Tag: Piotr Wróbel

The application of a low-frequency impulse magnetic field in patients recovering from arthroscopic ablation of the medial meniscus

Piotr Wróbel, Rafał Trąbka

Piotr Wróbel, Rafał Trąbka – The application of a low-frequency impulse magnetic field in patients recovering from arthroscopic ablation of the medial meniscus. Fizjoterapia Polska 2003; 3(1); 31-37

Abstract
Background. The goal of the present study was to test the influence of a low-frequency impulse magnetic field on recovery from surgery by patients who have undergone surgical ablation of the medial meniscus. Material and methods. Our research involved 20 persons undergoing rehabilitation in a private physiotherapeutic practice. The clinical material was randomly divided into two numerically equal groups. The kinesitherapy program was identical in both groups, but the experimental group received magnetotherapy, while the control group did not. The rehabilitation program lasted for two 6-day cycles with a 1-day interval between. The patients in both groups were tested for range of movement in the knee, the strength of the femoral quadriceps, and the circumference of the affected limb, measured at the joint and 20 cm above the patella, before, during, and after rehabilitation. Results. In the experimental group the patients recovered normal range of movement somewhat faster. These patients also showed greater increases in limb circumference above the joint and greater reduction of edema in the joint itself. No significant differences were found in respect to muscle strength. Some patients from the control group showed a recurrence of edema, which did not take place in the experimental group. Conclusions. In view of the faster improvement in range of motion and the significant reduction of edema in the operated limb, the use of low-frequency impulse magnetic fields can be recommended for the rehabilitation of patients recovering from arthroscopic ablation of the medial meniscus.

Key words:
magnetic field intensity, magnetic field frequency, Knee Joint, range of movement

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High-tone power therapy in the treatment of low back pain

Piotr Wróbel, Rafał Trąbka, Beata Niedźwiedzka

Piotr Wróbel, Rafał Trąbka, Beata Niedźwiedzka – High-tone power therapy in the treatment of low back pain. Fizjoterapia Polska 2003; 3(2); 205-209

Abstract
This work presents an analysis of the possibilities of applying an energotonic therapy device in the treatment of low back pain. The theoretical and practical foundations are discussed, using the example of a HiToP 184 device. The goal of the article is to review the use of energotonic therapy in clinical practice. The material was collected at a private specialist practice in Cracow.

Key words:
High Tone Power Therapy (HiToP), lumbar spine, Simultaneous Frequency-Amplitude Modulation

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Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections

Mateusz Curyło, Katarzyna Cienkosz, Jan W. Sosnowski, Andrzej Szczygieł, Irena Szczepańska, Piotr Wróbel, Magdalena Wilk-Frańczuk,  Jan W. Raczkowski

M. Curyło, K. Cienkosz, J. W. Sosnowski, A. Szczygieł, I. Szczepańska, P. Wróbel, M. Wilk-Frańczuk,  J. W. Raczkowski – Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections. FP 2017; 17(1); 116-124

DOI: https://doi.org/10.56984/8ZG075474

Abstract

Introduction. Sedentary lifestyle connected with the civilizational development and the work in sitting position cause glenohumeral joints dysfunction, most often in the form of overload-pain ailments.
Purpose of this study. The purpose of this study was to compare the physiotherapeutic effects with the application of mobilization with motion according to Brian Mulligan and the pectoral girdle muscle tapping, and the used circumarticular injections.
Material and Methods. The research included 27 patients. The first group (16 persons) was treated with the circumarticular injections of medicines of the corticosteroids group. In the second group (11 persons) the manual therapy according to Brian Mulligan’s concept and the muscle tapping were used. The examinations were performed before the therapy and after three weeks. The used measurements included the shoulder pain and disability index SPADI, provocative tests HIN, HIB, POP, Job, “painful arc” (70°-120°), “belly–press”, goniometric measurement and the subjective pain feeling at the night time. In order to check if the used therapy type had any effect on the upper limb function improvement, the statistical analysis was made in the variance with a_mixed scheme, where the inter-group factor was the type of therapy, and the intra-group factor was the measurement moment: before and after completion of the therapy. Data were processed using Microsoft Excel and Statistica software.
Results. The applied therapy methods influenced improvement of the glenohumeral joint movement range in both groups. The group 2 had better results in reduction of periodic pain ailments and sleep disturbances.
Conclusions. Both used therapeutic programs improves functioning and reduce pain ailments in the investigated group, however the use of 2 therapeutic techniques in the group 2, according to Mulligan’s concept and the muscle tapping, brought significantly greater improvement in the clinical condition evaluation and in the patients’ subjective assessment.

Key words:
painful shoulder syndrome, manual therapy, physiotherapy

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Assessment of life quality of women after mastectomy with consideration to physiotherapy process

Mateusz Curyło, Katarzyna Cienkosz, Agata Curyło, Piotr Wróbel, Magdalena Wilk-Frańczuk, Jan W. Raczkowski

M. Curyło, K. Cienkosz, A. Curyło, P. Wróbel, M. Wilk-Frańczuk, J. W. Raczkowski – Assessment of life quality of women after mastectomy with consideration to physiotherapy process. FP 2016; 16(3); 80-87

DOI: https://doi.org/10.56984/8ZG13C49A

Abstract
Purpose of this study. Evaluation of the patient’s life quality after operational treatment of the breast cancer – mastectomy, and determination of any correlation between made rehabilitation and participation in a support group.
Material and methods. The research was conducted using a questionnaire that included open and closed questions, it had 25 questions concerning patient’s condition before and after operation.
Results. Most women use physiotherapy (88%) and support offered by Amazon Clubs (88%). The most popular form of rehabilitation appeared to be kinesiotherapy (94%) and massage (70%). It was observed that the upper limb at operated side had reduced efficiency, after operation as good it was assumed only by 16% of total. Most women stated that their emotional condition had not changed after operation (32%) or slightly worsen (24%). None of the women declared lack of acceptance for their condition after amputation. As many as 48% did not seen any influence of the mastectomy on the quality of life, and for 36% the change was negative.
Conclusions. It may not be clearly stated if bigger influence on the self assessment of the quality of life has directly only physiotherapy or the Amazon Club that builds so important psychosocial relations, it proves complexity of the rehabilitation treatment. It is required to combine oncologic treatment with physiotherapeutic procedures and activity of social organizations, as all these aspects have beneficial influence on the women’s self-esteem after mastectomy.

Key words:
cancer, mastectomy, mammary gland, rehabilitation, life quality

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