Tag: Zbigniew Śliwiński

The use of a Szirmal myotonometr to evaluate spastic tension in the lower limbs of children with cerebral palsy

Zbigniew Śliwiński, Bartłomiej Halat

Zbigniew Śliwiński, Bartłomiej Halat – The use of a Szirmal myotonometr to evaluate spastic tension in the lower limbs of children with cerebral palsy. Fizjoterapia Polska 2001; 1(3); 261-267

Abstract

Background. The authors present the results of their research on the behavior of spastic muscle tension in the lower limbs of children with cerebral palsy. Material and method. The experiment was conducted with a group of children undergoing treatment at the Zgorzelec Rehabilitation Center. During a month-long hospitalization, an individualized rehabilitation program was developed and realized for each child. The children whose muscle tension was tested received cryostimulation in both lower limbs twice daily for 10 days of therapy. The value of the muscle tone was checked on the surface of the muscle belly of the quadriceps and biceps of the thigh and the triceps of the calf, with measurements made before cryostimulation, 10 minutes afterwards, and again 20 minutes after the conclusion of the procedure. The tests were repeated before the beginning of the rehabilitation program, after the fifth day, and after the tenth day. Muscle tension was measured using a Szirmai myotonometer. Results. A statistically significant difference occurred in the spastic tension at the level of the muscle belies of the quadriceps. There is an observable, though smaller difference in the thigh and the triceps of the calf. The trend line as an average reveals a tendency to markedly reduced spastic tension in the lower limbs after the application of the appropriate rehabilitation program. Conclusion. In the authors’ opinion, the Szirmai myotonometer is a useful tool enabling the objective evaluation of muscle tone.

Key words:
pediatric cerebral palsy, Szirmai myotonometr, spastic tension
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The application of laser biostimulation in the treatment of maxillary and frontal sinuses

Beata Ufniak, Jerzy Przybylski, Zbigniew Śliwiński, Zdzisław Zagrobelny

Beata Ufniak, Jerzy Przybylski, Zbigniew Śliwiński, Zdzisław Zagrobelny – The application of laser biostimulation in the treatment of maxillary and frontal sinuses. Fizjoterapia Polska 2001; 1(4); 346-353

Abstract
Background. This article describes the application of laser biostimulation in the treatment of maxillary and frontal sinusitis. The symptoms of the disease are described, along with the treatment protocols for both acute and chronic sinusitis. The article also describes the operating principles of laser radiation and the exposure techniques, which the authors have divided into two types: contact and non-contact. Material and methods. Our research involved 50 patients, 30 with maxillary sinusitis and 20 with frontal sinusitis, who had previously been treated only pharmacologically. The laser used in therapy was an LBK 2 apparatus manufactured by Amber, which emits invisible radiation with a wavelength of 980 nm and a power density of 35 mW/cm2. The radiation dose did not exceed 5 J/cm2. Treatment was administered in two stages. The first included 10 procedures, while the second began after a 2-3 week break, and included 3-6 procedures (once every two days). Of the 50 patients who commenced laser therapy, 20 had very severe symptoms, 20 had severe symptoms, and 8 had mild symptoms. Results. 86% of the patients completed treatment with excellent results, i.e. disappearance of edema and inflammatory exudates, remission of inflammation, and subsidence of pain. 12% of the patients reported good results, i.e. incomplete remission of symptoms. 2% of the patients finished treatment without any reaction. Conclusions. Laser therapy is effective in the majority of cases of maxillary and frontal sinusitis, in both acute and chronic forms, eliminating edema, pain, and inflammation of the mucous membrane of the nose. Laser biostimulation can be more effective in some cases than pharmacological treatment, and in combination with other physical agents gives excellent therapeutic outcomes in the treatment of laryngological patients.

Key words:
acute sinositis, chronic sinusitis, infrared light, therapeutic dose, laser contraindications, contact and non-contract laser procedures

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Thermovisual evaluation of vascular behavior in the paretic upper limb after local cryostimulation in stroke patients

Zbigniew Śliwiński, Piotr Plaza

Zbigniew Śliwiński, Piotr Plaza – Thermovisual evaluation of vascular behavior in the paretic upper limb after local cryostimulation in stroke patients. Fizjoterapia Polska 2002; 2(2); 112-117

Abstract
Background. Stroke is the third most common cause of death, one of the most common causes of handicap, and the most common cause of disability among persons older than 40. Each year 4.6 million people around the world die from strokes, including 3.2 million in developing countries and 1.2 million in highly industrialized countries. In view of the high morbidity rate and the serious consequences of stroke, in the form of limb paresis, the authors decided to use a thermovision camera to check vascular reactions in the paretic limb by evaluating temperature changes on the skin subsequent to cryostimulation by liquid nitrogen vapors. Material and methods. Our research involved 28 patients with an average age of 61.3 years. The procedure was performed on the forearm of the paretic upper limb, which was cooled for 6 minutes (from the hand to the elbow cavity, the dorsal surface and the palm surface). Thermovision images were made 5 times for each patient. Results. The authors observed that as a result of the procedure the temperature of the cooled limb went down 12°C, and 2.6°C in the other limb. Conclusions. The results cannot be easily interpreted. In the authors’ opinion, the temperature reduction in the limb that was not cooled results from contralateralization of the consensual reflex. The present study is a preliminary report describing the phenomenon we observed.

Key words:
Stroke, Cryostimulation, thermovision, vascular behavior

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The efficacy of early neurostimulation of development in the Wroclaw Model of Rehabilitation for Down’s syndrome children, as measured by bio-electric examinations of the brain

Witold Pilecki, Ludwika Sadowska, Monika Mysłek, Zbigniew Śliwiński

Witold Pilecki, Ludwika Sadowska, Monika Mysłek, Zbigniew Śliwiński – The efficacy of early neurostimulation of development in the Wroclaw Model of Rehabilitation for Down’s syndrome children, as measured by bio-electric examinations of the brain. Fizjoterapia Polska 2002; 2(2); 99-107

Abstract
Material and methods. Brainstem auditory evoked potentials (BAEP) and visual evoked potentials (VEP) were examined in two groups of small children with Down syndrome (DZ), one group rehabilitated since birth in the Wrocław Model of Rehabilitation (WMU), and the other not rehabilitated. The findings were compared with an homologous control group of healthy children. Results. During the BAEP examinations, the latency of deflection I was analyzed, where delayed latency indicates reduced sensitivity to sound. The examinations showed a significantly higher percentage of poor results in the group of DS. children who were not rehabilitated (33.3% in the first examination and 27.3% during the control examination). In the group of children with DS rehabilitated since birth, the percentage was 5 times lower (5.4% at the beginning of rehabilitation and 3.8% after several months of rehabilitation), similar to the results achieved in the control group (3.3%). In the VEP examinations, the percentage of normal results after stimulation with a flash of light was low in the group of children not rehabilitated (34% on the first examination). In the group of rehabilitated children, 53% achieved completely normal results. In the control examination, in the group of children not rehabilitated, normalization was observed in only one case (of 5 examined children), whereas in the rehabilitated group normalization occurred in 6 out of 13 cases with previously abnormal results. Ultimately, normal results were achieved by 38% of the children not rehabilitated and 68% of the rehabilitated children. In the control group, 84% of the results were normal. Conclusion. In the case of children with Down’s Syndrome, the activity of the examined analyzers differs from healthy children. On the other hand, the improvement observed over time indicates that some normalization of function does occur in these analyzers, particularly in children subjected to neurostimulation since the first months of life.

Key words:
Down, brain evoked potentials, Wroclaw Model of Rehabilitation

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The role of nitric oxide in the modulation of arterial smooth muscle contraction evoked by activation of adrenoreceptors during laser biostimulation

Magdalena Mackiewicz-Milewska, Jan Talar, Grzegorz Grześk, Leszek Szadujkis-Szadurski, Irena Bułatowicz, Zbigniew Śliwiński

Magdalena Mackiewicz-Milewska, Jan Talar, Grzegorz Grześk, Leszek Szadujkis-Szadurski, Irena Bułatowicz, Zbigniew Śliwiński – The role of nitric oxide in the modulation of arterial smooth muscle contraction evoked by activation of adrenoreceptors during laser biostimulation. Fizjoterapia Polska 2002; 2(2); 89-98

Abstract
Introduction. The mechanisms of action of laser biostimulation on tissue continues to be the object of scientific investigation. The positive impact of laser radiation of low and medium power on inhibiting vascular contraction has been proven. It remains unknown, however, exactly how this takes place. We investigated the role of nitric oxide in this process.Material and methods. An in vitro experiment was performed on isolated tail arteries of male Wistar rats. The arteries were first subjected to the effect of noradrenalin (NA) and phenylephrine (PHE), and then to the effect of laser radiation (10, 30 and 100 mW), Then an inhibitor of nitric oxide synthase was added to the incubation fluid, along with methylene blue, and the effects of laser radiation in these conditions were observed.Results. Laser radiation of 10, 30, and 110mW inhibits the vascular contraction reaction induced by NA and PHE. The addition of a nitric oxide inhibitor or a guanyl cyclase inhibitor (methylene blue) to the incubation fluid cancels the inhibitory effect of laser biostimulation on contraction. Conclusion. Our results imply that the inhibitory effect of laser biostimulation on vascular contraction is mediated by nitric oxide and its secondary transmitter, guanyl cyclase.

Key words:
laser biostimulation, vascular endothelium, Nitric Oxide, adrenoreceptors

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Hippotherapy as one of the elements of comprehensive pediatric rehabilitation at the Zgorzelec Rehabilitation Center

Zbigniew Śliwiński, Anna Morawska, Bartłomiej Halat

Zbigniew Śliwiński, Anna Morawska, Bartłomiej Halat – Hippotherapy as one of the elements of comprehensive pediatric rehabilitation at the Zgorzelec Rehabilitation Center. Fizjoterapia Polska 2002; 2(3); 250-256

Abstract
The hyppotherapy is one of the form rehabilitation in the ICP. This manner of treat used only one kind of horse’s walk which name is walk. The horse riding normalizes the tension of muscles . It is connected with the correct position on horse , the rhythmic movement of rider, alternately flex and relax of muscle and the temperature of horse. The horse riding for children who don’t walk to let the felling the location own body in air space. In the hyppotherapy the authors distinguish ; therapeutic horse riding, horse’s rehabilitation, therapy by the contact with horse, pedagogic and therapeutic bareback riding, the horse riding for disabled people. The authors presented the indication to the horse riding- neurological syndromes, faulty posture genetic illness eg Down’ syndrome, myelomeningocele. They described also the contraindication eg. mental handicap, epilepsy, osteoporosis, injures on the of skin, retinodialises, injures or column, rethrolisteses and allergy to horse’s fur, sweat or odour. The authors presented also the rules comprehensive rehabilitation for children with ICP which is used in the Rehabilitation Center in Zgorzelec.

Key words:
ICP, hipotherapy form, idication and contridication

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Evaluating the motor development of infants using Vojta’s method, with particular attention to risk factors, in clinical material from a Rehabilitation Center for Children with Cerebral Palsy

Aleksandra Deljewska-Starykow, Zbigniew Śliwiński, Wanda Różyło

Aleksandra Deljewska-Starykow, Zbigniew Śliwiński, Wanda Różyło – Evaluating the motor development of infants using Vojta’s method, with particular attention to risk factors, in clinical material from a Rehabilitation Center for Children with Cerebral Palsy. Fizjoterapia Polska 2002; 2(3); 216-228

Abstract
Background. The author described child’s physical and mental development in the first year his live in Theodor Hellbrige’s opinion. They presented new definitions how „high-risk pregnancy, „high-risk birth, „high-risk child” They talked over risk factors and among of them there is of great importence famillie’s relations connected with the Rh factor, main blood groups, famillie’s enzynopathy and chromosome aberration also mather’s ilnneses during the her pregnancy. They payed special attention to the gestosis, diabetes, tyroid’s ilnneses, obesity, anemia, passed infectius and bleeding. The authors rated negative factors among low height of mather, low weigth of mather befor her pregnancy and no hygienic live. The period shorter than 6 months between the pregnancies is health risk also, and like how the inflammatory proceeses of the Central Nervous System, generalized cyanosis, low evaluation in the Apgar Scale, acidosis, hiperbilirubinamy, infantile convulsions, neonatal asphyxia, the children born after different complications related to labour.The aim of examine.• The neurophysiology analysis of the development newborn from the group high-risk pregnancy, high-risk birth, especially children which was born before 37 weeks lasting pregnancy – premature baby- and children which was born in normal labor but the size those newborn was too small to fetal age- dystrophy child• The paying attention to early diagnosis of the neurodeveloping disturbances and starting the treatment quickly.Material and methods. 32 premature baby was examine , it was the children were born between 28-37 weeks of the pregnancy and 13 dystrophy child which weight were 2 500 g. and 1 child was born after 37 weeks pregnancy. The examine was done in the Rehabilitation Center in Zgorzelec. Results and conclusions. On the basis of examine the authors drown following conclusions: 1. The Vojty’s development neurokinesiology diagnostic is good screening for children from risk groups, is simply to do and let to evaluate early child’s disturbances in psychomotorial development. 2. The bigger worth of the Vojtys diagnostic and therapy is possible right development of children from high-risk birth groups. The results which are presented prove to early start to diagnos and treat give children chance to right development. 3. The age of the child is of great importance for results and time of therapy. 4. The low weigth of labor and relative shorter time of live the child during the pregnancy have the influence for efficiency CNS and the level of disturbances central neurvous coordination. The low weigth and shorter pregnancy live the higher level disturbances central neurvous coordination is presented. 5. The risk factor has influence for time therapy to moment reached the normalization. The intermural dystrophy is worst than premature baby. The premature baby quicklier and large number reache the normal psychomotorial development.

Key words:
infantum Cerebral Palsy, Vojta, child physical and mental development

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Normal function of the pelvis is a precondition for success in scoliosis therapy

Zbigniew Śliwiński, Dariusz Milko

Zbigniew Śliwiński, Dariusz Milko – Normal function of the pelvis is a precondition for success in scoliosis therapy. Fizjoterapia Polska 2002; 2(4); 327-337

Abstract
The symmetry is the characteristic of human body in evolution. It is way the asymmetry is departure in the correct development. Sollmann claims that 97% of the population suffer from the scoliosis and the first symptoms can be observed in the baby’s age. Coenen noticed that block of the atlanto-occipital joint can formed faulty posture in children. Lohse- Buscha described the blocking of axis in the rotation is accompanying the restriction his side bending. The authors claims the process of creation idiopathic scoliosis is possible to understand after the understanding biomechanical of the pelvis. They described the changes of the location of hip bones and sacral bone between themselves caused appeared of the seeming leg’s short which can bring about the spondylolisthesis and pathological muscles tonus. The other changes of the location of hip bones and sacral bone between themselves caused also slanting position of lumbar vertebra. The author claims the using manual’s techniques to treat and functional assessment of the pelvis which can be disturbing, is necessary,

Key words:
Scoliosis, block of the atlanto-occipital joint, aferentation, nutation, kontrnutation

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Electrostimulation as an improved physical therapy treatment of lymphoedema

Krzysztof Gieremek, Jolanta Rojczyk-Chmarek, Zbigniew Śliwiński

Krzysztof Gieremek, Jolanta Rojczyk-Chmarek, Zbigniew Śliwiński – Electrostimulation as an improved physical therapy treatment of lymphoedema. Fizjoterapia Polska 2002; 2(4); 300-305

Abstract
Introduction. Morphological and electrophysiologic properties of unstriated muscles of lymphatic vessels were outlined in the present study. The most common disordes observed in lymphatic system, as well as the mechanism of lymphoedema were discussed. Well known and commonly applied means of physical therapy treatment such as external pressure, pneumatic compression, pressure-massage, manual drainage and therapeutic exercises were reviewed in this paper. Material and methods. The main subject of the present study is the orginal method of electrostymulation of unstriated muscles, which takes into consideration individual character of electrophysiological proper-tiesof muscles located in lymphatic vessels. Types of electrical impulses used in this treatment, programme modes (therapy and prophylactic mode), as well as methodology of the treatment were discussed in details. The examples of protocols used in treatment of particular conditions and their clinical aplication were presented as well.Conoclusion. The presented apparatus for application of described methods of electrostimulation in the first construction of this type, wich considers individual structure and function of lymphatic system. This method of stymulation would be probably useful in variety of medical conditions, where lymphoedema is a major therapeutic problem.

Key words:
Lymphatic System, lymphoedema, physical therapy treatment, electrostymulation

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An analysis of pain symptoms in patients with chronic spinal syndrome under treatment in health resorts

Zbigniew Śliwiński, Kamila Kasperek-Konopnicka

Zbigniew Śliwiński, Kamila Kasperek-Konopnicka – An analysis of pain symptoms in patients with chronic spinal syndrome under treatment in health resorts. Fizjoterapia Polska 2003; 3(1); 38-47

Abstract
Background. Pain in the lower segment of the lumbar spine and the lumbo-sacral transition constitutes a major challenge for all those involved in the individual’s treatment: physicians, physiotherapists, psychologists, psychotherapists. The goal of the present study was to determine which structures are the most common source of pain symptoms in patients with chronic spinal syndrome treated in health resorts. Material and methods. We examined 52 patients complaining of pain in the lower lumbar spine, the lumbo-sacral transition, the hip joint, and the lower extremities. The research methods included patient history, analysis of existing patient documentation, x-ray, MRI, CT, measurement of reobasis and chronaxis for the anterior tibial muscle in the left and right leg (using a PHYSIOTER D-50), and manual examination. A medical rehabilitation program was developed on the basis of the research and the medical indications. Test results were recorded twice: before the beginning of treatment and after its completion. Results. Laseque’s sign occurred most often in patients with ischialgia and discopathy. Irritation of the pelvic ligaments was particularly often seen in patients with discopathy, degenerative changes in the spine, and ischialgia. Changes in the sensibility of the sciatic nerve were found in discopathy patients. Conclusions. The most frequently diagnosed disorder in the patients we examined was discopathy. Laseque’s sign occurring before therapy resolved in the majority of cases after health resort treatment. The results from Patric’s test point to improvement of hip and spine function, not only in patients with degenerative changes, but also in discopathy patients. The muscles from the sciatic-crural group, the calf muscles, and the femoral-lumbar muscles were most often of abnormal length in this group of patients. These parameters can produce false results in the Laseque test and the tension test for the sciatic nerve.

Key words:
pain back, Patric, Muscle, acomadation, Irritation by pressing, tension test SLR, Slump Test

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