Tag: Piotr Król

The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy. Part 1

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król – The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy. Part 1. Fizjoterapia Polska 2012; 12(2); 83-100

Abstract
Despite the recently growing interest in the therapeutic use of shockwave in Poland, there is a shortage of scientific publications in the Polish language dealing with this modality. In 2009, an article was published in the Polish Journal of Physiotherapy, outlining the current state of knowledge about the therapeutic use of shockwave, but mainly analyzing the available research findings on the effects of focused and radial shockwave in treating pseudarthrosis, shoulder calcification, calcaneal spurs, plantar fasciitis, tendinitis and enthesitis, etc. The output of original research studies published worldwide in this field has greatly increased.The purpose of this paper was to complement the aforementioned analyses with new research findings published in recent years.The authors of this paper introduce readers to studies on shockwaves as used in the treatment of lesions that patients frequently report as requiring attention and which typically involve treatment with this type of stimulus.
Key words:
focused shockwave, radial shockwave, physiotherapy
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The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy: the new applications. Part 2

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król – The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy: the new applications. Part 2. Fizjoterapia Polska 2012; 12(3); 191-200

Abstract
The review article published in the previous issue of The Polish Journal of Physiotherapy added the most recent findings to the analysis of focused and radial shockwaves applied to treat pseudarthrosis, tendinosis calcarea, heel spurs, plantar fasciitis, tendinitis and inflammation of muscle attachments, etc., which was published three years earlier. Considering that the range of shockwave application in orthopaedics and physiotherapy is constantly broadening, this review examines shockwaves with respect to their effect on patients with Peyronie’s disease, femoral head necrosis, soft tissue defects and other disease entities. This article aims to extend the two earlier reviews by adding the omitted applications and thereby to make the list of indications for shockwave therapy more comprehensive. Except for single instances, this review concentrates on presenting reports where shockwave therapy was used to treat lesions that patients frequently report as requiring medical intervention as well as representing the most frequent indications for this modality.
Key words:
focused shockwave, radial shockwave, physiotherapy
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Evaluation of the effect of ultrasound therapy on pressure ulcer healing

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król

Anna Polak, Marzena Dzikiewicz, Jakub Taradaj, Cezary Kucio, Agnieszka Nawrat-Szołtysik, Lidia Wiercigroch, Piotr Król – Evaluation of the effect of ultrasound therapy on pressure ulcer healing. Fizjoterapia Polska 2012; 12(4); 363-378

Abstract
As well as being a long process, the treatment of pressure ulcers involves the application of different therapeutic methods. In treating soft tissue defects, including pressure ulcers, physical modalities are increasingly used.The experiment involved 24 patients (16 women and 8 men) with chronic stage II-IV pressure ulcers, who were distributed between two comparative groups, A and B. Group A consisted of 12 subjects (8 women and 4 men) whose mean age was 75.27 years (±19.24). The mean wound surface area in the group was 4.71 (±3,42 cm2). Group B (control) contained 12 subjects (8 women and 4 men) whose mean age was 77.21 (±10.32) years. The mean wound surface area in group B was 4.51 (±3,73 cm2). In addition to standard treatment for pressure ulcers that both groups received, group A patients were additionally administered ultrasound therapy (1 MHz; 0.5 W/cm2; 20%; 1 min/cm2). Healing processes were observed in both groups for 6 weeks. The wound surface area, diameter and linear measurements were found to decrease statistically significantly. Treatment results in the ultrasound group were somewhat better, but healing rates derived from changes in pressure ulcer surface areas, lengths, widths and diameters did not show the groups to be statistically significantly different (respectively 85.23% (±10.23), 78.21% (±18.16), 74.78% (±22.88), 80.23% (±7.88) in group A and 84.11% (±8.45), 74.98% (±13.12), 73.54% (±21.66), 79.01% (±8.11) in group B).Ultrasound therapy does not make pressure ulcers heal significantly faster, nor does it significantly reduce their surface areas, diameters and linear measurements.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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