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EN
The purpose of this study was to investigate the responses elicited during aquatic and land rehabilitation to establish the comparison among parameters such as, range of motion (ROM), muscle strength, circumference of muscle mass and swelling. Thirteen individuals with an anterior reconstruction ligament with a concomitant meniscal injury participated in the study who established 2 groups: the land rehabilitation (LR), patients who were followed by a land program and the water rehabilitation (WR) whose patients had an aquatic program. Clinical evaluations were applied in the 0, 3, 6 and 9 weeks measuring the parameters. The patients from the WR reached the best results for all parameters which were evaluated. We concluded the aquatic rehabilitation allowed earlier function recuperation than the land program.
EN
The emotional functioning of older people depends on many factors. Diverse and rich activity every day seems to be very important. Undertaking a large number of activities at an elderly age and fulfilling oneself in social roles (also ones newly started) is a condition for efficient functioning, life satisfaction, well-being and health. Older people are at risk of social exclusion, being unnecessary for others or even being a burden on one’s surroundings. Hence, support and inclusion programs for various tasks and activities become extremely important. The aim of the presented research was to present proposals and evaluate the effects of a program dedicated to seniors, which was to improve their quality of life, psychophysical and social health. The program involved 50 seniors from 2 different support centers, including 43 women and 7 men, average age 77.51 ± 9.51. The assessment used the SUPIN questionnaire (Positive and Negative Feelings Scale), MMSE (Mini-Mental State Examination) and the VAS pain scale. The obtained results confirmed the beneficial effect of the proposed activation program on the psychophysical health of the respondents. All subjects increased their level of positive emotions, while the level of negative ones decreased (p <0.05), hand functionality and general well-being improved, back and pain significantly decreased.
EN
Clinical studies were carried out in the period of 2003-2006 at the Provincial Children's Rehabilitation Hospital in Ameryka near Olsztyn (Poland). The study involved a group of children and youth exhibiting spinal deformity progression in idiopathic scoliosis (IS) of more than 5° per year according to the Cobb scale. Four hundred and fifty patients between 4 and 15 years of age were divided into three groups (n = 150). Group I and group II received 2-hour and 9-hour lateral electrical surface stimulation (LESS), respectively, whereas group III (control) was treated only with corrective exercises for 30 minutes twice a day. LESS was performed with the use of a battery-operated SCOL-2 stimulator manufactured by Elmech, Warsaw, Poland.The effectiveness of this method was confirmed in the treatment of spinal IS in children and youth, especially when the initial spinal deformity did not exceed 20° according to the Cobb scale. A short-duration electrostimulation (2 hours daily) was found to produce results similar to those obtained after overnight (9 h) electrostimulation. Moreover, the analysis of the Harrington prognostic index F confirms the positive effect of LESS in both groups of patients (2 h and 9 h of LESS).
EN
The objective of this article was to show the educational values of adventure tourism in the process of rehabilitation of juveniles. Theoretical considerations concerning this topic give rise to the following conclusions: 1. Thanks to qualified tourism, young people shape their character and face weaknesses. It helps to change the behavior and create pro-social attitudes. 2. Qualified tourism teaches basic life skills. All of the above-mentioned points prove that part of correctional facilities activity should be based on qualified tourism.
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issue 2
1-12
EN
Aim of the study: To evaluate the effects of two different modes of improvement on the level of perceived pain, spinal mobility, lumbar spinal motion control and limitations in activities of daily living in women aged 51–62 with lumbar spine pain. Material and methods: The study included a group of 31 women between the ages of 51 and 62. The subjects were divided into 2 groups. Group I (FK) received physical therapy treatments and general gymnastics, while group II (FS) received physical therapy treatments and exercises using a PBU stabilizer. The project covered a period of 10 treatment days excluding Saturdays and Sundays. Before and immediately after the rehabilitation, tests of flexion and extension control in the L-spine, active knee joint flexion test, Schober test were performed, and the NRS scale was used scale and QBPDS scale. Results: After the applied rehabilitation, a significant reduction in the level of perceived pain and improvement in spinal mobility in the direction of flexion were observed in both groups. In the FS group, there was also a significant improvement in lumbar flexion control and better lumbar spine control during the active knee flexion test. In addition, a reduction in disability as measured by the QBPDS scale was noted. Conclusions: The use of comprehensive rehabilitation brings significant improvements in terms of pain reduction and improvement in lumbar spine mobility in the flexion direction. A two-week exercise program using a stabilizer appears to yield significantly better results in terms of lumbar flexion control as well as better lumbar control during the active flexion test of both knee joints. And this, in turn, may affect the results obtained using the QBPDS scale among FS subjects.
EN
This review presents the role of a clinical speech therapist in a team of specialists involved in the treatment and rehabilitation of patients after total laryngectomy. Special attention was given to the need for cooperation in the group of specialists. The stages of rehabilitation of the substitute voice and smell were presented.
EN
This article is a theoretical study on the role of leisure time animation in the process of rehabilitation of juveniles staying in correctional facilities. The work consists of three parts. The first one presents the structural and functional outline of leisure time institution. The second one deals with the offer of rehabilitation, and the third discusses the role of the pedagogy of fun in the context of rehabilitation and physical education sciences. The study emphasizes the fact that the educational function is implemented mainly in the boarding house of the correctional facility. Classes are held in accordance with a predetermined schedule that is tailored to the individual needs of the pupil. The process of rehabilitation should be assisted by fun (including physical activities). It is therefore necessary to enrich traditional games and fun activities including the newer trends, using, among others, ice-breakers, energizers and team-builders. The implementation of the aforementioned play therefore requires the continuous staff performance improvement in this field. Additionally, games and activities pose the possibility of volunteering, making pupils more sensitive to the needs of others.
EN
Introduction Distal radius fracture (DRF) is the most common injury leading to limitation of daily activities and functional independence. Occupational therapy (OT) through the therapeutic use of everyday activities is to ensure participation in various roles. The aim of this study was to compare the efficacy of occupational therapy in the treatment of patients after DRF. Material and methods The literature review was conducted as an electronic search in Pubmed and EBSCO. The results of the search were limited to: clinical controlled trials, the terms “occupational therapy and distal radius fracture” or “rehabilitation and distal radius fracture” and publication period between January 2008 and December 2018.. Results Three scientific studies have shown significant benefits of OT for patients undergoing supervised therapy, 5 studies have revealed no significant differences between the various therapeutic programs, and two studies have revealed that home exercise programs are superior than other. Conclusions There is no clear evidence showing the benefits of occupational therapy performed instead of or in addition to other forms of patient rehabilitation after DRF. However, the use of various forms of occupational therapy (advice, consultation, exercise or supervised therapy process) brings significant benefits to patients, who did not receive any form of intervention.
EN
The aim of this study is to evaluate the potential use of extracorporeal shockwave therapy (ESWT) in the post-operative treatment of patients with carpal tunnel syndrome. A body of evidence validates the use of ESWT in various medical areas, mostly in nephrolithiasis, but also in a number of musculoskeletal conditions and in wound healing. Our knowledge about the use of ESWT in carpal tunnel syndrome seems sparse, which combined with a lack of reference values, forms a major limitation of the use of ESWT in this condition.
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EN
The biological effects of immersion in water, which are related to the fundamental principles of hydrodynamics, may be beneficial in certain training contexts. The effects and physical properties of water, such as density, hydrostatic pressure and buoyancy are highly useful resources for training, when used as a counterbalance to gravity, resistance, a compressor and a thermal conductor. Not only does the aquatic medium enable a wider range of activities to be used in a context of low joint impact, but it also constitutes a useful tool in relation to sports rehabilitation, since it allows the athlete to return to training earlier or to continue with high-intensity exercise while ensuring both low joint impact and greater comfort for the individual concerned. Moreover, this medium enables the stimulation of metabolic and neuromuscular systems, followed by their corresponding physiological adaptations allowing both to maintain and improve athletic performance. Hydrotherapy can also play a beneficial role in an athlete’s recovery, helping to prevent as well as treat muscle damage and soreness following exercise.
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2014
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vol. 42
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issue 1
285-286
EN
Purpose. Postural control during quiet standing has been modeled by concepts using kinematic variables estimated from center of pressure (COP) signals. The concept of position-based postural control has had particular ramifications in the literature, although a more recent concept of velocity-based control has been proposed as being more relevant. Methods. This study reviews the literature investigating these concepts and their respective quantitative methods alongside current supporting evidence and criticisms. Results. The position-based control concept suggests the existence of two control loops that alternate whenever certain thresholds are exceeded. Such a theory is supported by studies describing the time delay between the skeletal muscle activation and CoP displacement. However, this concept has been criticized to be the result of statistical artifacts due to it not being adapted to the analysis of bounded time series. Conversely, the velocity-based control concept claims that velocity is the most relevant kinematic variable for postural control. Such a theory suggests that postural adjustments are executed to change the trajectory of the CoP whenever the velocity crosses a threshold. Both theories have their major methodological limitations, while interpretation of data from the position-based concept is difficult, velocity-based thresholds are empirical and still need verification in different motor tasks and populations. Conclusions. Given the observed similarities and mutual exclusivity of both concepts, there is a need for the development of methods that can quantitatively analyze stabilometric signals while simultaneously considering both kinematic variables.
EN
Introduction Achilles tendon rupture is an injury resulting from occasional excessive physical activity that is undertaken in the absence of an adequate level of preparation. The calcaneal tendon forms the end of the triceps surae muscle which consists of the gastrocnemius and the soleus. The aim of the research was to evaluate the level of functional performance of the operated limb one and two years after the Achilles tendon reconstruction surgery. Material and methods The study group comprised of 20 men (age – 47.2±8.3 years; height – 182±7cm; weight – 88±12kg) who have undergone the Achilles tendon reconstruction surgery. The measurement of plantar flexor and dorsiflexor muscle torques was conducted in both extended- and flexed-knee position under isometric and isokinetic conditions Results The measurements of the plantar flexor and dorsiflexor muscle torques in the extended knee position performed one and two years after the surgery did not reveal any significant differences between the healthy and operated limb. The tests performed one year after the surgery in the flexed-knee position showed significantly lower values of the plantar flexor and dorsiflexor muscle torques in the operated limb measured under isokinetic conditions. The results obtained two years after the reconstruction surgery proved that muscular deficit was still visible; however, there were no statistically significant differences Conclusions The angular knee joint position affects the plantar flexor muscle torque in the operated limb. Due to the muscle strength deficit observed two years after the surgery, additional training should be implemented after the rehabilitation has been completed. The main focus should be on dynamic exercises performed in the flexed-knee position which help to rebuild deep muscles such as the soleus
EN
Currently, pedagogical assistance to children with severe craniocerebral trauma (TCMT) is an actual problem not only in healthcare, but also in special needs education. The aim of this research was to identify leading factors in the structure of mental activity in children with severe craniocerebral trauma (TCMT). The experiment involved 65 preschool children as participants (28 of them girls and 37 boys). The following research methods were used: observation of a child, psychological and pedagogical examination. According to clinical rates, all participating children had a combined type of severe craniocerebral injury. The majority of children were in a vegetative state. A scientific examination of the children was carried out over one year in the period of the early stages of hospital rehabilitation. The results showed a disharmonious distribution of the factors load in the structure of mental activity, depending on the severity of its manifestations in the early stages of rehabilitation. Despite a similar diagnosis of TCMT in terms of clinical parameters, three groups of factors were distinguished: the first factor encompasses characteristics that reflect the emotional-sensory level of mental activity; the second factor combines elementary arbitrary movements and actions, combined with involuntary manifestations, which may indicate difficulties in understanding the meaning of the speech addressed to the child; the third factor is saturated with the characteristics of arbitrary actions associated with the perception and purposefulness of movements and actions. This is supported by socially important forms of behavior of the child and an accessible way of communicating with the adult in a particular subject game or everyday situation. Although similar looking severe consequences of craniocerebral trauma are being demonstrated, the mental activity in patients in the study group had different manifestations depending on the prevailing factors. It was possible to differentiate the content of the educational training of patients in a variety of hospital rehabilitation activities.
EN
Introduction Physiotherapists have been calling for regulations regarding their job for years. The main reasons for their fight to implement these regulations included caring about patients' safety, improving the quality of services and increasing professional independence. In September 2015, the President of Poland signed the Act on the Profession of Physiotherapist (APP). The controversial items in the Act mainly referred to the Professional Self-Government as well as rights and duties of physiotherapists. The aim of the work was to analyse and compare the opinions of medical community members (including physiotherapists) as well as patients on the key guidelines of the APP. Material and methods A questionnaire that included 20 questions regarding the guidelines of the APP was applied in the study. Internet links to the questionnaire were sent via email to randomly selected respondents from three groups, i.e. physiotherapists (PT), representatives of other medical professions (OMP) and patients (P). Results The author received 177 completed questionnaires (PT n=67, OMP n=40, P n=70). The majority of the respondents in all the groups were 20-40 years of age (PT, OMP, P). Doctors of various specialisations constituted 67% of the OMP group. In this group, 17.5% of the respondents did not approve of the professional self-government of physiotherapists, while in the P group, 17% of the respondents expressed the same opinion. The majority of the respondents in all the groups (P – 54%, OMP – 70%, PT – 85%) believed that physiotherapists should select physiotherapeutic procedures independently. In turn, 15% of the respondents from the OMP group, 21% from the P group and 7.5% from the PT group indicated that procedures should be selected by a rehabilitation doctor. Conclusions It was noted that there is a need for raising awareness regarding the job of a physiotherapist and for promoting it in the society but also among the representatives of OMP. Legal changes on the market of services provided by physiotherapists require educating in terms of new legal regulations. There is also a need for further research on opinions regarding the changes in the physiotherapy sector.
EN
Introduction: Laryngeal paralysis deteriorates all laryngeal functions. Therefore the therapeutic process must include restoration of respiratory, defensive and vocal function. Selection of a proper rehabilitation path plays a key role. Appropriate research protocol that includes objective methods of voice evaluation is an important element of monitoring the return of vocal efficiency. Voice efficiency is important for the patient particularly due to psychological and social reasons. Aim: The aim of the study was the assessment of short-term functional voice therapy (FVT) in patients with unilateral paralysis of the larynx with the use of objective parameters describing the glottis and voice quality. Material and Method: In the last 10 years 355 patients with laryngeal paralysis were hospitalized in the Audiology and Phoniatrics Clinic due to dysphonia. All patients underwent a 5-day FVT. In 2015 we unified the diagnostic protocol measuring parameters obtained from videostrobokymography (VSK), electroglottography (EGG), perceptual and acoustic voice analysis before and after 5-day hospitalization. Results: After FVT patients showed improved voice quality and glottal compensation. The majority of patients achieved a statistically significant improvement in VSK, EGG, MDVP, and perceptual analysis. The group of patients with unsatisfactory voice improvement after therapy required a prolonged rehabilitation or was qualified for laryngeal microsurgery. Potential causes of insufficient effects of FVT were analysed. Conclusions: The complexity of voice rehabilitation is crucial for the success of therapy. An interdisciplinary therapeutic team plays a significant role during voice rehabilitation in patients with vocal fold paralysis.
EN
Introduction: Laryngeal paralysis deteriorates all laryngeal functions. Therefore the therapeutic process must include restoration of respiratory, defensive and vocal function. Selection of a proper rehabilitation path plays a key role. Appropriate research protocol that includes objective methods of voice evaluation is an important element of monitoring the return of vocal efficiency. Voice efficiency is important for the patient particularly due to psychological and social reasons. Aim: The aim of the study was the assessment of short-term functional voice therapy (FVT) in patients with unilateral paralysis of the larynx with the use of objective parameters describing the glottis and voice quality. Material and Method: In the last 10 years 355 patients with laryngeal paralysis were hospitalized in the Audiology and Phoniatrics Clinic due to dysphonia. All patients underwent a 5-day FVT. In 2015 we unified the diagnostic protocol measuring parameters obtained from videostrobokymography (VSK), electroglottography (EGG), perceptual and acoustic voice analysis before and after 5-day hospitalization. Results: After FVT patients showed improved voice quality and glottal compensation. The majority of patients achieved a statistically significant improvement in VSK, EGG, MDVP, and perceptual analysis. The group of patients with unsatisfactory voice improvement after therapy required a prolonged rehabilitation or was qualified for laryngeal microsurgery. Potential causes of insufficient effects of FVT were analysed. Conclusions: The complexity of voice rehabilitation is crucial for the success of therapy. An interdisciplinary therapeutic team plays a significant role during voice rehabilitation in patients with vocal fold paralysis.
EN
INTRODUCTION Parkinson's disease is neurodegenerative disease of the elderly, for which to this day an effective cure has not been found. Besides pharmacotherapy and Deep Brain Stimulation in PD, an increasingly supplementary treatment is exercise therapy like Nordic Walking (NW). MATERIAL AND METHODS 40 patients with PD taking part in the survey were divided into two equal groups in terms of gender and stage of the disease (II and III stage of the Hoehn and Yahr scale); the study group was subjected to 6 weeks of Nordic Walking training. The control group consists of persons without physical activity for 6 weeks. RESULTS In the NW group there was a statistically significant better improvement of the test parameters. CONCLUSIONS After the 6 week rehabilitation period, major improvement in terms of patient mobility functionality and gait parameters is visible.
PL
WSTĘP Choroba Parkinsona ( Parkinson’s disease – PD) jest neurozwyrodnieniową chorobą wieku podeszłego, na którą do dziś nie wynaleziono skutecznego lekarstwa. Oprócz stosowanej farmakoterapii coraz częściej uzupełnieniem leczenia jest terapia ruchowa, w tym trening metodą Nordic Walking (NW). MATERIAŁ I METODY Badaniem objeto 40 pacjentów z PD, których podzielono na dwie równe grupy pod względem płci oraz stopnia zaawansowania choroby (II i III stopień skali Hoehn&Yahr). Grupę badawczą poddano 6-tygodniowemu treningowi metodą NW . Grupę kontrolną stanowiły osoby bez aktywności fizycznej przez 6 tygodni. W Y N I K I W grupie NW stwierdzono znamiennie statystycznie lepszą poprawę badanych parametrów. W N I O S K I Po 6-tygodniowym okresie usprawniania widoczna jest znaczna poprawa w zakresie funkcjonalności ruchowej pacjentów oraz parametrów chodu.
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