Instytut Fizjoterapii

Poland

Instytut Fizjoterapii

Poland
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The aim of the research was to analyze the relationship between body postures in the sagittal plane and mean loading point X (MLPX) and mean loading point Y (MLPY) among children aged 12 to 15 years. 503 children from the Primary School number 13 and the Gymnasium number 4 in Starachowice took part in the research. The spatial photogrammetric method which uses the effect of projection chamber was used in the research. Balance was examined on the stabiligraphic platform. MLPX value for the whole group fluctuated from -0.86 (mm) with OE to -2.49 (mm) with CE. The difference in the Romberg test was 1.63(mm). In the correct posture type SPOX value fluctuated from -0.90 (mm) with OE to -2.13 (mm) with CE. The difference in Romberg test was 1.23 (mm). In the faulty posture type MLPX value fluctuated from -0.81 (mm) with OE to -3.02 (mm) with CE. The difference in Romberg test was 2.21 (mm). MLPY value for the whole group fluctuated from 39.72 with OE to 40.16 with CE. The difference in Romberg test was -0.44 (mm). In the correct posture type MLPY value fluctuated from 39.37 (mm) with OE to 39.20 (mm) with CE. The difference in Romberg test was 0.18 (mm). In the faulty posture type MLPY value fluctuated from 40.22 (mm) with OE to 41.56 (mm) with CE. The difference in Romberg test was -1.34 (mm). The analysis of variance showed a significant effect of the examined options (p < 0.001). Closing eyes results in an increase of MLPX value in correct as well as faulty body postures. Children with faulty posture have higher MLPX values. Although the MLPY value was slightly higher in faulty postures, the variation analysis did not show any significant effects.


Jandzis S.,Instytut Fizjoterapii | Puszczalowska-Lizis E.,Instytut Fizjoterapii | Kiljanski M.,University Jana Kochanowskiego w Kielcach
Fizjoterapia Polska | Year: 2014

The beginning of organised forms of the healing gymnastics in Poland is connected with the formation of gymnastic units. The first institutions of that kind were formed in Warsaw – Matthesa Teodor Gymnastic Plant (1831), Cracow – Ludwik Bierkowski Gymnastic School (1837), Poznan – Teofil Matecki Gymnastic Plant (1840) and in Lvov – Organopatical Plant of Teodor Bakody (1856). On the base of listed units in Warsaw, Cracow, Poznan and Lvov were formed four first centres of the development of the healing gymnastics on Polish land. Activity of gymnastic units had a significant influence into the more late development of physiotherapy and the medical rehabilitation in Poland. At first healing gymnastics based on German patterns was applied in the plants, and in consecutive years was implemented a Swedish system of the gymnastics of P. H. Ling and method of the mechanotherapy of G. Zandera. The owners of 19th-century gymnastic plants In Poland were doctors and the first specialists in the field of the treatment with the move from outside of the medical world – precursors of contemporary physiotherapists. In this period were also formed the first schools educating physiotherapists in our country. © 2014, Agencja Wydawnicza Medsportpress. All rights reserved.


The human foot is an important static and dynamic part of the motion organ. On the one hand it is a supporting element and in static conditions enables one to balance the body in a spatial position. On the other hand it is a driving mechanism of the body which gives it propulsion during movement. Aims: to evaluate the correlations between the longitudinal and transverse arch of the foot and the frontal support area of the foot in academic students. A cross-sectional study was carried out in 2008-2009 in a group of 280 academic students aged 20-28 randomly selected from The University of Rzeszow and Beskidy Higher School of Skills in 2ywiec. The method used in the study was plantographic evaluation of the feet in static conditions. The prints of the feet were obtained by means of the non-stain technique invented by Ślȩżyński. In order to evaluate the correlations between the longitudinal and transverse arch of the foot and the frontal support area the Pearson's linear correlation was employed. Results: slight correlations between the longitudinal depth index (W pwg) and the heel angle were observed in the examined group of women. There were no correlations between the longitudinal and transverse arch and the frontal support area observed in men. Conclusions: the longitudinal arch shows no correlations with the transverse arch and the the frontal support in the examined students aged 20-28.


Zwolinska J.,Instytut Fizjoterapii | Kwolek A.,Instytut Fizjoterapii | Gasior M.,Regionalny Osrodek Rehabilitacyjno Edukacyjny Dla Dzieci i Mlodziezy Przy
Postepy Rehabilitacji | Year: 2015

Introduction: Multiple Sclerosis (MS) is a chronic progressive disease of the nervous system which etiology is still unknown. Environmental factors, genetic predisposition and complex autoimmune reactions play a significant role in its pathogenesis. MS is not a fatal disease, but patients often require constant medical care and complex social welfare. Physiotherapy conducted at every stage of the disease depends on the currentstate of a patient and their functional capability and gradually occurring disorders and dysfunctions. Physical therapy is an important element of the therapy. Aim: To evaluate the usefulness of physical treatments used in the treatment of the MS patients. Material and methods: An analysis of domestic and foreign literature published between 2004 and 2014. The following databases were searched: PubMed, Science Direct, Termedia, Polish Medical Bibliography, Cochrane. The papers concerning the use of physical treatment as monotherapy and combination therapy were included. Summary and conclusions: Numerous research confirm both safety and efficacy of physical methods used in treatment of the MS patients. The implementation of research on the mechanism of action and effectiveness of physical factors, which are well-designed in terms of methodology, allows for the selection of the optimal physical procedure. Modern equipment and current methods of physiotherapy change views on the previously used treatments, their methodology and application.


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.


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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