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2008
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vol. 16
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issue 2
3-6
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 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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2019
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vol. 33
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issue 4
67-76
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.
4
80%
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.
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.
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2018
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vol. 32
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issue 1
13-19
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
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.
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
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
The paper is aimed at assessing the influence of rehabilitation on health of ballroom dancers after sports injuries. At the turn of 2014 and 2015 ballroom dancers from all around Poland were questioned. The surveyed were professional dancers aged between 13 and 30 years. As many as 63 athletes were injured during their career. The rehabilitation of 47 of them took place in the rehabilitation centre under physiotherapeutic supervision. Only 16 of the injured rehabilitated on their own. The opinion poll based on the survey was used as a method. The questionnaire included closed and open questions which were to show the influence of injury and its treatment on future sports career. Questions were detailed and referred to the kinds of injuries and their causes, the process of treatment, duration of rehabilitation, its process and results. Questionnaire results were analysed statistically with the use of the Pearson’s chi-squared test. It has been proved that rehabilitation under physiotherapeutic supervision has positive influence on health of ballroom dancers after injuries. Specialist rehabilitation of sportsmen after sports injuries contributed to the shortening of time of the recuperation and to the complete recovery. The time of recovery of the injured who did not undergo the professional rehabilitation was longer, and it was impossible to restore lost functions in the group of 5% of the surveyed, which resulted in the end of their career. Dancers after sports injures should always undergo professional rehabilitation under the sports doctor’s and physiotherapist’s supervision.
PL
Wprowadzenie: Porażenie krtani pogarsza wszystkie funkcje tego narządu. Z tego powodu proces terapeutyczny powinien obejmować przywrócenie funkcji oddechowej, obronnej i głosowej. Dobór właściwej ścieżki rehabilitacyjnej odgrywa kluczową rolę. Odpowiedni protokół badań, który obejmuje obiektywne metody oceny głosu, jest ważnym elementem monitorowania powrotu sprawności głosu. Wydajność głosu jest ważna dla pacjenta szczególnie ze względów psychologicznych i społecznych. Cel: Celem pracy była ocena krótkoterminowej funkcjonalnej terapii głosu (functional voice therapy; FVT) u pacjentów z jednostronnym porażeniem krtani, z wykorzystaniem obiektywnych parametrów opisujących aparat głosowy krtani i jakość głosu. Materiał i metody: W ciągu ostatnich 10 lat w Klinice Audiologii i Foniatrii Instytutu Fizjologii i Patologii Słuchu z powodu dysfonii hospitalizowano 355 pacjentów z porażeniem krtani. Wszyscy chorzy zostali poddani 5-dniowej FVT. Od 2015 roku ujednolicono parametry pomiaru protokołów diagnostycznych uzyskiwane z wideostrobokimografii (videostrobokymography; VSK), elektroglottografii (electroglottography; EGG) oraz percepcyjnej i akustycznej analizy głosu przed i po 5 dniach hospitalizacji. Wyniki: U pacjentów po FVT uzyskano poprawę jakości głosu i kompensacji aparatu głosowego krtani. Większość pacjentów osiągnęła statystycznie istotną poprawę w VSK, EGG, MDVP oraz analizie percepcyjnej. Grupa pacjentów z niezadowalającą poprawą głosu po terapii wymagała przedłużonej rehabilitacji lub została zakwalifikowana do mikrochirurgii krtani. Analizowano potencjalne czynniki, które mogły powodować niedostateczne efekty FVT. Wnioski: Złożoność rehabilitacji głosu jest kluczowa dla powodzenia terapii. Interdyscyplinarny zespół terapeutyczny odgrywa istotną rolę w rehabilitacji głosu u pacjentów z porażeniem fałdów głosowych.
PL
Wprowadzenie: Porażenie krtani pogarsza wszystkie funkcje tego narządu. Z tego powodu proces terapeutyczny powinien obejmować przywrócenie funkcji oddechowej, obronnej i głosowej. Dobór właściwej ścieżki rehabilitacyjnej odgrywa kluczową rolę. Odpowiedni protokół badań, który obejmuje obiektywne metody oceny głosu, jest ważnym elementem monitorowania powrotu sprawności głosu. Wydajność głosu jest ważna dla pacjenta szczególnie ze względów psychologicznych i społecznych. Cel: Celem pracy była ocena krótkoterminowej funkcjonalnej terapii głosu (functional voice therapy; FVT) u pacjentów z jednostronnym porażeniem krtani, z wykorzystaniem obiektywnych parametrów opisujących aparat głosowy krtani i jakość głosu. Materiał i metody: W ciągu ostatnich 10 lat w Klinice Audiologii i Foniatrii Instytutu Fizjologii i Patologii Słuchu z powodu dysfonii hospitalizowano 355 pacjentów z porażeniem krtani. Wszyscy chorzy zostali poddani 5-dniowej FVT. Od 2015 roku ujednolicono parametry pomiaru protokołów diagnostycznych uzyskiwane z wideostrobokimografii (videostrobokymography; VSK), elektroglottografii (electroglottography; EGG) oraz percepcyjnej i akustycznej analizy głosu przed i po 5 dniach hospitalizacji. Wyniki: U pacjentów po FVT uzyskano poprawę jakości głosu i kompensacji aparatu głosowego krtani. Większość pacjentów osiągnęła statystycznie istotną poprawę w VSK, EGG, MDVP oraz analizie percepcyjnej. Grupa pacjentów z niezadowalającą poprawą głosu po terapii wymagała przedłużonej rehabilitacji lub została zakwalifikowana do mikrochirurgii krtani. Analizowano potencjalne czynniki, które mogły powodować niedostateczne efekty FVT. Wnioski: Złożoność rehabilitacji głosu jest kluczowa dla powodzenia terapii. Interdyscyplinarny zespół terapeutyczny odgrywa istotną rolę w rehabilitacji głosu u pacjentów z porażeniem fałdów głosowych.
EN
The abundance of pharmacological interventions to treat substance abuse disorder has solidified globally. Despite promising effects, use of pharmacological interventions in substance abuse disorder are limited in asian territories. This study aimed to identify and explore existing effective pharmacological interventions on abstinence of substance abuse disorder. A systematic review was conducted adhering to PRISMA guidelines. Google scholar, Pubmed, Hinari, and Cochrane databases were systematically searched and the topic and abstract of the articles were screened for eligibility. Articles of empirical studies on pharmacological interventions on abstinence of substance abuse disorder, which were published in peer-reviewed journals during 2010 to 2020, written in English, were included and articles on alcohol and smoking cessation were excluded from the review. Full papers were then assessed against eligibility criteria. Quality appraisal and data extraction of the selected articles were performed by two independent reviewers and discrepancies were discussed with another independent reviewer to reach consensus. Three hundred and seven research articles were identified through a comprehensive database search. After screening the topics and abstracts of the articles and assessing the relevant full texts for eligibility, 26 articles of the empirical studies were included in the systematic review. High doses of Buprenorphine, Methadone, Lofexidine, Naltrexone, SB-334867, Prazosin, and Baclofen were identified to be significantly effective in abstinence from substance abuse. It was concluded that empirical evidence of effective pharmacological interventions exists and its combination with existing non-pharmacological rehabilitation interventions are proposed as more effective in the treatment of substance abuse.
PL
Na całym świecie utrwaliła się obfitość interwencji farmakologicznych mających na celu leczenie zaburzeń związanych z nadużywaniem substancji. Mimo obiecujących efekty, zastosowanie interwencji farmakologicznych w zaburzeniach związanych z nadużywaniem substancji psychoaktywnych jest ograniczone na terytoriach azjatyckich. Badanie miało na celu identyfikację i zbadanie istniejących skutecznych interwencji farmakologicznych dotyczących abstynencji od nadużywania substancji psychotropowych. Przeprowadzono przegląd systematyczny zgodnie z wytycznymi PRISMA. Bazy Google, Pubmed, Hinari i Cochrane były systematycznie przeszukiwane, a tematyka i abstrakty artykułów były sprawdzane pod kątem kwalifikowalności. Artykuły z badań empirycznych dotyczących interwencji farmakologicznych dotyczących abstynencji w zaburzeniach związanych z nadużywaniem substancji, które zostały: opublikowane w recenzowanych czasopismach w latach 2010-2020, napisane w języku angielskim, zostały uwzględnione oraz artykuły na temat alkoholu i rzucenie palenia zostały wykluczone z przeglądu. Pełne artykuły zostały następnie ocenione pod kątem kryteriów kwalifikacyjnych. Jakość oceny i ekstrakcji danych z wybranych artykułów zostały wykonane przez dwóch niezależnych recenzentów, zaś rozbieżności zostały omówione z innym niezależnym recenzentem w celu osiągnięcia konsensusu. Trzysta siedem artykułów naukowych zostało zidentyfikowanych poprzez kompleksowe przeszukanie bazy danych. Po przejrzeniu tematów oraz streszczeń artykułów i ocene odpowiednich pełnych tekstów pod kątem kwalifikowalności, 26 artykułów z badań empirycznych zostało włączonych do przeglądu systematycznego. Zidentyfikowano wysokie dawki buprenorfiny, metadonu, lofeksydyny, naltreksonu, SB-334867, prazosyny i baklofenu jako znacząco skuteczne w abstynencji od nadużywania substancji. Stwierdzono, że istnieją empiryczne dowody skuteczności interwencji farmakologicznych i ich połączenia z istniejącymi niefarmakologicznymi interwencjami rehabilitacyjnymi jako bardziej skuteczne w leczeniu nadużywania substancji.
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