Evaluation of the rehabilitation of geriatric patients using the WaDiT system

Mirosław Janiszewski, Anna Kluszczyńska

Mirosław Janiszewski, Anna Kluszczyńska – Evaluation of the rehabilitation of geriatric patients using the WaDiT system. Fizjoterapia Polska 2001; 1(2); 127-130

Abstract
Background. This article evaluates the rehabilitation of geriatric patients using a program of kinesitherapy in conjunction with the application of high-tone wave therapy according to the WaDiT system, using exclusively variable electromagnetic fields (medium frequency current in the tone range from ca. 4,000 Hz to ca. 12,000 Hz). Material and methods. The study involved 62 patients, aged 60-85, in the second and third degree of disability on the geriatric scale according to the WHO definition. All patients had a 16-week program of kinesitherapy. 31 patients also received WaDiT therapy for a 10-week period. Results. The study confirmed improvements in physical fitness, coordination of movement and balance, and subjective health status among the patients in both groups. The patients in the group to whom WaDiT therapy was achieved significantly better results. Conclusion. The rehabilitation program here described can help in delaying the onset of involutionary processes, allowing the patient to preserve functional independence, cognitive functions, and social activity on an optimal, individual level.

Key words:
Geriatrics, WaDiT system, kinesitherapy

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Kinesitherapy in compression fractures of the spine in the eveloping years: an authorial modification of exercises

Halina Protasiewicz, Ireneusz Kowalski, Jan Talar, Adam Buciński

Halina Protasiewicz, Ireneusz Kowalski, Jan Talar, Adam Buciński – Kinesitherapy in compression fractures of the spine in the eveloping years: an authorial modification of exercises. Fizjoterapia Polska 2001; 1(3); 286-291

Abstract

The authors have developed a two-stage kinesitherapeutic model for the conservative rehabilitation of compression fractures of the spine in children and youth. The first phase, called the “hospitalization phase”, lasts 4-6 weeks, while the second, the “ambulatory phase”, lasts from the 2nd to the 12th month after injury.The orientation in medical rehabilitation presented by the authors of this article combines elements typical for conservative treatment reinforced by Kempf exercises with elements of periodic application of prostheses, in the form of light orthopedic corsets. The best results are achieved by creating an autogenic muscle girdle, which simultaneously protects the spine against flexion movements by forcing extension of the spine, and by using correctional and hypercorrectional positions in the orthoses used, especially in multiple fractures. The primary purpose of kinesitherapy is to strengthen the muscle girdle and to shape the strength and endurance of the postural muscles, using positions that relieve pressure on the spine. The isometric exercises in the pressure-relieving position lead to a systematic increase in the strength of the postural muscle. Other important elements of kinesitherapy include learning to feel one’s own body, proper protection of the spine, and shaping the correct body posture. Full recovery was attained in 70% of cases after one year of modified therapy. In the control group – traditional therapy – positive results were obtained in 56%.

Key words:
compression fractures of the spine, kinesitherapy, conservative treatment, developing years
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Physiotherapy in the preoperative treatment of lumbar discopathy

Elżbieta Rutkowska, Radosław Rola, Witold Janusz, Piotr Kamieniak

Elżbieta Rutkowska, Radosław Rola, Witold Janusz, Piotr Kamieniak – Physiotherapy in the preoperative treatment of lumbar discopathy. Fizjoterapia Polska 2001; 1(4); 393-395

Abstract
Background. This article analyzes the therapeutic methods used in the conservative treatment of lumbar discopathy among patients treated surgically for this disorder at the Neurosurgical Clinic of the Lublin Medical University from 1998 to 2000. Material and methods. Our research involved 349 randomly chosen patients referred for surgical treatment of lumbar discopathy. The patients were interviewed in detail and their medical records analyzed on the basis of an authorial questionnaire. The results were subjected to statistical analysis using the contingency analysis tables is the STATISTICA software program (StatSoft, USA). Results. Our research indicated that long-term conservative treatment was limited primarily to pharmacotherapy. Methods of physical treatment, i.e. kinesitherapy and physicotherapy, as well as stationary rehabilitation in health resorts were not put to adequate use by the majority of patients.

Key words:
conservative treatment of low back pain, pharmacotherapy, physicotherapy, kinesitherapy

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An evaluation of the rehabilitation for patients recovering from knee joint trauma surgically treated by internal osteosynthesis

Paweł Ryngier, Edward Saulicz, Rafał Gnat, Tomasz Wolny

Paweł Ryngier, Edward Saulicz, Rafał Gnat, Tomasz Wolny – An evaluation of the rehabilitation for patients recovering from knee joint trauma surgically treated by internal osteosynthesis. Fizjoterapia Polska 2001; 1(4); 369-375

Abstract
Background. When the knee joint is immobilized, the sliding of joint surfaces is quickly reduced, primarily as a result of the periartricular contraction of the soft tissues (especially the articular capsule). This kind of mechanical imbalance between gliding and rolling is additionally strengthened by the disturbance of muscle equilibrium, both between different muscle groups (the femoral quadriceps and the ischio-crural muscles) and within the thigh muscle itself (between the vastus medialis and the rectus femoris). In the latter case, this status may also lead to the physiological route of knee-cap slide. In view of the complex arthromechanics of the knee joint and the proper distribution of muscle strength for its functioning, the purpose of our research was to study the impact of selected techniques of manual therapy and some of the motion patterns of the PNF method on improving the activity of the knee joint patients with injuries in the vicinity of this joint surgically treated by internal osteosynthesis. Material and methods. The study involved two groups of 17 people who were treated surgically for injuries to the vicinity of the knee joint. After a period of immobility the active mobility of this joint was assessed in all patients, along with the strength of the muscles functionally connected with the knee joint and subjective pain complaints. The studied patients from both groups underwent routine rehabilitation. Selected traction and mobilization techniques for the knee joint were additionally introduced for the patients from the main group, with exercises based on the notion of post-isometric relaxation and some motion patterns taken from PNF models. Results. The statistical analysis of the quantitative data we acquired pointed to a larger range of improvement in the mobility of the knee joint, associated with a somewhat larger simultaneous increase in the strength of the evaluated muscle groups among the patients from the main group.

Key words:
Immobilization, kinesitherapy, manual therapy

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Medical rehabilitation of spinal injury patients without central nervous system damage

Piotr Majcher, M. Fatyga, A. Skwarcz

Piotr Majcher, M. Fatyga, A. Skwarcz – Medical rehabilitation of spinal injury patients without central nervous system damage. Fizjoterapia Polska 2002; 2(1); 61-64

Abstract
Based on the experience of the authors’ rehabilitation center is Lublin, the authors present the model of medical rehabilitation they have developed for patients with spinal injuries not involving damage to the central nervous system. The model is dependent on the type of treatment used for spinal injury (surgical or non-surgical). In the case of patients requiring surgery using internal fixation, medical rehabilitation includes preparation of the patient for surgery (over and above nursing activities) by means of respiration exercises, followed by kinesitherapy and physicotherapy after surgery in order to restore physical fitness as quickly as possible. In non-surgical procedures, medical rehabilitation includes physiotherapy, broadly conceived, involving one of three schemes: functional treatment without internal fixation, functional treatment after the application of internal fixation (young persons), and functional treatment for persons with cervical spinal injuries, using direct cranial traction. The authors point out the necessity for cooperation in the entire treatment team in proper rehabilitation procedure.

Key words:
internal fixation, kinesitherapy, physicotherapy

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Systematics of physiotherapy

Janusz Orzech

Janusz Orzech – Systematics of physiotherapy. Fizjoterapia Polska 2002; 2(2); 164-168

Abstract
This article presents the newest systematics of physiotherapy that has been compiled and developed by the author. The previous systematics and divisions, including charts and schemes from the available scientific literature, have also been described and characterized, with the special approach to historical aspects of the so-called physical medicine, later termed physiotherapy. The innovative changes in the systematics as these in shape of new methods and techniques that have been incorporated seem indispensable and have been thoroughly explained by the author.

Key words:
systematics of physiotherapy, kinesitherapy, physical therapy, therapeutic massage

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Kinesitherapy following spinal injuries with or without damage to the central nervous system

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz – Kinesitherapy following spinal injuries with or without damage to the central nervous system. Fizjoterapia Polska 2002; 2(3); 257-260

Abstract
Based on many years of experience in the rehabilitation of patients with spinal injuries in Lublin, the authors present a model of kinesitherapeutic procedure from the moment of injury to the completion of treatment. The first section of the work discusses kinesitherapy in the treatment of spinal injury patients without neurological injuries. Kinesitherapeutic procedures are clearly presented depending on the choice of non-surgical treatment: functional therapy without internal fixation, functional therapy after the application of internal fixation, and functional therapy after the application of direct cranial traction. It is emphasized that in the case of patients requiring surgery with internal stabilization it is essential to prepare the patient with respiratory exercises and isometric contractions to strengthen the muscles of the back and abdomen. The second part of the article deals with kinesitherapy for spinal injury patiets with CNS damage. The authors point out the differences between various exercises depending on the neurological level and the symptoms occurring, as well as the period of time elapsing after injury. These periods are divided into: (1) from injury to verticalization, (2) from verticalization to discharge, (3) ambulatory period (return to family and society). At each stage of procedure the cooperation of the rehabilitation team is very important, as well as the use of orthopedic equipment in limb dysfunctions of varying degree.

Key words:
kinesitherapy, Spinal Injuries, Central Nervous System

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Estimation of effectiveness high-tone therapy as adjunctive factor of rehabilitation among the patients with dysfunction of movement organ

Mirosław Janiszewski, Andrzej Polak

Mirosław Janiszewski, Andrzej Polak – Estimation of effectiveness high-tone therapy as adjunctive factor of rehabilitation among the patients with dysfunction of movement organ. Fizjoterapia Polska 2003; 3(1); 66-70

Abstract
Background. The present study is an evaluation of the value of WaDiT in the rehabilitation of patients with dysfunctions of the motor apparatus. Material and methods. We examined 100 female patients aged 40-60 diagnosed with osteoarthritic lesions in the lumbar spine. All these women underwent a 3-month course of kinesitherapy; 60 of them also received WaDiT procedures prior to each kinesitherapy application. Results. The findings in the WaDiT group indicate increased mobility of the spine and improvements in the dynamic and static parameters of the posture stabilizer muscles. Such results were not found in the group of patients who received kinesitherapy alone. Conclusuons. WaDiT can be a valuable supplement to kinesitherapy.

Key words:
kinesitherapy, osteoarthritic lesion of the spine, mobility

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The usefulness of kinesitherapy in the process of rehabilitation following surgical reconstruction of the anterior cruciate ligament: a comparative analysis of exercise methods in open and closed kinematic chains

Wojciech Hagner

Wojciech Hagner – The usefulness of kinesitherapy in the process of rehabilitation following surgical reconstruction of the anterior cruciate ligament: a comparative analysis of exercise methods in open and closed kinematic chains. Fizjoterapia Polska 2003; 3(1); 1-7

Abstract
Background. Damage to the ligamental and capsular apparatus of the knee, especially the anterior cruciate ligament (ACL), leads to instability of the knee, manifesting functionally as unsatisfactory joint coordination and slippage of the plateau of the tibia. The choice of treatment should be dictated by the extent of damage incurred by the knee and the patient’s age and degree of physical activity. Surgical reconstruction of the ACL restores joint coordination, but the final outcome is largely determined by post-surgical kinesitherapy. In planning the rehabilitation program after surgical reconstruction of the ACL, it is necessary to bear in mind the impact exercises will have on knee stability, as well as on the work and load of the passive and dynamic stabilizers of the knee.Material and methods. In this article the effects of exercises in systems based on open and closed kinematic chains are subjected to statistical analysis, as well as the impact of such exercises on the relative movements of the individual structural elements of the knee.Conclusions. The results of the present study showed that kinesitherapy in open and closed kinematic chains has a positive impact on rehabilitation outcome after ACL reconstruction, while the decisive factor is the skillful combination of exercises from both types of kinematic chain.

Key words:
Anterior Cruciate Ligament, kinesitherapy, open kinematic chain, closed kinematic chain

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S-E-T: active stabilization of the lumbar spine

M. Kokosz, R. Gnat, L. Wojdyła, J. Mańka

M. Kokosz, R. Gnat, L. Wojdyła, J. Mańka – S-E-T: active stabilization of the lumbar spine. Fizjoterapia Polska 2003; 3(4); 396-400

Abstract

The purpose of this article present the mechanisms that stabilize the lumbar spine. The passive and active control systems are discussed. Principles are also presented for conducting exercises oriented towards improving the function of the so-called “local muscles”, which are responsible for maintaining the proper positioning of each vertebra relative to the others. This feed-forward mechanism protects the locomotor system from dangerous overload in both static and dynamic conditions.

Key words:
kinesitherapy, locomotor system, stabilization mechanisms
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