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1
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Motor development in the first year of life versus trunk rotation angle, lumbo-pelvic-hip complex mobility and joint hypermobility in children aged 3-9

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Guzek K., Stępień A., Składowska P., Rekowski W.
Advances in Rehabilitation
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2019
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vol. 33
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issue 3
11-17
EN
Introduction Infancy is the key period in human development. Disorders in the motor development during the first year of life may affect the body posture, motor patterns and functioning in the period of childhood. The study objective was to assess the correlation between motor development in the first year of life and angle of trunk rotation, lumbopelvic- hip complex mobility and occurrence of joint hypermobility in children aged 3-9. Material and methods 120 healthy children aged 3 to 9 participated in the study. The study comprised a questionnaire and a clinical trial. The children in whom the questionnaire revealed abnormal motor development in the first year of life were included in the study group, and the other children were a control group. Then, a physiotherapist assessed the value of the trunk rotation angle with the use of a scoliometer, the lumbopelvic- hip complex mobility with the use of TPHA test, and the occurrence of joint hypermobility with the use of Beigthon test. Results Children with abnormal motor development in the first year of life were characterized by a statistically significantly higher value of the trunk rotation angle in the thoracic section and they had a higher asymmetry of rotational movement of the lumbopelvic- hip complex, as well as higher values in the Beighton test. Conclusions Abnormal motor development in the first year of life is a factor predisposing to increased values of the trunk rotation angle in the thoracic section, asymmetry of rotational movement of the lumbo-pelvic-hip complex, and joint hypermobility. Studies of other factors potentially leading to development of such disorders should be continued. Children with impaired development should be included in programmes of prophylaxis.
2
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Assessment of the lumbo-pelvic-hip complex mobility with the Trunk-Pelvis-Hip Angle test: intraobserver reliability and differences in ranges of motion between girls with idiopathic scoliosis and their healthy counterparts

88%
Stępień A., Guzek K., Rekowski W., Radomska I., Stępowska J.
Advances in Rehabilitation
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2020
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vol. 30
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issue 3
27-39
EN
Introduction The Trunk-Pelvis-Hip Angle (TPHA) test is used for assessing the mobility of lumbo-pelvic-hip complex. The aim of the research was to assess the intraobserver reliability of the TPHA test in girls with and without idiopathic scoliosis and to compare the test values obtained by the girls in both groups. Material and methods The research included girls without scoliosis and girls with double idiopathic scoliosis aged 8-16. The trunk-pelvis-hip angle was measured three times on each body side within one session. Statistical analysis was performed with the use of ANOVA intraclass correlation coefficient for dependent groups, Kolmogorov-Smirnov test as well as non-parametric Wilcoxon signed-rank test for dependent groups and Mann-Whitney U test for independent groups. Results The research included 49 healthy girls (aged 11.8 ± SD 2.5 years) and 49 girls with double idiopathic scoliosis (aged 12.7 ± SD 2.6 years; Cobb angle Th 27.7º ± SD 13.4º and L Cobb 25.8º ± SD 10.5º). The intraobserver reliability for the TPHA measurements was very high (ICC>0.85). In both groups the left-side TPHA value was significantly higher than the right-side value (p=0.001). The TPHA range of motion on the right side of the body was more limited in the scoliotic girls than in the healthy ones (p=0.001). Conclusions The TPHA test is a reliable means of assessing mobility in the lumbo-pelvic-hip complex in girls by one observer.The asymmetry of movements in the lumbo-pelvic-hip complex in healthy girls needs to be observed since it may constitute one of the factors predisposing to scoliosis which limits spine rotation range of motion. The TPHA test needs further research.
3
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Anomalie stawu biodrowego we wczesnym dzieciństwie występują z podobną częstością u chorych ze skoliozą idiopatyczną i zdrowych – badanie ankietowe rodziców

76%
Stępień A., Guzek K., Czubak J., Surowińska J., Stępowska J., Kiebzak W.
Advances in Rehabilitation
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2018
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vol. 31
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issue 4
5-18
EN
Introduction Improper hip joint development may lead to numerous unfavourable changes in the musculoskeletal system. The aim of this research was to determine how often adolescents with idiopathic scoliosis and their healthy counterparts experienced anomalies of the hip in their infancy period and to examine the correlation between the occurrence of hip anomalies and idiopathic scoliosis. Material and methods The research was conducted in medical centres as well as in schools. The parents of adolescents with idiopathic scoliosis and parents of healthy adolescents completed a questionnaire on the basis of their child’s development history included in the medical records book and other medical documentation. Results 533 questionnaires were taken into consideration, included 145 questionnaires completed by parents of adolescents with scoliosis (121 girls – 13.8 years, SD 1.9; 24 boys – 12.9 years, SD 2.5) and 388 questionnaires from the group of adolescents without scoliosis (194 girls – 13.5 years, SD 2.0; 194 boys – 13.4 years, SD 2.1). No significant differences were noted in the incidence of hip anomalies between the groups of girls and boys with and without scoliosis, no correlations between anomalies of the hip and scoliosis were found (girls χ2=0.840; Cramer V=0.052; p=0.36; boys χ2=1.205; Cramer V=0.074; p=0.27). Conclusions Hip anomalies such as hip dysplasia, movement asymmetry or range of motion limitations diagnosed in the infancy period did not correlate with idiopathic scoliosis. Further research aimed at a separate analysis of the influence of hip dysplasia on the occurrence of idiopathic scoliosis should be carried out.
4
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Diagnosis and treatment of corneal ulcers in the course of systemic autoimmune diseases

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Czarnacka K., Chmura-Hołyst A., Alsoubie I., Cwalina O., Pandey A., Prokop D., Gawlak M., Kuźlik B., Guzek K., Sajak-Hydzik K., Pawlicka I., Piskorz A., Kozak M., Roszkowska A.
OphthaTherapy
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2021
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vol. 10
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issue 1
43-47
PL
Obwodowe wrzodziejące zapalenie rogówki jest stanem zapalnym, zwykle w kształcie półksiężyca, występującym w okolicy rąbka rogówki, gdzie zawsze wiąże się ze ścieńczeniem zrębu rogówki. Niejednokrotnie występuje w przebiegu chorób reumatoidalnych, natomiast najczęściej związane jest z reumatoidalnym zapaleniem stawów. Obwodowe wrzodziejące zapalenie rogówki obserwuje się także w: ziarniniakowatości z zapaleniem naczyń, guzkowatym zapaleniu tętnic, nawracającym zapaleniu chrząstek oraz w toczniu rumieniowatym układowym. Wymienione choroby opisano w odniesieniu do obwodowego wrzodziejącego zapalenia rogówki, z omówieniem poszczególnych metod leczenia w określonych przypadkach.
EN
Peripheral ulcerative keratitis is an inflammatory condition, usually crescent shaped and occurring in the corneal stromal region, where it is always associated with corneal stromal thinning. Peripheral ulcerative keratitis often occurs in the course of rheumatic diseases but is most commonly associated with rheumatoid arthritis. Peripheral ulcerative keratitis is also seen in granulomatosis with polyangiitis, polyarteritis nodosa, relapsing chondritis, and systemic lupus erythematosus. These diseases are analyzed in the article in relation to peripheral ulcerative keratitis with a discussion of individual treatment methods in specific cases.
5
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Sjögren's syndrome - diagnosis and contemporary therapeutic possibilities

52%
Cwalina O., Pandey A., Prokop D., Czarnacka K., Gawlak M., Kuźlik B., Guzek K., Alsoubie I., Chmura-Hołyst A., Roszkowska A., Pawlicka I., Piskorz A., Kozak M.
OphthaTherapy
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2023
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vol. 10
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issue 2
110-115
EN
Dry eye syndrome is a group of medical conditions that can be caused by many factors, as a result of which there is an abnormality in moisturizing of the eye surface by a tear film. One of the causes of this disorder is Sjögren’s syndrome, which is an autoimmune disease in which the body produces antibodies against its own proteins. The glands of external secretion, mainly lacrimal and salivary glands are damaged as a result of inflammation. Associated with this side effects, affect negatively and reduce the quality of life, which is why in the following article we present the available therapeutic options for patients suffering from ophthalmological manifestations of Sjögren’s syndrome.
6
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Macular hemorrhage - therapy

52%
Gawlak M., Guzek K., Kuźlik B., Pandey A., Prokop D., Cwalina O., Czarnacka K., Chmura-Hołyst A., Alsoubie I., Sajak-Hydzik K., Pawlicka I., Piskorz A., Kozak M., Roszkowska A.
OphthaTherapy
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2023
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vol. 10
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issue 1
57-62
PL
Krwotok podsiatkówkowy do plamki żółtej i jego leczenie pozostają poważnym zagadnieniem okulistycznym. Obecnie brakuje dokładnych algorytmów, które można byłoby stosować w praktyce klinicznej. Użyteczność każdej z metod leczenia jest zależna od indywidualnych czynników współistniejących. Preparaty anty-VEGF wydają się w związku z tym kluczowe w leczeniu pacjentów ze zmianami o charakterze waskulopatii, natomiast w leczeniu pourazowego krwotoku do plamki ustępują one miejsca pneumatycznemu przesunięciu. Operacje, mimo większej inwazyjności i ryzyka, pozostają niezastąpione w przypadku dużych wylewów, znacznie przyspieszając ewakuację skrzepu. Celem poniższej pracy jest zbiorcze przedstawienie aktualnych badań dotyczących tego zagadnienia, a dzięki temu usystematyzowanie użyteczności danej metody ze względu chociażby na pierwotną przyczynę wystąpienia krwotoku. W niniejszym zestawieniu znalazły się obecnie stosowane w praktyce klinicznej metody, tj.: pneumatyczne przesunięcie krwi, terapia anty-VEGF, rtPA oraz metody operacyjne.
EN
Submacular hemorrhage treatment is still an important issue in ophthalmology. At present we lack algorithms of treatment that could be used in clinical practice. Efficacy of every treatment method seems to differ by individual factors simultaneously existing in each patient. Therefore, anti-VEGF agents remain crucial in treating patients with coexisting vasculopathy, while in posttraumatic hemorrhage we should lean towards other approaches, like pneumatic displacement. Operative methods, despite being more invasive and burdened with higher potential risk, are indispensable in large hemorrhages, significantly speeding up clot removal. The primary aim of this work is to collect recent data regarding this issue and to determine usefulness of treatment methods in specific cases, regarding factors such as hemorrhage pathophysiology. The following article pertains to currently used treatment methods, such as: pneumatic displacement, anti-VEGF therapy, rtPA and operative methods.
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