Tag: Katarzyna Syrewicz

进行乳房切除术后妇女的淋巴水肿全疏通治疗

Marek Woszczak, Katarzyna Syrewicz, Iga Woźniak, Łukasz Goździewicz, Katarzyna Bogacz, Karolina Kossakowska

M. Woszczak, K. Syrewicz, I. Woźniak, Ł. Goździewicz, K. Bogacz, K. Kossakowska – Comprehensive draining therapy in the treatment of lymphoedema in women after mastectomy. Fizjoterapia Polska 2019; 19(4); 28-40

摘要
简介。乳癌为最危险的恶性肿瘤之一，该疾病的发病率持续增加中。因治疗和与之相关的淋巴结结构去除或破坏后的最常见并发症为淋巴水肿，改善状况的方法之一为实施综合疏通治疗（KTU）。
研究目的。该研究的目的在评估综合疏通治疗疗效，及其对淋巴水肿和活动性与紧握力的影响。
材料与方法。该实验在克尔采的圣十字肿瘤中心进行，对象为进行单侧乳房切除术后的60名妇女，她们被分入实验组和对照组两组。实验组中的30名女性接受KTU疗程，而另一组则接受改善治疗。疗程持续10天，在改善治疗前后以测角术测量运动范围，并以厘米胶带评估四肢周长并使用测力计测量SUR。
结果。疗程结束后两组的研究参数均获改善，然而实施综合疏通治疗的组效果更为明显，实验组的四肢周长缩小且紧握力及活动范围均有改善。
结论。所使用的两种治疗方法都能有效减少淋巴水肿，然而综合疏通治疗KTU为更有效的治疗方法。

关键词：
乳房切除术、综合疏通治疗、淋巴水肿

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Assessment of differences in body fat of the persons playing handball in grades 1, 2 and 3 of junior secondary school, depending on the level of training and physical fitness

Marek Woszczak, Katarzyna Bogacz, Katarzyna Syrewicz, Marcin Szczepanik, Jan Szczegielniak

M. Woszczak, K. Bogacz, K. Syrewicz, M. Szczepanik, J. Szczegielniak – Assessment of differences in body fat of the persons playing handball in grades 1, 2 and 3 of junior secondary school, depending on the level of training and physical fitness. FP 2017; 17(4); 84-105

Abstract

The physiology of physical effort is based on diagnosing how physical activity, effort or sports affect the proportions or activity of a human body. A training programme or effort of the given group, e.g. boys training handball while studying in a lower secondary school, may consist in improving the health and functioning of a body and increasing the level of sports fitness.
The objective of the study was to assess the level of body fat of people training handball, depending on their level of training, physical fitness and age.
The study covered a group of 83 boys studying in the 1st, 2nd and 3rd grades of lower secondary school. The study applied the International Physical Fitness Test. It was also necessary to take body measurements necessary for calculating such indices as: Body Mass Index (BMI), Slenderness Index (SI), Rohrer’s Index (RI) and the Waist Hip Ratio (WHR). The assessment of body fat of the students was based on the measurements of skinfolds.
The best results in terms of BMI were demonstrated by 3rd grade students – 85.71% had correct body weight. In the measurement of waist size of the eldest students, the standard deviation was lowest, which demonstrates lower diversity of results among the boys from the 1st and 2nd grade. When measuring the skin folds, it was noted that the results were higher over age. The International Physical Fitness Test demonstrated that the eldest boys had better general results than the younger ones.
All the tested boys demonstrated a higher than average level of fitness. The level of physical fitness improves with age. However, for the purpose of obtaining more authoritative research results, more people should be tested.

Key words:
body fat, handball, junior secondary school, physical fitness

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The assessment of primary rehabilitation effects for patients with brain stroke and the evading effect

Marek Woszczak, Katarzyna Bogacz, Katarzyna Syrewicz, Magdalena Józefowicz-Korczyńska, Jan Szczegielniak

M. Woszczak, K. Bogacz, K. Syrewicz, M. Józefowicz-Korczyńska, J. Szczegielniak – The assessment of primary rehabilitation effects for patients with brain stroke and the evading effect. FP 2017; 17(3); 16-27

Abstract

Purpose. The purpose of this study was to assess the prevalence of hemispatial neglect in stroke patients and to determine whether this condition can affect the results of early rehabilitation and hospitalization duration.
Materials and methods. 63 randomly selected stroke patients were examined. The participants were divided into two groups: group A – participants without hemispatial neglect; and group B – participants diagnosed with hemispatial neglect. Physical functionality of participants, assessed at admission to the rehabilitation ward and at discharge, was compared. The results were organized into tables and graphs. The collected data were analyzed with the chi-square test of goodness of fit.
Results. The results show an increase in physical functionality of all participants. Participants without hemispatial neglect have considerably improved in their functional independence, needing little help with most activities assessed as part of the study. On the other hand, participants diagnosed with hemispatial neglect showed much less improvement, despite the same amount of therapy, and remained on a lower mobility level. Hence, hemispatial neglect affected their hospitalization duration.
Conclusion. Participants with hemispatial neglect exhibited slower functional recovery. Hemispatial neglect affects hospitalization duration (R=0.0082).

Key words:
Stroke, hemispatial neglect, early rehabilitation

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Mobilisation of proximal radioulnar joint and functioning of the arm after forearm fracture

Marek Woszczak, Katarzyna Syrewicz, Marcel Kotkowski, Marek Kiljański

M. Woszczak, K. Syrewicz, M. Kotkowski, M. Kiljański – Mobilisation of proximal radioulnar joint and functioning of the arm after forearm fracture. FP 2015; 15(1); 58-73

Abstract

Research objective. The research aims to evaluate the effect of mobilisation of proximal radioulnar articulation on the hand function after a forearm fracture.
Material and methods. The research involved 60 patients over the age of 50 who were subject to treatment for limitation of hand function resulting from a forearm fracture. The respondents were randomly divided into equal research and control groups and subjected to a series of ten physiotherapy treatments, including low-frequency electromagnetic field therapy, blue filter Sollux lamp and physiotherapy in the form of free active exercises of the elbow, wrist and fingers. The research group also underwent the mobilisation of proximal radioulnar articulation using the Kaltenborn-Evjenth method.
Results. The analysis of the data obtained showed that mobilisation of proximal radioulnar articulation improved the clinical and functional condition of patients after a forearm fracture.
Conclusions. The respondents who went through a rehabilitation program which included mobilisation of proximal radioulnar articulation, assessed their pain level as being lower. They also achieved a wider range of dorsiflexion, palmar flexion, ulnar and radial deviation as well as supination and pronation motion in the radioulnar joint. Additionally, therapy that included the mobilisation resulted in improved strength of cylindrical grip.

Key words:
injury, forearm fracture, mobilisation, VAS scale, Laitinen scale

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