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Gait Pattern In Patients After Mandible Reconstruction Using Free Fibula Or Iliac Crest Flaps In The Treatment Of Head And Neck Tumors

100%

Kirwil M., Syczewska M., Jaworowski J., Tchórzewska-Korba H., Krajewski R.

Advances in Rehabilitation

2013

vol. 27

issue 2

16-22

Introduction: Surgical treatment of tumors of the head and neck region is associated with extensive tissue defects. The introduction of modern reconstructive surgery techniques allows replace the resected bone and soft tissue. The aim of reconstruction is to fill the defect and ensure proper appearance and functioning of affected area, but functional defects caused by harvesting the graft are also important for the patient. The aim of this paper is to describe changes in gait pattern and gait parameters after harvesting free fibular flap and the flap from the iliac crest for reconstruction of the mandible in patients treated for head and neck cancer. Material and methods: Two patients who underwent reconstruction with fibular and iliac crest flaps had gait tests performed three times: before, one month and three months after surgery. The patients had an intensive rehabilitation and physiotherapy started on 1st postoperative day and it was continued for 2 months. Results: The analysis of tests results showed deterioration in gait parameters one month after operation. 3 months after operation these parameters returned to the level before surgery. Conclusions: Harvesting fragment of fibula and of iliac crest affects the function of gait. Systematic physical therapy and rehabilitation on inpatient and outpatient basis allowed the patients to return to the same level of gait functioning as before the operation. Further research is needed to develop a more complete picture of patobiomechanic after bone resection. The results will help to create standard procedure after both treatments.

The Assessment of the Occurrence of Benign Hypermobility Joint Syndrome in Physiotherapy Students

86%

Żyżniewska-Banaszak E., Tchórzewska-Korba H., Gębska M., Weber Nowakowska K., Leźnicka K., Żyżniewski K.

Central European Journal of Sport Sciences and Medicine

2017

vol. 20

issue 4

23-30

The occurrence of connective tissue disorders is an important factor for development of occupational diseases in professions requiring a non-ergonomic and often static load of the musculoskeletal system. Symptoms of the connective tissue disorders appear at different ages. The diagnosis of hypermobility is an important problem due to the lack of uniform diagnostic criteria. The aim of this paper is to evaluate the incidence of joint hypermobility and its relation with a history of injuries and the level of physical activity in Physiotherapy students. The study involved 143 students (69% female, 31% male) aged 18 to 27 years (M = 20.7; SD = 1.43). The assessment of the occurrence of Benign Hypermobility Joint Syndrome (BHJS) syndrome was performed using the Beighton and Brighton scale. Among the surveyed students almost 82% of the women and just over 18% of the men fulfilled the diagnostic criteria for the diagnosis of hypermobility. A significant difference was also observed in the physical activity of the students. Among those who showed no signs of hypermobility exactly half of the participants trained sports as amateurs, while in the group of people with hypermobility the proportion was lower by nearly half. BHJS was not related to injuries and operations in the study group.

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1 Advances in Rehabilitation

1 Central European Journal of Sport Sciences and Medicine

1 2017

1 2013

2 Tchórzewska-Korba H.

1 Gębska M.

1 Jaworowski J.

1 Kirwil M.

1 Krajewski R.

1 Leźnicka K.

1 Syczewska M.

1 Weber Nowakowska K.

1 Żyżniewska-Banaszak E.

1 Żyżniewski K.

Search results

Gait Pattern In Patients After Mandible Reconstruction Using Free Fibula Or Iliac Crest Flaps In The Treatment Of Head And Neck Tumors

The Assessment of the Occurrence of Benign Hypermobility Joint Syndrome in Physiotherapy Students