Wydzial Fizjoterapii

Olsztyn, Poland

Wydzial Fizjoterapii

Olsztyn, Poland
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Mraz M.,Wydzial Fizjoterapii | Nowacka U.,Wydzial Fizjoterapii | Skrzek A.,Wydzial Fizjoterapii | Debiec-Bak A.,Wydzial Fizjoterapii | Sidorowska M.,Wydzial Fizjoterapii
Fizjoterapia | Year: 2010

Posture control is a manifestation of very precise neuromuscular coordination of all body segments which allows maintaining of body balance in any conditions. Body posture is characterized by the position of the vertical axis of the body in relation to the fulcrum which causes postural instability. Therefore permanent posture control by means of the posture control system is necessary to maintain stability. Body posture as well as its stability undergo modifications along with individual development, that is during growth, development, puberty and aging. The aim of the study was to evaluate postural stability of women aged 8-22 on the basis of posturographic parameters. The efficiency of the balance system was evaluated with the use of a measuring device - Pro-Med posturograph. The testing was earned out in women aged 8-22, divided into three age groups. The posturographic test was performed with open and closed eyes. The stabilogram surface area, oscillation index COP, as well as the length of the stabilogram were analysed. The achieved image of postural stability was diversified. An increase of posturographic parameters was noticed in 8 years old girls and a decrease in 15-16 years old girls and 20-22 years old women. Thus, significantly poorer postural stability in standing position was observed in the 8 year-olds. The role of the frontal and sagittal plane in COP oscillation was also examined. That analysis revealed diversity of WCOP index and normalisation of body sways while maintaining balance in standing position in 20-22 years old women. The posturographic evaluation of postural stability in children, youths and adults (women) revealed in those age groups the dynamics of changes in the process of maintaining balance while standing.

Zima J.,Wydzial Fizjoterapii | Kokot M.,Wydzial Fizjoterapii | Rymaszewska J.,Wydzial Fizjoterapii
Fizjoterapia | Year: 2011

Child's upbringing is a major challenge, and in the case of children with a disability additional difficulty is to provide rehabilitation and support during abnormal development. Aim: evaluation of the burden of caregivers of children with Down syndrome and autism. The study was carried out in a group of 33 parents of children with Down Syndrome, 22 parents of autistic children who participated in rehabilitation and 15 parents of autistic children who did not participate in rehabilitation. Results and conclusions: the caregivers of children with Down Syndrome have a lower burden than caregivers of children with autism. Rehabilitation has a beneficial effect on the sense of burden in the caregivers of autistic children.

Wilk I.,Wydzial Fizjoterapii | Matuszewski T.,Wydzial Fizjoterapii | Tarkowska M.,Wrocław University | Kiebzak W.,Zaklad Rehabilitacji Wojewodzki Specjalistyczny Szpital Dzieciecy | Kiebzak W.,University Jana Kochanowskiego
Fizjoterapia Polska | Year: 2015

Introduction. Measurementmethods are a very important element in physiotherapy diagnostics to ensure measurement accuracy, repeatability, availability and they should be relatively easy. Properly performed diagnostics allows proper selection of therapy, ensures higher efficacy of the undertaken activities and allows to obtain the desired effects. The measurement of the pressure pain threshold with the use ofan algometer is one of the methods appliedmore andmore frequently by therapists. The method provides an objective, accurate and reproducible assessment. Material andmethods. The study included 20 healthy, young subjects, aged 20 to 30 years. Theywere subjected to classicalmassage of the back, which involved selected superficial and deep muscles. The procedure took 20 minutes. Before the massage and immediately afterwards, with the use ofan algometer there was measured the pressure pain threshold of the selected backmuscles at the site ofbone attachments. Results. After classicalmassage application, there were noted increased values ofpressure pain threshold ofselected backmuscles attachments. Statistically significant differences were obtained in the case of the trapezius muscles - descending and transverse part. Conclusions. The measurement ofpressure pain threshold with the use ofan algometer is an objective method which allows imaging of the effects of the applied therapy, in this case the effect ofmassage on the pressure pain threshold. © 2015, Agencja Wydawnicza Medsportpress. All rights reserved.

Adasik A.,Wydzial Fizjoterapii | Adasik A.,Physical Education Academy
Fizjoterapia | Year: 2015

Breast cancer is one of the most common types of cancer among women worldwide. Epidemiological and experimental studies confirm the beneficial effects of physical exercise both in patients who have suffered a relapse and in those who are in the course of a treatment. Researchers suggest that regular physical effort performed 3-5 times a week at 20-40 MET reduces the risk of development of breast cancer. Scientific evidence suggests that aerobic training can be safe and effective even during the oncological treatment, which, depending on the stage of the disease, may consist of surgical treatment combined with chemotherapy, radiotherapy or hormone therapy. In addition, it significantly improves the function of the circulatory and respiratory systems, reduces fatigue and improves the quality of life of patients struggling with the disease. There are many theories on the mechanisms that are triggered by aerobic workout. Despite the numerous studies on this subject, which have been conducted over the years, we still cannot say how physical activity reduces the risk of development of breast cancer. The most frequently mentioned biological mechanisms include the influence of oestrogen, metabolic hormones, growth factor, inflammatory markers, response from the immune system, insulin resistance and oxidative stress. Many studies into the process of carcinogenesis are carried out in laboratory conditions on animals. Due to application of different experimental models, the results of such studies are often ambiguous. Nevertheless, scientists see a huge potential in this kind of experiments, because some of them have already attested to the protective effects of physical exercise against the appearance of breast cancer, but also they have increased our understanding of the processes through which this risk is reduced. Perhaps, in the future physical activity will become a part of a cancer treatment thanks to the results of such studies.

Rojczyk-Chmarek J.,Wydzial Fizjoterapii | Blaszczyk J.,Wydzial Wychowania Fizycznego | Gieremek K.,Wydzial Fizjoterapii | Ciesla W.,Katedra Fizjoterapii GWSH | Polechonski J.,Zaklad Teorii i Metod Wychowania Fizycznego
Fizjoterapia Polska | Year: 2015

Background. The aim of the investigations was to verify the effectiveness of a method of elbow function evaluation in patients with rhematoid arthritis. The method was expected to allow monitoring ofdisease progression and to help assess the effects of rehabilitation interventions. Material and Methods. Cyclic flexion-extension movements in the elbow joint were examined in 82 individuals. The measurements were carried out with a computer-controlled unit for studying elbow movements (manipulandum). The study participants performed movements 1) ofminimum speed, ie., the slowest possible movement, 2) of preferred speed consistent with patient preferences and habits, and 3) ofmaximum speed. The measurements were carried out before and after a 3-week rehabilitation program. Results. The obtained results indicate that the rehabilitation intervention caused improvement in several parameters of the investigated movements. Movement amplitude (range ofmovement), angular velocity (especially angular velocity of elbow extension) increased, the symmetry index decreased while no changes were observed in movement cycle duration for preferred and maximum speed. Conclusions. The results indicate that this method of isokinetic movement evaluation allows objective assessment of articular pathologies and rehabilitation/pharmacotherapy outcomes. Our investigations suggest that, in order to obtain reliable information on the patient’s functional status, the measurements should be performed during preferred and maximum speed elbow movements. Information thereby obtained might be of considerable importance for selection of appropriate physiotherapy interventions. © 2015, Agencja Wydawnicza Medsportpress. All rights reserved.

SOSORT is an international scientific society interested in spinal deformities, including idiopathic scoliosis (IS). One of the main tasks of the society is to provide diagnostic and therapeutic recommendations for all professionals involved in the conservative treatment of patients with IS. As a part of treatment of scoliosis we distinguished conservative and surgical treatment. The main purpose of the conservative treatment is to stop the progression of the curvature. The aim of the therapy is to improve the quality of life, improve the aesthetics and physical capacity as well. An important element of the conservative treatment is the physiotherapy, which can be used as independent part of treatment and as a support of brace and the surgical treatment. SOSORT recommends the use of physiotherapy in the form of Physiotherapeutic Specific Exercises (PSE) and the Special Inpatient Rehabilitation (SIR). PSE used in patients with SI must have confirmed efficacy according to the requirements of the Evidence Based Medicine. Moreover, the therapy should be selected individually and include: (1) three dimensional auto-correction of deformation, (2) training in activities of daily living, (3) stabilizing the corrected posture, and (4) education of the patient and her/his parents. SIR based on 3-4-week hospital or sanatorium stay is recommended especially at the beginning of the treatment process. Physiotherapists undertaking the work with children with IS should: (1) be qualified in the use of PSE, (2) have adequate experience in techniques used in pediatric orthopedics, (3) have the ability to analyze the variability of body posture during development, (4) have the ability to exercise choice depending on the stages of formation of motor skills, and (5) work in the therapeutic team led by physician supervising the treatment.

Leszczewska J.,Wydzial Fizjoterapii | Czaprowski D.,Wydzial Fizjoterapii | Pawlowska P.,Wydzial Fizjoterapii | Oponowicz A.,Wydzial Fizjoterapii | Oponowicz A.,University of Warmia and Mazury
Human Movement | Year: 2012

Purpose. This research aimed to assess the repeatability of results obtained when analysing gait by means of a system designed for objective gait analysis in a single laboratory setting by a single examiner within-session and between-sessions. Methods. For the purpose of this research, the BTS Smart-D movement analysis system, produced by Capture Motion System of Italy, was used. Four healthy adults were examined. The subjects took part in three gait analysis testing sessions, with each session separated by a two-day break. During each session, two sets of measurements were taken for each subject. Statistical analysis was performed with StatSoft's Statistica 7.1 software. Results. Within each session, all examined temporal and spatial parameters were found to be repeatable. Only in hip and knee joint rotation was repeatability not confirmed within session. Between the sessions, repeatability was confirmed in pelvic rotation, abduction/adduction of the knee joint and for all foot kinematic parameters. Conclusions. Conducting gait analysis by one researcher does not guarantee obtaining repeatable results for all measured kinematic parameters, either within one session or between sessions; caution ought to be exercised when interpreting results. Among the studied parameters, hip and knee joint rotation provided the most difficulty in obtaining repeatable results. For this reason, diagnostic and therapeutic decisions based on such data require the utmost consideration.

Lesiak A.,Wydzial Fizjoterapii | Saputa R.,Wydzial Fizjoterapii | Szpunar P.,University of Rzeszow
Rehabilitacja Medyczna | Year: 2011

Paellofemoral pain syndrome is one of the most widespread muscular-skeletal disorders. The pain results from an overloading of the paellofemoral joint. Amongst the causes of overloading are changes in the articular cartilage, in the bone, alterations around and outside the joint as well as systematic changes. The ease with which the knee joint may be subjected to overloading is a result of its construction, mobility, and lack of stability. The knee joint as the biggest joint of the human organism is comprised of two joints: the tibiofemoral and the paellofemoral. Both of these joints are not mutually matched by their curvature. Their compactness depends chiefly on the ligament system. The muscle system equally stabilises the knee joint, while guaranteeing to a lesser degree the safety of the joint surfaces. On the other hand, muscles operating in conditions of equilibrium and dynamics, can, sometimes, overload the joint surface, even given conditions of totally healthy joint workings, this leading to earlier degenerative-disfiguring changes. The essence of this detrimental effect of muscle action on thepaellofemoral joint is interactive disturbance in the development of the force and speed of contraction for the individual heads of the quadriceps (particularly the medial and lateral), as equally disruption in the size proportions of shin extensor and flexor participation within the knee joint, ofadductors and abductors as well as of the thigh external and internal rotators in the hip joint. Paellofemoral pain syndrome is also subject to significant strain in daily conditions e.g. walking up stairs, wearing high heels,a lot of physical activity particularly when running. In individuals with apainful paellofemoral joint uncritically are employed exercises strengthening the quadriceps thigh muscle, additionally jeopardising the joint in question to being over burdened and consequent damage. On the basis of an analysis of the magnitude of burden of the surface of the paellofemoral and tibiofemoral joint as well as the mechanical conditions for the muscles acting on these joints, taking into consideration the magnitude of the brachium forces employed in the functioning of the joint angle, as well as the hypomochlion role that is the knee cap, the degree of threat for the knee joint was evaluated. The means of conducting oneself within daily activities are presented, the use of orthopaedic insoles, the choice of appropriate footwear. Examples of suitable exercises for the strengthening of individual muscles in conditions ensuring the safeguarding of the paellofemoral joint are given with the activating in this aim of elements of external compensation, within the open or closed system of the biokinematic chain of the lower limb. © ELIPSA-JAIM s.c.

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