Following the recommendations concerning pulmonary rehabilitation by parents of children with cystic fibrosis

Oktawia Kuna, Halina Woś, Bożena Kordys-Darmolińska, Agnieszka Ciukszo, Jacek Durmała, Zbigniew Śliwiński, Marcin Mikos, Jan W.Raczkowski, Mateusz Curyło

Oktawia Kuna, Halina Woś, Bożena Kordys-Darmolińska, Agnieszka Ciukszo, Jacek Durmała, Zbigniew Śliwiński, Marcin Mikos, Jan W.Raczkowski, Mateusz Curyło – Following the recommendations concerning pulmonary rehabilitation by parents of children with cystic fibrosis. Fizjoterapia Polska 2021; 21(1); 178-186

DOI: https://doi.org/10.56984/8ZG079497

Abstract
Introduction. When performed according to the most recent standards, rehabilitation and nebulization enable the prevention of progression of cystic fibrosis.
Aim. The aim of the study was to assess the parents’ knowledge concerning the disease, education of pro-health attitudes, taking care of pulmonary rehabilitation equipment, and following the recommendations on how to perform inhalations correctly.
Materials and methods. Seventy-four parents with at least one child affected by cystic fibrosis participated in a survey, where we applied our own questionnaire.
Results. A majority of the parents claim to possess knowledge about the disease and to be familiar with the specialist terminology; however, a control question does not confirm that. Only 50% of the respondents take advantage of a positive influence of physical effort on the respiratory function, whereas 50% of the children assume incorrect positions during nebulization, and merely half of the parents maintain nebulization equipment in the right way.
Conclusions. Parents still need further education concerning their children’s condition, the principles of their rehabilitation, hygiene, the ways of properly maintaining the equipment, as well as dosing the suitable amount of physical activity on a daily basis.
Key words:
cystic fibrosis, rehabilitation, nebulization, physical activity, education
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Complications in the course of the A(H1N1) influenza virus infection in the form of rhabdomyolysis – case study

Oktawia Kuna, Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska, Zbigniew Śliwiński, Jan W. Raczkowski

Oktawia Kuna, Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska,
Zbigniew Śliwiński, Jan W. Raczkowski – Complications in the course of the A(H1N1) influenza virus infection in the form of rhabdomyolysis – case study. Fizjoterapia Polska 2021; 21(1); 6-12

DOI: https://doi.org/10.56984/8ZG0794F0

Abstract
In the course of rhabdomyolysis, breakdown and necrosis of muscle fibres occur, and the toxic content of cells leaks into the systemic circulation. In adult patients, the causes of rhabdomyolysis may include injuries, crushing as a result of accidents, prolonged immobilization, high voltage electric shock; while in children, in particular the youngest children, viral infections constitute the most common cause. Based on the analysis of the collected literature, no standardization of physiotherapeutic treatment in paediatric patients with rhabdomyolysis was found. The objective of the study is to present a case of a 5-year-old boy with a complicated course of the A(H1N1) influenza virus infection, as a result of which he required physiotherapeutic and orthotic treatment adapted to the patient’s clinical condition and functional abilities. Treatment of paediatric patients with rhabdomyolysis is symptomatic. Pharmacotherapy and rehabilitation affect the maintenance of and/or increase in the range of mobility in the joints, and the use of orthoses helps maintain therapeutic effects.
Key words:
rhabdomyolysis, influenza complications, children rehabilitation
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Medical devices prescribed in the practice of physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Marcin Mikos, Marek Kiljański, Zbigniew Śliwiński, Jan W. Raczkowski

M. Curyło, M. Rynkiewicz-Andryśkiewicz, M. Mikos, M. Kiljański, Z. Śliwiński, J. W. Raczkowski – Wyroby medyczne wydawane na zlecenie w praktyce fizjoterapeuty. Fizjoterapia Polska 2020; 20(3); 180-183

DOI: https://doi.org/10.56984/8ZG14054B

Abstract
The act on the profession of physiotherapy was a long-awaited legal regulator regulating the profession of physiotherapy. Physiotherapy became not only an independent medical profession, but also a profession of public trust.
The provisions of the act on the profession of physiotherapy have resulted in the introduction of further legislative changes, including those regarding the possibility of prescribing medical devices.
In practice, this regulation filled the gaps in the scope of competences of physiotherapists. Pursuant to the new regulations, the list of medical devices that can be prescribed by physiotherapists with the right to independently provide physiotherapeutic services has been extended, with simultaneous differentiation of competences in this area for masters of physiotherapy and specialists in the field of physiotherapy.
Key words:
medical devices, act on the profession of physiotherapy, competences of physiotherapists, list of medical devices
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The impact of BMI value on the Wejsflog index, and the foot pain assessment

Mateusz Curyło, Magdalenna Wilk-Frańczuk,
Marlena Rynkiewicz-Andryśkiewicz, Jan W. Raczkowski

M. Curyło, M. Wilk-Frańczuk, M. Rynkiewicz-Andryśkiewicz, J. W. Raczkowski – The impact of BMI value on the Wejsflog index, and the foot pain assessment. FP 2014; 14(3); 22-34

DOI: https://doi.org/10.56984/8ZG13A492

Abstract

Introduction. The foot is not only the organ having great stability and overload endurance, but also one being a dynamic spring and, due to this feature, functioning as a shock absorber.
Aims of the work
1. Determining if there exists a correlation between Wejsflog index and the body mass of patient;
2. Determining if the body mass is a risk factor for the transverse arch lowering;
3. Determining if the body mass and the structure of the transverse foot arch influence the appearance of the foot pain ailment.
Material and methods. The research was carried out in Krakow in 2012-2013 period. The examined group of the research consisted of 249 patients, including 178 women and 71 men, aged 21-88 (average age of 52 years).
Results. P-value of the chi-square test is less than 0.05, thus the value of Wejsflog index significantly depends on the BMI: the higher the BMI, the more frequently the transverse arch lowering occurs. P-value of the Mann-Whitney test is greater than 0.05, thus the evaluation of the pain strength is statistically not dependent on the Wejsflog index.
Conclusions
1. The influence of the correlation between the body mass index (BMI) and the frequency of occurrence of the transverse foot arch lowering measured by the Wejsflog index has been proven.
2. Increased body mass defined by the body mass index (BMI) as overweight and obesity is a significant risk factor for the transverse foot arch lowering.
3. Increased body mass index as well as the transverse foot arch lowering measured by the Wejsflog index have no influence on the occurrence of the foot pain ailment.

Key words:
body mass index (BMI), Wejsflog index, transverse arch of the foot

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Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections

Mateusz Curyło, Katarzyna Cienkosz, Jan W. Sosnowski, Andrzej Szczygieł, Irena Szczepańska, Piotr Wróbel, Magdalena Wilk-Frańczuk,  Jan W. Raczkowski

M. Curyło, K. Cienkosz, J. W. Sosnowski, A. Szczygieł, I. Szczepańska, P. Wróbel, M. Wilk-Frańczuk,  J. W. Raczkowski – Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections. FP 2017; 17(1); 116-124

DOI: https://doi.org/10.56984/8ZG075474

Abstract

Introduction. Sedentary lifestyle connected with the civilizational development and the work in sitting position cause glenohumeral joints dysfunction, most often in the form of overload-pain ailments.
Purpose of this study. The purpose of this study was to compare the physiotherapeutic effects with the application of mobilization with motion according to Brian Mulligan and the pectoral girdle muscle tapping, and the used circumarticular injections.
Material and Methods. The research included 27 patients. The first group (16 persons) was treated with the circumarticular injections of medicines of the corticosteroids group. In the second group (11 persons) the manual therapy according to Brian Mulligan’s concept and the muscle tapping were used. The examinations were performed before the therapy and after three weeks. The used measurements included the shoulder pain and disability index SPADI, provocative tests HIN, HIB, POP, Job, “painful arc” (70°-120°), “belly–press”, goniometric measurement and the subjective pain feeling at the night time. In order to check if the used therapy type had any effect on the upper limb function improvement, the statistical analysis was made in the variance with a_mixed scheme, where the inter-group factor was the type of therapy, and the intra-group factor was the measurement moment: before and after completion of the therapy. Data were processed using Microsoft Excel and Statistica software.
Results. The applied therapy methods influenced improvement of the glenohumeral joint movement range in both groups. The group 2 had better results in reduction of periodic pain ailments and sleep disturbances.
Conclusions. Both used therapeutic programs improves functioning and reduce pain ailments in the investigated group, however the use of 2 therapeutic techniques in the group 2, according to Mulligan’s concept and the muscle tapping, brought significantly greater improvement in the clinical condition evaluation and in the patients’ subjective assessment.

Key words:
painful shoulder syndrome, manual therapy, physiotherapy

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Evaluation of the lumbar spine pain syndromes frequency of occurrence among office and physical workers

Mateusz Curyło, Alicja Bielańska,  Jan W. Raczkowski

M. Curyło, A. Bielańska,  J. W. Raczkowski – Evaluation of the lumbar spine pain syndromes frequency of occurrence among office and physical workers. FP 2017; 17(1); 28-36

DOI: https://doi.org/10.56984/8ZG0756A8

Abstract
Purpose of this study. The purpose of this study was to investigate frequency of the lumbar spine pain syndromes in the group of persons that perform office work and physical work. The pain effect on the investigated everyday lives was also evaluated.
Material and methods. The research was conducted using the Revised Oswestry Low Back Pain Disability Scale. The questions included in the questionnaire concerned everyday life activities. The questioned persons also subjectively assessed the pain intensity and the intensity change.
Conclusions. The ailments relating to the lumbar spine section appear in different occupations and they affect the workers’ everyday lives. More difficulties in the everyday life appear among the office workers, where the pain restricts their walking, lying or sleeping. Implementation of some physical activity reduces the ailments.

Key words:
lumbar spine section, physical work, office workers

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Assessment of life quality of women after mastectomy with consideration to physiotherapy process

Mateusz Curyło, Katarzyna Cienkosz, Agata Curyło, Piotr Wróbel, Magdalena Wilk-Frańczuk, Jan W. Raczkowski

M. Curyło, K. Cienkosz, A. Curyło, P. Wróbel, M. Wilk-Frańczuk, J. W. Raczkowski – Assessment of life quality of women after mastectomy with consideration to physiotherapy process. FP 2016; 16(3); 80-87

DOI: https://doi.org/10.56984/8ZG13C49A

Abstract
Purpose of this study. Evaluation of the patient’s life quality after operational treatment of the breast cancer – mastectomy, and determination of any correlation between made rehabilitation and participation in a support group.
Material and methods. The research was conducted using a questionnaire that included open and closed questions, it had 25 questions concerning patient’s condition before and after operation.
Results. Most women use physiotherapy (88%) and support offered by Amazon Clubs (88%). The most popular form of rehabilitation appeared to be kinesiotherapy (94%) and massage (70%). It was observed that the upper limb at operated side had reduced efficiency, after operation as good it was assumed only by 16% of total. Most women stated that their emotional condition had not changed after operation (32%) or slightly worsen (24%). None of the women declared lack of acceptance for their condition after amputation. As many as 48% did not seen any influence of the mastectomy on the quality of life, and for 36% the change was negative.
Conclusions. It may not be clearly stated if bigger influence on the self assessment of the quality of life has directly only physiotherapy or the Amazon Club that builds so important psychosocial relations, it proves complexity of the rehabilitation treatment. It is required to combine oncologic treatment with physiotherapeutic procedures and activity of social organizations, as all these aspects have beneficial influence on the women’s self-esteem after mastectomy.

Key words:
cancer, mastectomy, mammary gland, rehabilitation, life quality

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