Tag: Sebastian Szajkowski

Physiotherapeutic aspect of facial nerve function recovery after cerebellopontine angle tumour surgery

Sebastian Szajkowski, Stanisław Kwiek, Krzysztof Suszyński, Wojciech Ślusarczyk, Hanna Doleżych, Monika Buczma, Jerzy Widuchowski, Piotr Bażowski

Sebastian Szajkowski, Stanisław Kwiek, Krzysztof Suszyński, Wojciech Ślusarczyk, Hanna Doleżych, Monika Buczma, Jerzy Widuchowski, Piotr Bażowski – Physiotherapeutic aspect of facial nerve function recovery after cerebellopontine angle tumour surgery. Fizjoterapia Polska 2007; 7(4); 419-424

Abstract
Background. Facial nerve is particularly susceptible to damage in the course of cerebellopontine angle tumour surgery. For several years neurosurgeons from the Neurosurgery Department in Katowice have been able to preserve anatomical continuity of this nerve during surgery in almost all patients. However, we have observed various degrees of facial nerve paresis and rarely paralysis in the early post-operative period. These problems prompted us to investigate if rehabilitation can significantly influence long-term functional outcomes in regard to the facial nerve. Material and methods. The study group consisted of 133 patients operated for cerebellopontine angle tumours at the 1st Department of Neurosurgery, Silesian Medical University in Katowice, between 1990 and 2006. The House-Brackman scale was used for evaluation of facial nerve function in all patients. A period of 18 months after surgery was chosen as the time of final clinical assessment. Results. The study showed that rehabilitation has a statistically significant beneficial effect on long-tern assessment of facial nerve function. At the same time, tumour size and type significantly affected facial nerve function both in the early post-operative period and in long-term assessment. Conclusions. Early rehabilitation results in better long-term therapeutic outcomes. Intraoperative monitoring contributes to reducing the incidence of functional impairment of the facial nerve.
Key words:
facial nerve, intraoperative monitoring, rehabilitation, cerebellopontine angle tumour
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Influence of whole-body cryotherapy on hemodynamic parameters in patients with motor organs disease

Alicja Wołyńska-Ślężyńska, Jarosław Pasek, Sebastian Szajkowski, Tomasz Pasek, Jan Ślężyński, Aleksander Sieroń

Alicja Wołyńska-Ślężyńska, Jarosław Pasek, Sebastian Szajkowski, Tomasz Pasek, Jan Ślężyński, Aleksander Sieroń – Influence of whole-body cryotherapy on hemodynamic parameters in patients with motor organs disease. Fizjoterapia Polska 2012; 12(2); 113-118

Abstract
Background. Whole-body cryotherapy is a physical method that is increasingly being employed in rehabilitation. The procedure consists in stimulating the body with temperatures below -100ºC. The most common applications of cryotherapy is in the treatment of diseases or injuries of the locomotor system. Material and methods. The study comprised 222 patients: 114 females (51.3%) and 108 males (48.6%) selected to the study group, diagnosed with discopathy (107 persons; 48.1%), lumbalgia at L5-S1 (57 persons; 25.6%), and spinal column degeneration (58 persons; 26.1%). The patients underwent series of 10 whole-body cryotherapy procedures, the sessions, each lasting 1-3 minutes, were conducted every day for 10 days. Changes in the body surface temperature (before therapy and after its completion) were recorded and analyzed, in addition pulse, and arterial blood pressure after 1, 5 and 10 procedures, with respect to diagnosed disease and the patient’s gender were also analyzed. Results. Whole-body cryotherapy procedures caused significant reduction in body temperature (p<0.01). Evaluation of pulse and arterial blood pressure parameters showed that the group of patients with discopathy as well as spinal pain syndrome registered the highest changes in pulse rate value (p<0.01). Higher pulse rate fluctuations were observed in women. Results on arterial blood pressure values revealed a statistically significant increase in systolic blood pressure parameters only (p<0.01).Conclusion. Whole-body cryotherapy lead to significant drop in body surface temperature and increased pulse rate and systolic blood pressure.
Key words:
whole-body cryotherapy, treatment, Physical Medicine, motor organs disease
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