Search results

1

Interdisciplinary interventional and physiotherapy management of facet joint syndrome

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Broda M., Miler J., Jankowski K., Rogowski B., Krakowiak M., Sokal P.

European Journal of Translational and Clinical Medicine

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2023

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vol. 6

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issue 2

78-84

EN

Low back-pain is the most common pain syndrome. Radiofrequency facet denervation (RFD) is a minimally invasive method of treatment of chronic low back pain caused by facet joint syndrome. In this procedure electric current with frequency of radio waves are used to cause thermal injury to a small branch nerve that innervates painful facets. There are numerous studies confirming the effectiveness of this therapy. A good outcome of RFD can be sustained by appropriate and regular exercise. The aim of this article is to recommend such a program of exercises focused on strengthening the muscles and improving stabilization of the lumbar spine.

2

Development of veterinary physiotherapy in Poland

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Kassolik K., Andrzejewski W., Gilar A.

Physiotherapy

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2009

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vol. 17

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issue 4

78-86

PL

Wstęp: fizjoterapia zwierząt w Polsce jest dziedziną bardzo młodą i stosunkowo mało popularną. Jednak w ostatnich latach obserwuje się wzrost zainteresowania zarówno właścicieli zwierząt, jak i lekarzy weterynarii wykorzystaniem zabiegów fizjoterapeutycznych w weterynarii. Obserwując trendy światowe, można się spodziewać, że w najbliższym czasie dojdzie do znacznego rozszerzenia usług fizjoterapeutycznych w leczeniu zwierząt. Cel pracy: celem pracy była ocena popularności i rozwoju fizjoterapii zwierząt w Polsce. Materiał i metody badań: badania przeprowadzono w placówkach weterynaryjnych, w których w leczeniu zwierząt wykorzystuje się przynajmniej jedną metodę fizjoterapii i które odpowiedziały na rozesłaną ankietę. Ankietę wypełniło 16 placówek, w tym: kliniki, przychodnie, lecznice i gabinety weterynaryjne z rejonu całej Polski. Wnioski: w Polsce wykorzystanie fizjoterapii w leczeniu zwierząt jest jeszcze niewielkie. Jednakże obserwuje się wzrost zainteresowania fizjoterapią zwierząt wśród lekarzy i klientów przychodni weterynaryjnych. Według polskich terapeutów rehabilitacja zwierząt przynosi bardzo dobre rezultaty. Fizjoterapia zwierząt najczęściej stosowana jest w przypadku schorzeń kręgosłupa, dyskopatii, zwyrodnieniach stawów, po urazach, wypadkach, dysplazji stawów biodrowych. Terapeuci wykazują zainteresowanie podnoszeniem kwalifikacji w pracy ze zwierzętami poprzez specjalistyczne szkolenia.

EN

Introduction: in Poland animal physiotherapy is a very young discipline and it is still not very popular. However, in recent years animal owners and veterinary surgeons have become more and more interested in the use of physiotherapeutic procedures in veterinary medicine. Observing world trends, it may be expected that the nearest future will bring about significant expanding of physiotherapeutic services in the treatment of animals. Aim: the aim of the research was to assess the popularity and development of animal physiotherapy in Poland. Material and methods: the research was carried out in veterinary institutions in which at least one physiotherapeutic method is used in the treatment of animals and which completed a questionnaire. Sixteen institutions completed the questionnaire, and they included: veterinary departments, clinics, surgeries from all over Poland. Conclusions: in Poland the use of physiotherapy in treatment of animals is still limited. However, an increase has been observed in animal physiotherapy among veterinary surgeons and clients of veterinary clinics. According to Polish therapists rehabilitation of animals brings about very good results. Animal physiotherapy is used most frequently in diseases of the spine, discopathy, joint degeneration, aftertraumas, accidents and in hip dysplasia. Therapists are eagerto improve their qualifications by attending specialist training courses.

3

SOME NON-OPERATIVE WAYS OF LUMBAR DISC HERNIATION TREATMENT – CASE REPORT

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SOBOL J., TĘSIOROWSKI M., WILK-FRAŃCZUK M., JASIEWICZ B., PIECHOWICZ J., OPOKA W.

Medicina Internacia Revuo

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2013

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vol. 25

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issue 101

156- 162

EN

Discogenic back pain is an increasing problem in the modern world. Conservative treatment of discopathy is comparatively popular and may be an alternative to surgery. The authors describethe case of a 32 year old male with acute back pain, sciatica and numbness in the left lower leg. On the base of MRI imagesL4-L5 and L5-S1 two-level disc herniation was diagnosed. The patient did not decide on surgery, so complex conservative treatment was applied, including pharmacology and rehabilitation techniques. The symptoms resolved with permanent improvement in one year of follow up. Additionally, the patient was encouraged to apply “healthy habits” in physical activity. Conservative treatment in some cases of massive lumbar disc herniation may be successful.

4

Assessment Of abdominal belts impact ON the lungs ventilation and their application IN early physiotherapy after major abdominal surgery – prospective trial

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Czyżewski P., Hryciuk D., Dąbek A., Szczepkowski M.

Polish Journal of Surgery

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2016

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vol. 88(4)

202-208

EN

Early physiotherapy is an important part of the comprehensive treatment of patients after major abdominal surgery (MAS). Accelerated mobilization should be safe and requires the use of appropriate techniques. Most of the physiotherapists and surgeons recommends using abdominal belts. Opponents claim that belts have an adverse effect on lungs ventilation. The aim of the study was to determine the effect of abdominal belt on lung ventilation efficiency in the early period after MAS. Material and methods. The study involved 20 patients after MAS. Including 9 women and 11 men, aged between 40 to 90 years (xˉ 66.7). In the scheduled 7 patients and urgent 13. All of them were in the early period after surgery. Dynamic spirometry was performed twice in the postoperative period. For the first time wearing a belt, and then without the belt in the same group. Evaluated the forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF). For the analysis uses the Wilcoxon matched-pairs test and Spearman’s rank correlations. P values <0.05 were considered significant. Results. The value of the ventilation indicators measured wearing abdominal belt were slightly lower than the values evaluated without the belt. The results are shown in percent predicted for age and gender, FEV wearing belt 52%, without belt 53%; FEV1 59% vs 61%; PEF 46% vs 51%. There were no statistically significant differences Conclusions. There were no significant negative influence of abdominal belt on lungs ventilation in early period after MAS. There was no correlations between age, body mass index and changes in ventilation indicators.

5

Assignment of usefulness of physiotherapy applied to sports training in the case of szczecin swimmers

100%

Łubkowska W., Troszczyński J., Sieńko-Awierianów E.

Central European Journal of Sport Sciences and Medicine

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2014

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vol. 7

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issue 3

37-43

EN

The aim of this article is to make the assessment of physiotherapy use in the case of swimmers’ regeneration. A diagnostic survey was used as the method. Opinions from the author’s survey were considered and there were 30 high-class swimmers analyzed aged 15–27. The research was conducted in 2012 at the Floating Arena swimming pool in Szczecin. 100% of the surveyed swimmers benefit from regeneration after physical effort. The most common physiotherapist treatment in case of swimmers is dry classic massage – 86.7%. The water bath (63.3%), sauna bath (56.7%), whirl bath (53.3%), water jets/Scotch douche (43.3%) and hydro massages (30%) are the most common types of hydrotherapy. On the other hand, ultrasounds and cryotherapy are the least common treatments when choosing adequate types of regeneration, i.e. respectively 13.3% and 3.3%. The biggest amount of massages is performed shortly before start – 40%. Massage in 60% cases lasts 10 minutes. In 90% of the surveyed group partial massage is being applied, whereas only 3.3% of competitors take the overall massage. In case of 80% of the swimmers, massage is regarded as completely relaxing. For 77% of them it relaxes both physically and mentally. In case of 80% of the surveyed, it is regarded as the most efficient form of biological regeneration. 60% of swimmers say it is helpful to maintain readiness to start and to overcome fever (feeling of annoyance) or apathy.

6

SOME NON-OPERATIVE WAYS OF CERVICAL SPINE TREATMENT

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Piechowicz J., Tęsiorowski M., Jasiewicz B., Sobol J., Piechowicz M., Opoka W.

Medicina Internacia Revuo

|

2013

|

vol. 25

|

issue 100

119-123

EN

Though cervical spine disorders occur less frequently than lumbar spine problems, their course and final results may have severe implications for patients. Despite significant development in operative treatment of cervical spine; patients, if possible, choose conservative methods basing mainly on pharmacotherapy and rehabilitation (physiotherapy). A case report of non-operative treatment with use of selected techniques of manual therapy and physiotherapy is described. Achieved improvement allowed postponing the surgery, but we cannot exclude the necessity of operation in the future.

7

ESTIMATION OF POSTURAL STABILITY OF A PATIENT WITH MULTIPLE SCLEROSIS DURING A REHABILITATION PROGRAM - CASE STUDY

100%

BUTELSKA A., ZYZNAWSKA J., BOBER A., BĄK S., MAŃKO G.

Medicina Internacia Revuo

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2013

|

vol. 25

|

issue 101

220- 229

EN

Background and purpose: Multiple sclerosis (MS) is a demyelinating disease, usually with multifocal symptoms and multiphasic course that is emerging as a result of inflammation and the formation of foci of myelin breakdown in the central nervous system as a consequence of not fully known harmful external factors. The aim of this study was to analyze the results of tests allowing to detect imbalances in patients with multiple sclerosis. Material and Methods: A 38 year old male with MS diagnosed in 2006 was examined. The study used three tests of balance: "Timed Up & Go" test, Tinetti test and Berg Balance Scale. The results of the scale were analyzed, which consisted in a variety of motor tasks assessing balance and gait. Tests were repeated every month for 10 months. Results: The results in each test over 10 months significantly change. Changes in response to the increase of the number of tasks and the difficulty of the test occured. As a consequence of impaired balance control, the number of falls increased. Conclusions: The stability of the patient with multiple sclerosis is getting worse in each test evaluated. The deficit of stability increased in response to increasing the number of tasks and increasing the difficulty of the test. A key role in postural stability in standing plays the pelvis and lumbo-pelvic-hip complex.

8

The Influence of the 6-month Course of Nordic Walking on Patient with Parkinson's Disease - a Case Report

100%

Musiał P., Michalik M., Nowak E., Szefler-Derela J.

Central European Journal of Sport Sciences and Medicine

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2017

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vol. 20

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issue 4

31-38

EN

A person with Parkinson's disease has bigger problems with maintaining the stability than the healthy person. Nordic Walking is a safe kind of physical activity for elderly people. The aim of this study is to present the influence of a 6-month therapy of the Nordic Walking on the imbalance and the risk of falls for 66-years-old patient with Parkinson's disease. On the basis of results of 4 tests, performed both at the beginning and at the end of the Nordic Walking therapy, we have made a comparison of patient’s changes before and after 6 months of rehabilitation. the DGI test, the PD patient received 18 points. After he got 22 points. In the Functional Reach Test ( FR), while attempting to reach forward, reached out for 23 cm before the therapy, and 31 cm after the therapy. In the test and go up the patient got a time of 63 seconds, after therapy the time was reduced to 45 s. Nordic Walking is a safe kind of physical activity for people with Parkinson's disease. It reduces muscle tension, and improves joint function.

9

Relationship between the arches of feet and the Cole’s index

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Zdunek M. K., Lichota M., Górniak K.

Advances in Rehabilitation

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2019

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vol. 33

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issue 2

29-35

EN

Introduction The foot plays an important role as a static-dynamic foundation of the skeleton. The process of the most intensive formation of the foot during the posturogenesis falls on the preschool age and early school age. The aim of the study was to characterize the arch of the feet in children at the age of 5 and to look for the dependence of their arching condition on the Cole’s index level. Material and methods Forty-four preschool children took part in the research. The Cole’s index showed an underweight, normal body weight, overweight and obesity. The plantography method was used to assess the arching of the feet Results Over half of the examined children had normal body weight. Underweight was more common in the boys group, while overweight and obesity in girls. Ninety percent of children had abnormal longitudinal and transverse arches in both feet. The varus of the big toe and the valgus of the small toe was observed in both groups. The position of the heel was set correctly in majority of the participants. Conclusions No relationship was found between the Cole’s index and longitudinal arches of the right and left foot in boys, as well as in girls. The results revealed that excessive body weight in girls was correlated with flattening of the transverse arch and incorrect position of the heel in the right foot. No significant correlation was found between the Cole’s index and the assessed parameters of the foot in boys.

10

Satisfaction of patients with lumbar spine pain receiving physiotherapy treatment within health insurance reimbursement in Poland and in France

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Drżał N., Drzał-Grabiec J., Truszczyńska-Baszak A., Twarowska N.

Advances in Rehabilitation

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2019

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vol. 33

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issue 2

21-28

EN

Introduction Low-back pain syndromes are a common problem. The authors estimate that this ailment is experienced by more than 80% of populations in developed countries. The treatment of spine pain syndromes is an interdisciplinary issue. Therefore, a proper therapy must be multifactorial and take into consideration all aspects of a patient’s life. The aim of this work was to compare subjective evaluation of the process of rehabilitation of patients suffering from ailments related to lumbar spine pain who received physiotherapy within the health insurance reimbursement in Poland and in France. Material and methods The study included 100 patients who underwent physiotherapy due to lumbosacral spine pain complaints. The study group consisted of 50 participants who received physiotherapy in Poland and 50 subjects who underwent it in France. The authors’ own questionnaire was employed in the study. It was prepared in two language versions, i.e. Polish and French. The questionnaire consisted of 34 questions on demography, pain complaints, the process of physiotherapy and the evaluation of pain on the VAS scale, before and after physiotherapy Results The assessment of the promptness of the employed treatments was statistically higher in the case of the patients in France (p=0.039). The general assessment of the physiotherapy process by the examined patients in Poland and in France was similar. No statistically significant differences were revealed in this respect (p=0.240). The process of the therapy was most often regarded as very good (66%). Conclusions The patients with chronic lumbar spine pain undergoing therapy in France evaluated it higher than the patients in Poland. The effectiveness of physiotherapy in both countries did not vary considerably. France respects the rules of early intervention and extensiveness of physiotherapy to a larger degree than Poland.

11

Elimination of the risks of falls in the elderly from the point of view of physiotherapy

100%

Rottermund J., Knapik A., Warmuz- Wancisiewicz A., Saulicz M.

Physiotherapy and Health Activity

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2015

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vol. 23

|

issue 1

29-34

EN

Background: Man is exposed to falls performing daily activities, their effects turn out to be more severe especially in the later decades of life. After 60 years, it appears to be a larger number of fractures resulting in the limitation of physical fitness, health complications and life threatening. Therefore, prevention efforts conducted in the form of an in-depth analysis of the falls’ causes which already happened, control of health and proper treatment, conducting systematic, interesting and varied physical activities - in conjunction with education and mental change in a determined way they can and should reduce the risk of falls of the elderly.

12

Physiotherapy in the comprehensive treatment of obesity

100%

Cieślińska-Świder J.

Physiotherapy and Health Activity

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2015

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vol. 23

|

issue 1

35-44

EN

Background: World Health Organization considers obesity as the most serious health condition in the world today. This concerns not only adults but also children and young people. Obesity is the leading cause of increased morbidity, disabilities, mortality rates and deteriorated quality of life in society. Higher death risk due to cardiovascular diseases and certain cancerous conditions are also attributable to obesity. Some 40% adults in the world today are overweight and 13% are obese. These tendencies have also been observed in Poland. Specific components of comprehensive slimming treatments include dietary treatment, nutrition education, habits modification, increased level of physical activity, pharmacological treatment and surgical interventions. The basis in obesity treatment is to induce a negative energy balance. This status is typically achieved through dietary measures and increased energy expenditure. Helping prepare adequate individual therapeutic programs is a key to success in slimming of the obese patients. Mass reduction programs are prepared individually based on FITT formula, which takes into consideration four aspects of physical activity: frequency, intensity, time and type of physical activity. The role of physiotherapists in this process is essential. Individual therapeutic programs help adjust all the aspects of training to the health status of the obese patients, with respect to coexisting diseases.

13

The role of positive expiratory pressure (PEP) in physiotherapy of patients with cystic fibrosis. Comparison with oscillating positive expiratory pressure (OPEP)

100%

Orlik T., Wyka-Wojeńska A.

Advances in Rehabilitation

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2018

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vol. 32

|

issue 1

39-45

EN

Physiotherapy plays a very important role in cystic fibrosis. Its basic aim is to regularly clear bronchial passages of mucus which is responsible for exacerbation of bronchoalveolar symptoms. Positive Expiratory Pressure (PEP) and Oscillating Positive Expiratory Pressure (OPEP) are among the most commonly used bronchi clearance methods. It is not entirely clear which technique should be applied in what situations and whether these techniques are similar to other drainage techniques in terms of effectiveness. The aim of this study is to review the literature and analyse the effectiveness of both techniques, to summarise the existing evidence and to point to gaps in the knowledge about this issue.

14

The knowledge of patients after total hip arthroplasty regarding postsurgical recommendations and physiotherapy

100%

Kaźmierski D., Truszczyńska-Baszak A., Małgorzata K., Jerzy B.

Advances in Rehabilitation

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2018

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vol. 32

|

issue 1

21-30

EN

Introduction Physiotherapy and education are indispensable after total hip arthroplasty. The aim of the study was to assess the patients' level of knowledge about total hip arthroplasty, physiotherapy and everyday functioning after the surgery and to determine factors which affect this knowledge. Material and methods The study included 31 patients aged 57.03±14.53 years who underwent total hip arthroplasty. The authors' own questionnaire which verified the patients' knowledge about postsurgical procedures was used as a research tool. The questions were prepared on the basis of information provided to patients by physiotherapists and included, inter alia, photos showing correct and incorrect behaviours of patients after the surgery. Results Nearly 30% of the respondents demonstrated a high level of knowledge. The Internet was the most common (43%) source of information regarding the surgery and physiotherapy for patients. As many as 25% of the patients did not search for any information. The results did not correlate with such variables as age, gender, level of education, place of living, BMI or professional activity. Conclusions Patients' first contact with physiotherapeutic procedures takes place when they are admitted to a hospital. They rarely take advantage of out-patient presurgical physiotherapy. Patients should be given a wider access to reliable information regarding arthroplasty and physiotherapy. It may be done by preparing proper materials and making them available as well as encouraging patients to use them. It is necessary to convince patients to engage fully in the treatment process and cooperate with the therapeutic team.

15

First Polish Hand Allograft - 6-Month Report

100%

Jabłecki J., Kaczmarzyk L., Patrzałek D., Domanasiewicz A., Paruzel M., Chełmoński A., Kaczmarzyk J.

Polish Journal of Surgery

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2007

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vol. 79

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issue 3

232-238

EN

The transplant recipient is a 32 year-old man who lost his right, dominant upper limb on the level of the midpoint of his forearm in an accident 14 years ago. After a comprehensive pretransplantation evaluation and informed consent process he received a transplant of the right forearm, matched for size and skin tone, of a brain-dead man aged 47. The donor's limb was amputated at the elbow and irrigated with UW solution. We dissected the donor and recepient limbs simultaneously. Appropriate lengths of anatomical structures were matched. Bone fixation was performed with Rush pins, without bony transplants; the muscles were anastomosed in layers and the skin wound was closed without a skin transplant. The cold ischemia time was 10.5 hours. Immunosuppresion included simulect, tacrolimus, mycophenolic acid, and prednisone. Maintanance therapy included tacrolimus (15 ng/ml), mycophenolic acid, and encorton.There were no intraoperative or early postoperative complications. No episodes of rejection were observed. Immunosupression was well tolerated. The intensive physiotherapy led to satisfactory progress of motor function recovery. Reinnervation was excellent, and after 6 months, Tinel's sign was present over 40% of the respective lengths of the median and ulnar nerves. Follow-up included routine post-transplant laboratory tests, skin biopsies, bacteriological tests, and physiotherapy.

16

Application of positive expiratory pressure (pep) in cystic fibrosis patient inhalations

100%

Orlik T., Sands D.

Developmental Period Medicine

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2015

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issue 1

50-59

EN

Inhalations, whose aim is the liquefaction of dense viscous secretions and preparing them for evacuation from the bronchial tree by means of drainage techniques, are standard treatment procedures in cystic fibrosis. Numerous studies showed that during inhalation only a small percentage of the drug was deposited in the bronchi. The use of the so-called elevated positive expiratory pressure, or PEP system, can improve the drug deposition in the lungs and consequently have the effect of increasing the effects of physiotherapy and delay the progression of the disease. The aim of the study was a retrospective evaluation of the applicability of the PEP system in mucolytic drug inhalations in CF patients. Material and Methods: Analysis of the variation of selected spirometry indicators over time: FEV1, FVC, MEF75%, 50%, 25%, performed in two groups of patients with cystic fibrosis: group I using PEP (n 29), group II without PEP (n 38). The analysis of parameter variance in time, as well as of the course taken by the changes and the difference in this respect regarding the PEP and no PEP group of patients was made by means of the analysis of linear regression for correlated data (generalized estimating equation). Results: The use of the PEP system for inhalation in patients with cystic fibrosis had the greatest impact on improving the values of MEF75%, 50%, 25%. After 18 months, observations indicated the improvement of the values by 8.1%, 10.4% and 13% respectively in the group of PEP and reduction by 6%, 4.6% and 4.5% in the group without PEP. The differences in the level of change observed between the two groups proved to be statistically significant (p=0.033, p = 0.019, p=0.006). After 18 months compared to the initial visit, the analysis of variation over time in the PEP group showed significant improvement only in the case of MEF 25% (p=0.024). Conclusions: 1) The PEP system may be applied in inhalations of mucolytic drugs in cystic fibrosis patients. 2) the application of the PEP system for inhalations in cystic fibrosis patients showed the greatest improvement in the values of MEF75%50%25% 3) the use of PEP for inhalation of mucolytic drugs in patients with cystic fibrosis may be one of the factors affecting the delay of progression of functional changes in the lungs. 4) Long-term randomized observation should be carried out in order to confirm the retrospective study results.

PL

Wstęp: Zabiegi inhalacyjne, których celem jest upłynnienie gęstej, lepkiej wydzieliny i przygotowanie jej do ewakuacji z drzewa oskrzelowego przy pomocy technik drenażowych stanowią standardowe leczenie mukowiscydozy. Liczne badania pokazują, że w czasie inhalacji tylko niewielki procent leku deponuje się w oskrzelach. Zastosowanie podwyższonego ciśnienia wydechowego tzw. systemu PEP może zwiększyć depozycję leku w płucach i w konsekwencji mieć wpływ na zwiększenie efektów leczenia fizjoterapeutycznego i opóźnienie progresji choroby. Celem pracy była retrospektywna ocena przydatności systemu PEP w inhalacjach z leków mukolitycznych u chorych na mukowiscydozę. Materiał i metody: Przeprowadzono analizę zmienności w czasie wybranych wskaźników spirome trycznych: FEV1, FVC, MEF75%,50%,25%, w dwóch grupach chorych na mukowiscydozę: grupa I (n 29) – chorzy, którzy stosowali system PEP, grupa II (n 38) − kontrolna. Analizę zmienności badanych parametrów w czasie oraz różnic w przebiegu zmienności pomiędzy grupami pacjentów stosujących PEP i bez PEP zbadano przy pomocy analizy regresji liniowej dla danych powiązanych (uogólnione równanie estymujące, ang. generalized estimating equation). Wyniki: Zastosowanie systemu PEP w inhalacji u chorych na mukowiscydozę miało największy wpływ na poprawę wartości MEF75%,50%,25%. Po 18 miesiącach stwierdzono poprawę wartości wskaźników MEF75%,50%,25% odpowiednio o8,1%, 10,4% i13% wgrupie zPEP iobniżenie o6%, 4,6% i4,5% wgrupie dzieci inhalowanych bez PEP. Różnice w poziomie zmian zaobserwowane między grupami okazały się istotne statystycznie (p=0,033, p=0,019, p=0,006). Analiza zmienności w czasie w grupie stosującej PEP wykazała istotną statystycznie poprawę tylko w przypadku MEF25% po 18 miesiącach w stosunku do badania wyjściowego, (p=0,024). Wnioski: 1) System PEP może mieć zastosowanie w inhalacjach z leków mukolitycznych u chorych na mukowiscydozę. 2) Zastosowanie systemu PEP do inhalacji u chorych na mukowiscydozę miało największy wpływ na poprawę wartości MEF75%,50%,25%. 3) Zastosowanie PEP w inhalacji z leków mukolitycznych u chorych na mukowiscydozę może być jednym z czynników mających wpływ na opóźnienie progresji zmian czynnościowych w płucach. 4) Wymagane jest przeprowadzenie badania randominizowanego, długofalowego, które potwierdziłoby wyniki uzyskane w badaniu retrospektywnym

17

Physical and Psychological Complications of Mastectomy: The Role of Physioterapy

88%

Adesina M. A., Olajire T. I.

World News of Natural Sciences

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2020

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vol. 29

|

issue 3

212-224

EN

Breast cancer affects a large number of women worldwide. Surgical management has evolved towards mastectomies and breast-conserving surgeries. The complications following a mastectomy can be physical and/or psychological. The physical complications include pain, scarring, lymphedema, limitation in range of motion at the shoulder, muscle weakness, change in body posture, etc. Some of the psychological complications are negative boy image, anxiety, depression and depressive disorders, negative body image. Appropriate management requires a multi-disciplinary team of which the physiotherapist is a part of. Literature has shown that there is a better improvement in physical function if physiotherapy is commenced early. Therefore, physiotherapy should be incorporated pre and post-mastectomy. Physiotherapy management should focus on lymphatic drainage, soft tissue mobilization, range of motion exercises, strengthening exercises and postural correction. Increased physical activity and recommendation of support groups can help to improve psychological outcomes. It is the role of the physical therapist to deal with the physical and psychological complications of a mastectomy to improve the quality of life of the patients.

18

Physiotherapy in hypomobility of temporomandibular joints

88%

Piech J., Pihut M., Kulesa-Mrowiecka M., Piech J., Pihut M., Kulesa-Mrowiecka M.

Folia Medica Cracoviensia

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2020

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vol. 60

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issue 2

19

Principles and perspectives of Evidence Based Practice in physiotherapy

88%

Płaszewski M.

Medical Rehabilitation

|

2006

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vol. 10(1)

1-8

PL

Założenia. Evidence Based Medicine (EBM) – „medycyna oparta na faktach naukowych” polega na integracji wiarygodnych danych naukowych, prawidłowego rozpoznania klinicznego oraz preferencji i wyborów pacjenta w podejmowaniu decyzji klinicznych. EBM umożliwia też weryfikację i zastępowanie nieefektywnych lub szkodliwych metod diagnostycznych i terapeutycznych metodami skutecznymi. W oparciu o idee EBM wypracowano standardy prowadzenia, publikowania i oceny wyników badań naukowych, powstały specjalistyczne czasopisma, bazy danych, podręczniki, kursy i przewodniki internetowe oraz centra naukowe. Zasady i postulaty EBM są w pełni aktualne w obszarze fizjoterapii, gdzie wypracowanie rzetelnych standardów postępowania wydaje się koniecznością. Cele. Przedstawienie znaczenia idei fizjoterapii opartej na dowodach naukowych (Evidence Based Practice) oraz działań i dorobku światowych instytucji ochrony zdrowia, środowisk akademickich i organizacji zawodowych w dziedzinie EBP w fizjoterapii. Źródła i wybór informacji. Wykorzystano publikacje Światowej Konfederacji Fizjoterapii (World Confederation for Physical Therapy, WCPT) i innych organizacji fizjoterapeutycznych i instytucji kierujących ochroną zdrowia, dotyczące zasad wdrażania EBP i standardów zawodowych. Idee EBM i EBP scharakteryzowano na podstawie tekstów źródłowych w British Medical Journal, renomowanych organizacji EBM, EBP i Clinical Evidence (Oxford Centre for Evidence Based Medicine, Bandolier Evidence Based Health Care, CEBP, PEDro, Medycyna Praktyczna) i czasopismach naukowych z dziedziny fizjoterapii. Omówiono zasady i elementy EBP oraz reguły ich wdrażania, a także sposoby tworzenia, pozyskiwania, syntezy i krytycznej oceny wiedzy o dowodach naukowych i faktach klinicznych (clinical evidence). Wnioski. Idea EBP jest szansą rozwoju fizjoterapii, służąc weryfikacji metod terapii, wprowadzaniu zasad kształcenia ustawicznego i rozwojowi wiedzy. Środowisko zawodowe oraz podmioty kierujące opieką zdrowotną powinny doceniać i wspierać rozwój EBP.

EN

Objective. Evidence Based Medicine (EBM) is the “conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients” and integrating individual clinical expertise with the best available evidence from systematic research and patients’ preferences. Interventions which have not been well-researched tend to be seen as ineffective. Standards of conduct, publications and appraisal of clinical trials have been established. Access to evidence and tools to its development and critical appraisal are provided by specialized journals, databases, textbooks, courses, online guidelines and research centres. Clinical Evidence is a priority in contemporary health care, including physical medicine and rehabilitation. World Confederation for Physiotherapy and leading national organizations recognize the need for development towards evidence based practice (EBP).Aims. To provide rationale for and information about EBP in physiotherapy and to review available and WCPT’s recommended clinical evidence resources in physiotherapy. Essential elements (synthesizing, assessing and implementing the evidence) and hierarchies of its sources are presented.Data Sources and Selection. EBP’s elements, objectives and standards of proficiency are described in accordance with WCPT’s, other professional organizations’ and health care institutions’ papers and documents. EBM and EBP philosophy backgrounds are based on primary publications in British Medical Journal, other recognized EBM and EBP initiatives and sources of clinical evidence (Centre of Evidence, Oxford, Bandolier Evidence Based Health Care, CEBP, PEDro, Medycyna Praktyczna) and physiotherapy scientific journals.Conclusions. EBP, being a combination of art and science, provides opportunities to improve physical therapy and patient care, promoting EB standards of care and continuous professional development. Physiotherapists and health service managers need to encourage EBP.

20

Pusher Syndrome in stroke patients. The current state of knowledge on assessment and physiotherapy

88%

Śliwka A., Piliński R.

Medical Rehabilitation

|

2013

|

vol. 17(4)

19-27

PL

Wprowadzenie: Patologiczne odpychanie to zaburzenie posturalne pojawiające się przy uszkodzeniach centralnego układu nerwowego, w którym chory odpycha się we wszystkich pozycjach w kierunku strony niedowładnej oraz aktywnie oporuje każdą próbę pasywnej korekcji postawy. Zachowanie takie prowadzi do ustawiania ciała według własnego, zaburzonego poczucia pionu. Cel: Przedstawienie aktualnych, wiarygodnych doniesień z przeglądu piśmiennictwa naukowego, na temat: objawów, badania i fizjoterapii patologicznym odpychaniu.Metody: Przegląd piśmiennictwa zamieszczonego w elektronicznych bazach danych: Scopus, Embase, Pubmed/Medline, PeDro, Cochrane, ProQuest obejmujący okres od 1.01.2002 do 13.09.2013. Wyniki: Wyniki badań i publikacje na temat patologicznego odpychania ukazują się sporadycznie. Ich przedmiotem są: sposoby badania, poszukiwanie wyjaśnień neurofizjologicznych patologicznego odpychania oraz jego współwystępowanie z innymi zaburzeniami neurologicznymi. Rzadko przedmiotem publikacji jest fizjoterapia o wyraźnych implikacjach praktycznych. Stan wiedzy na temat skuteczności fizjoterapii w patologicznym odpychaniu bazuje głównie na doniesieniach narracyjnych (ang. narrative review) oraz opisach przypadków (ang. case report). Ich analiza wskazuje na podejście do usprawniania tej grupy chorych oparte o zasady nauczania motorycznego z wykorzystywaniem wskazówek wzrokowych oraz postępowanie uniemożliwiające odpychanie się kończynami pośrednio zajętymi (po stronie przeciwnej do kończyn niedowładnych nazywanych bezpośrednio zajętymi) we wszystkich pozycjach, w których znajduje się pacjent. Wnioski: Zagadnienia z zakresu sposobów badania i metod fizjoterapii w patologicznym odpychaniu wymagają bardziej rzetelnych badań klinicznych, głównie randomizowanych, z grupą kontrolną oraz usystematyzowania dotychczasowej wiedzy i zdobytego doświadczenia pod kątem praktycznego zastosowania klinicznego.

EN

Introduction: Pusher Syndrome is a result of damage to the central nervous system manifesting itself as a postural disturbance, whereby the patient in every position pushes himself away in the direction of the paresis and actively resists any attempts towards passive correction of posture. Such behaviour results in the body being position being established according to its own distorted sense of verticality.Aim: The review of literature dedicated to the symptoms, research and physiotherapy conducted within pusher syndrome.Methods: A review of studies published within the following electronic databases: Scopus, Embase, Pubmed/Medline, PeDro, Cochrane, ProQuest for the period from 01.01.2002 to 13.09.2013. Results: Results of research and publications on the subject of Pusher Syndrome appear only occasionally. The subjects of such research are: examination methods, searching for neurophysiological explanations of the Pusher Syndrome and its concurrence with other neurological disorders. Physiotherapy with clear practical implications is rarely the subject of research. The state of knowledge on the matter of the effectiveness of physiotherapy in Pusher Syndrome is based chiefly on narrative reviews as well as on case study reports. Their analysis points to an approach to be adopted as regards the rehabilitation of this group of patients which is based on the principle of motor learning with the use of visual cues as well as proceedings blocking the possibility to push away with limbs that are indirectly involved (limbs on the opposite side to the paresis are referred to as directly involved) in all positions the patient assumes.Conclusions: There is limited literature available regarding physiotherapy methods used in PS. Existing knowledge is primarily based on observational studies and case reports which provide low evidence (grade III) for clinical practice. The analysis of 9 publications with high risk of bias showed that physiotherapists apply: positioning, principles of motor learning, using visual cues, galvanic vestibular stimulation, robot assisted gait therapy and methods of preventing the possibility for a pushing away with indirectly involved limbs. Most of the included studies promote the same scheme of treatment approach for patients with PS, described in four main points (A-D) in section Physiotherapy treatment of the article.

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