Tag: Zbigniew Śliwiński

Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Assessment of the effect of high-tone power therapy in rehabilitation of stroke patients. Fizjoterapia Polska 2008; 8(2); 197-205

Abstract
Background. High-tone power therapy is a new method of nerve and muscle stimulation with electric current of a frequency corresponding to the acoustic band of electric oscillation between 4 400 Hz to 12 300 Hz. The usa of two pairs of electrodes serves to generate a dynamic electric field deep inside the tissues. The aim of the study was to assess upper limb function in hemiparetic stroke patients who undrwent high-tone power therapy in the course of rehabilitation. Materials and methods. The study group consisted of 16 men aged 46-72 years (mean 54) and 4 women aged 67-74 years (mean 71) who had suffered strokes of various aetiologies. Arm function was determined on the basis of grip strength testing, ranges of motion (ISOM) and spasticity level (Ashworth scale). Results. Grip strength increased with simultaneous improvement in angular ranges of motion in the radiocarpal joint of the paretic limb. Spastic tone in the limb decreased by 0.35 on the Ashworth scale. Analysis of linear measurements revealed statistically significant changes of circumferences only at the upper arm level. Conclusions. Comprehensive physiotherapy including horizontal therapy performed in stroke patients produced significant functional improvements in the paretic upper limb. High-tone power therapy is well tolerated by hemiparetic patients with despite the long duration of the procedure.
Key words:
Ashworth test, high-tone power therapy, hoSti-Scan stimulation, secondary effect
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Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – Standard of Radiological Scoliosis Assessment in Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 344-350

Abstract
Present-day physiotherapeutic practice requires the therapist to be able to assess radiographs. University syllabuses in physiotherapy take this into account and students acquire this knowledge. However, there are a number of physiotherapy practitioners working at health care facilities who do not participate in post-graduate training but work with scoliotic children. Our aim is therefore to present a standard of functional and radiographic assessment of patients with scoliosis adopted in the Rehabilitation Centre in Zgorzelec. The radiograph is the fundamental tool of medical diagnostic imaging. A radiograph used for scoliosis assessment should show the entire spine, including the iliac ala and the femoral joints. It should be taken in the AP and lateral views, with the patient in a standing position. Radiographs complying with these requirements make it possible to determine scoliosis characteristics (type, Risser sign, Cobb angle, vertebral rotation angle, kypho-lordotic index, etc.), according to which appropriate physiotherapeutic management is chosen. Radiological work-up is essential for the assessment of scoliosis and for therapeutic management planning. It also allows an objective evaluation of the progress of rehabilitation. Moreover, radiographs can also be used to monitor the time course of scoliosis. Treating scoliosis without an obtaining x-ray images is like driving a car at night with the headlights switched off!
Słowa kluczowe
scoliosis, x-ray image
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Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak – Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report. Fizjoterapia Polska 2008; 8(3); 325-334

Abstract
Background. Physiotherapy employs a number of kinesiotherapeutic methods based on understanding the course of the development- and movement-related neurophysiological processes, with PNF being one of the methods. Rehabilitation of stroke patients produces better results if different methods are combined, e. g. PNF and KT. Material and methods. The study involved 15 post-stroke patients, including 10 men and 5 women, aged 39-72. Each subject was examined once. Two muscle tone tests according to the Ashworth scale and three functional tests of the paralyzed upper extremity (prior to the therapy, on completion of PNF therapy and following functional KT application) were performed. The upper extremity function test consisted in the subject picking up an object. The distance [cm] between the object and the table surface was measured. Each patient underwent a 45-60 minute rehabilitation session using the PNF method. Additionally, KT was applied onto the radiocarpal joint extensor muscles.Results. Muscle tone according to the Ashworth scale did not change. The mean functional test results [cm] were as follows: 3.8 prior to the therapy, 6.6 post-PNF, and 7.8 post-KT. In two subjects the functional test results did not change, whereas the upper extremity function in the remaining 13 subjects improved after PNF therapy. A marked improvement was observed following the application of KT. In 10 patients, the additional KT application considerably facilitated PNF-based rehabilitation. Conclusions. A combined PNF and KT therapy contributes to improvement of function in the paralyzed extremity. Functional KT application proved to be useful and to facilitate PNF rehabilitation, and so the two modalities may and even should be combined. Although the patients were only subjected to a single PNF session, the function of the upper extremity improved. An even more marked improvement was observed following the functional application of KT. Muscle tone according to the Ashworth scale did not change significantly on completion of the therapy. However, it did not have a decisive influence on the positive results of the functional tests. We did not observe a correlation between the combined PNF and KT therapy and the duration of the post-stroke period was.
Key words:
Kinesiology Taping applications, PNF method, cerebral stroke
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Vojta Screening Tests in children with CNS damage and functional applications of Kinesiology Taping

Zbigniew Śliwiński, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Jan Szczegielniak – Vojta Screening Tests in children with CNS damage and functional applications of Kinesiology Taping. Fizjoterapia Polska 2008; 8(3); 317-324

Abstract
Background. The manifestations of CNS disorders, whether it is spasticity, athetosis, ataxia, or any other, are not visible shortly after birth. They usually develop during the first 4 months of life. They can only be elicited in challenge tests, including kinesiological diagnostic work- up according to V. Vojta.Aim – to define the effect of Kinesiology Taping functional application in children with central coordination disorders. Material and Methods. The study involved 28 patients from the Inpatient Rehabilitation Centre of the Multi-speciality Independent Public Health Care Facility in Zgorzelec (10 boys and 18 girls aged 6-10 months). The mean age of the group was 8 months.Results. Changes in the subjects’ postural reactivity were produced in the course of Vojta kinesiological tests. The difference between the number of pre- and post-Kinesiology Taping abnormal reactions [%] was statistically significant for 3 out of the 7 reactions tested. The mean number of abnormal reactions was 3.12 out of 7 reactions tested. The post-KT results improved inasmuch as the number of abnormal reactions decreased on average by 1 to 2.14 abnormal reactions out of the 7 reactions tested.Conclusions. Children tolerate the therapy of Kinesiology Taping very well. KT produces changes in the spatial arrangement of body parts and improves spatial reactivity, as was observed in the Vojta tests. The Traction Response test showed body axis correction in asymmetric children. The suspension test according to Collis revealed that the application of KT on the hand exerted an effect on muscle tone.
Key words:
Vojta screening tests, Kinesiology Taping
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Assessment of thermal effects of kinesiology tape application

Henryk Racheniuk, Jan Szczeielniak, Katarzyna Bogacz, Sławomir Zator, Jacek Łuniewski, Grzegorz Skiba, Zbigniew Śliwiński

Henryk Racheniuk, Jan Szczeielniak, Katarzyna Bogacz, Sławomir Zator, Jacek Łuniewski, Grzegorz Skiba, Zbigniew Śliwiński – Assessment of thermal effects of kinesiology tape application. Fizjoterapia Polska 2008; 8(3); 310-316

Abstract
Background. This work presents the results of a thermovisual analysis of 20 patients subjected to a single Kinesiology Tape application to the lumbosacral region. The Y muscle technique was used for thermovisual assessment. Material and methods. The study involved a group of 20 volunteers, students of Opole Technical University, including 16 women and 4 men, at an average age of 21 years. The subjects had previously reported intermittent low back pain. The surface temperature of the area where Kinesiology Tape was applied was measured three times: before taping, at one hour after taping and 24 hours after the KT application. Results. The biggest increase in surface temperature was observed in centrally located Area 1, where mean temperature increased by 1.27°C while mean temperature increases in lateral test areas were 0.6°C. Temperature increases in test areas located directly on the tapes were 0.3°C. These values fall within thermovisual camera statistical error range. Conclusion. The highest temperature increase was observed in the central test area. The values of temperature increases of the lateral test areas and those located directly on the tape fell within the thermovisual camera statistical error range.
Key words:
Kinesiology Taping, thermovision, physiotherapy
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The effect of oblique abdominal muscle applications of Kinesiology Taping on the symmetry of pelvic movements

Michał Dylewski, Marek Sójka, Tomasz Senderek, Zbigniew Śliwiński, Wojciech Hagner

Michał Dylewski, Marek Sójka, Tomasz Senderek, Zbigniew Śliwiński, Wojciech Hagner – The effect of oblique abdominal muscle applications of Kinesiology Taping on the symmetry of pelvic movements. Fizjoterapia Polska 2008; 8(3); 290-298

Abstract
Background. Asymmetrical pelvis position is believed to be a cause of such conditions as low back pain syndromes or scoliosis. The positioning and mobility of the pelvis depend mainly on the tension of the muscles in this area. This paper attempts to evaluate the effect of Kinesiology Taping (KT) application on the symmetry of work of the iliac bones. Material and methods. The subjects were people aged between 18 and 65 years without pain syndromes, with asymmetric pelvis position. The subjects were divided into an investigational group (indications to apply KT to OAM) and a control group (no such indications). KT applications for the investigational group were chosen according to KT testing results, while in the control group KT was applied randomly. Assessments of pelvic bone movement were performed twice, before and just after KT application, using an ultrasound-based 3D motion analysis system (ZEBRIS CMS HS). Movements of the lumbar spine and iliac bones were assessed in flexion and extension with the patient in the standing position. Analysis of the results was concerned with the following parameters: symmetry of iliac bone movement and mobility of the lumbar spine before and after KT application.Results. Following KT application, the investigational group demonstrated a significant (p <0.05) improvement of iliac bone movement symmetry with regard to all parameters. The results were significantly better in the investigational group compared to the control group (p <0.05).Conclusions. Oblique abdominal muscle applications of Kinesiology Taping, when used in accordance with the principles of Kinesiology Taping and based on KT tests, substantially improve the symmetry of pelvic movement.
Key words:
Kinesiology Taping, oblique abdominal muscles, asymmetrical pelvis position
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The effectiveness of Kinesio Taping applications in physiotherapy of post-cholecystectomy patients. Preliminary report

Marcin Krajczy, Jan Szczegielniak, Zbigniew Śliwiński, Krzysztof Kamiński

Marcin Krajczy, Jan Szczegielniak, Zbigniew Śliwiński, Krzysztof Kamiński – The effectiveness of Kinesio Taping applications in physiotherapy of post-cholecystectomy patients. Preliminary report. Fizjoterapia Polska 2008; 8(3); 279-289

Abstract
Background. Abdominal surgery is always associated with a variety of dysfunctions, including post-operative paralysis of the alimentary tract, water-electrolyte imbalance and other, related to the underlying disease, anaesthesia and any co-existing diseases. Post-operative pain, respiratory complications as well as impaired exercise tolerance remain a serious problem for postabdominal surgery patients. Material and methods. In order to confirm the clinical effects of Kinesio Taping, a study was performed on a group of 17 patients (8 men, 9 women) following recent open cholecystectomy in the General Surgery Unit of Nysa Municipal Hospital, between March 2007 and February 2008. The patients were randomized to a treatment group (5 women, 3 men), which received Kinesio Taping, and a control group (3 women, 6 men), which received standard treatment. The following parameters were evaluated during the study: subjective pain, abdominal circumferences, ventilatory function, exercise tolerance, duration of intestinal atony to the return of peristalsis and first post-operative defecation.Results and Conclusions. 1. Kinesio Taping applied to patients after cholecystectomy reduced pain, accelerated reduction of abdomen circumference and was associated with much lower consumption of analgesics compared to the control group. 2. Kinesio Taping considerably shortened post-operative intestinal atony, accelerating the return of peristalsis and first defecation after the operation. 3. Increased exercise tolerance and ventilatory function observed in the study indicates that Kinesio Taping is an effective physiotherapy technique in patients following a conventional cholecystectomy.
Key words:
general surgery, physiotherapy, Kinesio Taping
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King-Moe Scoliosis Classification, case study: Zgorzelec Rehabilitation Centre

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński

Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Zbigniew Śliwiński – King-Moe Scoliosis Classification, case study: Zgorzelec Rehabilitation Centre. Fizjoterapia Polska 2008; 8(3); 272-278

Abstract
Background. A large number of scoliosis classification systems are in use. The most popular and widely used classification, proposed by H. King and J. Moe in 1893, distinguishes 5 types of idiopathic scoliosis. Application of the classification facilitates assessment of the condition performed by multiple examiners and provides for homogeneity and comparability of the results. Material and methods. The investigation was conducted in the Child and Adult Rehabilitation Centre of the Independent Public Health Care Facility in Zgorzelec. The study involved 48 children: 37 girls aged 7-18 (mean age 12.3) and 11 boys aged 10-17 (mean age 12.7) with a mean age of the entire group of 12.4. The distribution of particular scoliosis types according to the King-Moe classification was assessed, and the results were compared with King’s and Sastre’s findings. Results. The most common was type I scoliosis – 41% (Sastre – 28%, King – 12.9 %), followed by type II -13% (Sastre -25%, King – 32.6 %). Less common are: type III – 21% (Sastre -16%, King – 32.8 %), type IV – 17% (Sastre – 29%, King – 9.2 %), type V- 8% (Sastre -2%, King – 11.6 %). Conclusions. The distribution of particular scoliosis types presented in the papers under comparison differs significantly. Classification facilitates the analysis and comparison of data presented by different centres. The use of the King-Moe system and x-ray image analysis allows a precise and standardised diagnosis of scoliosis.
Key words:
scoliosis, King-Moe classification
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Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński – Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens. Fizjoterapia Polska 2008; 8(3); 267-271

Abstract
Background. The aim of the study was to evaluate the effectiveness of cryotherapy and physiotherapy regimens in patients with indications for use of these procedures in the knee joint region or knee joints. Material and methods. The study was performed in the Cracow Rehabilitation Centre in 2008. The study involved a group of 38 patients who underwent cryotherapy of the knee joint region. The patients were dMded into two groups. Group 1 included patients who performed lower limb exercises immediately after the cryotherapy procedure, and patients in group 2 performed exercises 30 minutes following the cryotherapy procedure. Changes in thermograms were recorded in all patients. Results. Mean temperature in the affected knee joint before treatment was x=30.19°C in group 1 and 31.46°C in group 2. The differences between the study groups revealed in examination 2 were also not statistically significant. Examination 3 showed signi-ficant differences. The mean value of the temperature range was x=28.54C in Group 1 and 23.38°C in Group 2. The last exami-nation, performed 30 minutes after the completion of the cryogenic therapy procedure, showed a mean temperature of the treated knee joint of x=28.99°C in Group 1 and x=29.43C in Group 2. Conclusions. Tissue temperature in the knee joint region increased at a slower rate in patients who did not undergo kinesi-therapy immediately after cryotherapy of that region.
Key words:
knee joint, cryotherapy, thermovision, physiotherapy
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Standards of competence in the physiotherapist profession

Wojciech Kiebzak, Jan Szczegielniak, Michał Butkiewicz, Bogusław Frańczuk, Małgorzata Starczyńska, Zbigniew Śliwiński

Wojciech Kiebzak, Jan Szczegielniak, Michał Butkiewicz, Bogusław Frańczuk, Małgorzata Starczyńska, Zbigniew Śliwiński – Standards of competence in the physiotherapist profession. Fizjoterapia Polska 2009; 9(1); 84-96

Abstract
Background. Work on standards of professional aualifications was started in Poland in the 1990’s. The standards contain a general description of professional tasks in the context of the particular profession together with an outline of the associated skills and qualifications. A total of 253 qualifica-tions standards had been developed by the end of 2007, including standards for physiotherapists, physiotherapy assistants and massage specialists. Material and methods. Five levels of qualifications have been defined in the National Professional Oualification Standard in accordance with EC provisions, taking under consideration the complexity of work, the difficulty of the skills, the degree of responsibility and the level of professional hierarchy which students are prepared to. The sets of skills, knowledge and psychophysical characteristics were assigned to four groups of qualifications: extra-professional, general-professional, basie professional and specialised professional skills, with indMdual groups differing in terms of scope and degree of generalny. On the basis of the above criteria, a questionnaire was designed and a survey was carried out. The questionnaire, which had over 30 pages, was first tested in a pilot study involving 8 persons and then used in a target study of 40 respondents. Both studies involved active physiotherapists as well as the management of the facility where they were employed. The results of the suney served to develop a preliminary version of the standard, which was later assessed by three evaluators during a session with the authors. Following incorporation of justified comments and emenda-tions, the standard was sent to reviewers, whose remarks were incorporated before the standard was submitted to a relevant committee for approval. Results. The standard of the physiotherapist profession was elaborated, including the legal basis of the profession, a synoptic description of the profession, work place, professional tasks, and a specification of general-professional, basie and specialized qualifications for the profession. Conclusions. 1. The standard is a single document specifying the range of knowledge and skills, professional tasks and the scope of professional responsibility. 2. The standard of the physiotherapist profession can be used by interested persons and institutions for a variety of purposes, e.g. vocational counselling, employment policies, personnel policy of companies and institutions as well as for social insurance related purpos-es to estimate occupational risk and determine insurance premiums accordingly and in jurisprudence and to determine social insurance.
Key words:
physiotherapist, professional tasks, professional competence
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