Tag: Zbigniew Śliwiński

The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis

Łukasz Kopacz,  Anna Lubkowska, Iwona Bryczkowska,
Danuta Lietz-Kijak, Zbigniew Śliwiński

Ł. Kopacz,  A. Lubkowska, I. Bryczkowska, D. Lietz-Kijak, Z. Śliwiński – The therapeutic effect of local cryotherapy operation on the knee, joint depending on the type of diagnosis of osteoarthritis. FP 2015; 15(1); 6-14

Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients.
Material and method. The study group consisted of 50 of the patients. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before treatment was collected interview regarding comorbidities and examined pain according to VAS. In all patients performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis.
In assessing the two groups studied, both in the group with a diagnosis of osteoarthritis of the knee, as well as polyarticular osteoarthritis, and made a series of treatments local cryotherapy declared value level of pain on the VAS decreased. Considering the improvement by gender, it can be concluded that in women with a diagnosis of osteoarthritis of the knee improvement was much greater.
Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, gonarthrosis, knee joint

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Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders

Magdalena Gębska, Danuta Lietz-Kijak, Krystyna Opalko,
Ewelina Żyżniewska-Banaszak, Zbigniew Śliwiński, Marek Kiljański

M. Gębska, D. Lietz-Kijak, K. Opalko, E. Żyżniewska-Banaszak, Z. Śliwiński, M. Kiljański – Application of manual therapy in the elimination of myogenic pain in stomatognathic system disorders. FP 2015; 15(2); 60-67

Abstract

Introduction. In last years there has been considerable development of physiotherapy methods used in dentistry. Among them is the manual therapy as a_form of treatment of functional disorders of the stomatognathic system muscular origin. This method is still very popular among dentists. This is because a_small number of literature, and a_small amount of physiotherapists involved in manual therapy in order to eliminate the symptom of pain.
Aim of the study. determined the effect of relaxing and analgesic masseter muscles under the influence of the use of manual therapy.
Material and methods. study was performed in 20 females, aged from 40 to 45  pain diagnosed as a_disorder of the stomatognathic system. In patients conducted physical examination and clinical examination, electromyographic study of masseter muscles and pain assessment using the VAS scale. Then, the test group received manual therapy treatments.
Results. After completion of therapy and analysis of the results showed a_decrease in the electrical potentials studied muscle and decrease of the VAS scale

Key words:
stomatognathic system, manual therapy, electromyography, pain, VAS scale

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Physicodiagnostic amalysis of the ozonotherapy effectiveness on not afflicted craniofacial skin

Danuta Lietz-Kijak, Paulina Strzelecka, Elżbieta Kubala, Kamil Kosko, Aleksandra Simińska, Barbara Stępniak, Artur Perz, Łukasz Kopacz, Marta Grzegocka, Marek Kiljański, Zbigniew Śliwiński

D. Lietz-Kijak, P. Strzelecka, E. Kubala, K. Kosko, A. Simińska, B. Stępniak, A. Perz, Ł. Kopacz, M. Grzegocka, M. Kiljański, Z. Śliwiński – Physicodiagnostic amalysis of the ozonotherapy effectiveness on not afflicted craniofacial skin. FP 2017; 17(1); 46-55

Abstract
Aim. Evaluation the impact factor of therapeutic agent in the form of ozone application to temperature and feeling on superficial skin on facial part of the skull.
Material and Methods. The study included 60 patients, healthy, not taking any medication, aged 20 – 30 years old, 30 women and 30 men. Each time, before diagnostic tests, on cleansed skin determined 3 points: A – Supramentale, B – Chelion and C – projection of head of condylar process
of mandible on surface of skin. Then proceeded to double application of ozone – 30-and 60-seconds, in accordance with current standards for extraoral areas. Between the applications and measurements of sensation and temperature respected 15-minute break. Sensation measurement was carried out using PulpoEndometr device, and temperature was tested with laser pointer thermometer (CA 380). The last element was noticing sensations of pain using VAS scale.
Results. The results were analyzed using Statistica software.
Conclusions. 30-seconds of application in point. A woman pointing to the initial symptoms of analgesic, but in the general population can be seen only trailers that action. 60-seconds
of application at this point, and both applications in point. B showed a slightly increased sensitivity to stimuli. Different applications of ozone impact were noted in point. C, which was a slight decrease
in sensitivity to stimuli. It is worth noting that both applications of ozone in men at point C show some symptoms of analgesic.

Key words:
ozontheraphy, analgesia, feeling, temperature, OzonyTron

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The rehabilitation of patients after the cerebral stroke including socio-demographic factors

Marzena Kobylańska, Bartosz M. Wójcik, Renata Szczepaniak, Zbigniew Śliwiński

M. Kobylańska, B. M. Wójcik, R. Szczepaniak, Z. Śliwiński – The rehabilitation of patients after the cerebral stroke including socio-demographic factors. FP 2016;16(4);82-97

Abstract

Introduction. According to the World Health Organization, cerebral stroke constitutes the third largest cause of death just after heart disease and cancer. It is estimated that every year 4.6 million people die due to stroke, including 3.2 in developing countries and 1.2 in developed ones. It has been observed that the effectiveness of physiotherapy in patients after a stroke depends on biological factors but also on their socio-economic condition.
The dissertation goal. The goal of this dissertation is to analyze the role of socio-demographic factors in the process of physiotherapy for patients after a cerebral stroke.
Materials and methods. The research has been carried out at the neurological rehabilitation ward of the Wrocław Center for Rehabilitation and Sports Medicine. The research group consisted of 120 patients after cerebral stroke. The examination was conducted at two time intervals – on the first day of the patient’s treatment at the neurological rehabilitation ward, and after three weeks of rehabilitation. All the patients participated in the systematic physiotherapy, which is a standard procedure at the neurological rehabilitation ward, where they had a defined schedule of frequency and time of rehab. A full research cycle lasted for three weeks for every patient. The following methods were used in the research: Barthel Scale (Barthel Index, BI), Lawton Scale (Instrumental Activity of Daily Living (IADL), Rivermead Mobility Index (RMI), Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Generalized Self – Efficacy Scale (GSES), Acceptance of Illness Scale (AIS), and Visual Analogue Scale (VAS).
Results. Factors regarding the biological nature of the patient’s condition such as age, time since the stroke, type of stroke, and number of coexisting diseases have a definite impact on the low effectiveness of the physiotherapy conducted at the neurological rehabilitation ward. Socio-demographic factors, marital status, professional activity, and kind of job, also have an impact on the low effectiveness of the conducted physiotherapy.
Conclusions. Comprehensive rehabilitation of neurological patients after the cerebral stroke, taking into account socio-demographic factors is essential to achieve high effectiveness of physiotherapy.

Keywords:

stroke, physiotherapy, socio-demographic factors

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Comparative analysis physiotherapy in children with atypical autism

Natalia Habik, Paweł Wieczorkowski, Zbigniew Śliwiński

N. Habik, P. Wieczorkowski, Z. Śliwiński – Comparative analysis physiotherapy in children with atypical autism. FP 2016;16(4);72-81

Abstract

Introduction. The autism is an all-embracing development disorder that affects all areas of the child functioning. It causes disturbances in the interpersonal communication. It leads to difficulties in submission to social rules due to the lack of their understanding.
Material and Methods. In this research the case of two children has been described, Zazanna and Aleksander, who took part in the physiotherapeutic sessions with the physiotherapist at the National Autistic Society in Kielce, once a week for 1 hour.  The research was held in the period from November 2015 to March 2016. The children were 4 years old. The PEP model with a scale 0-5 was used to evaluate the children.
Results. The children with atypical autism have disturbances in perception, communication and speech.  The least difficult are for them tasks related with gross motor and visual-motor coordination. The examined boy was more promising comparing to the girl.
Conclusions. The children with diagnosed atypical autism differ in terms of psychophysical development depending on their gender. According to the psychoeducational profile PEP, the physiotherapy reduces disorders resulting from the diagnosed autism spectrum. The gender has significant influence on the fine and gross motor development in children with ASD.

Keywords:

autism, ASD, physiotherapy, psychoeducational profile

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Blended Learning in Physiotherapy Education: Magic Mix That Improves Quality of Student Learning

Thirumalaya Balaraman, Narasimman Swaminathan, Zbigniew Śliwiński, Marek Kiljański

T. Balaraman, N. Swaminathan, Z. Śliwiński, M. Kiljański – Blended Learning in Physiotherapy Education: Magic Mix That Improves Quality of Student Learning. FP 2016;16(4);24-28

Abstract

Background.
Teaching face to face and partly online is called blended teaching. In practical oriented subjects like physiotherapy more hands on training is required. Hence online teaching may not help to meet the learning outcomes. But a combination of face to face and online may be very effective in delivering the course contents. In this paper the effect of blended teaching on students learning is discussed.
Aim.
The aim of this paper is to discuss the efficacy of blended learning to improve the quality of student learning in physiotherapy education.
Materials and methods.
At INTI International University, we delivered physiotherapy selected courses in blended mode using various tools in the Blackboard platform. We also used zoom and skype to deliver in-classroom lectures with international expert from overseas. The efficacy of this method was evaluated through student’s feedback and performance in the formative and summative assessments
Results.
The students participated in these courses perceived blended teaching strategies very effective and convenient. Blended learning encouraged more collaboration between students which was evident based on their summative exam scores.
Conclusion.
Blended teaching strategies may be effective in physiotherapy education to improve the quality of students learning. A higher quality studies will provide more evidence.

Key words:
blended learning, physiotherapy education, physiotherapy education,

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Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists

Łukasz Kopacz, Danuta Lietz-Kijak, Artur Perz, Elżbieta Kubala, Paulina Strzelecka, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, D. Lietz-Kijak, A. Perz, El. Kubala, P. Strzelecka, E. Kijak, Z. Śliwiński, M. Kiljański: Application of the physiotherapy Kinesiology Taping method in treatment of pain of the cervical spine in young dentists. Fizjoterapia Polska 2015;15(3);36-44

Abstract

Introduction. Dentists, due to the conditions of their work, are exposed to many loads both physical and psychological. Considering the ergonomics of work, health status of this professional group should be considered primarily in terms of diseases of the spine, especially the cervical. This applies to all items in the work, both independently, as well as in team techniques, where apart from monotypy and monotony, there is always forced posture, and large static load, that contributing to a lot of degenerative arthritis changes of the cervical spine disorders, which are the result of the above-mentioned degenerations. Material and method. The study were conducted in the Department of Propedeutics and Dental Physicodiagnostics of the Pomeranian Medical University. The study group consisted of 36 fifth-year students of dentistry at the Faculty of Medical-Dentistry, Pomeranian Medical University in Szczecin with chronic pain of the cervical spine. Group of examined persons was subjected to the treatment with Kinesiology Taping method,  in which were used muscular and ligaments technique , accordance with the methodology. In the study has been used diagnostic survey method – a questionnaire. To assess the degree of feeling pain by the subjects were used a visual analogue scale VAS in the horizontal format in the range of 0-10.
Results. Considering the range of motion of the cervical spine flexion, the Kinesiology Taping method has improved in this movement, and extension range in the cervical spine improved more than the range of flexion. Taking the scope of the movement of the bend into the side, as well as the turn of the cervical spine in the test group were significantly improved, both in motion toward the right as and left. Examined in terms of assessing the level of the declared values of pain on VAS observed a significant reduction of this disease. Conclusion. Kinesiology Taping application also favorably influenced the range of motion of the cervical spine, while improving comfort work. Kinesiology Taping method applied among young dentists had a positive effect on the declared value of pain on the VAS, which transfers into a reduction. Considering the sex of patients, in the group of women has significantly improved the range of extension, while in men the range of flexion.

Key words:
Kinesiology Taping, pain, spine

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Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method

Marek Wiecheć, Agnieszka Chudzik, Zofia Śliwińska, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński

M. Wiecheć, A. Chudzik, Z. Śliwińska, D. Lietz-Kijak, E. Kijak, Z. Śliwiński: Assessment of the Therapy Effectiveness in Patients with the Lumbar Degenerative Disc Disease Treated with the McKenzie Method. Fizjoterapia Polska 2015;15;(3);24-34

Abstract

Introduction. The lower back pain syndromes can be defined as a series of ailments associated mainly with the lumbosacral section of a spine. The intervertebral discs disorders and degenerative processes are being  considered the major cause of these syndromes. A lower back pain may also be caused by the anatomical structures of a spine. The treatment of a lumbosacral pain is always a complex procedure. It includes kinezytherapy, physiotherapy and aims to reduce the pain, strengthen the muscular corset, restore the range of movement, muscle strength, and to re-educate patients in the areas of the correct posture patterns and the physical activities. Materials and Methods. In the research participated 38 patients with the diagnosed lumbar degenerative disc disease. The patients had been divided into 2 groups – control group and study group. All the participants, before they took part in the research, had been subjected to various forms of treatment and had been taking pain and anti-inflammatory medications. The study group had undergone treatment according to the McKenzie method, while the control group had  applied the Maigne syndrome exercises. Both groups were treated with the physiotherapeutic procedures. After completing the exercises, each group filled out a questionnaire regarding the treatment. Objective: To determine the impact of treatment according to the McKenzie method on changes in the functional status of patients with the lumbar degenerative disc disease. Conclusions. The research has shown, that the application of the McKenzie method yielded positive results in terms of the increased range of movement within the lumbosacral spine section, in all patients. McKenzie method exercises do have an impact on the peripheral joints of the spine. The physiotherapy treatment according to the McKenzie method, applied in the study group, resulted in a reduction of pain in the l-s spine section, in 100% of patients. The Maigne method application in patients with the diagnosed lumbar degenerative disc disease, only in a mild way alters the patients’ sensation of the lower back pain.

Key words:
lumbar intervertebral discs, McKenzie method therapy, therapy by Maigne

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Hardware-software medical rehabilitation complex for vertebral diseases patients

O.A. Panchenko, Zbigniew Śliwiński, S.M.Radchenko, A.V. Kabantseva

O.A. Panchenko, Z. Śliwiński, S.M.Radchenko, A.V. Kabantseva: Hardware-software medical rehabilitation complex for vertebral diseases patients. Fizjoterapia Polska 2015;15(3);6-11

Abstract
The distinctive feature of modern medical rehabilitation procedures is a high information level of diagnostic and therapeutic techniques, new diagnostic tools for external manipulation with a human body (rehabilitation equipment, hardware – software complexes and so on) based on the most advanced cybernetic and electronic microtechnology methodologies, programming etc.
All of those systems are focused on accurate dosing parameters provision, maintaining of its values in terms of patient’s physiological characteristics variability, and so on.
So called biofeedback complex plays the most important role in all these systems. Its purpose is to aim development and improvement processes and self-regulation mechanisms for physiological functions in various pathological conditions. Such systems in Ukrainian rehabilitation facilities are still rare, but our experience proved their practice effectiveness and promoted our own promising rehabilitation method.
The aim of our investigation is to research and analyze multi-functional hardware-software system EN-TreeM in vertebral diseases patients’ rehabilitation course.
According the results of our investigation we can make a conclusion, that single session kinesitherapy effect on musculoskeletal system disorders for patients of both sexes is characterized by muscle strength increase and endurance. Kinesitherapy stimulating effect on the human body improves the functional state of the neuromuscular system. Qualitative characteristics of strength value for female and male patients as a result of rehabilitation session increased by an average of 1 (95% BI 0; 2) kgs (p < 0.05); muscle endurance for female patients varied by an average of 2 (95% ВІ 1; 3), for male patients 1 (95% ВІ 0, 4) (p < 0.05). Rehabilitation course showed an increase muscular endurance of male patients by an average of 4 (95% CI 2, 6), statistically significant differences for female patients’ endurance parameters before and after were not recorded.
Miographical studies have shown that the value of chronaxia by kinesitherapy rate remained stable for female and male patients, varied by 70 ± 16 (95% BI 60; 123) ms. This shows the lability of muscle tone for male ones due to the high proportion of striated muscle.
Clinical observations showed good kinesitherapy procedures tolerability and lack of adverse reactions. All patients reported pain reduction or initial pain relief. The improvement occurred even after the first procedure. When rehabilitation course was finished, there was significant reduction in pain and inflammation and even complete relief of pain and destructive inflammatory responses. Range of motion was increased. Vertebrogenic pain relief was observed after 2-5 days of treatment, radicular pain relief was observed after 4-6 days of treatment.
Kinesitherapy and cryotherapy usage in treatment of musculoskeletal system disorders for patients of both sexes are well tolerated. There are no side effects, such treatment promotes inflammation regression, reduces the severity of pain and reflex tonic syndromes.

Key words:
Hardware-software, medical rehabilitation, vertebral diseases

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Therapeutic value of local cryotherapy in symptomatic treatment of patients with shoulder joint pain syndrome

Łukasz Kopacz, Żaneta Ciosek, Karolina Kot, Danuta Lietz-Kijak, Edward Kijak, Zbigniew Śliwiński, Marek Kiljański

Ł. Kopacz, Ż. Ciosek, K. Kot, D. Lietz-Kijak, E. Kijak, Z. Śliwiński, M. Kiljański: Therapeutic value of local cryotherapy in symptomatic treatment of patients with shoulder joint pain syndrome. FP 2015;15(4);54-62

Abstract

Introduction. The aim of this study was to determine the effects of the cryotherapy treatment on the mobility of the shoulder joint of the patients with osteoarthritis. We took into consideration the motion of flexion and extension. Additionally, the potential changes in the pain complaints were analyzed.
Material and methods. We examined 54 patients in the study, including 31 women and 23 men. They were put through the local cryotherapy on the shoulder joint 15 times daily. Before participating, all patients gave their informed consent to take part in the study and they were asked to rate their pain in the Visual Analogue Scale (VAS). The range of motion in the shoulder joint of every patient was measured  by goniometer before and after cryotherapy.
Results. All patients who underwent the series of cryotherapy had significant improvement of flexion and extension in the shoulder joint. Taking into consideration the general analysis of pain rated in the VAS score by the participants, we observed a significant reduction in the values of VAS indicated by the patients after the series of treatments.
Conclusions. Local cryotherapy is a reliable method that reduce pain and improve range of motion in the patients with pain syndrome of the shoulder joint.

Key words:
cryotherapy, shoulder joint, cold therapy

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