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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Ultrasonography in physiotherapy and rehabilitation: A physiotherapist’s curriculum introduction.

Dominik Sieroń, Izabella Jabłońska, Maciej Kostrzewa, Dawid Lukoszek, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk, Aleksander Sieroń

 

Dominik Sieroń, Izabella Jabłońska, Maciej Kostrzewa, Dawid Lukoszek, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk, Aleksander Sieroń – Ultrasonography in physiotherapy and rehabilitation: A physiotherapist’s curriculum introduction. Fizjoterapia Polska 2023; 23(2); 104-111

DOI: https://doi.org/10.56984/8ZG0DF2DA

 

Abstract

Ultrasound examination (USG) is becoming more popular among physiotherapists. The term “rehabilitative ultrasound imaging” (RUI) refers to the use of USG in the rehabilitation process. An examination (ultrasound) is used in physiotherapeutic therapy to evaluate the tissue and function of the musculoskeletal system. The real image allows for accurate observation and stimulation of the necessary muscles during kinesiotherapy, while measurements track the treatment’s progress. Furthermore, the ultrasound examination aims to assist the physiotherapist in making an early diagnosis of dysfunctional aspects that may necessitate consultation with another specialty, thereby reducing medical errors. Preparing an educational program and conducting training in accordance with established standards and guidelines will allow physiotherapists to be adequately prepared to perform ultrasound examinations and dispel any doubts about a physiotherapist’s competence and the possibility of performing ultrasound examinations in a medical setting.

Key words: ultrasound, rehabilitation, physiotherapy, diagnostics

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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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Within the National Health Fund (NFZ) or privately? Use of health services provided by physiotherapists

Józefa Dąbek, Oskar Sierka, Joanna Frąckiewicz, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Halina Kulik


Józefa Dąbek, Oskar Sierka, Joanna Frąckiewicz, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Halina Kulik – Within the National Health Fund (NFZ) or privately? Use of health services provided by physiotherapists. Fizjoterapia Polska 2022; 22(4); 80-91

DOI: https://doi.org/10.56984/8ZG1A6xlA

Abstract
Aim of the study. The profession of a physiotherapist is still at the stage of shaping and strengthening its position, both in the group of medical professions and in social awareness. The study aimed to assess the scope of use and satisfaction with physiotherapy services provided as part of public and private health care.
Matherials and methods. The study covered a total of 606 people (100%). The vast majority were women (506; 83.5%). The research tool was an original questionnaire made available via a Google form. The survey consisted of 35 questions, 5 of which concerned some socio-demographic characteristics.
Results. Most of the respondents used commercial services financed from their own budget (258; 78.2%). The most frequently indicated criterion for selecting a public institution was the distance from the place of residence (97; 16,1%), and a private one – the opinion of friends (159; 26,24%). The largest number of respondents using physiotherapeutic services would choose commercial services if they had to be used again (224; 67.9%).
Conclusions. More than half of the surveyed people used the services provided by a physiotherapist, moreover vast majority of respondents used commercial services, financed from their resources. Criteria for selecting public and private institutions were varied and the assessed satisfaction with commercial physiotherapeutic services was higher than public.

Key words:
physiotherapy, public health care, private health care, use, satisfaction

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Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review

Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk


Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk – Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review. Fizjoterapia Polska 2022; 22(4); 56-73

DOI: https://doi.org/10.56984/8ZG1A6k5q

Abstract
Objectives. The aim of this study was to provide an overview of the scientific evidence base on the use of ultrasonography in physiotherapy and rehabilitation of the shoulder.
Methods. The PubMed / Medline database was reviewed using the following keywords: shoulder ultrasonography AND rehabilitation; shoulder ultrasound imaging AND physiotherapy; shoulder ultrasound imaging AND rehabilitation; Rehabilitative Ultrasound Imaging AND Shoulder. Only full-text, open-access studies in English published before 15 May 2022 were included in the analysis.
Results. 51 articles (out of 748 identified) were included in the analysis. Of all the studies, 3 studies were randomized, 5 were not randomized, the rest were cross-sectional or case studies. The most common study group were patients with hemiplegia (in 13 out of 51 reviewed works). 12 papers out of 51 concerned orthopedic conditions of the shoulder with varying diagnoses. Ultrasound imaging was used mainly to assess echogenicity and measure structures of the shoulder.
Conclusion. There are many studies demonstrating the utility of ultrasound in various aspects of the physiotherapist’s practice, including but not limited to diagnostic purposes, assessment of treatment effectiveness, monitoring treatment progress, and referring the patient to another specialist.

Key words:
ultrasonography, ultrasound, imaging, ultrasonography, rehabilitation, physical therapy, physiotherapy, diagnosis, shoulder, pain, treatment

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Ethical and psychological issues of oncological physiotherapy

Damian Durlak


Damian Durlak – Kwestie etyczne i psychologiczne fizjoterapii onkologicznej. Fizjoterapia Polska 2022; 22(4); 44-46

DOI: https://doi.org/10.56984/8ZG1A6Sbq

Abstract
Every year, canceris diagnosed in an increasing number of patients. Any diagnosis that confirms cancer causes enormous stress and trauma to the patient. Poor mental state may result in a lack of willingness to cooperate with a physiotherapist, and, as a result, hinder the overall treatment process. Physiotherapists should pay special attention to the principles of ethics in the profession and the possibilities of psychological support of patients during therapy. Reducing stress in patients and gaining their trust might help them recover faster.

Key words:
physiotherapy, oncology, ethics, psychological support

Artice only in Polish language

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