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EN
The purpose of this study was to investigate the responses elicited during aquatic and land rehabilitation to establish the comparison among parameters such as, range of motion (ROM), muscle strength, circumference of muscle mass and swelling. Thirteen individuals with an anterior reconstruction ligament with a concomitant meniscal injury participated in the study who established 2 groups: the land rehabilitation (LR), patients who were followed by a land program and the water rehabilitation (WR) whose patients had an aquatic program. Clinical evaluations were applied in the 0, 3, 6 and 9 weeks measuring the parameters. The patients from the WR reached the best results for all parameters which were evaluated. We concluded the aquatic rehabilitation allowed earlier function recuperation than the land program.
EN
Vestibular rehabilitation in patients with chronic balance disorder and dizziness
EN
Rehabilitative modalities such as incentive spirometry and physiotherapy interventions, e.g. aerobic exercises, have been shown to produce positive outcomes in patients with sickle cell disease (SCD). Hemispheric CVA and other complications arising from SCD are amenable to physiotherapy. There have been few studies on the effectiveness of physiotherapy in the management of individuals with SCD. The present study attempts to assess the SCD-related knowledge, attitude and level of participation of physiotherapists in the Nigerian healthcare system. It also examines a possible association between the foregoing and practice settings. The study was carried out among physiotherapists in South-West Nigeria registered on professional e-platforms. The respondents filled in an adapted electronic version of a questionnaire. The IBM SPSS 20 was used for statistical analysis, and a chi-square test was used to determine an association between the levels of knowledge, practice settings, and participation among the respondents (p < 0.05). The study findings revealed that only 19% of respondents had received a specific training related to the care of SCD patients, although 65% had been involved in the treatment of at least one patient with SCD. Only 29.5% of respondents had “Good Knowledge” of SCD pathophysiology. A statistically significant association (χ2 = 75.357, p = 0.012) was found between respondents’ level of knowledge and their practice settings, i.e. a teaching hospital mostly. The physiotherapists from the Nigerian South-West,mostly those working in teaching hospitals, reported an average level of knowledge of SCD care. Since the management of sickle cell disease is of multidisciplinary character and requires an all hands-on deck approach, controlled trials should be undertaken by physiotherapy researchers regarding the effects of modalities and interventions on pro-inflammatory bio-molecules.
PL
For many years, there has been a tendency in Poland to organize preventive and rehabilitation activities for offenders as much as possible in environment of freedom.This results, among other things, from criticizing the penalty of deprivation of liberty, which does not fully implement the goals set for it, disappointing with its results and thus searching for more effective ways of transforming, modifying or modeling the attitudes and behaviors of socially maladjusted people. The probation officer is an important instrument of social control and social rehabilitation impact on both minors and adults. He faces new challenges resulting from socio-economic changes, and in the changing social reality, the behavior of defendants also changes. This requires the probation officer to be mindful, flexible, and respond quickly to the rehabilitation needs of supervised.
EN
In this paper the rehabilitation device for upper arm based on artificial muscles is introduced. Presented automated rehabilitation device has three degrees of freedom: 2 DOF in arm and 1 DOF in elbow that provides almost all basic rehabilitation exercises. Artificial pneumatics muscles will be tested in connection with spring and antagonistic connection. This system provides lifting and falling of arm construction based on patient force. There is possibility to generate help force during rehabilitation or opposite load. Artificial muscles are controlled by pneumatic valves terminal from micro computer based on MCU. Higher level control system provides artificial intelligence implementation based on neural network for prediction and change of load according sensor values history (incremental sensor, pressure sensor). For prototype testing there is described usability of industrial robot to test precision of load and trajectories during rehabilitation. This automatic rehabilitation device will help to reduce therapeutics work with patient, automate and improve rehabilitation process.
EN
Discopathy of the lumbosacral spine are all pathological changes within the intervertebral disc, causing characteristic clinical symptoms, which mainly include pain in the lower part of the spine, often radiating to the lower limbs but also tingling, numbness and limitation of movements of torso. Treatment of patients with discopathy is usually conservative. Physiotherapy, kinesitherapy and therapeutic massage treatments are used to reduce pain. Subjective evaluation of the effectiveness of the physiotherapeutic procedures used in the group of patients with pain in the lumbosacral spine. The study included 140 people diagnosed with discopathy, attending rehabilitation procedures in Tarnów physiotherapy offices. The research method was a questionnaire of own design supplemented with the VAS scale to assess pain before and after rehabilitation. The data was subjected to statistical analysis. Among the treatments used in the examined group of patients dominated spine and abdominal muscle exercises, therapeutic massage, TENS currents and manual therapy. The average intensity of pain before rehabilitation was = 7.21 points. ± 1.54 points, while after the rehabilitation it was equal to = 3.44 points. ± 1.97 points (p <0.001). Outpatient physiotherapy reduced pain in people suffering from discopathy of the lumbosacral spine. Comprehensive use of TENS currents, spine and abdominal muscle exercises, therapeutic massage and manual therapy does not affect the total elimination of pain in the lumbosacral spine, it only allows for their significant reduction. Physiotherapeutic therapy applied in patients with lumbosacral spine discopathy significantly improved their quality of life.
XX
Introduction: Stress urinary incontinence (SUI) is a troublesome and embarrassing problem for many people. It is five times more common in women than in men. Although the ailment can be treated, prevention is of the highest importance. Dissemination of the knowledge of prevention and rehabilitation would contribute to the improvement of life quality among women at risk of SUI. Purpose: Assessment of women’s attitude towards prevention and rehabilitation of SUI. Materials and methods: The study was performed in a group of 280 women treated in the Department of Gynecology and Oncological Gynecology, University Hospital in Bialystok. A proprietary questionnaire was used for data collection. Conclusions: Women with SUI have poor knowledge of its preventive measures. Health-promoting actions in the field of prevention and rehabilitation of SUI should become intensified, which requires more substantial involvement of nursing staff.
EN
The methodology of experimental and modeling research into estimation of rehabilitation progress is presented in the paper. The comparative analysis of kinematics and dynamics parameters, obtained for different stages of rehabilitation, with the standard ones was used to monitor of rehabilitation process.
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EN
One of the forms of rehabilitation is social work. Activities for the benefit of other people not only allows for the formation of pro-social attitudes, but also enhances one’s sense of worth and gives meaning to one’s life. Of particular importance in the context of crystallization of civil society is voluntary work. Although widely applied in Poland for many years now, voluntary work has gained its contemporary meaning after 1989 and since then has been implemented mostly, but not exclusively, in the third sector. These days, the major Polish cities form Regional Volunteer Centers that encourage activities for other people on many levels. Voluntary work is regulated by law and moral standards, which define the range and forms of this type of activity.
EN
The article discusses another approach to the perception and understanding of disability and rehabilitation as well as to disabled persons themselves. Our discussion set in the context of life-span psychology makes it possible to combine several areas such as development, development support, disability, and rehabilitation in a common semantic space. This theoretical method, resulting from natural notions, may help us change how disabled persons are perceived, that is, only through their defi ciencies. Life-span psychology enables one to approach disabled people by treating their rehabilitation as a living process that supports their development.
PL
W pracy przedstawiono metodykę badań doświadczalnych oraz modelowych pozwalającą na wyznaczenie obciążeń układu szkieletowo-mięśniowego podczas chodu. Uzyskane wyniki pomiarów doświadczalnych oraz obliczeń numerycznych przy wykorzystaniu modelu matematycznego zostały wykorzystane do oceny postępów rehabilitacji w różnych jej etapach.
EN
Methodology of experimental and modeling investigations, enabling determination of loads in human musculo-sceletal system during gait is presented in the paper. Results obtained during measurements and numerical calculations, performed with the use of mathematical model, were used to evaluate progress of rehabilitation in its different stages
EN
Introduction: Breast cancer is the most common malignant tumor in women in the Polish region. Surgery is a basic method of breast cancer treatment. Surgery often carries a lot of unwanted changes as follows: limitation of mobility in the shoulder joint on the operated side, secondary lymphoedema, post mastectomy pain syndrome (PMPS), reduction of muscle strength or disorders in body posture. Therefore, the implementation of physiotherapeutic activities that are designed to prevent and eliminate postoperative complications seems very important. The main aim of this work was to present physiotherapeutic management in women after mastectomy based on the analysis of available literature. The physiotherapeutic process can be divided into three periods: early hospital, early ambulatory and the late ambulatory period. In the first period, active slow exercises, self-support of the upper limb on the operated side and breathing exercises on the thoracic track are used to prevent circulatory disorders, pulmonary complications, and edema. The early ambulatory period includes corrective exercises, general improvement exercises, stretching and learning of automatic massage of the upper limb of the operated side. The last period should be enriched by recreational methods of physical activity such as swimming, cycling or Nordic walking to maintain physical fitness, proper mobility of the shoulder girdle and improve the patient's psychophysical state. It is very important the patient regular continues the rehabilitation program after curing of breast cancer as well. In the case of secondary lymphoedema of the upper limb, comprehensive rehabilitation physiotherapy is used, consisting of manual lymphatic drainage, healing exercises, compression therapy, and skin care. Conclusions: Physiotherapy in women after breast cancer surgery is a complex and long-term process. Physiotherapeutic methods are effective in treating complications after surgery of breast cancer surgery. It is necessary to constantly update the physio-therapy knowledge in women after breast cancer surgery.
EN
Introduction. Post-traumatic epilepsy develops as a complication of a serious craniocerebral trauma, frequently an open head injury, resulting in neurological impairments. Aim. The study was designed to discuss problems associated with sensory integration dysfunction observed in a seven-year old girl with epilepsy which occurred as a result of craniocerebral injury. Description of the case. The case study is based on information gained from the girl’s medical records, an interview with her guardians and a sensory function questionnaire. Additional examinations assessed the girl’s balance control, and her functional performance according to Barthel scale. The girl received a three-week sensory integration therapy which included exercise involving tactile, vestibular and proprioceptive stimulation, as well as balance exercises and self-care training. Conclusions. In this particular case, application of sensory integration therapy produced beneficial results. The findings show improvement in balance, coordination as well as self-care.
EN
The study focuses on a critical analysis of the rehabilitation model implemented in the context of the sentence of imprisonment. Opposite the indicated form of judicial enforcement of sentence lies social work. Realistically perceived process of execution of the penalty should assume the initiation of activities related to social empowerment of prisoners, prevention of deterioration of their social skills and provision of contact with the outside world. From this perspective, a personalized social rehabilitation should be treated as a rather ineffective undertaking.
XX
Parkinson's Disease (PD) is the second most common neurodegenerative disease. Symptoms relate to the movement and cognitive sphere; they have a negative impact on the quality of life of people suffering from PD. Pharmacotherapy and rehabilitation slow the progression of the disease. The aim of the work was to determine the impact of physical rehabilitation on the level of social relations in the context of the quality of life of people with PD. 47 people with idiopathic PD were involved in the study, all were in the second stage of the disease according to the Hoehn & Yahr scale. The Courage Social Network Index (CSNI) was used to assess social relations. The scales: Quality of Life in Parkinson’s Disease 39 (PDQ-39), Medical Outcomes Study 36-item Short-Form Heath Survey (SF-36) and Parkinson’s Disease Quality of Life Questionnaire (PDQL) were applied in order to evaluate the quality of life of patients The subjects were divided into two groups: research and control. The research group took part in a rehabilitation program two times a week for 45 minutes for three months. The control group did not participate in any form of physical rehabilitation. The results of the research showed a significantly higher level of social bonds as well as quality of life of people with PD participating in physical rehabilitation. At the same time, a higher level of correlation between the level of social bonds and the level of quality of life was found in the research group. Therefore, the positive impact of physical rehabilitation on the level of social bonds and the quality of life of people with PD constituted the conclusion of the work.
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Content available remote Shaping space in practical therapy
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EN
The authors of this article present issues concerning not only disability but also rehabilitation, which allows the disabled to become more independent. The principal aim of this article is to discuss the problem of the handicapped who have to face the world that is still non-adapted to their needs in terms of architecture. Hence, this paper is focused particularly on the role of designers creating the space surrounding the disabled who strive for returning to normal active life.
EN
Purpose. Postural control during quiet standing has been modeled by concepts using kinematic variables estimated from center of pressure (COP) signals. The concept of position-based postural control has had particular ramifications in the literature, although a more recent concept of velocity-based control has been proposed as being more relevant. Methods. This study reviews the literature investigating these concepts and their respective quantitative methods alongside current supporting evidence and criticisms. Results. The position-based control concept suggests the existence of two control loops that alternate whenever certain thresholds are exceeded. Such a theory is supported by studies describing the time delay between the skeletal muscle activation and CoP displacement. However, this concept has been criticized to be the result of statistical artifacts due to it not being adapted to the analysis of bounded time series. Conversely, the velocity-based control concept claims that velocity is the most relevant kinematic variable for postural control. Such a theory suggests that postural adjustments are executed to change the trajectory of the CoP whenever the velocity crosses a threshold. Both theories have their major methodological limitations, while interpretation of data from the position-based concept is difficult, velocity-based thresholds are empirical and still need verification in different motor tasks and populations. Conclusions. Given the observed similarities and mutual exclusivity of both concepts, there is a need for the development of methods that can quantitatively analyze stabilometric signals while simultaneously considering both kinematic variables.
EN
This article is a theoretical study on the role of leisure time animation in the process of rehabilitation of juveniles staying in correctional facilities. The work consists of three parts. The first one presents the structural and functional outline of leisure time institution. The second one deals with the offer of rehabilitation, and the third discusses the role of the pedagogy of fun in the context of rehabilitation and physical education sciences. The study emphasizes the fact that the educational function is implemented mainly in the boarding house of the correctional facility. Classes are held in accordance with a predetermined schedule that is tailored to the individual needs of the pupil. The process of rehabilitation should be assisted by fun (including physical activities). It is therefore necessary to enrich traditional games and fun activities including the newer trends, using, among others, ice-breakers, energizers and team-builders. The implementation of the aforementioned play therefore requires the continuous staff performance improvement in this field. Additionally, games and activities pose the possibility of volunteering, making pupils more sensitive to the needs of others.
EN
The aim of this study is to evaluate the potential use of extracorporeal shockwave therapy (ESWT) in the post-operative treatment of patients with carpal tunnel syndrome. A body of evidence validates the use of ESWT in various medical areas, mostly in nephrolithiasis, but also in a number of musculoskeletal conditions and in wound healing. Our knowledge about the use of ESWT in carpal tunnel syndrome seems sparse, which combined with a lack of reference values, forms a major limitation of the use of ESWT in this condition.
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