Orthotic management in the rehabilitation of children with plano-valgus foot

Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska,Marcin Mikos, Jan W. Raczkowski

Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska,Marcin Mikos, Jan W. Raczkowski – Orthotic management in the rehabilitation of children with plano-valgus foot. Fizjoterapia Polska 2021; 21(5); 124-131

DOI: https://doi.org/10.56984/8ZG209371

Abstract
Plano-valgus foot is a common three-plane deformity that appears at developmental age. It is characterized by the eversion of the calcaneus in relation to the tibia, foot pronation and lowering of the medial longitudinal arch under load. Joint hypermobility and significant body weight are believed to increase the prevalence of plano-valgus foot at all ages. There is no consensus on the proper management of flat feet. This disagreement is primarily due to the fact that there is no clear-cut approach to distinguishing pathological or physiological flat feet and to determining who needs treatment. One of the methods of supporting foot correction is the use of orthopaedic equipment in the form of shoe insoles or SMO/RING orthoses. The introduction of repositioning in the lower ankle joint is intended to restore the natural foot support system and to reduce the compensation at higher levels in the joints of the lower limbs, in the pelvis and torso.
Key words:
plano-valgus foot, posture defect, orthopaedic insole, orthosis
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Medical records in the practice of a physiotherapist. Legal and administrative aspects

Tomasz Pęcherz, Mateusz Curyło, Marcin Mikos, Marlena Rynkiewicz-Andryśkiewicz, Ewa Kucharska, Jan W. Raczkowski

T. Pęcherz, M. Curyło, M. Mikos, M. Rynkiewicz-Andryśkiewicz, E. Kucharska, J. W. Raczkowski – Medical records in the practice of a physiotherapist. Legal and administrative aspects. Fizjoterapia Polska 2021; 21(4); 226-228

DOI: https://doi.org/10.56984/8ZG20AZF1

Abstract
Medical records are very often treated by medical staff as an additional, unpleasant and unnecessary duty. However, it is currently the basic, undeniable source of defence against all claims of patients, both formal, regarding the correctness of the records, and substantive, related to the allegations of medical malpractice during the provision of medical services.
Key words:
medical records, malpractice, patient rights, GDPR, responsibilities of a physiotherapist
Article only in Polish language

Legal protection of the physiotherapist as a profession of public trust

Marcin Mikos, Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Tomasz Pęcherz, Ewa Kucharska, Jan. W. Raczkowski

Marcin Mikos, Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Tomasz Pęcherz, Ewa Kucharska, Jan. W. Raczkowski – Legal protection of the physiotherapist as a profession of public trust. Fizjoterapia Polska 2021; 21(3); 194-196

DOI: https://doi.org/10.56984/8ZG1411DD

Abstract
Physiotherapists are regarded as one of the medical professions of public trust. The Act on Physiotherapist Occupation establishes physiotherapists as a medical occupation of public trust. Medical professions of public trust, such as doctors, nurses, and paramedics, have special legal protection not available to physiotherapists. The Act on Physiotherapists has not defined the physiotherapist as a civil servant. It directly deprives physiotherapists of special legal protection that is assigned to civil servants.
Key words:
Physiotherapist – medical profession of public trust, legal protection of physiotherapist, civil servant, the danger of practising physiotherapy
Only Polish version

Hand and wrist injuries occurring in regular sport climbers

Marta Schmidt, Aleksandra Krupa, Agnieszka Ciukszo, Arkadiusz Fiedor, Ewa Kucharska, Jan W. Raczkowski, Mateusz Curyło

Marta Schmidt, Aleksandra Krupa, Agnieszka Ciukszo, Arkadiusz Fiedor, Ewa Kucharska, Jan W. Raczkowski, Mateusz Curyło – Hand and wrist injuries occurring in regular sport climbers. Fizjoterapia Polska 2021; 21(3); 86-92

DOI: https://doi.org/10.56984/8ZG141A10

Abstract
In the recent years sport climbing has become more and more popular. As an extreme sport, it is prone to a high degree of injury risk. A particular body part exposed to injuries is the upper extremity.
The aim of this study was to assess the number and types of hands and/or wrists injuries in regular sport climbers. The study was conducted on a group of 468 climbers. The criterion for inclusion was the regularity of conducted trainings, training internship of at least 1 year and the minimum difficulty of covering the distance at the level of VI.1. A proprietary questionnaire was used as a research tool.
As a result of climbing training 84% of examined climbers experienced pain in their palm/wrist area, whereas 67% of respondents suffered hand/wrist damage. The most common hand injuries occurred on the annular ligaments of the fingers (N = 97). It was observed a correlation between annular pulley injury and injuries occurring in the proximity of the III finger (rs = 0.513, p < 0.001) as well as between carpal tunnel syndrome and training experience (rs = 0.355, p < 0.05).
Musculoskeletal system damage and pain is a common problem for climbers. The analysis of the collected data indicated that the longer the training experience is, the higher the injury risk. The third and fourth fingers were the most injured, whereas the most frequent injuries were suffered in annular finger ligament. The collected data indicated the need to educate climbers in prevention and treatment of these specific injuries.
Key words:
sport climbing, sport injuries, hand injuries, climbing training
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Rheumatoid arthritis and rheumatoid foot in physiotherapy

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski

Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Agnieszka Ciukszo, Damian Szubski, Ewa Kucharska, Jan Czernicki, Jan W. Raczkowski – Rheumatoid arthritis and rheumatoid foot in physiotherapy. Fizjoterapia Polska 2021; 21(2); 172-183

DOI: https://doi.org/10.56984/8ZG0DD753

Abstract
Rheumatic diseases are not fatal, but they result in shorter life expectancy of the patients suffering from them. This applies to all inflammatory rheumatic diseases, especially rheumatoid arthritis (RA). Rheumatic diseases, in which most of all the joint inflammatory process develops with progressive joint damage, are the cause of patients’ disability, prevent patients from working and everyday functioning, also at home, and affect all aspects of social life. The objective of rehabilitation in RA is to relieve pain, reduce or inhibit inflammation, and maintain the proper functioning of the locomotor system while slowing down or ceasing structural lesions in the joints.
Key words:
Rheumatoid arthritis, RA, rheumatoid foot, disability, orthopaedic equipment
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Complications in the course of the A(H1N1) influenza virus infection in the form of rhabdomyolysis – case study

Oktawia Kuna, Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska, Zbigniew Śliwiński, Jan W. Raczkowski

Oktawia Kuna, Agnieszka Ciukszo, Mateusz Curyło, Ewa Kucharska,
Zbigniew Śliwiński, Jan W. Raczkowski – Complications in the course of the A(H1N1) influenza virus infection in the form of rhabdomyolysis – case study. Fizjoterapia Polska 2021; 21(1); 6-12

DOI: https://doi.org/10.56984/8ZG0794F0

Abstract
In the course of rhabdomyolysis, breakdown and necrosis of muscle fibres occur, and the toxic content of cells leaks into the systemic circulation. In adult patients, the causes of rhabdomyolysis may include injuries, crushing as a result of accidents, prolonged immobilization, high voltage electric shock; while in children, in particular the youngest children, viral infections constitute the most common cause. Based on the analysis of the collected literature, no standardization of physiotherapeutic treatment in paediatric patients with rhabdomyolysis was found. The objective of the study is to present a case of a 5-year-old boy with a complicated course of the A(H1N1) influenza virus infection, as a result of which he required physiotherapeutic and orthotic treatment adapted to the patient’s clinical condition and functional abilities. Treatment of paediatric patients with rhabdomyolysis is symptomatic. Pharmacotherapy and rehabilitation affect the maintenance of and/or increase in the range of mobility in the joints, and the use of orthoses helps maintain therapeutic effects.
Key words:
rhabdomyolysis, influenza complications, children rehabilitation
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