运动疗法在腦癱 – 臨床方面理

Włodzisław Kuliński, Barbara Dulnik

W. Kuliński, B. Dulnik – Kinezyteraphy in the cerebral palsy – clinical aspects. Fizjoterapia Polska 2019; 19(3); 106-116

摘要
简介。小儿脑瘫(MPD)为在早期成长阶段永久性脑损伤所造成的运动和姿势障碍综合症,此为儿童残疾最常见的原因,其达成年后随时间推移而能力恶化。
目的在显示运动疗法对小儿脑瘫患者的重要性。
材料和方法。共20名在森德克工作疗法工作坊及拉库夫综合康复和健康推广中心接受运动改善课程的患者参与研究(其中有12名女性及8名男性,年龄在20至60岁之间)。患者的临床表现为:因上运动神经元及皮质脊髓束损伤所造成的运动及姿势障碍等症状。使用诊断调查问卷的研究方法,研究中使用的问卷涵盖受试者的生活及其功能性的相关为题及其对所进行的康复计划的评估。
结果。所获得的研究结果证实运动疗法对改善小儿脑瘫患者的重要性,定期的运动康复治疗对身体状况及日常生活功能性的改善均有助益。
结论。理疗使患者的功能性达到最高可能,并能防止疾病相关并发症的发展。

 

关键词:
小儿脑瘫、运动疗法

 

Invalid download ID. 免費下載(僅限英文版)

Isokinetic testing and exercises in physiotherapeutic practice

Andrzej Czamara, Katarzyna Krzemińska, Aleksandra Królikowska, Łukasz Szuba, Marek Kiljański

A. Czamara, K. Krzemińska, A. Królikowska, Ł. Szuba, M. Kiljański – Isokinetic testing and exercises in physiotherapeutic practice. FP 2017; 17(4); 6-17

Abstract

The aim of the paper was to present the attitude to measurements and exercises performed under isokinetic conditions during physiotherapeutic procedures, based on the literature review and the authors’ experience. The authors discuss basic issues of the physiology of muscles, types of muscle contractions and activity, and changes in muscle tension. They presents the principles of torque value measurement and the assessment of other biomechanical parameters, carried out under conditions of maximal isometric tension tone as well as under dynamic-isokinetic conditions. The exercises performed under isokinetic conditions and isometric (static) conditions are described in various aspects of clinical physiotherapy. Attention is focused on the indications and contraindications to using such kind of tests and exercises in physiotherapy, as related to other branches of medicine.

Key words:
kinesitherapy, isometry, dynamics, rehabilitation

Pobierz/Download/下載/Cкачиваете 免費下載(僅限英文版)

The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas

Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki,
Zbigniew Śliwiński, Maria Kłoda, Michał Sobstyl, Agata Kuźmicka

G. Brzuszkiewicz-Kuźmicka, S. Kuźmicki, Z. Śliwiński, M. Kłoda, M. Sobstyl, A. Kuźmicka  – The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas. FP 2014; 14(3); 66-75

Abstract

The objective of this study is to determine the impact of early physiotherapy on the dynamics of the recovery of the ability to perform daily activities, improvement in functional status, reduction in neurological deficits and change in the consciousness status in patients following surgical treatment of post-traumatic paracerebral hematomas.
The study material consisted of 86 patients undergoing surgical treatment of post-traumatic paracerebral hematomas. All patients were divided into two groups with the type of kinesitherapy performed as the main differentiating factor.
The grade of neurological deficit was assessed by the International Scale of Muscle Weakness, modified Barthel Index, and Rankin Scale, while consciousness was assessed on the basis of the Glasgow Coma Scale.
The return of lost function in patients undergoing rehabilitation according to selected PNF patterns and elements of Bobath therapy as compared to patients subjected to conventional kinesitherapy was characterized by better dynamics, particularly within the initial days, and progressed at a significantly higher rate. However, no relationship of this kind was observed for the recovery of consciousness. Patients have the highest potential for the return of lost functions in the early postoperative period (days 1-5).

Key words:
early physiotherapy, post-traumatic paracerebral hematomas, kinesitherapy

Pobierz/Download/下載/Cкачиваете 免費下載(僅限英文版)
1 2 3