature indicates that treatment programmes should include a variety of manual therapy methods and rehabilitation exercises. Trigger point therapies, such as dry needling or dry cupping, are also widely used. At the heart of the success of rehabilitation programmes, in the opinion of the authors of this publication, is their multimodality, i.e. selection of therapeutic methods based on the cause of the pain, providing for measurable, reproducible diagnostic methods in therapy.
Aim of the study. The aim of this study is to analyse and infer conclusions on multimodal myofascial pain therapy programmes.
Material and methods. Given the complex research problem set as the aim, the study was carried out through a literature review in terms of two criteria:
Criterion I (C I): analysis of the literature on the etiology and pathogenesis of myofascial pain (i.e. causes and triggers, symptoms, social and environmental factors determining the onset of MPS), diagnostic procedures (initial diagnosis and ongoing monitoring of treatment outcomes), and therapeutic methods used in the course of MPS.
Criterion II (C II): a literature study of research publications addressing multimodal programmes for myofascial pain therapy, with their qualitative evaluation using the modified PEDro scale, and empirical testing of hypotheses based on the literature study and the analysis made in Part I.
Data sources: PubMed, SCOPUS, Science Direct, MEDLINE, PEDro, Cochrane, Embase, Web of Science Core Collection, Google Scholar electronic databases were searched systematically, restricting the languages to English and German only.
Results. The analysis of the literature showed that the causes, symptoms and associations of myofascial pain have been described in detail. There are also numerous reports on a variety of therapeutic methods, together with a precisely described methodology for their implementation. It is not uncommon to recommend combining methods into multimodal programmes, which unfortunately does not mean that there are many such programmes or that studies on MPS are consistent. The literature study on multimodal treatment programmes for MPS revealed that there is no correlation between its pathogenesis and a purposeful selection of specific therapeutic methods. In a small number of cases, a complex etiopathogenesis led to the formation of multidisciplinary teams. This may be associated with the absence of strict recommendations on the diagnostic methods applicable to the assessment of MPS.
Conclusions. 1. Multimodal programmes for the treatment of musculoskeletal pain, notably MPS and MTrPs, should include a detailed and comprehensive diagnosis (structural, biochemical, psycho-emotional) which should serve as the basis for the formation of interdisciplinary rehabilitation teams. 2. Musculoskeletal diagnosis, in addition to radiological assessment, should include measurable techniques of postural and functional assessment (such as pedobarography, wearable sensors, assisted anthropometry, i.e. photogrammetry, videogrammetry, etc.), aimed primarily at the ongoing assessment of posture. 3. The choice of therapeutic methods and patient education should be based on the causes of the patient’s pain, taking into account systemic diseases, postural defects, lifestyle and psycho-emotional state. 4. Scientific research in multimodal treatment programmes should be carried out in randomised groups, with due attention to the methodologies of diagnostic and therapeutic procedures and group selection.
Keywords
chronic pain, myofascial pain, manual therapy, exercise, multimodal programmes
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Biotensegration of malocclusion and temporomandibular disorders with diseases of the musculoskeletal system and posture defects – a literature review, supported by own observations

Danuta Lietz-Kijak, Aleksandra Bitenc-Jasiejko, Piotr Skomro, Krzysztof Konior, Konrad Kijak, Małgorzata Kowacka, Zbigniew Śliwiński


Danuta Lietz-Kijak, Aleksandra Bitenc-Jasiejko, Piotr Skomro, Krzysztof Konior, Konrad Kijak, Małgorzata Kowacka, Zbigniew Śliwiński – Biotensegration of malocclusion and temporomandibular disorders with diseases of the musculoskeletal system and posture defects – a literature review, supported by own observations. Fizjoterapia Polska 2023; 23(1); 22-38

DOI: https://doi.org/10.56984/8ZG07B3B3

Streszczenie

Although it enables a quick evaluation, medical diagnostics of the human myofascial-skeletal system is not always used to its full capabilities. This often hampers the objective assessment of a dysfunction and limits treatment options. Dysfunctions of the stomatognathic system, of different aetiology, are becoming more prevalent. Many scientific studies are in to relationships between organs and systems of the human body that can cause dysfunctions of the temporomandibular disorders. Studies investigating correlations between a myofascial-skeletal disorder and temporomandibular disorders are to be found in the literature. To achieve a good understanding of aetiology of these dysfunctions, a holistic view of a patient is advisable, which takes into consideration the fact that the temporomandibular joint is an integral part of the whole body. This study is a review of the literature, supported by own examples on investigating the relationship between myofascial-skeletal disorders and a temporomandibular disorder, which, in the light of current medical knowledge, is attributed to the phenomenon of biotensegrity. A conclusion has been put forward on the basis of 136 scientific reports that a dependency exists between the said dysfunctions.

Słowa kluczowe:
biotensegrity, disorders of the musculoskeletal system, posture defects, dysfunctions of the masticatory system, temporomandibular joint disorder

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The use of pedobarography in physiotherapeuticprocedures – analysis of educationstandards, fields of application – and reality; part 2

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – The use of pedobarography in physiotherapeuticprocedures – analysis of educationstandards, fields of application – and reality; part 2. Fizjoterapia Polska 2020; 20(4); 122-136

Abstract

Diagnosis of human body posture and assessment of functionality, in physiotherapeutic procedures, is mainly carried out by viewing methods and by photogrammetric or videogrammetric methods, which do not provide angular measurements, anthropometric, time-space measurements, etc. Highly specialized imaging tests are medical procedures, which significantly affects their availability. Also, in terms of their economics, application and invasiveness. Thus, their purpose is significantly limited in the initial diagnostics process, and in particular in current physiotherapeutic assessment.
In the world, for over 30 years, gait, balance, selected biomechanics parameters and body functionality have been evaluated by pedobarography. However, other scientific studies of the authors indicate that the method is very little known in Poland by medical staff. Despite the fact that it has been included in the list of guaranteed benefits since 2011, no procedures for its implementation have been specified. An important aspect of pedobarography is the consistency of its directions of use with the standards of training the profession of a physiotherapist. The obvious and logical conclusion is that the lack of knowledge in the area of the method does not allow its development. An important issue is to assess whether education standards are directly consistent with the directions of pedobarography in the rehabilitation process.

Key words:

rehabilitation, physiotherapy, posture tests, gait tests, feet, foot defects, pedobarography, orthopedics, rehabilitation, neurology

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Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Katarzyna Kordus, Monika Brzózka, Andrzej Garstka, Marek Kiljański, Danuta Lietz-Kijak

A. Bitenc-Jasiejko, K. Konior, K. Kordus, M. Brzózka, A. Garstka, M. Kiljański, D. Lietz-Kijak – Availability and application of pedobarography within services offered by the guaranteed healthcare benefits fund and private sector — possibilities and limitations; part 1. Fizjoterapia Polska 2020; 20(2); 160-176

Abstract
Changes resulting from incorrect plantar foot pressure distribution can lead to degenerative changes of hard and soft tissues. Especially clear connection can be noticed between excessive pressure on feet and occurrence of ulcers and chronic wounds, especially those secondary to diabetes and motor and sensory neuropathy. Pedobarography is widely used to assess the value as well as time and space parameters of pressure when standing and walking. This means that this procedure can prove useful in many fields, including orthopaedics, rehabilitation, orthopaedic appliances as well as in traumatology and treating bad posture.
Pedobarography is a diagnostic procedure that is not highly specialist (besides physicians, it can be performed by non-physician practitioners) that is why it can be used by specialists of many fields. In most countries where prophylactics of feet disorders, especially the diabetic foot syndrome, is highly developed, pedobarography is one of the basic diagnostic procedures of the guaranteed healthcare services. In Poland, it is included in the list of guaranteed healthcare benefits of the National Health Found since 2011. However, there are grounds to think that pedobarography is not commonly used, mainly due to insufficient knowledge of medical staff on this method. Considering the fact that this diagnostic procedure plays an important role in preventing disorders resulting from incorrect pressure migration, it is crucial to analyse directions of its application and factors influencing its development. The aim of this paper was to assess availability of pedobarography and to analyse factors facilitating and limiting its development.

Key words:
pedobarography, orthopaedics, rehabilitation, traumatology, bad posture, ulcerations, Charcot’s neuro-osteoarthropathy, custom-made orthopaedic insoles

 

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