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Comparison of rehabilitation after two-stage reconstruction with results in patients after primary junction of injured flexor tendons in the second area

100%

Ziółko A., Kucia K., Pieniążek M.

Medical Rehabilitation

2010

vol. 14(1)

16-24

Introduction: Damage to flexor tendons constitutes the prevailing area of traumatic injuries to a hand. Without appropriate, instantaneous postoperative rehabilitation various secondary changes like adhesions to surrounding tissues occur and it makes complete restitution of skills in the hand impossible. Generally, traumatic tendons of flexors injuries are treated primarily. However, some patients for various reasons require repeated surgery procedures, for example: two-stage flexor tendon reconstruction.Aim of the study: To compare rehabilitation results in patients after two-stage flexor tendon reconstruction with the results of individuals following one-stage surgical treatment of injured flexor tendons in the second area.Material and methods: The research group was composed of 17 patients after second stage flexor tendon reconstruction from the second to the fifth finger, for whom there primarily appeared a tendon injury in the second area. The control group consisted of 17 persons, who had had surgical fusion of the corresponding tendons performed. Routine physiotherapeutic diagnostics constituted the method of examination, composed of details, as follows: range of movement measurements, dynamometric measurements, examination of sensory and manipulative skills. Functioning of hand assessment was based on Swanson’s methodology. All patients underwent an individual program of rehabilitation which was based on physiotherapeutic, kinesitherapeutic and apparating procedures individually matched for each patient. The program was completed by exercises performing by the patients at home.Results: Both in the research group and control group, significant improvement of hand functioning between the first and the last examination was noticed. However, when compared to the research group, the hand functioning defect in both examinations was lesser in the control group. The rehabilitation duration of patients from the research group was significantly longer than in the control group. Conclusion: Rehabilitation after two-stage flexor tendon reconstruction leads to a significant improvement of hand functioning, however the treatment duration is longer.

Święta czy chora – trudności orzecznicze w przypadku pacjentki z zaburzeniami schizotypowymi i osobowością borderline

88%

Trędzbor B., Karmińska E., Drzyzga K., Kamiński J., Kucia K.

Psychiatria i Psychologia Kliniczna

2016

vol. 16

issue 1

47-50

The authors present a case of a patient who turned to a mental health clinic in order to receive a certificate of mental health. She motivated the request to be a necessary step in the procedure of applying for admission to a religious order. She declared no previous psychiatric treatment and was accompanied by another woman who confirmed the facts stated by the patient. However, the content provided by the patient, the manner of talking, eccentricity in appearance and determination to obtain the certificate called for caution in issuing such an opinion. The patient agreed to proposed hospitalisation for observation of her mental health. During her stay on the ward, the patient was interviewed and the information collected was cross-referenced with information obtained from the patient’s parents and from previous hospitalisation reports. Psychological tests and CT scans were carried out. The obtained data and observation of the patient on the ward indicated both the presence of a mental illness and deep deficits in personality. This case confirms the need for exercising prudence in issuing opinions on mental health. It highlights the fact that one-sided objective interview may not reveal the real picture of the patient’s mental health.

Autorzy prezentują przypadek pacjentki, która zwróciła się do poradni w celu otrzymania zaświadczenia o zdrowiu psychicznym. Prośbę motywowała koniecznością przedstawienia tego dokumentu w procedurze ubiegania się o przyjęcie do zakonu. Deklarowała brak dotychczasowego leczenia psychiatrycznego. Towarzysząca jej kobieta potwierdziła fakty podane przez pacjentkę. Jednak treści przekazywane przez pacjentkę, tok jej wypowiedzi, ekscentryczny wygląd i determinacja do uzyskania zaświadczenia sugerowały, że lekarz powinien zachować ostrożność. Kobieta zgodziła się na hospitalizację w celu obserwacji stanu psychicznego. W trakcie pobytu pacjentki na oddziale zobiektywizowano wywiad – poszerzono go o informacje uzyskane od jej rodziców i wypisy z przebytych hospitalizacji. Przeprowadzono badanie psychologiczne i neuroobrazowe. Zgromadzone dane i obserwacja w oddziale wskazały na obecność zarówno choroby psychicznej, jak i głębokich deficytów osobowościowych. Opis przypadku potwierdza konieczność zachowania rozwagi przy wystawianiu zaświadczeń o zdrowiu psychicznym. Autorzy podkreślają, że jednostronny wywiad może nie ujawnić prawdziwego obrazu funkcjonowania pacjenta.

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1 Medical Rehabilitation

1 Psychiatria i Psychologia Kliniczna

1 2016

1 2010

2 Kucia K.

1 Drzyzga K.

1 Kamiński J.

1 Karmińska E.

1 Pieniążek M.

1 Trędzbor B.

1 Ziółko A.

Search results

Comparison of rehabilitation after two-stage reconstruction with results in patients after primary junction of injured flexor tendons in the second area

Święta czy chora – trudności orzecznicze w przypadku pacjentki z zaburzeniami schizotypowymi i osobowością borderline