Utjecaj tjelesne aktivnosti na funkcionalno stanje pacijenata s ankilozirajućim spondilitisom (AS) – Pregled literature

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Michał Zabojszcz, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Michał Zabojszcz, Mateusz Curyło – The impact of physical activity on the functional status of patients with ankylosing spondylitis (AS) – A literature review. Fizjoterapia Polska 2023; 23(4); 202-206

DOI: https://doi.org/10.56984/8ZG20A311

Sažetak
Uvod. Ankilozirajući spondilitis (AS) jedna je od najčešćih reumatoidnih bolesti. Tijekom ove bolesti, najviše je pogođen mišićno-koštani sustav. Proces liječenja trebao bi uzeti u obzir trenutačno opće stanje pacijenta, napredak bolesti i funkciju.
Cilj istraživanja. Svrha ovog istraživanja bila je pokušaj procjene utjecaja tjelesne aktivnosti na funkcionalno stanje pacijenata s ankilozirajućim spondilitisom na temelju dostupne literature.
Materijali i metode. Dostupna literatura analizirana je na temelju engleskih baza podataka PubMed, ScienceDirect i drugih, koristeći tražilicu Google Scholar. Od 55 pronađenih članaka analizirano je njih 17. Kao kriterij pretrage korišteni su članci objavljeni do 10. listopada 2023. godine s sljedećim ključnim riječima: ankilozirajući spondilitis, tjelesna aktivnost, fizioterapija.
Rezultati. Većina tjelesne aktivnosti koju provode pacijenti s AS-om čini se učinkovitom u poboljšanju njihove funkcije. Potrebna su dodatna istraživanja kako bi se jasnije utvrdio utjecaj neusmjerene vježbe na ovu skupinu pacijenata.
Zaključci. Suvremena istraživanja ukazuju da tjelesna aktivnost koju provode pacijenti uglavnom djeluje u liječenju ankilozirajućeg spondilitisa. Rezultati istraživanja o učinkovitosti neusmjerene vježbe pacijenata su različiti. Ukazuju i na visoku i na nisku učinkovitost, ovisno o provedenom istraživanju. Potrebna su daljnja istraživanja u ovom području kako bi se donijele čvršće zaključke.
Ključne riječi:
ankilozirajući spondilitis, tjelesna aktivnost, fizioterapija
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Primjena konzolnih igara – eksigara u kardiološkoj rehabilitaciji: pilot istraživanje

Kamil Szcześniak, Iwona Sarna, Anna Mierzyńska, Rafał Dąbrowski, Edyta Smolis-Bąk

 

Kamil Szcześniak, Iwona Sarna, Anna Mierzyńska, Rafał Dąbrowski, Edyta Smolis-Bąk– The application of console games – exergames in cardiac rehabilitation: a pilot study. Fizjoterapia Polska 2023; 23(4); 182-191

DOI: https://doi.org/10.56984/8ZG20AR1N

Sažetak
Uvod. Previše ljudi izbjegava redovitu tjelesnu aktivnost, stoga se primjenjuju različite strategije kako bi se povećala njihova motivacija. U posljednjih nekoliko godina, vježbanje uz korištenje konzolnih igara, tj. eksigara, postalo je popularno.
Materijal i metode. U istraživanju su sudjelovali pacijenti upućeni na ranu posthospitalnu stacionarnu rehabilitaciju. Svi ispitanici sudjelovali su u izdržljivosti na ergometrima za bicikle i vježbama kondicije (dinamičke, istezanje, koordinacija, ravnoteža) s elementima otpornog treninga 5 puta tjedno. U testnoj grupi, program rehabilitacije nadopunjen je treninzima s opremom ActivLife. Treninzi su se održavali svaki dan, 5 puta tjedno. Uključivali su program treninga koji se sastojao od 7 vježbi koje razvijaju motoričke sposobnosti: koordinaciju, snagu i ravnotežu u obliku aktivnosti sličnih tradicionalnim vježbama – čučnjevima, bočnim savijanjem, trodimenzionalnim pokretima gornjih udova i savijanjem trupa u sagitalnoj ravnini. Treninzi su trajali od 15 do 20 minuta.
Rezultati. Nakon rehabilitacije uočeno je značajno poboljšanje podnošljivosti napora kod pacijenata u obje grupe u sljedećim testovima: 6MWT [m] – testna grupa: 369 vs 426, p <0,05, kontrolna grupa: 341 vs 434, p <0,001; test snage mišića donjih udova [broj ponavljanja/30s] su: testna grupa: 11,4 vs 13,6, p <0,001, kontrolna grupa: 9,9 vs 13,1, p <0,001 i u Up&Go testu [s]: testna grupa 7,8 vs 6,7, p <0,01, kontrolna grupa 8,4 vs 7,3, p <0,01.
Zaključci. Interaktivne konzolne igre procijenjene su od strane kardioloških pacijenata kao privlačna, sigurna i korisna metoda vježbanja. Trening uz korištenje opreme ActivLife pokazao se jednako učinkovitim kao i tradicionalne vježbe.
Ključne riječi:
eksigre, kardiološka rehabilitacija, kardiologija, fizioterapija, vježbanje
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Utjecaj ekscentričnih vježbi i terapije udarnim valom kod pacijenata s Ahilovom tendinopatijom – pregled literature

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Mateusz Curyło – Effect of eccentric exercise and shock wave therapy in patients with Achilles tendinopathy – a review of the literature . Fizjoterapia Polska 2023; 23(4); 92-96

DOI: https://doi.org/10.56984/8ZG20A1BB

Sažetak
Cilj istraživanja. Svrha ovog istraživanja bila je procjena učinkovitosti treninga s ekscentričnim vježbama i terapije udarnim valom kod osoba s Ahilovom tendinopatijom.
Materijali i metode. Dostupna literatura analizirana je na temelju engleskog jezika u bazama podataka PubMed, Scopus, ScienceDirect, Medline i drugima, koristeći tražilicu Google Scholar. Od 120 pronađenih članaka, analizirano je njih 20 primjenom navedene metode. Korištene su publikacije objavljene do 24. rujna 2023. godine, uz korištenje sljedećih ključnih riječi: Ahilova tendinopatija, fizioterapija, udarni val, Alfredsonov protokol, ekscentrične vježbe.
Rezultati: Analizom radova primijećeno je da su ekscentrične vježbe temeljene na Alfredsonovom protokolu učinkovite u liječenju Ahilove tendinopatije. Terapija udarnim valom čini se većinom sigurnom i učinkovitom metodom liječenja.
Zaključci. Suvremena istraživanja ukazuju da konzervativne metode liječenja u obliku ekscentričnih vježbi i terapije udarnim valom čine se učinkovitima u liječenju Ahilove tendinopatije. Iako su studije o učinkovitosti terapije udarnim valom većinom niske kvalitete, čini se da je to sigurna i učinkovita metoda liječenja Ahilove tendinopatije.
Ključne riječi:
Ahilova tendinopatija, fizioterapija, udarni val, Alfredsonov protokol, ekscentrične vježbe
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Fizioterapija s osobama koje su promijenile spol

Damian Durlak

 

Damian Durlak – Physiotherapy work with transgender individuals . Fizjoterapia Polska 2023; 23(4); 36-40

DOI: https://doi.org/10.56984/8ZG20AF58

Sažetak
Transrodno pitanje je izazovno područje medicine, iako prati čovječanstvo gotovo od samih početaka. To uključuje transseksualizam – nespojivost mentalnog spola i registriranog spola. Transrodne osobe teže promijeniti svoj spol hormonskom terapijom i kirurškim zahvatima. U svom radu, fizioterapeuti mogu susresti transrodne osobe u različitim fazama terapije. Kako bi se izbjeglo dodatno psihičko opterećenje za transrodne pacijente, važno je da fizioterapeuti razumiju specifičnosti transseksualizma i pitanja na koja trebaju obratiti pažnju tijekom obavljanja svoje profesije. Cilj rada je prikazati što je transrodno pitanje i kako fizioterapeut treba raditi s transrodnim osobama.
Ključne riječi:
fizioterapija, transrodno, transseksualizam
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Możliwości postępowania fizjoterapeutycznego u pacjentów z zespołem odpychania

Agnieszka Drozd, Maja Nowacka-Kłos, Rita Hansdorfer-Korzon


Agnieszka Drozd, Maja Nowacka-Kłos, Rita Hansdorfer-Korzon – Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome. Fizjoterapia Polska 2023; 23(3); 146-164

DOI: https://doi.org/10.56984/8ZG143k5q

Streszczenie
Następstwem uszkodzenia struktur mózgu często są różnego typu zaburzenia percepcyjno-motoryczne. Jednym z nich jest zespół odpychania (ang. Pusher Syndrome, PS). Jest on definiowany jako zaburzenie postrzegania pozycji ciała w płaszczyźnie czołowej, co w konsekwencji utrudnia utrzymanie prawidłowej pionowej postawy. Występuje najczęściej u osób po udarze prawej półkuli mózgu, w tylno-bocznej okolicy wzgórza, a jego częstotliwość szacuje się na około 9–50%. Jest to jednak wciąż mało poznany syndrom i zbyt rzadko diagnozowany. Prawidłowe, wczesne rozpoznanie zespołu pushera oraz wprowadzenie odpowiedniej fizjoterapii pozwala skrócić czas rehabilitacji pacjenta i przyspieszyć jego powrót do sprawności. Celem pracy jest przedstawienie zasad i możliwości terapii osób z zespołem odpychania.

Słowa kluczowe:
zespół pushera, rozpoznanie, zasady terapii, fizjoterapia

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An interdisciplinary concept for the treatment of Bell’s palsy – a case report

Konrad Kijak, Łukasz Kopacz, Grzegorz Cieślar, Zbigniew Śliwiński, Piotr Skomro, Małgorzata Kowacka, Paweł Berczyński, Danuta Lietz-Kijak


Konrad Kijak, Łukasz Kopacz, Grzegorz Cieślar, Zbigniew Śliwiński, Piotr Skomro, Małgorzata Kowacka, Paweł Berczyński, Danuta Lietz-Kijak –
An interdisciplinary concept for the treatment of Bell’s palsy – a case report. Fizjoterapia Polska 2023; 23(2); 62-69

DOI: https://doi.org/10.56984/8ZG0DF923

Abstract

Background. Bell’s palsy is a spontaneous paralysis of the facial nerve (i.e. cranial nerve VII). It presents with muscle weakness leading to facial asymmetry, with a drooping corner of the mouth, loss of the ability to whistle, blink, close the eyelid, purse lips or grin. The forehead on the affected side becomes smooth and the patient is not able to frown or raise eyebrows.

Objective. The aim of the study was to evaluate the effect of combined electrophysical and physiotherapeutic methods on accelerating recovery from facial nerve palsy.

Material and Methods. The authors describe two cases of Bell’s palsy, treated with simulta-neous application of electrophysical agents, in the form of an extremely low-frequency elec-tromagnetic field (ELF-EMF) and high-energy LED light, and physiotherapy modalities, i.e. proprioceptive neuromuscular facilitation (PNF) and kinesiotaping (KT).

Results. After four weeks of electrophysical and physiotherapeutic treatments, a fully satis-factory and stable therapeutic effect was achieved.

Conclusions. The interdisciplinary therapy using ELF-EMF + LED combined with PNF and KT treatments proved to be effective in accelerating recovery from facial nerve palsy. Further studies are needed to establish appropriate protocols.

Key words: Bell’s palsy, electrophysical agents, physiotherapy, LED light therapy with extremely low frequency electromagnetic field (ELF-MF), proprioceptive neuromuscular facilitation (PNF), kinesiotaping (KT)
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Intellectual property law in physiotherapy

Damian Durlak

 

Damian Durlak – Prawo własności intelektualnej w fizjoterapii. Fizjoterapia Polska 2023; 23(2); 134-136

DOI: https://doi.org/10.56984/8ZG0DF83B

Abstract
Intellectual property law applies to many spheres of everyday work activity. In many moments we reach for someone else’s inventions, and sometimes we ourselves become the author of literary, photographic or audiovisual works. Also, physiotherapists, during their work, can become authors of non-material works, e.g. photos or recordings of treatments performed according to their original design. Appropriate knowledge of intellectual property law can help to avoid problems related to the use of other people’s inventions in one’s own work, as well as to prevent unauthorized access and dissemination of created works. The aim of this article was to present briefly the issues related to intellectual property law, which also apply to physiotherapists.
Key words:
physiotherapy, intellectual property law, intangible works
Only Polish version available

Physiotherapeutic methods of treatment of sexual disorders associated with pain

Damian Durlak


Damian Durlak – Fizjoterapeutyczne metody leczenia zaburzeń seksualnych związanych z bólem. Fizjoterapia Polska 2023; 23(1); 50-53

DOI: https://doi.org/10.56984/8ZG07B1A1

Streszczenie

In a holistic assessment of the patient’s health, it is worth considering not only the physiological and psychological, but also the sexual zone. It has a strong influence on the assessment of the quality of human life. Understanding a patient’s problems, especially when it comes to pain-related sexual dysfunction, is essential for successfully treating ailments. Physiotherapists can also use appropriate therapy to support drug and psychological treatment.

Słowa kluczowe:
physiotherapy, sexual dysfunction, pain, dyspareunia

Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic

Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz


Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz – Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic. Fizjoterapia Polska 2022; 22(4); 154-161

DOI: https://doi.org/10.56984/8ZG1A62sK

Abstract
The COVID-19 pandemic resulted in an almost immediate need to limit social contact, including access to full-time education.
Teaching in the 2020/2021 academic year relied almost entirely on remote education. Medical students felt the problem of the lack of student-patient contact in particular. Internships and apprenticeships were kept to a minimum, and in many universities there were no apprenticeships, which also translated into the lack of acquisition of practical knowledge, which is very important in the work of a future medic.
The study covered students from all voivodeships. The nationwide character of the study made it possible to obtain objective results.
The objective of the study was to examine the level of satisfaction and acquired skills of students of the medical faculty, i.e. physiotherapy within remote education.
The results of the study and the literature review show that the preferred form of education in medical faculties is a mixed form of education, and student satisfaction with the remote form is rather low. It has been shown that this method of education does not lower the level of satisfaction, and at the same time has a positive effect on the economic aspect of studying.

Key words:
student satisfaction, physiotherapy, remote learning, COVID-19 disease

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Factors affecting physiotherapy clinical education: Perceptions of students and clinical educator

Senthilnathan Ramakrishnan, Kalyana Chakravarthy Bairapareddy


Senthilnathan Ramakrishnan, Kalyana Chakravarthy Bairapareddy – Factors affecting physiotherapy clinical education: Perceptions of students and clinical educator. Fizjoterapia Polska 2022; 22(4); 92-100

DOI: https://doi.org/10.56984/8ZG1A6z0J

Abstract
Introduction. Clinical education is the cornerstone of physiotherapy education. Clinical educators play a pivotal role in shaping students’ attitude towards their future role as physiotherapist. But the implementation of physiotherapy clinical education varies significantly between institutions. Research has shown several factors influencing the clinical education.
Aim. To explore the factors affecting physiotherapy clinical education.
Methods. This research used mixed-methods approach and recruited participants through purposive and convenience sampling. Data was collected through a survey using questionnaire and face-to-face interviews. Thirty-four physiotherapy students completed a questionnaire after attending 12 weeks of clinical placements. Twenty-six clinical educators and 9 students participated in the interview. Descriptive statistics including frequency percentage, median and percentiles were used for quantitative data analysis. Thematic analysis method was used for qualitative data analysis.
Results. Quantitative study found greater student satisfaction in clinical education. But the qualitative study identified several factors affecting clinical education in the context of this study. These factors include student interest, learning style, culture, and ability to cope with challenges. In addition, clinical educator workload, teaching strategies, curriculum knowledge, academic-clinical partnership, peer learning, placement model and expectations were the other factors that influenced physiotherapy clinical education.
Conclusions. The findings of this study are useful to physiotherapy clinical educators, students, and faculty. It provides insight into various factors affecting physiotherapy clinical education. Furthermore, it recommends evidence-based strategies to neutralize those factors influencing clinical education.

Keywords
clinical placements, clinical education, physiotherapy

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