Tag: Karolina Sandecka

Proces połykania w perspektywie następstw fizjologicznego starzenia się

Karolina Sandecka, Zbigniew Śliwiński

Karolina Sandecka, Zbigniew Śliwiński – The swallowing process in the perspective of physiological consequences of aging. Fizjoterapia Polska 2023; 23(5); 234-239

DOI: https://doi.org/10.56984/8ZG20B2sK

Streszczenie
W starzejącym się społeczeństwie niezwykle istotne jest dostrzeganie potrzeb seniorów. W następstwie postępującego wraz z wiekiem fizjologicznego procesu starzenia się organizmu obserwujemy narastające ograniczenia w codziennym funkcjonowaniu człowieka. Dla opiekunów osób starszych ważna jest świadomość tych zmian. W procesie połykania również obserwuje się zburzenia nasilające się wraz z wiekiem. Dobór odpowiednich metod terapii połykania do stanu seniora oraz instruktaż prawidłowego podawania pokarmów i napojów dla opiekunów ograniczają ryzyko negatywnych konsekwencji dla zdrowia i poprawy komfortu życia seniora.

Słowa kluczowe:
połykanie, presbyfagia, senior

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Application of non-invasive brain stimulation with the use of repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) in the treatment of dysphagia following an ischemic stroke – analysis of research reports

Karolina Sandecka, Zbigniew Śliwiński


Karolina Sandecka, Zbigniew Śliwiński – Application of non-invasive brain stimulation with the use of repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) in the treatment of dysphagia following an ischemic stroke – analysis of research reports. Fizjoterapia Polska 2022; 22(5); 108-114

DOI: https://doi.org/10.56984/8ZG20ANp0

Abstract

Stroke is one of the significant problems and causes of death, in particular in highly developed countries. It is also the most common cause of dysphagia.
This study is devoted to the analysis of publications from the last decade concerning research on the use of non-invasive brain stimulation (TMS, tDCS) in the treatment of dysphagia following an ischemic stroke. The following databases were searched for publications: PUBMED, Polish Scientific Journals Database, EBSCO, ScienceDirect. Out of 358 articles found, only two met all the inclusion conditions.
The studies discussed in this article included patients who had their first unilateral ischemic stroke, followed by dysphagia.
Findings from pilot studies on the effectiveness of the use of tDCS in the treatment of dysphagia following an ischemic stroke were analysed. Fourteen patients aged 50-92 were randomly assigned to two groups. The study group was treated with anodic stimulation, and the control group with sham brain stimulation. The results showed that patients in the study group obtained a statistically significant result, indicating an improvement in the swallowing function as measured by the Dysphagia Score and Severity Scale. The above data may indicate the effectiveness of the use of tDCS in the treatment of dysphagia.
Fifty patients were qualified for the research on the effectiveness of rTMS in the treatment of dysphagia. Three groups were created: the first group treated with high frequency rTMS, where patients received rTMS stimulation – 3Hz; the second group with low frequency rTMS – 1Hz; and the control group. The effectiveness of the therapy used was assessed on the fifth day and after 1, 2 and 3 months. After 5 days the groups where active rTMS stimulation was used showed greater improvement in the swallowing function compared to the sham stimulation group. Improved results in the Standardized Swallowing Assessment were also recorded after 3 months in the 1Hz and 3Hz groups, but this did not apply to the control group. In three groups, the results of the water swallow test and the degree of dysphagia improved after 3 months.
This analysis shows that non-invasive brain stimulation using tDCS and rTMS in the treatment of dysphagia is associated with improved swallowing function. However, the small number of studies conducted in this area does not allow for extrapolation of their results.

Keywords:
dysphagia, transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS)

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Swallowing – an important aspect of a patient’s functioning in the process of rehabilitation and neuro-speech therapy

Karolina Sandecka, Zbigniew Śliwiński, Grzegorz Śliwiński

K. Sandecka, Z. Śliwiński, G. Śliwiński – Swallowing – an important aspect of a patient’s functioning in the process of rehabilitation and neuro-speech therapy. Fizjoterapia Polska 2020; 20(2); 186-193

Abstract
Swallowing is a complicated, multi-stage process, which consists of forms of volitional and automated activities of our body. Irregularities in its scope may have a neurological basis, not related to the morphology and function of the nervous system, or may be associated with the physiological aging process.
Dysphagia, presbyphagia and aphagia may have complications in the form of aspiration pneumonia, malnutrition, dehydration, and deterioration of the quality of life. Multidisciplinary treatment, therapeutic and rehabilitation treatment, as well as involvement of a patient’s family and caregivers in this process is extremely important for patients with dysphagia.

Key words:
swallowing, swallowing disorders, dysphagia, aphagia, presbyphagia, odynophagia

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Multi-profile rehabilitation of a child with diagnosed dysmorphic syndrome conditioned by heterozygous mutation in the ZMIZ1 gene

Karolina Sandecka, Zbigniew Śliwiński

K. Sandecka, Z. Śliwiński – Multi-profile rehabilitation of a child with diagnosed dysmorphic syndrome conditioned by heterozygous mutation in the ZMIZ1 gene. Fizjoterapia Polska 2019; 19(4); 98-103

Abstract
The objective of this article is to present the functioning of a child with a recognized dimorphic syndrome conditioned by a heterozygous mutation in the ZMIZ1 gene, against which multi-profile rehabilitation has been implemented since the early stages of development. For the purposes of this publication, I will use individual case studies. To assess the child’s functioning and progress made, data from observation, medical history, document analysis and results obtained in the course of speech therapy will be used.
Based on the data obtained, it can be concluded that the implementation of a multi-profile therapy and rehabilitation at an early stage of child development and the attitude of parents, who, according to the recommendations of specialists, systematically conducted exercises with the child at home, brought measurable effects in the form of a significant improvement in the boy’s level of functioning.

Key words:
mutation in the ZMIZ1 gene, dysmorphic syndrome, multi-profile rehabilitation of a child, alalia

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