Tag: Ryszard Kinalski

Neurophysiatry: forgotten but reborn in neurorehabilitation

Ryszard Kinalski

Ryszard Kinalski – Neurophysiatry: forgotten but reborn in neurorehabilitation. Fizjoterapia Polska 2001; 1(1); 80-82

Abstract
Goal. To present the development of the bond that exist between physiotherapy and clinical neurology. Material and method. A meta-analysis of publications and events in Poland and around the world that have affected the development of neurophysiatry, and later neurorehabilitation, before and after the Decade of the Brain. Conclusion. The bond between physiotherapy and clinical neurology is continually strengthened by new discoveries in neurobiology and clinical neurophysiology.

Key words:
neurophysiatry, neurorehabilitation, clinical neurology, Decade of the Brain

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Clinical neurophysiology and early post stroke neurorehabilitation

Ryszard Kinalski, Jan Talar

Ryszard Kinalski, Jan Talar – Clinical neurophysiology and early post stroke neurorehabilitation. Fizjoterapia Polska 2001; 1(1); 47-50

Abstract
The interest of the neurorehabilitation of the stroke survivors have increased in the Brain Decade. The Helsinborg Declaration and the National Program of the Stroke Prevention and Treatment recommends to organize the stroke units and to start with the physiotherapy since the first day of hospitalization. The authors justifies the usefulness of the verification of the early post stroke rehabilitation effects on the basis of the instrumented tests, that image and quantify the neuromechanisms underlying the behaviour of the movement disorders, more accurately than the stroke scales. The heuristic possibility of the repetitive electrostimulation applicability in the early post stroke neurorehabilitation was discussed.

Key words:
clinical neurophysiology, neurorehabilitation, acute stroke

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Clinical neuropsychological evaluation of the spinal neuromechanisms of stance or stride after damage to the brain or spinal cord

Ryszard Kinalski

Ryszard Kinalski – Clinical neuropsychological evaluation of the spinal neuromechanisms of stance or stride after damage to the brain or spinal cord. Fizjoterapia Polska 2001; 1(2); 183-186

Abstract
Background. The object of discussion is the suitability of certain neuropsychological methods of clinical testing to objectivize and quantify disturbances of spinal neuromechanisms subsequent to stroke or spinal cord damage. Method. The author, on the basis of the author’s own observations and a survey of the literature, discusses the usefulness of anticipatory postural adjustment and Hoffmann’s reflex modulation testing for patients of brain damage, and evoked potentials and polyelectromyography in cases of spinal damage. Conclusion. The results of clinical neuropsychological testing of patients following stroke or spinal cord damage can be used to quantify the status and evolution of the spinal neuromechanisms involved in stance and stride.

Key words:
clinical neurophysiology, brain damage, spinal cord damage, stance, stride

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A contribution to the meta-analysis of the results of evoked potentials examinations performed in acute patients

Ryszard Kinalski, Jan Talar, Małgorzata Łukowicz

Ryszard Kinalski, Jan Talar, Małgorzata Łukowicz – A contribution to the meta-analysis of the results of evoked potentials examinations performed in acute patients. Fizjoterapia Polska 2001; 1(2); 131-134

Abstract
Background. This article presents a selective meta-analysis of published case studies from the years 1988-1999 describing the results of somatosensory tests and evoked motor potentials conducted in the acute phase of stroke. Material and methods. The publications were selected from among those in the MEDLINE data base whose titles were returned by a search for the key words “acute stroke” and “evoked potentials”. A review was also conducted of the regular issues and supplements of Neurologia i Neurochirurgia Polska this same 10-year period. Conclusions. The articles found and analyzed were published in 23 reports from 12 different countries around the world. The tests were often performed within the first 24 hours after the onset of stroke symptoms. The parameters most often evaluated included the amplitudes, latencies, and central conductivity of evoked potentials. The purpose of these examinations was most often to localize the brain lesion, identify early and delayed neuroplasticity, and develop an early prognosis for the recovery of voluntary movements and functional improvement.

Key words:
Evoked Potential, sacute stroke, meta-analysis

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