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ABSTRACT: Authors present a set of exercises for patients after total hip replacement (THR) treated due to idiopathic hip joint osteoarthritis. Outcome of surgical treatment depends largely on physical therapy conducted after the procedure. Physical therapy following total hip arthroplasty involves restoration of proper physical function. Exercises increase the strength of hip girdle muscles and stabilize the involved hip joint. Total postoperative rehabilitation improves the gait esthetics. Restoring patient's full independence in everyday and professional life after total hip arthroplasty is the best test for properly conducted rehabilitation. A rehabilitation algorithm following hip arthroplasty was established based on the data acquired from literature and authors' own studies. Methods of rehabilitation following total arthroplasty was unified with regard to the type of endoprosthesis (cemented and non-cemented). Rehabilitation after revision and cancer arthroplasties were not taken into consideration. Exercises were divided into those performed in supine and standing positions as well as resistance training (using an elastic TheraBand® tape). At a later stage of rehabilitation, marching and walking as well as cycloergometer training were included. Patient's position during the day and in the sleep for two months following THR was taken into account, including some types of exercises that are contraindicated and pose a threat of endoprosthesis luxation.
Chirurgia narzadow ruchu i ortopedia polska 01/2013; 78:33-9.
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Scoliosis 04/2012; 2:1-2. · 1.31 Impact Factor
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ABSTRACT: The aim of the study was to undertake the process of cultural adaptation of the Brace Questionnaire (BrQ) into Polish.
The BrQ is an instrument for measuring the quality of life of scoliotic adolescents who are being treated conservatively with wearing a corrective brace. The BrQ consists of 34 Likert-scale items related to eight domains. The translation from the original Greek into Polish was performed. The process of cultural adaptation of the questionnaire was in accordance with the guidelines of the International Quality of Life Assessment Project. It involved 35 adolescents, aged between 10.0 and 16.0 years, all with adolescent idiopathic scoliosis with mean Cobb angle of 35.1 ± 10.6 degrees, and all wearing the same kind of brace (Chêneau orthosis) for more than 3 months. Statistical analysis calculated the reliability (internal consistency), floor and ceiling effects of the BrQ.
The internal consistency was satisfactory; Cronbach's alpha coefficient was 0.94. There was no floor or ceiling effects.
Polish version of the BrQ is reliable and can be used in adolescents with idiopathic scoliosis wearing the brace to assess their quality of life.
European Spine Journal 02/2012; 21(8):1603-8. · 1.97 Impact Factor
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ABSTRACT: Quality of life (QoL) and stress level of adolescents with idiopathic scoliosis is under growing consideration by physicians, physiotherapists and other specialists (psychologist, nurses). The aim of the study was to evaluate the quality of life and stress level in adolescents with idiopathic scoliosis who are under brace treatment. It involved 45 adolescents, ages ranging between 10.0 and 15.0 years, all with Adolescent Idiopathic Scoliosis (AIS) with Cobb angle between 20-45 degrees. The adolescents were wearing the same kind of brace (Chêneau orthosis) for more than 3 months for at least 12h per day. Two questionnaires were used: the Brace Questionnaire (BrQ) and Bad Sobernheim Stress Questionnaire (BSSQ). The analysis considered the type of treatment, curve location, correlation of the total score with age, Cobb angle and Bunnell rotation angle. The age was 13.6 ± 1.3 years. Cobb angle was 31.7 ± 7.6 degrees. The mean score for BrQ was 78.1 ± 11.3 points. Adolescents revealed higher score with BSSQ Deformity (median = 15) comparing to BSSQ Brace (median = 12). Conservative treatment does not severely impact on the quality of life of scoliotic adolescents. The adolescents who were under brace treatment suffered moderate level of stress from the deformity.
Studies in health technology and informatics 01/2012; 176:419-22.
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ABSTRACT: Aim. The aim of the work was to study whether wearing a corrective brace by adolescent girls with severe idiopathic scoliosis can influence external shape of the trunk. Methods. Comparison of clinical deformity of two groups of girls matched for age and Cobb angle: group (1) of 23 girls, aged 14.9 ± 1.3 years, Cobb angle 55.0° ± 6.8°, who refused surgical treatment and have been wearing Chêneau brace for more than 6 months, compared with group (2) of 22 girls, aged 14.1 ± 1.8 years, Cobb angle 59.7° ± 14.6° never treated with corrective bracing. Clinical deformity was assessed with the Bunnell scoliometer (angle of trunk rotation ATR) and surface topography (posterior trunk symmetry index POTSI and Hump Sum HS). Results. The ATR in the primary curvature was 11.9° ± 3.4° (5°-18°) in group 1 versus 15.1° ± 5.6° (6°-25°) in group 2 (P = 0.027). The HS was 16.8° ± 3.8 versus 19.2° ± 4.6, respectively, P = 0.07. The POTSI value did not differ between groups. Conclusion. Girls with Cobb angle above 45 degrees, who have been subjected to brace treatment, revealed smaller clinical deformity of their back comparing to nontreated girls having similar radiological curvatures.
TheScientificWorldJOURNAL 01/2012; 2012:435158. · 1.66 Impact Factor
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ABSTRACT: Adolescent girls treated with a brace for scoliosis are submitted to prolonged stress related to both the disease and the therapy. Currently proposed quality of life questionnaires are focused on the outcome of therapy. Bad Sobernheim Stress Questionnaire (BSSQ) enables monitoring of patients being under treatment with a brace or exercises. The aim of the study was to assess the stress level in conservatively managed scoliotic girls using BSSQ.
111 girls, aged 14.2 +/- 2.2 years, mean Cobb angle of the primary curve 42.8 degrees +/- 17.0 degrees and mean Bunnell angle of 11.4 degrees +/- 4.5 degrees were examined with two versions of BSSQ (Deformity and Brace). The analysis considered the type of treatment, curve location, correlation of the total score with age, Cobb angle and Bunnell rotation angle.
The BSSQ Deformity revealed the median of 17 points in patients managed with exercises (from 4 to 24 points), 18 in patients managed with a brace (from 8 to 24 points) and 12 in patients before surgery (from 3 to 21 points). Braced patients who completed both questionnaires (n = 50) revealed significantly higher score with BSSQ Deformity (median = 18) comparing to BSSQ Brace (median = 9). There was a correlation between the total score of BSSQ Deformity and the Cobb angle (r = -0.34), Bunnell primary curve rotation (r = -0.34) and Bunnell sum of rotation (r = -0.33) but not with the age of patients.
Scoliotic adolescents managed with exercises and brace suffered little stress from the deformity. The brace increased the level of stress over the stress induced by the deformity. The stress level correlated with clinical deformity (Bunnell angle), radiological deformity (Cobb angle) and the type of treatment (exercises, bracing, surgery). Bad Sobernheim Stress Questionnaires are simple and helpful in the management of girls treated conservatively for idiopathic scoliosis.
Scoliosis 02/2007; 2:1. · 1.31 Impact Factor
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Scoliosis. 01/2007;
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ABSTRACT: Background. Arthrosis has become a very common medical problem. In the literature there is little information about the conservative treatment of degenerative changes in the joint. The goal of our research was to assess the efficiency of selected physical agents (diadynamic electrical current, magnetic field, and ultrasound therapy) commonly used for pain management in the conservative treatment of gonarthrosis. Material and method. We examined 106 patients with degenerative changes in the knee joint. Pain evaluations using the Visual Analogue Scale (VAS) were performed before treatment, and again on the third, fifth, and last day of treatment. Results. Each of the methods used showed at least 80% effectiveness. The early effects were seen with diadynamic current.. Conclusions. Our results show that each of the tested methods is very effective in managing pain. Significant differences do occur between the various methods in terms of the dynamics of their action over time.
Ortopedia, traumatologia, rehabilitacja 07/2005; 7(3):317-21.
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ABSTRACT: Background. Neck pain has become a serious epidemiological and therapeutic problem. Among the most important reasons for this are sedentary lifestyles and low levels of physical activity. The goal of our study was to compare the effectiveness of low-energy laser radiation and low frequency magnetic field in the treatment of neck pain. Material and method. We examined 40 persons with neck pain, half of whom were treated by laser-therapy, and the rest by magnetic field therapy. Results. Laser therapy and magnetic field therapy were very effective in lowering pain intensity, the frequency of episodes, and the necessity for pharmacological co-treatment. Conclusions. Both methods appeared very effective. Because laser therapy acted faster, it should be recommended more often, particularly in acute cases.
Ortopedia, traumatologia, rehabilitacja 07/2005; 7(3):302-5.
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ABSTRACT: Background. Neck pain has become a common epidemiological problem. One of the reasons for this is a sedentary way of life, connected with using a PC during all daily activities. The aim of our study was to explore the relation between serious neurological symptoms and signs originating from the cervical spine and protracted time working on a computer. We were also interested in how the workplace is organized ergonomically. Material and method. We examined 46 persons by questionnaire. They were asked about work-day organization, ergonomics of the workplace, and signs and symptoms of neck overload. Results. Among the participants in our study we found many cases of neck pain, disturbances of sensation, loss of finger strength, uncoordinated finger movements, and vertigo. Workplace and work duration has not been properly adapted to the personal physical conditions of these employees. Conclusions. We estimate that many cases of discomfort and ultimately pain in the neck region are connected with computer work that lasts too long with poor ergonomic organization.
Ortopedia, traumatologia, rehabilitacja 05/2005; 7(2):204-8.
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ABSTRACT: Rehabilitation after fractures of upper limb is very complicated and should be coordinated with orthopedic procedures. A choice of method and schema is depended on general health status of patient and used orthopedic treatment. This process should start immediately after surgeon's intervention. An aim of rehabilitation is improvement of range movement, straight of muscles and acceleration of callus formation. It is very important to restore proprioception in a region of trauma. An intensity and velocity of rehabilitation is the greatest after extra bone consolidation and the slowest after conservative tutor management.
Chirurgia narzadow ruchu i ortopedia polska 02/2005; 70(2):123-5.
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ABSTRACT: Based on date from the literature and own experiences result, that in the prophylaxis smoking among patients treated on the health institution a key role act therapy team, especially a nurse. Smoking had unfavorable influence on condition, particularly among patients suffering from various diseases. During patients visits on hospital and sanatorium wards nurse should to act a key role. In this reasons the evaluation of a nurse role in education patients addicted to nicotine in this work decided represent. In study the nicotine addicted test by Fagerström and Justification test stopped smoking, which patients filled in stayed in sanatorium CRR (Farmers Center Rehabilitation) in Iwonicz Zdrój in years 2002-2004.The average age of the researched patients was 45 years. Among exanimate patients the low level of knowledge about harmful smoking was observed. Include teaching program about smoking and prophylaxis in particular health services center is necessary.
Przegla̧d lekarski 02/2005; 62(10):1141-4.
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ABSTRACT: That to received positive results of lower limbs; elongation is necessary to accommodate rehabilitation to stages of orthopedic treatment. Rehabilitation in each case is divided into five periods. Main goals are improvement of nutritive status of all tissues and restoration of full range movement. Beside of this rehabilitation is concentrated on improvement of power and efficiency of muscles. The last step is reconstruction of the normal gait.
Ortopedia, traumatologia, rehabilitacja 09/2002; 4(4):503-6.
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ABSTRACT: In modern bone biomechanics the bone tissue is treated as a porous elastically deformed solid filled with a viscous newtonian fluid (two-phase poroelastic model) [41]. Traditional one-phase biomechanical model of bone tissue is still valid and it can be considered as an approximate model in comparison with the more realistic two-phase model of bone tissue. Hierarchical biostructure of the pore space of cortical and trabecular bone is presented, including the compartments of bone pore space after Cowin [12, 13]. Examples of clinical amplications of the poroelastic model of bone tissue such as: osteoporosis, porous coated implants, bone electromagnetostimulation in rehabilitation are indicated.
Chirurgia narzadow ruchu i ortopedia polska 02/2002; 67(4):395-403.
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ABSTRACT: The modern biomechanical two-phase poroelastic model of bone tissue is presented. Bone tissue is treated in this model as a porous elastically deformed solid filled with a viscous newtonian fluid. Traditional one-phase biomechanical model of bone tissue, which is characterized by the Young modulus and the Poisson's coefficient, is still valid and it can be treated as an approximate model in comparison with the more realistic two-phase model of bone tissue. The biomechanical function of fluids in bone is considered. Bone biodynamics is presented in form of the scheme which illustrates the mechano-adaptive, the mechano-electric and the electrophysiologic properties of bone tissue. Essentials of the poroelastic model of bone tissue is the mechanical load induced flow of intraosseous fluid and the associated strain generated electric potentials SGPs.
Chirurgia narzadow ruchu i ortopedia polska 02/2002; 67(3):309-16.
