高速低幅(HVLA)操作对静态和动态姿势参数的影响 – 颅枕过渡受阻患者的病例研究

Przemysław Malich, Aleksandra Bitenc-Jasieńko, Agata Pasternak, Adrian Westfal, Helena Gronwald, Karina Kijak, Krzysztof Gronwald, Krzysztof Konior, Danuta Lietz-Kijak

Przemysław Malich, Aleksandra Bitenc-Jasieńko, Agata Pasternak, Adrian Westfal, Helena Gronwald, Karina Kijak, Krzysztof Gronwald, Krzysztof Konior, Danuta Lietz-Kijak – The effect of HVLA manipulation on static and dynamic postural parameters – a case study of a patient with a blocked atlanto-occipital transition –  Fizjoterapia Polska 2024; 24(1); 215-225

DOI: https://doi.org/10.56984/8ZG2EF8t5I

摘要
目的。本研究旨在评估高速低幅(HVLA)操作对患有颅枕阻塞个体的力分布、压力和平衡的影响,重点关注治疗后的改善。
研究方法。通过诊断测试(颈椎压迫、斯普林、德克莱因测试)和足底压力测量(使用EPS/R2垫和BIOMECH STUDIO软件)评估HVLA治疗前后的功能性和姿势参数。
结果。初步诊断显示力分布、平衡和步态有显著干扰。HVLA治疗后的改善包括:
  1. 站立时前足负荷平衡,后跟负荷百分比降低。
  2. 全身压力分布改善,左侧身体压力显著减少。
  3. 前后和侧向身体摆动范围增强,极端偏转距离与偏转表面的比率减少,位移平均速度降低。
  4. 右脚外展角度正常化,左脚访视角度无显著变化。
  5. 足弓指数(AI)和步态平均足压轻微改善,步态最大足压变化微小。
    结论。HVLA操作显著改善静态平衡参数,但在步态参数上的改善有限。这表明颅枕阻塞与姿势障碍之间存在复杂的关系,暗示需要进一步研究探索姿势缺陷与颅枕过渡阻塞之间的联系,以及这些阻塞对姿势变化的影响。
关键词
颅枕阻塞,HVLA操作,姿势障碍,平衡改善,足底压力测量
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物理治疗师与牙医在治疗咀嚼系统功能障碍患者中的合作 —— 问卷调查

Marta Grzegocka, Małgorzata Marjańska, Małgorzata Kowacka, Konrad Kijak, Helena Gronwald, Piotr Skomro, Adam Andrzej Garstka, Danuta Lietz-Kijak

Marta Grzegocka, Małgorzata Marjańska, Małgorzata Kowacka, Konrad Kijak, Helena Gronwald, Piotr Skomro, Adam Andrzej Garstka, Danuta Lietz-Kijak – The cooperation between physiotherapist and dentist in treatment of patient with functional disorders of the masticatory system – questionnaire survey. Fizjoterapia Polska 2023; 23(5); 69-74

DOI: https://doi.org/10.56984/8ZG20Bm5D

摘要
介绍。牙医和物理治疗师在咀嚼器官功能障碍领域的经验与身体整体的关系证实了咀嚼器官运动系统障碍问题不是一个局部问题的观点。因此,此类疾病的治疗不应仅限于使用保守的、正畸的或修复的方法重建静态和动态咬合,忽视与颈部节段和脊柱进一步节段相关的肌肉骨骼、筋膜、骨关节链的适当活动化。将功能障碍的诊断和治疗仅限于口腔咀嚼系统的元素可能会在患者中引发更大的疾病和痛苦。
与口腔咀嚼系统相关的广泛症状,导致不愉快的疼痛和情绪障碍,决定患者寻求多个专家的帮助,包括:耳鼻喉科医生、神经科医生或物理治疗师。患者有机会治愈这些健康问题,前提是整个康复团队合作:牙医、物理治疗师、心理学家和专门从事咀嚼系统功能障碍的言语治疗师。
研究目的。研究的目的是确定在治疗咀嚼系统功能障碍患者中建立物理治疗师和牙医之间合作的需求。
材料与方法。研究在西波美拉尼亚省的28名物理治疗师中进行。所使用的诊断工具是一份访谈问卷,包含许多关于与牙医合作治疗被推荐进行物理治疗的咀嚼系统障碍患者的条件和质量的问题。
结论。现有的物理治疗方法缩短了疾病的持续时间,例如通过按摩、手法治疗(触发点疗法、活动化、肌肉放松后等位)、物理治疗(超声波、生物刺激激光、冷疗、光疗、磁场)和练习(放松、稳定、本体感觉),患者在治疗师的监督下和之后独自在家进行。在治疗咀嚼系统障碍的患者中取得积极效果需要牙医和物理治疗师之间的持续合作。只有全面的、整体的诊断和治疗方法才是有效治疗的条件。
关键词
物理治疗师,牙医,咀嚼系统
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Temperature measurements on facial skin surface as evaluated by infrared thermal cam-era and pyrometer following physiotherapeutic light treatments

Danuta Lietz-Kijak, Piotr Skomro, Roman Ardan, Elżbieta Kubala, Paulina Strzelecka, Małgorzata Kowacka, Konrad Kijak, Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Helena Gronwald, Zbigniew Śliwiński

Danuta Lietz-Kijak, Piotr Skomro, Roman Ardan, Elżbieta Kubala, Paulina Strzelecka, Małgorzata Kowacka, Konrad Kijak, Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Helena Gronwald, Zbigniew Śliwiński – Temperature measurements on facial skin surface as evaluated by infrared thermal cam-era and pyrometer following physiotherapeutic light treatments. Fizjoterapia Polska 2023; 23(2); 148-157

DOI: https://doi.org/10.56984/8ZG0DF529

Abstract
Any clinical procedure in dentistry, especially one that involves a breach of tissue integrity, carries the risk of complications, which can occur in any speciality. These include: postopera-tive wound pain, tissue swelling, bleeding, redness, elevated temperature, trismus, decreased sensation as a result of nerve damage. Postoperative patient care aims to minimise the risk of complications and to treat those which have developed. To this end, we can resort to physical therapy, one of the modalities of which is light therapy, using electromagnetic wave ranges of red, infrared, yellow and ultraviolet light. Yet, it remains unclear which wavelength should be used to treat any specific disease entity and which form of therapeutic light should be used in the rehabilitation of a specific complication following dental procedures? In this study, we used the Cason CA380 infrared digital pyrometer with a laser pointer and the Fluke Ti 400 thermal imaging camera. On the basis of the tests and statistical analysis, it can be concluded that the application of light significantly increases the temperature of the irradiated facial skin surface. Irrespective of the type of light used, each was associated with an increase in temper-ature. A more pronounced increase in temperature on the facial skin surface after a given ap-plication suggests that the effect of light therapy is shallow, which is relevant to the choice of a specific light wavelength to be applied in a particular disease entity or dental complication.
Key words: temperature measurement, light therapy, pyrometer, thermal imaging
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