Wyniki wyszukiwania - Biblioteka Nauki

1

Characteristics of autonomic nervous system function in individuals after spinal cord injury

100%

Piesiewicz K. , Żurowska A. , Jethon Z. , Bolach E.

Physiotherapy

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2009

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tom 17

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nr 2

12-16

PL

Cel i założenia: celem badań było porównanie równowagi pomiędzy składową sympatyczną i parasympatyczną u osób po uszkodzeniu rdzenia kręgowego. Materiał badawczy: przebadano 10 nietrenujących mężczyzn po urazie rdzenia kręgowego w wieku 17-34 lat. Metoda badawcza: pomiary zmienności rytmu zatokowego serca (HRV) oraz częstości skurczów serca (HR) zostały wykonane za pomocą sport-testera S 810i firmy Polar. Zarejestrowane pliki HR posłużyły do analizy zmienności rytmu zatokowego serca w programie HRV Analysis. Wnioski: przewaga mocy w zakresie niskich częstotliwości może świadczyć o dominacji części sympatycznej autonomicznego układu nerwowego. Niższa wartość mocy całkowitej u osób niepełnosprawnych może wskazywać dezorganizację w funkcjonowaniu autonomicznego układu nerwowego.

EN

Purpose of the study: the aim of the study was to compare sympathetic and parasympathetic balance in patients after spinal cord injury. Subjects: ten sedentary men after spinal cord injury at the age of 17-34 were examined. Method: the variability of the sinus rhythm (HRV) as well as the heart rate were measured by means of the Polar sport-tester S 810i. The collected data was used to analyse the sinus rhythm's variability in HRV Analysis program. Conclusions: the prevalence of low frequencies may signify/indicate dominance of sympathetic element of the autonomic nervous system. Lower values of the total force may show dysfunctioning of the autonomic nervous system after spinal cord injury.

2

Safety and efficacy of granulocyte colony stimulating factor in a patient with tetraplegia caused by cervical hyperextension injury: a case report

100%

Okurowska-Zawada B. , Kułak W. , Sienkiewicz D. , Paszko-Patej G. , Dmitruk E. , Kalinowska A. , Wojtkowski J. , Korzeniecka–Kozerska, A

Progress in Health Sciences

|

2014

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tom 4

|

nr 2

181-184

EN

he authors present the case of a 17-year-old boy who suffered a cervical spinal injury as a result of the sharp bending of the head after slipping (without falling). After about 30 minutes, he began to feel tingling in the limbs and he developed tetraparesis. He went through physical rehabili-tation, psychological rehabilitation, occupational therapy, and periodic catheterization. Additionally, we introduced to him a low dose of analog granulocyte colony-stimulating factor (G-CSF). G-CSF 5 μg/kg was given subcutaneously daily for 5 days per month for 3 months, again after 6 months, and again after 10 months. The boy could sit indecently and walk with assistance. A significant increase in muscle strength in this patient with tetraplegia after 10 months of treatment may indicate beneficial effects of G-CSF in this disorder.

3

Primary and secondary disability appraisal – Predictive role of sociodemographic and disability-related variables

100%

Byra S.

Szkoła Specjalna

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2019

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tom LXXX(1)

5-18

EN

Disability appraisal is a cognitive category examined mainly in the context of adjustment to living with disability. Its significance is usually determined as part of stress and coping theory applied in disability studies. The article presents the findings of a study on primary and secondary disability appraisal expressed by people with acquired motor impairments. Participants were people with spinal cord injuries and with lower limb amputation. Primary and secondary disability appraisal was analyzed with consideration of sociodemographic and disability-related variables. The findings suggest that these categories of variables make it possible to explain primary disability appraisal better than secondary disability appraisal. Also, it was found that disability-related variables had greater predictive significance than sociodemographic variables in explaining the intensity of both primary and secondary appraisal. The type of disability, its duration, and a sense of control over the consequences of one's motor impairment play a significant role in determining the intensity of both forms of disability appraisal.

4

An unusual case of burst cervical spinal fracture of a 15-year-old boy complicated by venous thrombosis and neurogenic heterotopic ossification

100%

Sienkiewicz D. , Kułak W. , Gościk E. , Okurowska-Zawada B. , Paszko-Patej G.

Progress in Health Sciences

|

2011

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tom 1

|

nr 2

192-195

EN

The authors report an unusual case of a 15-year-old boy who dove into a shallow lake and suffered a cervical fracture of C5 affecting the spinal cord. This resulted in tetraplegia. Vitamin D3 deficiency and a history of several bone fractures supported an idea that the patient's bone structure had been weakened. The deep vein thrombosis of lower limb and neurogenic heterotopic ossification of a hip limited the effectiveness of physical therapy.

5

Comparative study of the clinical effect and safety of anterior surgical approach and posterior surgical approach in the treatment of thoracolumbar spinal fracture

100%

Dengfeng Z. , Haojie W. , Xiao W.

Open Medicine

|

2014

|

tom 10

|

nr 1

EN

The clinical effect and safety of the anterior surgical approach and posterior surgical approach in the treatment of thoracolumbar spinal fracture was compared. Retrospective analyses of clinical data for 91 patients observed from March 2010 to September 2014 were made. The pre-operation and post-operation comparisons between two sets of Cobb’s angle, affected vertebra height, Frankel’s classification of spinal nerves, motion functions, and tactile functions showed statistically significant differences (P<0.05). After having the operation, the Cobb’s angle and affected vertebra height of the patient in the anterior approach group were both significantly higher than that of patients in the posterior approach group (P<0.05). The bone graft fusion rate of the patients in the anterior approach group 3 months after operation was higher than that of patients in the control group while the status of complications was worse than that of patients in the posterior approach group, both with a remarkable difference (P<0.05). Both the anterior surgical approach and posterior surgical approach have good clinical outcome for spinal fractures but they all have their respective adaption diseases. The key in the treatment of thoracolumbar spinal fractures lies in choosing proper operative approach.

6

The Body Mass Index and Waist Circumference as Predictors of Body Composition in Post CSCI Wheelchair Rugby Players (Preliminary Investigations)

100%

Zwierzchowska A. , Głowacz M. , Batko-Szwaczka A. , Dudziňska-Griszek J. , Mostowik A. , Drozd M. , Szewieczek J.

Journal of Human Kinetics

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2014

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tom 43

|

nr 1

191-198

EN

The enforced sedentary lifestyle and muscle paresis below the level of injury are associated with adipose tissue accumulation in the trunk. The value of anthropometric indicators of obesity in patients with spinal cord injuries has also been called into question. We hypothesized that the Body Mass Index recommended by the WHO to diagnose obesity in general population has too low sensitivity in case of wheelchair rugby players. The study group comprised 14 wheelchair rugby players, aged 32.6 ± 5.1 years, who had sustained CSCI (paralysis of lower limbs and upper extremities). The research tool was the Tanita Viscan visceral and trunk fat analyzer AB140 using the abdominal bioelectrical impedance analysis (BIA) to estimate the visceral fat level (Vfat) and trunk fat percentage (Tfat). The AB140 analyzer also allowed the measurement of body composition of those individuals who could not assume an upright position. Our analyses revealed high and very high correlation coefficients between Vfat and WC (r=0.9), WHtR (r=0.7) and Tfat (r=0.9) whereas the correlation between Vfat and the BMI was weak, especially in the subgroup with Vfat < 13.5% ( r=0.2). The subgroup with Vfat>13.5 exhibited a moderate-level relationship between the BMI and visceral fat increase. It was concluded that the BMI had a low sensitivity for predicting obesity risk in wheelchair rugby players after CSCI. The sensitivity of WC measurement was higher and thus, it may be stated that it constitutes an objective tool for predicting obesity risk in post-CSCI wheelchair rugby players.

7

Frequency of Deep Vein Thrombosis in Immobilized Patients after Spinal Cord Injury and Severe Brain Trauma

100%

Mackiewicz-Milewska M. , Lach-Inszczak S. , Hryncewicz W. , Pilecki S. , Hagner W. , Dymek G. , Szymkuć I.

Polish Journal of Surgery

|

2009

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tom 81

|

nr 4

180-185

EN

Patients after spinal cord injury, severe brain trauma and cerebral stroke (ischemic or hemorrhagic) are often immobilized in bed or wheelchair for months or even years. One of the main risk factor for deep vein thrombosis is just prolonged immobilization.The aim of the study was to evaluate the frequency of symptomatic and asymptomatic thrombosis among immobilized patients because of severe brain damage and spinal cord injury.Material and methods. The study included 59 patients with tetra or paraparesis after severe brain damage or spinal cord injury, hospitalized in the University Hospital in Bydgoszcz in the Department of Rehabilitation over the period 2007-2008. All of them had lower extremities duplex-scan ultrasound as a screening examination and D-dimer testing.Results. Thrombosis was confirmed in nine patients (15% of all examined) and two patients (23%) in his group were of asymptomatic. 77% of diagnosed patients had only low extremities edema. Full symptomatic thrombosis with low extremities edema, increased warmness and redness were observed in 22% of patients.Conclusions. It is advisable to make periodical lower extremities venous system examination to exclude deep vein thrombosis. The risk of missed diagnosis in this group of patients is connected with increased percentage of embolism complications during the rehabilitation process. In patients after spinal cord injury, there are indications to examine the patients' venous system periodically.

8

Subjective Assessment of Sports Success in Wheelchair Rugby – Proposal of a New Research Tool

100%

Tasiemski T. , Bauerfeind J.

Human Movement

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2013

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tom 14

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nr 2

123-128

EN

Purpose. The main purpose of this study was to design and perform a preliminary psychometric analysis of a measure in the subjective assessment of sports success in wheelchair rugby (WR). An additional objective of this study was to assess potential differences in the subjective assessment of sports success between rugby players who play in the first and second Polish Wheelchair Rugby League (PWRL). Methods. Thirty WR players who played in the first (n = 11) and second PWRL (n = 19) completed the newly-created Subjective Assessment of Sports Success in Wheelchair Rugby (SASS-WR) scale and a questionnaire collecting demographic, career, and sports training data. Results. The SASS-WR scale was found to be a valid and reliable measure of sports success in WR. The final version consists of 12 items defining four dimensions of sports success: (1) Individual Sports Success of the Player, (2) National Sports Success of the Team, (3) International Sports Success of the Team, (4) Social and Personal Success of the Player. The players in the first league were significantly more focused on achieving individual sports success as well as having their team achieve national and international sports success when compared with the players in the second league. Social and personal success (the fourth dimension of the SASS-WR) was more important for the second league players than first league players, although this difference was not significant. Conclusions. The findings suggest that the SASS-WR scale can serve as a valuable diagnostic tool in assessing sports success among WR players.

9

Gastrodin ameliorates spinal cord injury via antioxidant and anti-inflammatory effects

88%

Du F. , Wang X. , Shang B. , Fang J. , Xi Y. , Li A. , Diao Y.

Acta Biochimica Polonica

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2016

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tom 63

|

nr 3

589-593

EN

Spinal cord injury (SCI) is one of the most severe traumatic injuries that results in dysfunction of limbs and trunk below the damaged section. Recent studies have shown that gastrodin (GAS) could improve the recovery of SCI. In the current study, we aimed to examine the possible mechanism underlying the effect of GAS on recovery of SCI in rats. In rats with SCI, GAS improved locomotor functions and decreased permeability of blood-spinal cord barrier, as illustrated by increase of Basso-Beattie-Bresnahan scores and decrease of Evans blue leakage. In addition, GAS inhibited inflammation, as evidenced by decrease of proinflammatory cytokines, including tumor necrosis factor α (TNFα) and interleukin-1β (IL-1β) in rats following SCI. Moreover, increase of TBARS content and decrease of glutathione (GSH) content and superoxide dismutase (SOD) activities in SCI rats were inhibited by GAS. Furthermore, GAS enhanced mRNA expression of nuclear factor (erythroid-derived 2)-like 2 (Nrf2), catalytic subunit of γ-glutamylcysteine ligase (GCLc) and modified subunit of γ-glutamylcysteine ligase (GCLm). The data suggested that GAS may promote the recovery of SCI through the enhancement of Nrf2-GCLc/GCLm signaling pathway, and subsequent improvement of oxidative stress and inflammation, resulting in decrease of permeability of BSCB and improved recovery of locomotor function in rats with SCI. The results have provided novel insights into GAS-related therapy of SCI and associated neurodegenerative diseases.

10

The Functional Classification and Field Test Performance in Wheelchair Basketball Players

75%

Gil S. M. , Yanci J. , Otero M. , Olasagasti J. , Badiola A. , Bidaurrazaga-Letona I. , Iturricastillo A. , Granados C.

Journal of Human Kinetics

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2015

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tom 46

|

nr 1

219-230

EN

Wheelchair basketball players are classified in four classes based on the International Wheelchair Basketball Federation (IWBF) system of competition. Thus, the aim of the study was to ascertain if the IWBF classification, the type of injury and the wheelchair experience were related to different performance field-based tests. Thirteen basketball players undertook anthropometric measurements and performance tests (hand dynamometry, 5 m and 20 m sprints, 5 m and 20 m sprints with a ball, a T-test, a Pick-up test, a modified 10 m Yo-Yo intermittent recovery test, a maximal pass and a medicine ball throw). The IWBF class was correlated (p<0.05) to the hand dynamometry (r= 0.84), the maximal pass (r=0.67) and the medicine ball throw (r= 0.67). Whereas the years of dependence on the wheelchair were correlated to the velocity (p<0.01): 5 m (r= −0.80) and 20 m (r= −0.77) and agility tests (r= −0.77, p<0.01). Also, the 20 m sprint with a ball (r= 0.68) and the T-test (r= −0.57) correlated (p<0.05) with the experience in playing wheelchair basketball. Therefore, in this team the correlations of the performance variables differed when they were related to the disability class, the years of dependence on the wheelchair and the experience in playing wheelchair basketball. These results should be taken into account by the technical staff and coaches of the teams when assessing performance of wheelchair basketball players.

11

Training device for SCI persons for exercises in a wheelchair

75%

Opara J. , Janota J. , Janota B.

Ergonomia

|

2003

|

tom Spec.

12

Community integration in persons with spinal cord injury participating in team and individual sports

75%

Urbanski P. , Bauerfeind J. , Pokaczajlo J.

Trends in Sport Sciences

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2013

|

tom 20

|

nr 2

EN

Introduction. Carrying out the investigation of community integration (CI) seems to be important part of research in rehabilitation in persons with spinal cord injury (SCI). Researchers point out the need for continuing study of the factors which may modifie level of CI in this group. Aim of Study. The main purpose of this study was to assess the CI level in SCI athletes, participating in individual sports (IS), and team sports (TS). The additional purpose was to identify other variables that determine the level of CI. Material and Methods. The study participants (n = 30) were divided due to practiced sport, into two groups: IS (n = 15), and TS (n = 15). Athletes completed measures of CI: Community Integration Questionnaire (CIQ), and demographic questionnaire (containing information about such variables, as: age in the day of study, time elapsed from injury, level of injury, and level of physical activity – measured by number of hours spent for training per week). Results. There were no significant difference between level of CI in SCI athletes participating in IS, and TS. There were significant difference between physical activity level (measured by number of hours spend for training per week) and one of three subscales, that contains to CIQ. Conclusions. The study results confirmed the need to increase level of physical activity in persons with SCI, and extend research about determinants of CI.

13

The biomechanical analysis of the traumatic cervical spinal cord injury using Finite Element approach

75%

Czyż T. , Ścigała K. , Jarmundowicz W. , Będziński R.

Acta of Bioengineering and Biomechanics

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2008

|

tom Vol. 10, nr 1

43-54

EN

According to up-to-date knowledge only mathematical modelling of the spinal cord injury (SCI) may provide real insight into a spatial location of the fields of the spinal cord mechanical strain generated by the injury. The purpose of our research was to correlate the results of Finite Element Analysis of SCI with the patient’s neurological state and the injured spinal cord MR imaging. The 3D Finite Element Model of the cervical spinal cord and vertebral canal of a 21-year-old male patient was created. The moment of the injury was reconstructed by a simulation of the displacement of nonelastic structure to the light of vertebral canal. A detailed spatial analysis of the stress, strain and dislocation distribution was performed. The most injured region was the superficial zone of the white matter, the anterior part and central region of the grey matter, which was in good agreement with patient’s neurological staus. An individualized Finite Element Model of traumatic SCI constructed by us enabled the evaluation of the influence of mechanical strain on a neurological condition of a patient. Further research will consist in validation of the results of endurance analyses based on a enlarged group of patients.

14

Seksualność osób po uszkodzeniu rdzenia kręgowego

75%

Harčaríková T.

Konteksty Pedagogiczne

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2014

|

tom 2

|

nr 3

EN

The issues of sexuality of people suffering from spinal cord injury are not frequently discussed in the literature of the subject. Both Slovak and European research lacks empirical reports on the sexual life of this group of people. This article presents a review of the literature on the sexuality of adults who have spinal cord injury with references to neurophysiological conditions of the described issue. At the same time the study sheds light on the psychopedagogic consequences of the problems with meeting the sexual needs of people with spinal cord injury.

PL

Problematyka seksualności osób będących po urazie rdzenia kręgowego nie należy do często poruszanych w literaturze przedmiotu. Zarówno w słowackich, jak i europejskich badaniach brakuje empirycznych doniesień na temat życia seksualnego tej grupy osób. W niniejszym artykule zaprezentowanoprzegląd literatury na temat seksualności dorosłychosób będących po urazach rdzenia kręgowegoz licznymi i potrzebnymi odwołaniami do neurofizjologicznych uwarunkowań opisywanych kwestii. Jednocześnie wskazane zostały, na podstawie przytoczonych badań, psychopedagogiczne konsekwencje problemów w zakresie realizacji potrzeb seksualnych.

15

IR-thermography in SCI individuals rehabilitation diagnostics

63%

Hudák R. , Živčák J. , Molčányi T. , Kneppo P.

Elektronika : konstrukcje, technologie, zastosowania

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2004

|

tom Vol. 45, nr 8-9

117-119

EN

Exercise induces muscle contraction, and in interactivity with cardiovascular and respiratory system produces heat, which dilates by conduction through the tissue to body surface. In individuals with spinal cord injury (SCI) autonomiec disruption, immobility and inactivity play critical roles in affecting peripheral vascular circulation.

PL

Ćwiczenie gimnastyczne wywołuje skurcz mięśni, a w interakcji z układem krążenia oraz układem oddechowym wytwarza ciepło, które rozprzestrzenia się w wyniku przewodnictwa poprzez tkankę do powierzchni ciała. U osób z urazem rdzenia kręgowego autonomiczne przerwanie, unieruchomienie oraz brak aktywności odgrywają kluczową rolę w oddziaływaniu na krążenie obwodowe.

16

Evaluation of changes in functional independence of spinal cord injury survivors during Active Rehabilitation camps

63%

Furmaniuk L. , Cywińska-Wasilewska G.

Physiotherapy

|

2009

|

tom 17

|

nr 2

17-24

PL

Praca ma na celu ocenę zmian sprawności funkcjonalnej osób po urazie rdzenia kręgowego podczas obozów Aktywnej Rehabilitacji. Badaniom poddano grupę 52 uczestników obozów w wieku od 18 do 43 lat, znajdujących się w okresie od 6 miesięcy do 2 lat po urazie rdzenia kręgowego. W ocenie skuteczności programu usprawniającego Aktywnej Rehabilitacji wzięto pod uwagę wyniki uzyskane w teście umiejętności użytkownika wózka (Wheelchair Skills Test Version 2.4) oraz teście samoobsługi. W pracy wykazano zwiększenie sprawności funkcjonalnej uczestników obozów AR. W grupie tetraplegików zaobserwowane zwiększenie samodzielności w czynnościach życia codziennego, już po ośmiodniowym okresie usprawniania, związane było z opanowaniem nowych wzorców ruchowych opartych na mechanizmach kompensacyjnych. Natomiast w grupie paraplegików największe zmiany zaobserwowano w technice jazdy na wózku.

EN

The aim of the study is to evaluate functional effficiency in people after spinal cord injury during Active Rehabilitation camps. The examination group consisted of 52 camp participants aged 18 to 43 years, within a period from 6 to 24 months after the spinal cord injury. In order to evaluate the effectiveness of Active Rehabilitation program the Wheelchair Skill Test Version 2.4 and the self-service test were used. Improvement of functional effficiency was observed in the participants of Active Rehabilitation camps. The observed increase of independence while carrying out daily activities after eight days of treatment in the group of tetraplegics was related to mastering of new motor patterns which were based on compensating mechanisms. However, in the group of paraplegics the greatest improvement was observed in the wheelchair driving technique.

17

Peripheral and central afferent input to the lumbar cord

63%

Minassian K. , Persy I. , Rattay F. , Dimitrijevic M. R.

Biocybernetics and Biomedical Engineering

|

2005

|

tom Vol. 25, no. 3

11-29

EN

It has been previously demonstrated that epidural stimulation of the posterior lumbar cord can activate the Lumbar Locomotor Pattern Generator (LLPG) and induce stepping-like movements in complete spinal cord injured subjects. In these studies, the subjects were lying in a supine position and afferent feedback input from the lower limbs was minimized. The present paper demonstrates the interaction between induced LLPG activity and manually assisted treadmill stepping in paralyzed subjects. Epidural stimulation applied at frequencies of 20-50 Hz during treadmill-stepping enhanced the responsiveness of the spinal circuits to proprioceptive feedback in generating stepping-like motor patterns. We suggest that the spinal lumbar networks can integrate and interpret both, the stimulus-evoked tonic input with a "central" code and the proprioceptive feedback input in order to generate effective loco motor patterns.

18

Techniques of human embryonic stem cell and induced pluripotent stem cell derivation

63%

Lewandowski J. , Kurpisz M.

Archivum Immunologiae et Therapiae Experimentalis

|

2016

|

tom 64

|

nr 5

19

Changes of ventilatory parameters in the positional training of persons after cervical spinal cord injury

63%

Tederko P. , Krasuski M.

Medical Rehabilitation

|

2009

|

tom 13(1)

11-17

EN

Background: Cervical spinal cord injury (CSCI) is followed by mixed respiratory dysfunction.Purpose: Evaluation of the ventilatory parameters of CSCI patients in postures typical for positional training. Material: 51 CSCI patients in a mean age of 34.4 (SD=14.6) years; complete motor deficite (CMD) 66.6%; injury of C5 level or above – 68.6%. Control group(CG): 10 healthy volunteers. Method: Spirometry and flow-volume examination in recumbent (R), sitting (S) and vetrical 60o tilt (V) positions. Main results: Expiratory reserve volume (ERV) undergoes significant positional changes in CG (R: 1.34 L, H: 0.25 L, V: 0.79 L; p=0.02), but not in CSCI patients. Transition from R to S in CMD persons results in a significant decrease in vital capacity (VC) (from 2.45 to 1.75 L; p=0.0008); inspiratory capacity (IC) (from 2.48 to 1.41 L; p=0.0008); forced expiratory volume in 1 second (FEV1) (from 2.21 to 1.64 L; p=0.002); forced vital capacity (FVC) (from 2.55 to 1.78 L; p=0.0004). The FEV1/FVC rate does not depend on positional changes ranging from 89.7% to 93.9% of the reference values. Ventilatory parameters in the incomplete motor deficite (ICMD) group do not differ significantly between the examined body positions. Transition between R and S in the CMD group results in a significant decrease in the peak expiratory flow (PEF) (from 4.23 to 3.53 L/s) and the peak inspiratory flow (PIF) (from 3.89 to 3.43 L/s), while in ICMD the PEF increases from 4.01 to 4.39 L/s and the PIF increases from 3.66 to 4.18 L/s.Conclusions: Transition from R to S in CSCI patients results in increased restriction. CMD patients express a reduction of peak flows while in the ICMD peak flows increase after transition between R and S. Shifting from S to a 60o vertical tilt with standard trunk stabilization does not change significantly the ventilatory parameters in CSCI patients.

20

Histological, immunohistochemical and ultrastructural study of secondary compressed spinal cord injury in a rat model

63%

Ramadan W. S. , Abdel-Hamid G. A. , Al-Karim S. , Abbas A. T.

Folia Histochemica et Cytobiologica

|

2017

|

tom 55

|

nr 1