Tag: Wojciech Cieśla

Restrictions, impediments and requirements in physiotherapy of the elderly

Krzysztof Gieremek, Janusz Nowotny, Tadeusz Szymon Gaździk, Wojciech Cieśla

Krzysztof Gieremek, Janusz Nowotny, Tadeusz Szymon Gaździk, Wojciech Cieśla – Restrictions, impediments and requirements in physiotherapy of the elderly. Fizjoterapia Polska 2007; 7(2), 198-205

Abstract

Aging is an inevitable and dynamic process that leads to a number of adverse changes in both the locomotor system and internal organs as well as the weakening of the body’s regenerative and compensatory abilities. The full recovery of mobility following an illness or dysfunction is difficult and sometimes impossible, affecting the quality of life of the elderly patient. Concomitant psychological problems related to the elderly patient’s attitude to their illness and their expectations about those around them require a modified approach to many aspects of rehabilitation, including physiotherapy, of the elderly. This article describes the tasks that should be addressed in preventative physiotherapy and treatment modalities used in socalled main therapy and secondary prevention of geriatric patients. Emphasis is placed on the principles of planning customised active exercise sessions with particular regard to functional status assessment in individual patients. Besides examples of forms of physical activity and exercise devices for geriatric patients, the article provides comments and descriptions of the most common problems related to selected physiotherapy procedures for the elderly.

Key words:

geriatrics, determinants of physiotherapy, physiotherapy of elderly, kinesitherapy

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The efficiency of mechanism regulating body posture among children and teenagers with low degree scoliosis

Wojciech Cieśla, Tomasz Cieśla, Janusz Nowotny

Wojciech Cieśla, Tomasz Cieśla, Janusz Nowotny – The efficiency of mechanism regulating body posture among children and teenagers with low degree scoliosis. Fizjoterapia Polska 2011; 11(4); 317-326

Abstract
Background. Maintenance of correct body posture requires, among other factors, efficient functioning of the mecha­nism regulating equilibrium of the body, whereas incorrect structure of the body, e.g. in patients with scoliosis, changes conditions of balancing the body thus affecting the function of postural control mechanisms. This study was undertaken to find out when and in what way the regulation of posture begins to be less effective and whether a low degree scoliosis is a cause of negative changes in this area.Material and methods. 138 children, aged from 7 to 15 years were selected for the study. The main group consisted of 88 subjects – children with low degree scoliosis. 50 children without any postural problems constituted the control group. Photogram­metry and stabilometric measurements were carried out simultaneously with the subjects’ eyes open and closed in order to evaluate posture parameters and the projection and pathway of the center of gravity (COG) of the human body.Results. Such factors as scoliosis and gender do not affect COG projection on the X axis. Evaluation of the differences in COG behavior revealed that the subjects’ age and visual control were significant factors.Conclusions. In children and teenagers with scoliosis, the behavior and the position of the COG projection does not change significantly compared to children and teenagers without scoliosis. Effectiveness of the mechanisms regulating body posture improve with age and in children and teenagers with low degree scoliosis these processes are not significantly disturbed.
Key words:
body posture, low degree scoliosis, Photogrammetry, stabilography, equilibrium reactions
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The use of deep water running in physiotherapy – possibilities and restrictions

Wojciech Cieśla, Krzysztof Gieremek, Jarosław Drabik, Tomasz Cieśla

W. Cieśla, K. Gieremek, J. Drabik, T. Cieśla – Zastosowanie treningu biegowego w głębokiej wodzie w fizjoterapii – możliwości i ograniczenia. FP 2013; 13(3); 28-33

Streszczenie
Bieganie w głębokiej wodzie – Deep Water Running (DWR) jest od lat 80-tych ubiegłego stulecia w wielu krajach Europy zachodniej i Ameryki Płn. dość powszechnie stosowanym sposobem przeciwdziałania zmniejszaniu wydolności organizmu. Ten rodzaj treningu był i jest szczególnie chętnie stosowany u sportowców, którzy doznali obrażeń ciała wykluczających ich czasowo z normalnych treningów wymagających obciążania aparatu kostno-stawowego. Wieloletnie doświadczenia lekarzy, fizjoterapeutów pokazują, że umiejętnie zastosowany trening biegowy w wodzie, posiada szereg zalet, które mogą być wykorzystane również u osób borykających się takimi problemami zdrowotnymi, jak np.: choroba zwyrodnieniowa stawów, otyłość czy zaburzenia koordynacji ruchów. DWR stosowany jest w kilku ośrodkach leczniczych i rehabilitacyjnych w naszym kraju, lecz Iiczba ich jest niewielka. Z uwagi no zalety prozdrowotne tego rodzaju treningu zasługuje on na przybliżenie jego zalet i wad oraz no krótką charakterystykę głównych założeń metodycznych.

Słowa kluczowe:
terapia w wodzie, bieg w głębokiej wodzie, fizjoterapia

Artykuł dostępny tylko w j. polskim

Biomechanical aspects of elbow joint action in rheumatoid arthritis

Jolanta Rojczyk-Chmarek, Janusz Błaszczyk, Krzysztof Gieremek, Wojciech Cieśla, Jacek Polechoński

J. Rojczyk-Chmarek, J. Błaszczyk, K. Gieremek, W. Cieśla, J. Polechoński – Biomechanical aspects of elbow joint action in rheumatoid arthritis. FP 2014; 14(1); 6-16

Abstract

Functional limitations associated with RA-induce changes within the elbow joint and result in biomechanical disturbances. Objective data on the mobility of the affected articulation would facilitate the assessment of disease severity, selection of optimal physiotherapy interventions. Materials and Methods. Our study participants performed cyclic forearm extension and flexion elbow movements with different angular velocities. Biomechanical assessment comprised of spatiotemporal properties of cyclic movements. Spatial analysis of movement included the determination of movement direction (flexion, extension) and amplitude whereas the temporal analysis included the duration of particular movement phases as well as time-frequency analysis of a movement cycle. Results. The obtained results indicate that movement parameters in patients with rheumatoid arthritis differ significantly compared to normal ranges. Movement speed and amplitude as well as frequency and duration of movement are decreased. RA patients also exhibited considerable asymmetry of cyclic flexions and extensions of the elbow joint. Conclusion. It can be concluded that a biomechanical analysis using a manipulandum apparatus is a valuable diagnostic tool allowing objective evaluation of elbow function in rheumatoid arthritis. The measurements are highly sensitive, and hence, if performed in a larger patient population, they might help develop a classification of movement dysfunction in rheumatoid arthritis of the elbow joint. The analysis might also facilitate the assessment of hand dysfunction at various stages of RA development.

Key words:
rehabilitation, elbow, biomechanical, rheumatoid arthritis

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Assessment of the effects of rehabilitation interventions for patients with rhematoid arthritis using biomechanical analysis of elbow function

Jolanta Rojczyk-Chmarek, Joanna Cieślińska-Świder, Krzysztof Gieremek, Wojciech Cieśla, Jacek Polechoński

J. Rojczyk-Chmarek, J. Cieślińska-Świder, K. Gieremek, W. Cieśla, J. Polechoński – Assessment of the effects of rehabilitation interventions for patients with rhematoid arthritis using biomechanical analysis of elbow function. FP 2015; 15(1); 36-47

Abstract

Background. The aim of the investigations was to verify the effectiveness of a method of elbow function evaluation in patients with rhematoid arthritis. The method was expected to allow monitoring of disease progression and to help assess the effects of rehabilitation interventions.
Material and Methods. Cyclic flexion-extension movements in the elbow joint were examined in 82 individuals. The measurements were carried out with a computer-controlled unit for studying elbow movements (manipulandum). The study participants performed movements 1) of minimum speed, ie., the slowest possible movement, 2) of preferred speed consistent with patient preferences and habits, and 3) of maximum speed. The measurements were carried out before and after a 3-week rehabilitation program.
Results. The obtained results indicate that the rehabilitation intervention caused improvement in several parameters of the investigated movements. Movement amplitude (range of movement),  angular velocity (especially angular velocity of elbow extension) increased, the symmetry index decreased while no changes were observed in movement cycle duration for preferred and maximum speed.
Conclusions. The results indicate that this method of isokinetic movement evaluation allows objective assessment of articular pathologies and rehabilitation/pharmacotherapy outcomes. Our investigations suggest that, in order to obtain reliable information on the patient’s functional status, the measurements should be performed during preferred and maximum speed elbow movements. Information thereby obtained might be of considerable importance for selection of appropriate physiotherapy interventions.

Key words:
rehabilitation, elbow, biomechanical, rheumatoid arthritis

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