颞下颌关节与髋关节之间的功能性联系

Kamil Lenczewski, Małgorzata Wójcik

Kamil Lenczewski, Małgorzata Wójcik – Functional connections between the temporomandibular joint and the hip joint –  Fizjoterapia Polska 2024; 24(1); 122-125

DOI: https://doi.org/10.56984/8ZG2EF8R1m

摘要
引言。形成颞下颌关节紊乱的一些因素是中枢和外周神经系统的变化。在创建两个关节之间的联系的背景下,筋膜和生物张力整合的概念是重要的。在组织中创建的张力沿整个身体线性分布。在一个结构内创建过度的张力可以导致在一个远处的结构中创建相同的张力。
研究目的。研究假设是,对颞下颌关节进行持续7分钟的软组织手法治疗,将会影响髋关节在外展运动中的活动度增加。
结果。右侧和左侧髋关节获得的值显示出强烈且正向的相关性。这证明了所进行的治疗对增加运动范围有影响。
结论。颞下颌关节组织的肌筋膜释放对增加髋外展运动范围有正面效果。
关键词
手法治疗,髋关节,运动范围,颞下颌关节,肌筋膜链
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Structural anomalies determined by abnormally structured exercise

Dominik Białek, Anna Pacian, Beata Wójcik

Dominik Białek, Anna Pacian, Beata Wójcik – Structural anomalies determined by abnormally structured exercise. Fizjoterapia Polska 2023; 23(2); 176-181

DOI: https://doi.org/10.56984/8ZG0DF8A5

Abstract

Purpose. The purpose of this study is to determine the effect of selected forms of activity on the prevention of dysfunction and reduction of pain in the hip joint. Material and methods. The study included 101 subjects (men = 54, women = 47), who had different levels of physical activity or a complete lack thereof. The study was carried out using a proprietary survey questionnaire. Results. An association was found between physical activity and prevention of dysfunction and reduction of hip pain. Conclusions. Poor preparation for physical activity can result in less effective physical activity. Excessive or poorly conducted workouts can result in more undesirable outcomes than no physical activity.

Key words:

hip joint, pain complaints, physical activity, pain, dysfunctions

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Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness

Paweł Zieliński, Rafał Trąbka, Jarosław Amarowicz, Mateusz Curyło, Paweł Kamiński, Magdalena Wilk-Frańczuk, Tomasz Maicki

P. Zieliński, R. Trąbka, J. Amarowicz, M. Curyło, P. Kamiński, M. Wilk-Frańczuk, T. Maicki – Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness. Fizjoterapia Polska 2021; 21(4); 190-203

Abstract
Osteoarthritis is the most common form of human joint pathology. It is estimated that it affects about 6% of the world’s population. In addition to the hand and knee joints, the hip joint is one of the most common joints affected by OA.
The study included 59 randomly selected patients (from a group of over 600 people operated in a similar period) of the Orthopaedics and Rehabilitation Department of the Centre for Rehabilitation and Orthopaedics in Krakow, who underwent THA due to advanced degenerative changes using a cementless prosthesis.
The objective of the study was to compare the early and late outcomes of the procedure (patient’s fitness level and subjective assessment) using the anterolateral (according to Watson-Jones) and lateral (McFarland and Osborne as modified by Hardinge) approach.
The obtained results confirm better outcomes in terms of the abduction strength scale (SO%), HHS, VAS, frequency of the Trendelenburg sign and partially mobility (external rotation) in relation to short-term follow-up (especially after 6 and 12 weeks), but not long-term follow-up (after 24 weeks and 11-12 years).
It was found that people who underwent surgery using the lateral approach (according to Hardinge) recover faster than people who underwent surgery with the use of the anterolateral approach (according to Watson-Jones).
Key words:
arthroplasty, osteoarthritis, hip joint
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Hospital rehabilitation after implantation of cementless hip endoprosthesis

Ewa Rosa, Wojciech Hagner, Urszula Kazimierczak, Grzegorz Srokowski, Agnieszka Radzymińska

Ewa Rosa, Wojciech Hagner, Urszula Kazimierczak, Grzegorz Srokowski, Agnieszka Radzymińska – Hospital rehabilitation after implantation of cementless hip endoprosthesis. Fizjoterapia Polska 2003; 3(2); 159-163

Abstract
Background. Hip joint alloplasty is a very complicated therapeutic problem. The cooperation of the orthopedic surgeon with they physiotherapist is very important in successful treatment. The aim of current treatment strategies is to restore the function of the hip joint. This article describes the model of rehabilitation treatment we apply in our clinical practice.Material and methods. We examined 18 patients after hip alloplasty using a cementless endoprosthesis, operated in the Orthopedic and Traumatology Clinic of the Medical University of Bydgoszcz, and rehabilitated in the Rehabilitation Clinic of the Medical University of Bydgoszcz. On the basis of differences in limb length, the patients were divided into three subgroups: A) no difference in limb length; B) operated limb shorter; C) operated limb longer.Results. Significant differences among the subgroups were found in terms of the percentage of weight burden on the operated limb.Conclusions. Rehabilitation after hip alloplasty must consider each patient individually. Outcome depends not only on good surgical technique, but also the nature and quality of the rehabilitation program after surgery.

Key words:
Hip Joint, cementless endoprosthesis, rehabilitation

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Select physiotherapeutic methods in treatment of a hip joint degeneration

Przemysław Lisiński, Maria Tomaszewska, Włodzimierz Samborski

Przemysław Lisiński, Maria Tomaszewska, Włodzimierz Samborski – Select physiotherapeutic methods in treatment of a hip joint degeneration. Fizjoterapia Polska 2006; 6(1); 45-50

Abstract

Background. Degenerative joint disease is regarded as a civilization-related disease, and is one of the most vital problems facing global medical care at the turn of the century. In most cases this problem is connected with the hip joint, mainly among elderly people. The aim of our study was to estimate the efficiency of selected physiotherapeutic procedures
in the treatment of degenerative disease of the hip joint. Material and methods. We examined 60 persons with hip problems. The age of the patients oscillated between 47 and 77 years, with a mean of 62,8 ±10,31 years. The patients were divided into 4 subgroups, who received the same kinesitherapeutic procedures but different physical agents, such as cryotherapy, laser, magnetic field, and high-frequency impulse electromagnetic field. The duration of treatment was 21 days. We performed a full orthopedic examination before and after therapy. Results. Our results showed that the level of pain went down and the range of movement went up after treatment. Conclusions. Physiotherapy is a suitable method for treating degenerative changes in the hip joint. The time of observation was too short to allow for assessment of the improvement of the trophic properties of muscles.

Key words:
hip joint, degeneration, physiotherapy
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根据2017年蒂黑省立医院新生儿科中住院的新生儿医疗文献分析所得,导致婴儿髋关节发育不全的主要因素

Magdalena Kiecoń, Jarosław Madowicz, Paulina Głowacka, Renata Szczepaniak

M. Kiecoń, J. Madowicz, P. Głowacka, R. Szczepaniak – The main factors determining the occurrence of developmental dysplasia of the hip in infants based on the analysis of medical history of newborns staying in the neonatal ward of the Szpital Wojewódzki in Tychy in 2017. Fizjoterapia Polska 2019; 19(1); 98-107

摘要
研究目的。检查新生儿髋关节发育不全的频率,并区分导致其出现的主要因素。
材料及方法。针对位于蒂黑省立专科医院Megrez Sp. z o.o. 新生儿科中1591名病患的病历进行研究。
结果。女孩出现髋关节发育不全的频率比男孩高,普遍出现在右关节。研究中未发现髋关节发育不良的出现率与分娩的类型、孕周、孕期及新生儿出生体重间的显著相关性。然而,发现生理学上关节的发育不全和新生儿出生体重间具统计学上的显著相关性。
结果。1. 2017年在蒂黑省立医院新生儿科住院的新生儿中髋关节发育不全的发生率为2.7%,低于文献记录。2. 女孩出现髋关节发育不全的机率高于男孩。3. 髋关节发育不全出现于右关节的几率在统计学上显然较高。4. 确认在根据格拉夫量表的IIa型变异出现及新生儿体重之间存在显著相关性。5. 髋关节发育不良与分娩的类型、孕周、孕期及新生儿出生体重间未发现显著相关性。

关键词:
DDH、髋关节发育不全、儿科、新生儿、髋关节

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