Strategies of procedure in manual therapy

Tadeusz Kasperczyk, Robert Walaszek

Tadeusz Kasperczyk, Robert Walaszek – Strategies of procedure in manual therapy. Fizjoterapia Polska 2001; 1(2); 173-178

Abstract
Orthopedic manual therapy is involved with treatable joint and bone disorders, i.e. dysfunctions characterized by blocking. Its scope encompasses all diagnostic, preventive, and treatment techniques involving the spine, the limbs, and all other joints.The purpose of this article is to discuss the principles and course of treatment in manual therapy, understood as particular strategies of procedure. This includes the techniques of therapeutic procedure within the framework of three periods: Period I, which involves procedures prior to mobilization or manipulation, in order to create the best possible conditions for this operation; Period II, which pertains to the actual operation (techniques) of removing the block; and Period III, which includes procedures subsequent to manipulation, both immediately after the operation and in a later period of time. The article discusses in detail the proper tasks for each of these periods. Contraindications for manual therapy are also listed.

Key words:
manual therapy, Diagnosis, manual techniques

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Impact of the Salt Cavern Microclimate on Respiratory System Diseases in Elderly People

Robert Walaszek, Tadeusz Kasperczyk, Agnieszka Kaczmarek

Robert Walaszek, Tadeusz Kasperczyk, Agnieszka Kaczmarek – Impact of the Salt Cavern Microclimate on Respiratory System Diseases in Elderly People. Fizjoterapia Polska 2009; 9(2); 158-170

Abstract
Background. The present study was conducted in order to determine whether a stay in a salt cavern can be recommended in the treatment of respiratory system diseases in elderly people. A detailed analysis is carried out ofthe impact of the salt cavern microclimate on exertional dyspnoea. Material and methods. The subjects were fifteen persons – seven women and eight men – who, on their doctors’ orders, had taken baths in salt caverns between 2 and 29 January 2007. The patients took three baths a week for a total of 14 baths. The mean age of the women was 65.7 years and that of the men was 66.9 years. A specially designed ąuestionnaire comprising 23 auestions in five thematic categories was used to assess the impact of the salt cavern treatment on respiratory system diseases in the elderly people. The patients filled in the questionnaire twice: before their first visit to the salt cavern on 2 January and after their last session, on 31 January 2007. Results. A four-week treatment in the salt cavern had a beneficial effect in the treatment ofthe respiratory system diseases in the elderly people. The patients noticed positive changes in the functioning of their respiratory system after an average of 5 sessions. These effects were obsen/able as milder symptoms ofthese conditions and reduced incidence of infections. Conclusions. Beneficial changes were noted in the subjects as regards the presence of breathlessness during physical activity and a reduction in the severity of dyspnoea.
Key words:
old age, respiratory system diseases, salt treatment, physical fitness
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Spinal column shape in pupils with mild, moderate and severe, idiopathic intellectual disability

Adrian Kużdżał, Andrzej Szczygieł, Robert Walaszek

Adrian Kużdżał, Andrzej Szczygieł, Robert Walaszek – Spinal column shape in pupils with mild, moderate and severe, idiopathic intellectual disability. Fizjoterapia Polska 2010; 10(1); 37-48

Abstract
Background. To date, no studies are available concerning the relationship between the shape of the spinal column and the level of mental retardation. The aim of the present study was to evaluate the spinal column shape in children and adolescents with mild, moderate, and severe intellectual disability.Material and methods. 413 boys and girls aged eleven to thirteen were examined, including 204 persons with various levels of intellectual disability and 209 of their mentally healthy peers, who formed the control group. The Metrecom System, a computerised instrument for three-dimensional diagnostic studies of the musculoskeletal system, was used to examine the shape of the spinal column. 3-D anthropostereometric parameters obtained using the Metrecom System were used to de – scribe in detail and classify individual types of spinal column shape.Results. The intellectually disabled children and youth, in comparison to the healthy population, had much worse postures and an increased incidence of spinal column deformities. The degree of intellectual disability was correlated with the frequency and severity of spinal column deformities.Conclusions. Our results point to an urgent need to verify the current health care practice and improve health care policies, including appropriate methods of medical rehabilitation and corrective therapy of spinal column deformities that would account for the degree of intellectual disability.
Key words:
body posture, spinal column, intellectual disability, Metrecom System
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