Rehabilitacja Medyczna最新文献

{"title":"Pathomechanics, Diagnosis and Treatment of Traumatic Injuries to the Ankle and Subtalar Joints in the Scientific Achievements of the Department of Trauma Surgery and Orthopaedics at the 5th Military Clinical Hospital with Polyclinic, Independent Public Healthcare Centre in Kraków","authors":"P. Golec, Katarzyna Haładus, E. Golec","doi":"10.5604/01.3001.0015.8544","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8544","url":null,"abstract":"Introduction: Traumatic injuries to the ankle and subtalar joints constitute severe damage to the locomotor system, both structural and functional. They most often occur in the form of ankle fractures and sprains of the ankle joint, and the least common are peritalar dislocations.\u0000\u0000Study aim: The aim of the study was to answer the following research questions: 1. What are the most common causes of traumatic injuries to the ankle and subtalar joints, and what are the most common causes of these injures?; 2. What diagnostic methods of traumatic injuries to the ankle and subtalar joints in the analysed period of clinical observation dominated in their imaging?; 3. What are the recommended treatments for traumatic injures of the ankle and subtalar joints?\u0000\u0000Materials and methods: The aim of the study was carried out on the basis of analysing publications and conference presentations regarding traumatic injuries by employees of the Department of Trauma Surgery and Orthopaedics, the 5th Military Clinic Hospital with Polyclinic, Independent Public Healthcare Centre in Kraków, covering the years from 1992 to 2017. The research methodology, on the other hand, was based on analysis of the content concerning thematically compatible publications and scientific studies with the adopted objectives of the work and established research questions. In the study, 2 thematic monographs (books) were also included, which were published by Państwowy Zakład Wydawnictw Lekarskich (PZWL) [Eng. National Institute of Medical Publishing] in 2020 and 2021 by a retired clinic employee. They are partly based on its clinical material from 1992 to 2017.\u0000\u0000Results: In the analysed period, 58 of the identified scientific studies were thematically consistent with the adopted research objectives and established research questions. Those were 20 original creative papers (34.5%), 3 review papers (5.2%), 4 case studies (6.9%), 1 postdoctoral dissertation (1.7%), 4 doctoral dissertations (6.9%) and 1 (1.7%) thematic monograph (book), 11 (18.9%) chapters in thematic monographs (book) and 14 (24.2%) conference and convention presentations.\u0000\u0000Conclusions: 1. The most common causes of traumatic injuries to the ankle and subtalar joints are so-called sports-related injuries or those caused by traffic accidents as well as falls on a hard surface at the same level, especially in people with bone tissue demineralisation disorders. Most often, they are in the form of ankle fractures, and the least common are peritalar dislocations. 2. Clinical diagnosis of traumatic injuries to the ankle and subtalar joints requires manual tests regarding their stability, and imaging examinations are based primarily on ultrasound, MRA and MRI. With regard to post-traumatic instability of the ankle joint, these diagnostics require radiological examination in forced positions. 3. Fractures of the ankle-shin joint require surgical treatment based on the open reposition of bone fragments and their effective stabilisatio","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48137360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes, Diagnosis and Treatment of Finger Flexor Pulley Injuries in Climbers – a Literature Review","authors":"Jakub Szczechowicz, Sara Rosińska","doi":"10.5604/01.3001.0015.8543","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8543","url":null,"abstract":"Introduction: Climbing, which has recently become very popular, causes significant loads on the upper limbs, especially the fingers, which often leads to a closed traumatic rupture of the finger flexor pulleys.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45706703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous Measurement of Maximum Respiratory Pressures and Respiratory Muscle Electromyography in a Stroke Patient – Changes After Implemented Physiotherapy – Preliminary Case Report","authors":"A. Śliwka, Wioleta Rosa, Natalia Madej, R. Barański, Rafał Piliński, Dominika Kurda, Mateusz Stec, R. Nowobilski","doi":"10.5604/01.3001.0015.8542","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8542","url":null,"abstract":"Introduction: In subject-based literature, there are no studies in which the results obtained simultaneously from surface electromyography of respiratory muscles and measurements of maximal respiratory pressures in stroke patients would be analysed.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45303898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative assessment of osteopathy technique with manual therapy associated with biofeedback in patients with the lumbar spine pain","authors":"G. Mańko, Małgorzata Jekiełek, Angelika Sosulska, Magdalena Pieniążek, Jarosław Jaszczur-Nowicki","doi":"10.5604/01.3001.0015.8291","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8291","url":null,"abstract":"Introduction: The aim of the study is to assess the impact of physiotherapy containing elements of osteopathy on the change of pain level of the lumbar spine of patients in comparison to traditional management using orthopedic manual therapy combined with biofeedback.\u0000\u0000Material and methods: The study included 60 people qualified for outpatient rehabilitation. Patients were divided into two groups (research and control) consisting of 30 people. The mean age of patients was 52.75 ± 11.58 years. Patients were examined before and after the implementation of the rehabilitation process, pain scale (VAS) and Oswestry Disability Index were used for the study. Rehabilitation lasted every day for four weeks. The control group used orthopedic manual therapy combined with biofeedback, while the research group used a series of treatments based on osteopathy techniques. In addition, both groups of patients underwent a standard physical therapy program.\u0000\u0000Results: The study showed the effectiveness of manual therapy combined with biofeedback and osteopathic therapy in patients with lumbar spine pain syndrome. A decrease in pain was noted in patients of both groups, however a greater decrease was noted in the research group. In the assessment using the Oswestry Disability Index, a comparable level of quality of life was noted in both treatment groups.\u0000\u0000Conclusions: The introduced therapeutic programs show an improvement both in terms of reducing pain and improving functioning in everyday life, however, the rehabilitation process based on osteopathic techniques is more effective in reducing pain.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43430051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of dependencies between Fugl-Meyer Assessment Scale test and Berg Balance Scale test as an assessment of the increased muscle tone in chronic-phase patients after a ischemic stroke","authors":"M. Goliwąs, Joanna Małecka, J. Lewandowski, E. Kamińska, K. Adamczewska, P. Kocur","doi":"10.5604/01.3001.0015.8241","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8241","url":null,"abstract":"Introduction: The basic functional assessment, on the basis of which rehabilitation programming is carried out in a patient after a stroke, consists in examining the efficiency of the upper and lower limbs, balance and i.a. muscle tension. Therefore, it is important to identify and understand the relationships between these basic data in order to make conclusions easier and to set good goals in rehabilitation.\u0000\u0000Objective: The aim of the study was to investigate the relation between the assessment of the motor efficiency of the lower limb, measured Fugl-Meyer Assessment Scale (FMA) and the balance, measured Berg Balance Scale (BBS) and between the FMA and the assessment of muscle tone, measured modified Ashworth scale in chronic-phase patients after an ischemic stroke before and after a 6-week rehabilitation process.\u0000\u0000Material and methods: The study group consisted of 37 patients after stroke (post-stroke duration > 1 year). All patients were subjected to a double functional assessment. Main measures: motor function in the lower limb, balance and spasticity in the lower limb. Spearman correlation coefficients was used to identify and analyze the relationship between the FMA and BBS as an assessment of the increased muscle tone.\u0000\u0000Results: There was a highly significant p <0.0001 positive correlation between the FMA and BBS tests: first period r = 0.6120, second period r = 0.6604. There was a highly significant (p <0.0001) negative correlation between the assessment of FMA test and the muscle tone: first period r = -0.6814, second period r = -0.6532.\u0000\u0000Conclusions: People in chronic phase after an ischemic stroke have a high positive correlation between the motor efficiency of the lower limb and balance. This study shows also a high, negative correlation between the motor efficiency of the lower limb, and the muscle tone of this limb. Both before and after rehabilitation process.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44944420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of Fascial Distortion Model on shoulder girdle dysfunction","authors":"A. Rogala, B. Molik, Grażyna Brzuszkiewicz-Kuźmicka, A. Truszczyńska-Baszak","doi":"10.5604/01.3001.0015.8242","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8242","url":null,"abstract":"Introduction: Shoulder girdle as highly specialized set of structures is particularly susceptible to overloading and injuries. In current literature USG and MRI results shows poor correlation with the function, which lead to some problems in correct diagnosis. The structure contributing to this issue might be fascia. One of the methods examination and treatment is very poorly known Fascial Distortion Model. The aim of our research was to assess the impact of the Fascial Distortion Model on shoulder girdle dysfunction.\u0000\u0000Materials and methods: The subject of research were 78 patients with shoulder dysfunction. Experimental group of 50 patients underwent six 30-minutes FDM treatments, performed every second day. The control group of 28 patients were subjected standard physiotherapy. Measurement of mobility and pain was done by: functional tests, DASH questionnaire, modified CONSTANT scale and VAS scale.\u0000\u0000Results: The experimental group obtained better results than control group. This was due to less pain (M = 0.56, SD = 1.03) vs (M = 6.71, SD = 1.88) and a greater limb function (M = 3.46, SD = 7.80) vs (M = 42.72, SD = 16.52). Participants treated with FDM improved in ROM, DASH score and VAS at the significance level (p = .000).\u0000\u0000Conclusions: 1. Fascial distortions may contribute to dysfunction of the shoulder complex. 2. Connective tissue problems can limit the range of movement 3. Fascia disorders may contribute pain.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44292636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Effects of Cryotherapy and Swimming in Cold Water – Winter Swimming on Chosen Morphological and Biochemical Blood Indices and Factors Released by Brown Adipose Tissue","authors":"A. Teległów, B. Ptaszek, S. Podsiadło, Mateusz Mardyła, J. Marchewka, M. Maciejczyk","doi":"10.5604/01.3001.0015.8212","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8212","url":null,"abstract":"Introduction: Whole-body cryotherapy and winter swimming are applied to induce physiological, organ-related, and systemic defence responses that are beneficial and effective in maintaining or restoring human body homeostasis.\u0000\u0000Purpose: The aim of the study was to evaluate blood morphological and biochemical indicators in men and women exposed to whole-body cryotherapy and winter swimming.\u0000\u0000Material and methods: From all participants (n=70) before starting 20 whole-body cryotherapy sessions and after completing the 20 whole-body cryotherapy sessions (woman n=15, men n=15), at the beginning of the winter swimming season (November) and at the end of the winter swimming season (April) (woman n=15, men n=15), and in the control group (woman n=10, men n=10), fasting blood samples were collected from an ulnar vein into vacuum tubes. Blood morphological and biochemical indicators and brown adipose tissue were determined in the Blood Physiology Department of the Central Research and Development Laboratory at the University of Physical Education in Krakow and in the Department of Analytics and Clinical Biochemistry of the Krakow Branch of Maria Sklodowska-Curie National Research Institute of Oncology.\u0000\u0000Results: In both sexes included in the study, both whole-body cryotherapy and winter swimming induce changes in selected peripheral blood morphological and biochemical indicators, mainly in the blood count, proteinogram, and chloride concentrations. The increase in the brown adipose tissue-released fibroblast growth factor-21 (FGF-21) under the influence of whole-body cryotherapy occurs in females. In contrast, no statistically significant changes were found for Nrg4. Both whole-body cryotherapy and winter swimming result in decreased values of red blood cells, haemoglobin, and iron, with sex-dependent variation.\u0000\u0000Conclusions: Cold in the form of systemic cryotherapy, similarly to winter baths, affects changes in blood morphological and biochemical parameters, while the release of FGF21 in brown adipose tissue was noted only after systemic cryotherapy.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41337611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anomia for numbers – a rare post-stroke language impairment. A case study of a patient with isolated naming impairment of numerals","authors":"Paula Grzeszczuk, K. Polanowska","doi":"10.5604/01.3001.0015.8182","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8182","url":null,"abstract":"Introduction: Word-finding impairments (anomia) are the most common specific symptom of aphasia, which in adults are caused most often by stroke. Although anomic difficulties usually manifest themselves in different forms of speech and involve different word classes, in very rare cases they may involve only one category of words. This type of disorder is called category-specific anomia.\u0000\u0000Objective: The purpose of the article is to describe the changes in verbal communication in a patient with post-stroke aphasia, including in particular the analysis of the category-specific anomia for number, recognized in him in the long period from the onset of the disease.\u0000\u0000Material and methods: The patient's language skills were assessed at 2nd week, 3rd month (period of spontaneous recovery and early neurorehabilitation), and 12 months post stroke (distant neurorehabilitation period) using the Boston Test for the Diagnosis of Aphasia and clinical trials to assess different cognitive dysfunctions that can affect ability to name numbers.\u0000\u0000Results: The results of the conducted studies allowed to find in the patient in sequence: profound mixed aphasia (2nd week after the stroke), mild and moderate language deficits (3rd month after the stroke) and an isolated anomy of numbers (12th month after the stroke). Thanks to the functional improvement, one year after the stroke, the patient performed the tasks of naming objects, activities and describing the features of objects almost without error. In addition, he efficiently recognized and differentiated the values of numbers, correctly wrote down the numbers under dictation and made good mathematical calculations. However, these data contrasted with very low results in trials to name numerals (digits and numbers, hours, dates), assessed as anomia for numbers.\u0000\u0000Conclusions: Anomia for numbers is a very rare post-stroke language deficit that can be diagnosed in people with aphasia after the withdrawal of coexisting language disorders and the exclusion of other, than the nominating ones, possible causes of incorrect verbal responses to the numerical material.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49051403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body sway characteristics during static upright position following systematic balance training in older adults","authors":"J. Kubica, Jadwiga Szymura, Joanna Pera","doi":"10.5604/01.3001.0015.7872","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7872","url":null,"abstract":"Objective: The purpose of the work was to establish whether systematic balance training of moderate intensity influences postural control measurements in older adults.\u0000\u0000Methods: Seventy-nine healthy older adults (mean age 65.33 ±3.83 years) were randomly divided into 3 groups: classic balance training (CBT, n=32, mean age 66.03 ±3.19 years), virtual reality balance training (VBT, n=16, mean age 65.31 ±3.46 years), and control (CON, n=31, mean age 64.61 ±4.54 years). Postural control was measured at inclusion, and after completion of the 12 weeks training cycle or—CON—with an interval of 12 weeks.\u0000\u0000Results: The study revealed that both forms of applied BT caused significant changes in the examined parameters assessing balance. CBT improved reduced trunk deflection in the test with closed eyes condition, while in the VBT group, improvement was noted mainly regarding parameters assessing static balance with open eyes.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42445189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors Associated with Neck Pain in Undergraduate Physiotherapy Students at Taif University","authors":"Ibrahim Hegazy Dewir","doi":"10.5604/01.3001.0015.7728","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7728","url":null,"abstract":"Background: Individuals seeking healthcare treatments frequently express neck pain as the main complaint. Due to the significant expenditures imposed on society and healthcare facilities, as well as their detrimental influence on the daily activities of persons living with such experiences, acute and chronic pain has become a public health crisis.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43452763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}