Pub Date : 2023-02-01DOI: 10.5604/01.3001.0016.2374
Karolina Rutkowska-Kogut, A. Truszczyńska-Baszak, Zuzanna Wrzesień
Introduction: The anterior cruciate ligament (ACL) is the main stabiliser that inhibits excessive anterior translation of the tibia and prevents excessive rotational movements of the knee joint. ACL injuries occur at a frequency of 30 to 78 per 100,000 people a year, leading to instability and impaired function of the knee joint. Continuous development of knowledge on the anatomy and functions of the anterior cruciate ligament, along with the improvement of surgical and physiotherapeutic techniques, allowed for the development of satisfactory modern methods for treating ACL lesions.Objective: The aim of the study is to review literature on modern methods of physiotherapy after the reconstruction of the anterior cruciate ligament.Material and methods: Pubmed, Google Scholar and ScienceDirect scientific databases were searched using a combination of keywords: anterior cruciate ligament, ACL, reconstruction, physiotherapy, protocol. The inclusion criteria were: publication date from the last 10 years and a detailed description of the physiotherapy protocol included.Results: Six publications meeting the inclusion criteria were included in the analysis. Selected physiotherapy protocols consisted of 3 to 5 phases. Phase 1 was focused on reducing pain and swelling in all cases. The purpose of the following phases was to increase the range of motion and to strengthen muscle strength as well as neuromuscular coordination. The final stage consisted of dynamic exercises allowing to prepare for a chosen sports activity.Conclusion: Contemporary protocols for physiotherapy after ACL reconstruction are based on early recovery of range of motion in the knee joint, early increase in load on the operated limb as well as shortening (or excluding) the period of immobilisation and the use of orthoses.
{"title":"Physiotherapy After Anterior Cruciate Ligament Reconstruction a Literature Review","authors":"Karolina Rutkowska-Kogut, A. Truszczyńska-Baszak, Zuzanna Wrzesień","doi":"10.5604/01.3001.0016.2374","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2374","url":null,"abstract":"Introduction: The anterior cruciate ligament (ACL) is the main stabiliser that inhibits excessive anterior translation of the tibia and prevents excessive rotational movements of the knee joint. ACL injuries occur at a frequency of 30 to 78 per 100,000 people a year, leading to instability and impaired function of the knee joint. Continuous development of knowledge on the anatomy and functions of the anterior cruciate ligament, along with the improvement of surgical and physiotherapeutic techniques, allowed for the development of satisfactory modern methods for treating ACL lesions.Objective: The aim of the study is to review literature on modern methods of physiotherapy after the reconstruction of the anterior cruciate ligament.Material and methods: Pubmed, Google Scholar and ScienceDirect scientific databases were searched using a combination of keywords: anterior cruciate ligament, ACL, reconstruction, physiotherapy, protocol. The inclusion criteria were: publication date from the last 10 years and a detailed description of the physiotherapy protocol included.Results: Six publications meeting the inclusion criteria were included in the analysis. Selected physiotherapy protocols consisted of 3 to 5 phases. Phase 1 was focused on reducing pain and swelling in all cases. The purpose of the following phases was to increase the range of motion and to strengthen muscle strength as well as neuromuscular coordination. The final stage consisted of dynamic exercises allowing to prepare for a chosen sports activity.Conclusion: Contemporary protocols for physiotherapy after ACL reconstruction are based on early recovery of range of motion in the knee joint, early increase in load on the operated limb as well as shortening (or excluding) the period of immobilisation and the use of orthoses.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41988573","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 : 2022-12-12DOI: 10.5604/01.3001.0016.1490
Mariola E. Wodzińska, U. Stepaniak, A. Micek, A. Pająk
Introduction: The majority of brain strokes result in a reduction of physical functioning and remain a major cause of disability. Post-stroke rehabilitation aims to improve physical functioning of patients who have suffered from stroke. Infections, including those of the urinary tract (UTI), are complications of stroke that occur in patients who undergo physical therapy at stationary departments of neurological rehabilitation and may significantly influence its effectiveness. Study aim: The main objective of the study is to assess the relationship between the UTI and physical functioning in patients after stroke, and the relationship between prevalence of UTIs and the results of rehabilitation in post-stroke patients. Material and methods: An observational case-control study was conducted, with a natural selection into the study groups according to the prevalence of UTI. Data was collected from the medical records of all stroke patients rehabilitated at the inpatient Neurological Rehabilitation Department of ORNR “Krzeszowice” in Krzeszowice during the period from 01 Jan. 2012 to 31 Dec. 2014. The study included 400 patients. Physical functioning was assessed using the Barthel and Rankin scales. Results. UTI occurred in 37.5% of patients. In the univariate analysis, the occurrence of UTIs was associated with worse physical functioning at admission and discharge. After adjustment to the influence of gender, age, side and type of stroke, the time since discharge from the stroke unit, the presence of diabetes and use urinary catheter, better physical functioning at admission to the neurological rehabilitation unit was inversely related to the occurrence of UTI (according to the Barthel scale: OR = 0.89, 95% CI: 0.85-0.94); according to the Rankin scale: OR = 1.75; 95% CI: 1.33-2.32). At discharge, after adjustment for: influence of physical functioning at admission to the ward and other confounding factors, the occurrence of UTI was not significantly correlated with the physical functioning of patients. During hospitalisation, physical functioning improved in both groups, but among the group of patients with UTI, the dynamics of the change was significantly greater than in patients without UTI. Conclusions. In stroke patients referred to inpatient neurological rehabilitation, UTIs are a common complication. The occurrence of UTI was associated with decreased physical functioning at admission to the department, but in patients with UTI, more dynamic improvement in physical functioning was found during rehabilitation. The incidence of UTI was not related to physical functioning at discharge from the ward.
{"title":"Occurrence of Urinary Tract Infections and Physical Functioning in Patients After Stroke","authors":"Mariola E. Wodzińska, U. Stepaniak, A. Micek, A. Pająk","doi":"10.5604/01.3001.0016.1490","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1490","url":null,"abstract":"Introduction: The majority of brain strokes result in a reduction of physical functioning and remain a major cause of disability. Post-stroke rehabilitation aims to improve physical functioning of patients who have suffered from stroke. Infections, including those of the urinary tract (UTI), are complications of stroke that occur in patients who undergo physical therapy at stationary departments of neurological rehabilitation and may significantly influence its effectiveness.\u0000\u0000Study aim: The main objective of the study is to assess the relationship between the UTI and physical functioning in patients after stroke, and the relationship between prevalence of UTIs and the results of rehabilitation in post-stroke patients.\u0000\u0000Material and methods: An observational case-control study was conducted, with a natural selection into the study groups according to the prevalence of UTI. Data was collected from the medical records of all stroke patients rehabilitated at the inpatient Neurological Rehabilitation Department of ORNR “Krzeszowice” in Krzeszowice during the period from 01 Jan. 2012 to 31 Dec. 2014. The study included 400 patients. Physical functioning was assessed using the Barthel and Rankin scales.\u0000\u0000Results. UTI occurred in 37.5% of patients. In the univariate analysis, the occurrence of UTIs was associated with worse physical functioning at admission and discharge. After adjustment to the influence of gender, age, side and type of stroke, the time since discharge from the stroke unit, the presence of diabetes and use urinary catheter, better physical functioning at admission to the neurological rehabilitation unit was inversely related to the occurrence of UTI (according to the Barthel scale: OR = 0.89, 95% CI: 0.85-0.94); according to the Rankin scale: OR = 1.75; 95% CI: 1.33-2.32). At discharge, after adjustment for: influence of physical functioning at admission to the ward and other confounding factors, the occurrence of UTI was not significantly correlated with the physical functioning of patients. During hospitalisation, physical functioning improved in both groups, but among the group of patients with UTI, the dynamics of the change was significantly greater than in patients without UTI.\u0000\u0000Conclusions. In stroke patients referred to inpatient neurological rehabilitation, UTIs are a common complication. The occurrence of UTI was associated with decreased physical functioning at admission to the department, but in patients with UTI, more dynamic improvement in physical functioning was found during rehabilitation. The incidence of UTI was not related to physical functioning at discharge from the ward.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48332224","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 : 2022-12-11DOI: 10.5604/01.3001.0016.1442
A. Smrokowska-Reichmann, Edyta Janus
Introduction: Dementia is a neurodegenerative disease that, among others, reduces the level of a patient’s functioning. Supporting patients should be comprehensive, also involving non-pharmacological interventions which include occupational therapy strategies based on the use of specific tools. The Relish / Active Minds sets, which have not yet been described in Polish scientific reports, can be found among available tools. The aim of the study was to preliminary assess the possibility of using these sensory, sensorimotor and cognitively stimulating sets dedicated to people with dementia in occupational therapy. Material and methods: The study involved 30 people with dementia attending the Day Care Home in Oświęcim, who participated in specially-designed activities using Relish / Active Minds sets. The participants were divided into 2 equinumerous groups: patients with moderate and mild dementia. In each group, activities were carried out using 3 Relish / Active Minds products with various degrees of difficulty. All participants used each of the 3 products under the supervision of a therapist 3 times in the period from Sept. to Oct. 2020. The activities were conducted by occupational therapists trained by the authors of the study. To monitor the course of the study, original observation tables and interviews with occupational therapists were used. Results: The markings for the difficulty level proposed by the designer in the products "Maze" and " Matching picture pairs " was shown to be inadequate with regard to the abilities of seniors with moderate and mild dementia. The use of Relish / Active Minds products by seniors with dementia had a positive effect on their communication skills, emotional state, cognitive condition and the sensorimotor area. Conclusions: It has been shown that, despite certain limitations, the Relish / Active Minds sets, with properly monitored application, contribute to the improvement of rehabilitation quality among elderly people with dementia and are a valuable tool in the work of an occupational therapist.
{"title":"Relish / Active Minds as a Tool Recommended for Occupational Therapists Working with Seniors Having Dementia. A Preliminary Report","authors":"A. Smrokowska-Reichmann, Edyta Janus","doi":"10.5604/01.3001.0016.1442","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1442","url":null,"abstract":"Introduction: Dementia is a neurodegenerative disease that, among others, reduces the level of a patient’s functioning. Supporting patients should be comprehensive, also involving non-pharmacological interventions which include occupational therapy strategies based on the use of specific tools. The Relish / Active Minds sets, which have not yet been described in Polish scientific reports, can be found among available tools. The aim of the study was to preliminary assess the possibility of using these sensory, sensorimotor and cognitively stimulating sets dedicated to people with dementia in occupational therapy.\u0000\u0000Material and methods: The study involved 30 people with dementia attending the Day Care Home in Oświęcim, who participated in specially-designed activities using Relish / Active Minds sets. The participants were divided into 2 equinumerous groups: patients with moderate and mild dementia. In each group, activities were carried out using 3 Relish / Active Minds products with various degrees of difficulty. All participants used each of the 3 products under the supervision of a therapist 3 times in the period from Sept. to Oct. 2020. The activities were conducted by occupational therapists trained by the authors of the study. To monitor the course of the study, original observation tables and interviews with occupational therapists were used.\u0000\u0000Results: The markings for the difficulty level proposed by the designer in the products \"Maze\" and \" Matching picture pairs \" was shown to be inadequate with regard to the abilities of seniors with moderate and mild dementia. The use of Relish / Active Minds products by seniors with dementia had a positive effect on their communication skills, emotional state, cognitive condition and the sensorimotor area.\u0000\u0000Conclusions: It has been shown that, despite certain limitations, the Relish / Active Minds sets, with properly monitored application, contribute to the improvement of rehabilitation quality among elderly people with dementia and are a valuable tool in the work of an occupational therapist.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48679305","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 : 2022-12-11DOI: 10.5604/01.3001.0016.1441
E. Pluta, Michael D. Ciepiela, A. Patla, A. Mucha-Małecka, Magdalena Michta, R. Wróbel-Radecka, Ewelina Wlazło, Agnieszka Szadurska, P. Madej
Introduction: Inflammatory diseases of the locomotor system are a very heterogeneous group of ailments, including enthesopathies. They arise as a result of long-term overload in the area of tendon attachments, which may lead to chronic inflammation and then, degeneration, which are the cause of chronic pain. The main methods of treatment are physiotherapy, physical agents treatment, pharmacological and orthopaedic treatment, i.e. manual therapy, the use of appropriate insoles correcting posture defects, cryotherapy, shock waves, iontophoresis, non-steroidal anti-inflammatory drugs, steroid injections, surgery and platelet-rich plasma therapy. Another, lesser-known method of treatment is low-dose radiation therapy (LDRT). Research objective: To evaluate the efficacy, time to improvement and analgesic effect duration after low dose radiotherapy (LDRT) in patients with enthesopathies. Materials and methods: A retrospective analysis included a group of 90 patients (51 women, 39 men) with a diagnosis of enthesopathy and treated with conformal radiotherapy using photon radiation at the NIO in Kraków from July 2018 to April 2021. The treated group included patients with heel, elbow, knee, shoulder and wrist problems. In each case, the total dose of radiation was 6 Gy, divided into 6 fractions administered on subsequent working days, given in a vacuum form to the patient immobilised. Pain was assessed with the use of an 11-point numerical rating scale (NRS). Pain was assessed by implementing the above mentioned scale prior to the commencement of radiotherapy, during the treatment, and then 1 month and 6 months following the completion of treatment. Results: In the vast majority of patients (92%), with a mean age of 51 years, at least temporary, partial improvement of pain has been demonstrated in the irradiated joints. The median time to treatment response was 30 days. Median pain intensity, as measured via the NRS scale, was 8.0 (IQR 7.0-10.0) before the treatment, 5.0 (IQR 3.0-7.0) after 1 month, and 2.0 (IQR 0-4.0) after 6 months from treatment completion. Persistent improvement in pain control after LDRT was shown in 85% of patients, with a mean follow-up period of 522 days (range: 55-952 days). The best response was observed in patients with heel spurs (a decrease of median NRS score by 7.0). Conclusions: Low dose RT is a very effective method of pain reduction in enthesopathies, particularly among patients with heel spurs. Most patients experienced pain reduction as early as 1 month after LDRT. Continuous pain reduction was observed during the follow-up period up to the 6th month and in most cases, the analgesic effect was long-lasting.
{"title":"Evaluating the Efficacy of Low Dose Radiotherapy in the Treatment of Painful, Benign Musculoskeletal Conditions","authors":"E. Pluta, Michael D. Ciepiela, A. Patla, A. Mucha-Małecka, Magdalena Michta, R. Wróbel-Radecka, Ewelina Wlazło, Agnieszka Szadurska, P. Madej","doi":"10.5604/01.3001.0016.1441","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1441","url":null,"abstract":"Introduction: Inflammatory diseases of the locomotor system are a very heterogeneous group of ailments, including enthesopathies. They arise as a result of long-term overload in the area of tendon attachments, which may lead to chronic inflammation and then, degeneration, which are the cause of chronic pain. The main methods of treatment are physiotherapy, physical agents treatment, pharmacological and orthopaedic treatment, i.e. manual therapy, the use of appropriate insoles correcting posture defects, cryotherapy, shock waves, iontophoresis, non-steroidal anti-inflammatory drugs, steroid injections, surgery and platelet-rich plasma therapy. Another, lesser-known method of treatment is low-dose radiation therapy (LDRT).\u0000\u0000Research objective: To evaluate the efficacy, time to improvement and analgesic effect duration after low dose radiotherapy (LDRT) in patients with enthesopathies.\u0000\u0000Materials and methods: A retrospective analysis included a group of 90 patients (51 women, 39 men) with a diagnosis of enthesopathy and treated with conformal radiotherapy using photon radiation at the NIO in Kraków from July 2018 to April 2021. The treated group included patients with heel, elbow, knee, shoulder and wrist problems. In each case, the total dose of radiation was 6 Gy, divided into 6 fractions administered on subsequent working days, given in a vacuum form to the patient immobilised. Pain was assessed with the use of an 11-point numerical rating scale (NRS). Pain was assessed by implementing the above mentioned scale prior to the commencement of radiotherapy, during the treatment, and then 1 month and 6 months following the completion of treatment.\u0000\u0000Results: In the vast majority of patients (92%), with a mean age of 51 years, at least temporary, partial improvement of pain has been demonstrated in the irradiated joints. The median time to treatment response was 30 days. Median pain intensity, as measured via the NRS scale, was 8.0 (IQR 7.0-10.0) before the treatment, 5.0 (IQR 3.0-7.0) after 1 month, and 2.0 (IQR 0-4.0) after 6 months from treatment completion. Persistent improvement in pain control after LDRT was shown in 85% of patients, with a mean follow-up period of 522 days (range: 55-952 days). The best response was observed in patients with heel spurs (a decrease of median NRS score by 7.0).\u0000\u0000Conclusions: Low dose RT is a very effective method of pain reduction in enthesopathies, particularly among patients with heel spurs. Most patients experienced pain reduction as early as 1 month after LDRT. Continuous pain reduction was observed during the follow-up period up to the 6th month and in most cases, the analgesic effect was long-lasting.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48260425","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 : 2022-12-10DOI: 10.5604/01.3001.0016.1440
Michal Wozniak, A. Truszczyńska-Baszak
Introduction: Headaches are a very common pain syndrome. The International Headache Society distinguishes primary pains, which include, among others, migraines and tension headaches, and secondary pain. Manual techniques, including soft tissue methods, are mentioned in the literature as an effective form of pain relief, but it is ambiguous whether manual therapy is a more effective form of headache therapy than exercises improving the flexibility of soft tissues in the neck area and cervical mobility. Objective: The aim of the study was to investigate the influence of selected techniques regarding working with soft tissues on headache symptoms. Material and methods: The study included 29 people with headaches, who were randomly divided into 2 groups. The study group, subjected to soft tissue techniques, comprised 15 people (13 women and 2 men), average age was 27.73 ± 5.06 years, body height, on average, 1.70 ± 0.08 cm, body mass, on average, 64.80 ± 12.31 kg. The control group, subjected to telerehabilitation, included 14 individuals (12 women and 2 men), average age was 28.36 ± 4.88, body height, on average, 1.68 ± 0.09 m, body mass, on average, 64.93 ± 12.78 kg. Participants were enrolled in the study after completing the questionnaire in which they reported currently experiencing headaches. The HIT-6 (headache impact test) and HDI (head disability index) screening tests were used to assess pain, and the results before and after the 3-week therapy were compared. In the study group, soft tissue therapy was performed in 3 sessions, for 30 minutes, 1 week apart. The control group was assigned self-therapy through teleconsultation in the form of exercises, at least 4 times a week, once a day, for 30 minutes, aimed at improving mobility of the cervical spine and elasticity of soft tissues. Results: In the study group, on the HIT-6 scale, the effect of pain on functioning prior to therapy was, on average, 61.87 ± 5.64, while at the end of therapy, a statistically significant decrease was observed – to an average of 48.60 ± 5.22 (p<0.001). In the control group, on the HIT-6, the effect of pain on functioning was, on average, 59.00 ± 4.10, while at the end of the therapy, a significant decrease to the mean value was observed: 53.50 ± 6.04 (p<0.01). For HDI, disability in the study group was at an average of 43.20 ± 19.78 before the therapy and 25.33 ± 14.32 (p<0.01) following the therapy. In the control group, disability before and after the therapy was 31.43 ± 17.62 and 26.57 ± 13.73, respectively (p<0.01). There were no statistically significant differences in the HDI results – 25.33 ± 14.32 for the study group and 26.57 ± 13.73 for the control group (p>0.05) after treatment. Conclusions: Soft tissue therapy and telerehabilitation caused a significant reduction in the impact of headaches on daily functioning and disability. In the era of epidemics, telerehabilitation may be an effective treatment for headaches in young adults.
{"title":"The Influence of Selected Soft-Tissue and Telerehabilitation Techniques on Headaches in Young Adults During the COVID-19 Pandemic","authors":"Michal Wozniak, A. Truszczyńska-Baszak","doi":"10.5604/01.3001.0016.1440","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1440","url":null,"abstract":"Introduction: Headaches are a very common pain syndrome. The International Headache Society distinguishes primary pains, which include, among others, migraines and tension headaches, and secondary pain. Manual techniques, including soft tissue methods, are mentioned in the literature as an effective form of pain relief, but it is ambiguous whether manual therapy is a more effective form of headache therapy than exercises improving the flexibility of soft tissues in the neck area and cervical mobility. Objective: The aim of the study was to investigate the influence of selected techniques regarding working with soft tissues on headache symptoms. Material and methods: The study included 29 people with headaches, who were randomly divided into 2 groups. The study group, subjected to soft tissue techniques, comprised 15 people (13 women and 2 men), average age was 27.73 ± 5.06 years, body height, on average, 1.70 ± 0.08 cm, body mass, on average, 64.80 ± 12.31 kg. The control group, subjected to telerehabilitation, included 14 individuals (12 women and 2 men), average age was 28.36 ± 4.88, body height, on average, 1.68 ± 0.09 m, body mass, on average, 64.93 ± 12.78 kg. Participants were enrolled in the study after completing the questionnaire in which they reported currently experiencing headaches. The HIT-6 (headache impact test) and HDI (head disability index) screening tests were used to assess pain, and the results before and after the 3-week therapy were compared. In the study group, soft tissue therapy was performed in 3 sessions, for 30 minutes, 1 week apart. The control group was assigned self-therapy through teleconsultation in the form of exercises, at least 4 times a week, once a day, for 30 minutes, aimed at improving mobility of the cervical spine and elasticity of soft tissues. Results: In the study group, on the HIT-6 scale, the effect of pain on functioning prior to therapy was, on average, 61.87 ± 5.64, while at the end of therapy, a statistically significant decrease was observed – to an average of 48.60 ± 5.22 (p<0.001). In the control group, on the HIT-6, the effect of pain on functioning was, on average, 59.00 ± 4.10, while at the end of the therapy, a significant decrease to the mean value was observed: 53.50 ± 6.04 (p<0.01). For HDI, disability in the study group was at an average of 43.20 ± 19.78 before the therapy and 25.33 ± 14.32 (p<0.01) following the therapy. In the control group, disability before and after the therapy was 31.43 ± 17.62 and 26.57 ± 13.73, respectively (p<0.01). There were no statistically significant differences in the HDI results – 25.33 ± 14.32 for the study group and 26.57 ± 13.73 for the control group (p>0.05) after treatment. Conclusions: Soft tissue therapy and telerehabilitation caused a significant reduction in the impact of headaches on daily functioning and disability. In the era of epidemics, telerehabilitation may be an effective treatment for headaches in young adults.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47119056","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 : 2022-12-08DOI: 10.5604/01.3001.0016.1384
B. Wnuk, D. Ziaja, M. Buczek, K. Ziaja, Marcin Banyś
Introduction: Chronic venous insufficiency is the most commonly occurring vascular disease. One of the major risk factors for its development is long-term sitting or standing in prolonged unchanged position and the nature performed work. Study aim: The aim of this study was to assess the effectiveness of lower limb home exercises limb with the use of the Bella Vena robot following disease onset causing tetraparesis in long-term observation. Materials and methods: A group of 15 patients (43.80 ± 14.97 years) was enrolled in the study. These patients had experienced whiplash injury causing total or partial inertia, with preserved mobility in the ankle joints. The total duration of the observation lasted 8 months (8 visits), during which the following parameters were assessed at the beginning and end of this period: pain intensity – according to the Visual Analogue Scale (VAS), level of saturation on the toe, pulse rate of the lower limb via Doppler ultrasound evaluation of reflux parameters. Result: Statistically significant improvement was achieved after home exercises within the following ranges - quality of pain intensity on VAS (p≤0.01), saturation at the level of the big toe (p≤0.05), Doppler ultrasound: reflux in the right femoral vein (p≤0.05), Doppler ultrasound: reflux in the left femoral vein (p≤0.05) Conclusion: Home exercises with using a prototype of the Bella Vena device showed a moderate effect on improving calf pump in the group of patients with quadriplegia in long-term observation.
{"title":"Assessing the Effectiveness of Lower Limb Home Exercises with the Use of a Prototype Exercise Robot for Continuous Passive Movement in People with Tetraparesis in the Long-Term Follow-Up: a Preliminary Report","authors":"B. Wnuk, D. Ziaja, M. Buczek, K. Ziaja, Marcin Banyś","doi":"10.5604/01.3001.0016.1384","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1384","url":null,"abstract":"Introduction: Chronic venous insufficiency is the most commonly occurring vascular disease. One of the major risk factors for its development is long-term sitting or standing in prolonged unchanged position and the nature performed work.\u0000\u0000Study aim: The aim of this study was to assess the effectiveness of lower limb home exercises limb with the use of the Bella Vena robot following disease onset causing tetraparesis in long-term observation.\u0000\u0000Materials and methods: A group of 15 patients (43.80 ± 14.97 years) was enrolled in the study. These patients had experienced whiplash injury causing total or partial inertia, with preserved mobility in the ankle joints. The total duration of the observation lasted 8 months (8 visits), during which the following parameters were assessed at the beginning and end of this period: pain intensity – according to the Visual Analogue Scale (VAS), level of saturation on the toe, pulse rate of the lower limb via Doppler ultrasound evaluation of reflux parameters.\u0000\u0000Result: Statistically significant improvement was achieved after home exercises within the following ranges - quality of pain intensity on VAS (p≤0.01), saturation at the level of the big toe (p≤0.05), Doppler ultrasound: reflux in the right femoral vein (p≤0.05), Doppler ultrasound: reflux in the left femoral vein (p≤0.05)\u0000\u0000Conclusion: Home exercises with using a prototype of the Bella Vena device showed a moderate effect on improving calf pump in the group of patients with quadriplegia in long-term observation.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41712551","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 : 2022-12-08DOI: 10.5604/01.3001.0016.1385
Monika Bal-Bocheńska, J. Wyszyńska, M. Kołodziej
Introduction: To the best of our knowledge, no reports are available on the relationship between the technique of anaesthesia and the effects of rehabilitation. Objective: The aim of the study is to assess the effectiveness of early rehabilitation on changes in range of spinal and thoracic mobility with different pain control after thoracotomy due to lung cancer. Material and methods: The study involved 100 patients following lung lobe resection by open anterolateral thoracotomy. After the operation, participants were assigned to 2 groups depending on the use of additional anaesthesia. All participants received standardised post-operative physiotherapy. The range of mobility of the spine and chest, the verbal rating scale (VRS) and visual analogue scale (VAS) were measured before and on the 1st, 3rd and 7th day after surgery. Results: In the study, an increase was shown in measurements for patients from both groups undergoing the rehabilitation programme after surgery. Mobility was highly significant in the study group. However, the mobility of the chest decreased in both groups, and in subsequent measurements following physiotherapy, its range improved, although it did not reach the baseline level even on the 7th day after the procedure. Consequently, 1 week after surgery, the decrease in spinal mobility among the group with standard anaesthesia was 1.3 cm greater than in the group with additional anaesthesia (-1.5 vs. -0.2 cm). Pain changes were greater in the control group. Conclusions: 1. It may be concluded that the mobility of the thoracic spine after the procedure in decreased both groups, to later significantly improve for subsequent measurements in favour of patients with additional analgesia. 2. Respiratory mechanics of the chest and the level of pain, both measured by the VRS and VAS, systematically decreased in subsequent measurements after surgery among both groups, however, greater respiratory mobility was noted in the group of patients with additional analgesia. 3. It was demonstrated that the patients from the study group achieved optimal measurement values in relation to the control group, which were measured several times after the procedure, demonstrating a shorter and effective post-operative rehabilitation process.
据我们所知，没有关于麻醉技术与康复效果之间关系的报道。目的:探讨早期康复对肺癌开胸术后不同疼痛控制方式下脊柱和胸部活动范围变化的影响。材料和方法:研究对象为100例经开放性前外侧开胸肺叶切除术的患者。手术后，根据附加麻醉的使用情况将参与者分为两组。所有参与者均接受标准化的术后物理治疗。术前、术后第1天、第3天、第7天分别测量患者脊柱、胸部活动范围、视觉模拟评分(VAS)和口头评定量表(VRS)。结果:在这项研究中，两组患者在手术后接受康复计划的测量结果都有所增加。活动度在研究组中非常显著。然而，两组患者的胸部活动度均有所下降，在物理治疗后的后续测量中，其活动度有所改善，尽管在手术后第7天仍未达到基线水平。因此，术后1周，标准麻醉组的脊柱活动度下降幅度比额外麻醉组大1.3 cm (-1.5 vs -0.2 cm)。对照组的疼痛变化更大。结论:1。可以得出结论，两组患者手术后胸椎的活动度均有所下降，但随后的测量结果明显改善，这有利于额外镇痛的患者。2. 通过VRS和VAS测量的胸部呼吸力学和疼痛水平在两组手术后的后续测量中都有系统地下降，然而，在额外镇痛的患者组中发现呼吸活动性更大。3.结果表明，研究组患者在术后多次测量的测量值较对照组达到最佳，显示出更短、更有效的术后康复过程。
{"title":"The Influence of Early Rehabilitation on Changes in the Range of Spinal and \u0000Thoracic Mobility in Patients after Thoracotomy Due to Lung Cancer Depending on Used Anaesthesia","authors":"Monika Bal-Bocheńska, J. Wyszyńska, M. Kołodziej","doi":"10.5604/01.3001.0016.1385","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1385","url":null,"abstract":"Introduction: To the best of our knowledge, no reports are available on the relationship between the technique of anaesthesia and the effects of rehabilitation.\u0000\u0000Objective: The aim of the study is to assess the effectiveness of early rehabilitation on changes in range of spinal and thoracic mobility with different pain control after thoracotomy due to lung cancer.\u0000\u0000Material and methods: The study involved 100 patients following lung lobe resection by open anterolateral thoracotomy. After the operation, participants were assigned to 2 groups depending on the use of additional anaesthesia. All participants received standardised post-operative physiotherapy. The range of mobility of the spine and chest, the verbal rating scale (VRS) and visual analogue scale (VAS) were measured before and on the 1st, 3rd and 7th day after surgery.\u0000\u0000Results: In the study, an increase was shown in measurements for patients from both groups undergoing the rehabilitation programme after surgery. Mobility was highly significant in the study group. However, the mobility of the chest decreased in both groups, and in subsequent measurements following physiotherapy, its range improved, although it did not reach the baseline level even on the 7th day after the procedure. Consequently, 1 week after surgery, the decrease in spinal mobility among the group with standard anaesthesia was 1.3 cm greater than in the group with additional anaesthesia (-1.5 vs. -0.2 cm). Pain changes were greater in the control group.\u0000\u0000Conclusions: 1. It may be concluded that the mobility of the thoracic spine after the procedure in decreased both groups, to later significantly improve for subsequent measurements in favour of patients with additional analgesia. 2. Respiratory mechanics of the chest and the level of pain, both measured by the VRS and VAS, systematically decreased in subsequent measurements after surgery among both groups, however, greater respiratory mobility was noted in the group of patients with additional analgesia. 3. It was demonstrated that the patients from the study group achieved optimal measurement values in relation to the control group, which were measured several times after the procedure, demonstrating a shorter and effective post-operative rehabilitation process.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43498873","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 : 2022-12-08DOI: 10.5604/01.3001.0016.1383
Magdalena Zabojszcz, Miłosz Opuchlik, Anna Opuchlik, Anna Włoch, T. Ridan
Introduction: As a result of mastectomy, physical fitness deteriorates, balance disorders and lymphoedema of the upper limb occur, which undoubtedly affect the level of stability among women following this surgery. Complex physical therapy in this group of patients is one of the key aspects influencing the level of physical activity among women subjected to surgery. Research objective: The aim of the study was to assess the impact of complex physiotherapy on physical fitness and balance in women following unilateral mastectomy with lymphoedema of the upper limb. Additionally, it was analysed whether wearing an external breast prosthesis affects the postural stability of women after mastectomy. Materials and methods: The study group comprised 30 women post unilateral mastectomy, 51 to 78 years of age, with upper limb lymphoedema. Before starting and after completing the physical therapy programme, the examined women were asked to perform the Timed Up and Go (TUG) Test and the Static Postural Stability Test on the Biodex Balance System platform. The tests were performed at the Posturology Laboratory of the Collegium Medicum, Jan Kochanowski University in Kielce. Results: In the analysis of the results of the Timed Up and Go Test in women following unilateral mastectomy, better results were noted after completion of physiotherapy in all 3 trials (p=0.001, p=0.021, p=0.004), as well as in the Postural Stability Test for all test parameters. The Mann-Whitney U test allowed to indicate a statistically significant difference in the values of the general stability index (p=0.005) and the A/P stability index (p=0.004). Greater body sway dominated in the sagittal plane than in the frontal one (A/P > M/L). On the other hand, in posturographic examination, external prostheses did not affect the postural stability of post-mastectomy women. Conclusions: 1. Systematic motor exercises in women following unilateral mastectomy are an important element of maintaining required physical activity, and they also prevent posture-related disorders; 2. The use of an external breast prosthesis in women after unilateral mastectomy does not significantly cause a change to body posture.
引言：乳房切除术的结果是，身体素质下降，上肢出现平衡障碍和淋巴水肿，这无疑会影响女性手术后的稳定性。这类患者的复杂物理治疗是影响接受手术的女性身体活动水平的关键因素之一。研究目的：本研究的目的是评估复杂物理疗法对单侧乳房切除术后上肢淋巴水肿妇女身体素质和平衡的影响。此外，还分析了佩戴外部乳房假体是否会影响乳房切除术后女性的姿势稳定性。材料和方法：研究组包括30名单侧乳房切除术后的女性，年龄51至78岁，上肢淋巴水肿。在开始和完成物理治疗计划之前，受试女性被要求在Biodex平衡系统平台上进行定时上下（TUG）测试和静态姿势稳定性测试。这些测试是在基尔切Jan Kochanowski大学医学院泌尿后实验室进行的。结果：在对单侧乳房切除术后女性的Timed Up and Go测试结果的分析中，在所有3项试验中，物理治疗完成后的结果都更好（p=0.001，p=0.021，p=0.004），以及在所有测试参数的姿势稳定性测试中。Mann-Whitney U检验表明，总体稳定性指数（p=0.005）和a/p稳定性指数（p=0.004）的值存在统计学上的显著差异。矢状面上的身体摆动比额面上的大（a/p>M/L）。另一方面，在姿势检查中，外部假体不会影响乳房切除术后女性的姿势稳定性。结论：1。单侧乳房切除术后女性进行系统的运动锻炼是保持所需体力活动的重要因素，也可以预防姿势相关的障碍；2.女性单侧乳房切除术后使用外部乳房假体不会显著改变身体姿势。
{"title":"Influence of Complex Physical Therapy on Physical Fitness and Balance in Women After Unilateral Mastectomy Due to Cancer Treatment","authors":"Magdalena Zabojszcz, Miłosz Opuchlik, Anna Opuchlik, Anna Włoch, T. Ridan","doi":"10.5604/01.3001.0016.1383","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1383","url":null,"abstract":"Introduction: As a result of mastectomy, physical fitness deteriorates, balance disorders and lymphoedema of the upper limb occur, which undoubtedly affect the level of stability among women following this surgery. Complex physical therapy in this group of patients is one of the key aspects influencing the level of physical activity among women subjected to surgery.\u0000\u0000Research objective: The aim of the study was to assess the impact of complex physiotherapy on physical fitness and balance in women following unilateral mastectomy with lymphoedema of the upper limb. Additionally, it was analysed whether wearing an external breast prosthesis affects the postural stability of women after mastectomy.\u0000\u0000Materials and methods: The study group comprised 30 women post unilateral mastectomy, 51 to 78 years of age, with upper limb lymphoedema. Before starting and after completing the physical therapy programme, the examined women were asked to perform the Timed Up and Go (TUG) Test and the Static Postural Stability Test on the Biodex Balance System platform. The tests were performed at the Posturology Laboratory of the Collegium Medicum, Jan Kochanowski University in Kielce.\u0000\u0000Results: In the analysis of the results of the Timed Up and Go Test in women following unilateral mastectomy, better results were noted after completion of physiotherapy in all 3 trials (p=0.001, p=0.021, p=0.004), as well as in the Postural Stability Test for all test parameters. The Mann-Whitney U test allowed to indicate a statistically significant difference in the values of the general stability index (p=0.005) and the A/P stability index (p=0.004). Greater body sway dominated in the sagittal plane than in the frontal one (A/P > M/L). On the other hand, in posturographic examination, external prostheses did not affect the postural stability of post-mastectomy women.\u0000\u0000Conclusions: 1. Systematic motor exercises in women following unilateral mastectomy are an important element of maintaining required physical activity, and they also prevent posture-related disorders; 2. The use of an external breast prosthesis in women after unilateral mastectomy does not significantly cause a change to body posture.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44218452","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 : 2022-11-07DOI: 10.5604/01.3001.0016.0821
Ibrahim M. Dewir, M. Abdel-fattah, Khalid Alamary, Muhannad A. Bakheet, Faisal S. Alsuwat, Majed Algethemi, Sultan A. Alzhrany, Omar A. Alotaibi, Braikaan Alsawat, Ismail Alqourshi, Abdelaziz S. Al Thobaiti
Introduction: Kinesiotaping is a typical method used in physical therapy. It has the potential to boost muscle strength and performance when used properly The aim of the study is to determine the immediate effect of 35% tension Kinesiotaping on handgrip strength in healthy males. Methods: The study involved 60 healthy males (physical therapy students) between the ages of 20 and 23. The participants were randomly assigned to 1 of 2 groups: the tension Kinesiotaping group (tKT), undergoing taping at a 35%tension, or the control group, receiving the identical taping technique but without tension. All participants' handgrip strength was measured using a hand-held dynamometre. The measurements were taken before and after taping for 30 minutes. Results: Only in the tension Kinesiotaping group was there substantial improvement in handgrip strength (tKT). There were no significant differences in the control group before and after 30 minutes (p=0.970), but significant results were noted in the tKT group after applying kinesiotape with a 35% tension (p<0.001). Conclusions: In healthy males, Kinesiotaping with a 35% tension causes an immediate increase in handgrip strength.
{"title":"The Immediate Effect of Kinesiotaping on Handgrip Strength in Young, Healthy Men","authors":"Ibrahim M. Dewir, M. Abdel-fattah, Khalid Alamary, Muhannad A. Bakheet, Faisal S. Alsuwat, Majed Algethemi, Sultan A. Alzhrany, Omar A. Alotaibi, Braikaan Alsawat, Ismail Alqourshi, Abdelaziz S. Al Thobaiti","doi":"10.5604/01.3001.0016.0821","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0821","url":null,"abstract":"Introduction: Kinesiotaping is a typical method used in physical therapy. It has the potential to boost muscle strength and performance when used properly The aim of the study is to determine the immediate effect of 35% tension Kinesiotaping on handgrip strength in healthy males.\u0000\u0000Methods: The study involved 60 healthy males (physical therapy students) between the ages of 20 and 23. The participants were randomly assigned to 1 of 2 groups: the tension Kinesiotaping group (tKT), undergoing taping at a 35%tension, or the control group, receiving the identical taping technique but without tension. All participants' handgrip strength was measured using a hand-held dynamometre. The measurements were taken before and after taping for 30 minutes.\u0000\u0000Results: Only in the tension Kinesiotaping group was there substantial improvement in handgrip strength (tKT). There were no significant differences in the control group before and after 30 minutes (p=0.970), but significant results were noted in the tKT group after applying kinesiotape with a 35% tension (p<0.001).\u0000\u0000Conclusions: In healthy males, Kinesiotaping with a 35% tension causes an immediate increase in handgrip strength.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43497250","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 : 2022-11-05DOI: 10.5604/01.3001.0016.0806
Elżbieta Szczygieł-Pilut, E. Mirek, M. Filip, Daniel Pilut, J. Totoń-Żurańska
Introduction: Epilepsy is a chronic disease characterised by a predisposition to the occurrence of recurrent and unprovoked seizures. Due to the unpredictability of the disease (due to the possibility of seizures occurring at any time), the quality of life of these patients is drastically reduced. Stigmatisation of patients with epilepsy is common all over the world and concerns not only developing countries, but also those already highly developed. Patients with epilepsy show less activity in many areas of everyday life, including physical activity (they exercise less than the general public), and also have a lower level of mobility. This may be a significant factor contributing to the observation of balance disorders this group (from discrete, unnoticeable by them and the environment, to clinically manifesting instability of posture). So far, however, this has not been possible to clearly document, and to date, the standards for rehabilitation in this group of patients have not been established. However, it is widely known that balance disorders, apart from epileptic seizures, decrease quality of life.In the control of postural disorders, the co-ordination of the visual, somatosensory and vestibular systems is necessary. The cortical representation of the visual and sensory systems can be analysed during electroencephalographic recording. Additionally, the Biodex Balance SD stabilometric platform is an objective tool used to confirm imbalances. The application of this diagnostic device allows to quickly determine the exact type of imbalance that can subsequently undergo targeted physiotherapy. Research objective: The aim of the study was to assess the impact of targeted physiotherapy in a group of patients diagnosed with epilepsy of unknown etiology and balance disorders. Materials and methods: Patients diagnosed with generalised epilepsy of unknown etiology took part in the study. They were treated at the neurology ward or clinic of John Paul II Specialist Hospital in Krakow. The patients were examined 3 times at monthly intervals using the following methods: - EEG testing, - SF-36 quality of life questionnaire, - Biodex SD stabilometric platform. In addition, between the 2nd and 3rd months of the study, the patients underwent physiotherapy for balance disorders (3 times a week for 1 month, each session lasting 30 minutes). Results: In 10 patients who were subjected to selective physiotherapy using the Biodex SD stabilometric platform, objective improvement in balance stability was noted. All patients also reported oral improvement in the sense of postural stability after the completion of the rehabilitative treatment. Conclusions: Targeted physiotherapy in a group of patients with diagnosed epilepsy of undetermined etiology, and accompanying balance disorders has a positive impact on their daily functioning.
{"title":"The role of targeted physiotherapy in the group of patients diagnosed with epilepsy","authors":"Elżbieta Szczygieł-Pilut, E. Mirek, M. Filip, Daniel Pilut, J. Totoń-Żurańska","doi":"10.5604/01.3001.0016.0806","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0806","url":null,"abstract":"Introduction: Epilepsy is a chronic disease characterised by a predisposition to the occurrence of recurrent and unprovoked seizures. Due to the unpredictability of the disease (due to the possibility of seizures occurring at any time), the quality of life of these patients is drastically reduced. Stigmatisation of patients with epilepsy is common all over the world and concerns not only developing countries, but also those already highly developed. Patients with epilepsy show less activity in many areas of everyday life, including physical activity (they exercise less than the general public), and also have a lower level of mobility. This may be a significant factor contributing to the observation of balance disorders this group (from discrete, unnoticeable by them and the environment, to clinically manifesting instability of posture). So far, however, this has not been possible to clearly document, and to date, the standards for rehabilitation in this group of patients have not been established. However, it is widely known that balance disorders, apart from epileptic seizures, decrease quality of life.In the control of postural disorders, the co-ordination of the visual, somatosensory and vestibular systems is necessary. The cortical representation of the visual and sensory systems can be analysed during electroencephalographic recording. Additionally, the Biodex Balance SD stabilometric platform is an objective tool used to confirm imbalances. The application of this diagnostic device allows to quickly determine the exact type of imbalance that can subsequently undergo targeted physiotherapy.\u0000\u0000Research objective: The aim of the study was to assess the impact of targeted physiotherapy in a group of patients diagnosed with epilepsy of unknown etiology and balance disorders.\u0000\u0000Materials and methods: Patients diagnosed with generalised epilepsy of unknown etiology took part in the study. They were treated at the neurology ward or clinic of John Paul II Specialist Hospital in Krakow. The patients were examined 3 times at monthly intervals using the following methods: - EEG testing, - SF-36 quality of life questionnaire, - Biodex SD stabilometric platform. In addition, between the 2nd and 3rd months of the study, the patients underwent physiotherapy for balance disorders (3 times a week for 1 month, each session lasting 30 minutes).\u0000\u0000Results: In 10 patients who were subjected to selective physiotherapy using the Biodex SD stabilometric platform, objective improvement in balance stability was noted. All patients also reported oral improvement in the sense of postural stability after the completion of the rehabilitative treatment.\u0000\u0000Conclusions: Targeted physiotherapy in a group of patients with diagnosed epilepsy of undetermined etiology, and accompanying balance disorders has a positive impact on their daily functioning.\u0000\u0000","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45575471","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}
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