Tag: rehabilitacja

Funkcje ręki w odpowiedzi na zaprojektowany program terapii zajęciowej u dzieci z cukrzycą młodzieńczą

Fatma M. Abd El Aziz, Nanees E. Mohamed, Ola A. Taha, Gehan H. El-Meniawy

Fatma M. Abd El Aziz, Nanees E. Mohamed, Ola A. Taha, Gehan H. El-Meniawy – Hand functions in response to a designed occupational therapy program in juvenile diabetes mellitus –  Fizjoterapia Polska 2025; 25(1); 306-312

DOI: https://doi.org/10.56984/8ZG007D6TB3

Streszczenie
Cel. Badanie miało na celu zweryfikowanie wpływu programu terapii zajęciowej na siłę chwytu dłoni, siłę chwytu szczypcowego i sprawność manualną u dzieci z cukrzycą typu 1.
Metody. W badaniu wzięło udział 60 dzieci z cukrzycą typu 1, w tym 31 dziewczynek i 29 chłopców w wieku od 6 do 8 lat. Uczestnicy zostali losowo podzieleni na dwie grupy równej wielkości. Grupa A była poddana tradycyjnemu programowi fizjoterapii, natomiast grupa B realizowała ten sam program fizjoterapii, uzupełniony o zaprojektowany program terapii zajęciowej. Wszyscy uczestnicy przeszli badania laboratoryjne w celu oznaczenia poziomu hemoglobiny glikowanej (HbA1c). Siłę chwytu dłoni mierzono za pomocą ręcznego dynamometru JAMAR. Sprawność manualną i siłę chwytu szczypcowego (chwyt czubkowy, trójpalczasty i boczny) oceniano za pomocą drugiej edycji Testu Sprawności Motorycznej Bruininks-Oseretsky oraz mechanicznego miernika siły Baseline Pinch Gauge, odpowiednio, przed i po leczeniu trwającym 3 miesiące, z trzema sesjami tygodniowo.
Wyniki. Po zakończeniu leczenia grupa badana wykazała istotną poprawę sprawności manualnej oraz siły chwytu dłoni i chwytu szczypcowego w porównaniu z poziomami wyjściowymi (p < 0,01). Ponadto, porównania między grupą badaną a kontrolną po zakończeniu leczenia wykazały istotne różnice na korzyść grupy badanej w zakresie sprawności manualnej, siły chwytu dłoni i chwytu szczypcowego (p < 0,001). Obie grupy wykazały również znaczną redukcję poziomów HbA1c po leczeniu w porównaniu z pomiarami wyjściowymi (p < 0,001).
Wnioski. Zaprojektowany program terapii zajęciowej może poprawiać funkcje ręki u dzieci z cukrzycą typu 1.
Słowa kluczowe
cukrzyca, funkcje ręki, sprawność manualna, terapia zajęciowa, rehabilitacja, chwyt szczypcowy
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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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住院COVID-19幸存者的工作能力和功能状态的康复影响

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj – Rehabilitation impact on the work ability and functional status of hospitalized COVID-19 survivors – Fizjoterapia Polska 2024; 24(2); 298-302

DOI: https://doi.org/10.56984/8ZG56088XJ

摘要
目的。本研究旨在确定康复对住院COVID-19幸存者工作能力和功能状态的影响。材料和方法。本研究覆盖了来自斯洛伐克普雷绍夫地区的163名受试者（101名女性；62名男性），他们因COVID-19住院。受试者年龄范围为32至62岁。实验组包含87名患者（55名女性；32名男性），在住院期间接受了住院康复治疗。对照组由76名患者（46名女性；30名男性）组成，未接受康复治疗。在所有受试者中，我们评估了工作能力指数（WAI）和患者自我报告的COVID-19后功能状态量表（PCFS）。结果。实验组患者在返回工作岗位后表现出显著更高的工作能力（p = 0.005）和功能状态（p = 0.001），与对照组相比。接受康复治疗的从事心理负担重工作类型的患者也表现出显著更高的工作能力（p = 0.022）和功能状态（p = 0.042），与另一组相比。对从事身体和心理负担重工作类型的受试者记录到了类似的结果（p < 0.001）。在身体负担重的工作类型中，组间结果无统计学意义。结论。住院COVID-19患者的住院康复形式对出院后的工作能力和功能状态具有有益影响。

关键词
COVID-19，功能状态，康复，工作能力

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疫情前、期间和之后的医疗康复服务数量

Damian Durlak

Damian Durlak – Number of medical rehabilitation services before, during, and after the COVID-19 pandemic – Fizjoterapia Polska 2024; 24(2); 223-230

DOI: https://doi.org/10.56984/8ZG5608I6Q

摘要
介绍。COVID-19疫情影响了大多数国家的所有经济部门，尤其是卫生系统感受到了其影响。由于实施的限制措施，出现了一个问题：是否在疫情期间显著减少了使用必要医疗服务的患者数量。目标。本文旨在展示过去六年中使用康复和物理治疗服务的人数如何变化。此外，还展示了各年度提供服务的价值。材料和方法。本研究利用了2017-2022年国家卫生基金报告中的数据，包含了康复服务的信息。结果。收集的数据表明，2020年使用某些康复或物理治疗服务的人数显著减少。在2021年和2022年之间，某些服务的价值显著增加。结论。康复或物理治疗服务的使用人数显著减少仅在2020年某些类型的医疗服务中观察到。目前尚不清楚有多少人希望使用这些服务但无法实现。

关键词
康复，COVID-19疫情，医疗服务

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机器人辅助步态训练频率对脑瘫儿童步态功能的可行性及效果——一项单盲随机初步研究

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim – The feasibility and effect of robot-assisted gait training frequency on gait functions in children with cerebral palsy – A single blinded, randomized pilot study –  Fizjoterapia Polska 2024; 24(1); 297-303

DOI: https://doi.org/10.56984/8ZG2EF8iRS

摘要
引言。本研究旨在探究机器人辅助步态训练（RAGT）频率对双瘫型脑性瘫痪（CP）儿童步态功能的可行性及效果。我们假设，相比常规频率（每周2次）的RAGT，增加频率（每周4次）的RAGT能够带来更大的改善。
材料与方法。将14名双瘫型CP患者随机分为两组，接受不同频率的RAGT。治疗组（TG）接受24次训练，而对照组（CG）在6周内只接受12次训练。评估包括总体运动功能测量（GMFM）D项、E项、行走距离（6分钟步行测试）、速度（10米步行测试）、平衡（儿科平衡量表）和步态质量（爱丁堡视觉步态评分）。数据在RAGT干预前后分别收集。同时，通过安全性、招募率、依从性和坚持性评估可行性。
结果。两组在GMFM D项、E项、行走距离、平衡和步态质量上均有显著改善（p < 0.05）。步行速度仅在TG中显著提高。与CG相比（p < 0.05），TG在步态质量上的改善更大（p < 0.01）。招募率为70%。所有招募的参与者均完全依从并坚持干预。未报告任何不良事件。
结论。与常规频率的RAGT相比，增加频率的RAGT能够在双瘫型CP儿童中引起更大的步态功能改善。
关键词
康复，机器人，步行，脑性瘫痪
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感觉统合与前庭系统的融合作为儿童听力丧失复杂康复的一部分

Maria Dąbrowska, Maciej Biernacki

 

Maria Dąbrowska, Maciej Biernacki – Sensory integration of the vestibular system as a component of complex rehabilitation of a child with hearing loss. Fizjoterapia Polska 2023; 23(4); 140-143

DOI: https://doi.org/10.56984/8ZG20AA4A

摘要
引言。前庭系统是人类最重要的感觉系统之一，形态上与听觉系统相连。胎儿在大约16周的发育时开始对声音做出反应，其内耳在4周时开始发育。正确接收和处理声音决定了语言的发展和理解。听觉器官可能在胎儿发育、出生或出生后期受损。听觉器官的损伤会影响感觉系统的整合。感觉统合的训练可以成功地作为儿童听力丧失综合康复的一部分引入。
目的。本文描述了在言语和听力治疗中使用的感觉统合。包括听觉练习的示例。该疗法于2019年至2021年在波兰聋人协会的托伦和比得哥什设施中进行。
听觉器官康复。听觉器官可能在胎儿发育、出生或出生后期受损。一旦损伤被识别出来，听觉器官的康复就会开始。儿童在获得助听器或人工耳蜗植入物后，有时甚至在此之前，就会接受言语和听力治疗。在广义的康复过程中，如果需要采取复杂的行动，包括物理疗法和感觉统合，这些行动是在波兰聋人协会的托伦和比得哥什设施中进行的。
听力丧失儿童的感觉统合。对于听力丧失的儿童，除了言语、教育和心理治疗外，还进行了感觉统合、物理疗法或根据儿童需求个别选择的其他康复形式。
结论。根据感觉统合概念，与其他疗法并行进行的听觉练习可以作为儿童听力丧失复杂康复的一部分使用。
关键词：
感觉统合，康复，儿童物理疗法，听力丧失
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Ultrasonography in physiotherapy and rehabilitation: A physiotherapist’s curriculum introduction.

Dominik Sieroń, Izabella Jabłońska, Maciej Kostrzewa, Dawid Lukoszek, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk, Aleksander Sieroń

 

Dominik Sieroń, Izabella Jabłońska, Maciej Kostrzewa, Dawid Lukoszek, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk, Aleksander Sieroń – Ultrasonography in physiotherapy and rehabilitation: A physiotherapist’s curriculum introduction. Fizjoterapia Polska 2023; 23(2); 104-111

DOI: https://doi.org/10.56984/8ZG0DF2DA

 

Abstract

Ultrasound examination (USG) is becoming more popular among physiotherapists. The term “rehabilitative ultrasound imaging” (RUI) refers to the use of USG in the rehabilitation process. An examination (ultrasound) is used in physiotherapeutic therapy to evaluate the tissue and function of the musculoskeletal system. The real image allows for accurate observation and stimulation of the necessary muscles during kinesiotherapy, while measurements track the treatment’s progress. Furthermore, the ultrasound examination aims to assist the physiotherapist in making an early diagnosis of dysfunctional aspects that may necessitate consultation with another specialty, thereby reducing medical errors. Preparing an educational program and conducting training in accordance with established standards and guidelines will allow physiotherapists to be adequately prepared to perform ultrasound examinations and dispel any doubts about a physiotherapist’s competence and the possibility of performing ultrasound examinations in a medical setting.

Key words: ultrasound, rehabilitation, physiotherapy, diagnostics

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Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review

Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk


Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk – Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review. Fizjoterapia Polska 2022; 22(4); 56-73

DOI: https://doi.org/10.56984/8ZG1A6k5q

Abstract
Objectives. The aim of this study was to provide an overview of the scientific evidence base on the use of ultrasonography in physiotherapy and rehabilitation of the shoulder.
Methods. The PubMed / Medline database was reviewed using the following keywords: shoulder ultrasonography AND rehabilitation; shoulder ultrasound imaging AND physiotherapy; shoulder ultrasound imaging AND rehabilitation; Rehabilitative Ultrasound Imaging AND Shoulder. Only full-text, open-access studies in English published before 15 May 2022 were included in the analysis.
Results. 51 articles (out of 748 identified) were included in the analysis. Of all the studies, 3 studies were randomized, 5 were not randomized, the rest were cross-sectional or case studies. The most common study group were patients with hemiplegia (in 13 out of 51 reviewed works). 12 papers out of 51 concerned orthopedic conditions of the shoulder with varying diagnoses. Ultrasound imaging was used mainly to assess echogenicity and measure structures of the shoulder.
Conclusion. There are many studies demonstrating the utility of ultrasound in various aspects of the physiotherapist’s practice, including but not limited to diagnostic purposes, assessment of treatment effectiveness, monitoring treatment progress, and referring the patient to another specialist.

Key words:
ultrasonography, ultrasound, imaging, ultrasonography, rehabilitation, physical therapy, physiotherapy, diagnosis, shoulder, pain, treatment

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Post-COVID-19 rehabilitation in the post-hospitalization period – case study

Michał Polawski, Wiktor Obręcki, Magdalena Kościelniak, Rafał Trąbka


Michał Polawski, Wiktor Obręcki, Magdalena Kościelniak, Rafał Trąbka – Post-COVID-19 rehabilitation in the post-hospitalization period – case study. Fizjoterapia Polska 2022; 22(3); 102-115

DOI: https://doi.org/10.56984/8ZG142HN3

Abstract
Aim of the research work. The main goal of the research work was to show an author’s plan of physiotherapeutic intervention for people suffering of COVID-19 in the post-acute stage. The therapeutic procedure highlighted pulmonary rehabilitation, aerobic and resistance training and patient’s education.
Case study. The research work was performed on a 62-year old woman, who was diagnosed with infection by SARS-CoV-2 virus. The patient was admitted to ICU with acute ARDS in a heavily severe condition. The medical history showed obesity, chronic ischemic heart disease, arterial hypertension and cardiac arrest (2011). The patient was admitted to the rehabilitation unit in the post-acute stage of infection, and was using passive oxygen therapy with oxygen flow set to 4 l/min. During the qualification for therapy the patient was tested using a questionnaire which consisted of clinical tests such as 6MWT, MRC, 30CST and FIM scale. Furthermore, the lungs were examined using spirometry. Identical measurements were being used every 2 weeks of the therapy process. After 8 weeks of physiotherapeutic procedure there was a significant increase of score in 6-MWT which upgraded by 750%. Systematic improvement was also visible in dyspnoea and fatigue, which completely surceased after finishing the therapeutic process. Functional state of the patient improved considerably which is shown by 30CST score, improved by 380%. Spirometry score analysis shows FVC, FEV1 and Tiffeneau-Pinelli index improve respectively by 40%, 53% and 9.6%.
Summary. The therapeutic program based on pulmonary rehabilitation, aerobic and resistance training and patient’s education looks very promising. Implemented procedure contributed to the patient’s relatively quick recovery to a pre-COVID-19 state. Patient’s physical and pulmonary efficiency were noticed, exertional tolerance increased, dyspnoea and fatigue gave way which all combined led to improved functional efficiency. Pulmonary system function was also enhanced which was demonstrated by spirometry.

Key words:
SARS-CoV-2, COVID-19, physiotherapy, rehabilitation

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Development of a functional training protocol to improve lower limb motor recovery in early sub-acute stroke patients

Meenakshi Jharbade, Sivakumar Ramachandran, Shankar V, John M Solomon


Meenakshi Jharbade, Sivakumar Ramachandran, Shankar V, John M Solomon – Development of a functional training protocol to improve lower limb motor recovery in early sub-acute stroke patients. Fizjoterapia Polska 2022; 22(1); 234-239

Streszczenie
Abstract
Background. Functional training is a common intervention practiced in stroke rehabilitation. The efficacy of lower limb functional training to improve functions has been widely tested in patients with chronic stroke. Improvement in function generally does not reflect changes in motor recovery. The effect of this training on motor recovery has been less explored. Moreover, a standard protocol for lower limb functional training is elusive in literature.
Aim. To develop an intervention protocol of functional training for lower extremity to improve motor recovery and functions in acute and early subacute stroke patients.
Methods. Study was conducted in two phases. First phase involved literature review to identify the components for functional training for lower extremity in patients with stroke. Second phase involved two rounds of Delphi survey to design an intervention protocol. First round of Delphi survey was conducted to identify the functions of lower extremity that can be used as components of training and second round was conducted to receive the consensus on activities of lower extremity which can be practiced in acute and early subacute stroke patients.
Results. Functions of lower extremity and exercises of functional training which received consensus of atleast 70% and above in Delphi survey are selected to design the protocol. Weight-bearing, postural control, sit to stand, stepping, walking, standing, manipulation function was selected to design activities for functional training.
Conclusion. A Functional training protocol was developed with activities for weight bearing, postural control, manipulation and walking function.
Key words:
stroke, physiotherapy, functional training, rehabilitation, task oriented exercise
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