Tag: Grzegorz Sobota

外骨骼治疗对脑瘫患者步态参数的影响

Adam Trzyna, Anna Brachman, Tomasz Łosień, Grzegorz Sobota


Adam Trzyna, Anna Brachman, Tomasz Łosień, Grzegorz Sobota – Influence of exoskeleton therapy on gait parameters in patients with cerebral palsy. Fizjoterapia Polska 2022; 22(2); 194-201

DOI: https://doi.org/10.56984/8ZG0DE7jJ

摘要
目的。 本研究旨在评估外骨骼治疗对脑瘫（CP）患者基本时空和动力学步态参数的影响。

材料和方法。 研究共纳入 17 名 CP 患者（II GMFCS）。训练计划持续 8 周，中间有 2 周的休息期（3 周训练 – 2 周休息 – 3 周训练）。每次训练持续 90 分钟。患者在合格的物理治疗师监督下，穿戴 Ekso GT 外骨骼进行训练。步态分析采用 Zebris FDM-TDL 跑步机，在患者可接受的最优速度和最大耐受速度下进行测试，测试时间分别为整个训练计划前后。

结果。 在最大耐受速度下行走时，患者的步速、步频、步长、步态周期长度和步态周期时间均有所改善。前足、中足和后跟区域的接触时间发生了显著变化。左侧和右侧的支撑相时间显著减少。在首选速度下，上述参数的变化在统计学上无显著意义。

结论。 在比首选步态更困难的条件下观察到了积极的变化。需要进一步研究不同强度、训练量和整个康复周期持续时间的配置，以优化康复方案并最大化治疗效果。

关键词：
外骨骼, 脑瘫（CP）, 步态分析, 步态再训练
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Robotic-assisted locomotor training in a 7-year-old child with hemiplegia. Case study

Ewelina Żak, Grzegorz Sobota, Jacek Durmała

Ewelina Żak, Grzegorz Sobota, Jacek Durmała – Robotic-assisted locomotor training in a 7-year-old child with hemiplegia. Case study. Fizjoterapia Polska 2012; 12(2); 159-168

Abstract
Background. The aim of the study was to assess the effectiveness and influence on gait parameters of a 4 – week automated training by a driven gait orthosis. Material and methods. Treadmill training with a driven gait orthosis was used for a 7 year with hemiplegia. Her disability represented 1 level in the GMFCS scale. The child received 18 sessions over 4-week period (5sessions/week, mean therapy duration was 45 minutes per session). Pre and post-training evaluations were performed on kinematics gait parameters using motion capture system (BTS-Smart). Results. After therapy were observed return or approximate value of the evaluated parameters to a normative level of control group. Conclusions. Even small changes in temporal and distance parameters of gait could improve comfort and quality of the patient’s gait. After therapy, there was noted improvement in most of the gait parameters pointing to positive impact of this form of therapy in patient with impaired gait described.
Key words:
Cerebral Palsy, gait analysis, locomotor training, three-dimensional motion analysis
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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