Tag: Paweł Przekwas

Atlantoaxial instability in individuals with Down Syndrome

Paweł Przekwas, Agnieszka Idychowaska, Jerzy Jaskiewicz, Zbigniew Pawłowski

Paweł Przekwas, Agnieszka Idychowaska, Jerzy Jaskiewicz, Zbigniew Pawłowski – Atlantoaxial instability in individuals with Down Syndrome. Fizjoterapia Polska 2002; 2(3); 229-234

Abstract
The excessive amount o the genetic material in the case of Down Syndrome patients causes a number of structural disorders within the bone-joint system. This manifests itself in atlantoaxial instability. The aim of this report is to present the level of current knowledge both on the causes and the range and dynamics of defects within atlantoaxial instability. After studying various date the authors of this report have undertaken the attempt to evaluate the risk caused by general rehabilitation in patients diagnosed both with Down Syndrome and asymptomatic atlantoaxial instability.

Key words:
Down Syndrome, atlantoaxial instability, Genetic Material

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The usefulness of physical stimuli in the symptomatic treatment of painful shoulder syndrome

Paweł Przekwas, Agnieszka Idychowska, Renata Skalska-Izdebska, Zbigniew Pawłowski

Paweł Przekwas, Agnieszka Idychowska, Renata Skalska-Izdebska, Zbigniew Pawłowski – The usefulness of physical stimuli in the symptomatic treatment of painful shoulder syndrome. Fizjoterapia Polska 2003; 3(1); 76-84

Abstract
The aim of the study is to consider the available evidence related to clinical effectiveness of several types of physical modalities used in the management of painful shoulder. A systematic critical review from basic science studies evaluating therapeutic effects includes the following treatments: superficial heat, cryotherapy, laser therapy, impulsivemagnetic field therapy, short wave diathermy, transcutaneous electric nerve stimulation (TENS), interferential current therapy, ultrasound therapy, iontopphoresis and phonophoresis. There seems to be evidence from basic science research to suggest that many of the therapies could have potentially therapeutic effects. It is important to note that these conclusions are limited by the methodological considerations of the included studies. However, in the managemet of the painful shoulder treating pain is often the basis of the treatment, it should be implemented with a broad range of physiotherapeutic techniques and manual therapy as well when appropriate.

Key words:
painful shoulder, physical therapy

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