Search results

1

Is anemia at admission related to short-term outcomes of elderly hip fracture patients?

100%

Dubljanin-Raspopović E., Marković-Denić L., Nikolić D., Tulić G., Kadija M., Bumbaširević M.

Open Medicine

|

2011

|

vol. 6

|

issue 4

483-489

EN

Hip fracture in elderly people is associated with high morbidity and mortality. Therefore, it is important to identify risk factors that potentially influence outcomes after hip surgery. The main purpose of this study was to evaluate the relationship of anemia at admission and short-term outcomes after hip fracture. We studied 343 community-dwelling patients who underwent surgery for hip fracture from March 2009 to March 2010. Functional mobility at discharge, postoperative complications, hospital length of stay and in-hospital mortality were analyzed in respect to presence and severity of anemia at admission. Anemia (defined as hemoglobin levels < 13.0 g/dl for men and < 12.0g/dl for women) was present in 185 (53.9%) patients, of whom 54 (29.2%) were severely anemic (defined as hemoglobin level 10.0g/dl or below). In multivariate analysis anemia was associated with age, gender (female), type of fracture (intertrochanteric) and American Society of Anesthesiologists (ASA) classification (3 or 4), while severity of anemia was associated with recovery of ambulatory ability at discharge. There was no difference in the incidence of postoperative complication, in-hospital mortality and length of hospital stay between the groups at discharge. Overall anemia at admission is an indicator of poor general health status. Ambulatory recovery in hip fracture patients is independently related to severity of anemia at admission.

2

The continuation of post-stroke rehabilitation according to the model of Early Home Supported Discharge

100%

Opara J., Błaszczyszyn M., Barszcz J.

Medical Rehabilitation

|

2009

|

vol. 13(3)

33-38

EN

The growing costs of health care have enforced managers to look for new solutions of services which could enable them to reduce the costs of treatment. During recent years a promising alternative to conventional institutional post-stroke rehabilitation has appeared. Early Home Supported Discharge (EHSD) consists of many elements of the modern strategy of rehabilitation. It realizes the idea of early rehabilitation, its continuation after discharge from hospital, and for the first: social integration – participation. Many authors have published extended studies demonstrating the significant effect on poor final outcomes and the length of hospitalization. In 2006 these results were elaborated in a HTA of EHSD where the extra ‘H’ specifies that this intervention has to be delivered at the domicile of the patient. The HTA concludes that EHSD is a dominant intervention in comparison with conventional stroke unit rehabilitation. The biggest benefits of this model have been noticed in those survivals who displayed a middle-moderate level of disability. In this review article the contemporary state of art with regard to the post-stroke model of Early Home Supported Discharge is presented.

3

Can traditional games be an option in increasing the physical activity of women following mastectomy?

100%

Bronikowska M., Bronikowski M., Glapa A., Prabucki B.

Biomedical Human Kinetics

|

2015

|

vol. 7

|

issue 1

EN

Study aim: the purpose of the present study was to investigate the potential of traditional games as a method of increasing the physical activity (PA) of women following mastectomy. A cross-sectional survey during the 20th ONCO Games was conducted and the sample included data from women divided into two groups: up to 50 years old (n = 26) and over 50 years old (n = 86). Material and methods: PA was assessed using a questionnaire, and the number of steps taking during 30-minute periods was measured using pedometers during each of the games. Exertion was evaluated using Borg’s Scale. Results: there was no difference in levels of coherence between the age groups. The group of younger women were statistically more active (M = 3.34 days/week) than the older group (M = 2.77 days/week). All the games were evaluated to be of light intensity, with ringo perceived as being statistically more fatiguing in the over 50 age group. The highest number of steps was performed during the game of ring-net-ball (M = 1903 steps/30 min) in both age groups, with older women performing statistically more steps. Similar situations were observed in the cases of pétanque and speedminton. In ringo, the situation was reversed. The lowest number of steps was recorded in pétanque in the younger age group (M = 296 steps/30 min). Conclusion: this study indicates that in the rehabilitation and recovery process after mastectomy, traditional games could be a bridging link between exercising and sports as they provide not just activity but also a unique and valuable social context.

4

Developing voice intensity in clients with dysarthria with the use of specialized technical devices

88%

Simonska M.

Polski Przegląd Otorynolaryngologiczny

|

2016

|

vol. 5(4)

36-39

EN

The purpose of this article is to present the results of a one-month voice intensity treatment with specialized technical devices in a client with hyperkinetic dysarthria. The main aim of the study was to assess the effects of voice treatment software in people with dysarthria. The results show a gradual improvement in voice intensity after one month of voice treatment.

5

Alternating Consecutive Maximum Contraction as a Test of Muscle Function in Athletes Following ACL Reconstruction

88%

Knezevic O. M., Mirkov D. M., Kadija M., Milovanovic D., Jaric S.

Journal of Human Kinetics

|

2012

|

vol. 35

|

issue 1

5-13

EN

The novel test based on isometric alternating consecutive maximal contractions performed by two antagonistic muscles has been recently proposed as a test of muscle function in healthy subjects. The aim of this study was to evaluate reliability and sensitivity of a novel test as a test of knee muscles function in athletes recovering from anterior cruciate ligament reconstruction. Fifteen male athletes with recent ligament reconstruction (4.0 ± 0.1 months following the surgery) and 15 sport and physical education students participated in the study. Peak torques of the quadriceps and hamstring muscles assessed both through the alternating consecutive maximal contractions and standard isokinetic test performed at 60 º/s and 180 º/s served for calculation of the hamstrings-to-quadriceps ratio and the bilateral difference in strength. When applied on individuals recovering from anterior cruciate ligament reconstruction, the novel test revealed a high within-day reliability and sensitivity for detecting imbalances both between antagonistic and between contralateral muscles. The present findings suggest that alternating consecutive maximal contractions could be used as a test of muscle function that is either complementary or alternative to the isokinetic test, particularly in the laboratories where the isokinetic devices are not available. Potential advantages of the novel test could be both a brief testing procedure and a possibility to conduct it using relatively inexpensive devices such as custom made kits containing a single one-axis force transducer.

6

Educational programme of Early Breast Cancer Detection in 40-year-old female inhabitants from Cracow, as an element of a preventive treatment of complications requiring oncological rehabilitation

88%

Łabuzek M., Kołodziejski L. S.

Medical Rehabilitation

|

2014

|

vol. 18(1)

5-14

EN

Introduction: Breast cancer is the most common malignant tumour among women in Poland, with a dynamically increasing incidence rate. At present, one-half of breast cancer cases are diagnosed at the stage of high locoregional advancement, which leads to common radical mastectomies. These procedures are the cause of the most serious complications, i.e. restricted mobility of the glenohumeral joint and lymphoedema of the upper limb, which usually require rehabilitation.Objective: An evaluation of the attendance and effectiveness of detecting suspicious breast lesions in 40-year-old female inhabitants of Kraków who were personally invited to take part in the Educational Programme of Early Breast Cancer Detection (EPEBCD). This study assumes that increasing the level of oncological education amongst women should result in high attendance in screening, which would lead to detection of breast cancer at earlier stages. In these cases, effective methods of breast-conserving therapy are used, which carry a minimal risk of complications that require rehabilitation.Material and methods: The subject of the analysis was a group of 19,773 female inhabitants of Kraków who took part in the EPEBCD between 2003 and 2008. The group consisted of 4723 women aged 40 years who were personally invited to take part in the Programme, and 15,010 other women who volunteered for the research. The percentage of suspicious lesions discovered in physical and mammographic examinations in both groups was analysed. In the statistical analysis, the stratum weight was examined, using a two-tailed test and the STATISTICA 6.0 program. The significance level α < 0.05 was assumed.Results: The attendance rate of 40-year old women who were sent personal invitations was similar in each year (2003 to 2008) and, on average, accounted for 24.4%, which was half of the assumed attendance. It demonstrates that the level of oncological education among young women is low. Breast cancer awareness increased with age and resulted in voluntary participation of older women in screening programmes. The percentage of suspicious changes detected by a physical examination among the 40-year-old women invited personally (Group 1; 0.49%) did not differ significantly from the “before screening” group (Group 2, aged 41 to 49; 0.47%) and even from the “screening” group (Group 3, aged 50 to 69; 0.45%). Only in the “after screening” group of the oldest women (Group 4, over 69), the percentage (1.57%) was significantly higher (p < 0.001). The percentage of suspicious changes detected by mammography did not differ significantly in the group of 40-year-old women (Group 1; 3.58%) and in the “before screening” group (Group 2; 4.11%; Groups 1 and 2, p > 0.05). Significant differences were only found in the “before screening” Group 2 and “after screening” Group 4 (p < 0.001). The percentage of suspicious changes identified by mammography did indeed increase with age, though this was only a marginal increase, at the level of tenths of a percent. Only in the oldest group (Group 4), this percentage (5.16%) was significantly higher than in the other research groups.Conclusions: The much higher percentage of suspicious breast lesions discovered by mammography in comparison with those discovered in a physical examination demonstrates a low level of breast cancer advancement in most cases, which can be treated by means of breast-conserving therapy. Dissemination of educational and screening programmes will help to increase the percentage of early detected breast cancer cases which, after breast-conserving therapy, will not constitute a risk of serious complications requiring rehabilitation.

7

Ethical considerations in the use of brain-computer interfaces

75%

Mikołajewska E., Mikołajewski D.

Open Medicine

|

2013

|

vol. 8

|

issue 6

720-724

EN

Nervous system disorders are among the most severe disorders. Significant breakthroughs in contemporary clinical practice may provide brain-computer interfaces (BCIs) and neuroprostheses (NPs). The aim of this article is to investigate the extent to which the ethical considerations in the clinical application of brain-computer interfaces and associated threats are being identified. Ethical considerations and implications may significantly influence further development of BCIs and NPs. Moreover, there is significant public interest in supervising this development. Awareness of BCIs’ and NPs’ threats and limitations allow for wise planning and management in further clinical practice, especially in the area of long-term neurorehabilitation and care.

8

Therapeutic training in post-stroke disturbances of vision

75%

Leśniak M., Seniów J.

Medical Rehabilitation

|

2007

|

vol. 11(4)

9-14

EN

Introduction: Vision disturbances are a frequent sequel of stroke. Damage to primary or secondary visual cortical areas can lead to chronic or temporary dysfunction of vision that hampers recovery from stroke. Nevertheless, they are rarely regarded as a prominent problem for neurorehabilitation.Aim of the study: This paper presents a review of current knowledge on possible therapeutic interventions in one of the most frequent vision disturbances following vascular brain damage, i.e. visual field defects.Study form: We reviewed data from the literature pertaining to theoretical background of various therapeutic approaches to vision disturbances as well as empirical evidence of the effectiveness of these approaches.Conclusions: The analysed data suggest that improvement of visual function in post-stroke patients is possible with the help of a therapeutic training that uses preserved functions such as visual scanning or residual vision. The objectively observed training-induced improvement of visual field defects and of the related deficits is frequently reflected in a better performance during activities of daily-living.

9

Normalized gait parameters in NDT-Bobath post-stroke gait rehabilitation

75%

Mikołajewska E.

Open Medicine

|

2012

|

vol. 7

|

issue 2

176-182

EN

The aim of the research was to evaluate the results of NDT-Bobath method in gait re-education of adult patients after ischemic stroke using normalized parameters of gait. The investigation group consisted of 60 patients, all sufferers of an ischemic stroke, and participated in a rehabilitation program: 10 sessions of NDT-Bobath therapy through 2 weeks (ten days of the therapy). Normalized parameters of gait were calculated based on anthropometric measures of patients and their gait parameters (gait velocity, cadence and stride length) measured in every patient on admission (before the therapy) and after the last session of the therapy to assess rehabilitation effects. Results among patients involved in the research were as follows: in normalized gait velocity: recovery in 42 cases (70 %), relapse in 10 cases (16,67 %), no measurable changes in 8 cases (13.33 %)in normalized cadence: recovery in 39 cases (65 %), relapse in 16 cases (26.67 %), no measurable changes in 5 cases (8.33 %)in normalized stride length: recovery in 50 cases (83.33 %), relapse in 4 cases (6.67 %), no measurable changes in 6 cases (10 %). Observed statistically significant and favourable changes in health status of patients, described by normalized gait parameters, confirm effectiveness of the NDT-Bobath method.

10

Using dance in the rehabilitation of patients with Parkinson’s disease

75%

Stożek J., Pustułka-Piwnik U.

Medical Rehabilitation

|

2013

|

vol. 17(1)

21-25

PL

Choroba Parkinsona (PD) jest postępującą chorobą neurodegeneracyjną, która prowadzi do wystąpienia zaburzeń ruchowych, niestabilności postawy, zaburzeń chodu, upadków, zaburzeń pozaruchowych i niesprawności. Rehabilitacja jest istotnym elementem kompleksowego leczenia chorych na PD. Celem pracy jest przedstawienie korzyści oraz efektów zastosowania tańca w rehabilitacji chorych na chorobę Parkinsona w oparciu o dostępne piśmiennictwo. Taniec wpływa korzystnie na sferę fizyczną, psychiczną, emocjonalną, intelektualną, estetyczną, kulturalną i społeczną człowieka. Pozytywne efekty, które można uzyskać poprzez regularne zajęcia taneczne szczególnie trafnie korespondują z celami terapeutycznymi rehabilitacji ruchowej w PD. Pacjenci z PD korzystają z treningu tanecznego, jak inne tańczące osoby. Trening taneczny obejmuje różnorodne ćwiczenia postawy, równowagi i chodu wykonywane do rytmu i muzyki. Wykorzystuje strategie naturalnie stosowane w tańcu i szczególnie przydatne w usprawnianiu chorych z PD, m.in.: koncentrację na ruchu do muzyki, wyobrażenie ruchu przed jego wykonaniem, wielosensoryczną stymulację i wskazówki sensoryczne. Muzyka i taniec ułatwiają rozpoczynanie ruchu i wykonywanie go z odpowiednią szybkością i amplitudą. W nielicznych badaniach dotyczących skuteczności tanecznych programów rehabilitacyjnych w PD uzyskano pozytywne efekty w zakresie równowagi, chodu, stanu funkcjonalnego i jakości Ŝycia chorych. Autorzy stosowali różne style i formy taneczne: elementy baletu klasycznego, jazz dance, taniec towarzyski, tango argentyńskie, tańce integracyjne, ludowe, taniec współczesny, kontaktową improwizację taneczną, teatr tańca oraz pantomimę. Taniec może być narzędziem kompleksowej rehabilitacji w PD, który łączy elementy fizjoterapii, terapii sztuką (tańcem i muzyką), rytmicznej stymulacji dźwiękowej i integracji społecznej.

EN

Parkinson’s disease (PD) is a progressive, neurodegenerative disease leading to the occurrence of movement disorders, postural instability, gait disorders, falls, non-motor symptoms and disability. Rehabilitation is an important component of multidisciplinary treatment in PD. The aim of the study is to present the benefits and effects of using dance in the rehabilitation of patients with PD. Dance can have a beneficial influence on the physical, psychological, emotional, intellectual, aesthetic, cultural and social spheres of human life. Positive effects, which can be obtained through regular dance classes, in particular when they accurately correspond to the therapeutic goals of rehabilitation in PD. Patients with PD benefit from dance training in the way other dancing individuals do. Dance training includes various postural, balance and gait exercises performed to rhythm and music. It uses strategies naturally used in dance which are particularly useful in the therapy of patients with PD: concentration on movement performed to music, imagination of movement before its execution, multisensory stimulation and using sensory cues. Music and dance facilitate the initiation of movement and its performance at a proper speed and amplitude. In the limited studies concerning the effects of dance rehabilitation programs on PD, positive results were obtained in balance, gait, functional status and the quality of patient life . The authors used various forms of dance: the elements of classical ballet, jazz dance, ballroom dancing, Argentine tango, group dances, folk dances, contemporary dance, contact improvisation, elements of choreography dance theatre. Dance in various forms can be the tool for multidisciplinary rehabilitation, joining the elements of physiotherapy, art therapy (dance and music therapy), rhythmic auditory stimulation as well as social integration.

11

Allergy in patients treated with kinesiology taping: A case report

75%

Mikołajewska E.

Medical Rehabilitation

|

2010

|

vol. 14(4)

33-38

PL

Kinesiotaping jest obecnie uważany za samodzielną lub uzupełniającą metodę w rehabilitacji, ortopedii i medycynie sportowej. Historia kinesiotapingu sięga wczesnych lat 70-tych XX w. Techniki kinesiotapingu oraz plaster używany w tej metodzie zostały opracowane ponad 25 lat temu w Japonii przez chiropraktyka Kenzo Kase. Idea metody leży w oddziaływaniu specjalnego plastra zaaplikowanego zgodnie z zasadami kinesiotapingu. Plaster ten, wykonany z bawełny i akrylu, ma parametry (grubość, wagę, rozciągliwość itp.) bardzo zbliżone do ludzkiej skóry. Klej wykorzystywany w plastrach do kinesiotapingu uważany jest za hipoalergiczny. Artykuł przedstawia interesujący przypadek alergii podczas terapii metodą kinesiotapingu. Świadectwa dotyczące alergii podczas terapii metodą kinesiotapingu w praktyce klinicznej są rzadkie, brak jest publikacji w tym zakresie. Istnieje konieczność zwrócenia szczególnej uwagi na reakcję skóry na kombinację substancji używanych do produkcji kleju stosowanego w plastrach i środków używanych do przygotowania skóry do aplikacji kinesiotapingu. Niezbędne są dalsze badanie w celu określenia możliwego źródła (źródeł) alergii. Przedstawiony opis przypadku może być świadectwem, że podczas terapii metodą kinesiotapingu oprócz możliwości alergii na używane w niej plastry możliwe są również: alergia na substancje używane do przygotowania skóry przed aplikacją plastra oraz alergia na kombinację substancji używanych do produkcji kleju do plastrów do kinesiotapingu oraz substancji używanych do przygotowania skóry przed aplikacją plastra. Stanowi to bardzo ważny obszar badań, ponieważ alergia może powodować poważne uszkodzenia skóry i rany. U pacjentów z porażeniem lub w śpiączce ostre alergie mogą doprowadzić do poważnych ran, a nawet odleżyn.

EN

Kinesiology taping is currently regarded as an independent or supporting method in rehabilitation, orthopaedics and sport medicine. The idea of the method lies in the effect of elastic tape applied according to the kinesiolgy taping rules. Kinesio tape, made from cotton and acrylic, has parameters (thickness, weight, extensibility, etc.) very similar to those of human skin. Glue used in kinesio tex tape is hypoallergenic. Evidence of allergy during kinesiology taping treatment (heat, rash etc.) in clinical practice is rare, there is a lack of articles in this area. The aim of the present article is to familiarize one with an interesting case of allergy during kinesiology taping treatment and to speculate on the potential implications of this possibility in kinesio taping treatment for clinical practice. Further study is recommended to determine the source(s) of the allergy. The case presented case could constitute evidence that during kinesio taping treatment apart from the possibility of allergy to the kinesiology tape itself there is equally possible: allergy to substances used for skin preparation before kinesio tape application, allergy to a combination of substances used to produce the glue on the kinesio tape and substances used in skin preparation prior to application. This is a very important area of research, because an allergy can cause severe cutaneous lesions and wounds. In patients with paralysis or a coma acute allergies can lead to serious wounds and even bedsores.

12

Huntington’s Disease patients in the Department of Neurology CM UJ in Cracow – a model of physiotherapy

75%

Mirek E., Kuźma M., Macałka J.

Medical Rehabilitation

|

2013

|

vol. 17(1)

26-29

PL

Choroba Huntingtona (HD) prowadzi do selektywnego zwyrodnienia i postępującej apoptozy neuronów mózgu, odpowiedzialnych za układ sterowania postawą, koordynację, a także integrację sensomotoryczną, a co za tym idzie ich degeneracja powoduje istotne zaburzenia motoryczne. Nie wynaleziono dotąd skutecznych metod leczenia przyczynowego HD, istnieją zaś dowody naukowe potwierdzające skuteczność rehabilitacji ruchowej w podtrzymywaniu, a nawet podnoszeniu sprawności ruchowej, samodzielności oraz siły i równowagi u pacjentów. Nie istnieją jeszcze szczegółowe wytyczne i opracowane procedury rehabilitacji HD, jednak są one stopniowo zbierane i przygotowywane przez Huntington’s Disease Society of America czy European Huntington’s Disease Network. Metodyczne wskazówki do prowadzenia ćwiczeń z chorymi nie różnią się w zasadzie od generalnych zasad usprawniania oraz programów ćwiczeń dla pacjentów neurologicznych. W oparciu o dostępną literaturę naukową, w Klinice Neurologii CM UJ w Krakowie stworzono model rehabilitacji chorych z HD, bazujący na metodzie proprioceptywnego torowania nerwowo-mięśniowego (PNF). Wspomniana metoda opiera się na maksymalnej stymulacji proprioreceptorów i eksteroreceptorów w celu uzyskania aktywacji uszkodzonych struktur, a stworzony model rehabilitacji dotyczy chorych we wczesnym i środkowym stadium HD, poruszających się samodzielnie, w pełni współpracujących z fizjoterapeutą. Obecnie prowadzone badania, z wykorzystaniem testów klinicznych oraz systemu analizy chodu VICON, mają na celu dowieść skuteczności modelu stworzonego w Klinice Neurologii CM UJ.

EN

Huntington’s disease (HD) leads to the selective degeneration and progressive neuronal apoptosis in the brain, which are responsible for the postural control system, coordination and sensorimotor integration, and causes significant motor disorders. There are no effective causal treatments for HD, but the scientific evidence supporting the effectiveness of rehabilitation in maintaining and improving mobility, independence, strength and balance in patients is known. The guidelines and procedures for rehabilitation of HD have not yet been developed, but they are being gradually assembled and recorded by the Huntington’s Disease Society of America and the European Huntington’s Disease Network. The methodology for exercises is similar to the general principles of rehabilitation and exercise programmes for neurological patients. With reference to the available scientific literature at the Department of Neurology, CM UJ in Cracow, a model of rehabilitation of patients with HD based on the method of proprioceptive neuromuscular facilitation (PNF) has been created. The PNF method is based on the maximum stimulation of proprioceptors and external receptors in order to activate the damaged structures, and creates a model of patient rehabilitation concerns for the early and middle stages of HD, moving independently, and fully cooperating with the physiotherapist. The current study connected with clinical tests and VICON system gait analysis, proves the effectiveness of the model created by the Department of Neurology, CM UJ in Cracow.

13

Knowledge of the factors inducing lymphedema and compliance with preventive recommendations in mastectomy patients

63%

Dziura I., Grądalski T.

Medical Rehabilitation

|

2008

|

vol. 12(4)

23-27

EN

Background: Lymphedema is a clinical manifestation of lymphatic system insufficiency. The risk of lymphedema increases especially in the case of women after mastectomy with removal of axilla lymph nodes and post-surgical radiotherapy. As a result of the above, it appears in the upper limb at the side where the surgery has been carried out. The factors that increase the risk of lymphedema include fatigue, overheating and injury to the limb at risk.Aim: To investigate the level of awareness of lymphedema prevention and the frequency of the post-mastectomy patients’ compliance with the received recommendations.Material and methods: 40 women after one-side radical mastectomy and post-surgical radiotherapy took part in the research. None of them had symptoms of recurrence. All patients had a clinical manifestation of upper limb lymphedema at the side of the surgical intervention. The patients were asked to fill in a questionnaire that consisted of 6 questions.Results: The research has shown that patients with risk of lymphedema display a low level of education in the matter and that they indicate problems with access to professional information on the topic of lymphedema prevention. The properly trained medical staff rarely proved to be a source of information on the topic. The women who participated in the survey mostly knew that they had to avoid injections and taking blood pressure in the affected upper limb as well as excessive upper limb exercise. Most frequently mentioned preventive recommendations included elevation of the limb and appropriate exercise. Among the factors generating lymphedema, most women indicated excessive physical effort as a subjective cause of the manifestation of the condition.Conclusion: Despite the knowledge of lymphedema prevention measures, the patients often fail to comply with the recommendations they have been given.Background: Lymphedema is a clinical manifestation of lymphatic system insufficiency. The risk of lymphedema increases especially in the case of women after mastectomy with removal of axilla lymph nodes and post-surgical radiotherapy. As a result of the above, it appears in the upper limb at the side where the surgery has been carried out. The factors that increase the risk of lymphedema include fatigue, overheating and injury to the limb at risk.Aim: To investigate the level of awareness of lymphedema prevention and the frequency of the post-mastectomy patients’ compliance with the received recommendations.Material and methods: 40 women after one-side radical mastectomy and post-surgical radiotherapy took part in the research. None of them had symptoms of recurrence. All patients had a clinical manifestation of upper limb lymphedema at the side of the surgical intervention. The patients were asked to fill in a questionnaire that consisted of 6 questions.Results: The research has shown that patients with risk of lymphedema display a low level of education in the matter and that they indicate problems with access to professional information on the topic of lymphedema prevention. The properly trained medical staff rarely proved to be a source of information on the topic. The women who participated in the survey mostly knew that they had to avoid injections and taking blood pressure in the affected upper limb as well as excessive upper limb exercise. Most frequently mentioned preventive recommendations included elevation of the limb and appropriate exercise. Among the factors generating lymphedema, most women indicated excessive physical effort as a subjective cause of the manifestation of the condition.Conclusion: Despite the knowledge of lymphedema prevention measures, the patients often fail to comply with the recommendations they have been given.

14

Orthopedic upper limb appliances in post-stroke patients used in prevention of shoulder pain syndrome

63%

Gieremek K., Cieśla W., Kubacki J., Rojczyk-Chmarek J.

Medical Rehabilitation

|

2008

|

vol. 12(1)

25-31

EN

Shoulder pain constitutes one of the more serious problems that occur after cerebral stroke. Such ailments concern evan 65% of patients. The so-called Painful Shoulder Syndrome of Hemiplegic (p.s.s.h) is often a result of negligence and delayed initiation of physiotherapy. Application of appropriate orthopaedic supply is an important element of the therapy. Possibilities of orthopedic appliances of paretic upper limb in post-stroke patients are commonly limited to forearm and arm orthesis or sling. Such equipment is, however, not sufficient, especially for patient’s shoulder joint. Post-stroke processes within the shoulder area occur in 81% of patients resulting in physical therapy difficulties and causing pain and limb dysfunction. The article presents aetiopathogenesis of hemiplegic shoulder; special attention is directed to the most common therapy and nursing mistakes. The article describes market analysis with regard to availability of modern orthopedic equipment for both prevention and treatment of the syndrome of hemiplegic shoulder. Advantages and disadvantages of the following devices were discussed: traditional sling, Itman’s sling, abduction pillow and Aperent Activ apparatus. The new, original type of orthopaedic supply: Hemi-Flex apparatus was described in a wider range. Significant advantages of this type of supply were stressed out, while a conclusion was also drawn that this supply should be an element of standard treatment of patients with paresis or plegia following cerebral stroke.

15

Effects of selected factors on the outcome of rehabilitation of post-stroke patients

63%

Przysada G., Kwolek A., Mazur A.

Medical Rehabilitation

|

2007

|

vol. 11(3)

29-37

EN

The aim of the study was to evaluate the impact of selected factors, such as: gender, age, stroke type, side of paresis, time to initiation of rehabilitation, first or successive in-patient rehabilitation and severity of paresis at admission on the final clinical status of patients and on the outcome of treatment at the department of rehabilitation, district hospital.Material and methods: All 431 post-stroke patients qualified for the treatment at the department of rehabilitation between January 2002 and December 2003 were included in the study. Patients were divided into four age groups. Results of rehabilitation were analyzed in male and female groups separately. Patients were divided according to the stroke type into four groups either suffering from an ischaemic or a hemorrhagic stroke; another selection cirterion was left-sided vs. right-sided paresis. The so-called general fitness, Barthel Index and Brunnström test were used to evaluate clinical status of the patients and the progress of rehabilitation. Statistical analysis was carried out using the t-test or – alternatively – the non-parametric Wilcoxon signed rank test, analysis of variance (ANOVA) or the nonparametric Kruskal-Wallis test, and the chi-square test.Results: Based on the obtained results, it was proven that multidimensional, complex rehabilitation in a specialist centre, carried out by rehabilitation team resulted in significant improvement of post-stroke patients’ clinical status. The improvement was observed for all measurements of fitness used in the study. Analysis of the effects of rehabilitation with regard to patients’ age indicated that an improvement in general fitness, motor activity (reduction of paresis) and independency in activities of daily living was obtained in each age group. Based on the analysis conducted in groups of patients with different stroke aetiologies, it was found that effects of the treatment in patients with haemorrhagic stroke were better than in patients with ischaemic stroke, which was observed in each of the applied measures used for the evaluation of patients’ clinical status. Mean improvement observed after the treatment was greater in patients with right-sided paresis than in patients with left-sided paresis. Gender had no significant effect on the extent of rehabilitation results.Conclusions: Results of the study indicate that in post-stroke patients, gender, advanced age, stroke location, stroke type or motor skills at admission do not constitute a criterion determining the possibility of conducting rehabilitation procedures.

16

Impact of spinal injury with neurological consequences on sexual function: Sexual dysfunctions in men

63%

Tederko P., Krasuski M., Kiwerski J.

Medical Rehabilitation

|

2007

|

vol. 11(4)

27-31

EN

Sexual impairment and decreased fertility constitute a part of a complex dysfunction typical for men with spinal injury with neurological consequences (SINC). Despite the progress in medical sciences and quality of care provided for disabled persons, the problem is often neglected by medical professionals and caregivers.Aim of the study: Presentation of patophysiological background and specificity of sexual dysfunction typical for men following SINC. Review of contemporary treatment modalities designed for erectile dysfunction and infertility in men after SINC.Method: Literature review, authors’ clinical experience.Results and conclusions: Specific neurological deficit with overlapping adaptation problems and depression account for erectile dysfunction in men after SINC. There is a wide range of efficient therapies addressed to patients suffering from erectile disturbances resulting from SINC. Selection of a proper therapy depends on location (level) of the lesion of a neural structure, type of deficit, functional status, presence of symptoms of autonomic dysreflexia, concomitant diseases and patient’s individual preferences. Patient’s awareness of the disability and positive attitude towards acceptance of alternative forms of sexual expressions are crucial for the therapeutic success. Ejaculation dysfunction and infertility are common among men after SINC. Application of contemporary methods of assisted reproduction may be efficient in about half of male population with SINC.

17

Changes of ventilatory parameters in the positional training of persons after cervical spinal cord injury

63%

Tederko P., Krasuski M.

Medical Rehabilitation

|

2009

|

vol. 13(1)

11-17

EN

Background: Cervical spinal cord injury (CSCI) is followed by mixed respiratory dysfunction.Purpose: Evaluation of the ventilatory parameters of CSCI patients in postures typical for positional training. Material: 51 CSCI patients in a mean age of 34.4 (SD=14.6) years; complete motor deficite (CMD) 66.6%; injury of C5 level or above – 68.6%. Control group(CG): 10 healthy volunteers. Method: Spirometry and flow-volume examination in recumbent (R), sitting (S) and vetrical 60o tilt (V) positions. Main results: Expiratory reserve volume (ERV) undergoes significant positional changes in CG (R: 1.34 L, H: 0.25 L, V: 0.79 L; p=0.02), but not in CSCI patients. Transition from R to S in CMD persons results in a significant decrease in vital capacity (VC) (from 2.45 to 1.75 L; p=0.0008); inspiratory capacity (IC) (from 2.48 to 1.41 L; p=0.0008); forced expiratory volume in 1 second (FEV1) (from 2.21 to 1.64 L; p=0.002); forced vital capacity (FVC) (from 2.55 to 1.78 L; p=0.0004). The FEV1/FVC rate does not depend on positional changes ranging from 89.7% to 93.9% of the reference values. Ventilatory parameters in the incomplete motor deficite (ICMD) group do not differ significantly between the examined body positions. Transition between R and S in the CMD group results in a significant decrease in the peak expiratory flow (PEF) (from 4.23 to 3.53 L/s) and the peak inspiratory flow (PIF) (from 3.89 to 3.43 L/s), while in ICMD the PEF increases from 4.01 to 4.39 L/s and the PIF increases from 3.66 to 4.18 L/s.Conclusions: Transition from R to S in CSCI patients results in increased restriction. CMD patients express a reduction of peak flows while in the ICMD peak flows increase after transition between R and S. Shifting from S to a 60o vertical tilt with standard trunk stabilization does not change significantly the ventilatory parameters in CSCI patients.

18

The role of the ICF-CP functional diagnosis of a child with cerebral palsy during biopsychosocial rehabilitation under the Conductive Education System

63%

Nowak K.

Medical Rehabilitation

|

2015

|

vol. 19(2)

24-33

EN

Cerebral palsy (CP) is a set of symptoms that result from permanent damage to an undeveloped brain. The location of the brain damage determines the deficits of different functions, which may include: movement, vision, speech, cognitive functions, and emotional functions. The International Classification of Functioning, Disability and Health (ICF) is a scale developed by the World Health Organization (WHO) that is used to describe various aspects of health. The ICF uses a common language and provides a conceptual basis for defining and measuring health and disabilities. The ICF also integrates the most important models of disabilities. It takes into account the role of environmental factors in the development of a disability and the importance of health conditions and their impact. The ICF classifications are multi-profile and universal, which allows for their wider use as a statistical, research, clinical, socio-political and educational tool. The ICF-CY (a version of the ICF for children and youth) shows that a child should be treated as an ‘intersystematic’ individual, because during development a child needs supervision and support in all aspects of life, including in the cognitive, social, mobility and communication spheres, and should take advantage of several services such as medical, educational and social care. From a list of 1685 categories in the ICF-CY, a specific set for children/adolescents with cerebral palsy (the ICFCP) was developed. This consists of 135 categories for children aged 0 to 18 years. For ease of clinical use, the ICF-CP is also divided into smaller sets that are dependent on the age of the child with CP. The ICF-CP functional diagnosis, which takes into account all aspects of life, facilitates the setting of SMART goals, as well as the planning of a holistic rehabilitation process. The aim of rehabilitation is equally aimed at motor functioning, cognition, learning and personality development. a functional diagnosis therefore shows the relationships in the family, and the effect of the environment on a child’s active participation. Conductive Education is a multi-profile process consisting of single-plane, parallel, integrated and harmonised improvement of all functions that are vital for a child with cerebral palsy. The main objective of this multi-profile rehabilitation is to progress from dysfunction to ortho-functioning, which, according to the ICF-CP, constitutes active participation.

PL

Mózgowe porażenie dziecięce to zespół objawów wynikających z trwałego uszkodzenia mózgu, znajdującego się w stadium niezakończonego rozwoju. Lokalizacja uszkodzenia mózgu warunkuje deficyty różnych funkcji, np.: ruchu, wzroku, mowy, funkcji poznawczej i emocjonalnej. Międzynarodowa Klasyfikacja Funkcjonowania, Niepełnosprawności i Zdrowia (ICF) to skala opracowana przez Światową Organizację Zdrowia (WHO), przeznaczona do opisu różnych aspektów zdrowia. ICF zapewnia standardowy język i koncepcyjne podstawy do zdefiniowania i pomiaru zdrowia i niepełnosprawności. ICF integruje najważniejsze modele niepełnosprawności. Uznaje rolę czynników środowiskowych w tworzeniu niepełnosprawności, a także znaczenie warunków zdrowotnych i ich skutków. Wieloprofilowość oraz uniwersalność klasyfikacji ICF umożliwia szerokie jej zastosowanie m.in. jako narzędzia: statystycznego, badawczego, klinicznego, polityki społecznej, edukacyjnego. Klasyfikacja ICY-CY (ICF wersja dla dzieci i młodzieży) pokazuje, że dziecko należy traktować jako istotę „międzysystemową”, ponieważ w trakcie rozwoju potrzebuje nadzoru oraz wsparcia we wszystkich aspektach życia, m.in. w sferze poznawczej, społecznej, mobilności, komunikacji, korzystając jednocześnie z kilku systemów usług, m.in. medycznych, edukacyjnych, opieki społecznej itp. Z listy 1685 kategorii ICF-CY specyficznych zestawów dla dzieci/młodzieży powstał kompletny, składający się ze 135 kategorii, specyficzny zestaw ICF-CP dla dzieci z mózgowym porażeniem dziecięcym od 0 do 18 lat. Dla ułatwienia w praktyce klinicznej ICF-CP został podzielony na mniejsze zestawy, również zależne od wieku dziecka z m.p.dz. Diagnoza funkcjonalna ICF-CP, obejmująca wszystkie aspekty życia, ułatwia wyznaczenie celów SMART oraz zaplanowania holistycznego procesu rehabilitacji. Usprawnianie ma na celu w równym stopniu oddziaływanie na naukę funkcji ruchowej, poznawczej, wychowania czy kształtowania osobowości dziecka. Funkcjonalna diagnoza pokazuje relacje rodzinne oraz wpływ środowiska na aktywne uczestnictwo dziecka. System Nauczania Kierowanego to wieloprofilowy proces, polegający na jednopłaszczyznowym, równoległym, zintegrowanym i zharmonizowanym usprawnianiu wszystkich niezbędnych funkcji dziecka z mózgowym porażeniem dziecięcym. Nadrzędnym celem wieloprofilowego usprawniania jest przejście od dysfunkcji do ortofunkcji, czyli według ICF-CP aktywnego uczestnictwa.

19

The influence of a six week rehabilitation programme of low intensity on the functional fitness of elderly patients suffering from circulatory system diseases

63%

Krzywicka-Michałowska M., Deskur-Śmielecka E., Jóźwiak A., Bosacka M., Dylewicz P.

Medical Rehabilitation

|

2010

|

vol. 14(2)

10-16

PL

Wprowadzenie: Konieczne jest poszukiwanie prostych w zastosowaniu metod rehabilitacji zwiększających funkcjonalną sprawność oraz samodzielność osób w podeszłym wieku. Cel pracy: Zbadanie wpływu 6-tygodniowcgo programu treningowego o malej intensywności, realizowanego w ramach dziennej rehabilitacji geriatrycznej, na ocenianą za pomocą prostego toru przeszkód (TP) sprawność fizyczną starszych pacjentów. Materiał i metody: Retrospektywna analiza danych 208 kolejnych pacjentów (średni wiek 73±5,5 lat; 45 mężczyzn) uczestniczących w 6-tygodniowym programie rehabilitacyjnym na geriatrycznym oddziale pobytu dziennego. Program obejmował ćwiczenia ogólnousprawniające, terapię zajęciową, zabiegi fizykalne oraz masaŜ. Na początku i na końcu programu pacjenci pokonywali tor przeszkód, składający się z czterech stacji: l) otwieranie drzwi, 2) siadanie i wstawanie z niskiego fotela, 3) slalom między piłkami, 4) przekracza-nie 3 przeszkód o wzrastającej wysokości. Wyniki przedstawiono w postaci czasu pokonania całego TP oraz łącznej punktacji za wykonanie wszystkich zadań (0-3 punktów za kaŜdy element, w zależności od stopnia poprawności wykonania). Wyniki: Stwierdzono bardzo wysoką korelację pomiędzy czasem pokonania TP a wyraŜonym w punktach stopniem poprawności wykonania poszczególnych prób (r = -0,84 na początku badania i r = -0,81 na końcu badania, p < 0,05). Średni czas pokonania TP w całej grupie poprawił się o 5,5 ±9,68 s (z 45,3 ±2,09 s do 39,8 ±23,05 s, p < 0,0001). Mediana sumy punktów za wykonanie wszystkich stacji zwiększyła się z 9 do 11 punktów; p < 0,0001. Istotną (p < 0,01) poprawę czasu TP i punktacji stwierdzono takŜe w podgrupach wyodrębnionych ze względu na płeć, wiek (< 75 rż i > 75 rż), występowanie choroby niedokrwiennej serca, nadciśnienia tętniczego, niewydolności serca, przebytego udaru mózgu, oraz u pacjentów najmniej sprawnych (czas początkowego TP > górnego kwartyla). W grupie pacjentów najbardziej sprawnych (czas początkowego TP < dolnego kwartyla) czas TP nie uległ skróceniu. Uzyskany stopień poprawy czasu i punktacji u pacjentów najmniej sprawnych był większy (p < 0,0001) niŜ u osób najbardziej sprawnych. Wnioski: Sześciotygodniowy program treningowy o małej intensywności poprawia sprawność funkcjonalną starszych pacjentów, niezależnie od ich wieku, płci oraz współwystępujących chorób układu krąŜenia. Największe korzyści odnoszą pacjenci z najniższym początkowym poziomem sprawności.

EN

Introduction: The preservation of functional performance and the independence of elderly people is a challenge for rehabilitation today. Aim of the study: We aimed to investigate the effects of a 6-week, low-intensity rehabilitation program on functional fitness, assessed with a simple obstacle test, in elderly subjects.Material and Method: A retrospective analysis of data of 208 patients (mean age 73 ±5.5 yrs; 45 men) participating in a 6-week, ambulatory rehabilitation program for the older adults. The program included calisthenics, occupational and physical therapy, and massage. An obstacle test (OT) consisting of 4 stations (1. opening a door, 2. sitting and standing up from an armchair, 3. slalom, 4. crossing 3 obstacles of increasing height) was performed on admission and at discharge. The results are shown as total time (in seconds) and summarized score (0-3 points for each station).Results: The OT time strongly correlated to the score for the quality of the action (r = -0.84 at baseline and r = -0.81 at the end, p < 0.05). The mean OT time in the entire group improved by 5.5 ±9.68 s (from 45.3 ±2.09 to 39.8 ±23.05 s, p < 0,0001). The median OT score increased from 9 to 11; p < 0.0001. The OT time and the score improved significantly (p < 0.01) in subgroups of patients differing with sex, age (< 75 vs. ≥ 75 yrs), comorbidities (ischemic heart disease, hypertension, heart failure, stroke) and in the subjects with the lowest baseline fitness level (baseline OT time > upper quartile). The improvement in OT time and the score in patients with the lowest fitness level was greater (p < 0.0001) than in the subjects with the highest fitness level (baseline OT time < lower quartile).Conclusion: A six-week, low-intensity rehabilitation training program improves functional fitness of elderly subjects, independently on their age, sex and comorbidities. The biggest benefits were observed in patients with the lowest level of fitness.

20

The application of virtual reality in neuro-rehabilitation: motor re-learning supported by innovative technologies

63%

Kiper P., Szczudlik A., Mirek E., Nowobilski R., Opara J., Agostini M., Tonin P., Turolla A.

Medical Rehabilitation

|

2013

|

vol. 17(4)

29-36

PL

Upośledzenie funkcji ruchowych po udarze mózgu u wielu chorych ma negatywny wpływ na samodzielność i czynności życia codziennego oraz wymaga długotrwałej rehabilitacji. Liczne badania wykazały, że uczenie się nowych umiejętności motorycznych pobudza neuroplastyczność mózgu i umożliwia poprawę funkcjonalną. Innowacyjne technologie wykorzystywane w rehabilitacji wzmacniają możliwości treningu ruchowego poprzez dostarczanie informacji zwrotnej. Łączenie tradycyjnej rehabilitacji ruchowej z innowacyjną technologią poprzez wzmocniony trening umożliwia przyspieszenie ponownego uczenia się ruchu i nabywania umiejętności funkcjonalnych. Otoczenie wzbogacone przez informacje zwrotną angażuje wiele zmysłów i stymuluje pacjenta do aktywnej pracy. Ćwiczenia w otoczeniu wirtualnym maksymalizują efekt uczenia się ruchu poprzez powtarzające się i zróżnicowane zadania oraz dostarczenie informacji zwrotnej w odniesieniu do działania i jego efektu. Innowacyjne technologie rehabilitacyjne, zarówno terapia wirtualna, jak i urządzenia - roboty, pozwalają na specyficzne leczenie oparte na treningu z wykorzystaniem wzmocnionego sprzężenia zwrotnego w środowisku wirtualnym (Reinforced Feedback in Virtual Environment – RFVE), zwiększając informacje czuciowe odpowiadające rzeczywistym zadaniom i przedmiotom. Trening ruchowy oparty na RFVE daje także możliwość poszerzenia wiedzy na temat technik wykorzystywanych do poprawy czynności ruchowych niedowładnej kończyny.

EN

The motor function impairment resulting from a stroke injury has a negative impact on autonomy, the activities of daily living thus the individuals affected by a stroke need long-term rehabilitation. Several studies have demonstrated that learning new motor skills is important to induce neuroplasticity and functional recovery. Innovative technologies used in rehabilitation allow one the possibility to enhance training throughout generated feedback. It seems advantageous to combine traditional motor rehabilitation with innovative technology in order to promote motor re-learning and skill re-acquisition by means of enhanced training. An environment enriched by feedback involves multiple sensory modalities and could promote active patient participation. Exercises in a virtual environment contain elements necessary to maximize motor learning, such as repetitive and diffe-rentiated task practice and feedback on the performance and results. The recovery of the limbs motor function in post-stroke subjects is one of the main therapeutic aims for patients and physiotherapist alike. Virtual reality as well as robotic devices allow one to provide specific treatment based on the reinforced feedback in a virtual environment (RFVE), artificially augmenting the sensory information coherent with the real-world objects and events. Motor training based on RFVE is emerging as an effective motor learning based techniques for the treatment of the extremities.

Refine search results

Is anemia at admission related to short-term outcomes of elderly hip fracture patients?

The continuation of post-stroke rehabilitation according to the model of Early Home Supported Discharge

Can traditional games be an option in increasing the physical activity of women following mastectomy?

Developing voice intensity in clients with dysarthria with the use of specialized technical devices

Alternating Consecutive Maximum Contraction as a Test of Muscle Function in Athletes Following ACL Reconstruction

Educational programme of Early Breast Cancer Detection in 40-year-old female inhabitants from Cracow, as an element of a preventive treatment of complications requiring oncological rehabilitation

Ethical considerations in the use of brain-computer interfaces

Therapeutic training in post-stroke disturbances of vision

Normalized gait parameters in NDT-Bobath post-stroke gait rehabilitation

Using dance in the rehabilitation of patients with Parkinson’s disease

Allergy in patients treated with kinesiology taping: A case report

Huntington’s Disease patients in the Department of Neurology CM UJ in Cracow – a model of physiotherapy

Knowledge of the factors inducing lymphedema and compliance with preventive recommendations in mastectomy patients

Orthopedic upper limb appliances in post-stroke patients used in prevention of shoulder pain syndrome

Effects of selected factors on the outcome of rehabilitation of post-stroke patients

Impact of spinal injury with neurological consequences on sexual function: Sexual dysfunctions in men

Changes of ventilatory parameters in the positional training of persons after cervical spinal cord injury

The role of the ICF-CP functional diagnosis of a child with cerebral palsy during biopsychosocial rehabilitation under the Conductive Education System

The influence of a six week rehabilitation programme of low intensity on the functional fitness of elderly patients suffering from circulatory system diseases

The application of virtual reality in neuro-rehabilitation: motor re-learning supported by innovative technologies