Pub Date : 2023-04-07DOI: 10.5604/01.3001.0016.3772
Marcin Piwecki, K. Kassolik
Introduction: The phenomenon of tensegrity in the muscular system still remains theoretical. Research has been mostly performed in vitro. Unfortunately, analyses of this type are focused on this part of the phenomenon. They do not consider, e.g. the presence of body fluids.Study objective: The aim of the study was in vivo verification regarding the occurrence of tensegrity in a model consisting of the latissimus dorsi muscle (LAT), the medial intermuscular septum, muscles of the anterior forearm and muscles of thenar eminence.Material and methods: The study group was divided into an experimental (n =10) and control group (n=10). The experimental group took part in 1 massage session of the thenar eminence muscles for 5 minutes. The control group spent 5 minutes on a couch in the same position as in the experimental group, receiving no intervention. In both groups, at the beginning and end of the session, LAT was tested with a tensiomyograph and algometer.Results: Statistically significant differences between the groups occurred in pressure pain threshold (p=0.02), contraction time (p=0.01), relaxation time (p=0.01) and LAT sustaining duration (p=0.046). The level of statistical significance was p<0.05.Conclusions: In the tested model, the change in the tension of the distal end of the model influenced the displacement of the muscle at the proximal end of the model in accordance with the tensegrity model.
{"title":"Intramuscular Stress Transmission Between the Muscles of the Ball of the Thumb, and the Latissimus Dorsi Muscle After Tensegrity Massage Application a Pilot study","authors":"Marcin Piwecki, K. Kassolik","doi":"10.5604/01.3001.0016.3772","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3772","url":null,"abstract":"Introduction: The phenomenon of tensegrity in the muscular system still remains theoretical. Research has been mostly performed in vitro. Unfortunately, analyses of this type are focused on this part of the phenomenon. They do not consider, e.g. the presence of body fluids.Study objective: The aim of the study was in vivo verification regarding the occurrence of tensegrity in a model consisting of the latissimus dorsi muscle (LAT), the medial intermuscular septum, muscles of the anterior forearm and muscles of thenar eminence.Material and methods: The study group was divided into an experimental (n =10) and control group (n=10). The experimental group took part in 1 massage session of the thenar eminence muscles for 5 minutes. The control group spent 5 minutes on a couch in the same position as in the experimental group, receiving no intervention. In both groups, at the beginning and end of the session, LAT was tested with a tensiomyograph and algometer.Results: Statistically significant differences between the groups occurred in pressure pain threshold (p=0.02), contraction time (p=0.01), relaxation time (p=0.01) and LAT sustaining duration (p=0.046). The level of statistical significance was p<0.05.Conclusions: In the tested model, the change in the tension of the distal end of the model influenced the displacement of the muscle at the proximal end of the model in accordance with the tensegrity model.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45036848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-05DOI: 10.5604/01.3001.0016.3425
Edyta Janus
Introduction: This is the first study in which psychometric properties regarding the Polish version of the Fear of Happiness Scale (FHS) and The Fragility of Happiness Scale (FOHS) are investigated.Aim: The aim of the study was to translate as well as assess the reliability and validity of the FHS and FOHS.Material and methods: The study participants comprised 351 adults who consented to participation. Non-random sampling was applied. The inclusion criteria were age and employment status. The respondents filled in the FHS and FOHS questionnaires and provided basic sociodemographic data.Results: Using Cronbachs , FHS and FOHS demonstrated high internal consistency, = .85 and = 0.80, respectively. Due to all items having good discriminatory power, there were no grounds for removing any of the items.Conclusions: The proposed Polish versions of the FHS and FOHS can be used to assess fear of happiness and beliefs concerning its fragility, and they are viable in studies related to various scientific disciplines. These scales can also be useful for the science of physical culture, especially within the context of examining beliefs that may affect the quality of human life and health. The cognitive aspect is very important for the success of rehabilitation. Beliefs have consequences in human actions.
{"title":"Fear of Happiness Scale and Fragility of Happiness Scale: Evidence of Their Psychometric Adequacy in Polish","authors":"Edyta Janus","doi":"10.5604/01.3001.0016.3425","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3425","url":null,"abstract":"Introduction: This is the first study in which psychometric properties regarding the Polish version of the Fear of Happiness Scale (FHS) and The Fragility of Happiness Scale (FOHS) are investigated.Aim: The aim of the study was to translate as well as assess the reliability and validity of the FHS and FOHS.Material and methods: The study participants comprised 351 adults who consented to participation. Non-random sampling was applied. The inclusion criteria were age and employment status. The respondents filled in the FHS and FOHS questionnaires and provided basic sociodemographic data.Results: Using Cronbachs , FHS and FOHS demonstrated high internal consistency, = .85 and = 0.80, respectively. Due to all items having good discriminatory power, there were no grounds for removing any of the items.Conclusions: The proposed Polish versions of the FHS and FOHS can be used to assess fear of happiness and beliefs concerning its fragility, and they are viable in studies related to various scientific disciplines. These scales can also be useful for the science of physical culture, especially within the context of examining beliefs that may affect the quality of human life and health. The cognitive aspect is very important for the success of rehabilitation. Beliefs have consequences in human actions.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44252350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-05DOI: 10.5604/01.3001.0016.3420
Magda Niemaszyk, A. Truszczyńska-Baszak
Introduction: Yoga is a popular form of physical activity used by healthy people and patients with various ailments. There is evidence of both positive and negative effects of practicing yoga on both physical and psychological aspects. There is a lack of extensive knowledge about the factors that increase the risk of injury in yoga practitioners.Objectives: The aim of the study was to determine the occurrence and characteristics of motor organ overload associated with practicing yoga among people undertaking this form of physical activity on the basis of a literature review, including answering the following questions: 1. What are the health benefits of practicing yoga?; 2. What are the risk factors for an injury in the yoga training?Material and methods: The current professional literature was analysed based on a review of Internet databases from last 10 years, including Pubmed. The yoga, injury, adverse events, musculoskeletal system, physiotherapy keywords were used.Results: From the abovementioned Internet databases, 32 items of the current professional literature on the analysed variables were identified, 8 articles were included in the analysis of the beneficial effects of yoga and 7 articles were comprised on the detailed list of musculoskeletal overloads.Conclusions: The benefits of practicing yoga include pain reduction, increasing range of motion in the joints, improving the performance of daily activities and the quality of life in physical and mental spheres. The risk factors of experiencing the injury mentioned in the literature concerned old age, yoga practice, and the presence of chronic diseases.
{"title":"Musculoskeletal Injuries Associated with Yoga Practice - a Literature Review","authors":"Magda Niemaszyk, A. Truszczyńska-Baszak","doi":"10.5604/01.3001.0016.3420","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3420","url":null,"abstract":"Introduction: Yoga is a popular form of physical activity used by healthy people and patients with various ailments. There is evidence of both positive and negative effects of practicing yoga on both physical and psychological aspects. There is a lack of extensive knowledge about the factors that increase the risk of injury in yoga practitioners.Objectives: The aim of the study was to determine the occurrence and characteristics of motor organ overload associated with practicing yoga among people undertaking this form of physical activity on the basis of a literature review, including answering the following questions: 1. What are the health benefits of practicing yoga?; 2. What are the risk factors for an injury in the yoga training?Material and methods: The current professional literature was analysed based on a review of Internet databases from last 10 years, including Pubmed. The yoga, injury, adverse events, musculoskeletal system, physiotherapy keywords were used.Results: From the abovementioned Internet databases, 32 items of the current professional literature on the analysed variables were identified, 8 articles were included in the analysis of the beneficial effects of yoga and 7 articles were comprised on the detailed list of musculoskeletal overloads.Conclusions: The benefits of practicing yoga include pain reduction, increasing range of motion in the joints, improving the performance of daily activities and the quality of life in physical and mental spheres. The risk factors of experiencing the injury mentioned in the literature concerned old age, yoga practice, and the presence of chronic diseases.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46627592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-05DOI: 10.5604/01.3001.0016.3419
J. Opara
Introduction: Idiopathic cervical dystonia, also known as spasmodic torticollis, is the most common form of focal dystonia in adults. Cervical dystonia usually appears between the ages of 30 and 50, twice as often in women, and is characterised by uncontrollable painful contractions of the sternocleidomastoid muscle, which results in misalignment of the head and shoulder. Over time, the disease becomes very burdensome for the patient and reduces his/her independence and quality of life; falls happen.Aim: The aim of the article is to present the current state of knowledge on comprehensive rehabilitation in cervical dystonia. Data on the prevalence, symptoms, diagnosis, clinical assessment, pharmacological treatment (including the most commonly used botulinum toxin), neurosurgical treatment and comprehensive rehabilitation are presented.Methods: The applied methods was a narrative critical review of scientific reports.Results: Out of several hundred publications, works worthy of particular attention were selected. In them, are described of conducting exercises, the main goal of which is to stretch and relax the dystonic muscles while strengthening the antagonistic muscles and correcting the position of the head. The selected authors used manual therapy, exercises at the patient's home, EMG biofeedback, magnetic stimulation of the cerebellum, vibration of the neck muscles, functional electrostimulation (FES) of antagonistic muscles, mobilisation of the cervical spine, postural exercises, isometric exercises, muscle relaxation, the PNF method, relaxation training, balance exercises, coordination, corrective exercises, massage, relaxation exercises, stretching and kinesiotaping.Conclusions: The variety of disease forms (10 head positioning patterns are described) and different severity of symptoms make it impossible to draw up a scheme of rehabilitation. In each case, rehabilitation must be tailored individually, and the physiotherapist taking care of the patient should have extensive experience. Physiotherapy can alleviate the disability caused by dystonia, however, due to the many non-motor symptoms, a holistic approach to the patient should also be kept in mind.
{"title":"Is There a Standard Rehabilitation Procedure in Cervical Dystonia?","authors":"J. Opara","doi":"10.5604/01.3001.0016.3419","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3419","url":null,"abstract":"Introduction: Idiopathic cervical dystonia, also known as spasmodic torticollis, is the most common form of focal dystonia in adults. Cervical dystonia usually appears between the ages of 30 and 50, twice as often in women, and is characterised by uncontrollable painful contractions of the sternocleidomastoid muscle, which results in misalignment of the head and shoulder. Over time, the disease becomes very burdensome for the patient and reduces his/her independence and quality of life; falls happen.Aim: The aim of the article is to present the current state of knowledge on comprehensive rehabilitation in cervical dystonia. Data on the prevalence, symptoms, diagnosis, clinical assessment, pharmacological treatment (including the most commonly used botulinum toxin), neurosurgical treatment and comprehensive rehabilitation are presented.Methods: The applied methods was a narrative critical review of scientific reports.Results: Out of several hundred publications, works worthy of particular attention were selected. In them, are described of conducting exercises, the main goal of which is to stretch and relax the dystonic muscles while strengthening the antagonistic muscles and correcting the position of the head. The selected authors used manual therapy, exercises at the patient's home, EMG biofeedback, magnetic stimulation of the cerebellum, vibration of the neck muscles, functional electrostimulation (FES) of antagonistic muscles, mobilisation of the cervical spine, postural exercises, isometric exercises, muscle relaxation, the PNF method, relaxation training, balance exercises, coordination, corrective exercises, massage, relaxation exercises, stretching and kinesiotaping.Conclusions: The variety of disease forms (10 head positioning patterns are described) and different severity of symptoms make it impossible to draw up a scheme of rehabilitation. In each case, rehabilitation must be tailored individually, and the physiotherapist taking care of the patient should have extensive experience. Physiotherapy can alleviate the disability caused by dystonia, however, due to the many non-motor symptoms, a holistic approach to the patient should also be kept in mind.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71287600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-04DOI: 10.5604/01.3001.0016.2918
Wojciech Marchewka, Urszula Marchewka, J. Król, Lech Popiołek, J. Marchewka, A. Marchewka
Introduction: Stress has become an integral part of modern life. In the short-term, stress can be beneficial, but however, experiencing it long-term is increasingly common and can lead to multiple disorders, such as cardiovascular disease, diabetes and memory disabilities. Medical and dental undergraduates experience both stress related to their medical training and such associated with existence in general.Aims: The primary aim of this study was to determine stress level among medical and dental students in the pre-clinical years of their training and find out which factors induce stress the most. The second objective was to discover which pre-clinical students are most susceptible to stress: medical or dental.Materials and methods: A total of 599 pre-clinical students from both dental and medical undergraduate studies at Jagiellonian University Medical College were enrolled in the study, of which 491 were medical and 108 were dental students. To assess stress levels and the factors that induce it, we used 2 validated surveys: the Perceived Stress Scale (PSS-10) and the Perceived Medical School Stress (PMSS) instrument.Results: We observed that dental pre-clinical students obtained significantly higher scores on the PSS 10 (23.49 6.18) and PMSS (37.34 8.08) than their medical colleagues: PSS-10 (21.58 6.89) and PMSS (35.33 8.15). However, both medical and dental students demonstrated high stress levels.Conclusions: Both pre-clinical Polish medical and dental students experience high levels of stress. The later achieved significantly higher scores regarding level of stress than their medical peers. Both medical and dental students most strongly agree with statements indicating that training takes over their life and leaves too little time for other activities. These findings allow to suggest that support services should be made widely-available to all preclinical medical and dental students. Such services should be targeted to the specific needs of both groups. It also seems necessary to conduct similar research in other groups of medical students whose programme also comprises clinical classes (with patients) - including students of physical therapy, nursing, occupational therapy as well as emergency services. Students of these faculties often spend more time directly beside the patient's bed, dealing with his/her care or rehabilitation.
{"title":"Comparison of Stress Levels and Factors Inducing It Between Polish Medical and Dental Students in the Pre-Clinical Years of Their Training","authors":"Wojciech Marchewka, Urszula Marchewka, J. Król, Lech Popiołek, J. Marchewka, A. Marchewka","doi":"10.5604/01.3001.0016.2918","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2918","url":null,"abstract":"Introduction: Stress has become an integral part of modern life. In the short-term, stress can be beneficial, but however, experiencing it long-term is increasingly common and can lead to multiple disorders, such as cardiovascular disease, diabetes and memory disabilities. Medical and dental undergraduates experience both stress related to their medical training and such associated with existence in general.Aims: The primary aim of this study was to determine stress level among medical and dental students in the pre-clinical years of their training and find out which factors induce stress the most. The second objective was to discover which pre-clinical students are most susceptible to stress: medical or dental.Materials and methods: A total of 599 pre-clinical students from both dental and medical undergraduate studies at Jagiellonian University Medical College were enrolled in the study, of which 491 were medical and 108 were dental students. To assess stress levels and the factors that induce it, we used 2 validated surveys: the Perceived Stress Scale (PSS-10) and the Perceived Medical School Stress (PMSS) instrument.Results: We observed that dental pre-clinical students obtained significantly higher scores on the PSS 10 (23.49 6.18) and PMSS (37.34 8.08) than their medical colleagues: PSS-10 (21.58 6.89) and PMSS (35.33 8.15). However, both medical and dental students demonstrated high stress levels.Conclusions: Both pre-clinical Polish medical and dental students experience high levels of stress. The later achieved significantly higher scores regarding level of stress than their medical peers. Both medical and dental students most strongly agree with statements indicating that training takes over their life and leaves too little time for other activities. These findings allow to suggest that support services should be made widely-available to all preclinical medical and dental students. Such services should be targeted to the specific needs of both groups. It also seems necessary to conduct similar research in other groups of medical students whose programme also comprises clinical classes (with patients) - including students of physical therapy, nursing, occupational therapy as well as emergency services. Students of these faculties often spend more time directly beside the patient's bed, dealing with his/her care or rehabilitation.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43878736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-02DOI: 10.5604/01.3001.0016.2871
A. Ohry, A. Tsur
Background: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors affecting physical conditions. It happens that patients are admitted to rehabilitative medical facilities without a clear diagnosis. Apparently, there are overlapping symptoms between chronic fatigue syndrome, PTSD (post-traumatic stress disorder), "Gulf War syndrome", fibromyalgia, CRPS, and others.Aims: To assess recognition of medically unexplained physical symptoms (MUPS) by physicians, mostly specialists in physical and rehabilitative medicine are engaged.Methods: All information was collected from scientific database site, and derived from the authors' nearly 50 years of clinical experience.Results: Cognitive-affective disturbance, chronic muscle and joint pain, panic disorder, chronic fatigue syndrome, malingering, and others can be described in the medical literature as unexplained physical symptoms.Conclusions: Treatment should comprise a multidisciplinary-integrative approach, by practitioners from medicine, psychology, allied health professionals and social work. MUPS is not a "non-disease" entity, but rather, an unexplained clinical phenomenon. Patients are entitled to benefit from the rehabilitative medicine model of treatment even if their clinical diagnosis is not accurate or clear.
{"title":"M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team?","authors":"A. Ohry, A. Tsur","doi":"10.5604/01.3001.0016.2871","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2871","url":null,"abstract":"Background: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors affecting physical conditions. It happens that patients are admitted to rehabilitative medical facilities without a clear diagnosis. Apparently, there are overlapping symptoms between chronic fatigue syndrome, PTSD (post-traumatic stress disorder), \"Gulf War syndrome\", fibromyalgia, CRPS, and others.Aims: To assess recognition of medically unexplained physical symptoms (MUPS) by physicians, mostly specialists in physical and rehabilitative medicine are engaged.Methods: All information was collected from scientific database site, and derived from the authors' nearly 50 years of clinical experience.Results: Cognitive-affective disturbance, chronic muscle and joint pain, panic disorder, chronic fatigue syndrome, malingering, and others can be described in the medical literature as unexplained physical symptoms.Conclusions: Treatment should comprise a multidisciplinary-integrative approach, by practitioners from medicine, psychology, allied health professionals and social work. MUPS is not a \"non-disease\" entity, but rather, an unexplained clinical phenomenon. Patients are entitled to benefit from the rehabilitative medicine model of treatment even if their clinical diagnosis is not accurate or clear.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44896012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.5604/01.3001.0016.2857
S. Szajkowski, J. Pasek, M. Dwornik, Tomasz Marcinkiewicz, G. Cieślar
Introduction: Sacroiliac joint dysfunctions are common among patients visiting physiotherapy offices. The main symptom of these dysfunctions is pain in the lumbosacral region of the spine. Taking the frequency of its occurrence into account, it is important to conduct an appropriate diagnosis that enables the implementation of proper treatment.
{"title":"Assessing the Usefulness of Testing Standing Flexion in the Posterior Superior Iliac Spines for Functional Diagnostics of the Sacroiliac Joints","authors":"S. Szajkowski, J. Pasek, M. Dwornik, Tomasz Marcinkiewicz, G. Cieślar","doi":"10.5604/01.3001.0016.2857","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2857","url":null,"abstract":"Introduction: Sacroiliac joint dysfunctions are common among patients visiting physiotherapy offices. The main symptom of these dysfunctions is pain in the lumbosacral region of the spine. Taking the frequency of its occurrence into account, it is important to conduct an appropriate diagnosis that enables the implementation of proper treatment.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44202258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.5604/01.3001.0016.2838
J. Opara, Bożena Kłysz, I. Sarzyńska-Długosz
Stroke is the leading cause of adult disability in developed countries. As a result of damage to the central nervous system, the patient's independence in performing everyday activities is reduced, which often leads to dependence on the environment. The symptoms of syndromes affect many functions, including: speech, the upper limb, gait, balance and coordination disorders. These disorders lead to a decrease in the patient's quality of life. Many patients require knee braces to learn to walk. In this review article, the most commonly used scales used to assess the functional status of patients after stroke are discussed, with particular attention being paid to gait assessment. We described simple (basic ADL) and instrumental (extended) scales of activities of daily living (instrumental, extended ADL), methods of clinical gait and balance assessment, International Classification of Functioning, Disability and Health, ICF), as well as recommendations of the European Stroke Organisation (ESO, Neurorehabilitation Committee). These guidelines regard methods of evaluating the results of post-stroke rehabilitation for clinical use - Outcome Measures for Clinical Use, in which, among others, the Berg scale and the timed Up & Go test are recommended for the lower limb, the Barthel scale and the Functional Independence Measure for ADL, and the Stroke Impact Scale for the participation column in all 3 ICF domains. In the article, the current state of knowledge is presented regarding the impact of knee braces on the functional status of people after stroke. Mechanical knee and ankle orthoses are called KAFO (Knee Ankle Foot Orthosis). Their main tasks include immobilisation of the knee joint and aid in learning to walk.
{"title":"Do Knee Joint Orthoses Affect the Functional Status of Stroke Patients? A Literature Review","authors":"J. Opara, Bożena Kłysz, I. Sarzyńska-Długosz","doi":"10.5604/01.3001.0016.2838","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2838","url":null,"abstract":"Stroke is the leading cause of adult disability in developed countries. As a result of damage to the central nervous system, the patient's independence in performing everyday activities is reduced, which often leads to dependence on the environment. The symptoms of syndromes affect many functions, including: speech, the upper limb, gait, balance and coordination disorders. These disorders lead to a decrease in the patient's quality of life. Many patients require knee braces to learn to walk. In this review article, the most commonly used scales used to assess the functional status of patients after stroke are discussed, with particular attention being paid to gait assessment. We described simple (basic ADL) and instrumental (extended) scales of activities of daily living (instrumental, extended ADL), methods of clinical gait and balance assessment, International Classification of Functioning, Disability and Health, ICF), as well as recommendations of the European Stroke Organisation (ESO, Neurorehabilitation Committee). These guidelines regard methods of evaluating the results of post-stroke rehabilitation for clinical use - Outcome Measures for Clinical Use, in which, among others, the Berg scale and the timed Up & Go test are recommended for the lower limb, the Barthel scale and the Functional Independence Measure for ADL, and the Stroke Impact Scale for the participation column in all 3 ICF domains. In the article, the current state of knowledge is presented regarding the impact of knee braces on the functional status of people after stroke. Mechanical knee and ankle orthoses are called KAFO (Knee Ankle Foot Orthosis). Their main tasks include immobilisation of the knee joint and aid in learning to walk.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49581616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.5604/01.3001.0016.2839
Katarzyna Nowak-Wróblewska
Introduction: Foetal Alcohol Disorder Spectrum (FASD) is an incurable, non-genetic disorder that can occur in children whose mothers consumed alcohol during pregnancy. Patients with FASD are characterised by extensive damage to the central nervous system, neurological disorders, delays in physical and mental development, as well as difficulties in emotional regulation and behavioural disturbances. Neurosensory Integration of Reflexes by S. Masgutova is a holistic rehabilitation and therapeutic programme focused on the diagnosis and integration of primary reflex mechanisms. Intrauterine exposure of the foetus to alcohol affects the lack of proper reflex mechanism integration, which constitutes the foundation of harmonious psychomotor, cognitive, emotional and social development.The aim: The aim of this study is to present the role of primary reflex integration disorders according to MNRI in children with the Spectrum of Foetal Alcohol Disorders (FASD), as well as to discuss the impact of integrating primary reflex disorders according to MNRI on the functioning of FASD in children.Methods: The therapy comprised 103 patients (44 girls and 59 boys) aged 1-13 years with FASD, diagnosed according to the criteria of ICD-10 (Q 86.0). The mean age of the patients was 7.13 years (SD 3.26). Each participant took active participation in 2 rehabilitation interventions according to MNRI, the average interval between the stays was 4 months and 1 week (17 weeks).Results: In patients with FASD, the biomechanics of reflex patterns, such as: Babkin's, ATOS, hand support, paralyzing fear, Galant, grasping hands and Babinski, improved after MNRI therapy.Conclusions: Our research allows to indicate that the rehabilitated FASD patients following MNRI therapy could hug their caregivers more easily, thumb-sucking activity decreased, coordination improved, sleep quality significantly improved while psychomotor hyperactivity decreased.
{"title":"Does the Integration of Primary Reflex Schemas According to Masgutovas Neurosensorimotor Reflex Integration Improve Functioning and Quality of Life Among Children with Spectrum of Foetal Alcohol Disorders?","authors":"Katarzyna Nowak-Wróblewska","doi":"10.5604/01.3001.0016.2839","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2839","url":null,"abstract":"Introduction: Foetal Alcohol Disorder Spectrum (FASD) is an incurable, non-genetic disorder that can occur in children whose mothers consumed alcohol during pregnancy. Patients with FASD are characterised by extensive damage to the central nervous system, neurological disorders, delays in physical and mental development, as well as difficulties in emotional regulation and behavioural disturbances. Neurosensory Integration of Reflexes by S. Masgutova is a holistic rehabilitation and therapeutic programme focused on the diagnosis and integration of primary reflex mechanisms. Intrauterine exposure of the foetus to alcohol affects the lack of proper reflex mechanism integration, which constitutes the foundation of harmonious psychomotor, cognitive, emotional and social development.The aim: The aim of this study is to present the role of primary reflex integration disorders according to MNRI in children with the Spectrum of Foetal Alcohol Disorders (FASD), as well as to discuss the impact of integrating primary reflex disorders according to MNRI on the functioning of FASD in children.Methods: The therapy comprised 103 patients (44 girls and 59 boys) aged 1-13 years with FASD, diagnosed according to the criteria of ICD-10 (Q 86.0). The mean age of the patients was 7.13 years (SD 3.26). Each participant took active participation in 2 rehabilitation interventions according to MNRI, the average interval between the stays was 4 months and 1 week (17 weeks).Results: In patients with FASD, the biomechanics of reflex patterns, such as: Babkin's, ATOS, hand support, paralyzing fear, Galant, grasping hands and Babinski, improved after MNRI therapy.Conclusions: Our research allows to indicate that the rehabilitated FASD patients following MNRI therapy could hug their caregivers more easily, thumb-sucking activity decreased, coordination improved, sleep quality significantly improved while psychomotor hyperactivity decreased.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49606531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.5604/01.3001.0016.2833
W. Dziubek, Katarzyna Chojak-Fijałka, T. Gołębiowski, Łukasz Rogowski, K. Bulińska, Urszula Chrabota, Weronika Pawlaczyk, K. Ciechanowski, M. Kusztal
Background: The introduction of renal replacement therapy and its dynamic development contributes to the constant increase in the number of haemodialysis patients. Extending the life of patients with chronic kidney disease (CKD) is no longer the only objective of the medical community. Recently, measures have been initiated to improve quality of life among patients, which is largely influenced by physical functioning, the ability to undertake physical activity and functional independence. Despite the initiatives carried out for many years in the implementation of various regular physical activity forms among people with CKD in Poland, rehabilitation is still not an element of standard care for nephrological patients. In practice, it is mainly based on periodically implemented research projects, as well as scientific meetings devoted to this subject in groups comprising nephrologists and physiotherapists. Despite numerous scientific reports on the safety and effectiveness of undertaking physical activity by end-stage renal disease (ESRD) patients, there are still beliefs in the medical community perceiving this disease as a contraindication to physical training.
{"title":"Physiotherapy in Chronic Haemodialysis Patients. Recommendations of the Expert Committee of the Rehabilitation Section at the Polish Society of Nephrology","authors":"W. Dziubek, Katarzyna Chojak-Fijałka, T. Gołębiowski, Łukasz Rogowski, K. Bulińska, Urszula Chrabota, Weronika Pawlaczyk, K. Ciechanowski, M. Kusztal","doi":"10.5604/01.3001.0016.2833","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2833","url":null,"abstract":"Background: The introduction of renal replacement therapy and its dynamic development contributes to the constant increase in the number of haemodialysis patients. Extending the life of patients with chronic kidney disease (CKD) is no longer the only objective of the medical community. Recently, measures have been initiated to improve quality of life among patients, which is largely influenced by physical functioning, the ability to undertake physical activity and functional independence. Despite the initiatives carried out for many years in the implementation of various regular physical activity forms among people with CKD in Poland, rehabilitation is still not an element of standard care for nephrological patients. In practice, it is mainly based on periodically implemented research projects, as well as scientific meetings devoted to this subject in groups comprising nephrologists and physiotherapists. Despite numerous scientific reports on the safety and effectiveness of undertaking physical activity by end-stage renal disease (ESRD) patients, there are still beliefs in the medical community perceiving this disease as a contraindication to physical training.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47980752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}