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Wojtun K.,Oddzial Chirurgii Klatki Piersiowej Specjalistycznego Zespolu Gruzlicy i Chorob Pluc | Kadziolka W.,Oddzial Chirurgii Klatki Piersiowej Specjalistycznego Zespolu Gruzlicy i Chorob Pluc | Kobak G.,Oddzial Chirurgii Klatki Piersiowej Specjalistycznego Zespolu Gruzlicy i Chorob Pluc | Kadziollka J.,Instytut Fizjoterapii
Kardiochirurgia i Torakochirurgia Polska | Year: 2010

We describe a case of 61-year old patient admitted to the General Thoracic Departments of Rzeszów because of the substernal mediastinal abscess, chest-wall phlegmon and sepsis after trauma of the anterior chest wall in the car accident.

Kaczorowska A.,Instytut Fizjoterapii | Katan A.,Katedra Fizjoterapii | Ignasiak Z.,Katedra Biostruktury
Postepy Rehabilitacji | Year: 2014

Introduction: Good scope of mobility within the junctions of the motor system means that people are not only efficient in doing their everyday activities but also that they are engaged in family, social and professional life. The aim of this thesis is the assessment of mobility of chest, spine and large joints of women living in social welfare homes of different standards. Material and methods: The research included the group of 124 women at the age of 60-89 who are residents of social welfare homes. The analyzed residents were divided into two groups according to age: 60-74 years old and 75-89 years old. Among the social welfare homes two kinds of institutions were differentiated. The first group is the institutions where women were offered additional programme of physical therapy - 'good homes'. The second group is the institutions were rehabilitation is conducted only on basic level - 'average homes'. The mobility of spine in cervical and lumbar sections was measured by Saunders digital inclinometer. Mobility of chest was measured. The measurement of the mobility of large joints was conducted by goniometer. Results: The female residents with extended programme of treatment show greater mobility of chest. Mobility of spine of tested women differs. The scope of mobility of large joints is better among the younger residents of good homes. Older women from good homes show greater mobility of hip joints. Conclusions: The research has shown that the expanded programme of occupational therapy and rehabilitation should be applied to all types of such institutions. This will bring not only greater independence of doing everyday activities but also it will improve the quality of life of elderly people.

Druzbicki M.,Instytut Fizjoterapii | Kwolek A.,Instytut Fizjoterapii | Depa A.,Instytut Fizjoterapii | Przysada G.,Instytut Fizjoterapii
Neurologia i Neurochirurgia Polska | Year: 2010

Background and purpose: One of the most important goals of rehabilitation of post-stroke hemiplegic patients is the recovery of their locomotion function. The aim of the study was to assess walking function recovery by means of in-patient rehabilitation procedures, as well as the effectiveness of treadmill gait training with the use of biological feedback. Material and methods: The research involved groups of chronic post-stroke hemiplegic patients receiving treatment in the rehabilitation ward. Factors under scrutiny included walking speed and capacity, number of steps, weight bearing symmetry for lower extremities while standing, lower limb mobility on the Brunnström scale, and muscle tone on the Ashworth Scale. The study group patients followed a rehabilitation regime that included treadmill training aided with biofeedback function. Each study group participant exercised every day (a total of 15 times), with a single practice time ranging from 5 to 20 minutes. Control patients followed a rehabilitation regime without the additional treadmill exercises. Results: Patients in both groups demonstrated improvement in locomotion abilities. In the group following the physiotherapy regime supplemented with treadmill training with the use of biofeedback, the measures of walking speed, weight bearing symmetry for lower extremities, and number of steps were better than in controls. Conclusions: Treadmill gait training with the use of biofeedback is effective for relearning locomotion functions in post-stroke hemiplegic patients and can constitute a significant type of exercise in a physiotherapy regime.

Lenart-Domka E.,Regionalny Osrodek Rehabilitacyjno Edukacyjny Szpitala Wojewodzkiego Nr 2 | wierad A.,Instytut Fizjoterapii
Postepy Rehabilitacji | Year: 2014

Introduction: Until recently low back pain (LBP) in adolescents has been treated like a minor health problem. It becomes more remarkable lately that even short LBP episodes in adolescents are strongly prognostic of this problem in adulthood. Finding univocal modifiable LBP prognostic indicators may contribute to reduce its prevalence in the future. The objective of the study: To show the prevalence and risk factors of low back pain in children aged 11-14 regarding environmental determinants, life style and psychological problems. Material and methods: A self-reported questionnaire survey and polish version of Strengths and difficulties questionnaire (SDQ-Pol) was provided in 207 children aged 11-14 attending schools in Rzeszów and Strzyżów district in order to find the relationship mainly between LBP and family economic status, ways of school displacement, weight of school bag, physical work after school, ways of spending free time, sports activities and psychological problems. Results: Low back pain was reported by 32,9% pupils. Gender, family economic status or school displacement manner did not affect LBP prevalence. LBP occurred more often in rural area, especially when children did physical work after school. Other risk factors were excessive spine mechanical burden, sedentary way of living, intensive sports and psychological difficulties: mostly emotional and interpersonal communication disturbances, hyperactivity and behavioral problems. Conclusions: Static and dynamic spine overburdening is the most often occurring risk factors of LBP in adolescents as well as psychological problems.

Karczmarek-Borowska B.,Zaklad Onkologii | Niemiec A.,Instytut Fizjoterapii | Pop T.,Instytut Fizjoterapii
Onkologia Polska | Year: 2012

Introduction: Cancer disease results in a number of physical and psychological limitations. Physical activity as a part of rehabilitation is practiced to improve physical ability and to mobilize mental reserves. Material and methods: Examined group included 50 patients treated with chemotherapy of the Department of Clinical Oncology. There were 44% women and 56% men, aged from 39 to 70 years (mean 59 years). Patients were divided into two groups: one including people up to 60 ages of life (58%), and second including patients over 60 (42%). Self-prepared questionnaire o and SF-20 test were used for examination. Results: Most patients (78%) participated in the morning physical exercises at the hospital. In 56% patients the level of physical activity have worsened as compared to the status before the disease. Most patients (90%) felt the need for physical movement during the therapy, which improved their self-esteem and quality of life. The results showed that patients age had the strong impact on worsening both mental (p<0.05) and physical (p<0.05) state. Patients older than 60 years statistically more commonly claimed that they were not sure whether they were ill p<0.05. In fulfilling social duties, especially everyday responsibilities, the impact of gender was observed. Women more commonly had no limitations in everyday work or home occupation (p<0.05). Age, gender and dwelling place had no significant impact on social relations (p>0.05). Conclusions: The results prove that physical activity positively influences both physical and mental state of patients treated with chemotherapy. Copyright © 2013 Cornetis Sp. z o.o.

Drzal-Grabiec J.,Instytut Fizjoterapii | Rachwal M.,Instytut Fizjoterapii | Walicka-Cuprys K.,Instytut Fizjoterapii
Onkologia Polska | Year: 2013

Introduction: Mastectomy is an intervention which causes multiple changes in a woman's body as a result of the altered statics of the body. Aim of the study: The study aims at assessing body posture in a group of women after single mastectomy in comparison with controls. Material and methods: The participants included 58 women after single mastectomy, members of the Amazon Club in the Podkarpackie Province (study group) and 54 healthy women (control group). The mean age of the controls was 59 years, and in the study group 60 years. Each woman was subjected to photogrammetric examination of the body posture based on the phenomenon of moiré projection. Results: The group of women after mastectomy was found with significantly smaller ALFA angle (p=0.0009) and GAMMA angle (p=0.0000), and significantly greater BETA angle (p=0.0062) as well as significantly more pronounced curvature of thoracic kyphosis (p=0.0001) and lumbar lordosis (p=0.0004). The females in the study group also demonstrated greater pelvic asymmetry which was evidenced by a greater angle of pelvic inclination (p=0.0000). Conclusions: 1. Mastectomy impacts the body posture in the sagittal plane. 2. Females from the Amazon club are characterized by greater pelvic asymmetry than healthy women. Copyright © 2013 Cornetis.

Kwolek A.,Instytut Fizjoterapii | Podgorska J.,Instytut Fizjoterapii | Rykala J.,Instytut Fizjoterapii
Postepy Rehabilitacji | Year: 2013

Since about 40 years has been made a number of changes in the field of rehabilitation patients with multiple sclerosis (MS). That was possible due to the results of numerous studies involving the verification of the effectiveness of various treatment programs or individual methods. In recent years, a number of clinical trials have shown the effectiveness and the significant impact of systematic rehabilitation on quality of life and extend the period of active life in a social and a professional aspect. It has been shown that the rehabilitation combined with pharmacological treatment helps to improve the physical, improve the patient's well being, as well as to reduce the severity of symptoms. Rehabilitation gives the patient the possibility of a positive self-image production, enhances self-esteem and fitness, and thus causes a change in the perception of quality of life. The aim of the paper is to discuss the solutions currently used in the treatment of patients with MS.

Study aim: The aim of the research was to analyse the relationship between the posture types and MLPX and MLPY among children aged 12 to 15 years old. 503 children chosen from the Primary School number 13 and the Gymnasium number 4 in Starachowice took part in the research. Material and Methods: The spatial photogrammetic method which uses the effect of projection chamber was used in the research. Balance was examined on the stabiligraphic platform. The MLPX and the MLPY were used to describe balance. Results and Conclusion: A variation analysis showed an essential effect of the examined options. Closing eyes makes that MLPX value increases in all posture types: K, L, R 2 and R 1P. The post hoc analysis showed an essential effect of the examined option. MLPX in the test with CE increased essentially in K, L and R 1P posture types. An essential effect of the examined option was not seen only in the R 2 type. Children with a faulty posture have higher MLPX values. The variation analysis of MLPY did not show any vital effects. The relationship between posture types and balance was not found. There is also a lack of essential differences in Romberg's test in individual posture types.

Background: Low back pain syndrome is one of the most common complaints of contemporary man and it even takes on proportions of epidemic. According to the research, around 80% of the population complains of the pain in the lumbo-sacral region of spine. Effective treatment of such syndromes is a serious interdisciplinary issue, that is why properly planned and conducted rehabilitation is so important. Aim: Evaluation of the influence of selected factors, such as: gender, age, the nature of the work performed and BMI on the frequency of occurrence of the lumbo-sacral region pain, the results of rehabilitation and the evaluation of the impairment degree of patients with lumbo-sacral back pain syndrome measured with Oswestry questionnaire. Material and Methods: The research included a group of 142 people consisting of 68 men and 74 women. The research took place in: the Youth Housing Cooperative 'Metalowiec' in Rzeszów [pol. Młodzieżowa Spółdzielnia Mieszkaniowa Metalowiec], the Regional hospital No. 2 in Rzeszów, the Municipal Council in Kolbuszowa, the Primary School in Bukowiec and the School Complex in Kupno. The research subjects were between 23 and 60 years of age. Qualified for the research were die patients with lumbo-sacral back pain syndrome. Oswastry questionnaire was used to evaluate the influence of low back dysfunction on the quality of life. Answering questions made it possible to classify, how limited is patient's functioning while performing particular activities. The obtained results were than subject to statistical analysis. Results: The conducted research demonstrated that the largest group consisted of people with moderate impairment - 48,6%. After the rehabilitation, in all cases the degree of impairment had dropped or at least had not changed. Analysis of relation between gender and the degree of impairment proved that the impairment was more serious in case of women. Moreover, it was noticed that the degree of fitness drops together with age. The connection between the degree of impairment and the nature of the work performed was not observed. The only factor influencing the effectiveness of rehabilitation was the age. Conclusions: The factor which significantly influences the degree of impairment of people suffering from low back pain syndrome and the results of their rehabilitation is the age. Gender, BMI and the nature of the work performed do not influence the results of rehabilitation. The degree of impairment of the people suffering from low back pain syndrome who were examined with the use of Oswestry questionnaire was in most cases moderate or minimal.

Szczegielniak J.,Instytut Fizjoterapii | Bogacz K.,Instytut Fizjoterapii | Luniewski J.,Instytut Fizjoterapii | Majorczyk E.,Instytut Fizjoterapii | And 2 more authors.
Pneumonologia i Alergologia Polska | Year: 2011

Background: Interleukin-8 (IL-8, CXCL8), chemokine produced by macrophages and epithelium cells, plays a major role in activating neutrophils and eosinophils in the airways of patients with COPD and might act as a stimulator of inflammatory process. The aim of the research was to assess whether pulmonary physiotherapy influences the concentration of IL-8 in the induced sputum of patients with COPD. Material and methods: The study included 44 patients (21 males, 23 females, average age 56.47 ± 9.52) with COPD treated in Physiotherapy Department of MSWiA Hospital in Glucholazy, with unchanged pharmacological treatment for the duration of the therapy. Before treatment, efficiency treadmill test by Bruce modified protocol and dyspnea assessment with the modified 20-point Borg scale was given to qualify each patient for physiotherapy. All patients participated in a 3 week multi-treatment pulmonary physiotherapy programme based on efficiency training on a cycloergometer. The physical workload was determined individually for each patient based on the assessment of individual exercise tolerance. Standard physiotherapy programme also included respiratory muscles' training with particular emphasis on training of abdominal muscles and diaphragm, inhalations with isotonic saline, drainage, chest clapping, relaxations and walking. IL-8 concentration in each patient's induced sputum was collected prior to complex physiotherapy, and after it has been completed. IL-8 concentration was determined with the use of the ELISA test. Results: It was found that the concentration of IL-8 was significantly lower in patients with COPD after a 3-week physiotherapy programme. It fell from 18.91 ± 25.2 to 9.69 ± 14.06 ng/ml (p = 0.0215). The most significant IL-8 concentration decrease was observed in patients with the highest initial level of IL-8. Conclusions: The study shows that multi-treatment pulmonary physiotherapy causes decrease of IL-8 level in the induced sputum in patients with COPD, what can suggest © 2011 Via Medica.

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