埃及烧伤科物理治疗师的倦怠现象

Mohamed Bayoumi Ibrahim Bayoumi, Ahmed Mohamed Nagy, Saher Lotfy El Gayar, Shaimaa Mohamed Metawee, Nehad Mohamed AbdElnabi Mousa, Heba Mohamed Mohamady

Mohamed Bayoumi Ibrahim Bayoumi et al. – Burnout among Egyptian physical therapists in burn departments –  Fizjoterapia Polska 2024; 24(4); 129-135

DOI: https://doi.org/10.56984/8ZG01A8Q4R1

摘要

背景. 倦怠是医疗工作者中常见的综合征,会影响他们的生活质量及所提供的医疗服务。由于多种压力源,烧伤科的物理治疗师特别容易发生倦怠。
目标. 本研究的主要目的是评估在烧伤科工作的物理治疗师所经历的倦怠程度。
设计. 本研究采用横断面研究设计。
方法. 本研究共招募了520名在埃及医院烧伤科工作的物理治疗师,年龄在24至44岁之间。倦怠评估通过使用Maslach倦怠量表-人类服务调查(MBI-HSS)进行。
结果. 520名物理治疗师参与了本研究,其中约50%年龄在30至40岁之间,约44.9%具有学士学位,女性占63.3%。根据MBI-HSS评估结果显示,73.5%的参与者在情绪衰竭(EE)量表上表现出倦怠症状,而44%在去人格化(DP)量表上表现出倦怠症状。此外,51%的参与者在低个人成就感(PA)量表上得分较低。研究结果显示,男性比女性更易出现去人格化,并对自身的职业成就感更不满意。
结论. 调查结果显示,在烧伤科工作的物理治疗师中,倦怠程度较为严重。为评估倦怠对烧伤科物理治疗师的影响,并制定减轻倦怠的策略,还需进一步的研究。

关键词
物理治疗, 倦怠综合征, Maslach倦怠量表, 烧伤科

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前交叉韧带重建术后的康复和重返运动标准——对阿联酋理疗师的调查

Sara Atef Ali, Cecilia Ferreira Aquino, Achraf Ammar, Ashokan Arumugam

Sara Atef Ali, Cecilia Ferreira Aquino, Achraf Ammar, Ashokan Arumugam – Post-operative rehabilitation and return to sport criteria following anterior cruciate ligament reconstruction – a survey of physiotherapists in the United Arab Emirates – Fizjoterapia Polska 2024; 24(2); 344-355

DOI: https://doi.org/10.56984/8ZG5608IV0

摘要

背景。前交叉韧带(ACL)重建术后的康复和重返运动(RTS)标准在不同国家的理疗师之间似乎有所不同。然而,目前尚无研究调查阿联酋理疗师在ACL重建术后采用的康复和RTS标准。 目的。本研究旨在总结阿联酋理疗师在治疗ACL重建术后患者时使用的临床实践和RTS标准,并调查与常用RTS标准相关的因素。 材料与方法。通过电子调查问卷分发给阿联酋理疗师。问卷包括与人口统计信息、临床实践和RTS标准相关的问题。 结果。共有108名理疗师自愿参与了本研究。大约只有25%的理疗师在RTS前遵循已建立的RTS标准。约88%的理疗师根据患者在功能评估中的表现,如平衡检查、跳跃测试以及跑步和冲刺的生物力学表现来做出是否允许重返运动的决定。47%的理疗师表示RTS的决定是由多学科团队决定的。研究表明,最常使用的RTS标准与阿联酋理疗师的学术背景、工作年限、国籍、专业认证或持有的执照类型等参数之间没有显著关联。 结论。大多数阿联酋理疗师在临床实践中并未遵循ACL重建术后最推荐的RTS标准,且没有任何评估的与理疗师相关的因素显示与ACL重建术后的RTS标准有显著关联。

关键词

前交叉韧带重建术,康复,临床决策,物理治疗,重返运动标准

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Cervical radiculopathy constitutes a challenge to rehabilitation when combined with pathological changes: A case report

Abdullah Mohamed Al-Shenqiti

Abdullah Mohamed Al-Shenqiti – Cervical radiculopathy constitutes a challenge to rehabilitation when combined with pathological changes: A case report. Fizjoterapia Polska 2021; 21(4); 170-173

Abstract
This report aims to alert clinicians to the importance of comprehensive evaluation starting with collecting the details of patient’s history. This case also highlights the need to prioritize interventions starting with conservative treatments based on severity and urgency. We report a case of cervicalgia and bilateral cervical radiculopathy of 62 years old female who did not respond to conservative physical therapy treatment. The specialist used total assessment- reassessment and evaluation using biokinesiology (TAREK) approach for clinical reasoning and judgment to come up with tentative physical therapy diagnoses. The manifestations were confirmed by magnetic resonance imaging report. The clinical manifestations were in harmony with the radiological findings. The patient was poorly responding to conservative treatment with many weeks of no response. Surgery was offered to ease up patient’s symptoms. Finally, clinicians should be familiar with the both the primary and the secondary pathological changes of cervical radiculopathy and put in consideration the complexity of clinical manifestations and poor prognosis.
Key words:
cervical canal stenosis, cervical radiculopathy, laminectomy, physical therapy, spine tuberculosis
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The Obstacles that encounter Jordanian Citizens to Adhere to Physiotherapy Sessions

Mohannad Hawamdeh, Saad Al-nassan, Amjad Shallan, Mohammad Etoom

Mohannad Hawamdeh, Saad Al-nassan, Amjad Shallan, Mohammad Etoom – The Obstacles that encounter Jordanian Citizens to Adhere to Physiotherapy Sessions. Fizjoterapia Polska 2021; 21(4); 134-140

DOI: https://doi.org/10.56984/8ZG20A906

Abstract
Aim. to know the obstacles that encounter patients in Jordan to adhere to physical therapy treatment. Material and Method. A survey was developed based on the available literature reviews. A pilot survey was tested on a small sample of physiotherapy clients at one center to assess time and the ease of completion. After the pilot survey was completed, the survey was revised and modified, and the final electronic version was developed. Results. The study found varied level of adherence to the physiotherapy sessions, and adherence to the physiotherapist recommendations. The adherence to physiotherapy sessions was about 54.3% ranged between 61.9% in governmental sectors, and 80% in private sectors. However, the adherence to physiotherapy recommendations was lesser as be estimated to be about 50% (66.7% in governmental sectors, and 60% in private sectors). Conclusion. This Study indicates that there are varieties of reasons that encounter Jordanian citizens to adhere to physiotherapy sessions. One of the main reason in private center is based on cost of session but there are lot of reasons that limiting adhere the session related to the patients states and Circumstances in both private and government, since we could not determine the actual main cause of non-adhere.
Key words:
physical therapy, sessions, obstacles
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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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The usefulness of physical stimuli in the symptomatic treatment of painful shoulder syndrome

Paweł Przekwas, Agnieszka Idychowska, Renata Skalska-Izdebska, Zbigniew Pawłowski

Paweł Przekwas, Agnieszka Idychowska, Renata Skalska-Izdebska, Zbigniew Pawłowski – The usefulness of physical stimuli in the symptomatic treatment of painful shoulder syndrome. Fizjoterapia Polska 2003; 3(1); 76-84

Abstract
The aim of the study is to consider the available evidence related to clinical effectiveness of several types of physical modalities used in the management of painful shoulder. A systematic critical review from basic science studies evaluating therapeutic effects includes the following treatments: superficial heat, cryotherapy, laser therapy, impulsivemagnetic field therapy, short wave diathermy, transcutaneous electric nerve stimulation (TENS), interferential current therapy, ultrasound therapy, iontopphoresis and phonophoresis. There seems to be evidence from basic science research to suggest that many of the therapies could have potentially therapeutic effects. It is important to note that these conclusions are limited by the methodological considerations of the included studies. However, in the managemet of the painful shoulder treating pain is often the basis of the treatment, it should be implemented with a broad range of physiotherapeutic techniques and manual therapy as well when appropriate.

Key words:
painful shoulder, physical therapy

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Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study

Janusz Boczar, Łukasz Wojtyczek

Janusz Boczar, Łukasz Wojtyczek – Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study. Fizjoterapia Polska 2003; 3(4); 384-386

Abstract

Background. The purpose of this article is to present the neuromobilization technique as a useful procedure in physical therapy. Material and methods. The paper presents a case study of a male patient who was treated at the Subcarpathian Hospital in Krosno, Poland. In addition to various kinds of PT procedures, the neuromobilization technique was implemented in treatment. Results. We noted improvement in range of movement and muscle strength, and decreased pain after treatment. The patient regained a very high functional status. Conclusions. Neuromobilization is a successful method when used to treat patients with neurobiomechanical problems, and should be implemented in regular physiotherapy.

Key words:
range of movement, muscle strength, physical therapy, fracture of the sacrum
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Medical massage in dysmenorrhoea

Krzysztof Kassolik , Waldemar Andrzejewski, Piotr Wojtoń, Klara Sadowska, Agnieszka Cichoszewska

Krzysztof Kassolik , Waldemar Andrzejewski, Piotr Wojtoń, Klara Sadowska, Agnieszka Cichoszewska – Medical massage in dysmenorrhoea. Fizjoterapia Polska 2006; 6(4); 339-343

Abstract
Background. From 40 to 60 % of women aged 20-40 are affected by dysmenorrhoea. Such patients are usually prescribed pain-relieving and spasmolytic drugs. Massage is a non-invasive therapeutic modality whose effects are believed to include reduction of muscle tone. Therefore, the authors attempted to determine the efficacy of medical massage in allevi-ating dysmenorrhoeic pain. Material and methods. The participants of the study were 48 students from the University School of Physical Education, aged 22-25. To evaluate efficacy of medical massage, the researchers elaborated questionnaires. The objectives of the questionnaire were to: 1) select those participants complaining of menstruation-associated pain, and 2) to determine the intensity of the pain at baseline and after a series of massages. A total of 26 women with dysmenorrhea were selected and subsequently subjected to medical massage. Four 10-minute medical massage sessions were performed over the lumbar, sacral and gluteal areas. At the end of each procedure a hot water bottle with 45 degrees Celsius water was applied to the massaged area in order to preserve the changes in blood distribution within the pelvis. Results. Medical massage applied a few days before menstruation reduced dysmenorrhoeic pain in 24 out of the 26 women. Pain was alleviated in 16 women and completely disappeared in a further 8 patients. In 2 patients, the intensity of pain remained the same after application of medical massage. Conclusions. The findings indicate that medical massage can be an easy-to-use adjunctive therapeutic modality for reducing pain in women with dysmenorrhea.

Key words:
massage, dysmenorrhoea, physical therapy

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Legal Aspects of the Informed Consent of the Patient During Physical Therapy in Ukraine

Liliia Orel, Valentyn Savchenko, Olga Baitaliuk, Nataliia Oblovatska

Liliia Orel, Valentyn Savchenko, Olga Baitaliuk, Nataliia Oblovatska – Legal Aspects of the Informed Consent of the Patient During Physical Therapy in Ukraine. Fizjoterapia Polska 2021; 21(2); 78-83

Abstract
The purpose of the study is to establish the legal features of the use of informed voluntary consent of the patient in providing him/her with physical therapy services in Ukraine. Materials and methods. The analysis of the normative-legal base of Ukraine with the use of methods of analysis, synthesis, comparative-legal method is carried out. Research findings. Currently Ukraine has developed and approved the form of primary accounting documentation “Informed voluntary consent of the patient for diagnosis, treatment and surgery and analgesia” and instructions for filling out this form. This form is completed by a patient who has applied to a health care facility and agrees to undergo diagnostic and treatment measures, and if necessary the patient agrees to surgery and analgesia. However, this form is not suitable for legal relations between a physical therapist and a patient. The main features of the application of this consent are determined and its model for use in the practice of physical therapists is developed. Conclusions. The principle of patient autonomy during physical therapy requires regulation of the patient’s right to provide him/her with full information about physical therapy, coordination and approval of the written form of voluntary informed consent of the patient to physical therapy.
Key words:
informed consent, patient, law, physical therapy
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Assessment of the effectiveness of local cryotherapy in treatment of gonarthrosis

Joanna Fidut-Wrońska, Robert Latosiewicz, Karolina Janikowska, Krzysztof Sokołowski

Joanna Fidut-Wrońska, Robert Latosiewicz, Karolina Janikowska, Krzysztof Sokołowski – Assessment of the effectiveness of local cryotherapy in treatment of gonarthrosis. Fizjoterapia Polska 2012; 12(3); 241-250

Abstract
The purpose of the study was to compare the effect of cryotherapy combined with other physical therapy methods. The study group consisted of 50 patients with gonarthrosis, treated by means of local cryotherapy and other physical therapy methods. The control group included 38 matched patients with gonarthrosis, treated with the same physical therapy methods, but without cryotherapy. Evaluation methods were based on the authors` tailored questionnaire, VAS scale and WOMAC questionnaire. The physical examination consisted of the measurements of body height and weight, the range of motion (ROM) in the knee joints and knee circumference and a series of functional tests. The results indicate that ROM of the knee joints increased by 11.3° in the study group and by 3.1° in the control group. The circumference was reduced by 1.1 cm in study group and by 0.4 cm in control group. The value of WOMAC index was diminished by 17.3% in the study group and by 11.9% in control group. After the treatment, the study group covered 8.7 stairs more during ascending and 9.2 more during descending whereas the control group covered 3.9 and 4.3 stairs respectively. Similarly, after the treatment patients from the study group did 5.5 squats more compared to 1.7 squats performed by the control group subjects. Cryotherapy combined with other physical therapy methods in treatment of gonarthrosis has better effects than application of physical therapy methods only, without cryotherapy.
Key words:
arthrosis, physical therapy, gonarthrosis, Cryotherapy
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