[Show abstract][Hide abstract] ABSTRACT: BACKGROUND Children with Down syndrome (DS) present with delays in motor development. The reduced size of the cerebrum, brain maturation disorders, and pathophysiological processes lead to motor development delay. The aim of this study was to examine the gross motor function and estimate what motor abilities are significantly delayed in children with Down syndrome even if they attend physical therapy sessions. Another purpose of the study was to assess the functional balance. MATERIAL AND METHODS The study group consisted of 79 children with DS (42 boys, 37 girls), average age 6 years and 3 months ±4 years and 6 months. Participants were divided into 3 groups according to (i) age: <3 years old, 3-6 years old, and >6 years old; and (ii) motor impairment scale: mild (SNR 1), moderate (SNR 2), and severe (SNR 3). Children were assessed using the Gross Motor Function Measure-88 (GMFM-88) and Pediatric Balance Scale (PBS). RESULTS None of the assessed children developed all the functions included in GMFM-88. The standing position was achieved at the specified age by 10% of children in the first age group (<3 years old) and 95% of children aged 3-6 years. Similarly, the walking ability was performed by 10% of children under 3 years old and by 95% of children aged 3-6 years. The median score of PBS was 50 points (min. 34 p. - max. 56 p.). There was a statistically significant correlation between PBS scores and GMFM-88 scores, r=0.7; p<0.0001, and between balance scores and GMFM - 88 E (walking, running, jumping) (r=0.64; p<0.0001). CONCLUSIONS Motor development, especially standing position and walking ability, is delayed in children with Down syndrome. Balance and motor functions are correlated with each other, so both aspects of development should be consider together in physical therapy of children with Down syndrome.
Medical science monitor: international medical journal of experimental and clinical research 07/2015; 21:1904-1910. DOI:10.12659/MSM.893377 · 1.43 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Vasomotor responses to dry needling (DN) of trigger points (TrPs) under infrared thermovision (IRT) camera control and TrPs coexistence in chronic sciatica patients have never been studied. Materials and Methods. Fifty consecutive chronic sciatica patients were enrolled in the study. DN under IRT control was performed for all patients regardless of gluteus minimus (GM) active TrPs examination. Then, the vasomotor response and its agreement with TrPs examination were evaluated. Results. The prevalence of GM active TrPs was 32%. DN provokes intensive vasodilatation for TrPs-positive patients only, with the localization dependent on referred pain during the procedure (r = 0.896; P = 0.000) not the daily complaint. The increase of vasodilatation was, for example, for thigh, TrPs-positive +30.29% (P < 0.05) versus TrPs-negative +4.08%. Additionally, a significant skin temperature increase was observed for TrPs-positive only, for example, thigh +1.5 ± 1.3°C (maximum) and +1.2 ± 1.0°C (average) (both P < 0.05). Conclusion. GM active TrPs prevalence among chronic sciatica patients was around one in three. Every TrPs-positive subject presented with vasodilatation under IRT in the area of DN related referred pain. Although TrPs involvement in chronic sciatica patients is possible, further studies on a bigger group of patients are still required.
Evidence-based Complementary and Alternative Medicine 03/2015; 2015:214374. DOI:10.1155/2015/214374 · 1.88 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Short-term vasodilatation in the pain area after dry needling (DN) of active trigger points (TrPs) was recorded in several cases of sciatica. Moreover, the presence of TrPs in sciatica patients secondary to primary lesion was suggested. Still, it is not known how often they occur and if every TrPs can provoke vasomotor reactions. The purpose of this study was to evaluate the prevalence of active TrPs among subacute sciatica patients and the response to DN under infrared thermovision (IRT) camera control.
Fifty consecutive Caucasian patients (mean age 41.2 ± 9.1y) with subacute sciatica were diagnosed towards gluteus minimus TrPs co-existence. Based on TrPs confirmation, patients were divided into two groups: TrPs-positive and TrPs-negative, than DN under IRT control was performed. Skin temperature changes and the percentage size of vasomotor reactions in the pain area were evaluated if present.
The prevalence of active TrPs was 32.0%. Every TrPs-positive presented vasodilatation dependent on TrPs co-diagnosis (r = 0.72 p < 0.000) and pain recognition during DN (r = 0.4 p < 0.05). The size of vasodilatation in TrPs-positive subjects was: post-DN 12.3 ± 4.0% and post-observation 22.1 ± 6.1% (both p = 0.000) versus TrPs-negative: post-DN 0.4 ± 0.3% and post-observation 0.4 ± 0.2%. A significant temperature increase in the thigh and calf was confirmed for TrPs-positive subjects only (both p < 0.05). Post-DN and post-observation temperatures were as follows: average (thigh:1.2 ± 0.2°C; 1.4 ± 0.2°C, both p < 0.05 and calf: 0.4 ± 0.2°C; 0.4 ± 0.3°C, both p < 0.05) and maximum (thigh 1.4 ± 0.3°C 1.6 ± 0.3°C; both p < 0.05).
The presence of active TrPs within the gluteus minimus muscle among subacute sciatica subjects was confirmed. Every TrPs-positive sciatica patient presented DN related vasodilatation in the area of referred pain. The presence of vasodilatation suggests the involvement of sympathetic nerve activity in myofascial pain pathomechanism. Although the clinical meaning of TrPs in subacute sciatica patients is possible, further studies on a bigger group of patients are still required.
Australian New Zealand Clinical Trials Registry ACTRN12614001060639. Registered 3 October 2014.
BMC Complementary and Alternative Medicine 03/2015; 15(1):72. DOI:10.1186/s12906-015-0587-6 · 2.02 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Lupus panniculitis is a rare variant of lupus erythematosus. It may occur as a separate disease or coexist with systemic or discoid lupus erythematosus. It is characterized by persistent, tender and hard nodules localised on the face, arms, shoulders, breast and buttocks. Healing of lesions is associated with scarring, lipoatrophy and rarely ulceration. Treatment of lupus panniculitis depends on disease advancement or concomitance of additional lupus erythematosus symptoms. We report a case of a 44-year-old patient with lupus panniculitis treated with chloroquine and glucocorticosteroids, including high dose infusions. Despite intense treatment, the patient developed symptoms that suggested a diagnosis of systemic lupus erythematosus.
[Show abstract][Hide abstract] ABSTRACT: International UnderstAID project shows the role of physiotherapist in patients with dementia as divided into two branches: helping to resolve the physical problems and solving the problems related to dementia. The role of physiotherapist in dementia treatment may be divided into two branches: helping to resolve the physical problems and solving the problems related to dementia. The physical problems consider such aspects as musculoskeletal disorders, mobility dysfunction and pain. Referring to musculoskeletal problems, the interventions of physical therapists should included whole-body progressive resistance exercise training, strengthening, "range-of-motion" and stretching exercises and transfer training. Mobility disorders are associated with physical symptoms such as: rigidity, balance problem, shuffling gait. Decreased mobility can be based on unrelieved pain. These are some crucial scales which are designed to detected the pain. For instance, The Pain Assessment in Advanced Dementia. Transcutaneous Electrical Nerve Stimulation, massage or exercises can be provide to reduce the pain in patients with dementia. Physiotherapy in dementia treatment influences not only physical functions but also the maintenance or progression of cognitive abilities of demented elderly subjects.
Annals of agricultural and environmental medicine: AAEM 11/2014; 21(4):790-1. DOI:10.5604/12321966.1129934 · 1.13 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This paper aims at the presentation of the results of in vitro research on the dielectric properties of the cornea specimen collected from the rats subjected to in vivo hypothermia. The average values of the relative permittivity and dielectric loss are about 40% higher for the hypothermic cornea than those for the normothermic tissue at the same water content of 12% for both samples and at 25°C. Whereas, at 50°C this effect of increase in the dielectric properties of the hypothermic cornea when compared to the normothermic one is observed clearly only in the relative permittivity of about 19%. In the temperature range of 25-50°C, the activation energy of conductivity associated with the release of loosely bound water takes the average values of 45kJ/mol and 30kJ/mol for the normothermic and hypothermic corneas, respectively. The study provided information on dielectric polarization and conductance mechanisms in the cornea which may be helpful in interpreting clinical results of human cornea examination, currently obtained by means of such electrodiagnostic methods as conductive keratoplasty, electroretinography or electrooculography.
[Show abstract][Hide abstract] ABSTRACT: Sciatica has classically been associated with irritation of the sciatic nerve by the vertebral disc and consequent inflammation. Some authors suggest that active trigger points in the gluteus minimus muscle can refer pain in similar way to sciatica. Trigger point diagnosis is based on Travel and Simons criteria, but referred pain and twitch response are significant confirmatory signs of the diagnostic criteria. Although vasoconstriction in the area of a latent trigger point has been demonstrated, the vasomotor reaction of active trigger points has not been examined. We report the case of a 22-year-old Caucasian European man who presented with a 3-year history of chronic sciatic-type leg pain. In the third year of symptoms, coexistent myofascial pain syndrome was diagnosed. Acupuncture needle stimulation of active trigger points under infrared thermovisual camera showed a sudden short-term vasodilatation (an autonomic phenomenon) in the area of referred pain. The vasodilatation spread from 0.2 to 171.9 cm(2) and then gradually decreased. After needling, increases in average and maximum skin temperature were seen as follows: for the thigh, changes were +2.6°C (average) and +3.6°C (maximum); for the calf, changes were +0.9°C (average) and +1.4°C (maximum). It is not yet known whether the vasodilatation observed was evoked exclusively by dry needling of active trigger points. The complex condition of the patient suggests that other variables might have influenced the infrared thermovision camera results. We suggest that it is important to check if vasodilatation in the area of referred pain occurs in all patients with active trigger points.
Acupuncture in Medicine 06/2014; 32(5). DOI:10.1136/acupmed-2013-010504 · 1.50 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Introduction:
There are difficulties in objective evaluation of activity of the muscles in the lower extremities of patients after successful treatment of sciatica and pseudosciatica, when no clear clinical symptoms are detected. However, the existence of some muscle dysfunction can be hypothesised and its detection was the aim of the study.
Recordings from chosen lower extremity muscles during standing were performed as supplementary differential diagnosis in evaluation of these patients. EMG in standing positions constitutes a new methodological approach not described in detail.
Twenty patients (11 after sciatica and 9 after sciatica-like episodes) were enrolled into the study. On the day of examination, clinical and electroneurographical (ENG; M and F waves tests) studies showed no pathology. The percentage of maximal voluntary contraction (MVC) defined muscle activity during standing. Mean amplitude and number of changes in muscle activity (fluctuations) were measured in surface electromyography recordings (sEMG) during normal standing and tandem positions.
Results and conclusions:
Activity of proximal lower extremity muscles expressed as percentage of MVC was bilaterally increased in patients after sciatica in normal standing position, compared with results from the group of healthy volunteers (N=9). Patients after sciatica were also characterized with a significant increase of mean sEMG amplitude, recorded especially in distal muscles on the affected side during tandem position. This pathological change was related to decrease in 'fluctuations' frequency in patients after sciatica (P<0.001) more than after pseudosciatica (P<0.01) groups in both standing positions, compared to parameters of healthy volunteers. Sciatica and pseudosciatica in anamnesis cause different abnormal patterns of lower extremity muscle activity during standing positions when recorded with surface EMG.
Annals of agricultural and environmental medicine: AAEM 06/2014; 21(2):375-381. DOI:10.5604/1232-1966.1108608 · 1.13 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: IntroductionClinical symptoms of rheumatic diseases can cause changes in the level of skin tactile sensitivity.AimTo determine the tactile threshold of the hands in female patients with rheumatic diseases. It also attempted to determine correlations between rheumatic patients’ tactile sensitivity and the degree of articular movement limitations, the Barthel Index (BI) and Edinburgh Handedness Inventory (EHI) results, the level of disability of the right hand and the left hand as well as age, education and eyesight.Material and methodsNinety-nine female rheumatic patients aged 19–87 years took part in the study. The control group comprised 45 healthy women aged 23–80 years. The measurement of the tactile threshold was performed using the Touch-Test™ Sensory Evaluators (Semmes-Weinstein Monofilaments Test). The tactile threshold was measured at three sites on the hand: the little finger, the index finger and the metacarpus.ResultsThe patients’ tactile sensitivity ranges were classified as normal, diminished light touch and diminished protective touch. The degree of their disability was correlated with tactile sensitivity. The patients’ tactile sensitivity worsens with age, but it is not correlated with the level of education. The lateralization was similar to that of the control group and was not correlated with tactile sensitivity. The worsening eyesight, independent of rheumatic disease, corresponds, however, with decreasing tactile sensitivity.ConclusionsThe patients represented a group with a medium level of functional disability and lower tactile sensitivity.
[Show abstract][Hide abstract] ABSTRACT: Objective:
This study aimed to evaluate gross motor function and hand function in children with cerebral palsy to explore their association with epilepsy and mental capacity.
Material & methods:
The research investigating the association between gross and fine motor function and the presence of epilepsy and/or mental impairment was conducted on a group of 83 children (45 girls, 38 boys). Among them, 41 were diagnosed with quadriplegia, 14 hemiplegia, 18 diplegia, 7 mixed form, and 3 athetosis. A neurologist assessed each child in terms of possible epilepsy and confirmed diagnosis in 35 children. A psychologist assessed the mental level (according to Wechsler) and found 13 children within intellectual norm, 3 children with mild mental impairment, 18 with moderate, 27 with severe, and 22 with profound. Children were then classified based on Gross Motor Function Classification System and Manual Ability Classification Scale.
The gross motor function and manual performance were analysed in relation to mental impairment and the presence of epilepsy. Epilepsy was found to disturb conscious motor functions, but also higher degree of mental impairment was observed in children with epilepsy.
The occurrence of epilepsy in children with cerebral palsy is associated with worse manual function. The occurrence of epilepsy is associated with limitations in conscious motor functions. There is an association between epilepsy in children with cerebral palsy and the degree of mental impairment. The occurrence of epilepsy, mainly in children with hemiplegia and diplegia is associated with worse mental capacities.
Iranian Journal of Child Neurology 03/2014; 8(2):45-52.
[Show abstract][Hide abstract] ABSTRACT: Background Systemic lupus erythematosus (SLE) is a chronic autoimmune disease which the aetiology includes genetic and environmental factors. The autoimmune mechanisms of the disease are the potential risk factors for the impairment some brain functions also.
Objectives The goal of the study was to evaluate some cognitive functions belong to the group of executive ones in a group of patients with SLE. Executive functions are related with activity of frontal lobes of brain. The research involved a group of 64 patients with SLE, aged 19-62 yrs, the mean 41,2 yrs, median disease duration 8,3 yrs, the median results in SELENA/SLEDAI 11 points what suggests the moderate activity of the disease. 95% of pts were treated with chlorochine or hydroxychlorochine.
Methods To verify research hypotheses neuropsychological tests such as 10 – word list, direct memory task for sensible words, digit test, test for evaluation the attention – concentration and the ability of sustaining -D2, attention test CTT, language competencies – Fluency Test, Hand Laterality Test, and estimation of the intelligence – Raven Test. Identification and Interpretation of Emotions in Social Situations and Achenbach’s CBCL were used. The research hypotheses were verified by way of Multi – Factor Analysis of Variance (Anova) for quantitative data and Kruskal – Wallis Test for ordinal data while Bonferonni – Dunn Test or Tukey’s HSD were used to find relevant differences between groups. Additionally, in case of nonhomogenous variables, non – parametric tests such as Mann – Whitney Two Sample Test and Kruskal – Wallis Test for three or more samples were applied to verify the result of analysis of variance. For nominal data Chi – square test was used while Pearson r was used to measure the correlation between variables. Ethical approval for data management was obtained from the Ethics Committee of the Poznan University of Medical Sciences.
Results The results show that 14,5% pts with SLE have neurological disorders. Cognitive impairments including direct memory, learning and attention dysfunctions were noticed in 51,6% of all examined pts. In a group with neurological disorders almost all pts revealed low scores in CTT (below 100 sec), the median for Short term memory was 5,6 elements, the median of D2 was below normal scores according to the age of pts. The results of 10 word test was 30, 4 what is low result in comparison to the healthy ones.
Conclusions The model of SLE treatment should include neuropsychological rehabilitation in order to improve patient’s quality of life and to prevent cognitive and social impairments.
Disclosure of Interest None Declared
Annals of the Rheumatic Diseases 01/2014; 72(Suppl 3):A1092-A1092. DOI:10.1136/annrheumdis-2013-eular.3148 · 10.38 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This paper aims at the presentation of the results of in vitro research on the dielectric properties of the cornea specimen collected from the rats subjected to in vivo hypothermia.
The average values of the relative permittivity and dielectric loss are about 40% higher for the hypothermic cornea than those for the normothermic tissue at the same water content of 12% for both samples and at 25 °C. Whereas, at 50 °C this effect of increase in the dielectric properties of the hypothermic cornea when compared to the normothermic one is observed clearly only in the relative permittivity of about 19%. In the temperature range of 25–50 °C, the activation energy of conductivity associated with the release of loosely bound water takes the average values of 45 kJ/mol and 30 kJ/mol for the normothermic and hypothermic cornea, respectively. The study provided information on dielectric polarization and conductance mechanisms in the cornea which may be helpful in interpreting clinical results of human cornea examination, currently obtained by means of such electrodiagnostic methods as conductive keratoplasty, electroretinography or electrooculography.
[Show abstract][Hide abstract] ABSTRACT: Introduction and objectives:
Motor and cognitive development of children with Down syndrome (DS) is delayed and inharmonic. Neuro-muscular abnormalities, such as hypotonia, retained primary reflexes, and slow performance of volitional reaction, result in difficulties with body balance. The aim of the presented study is to assess the global motor functions and body balance of children with DS in relation to age and mental development.
Material and methods:
The study group consisted of 79 children with DS (42 boys, 37 girls), average age 6 years and 3 months ± 4 years and 6 months. Participants were divided according to age range into 3 groups: < 3 years old, 3-6 years old, > 6 years old. Children were assessed using Gross Motor Function Measure-88 (GMFM-88) and Paediatric Balance Scale (PBS). Psychological diagnosis served to determine the degree of mental development using the Brunet-Lezine Scale for children younger than 3 years old, and the Wechsler Intelligence Scale for Children (WISC) for those who are older than 3 years. Nine children in research group had not been diagnosed by psychologists, which is the reason why the analysis referring to mental development was performed in 70 children (34 girls, 36 boys), with an average age of 4 years and 6 months.
GMFM-88 scores were significantly lower in children with moderate psychomotor delay than in children with mild psychomotor delay, or normally developed children, p=0.043. GMFM-88 scores in children with profound mental impairment were lower than in children with mild or moderate mental impairment. There was a statistical significant correlation between GMFM-88 scores and the PBS scores, r= 0.7, p<0.0001.
Motor development of children with Down syndrome from towns and villages in the Greater Poland region is associated with cognitive development, especially in the first three years of life, with the balance functions being closely related to motor skills.
Annals of agricultural and environmental medicine: AAEM 12/2013; 20(4):803-6. · 1.13 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: In obesity, elevated insulin resistance is observed, which may be associated with disturbances in mineral status in the body. The few studies concerning the status of minerals and their relationships with insulin resistance and body composition in adolescent populations have brought inconclusive results.
of this study is, thus, to assess serum mineral concentration in obese adolescents, and to evaluate their potential association with insulin resistance.
Seventy-eight obese adolescents and 20 healthy volunteers aged 12-18 years were recruited for the study. Selected anthropometrical measurements and levels of iron, zinc, copper, calcium, and magnesium were assessed in serum. Insulin resistance in the participants was evaluated according to the homeostatic model of assessment for insulin resistance (HOMA-IR) protocol. Levels of iron, zinc, copper, calcium, and magnesium were assessed in serum.
Obese subjects had significantly higher HOMA-IR indices than the control group. Compared to healthy subjects, the serum concentration of zinc, calcium, and magnesium was significantly lower in obese subjects. A significant inverse relation was found between HOMA-IR and zinc levels in serum.
Obese adolescents have a poorer mineral status (especially zinc) than adolescents of normal weight, which can contribute to insulin resistance.
European review for medical and pharmacological sciences 09/2013; 17(17):2396-400. · 1.21 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Objectives: There are two major types of non-inflammatory myalgia conditions, namely fibromyalgia syndrome [FMS] and myofascial pain syndrome [MPS]. In both cases, identifying the so-called tender points characteristic of FMS and trigger points characteristic of MPS is of key importance when making a diagnosis.
Findings: The two syndromes are very similar and the above-mentioned points are difficult to distinguish during examination, which often leads to wrong diagnosis and, consequently, therapy failure. Additional difficulties are caused by the lack of coherence of nomenclature; in the literature the terms “tender point” and “trigger point” are used interchangeably. Moreover, some centers question the existence of FMS and MPS as separate pain entities.
Conclusion: Although the differences in pathophysiology, the two syndromes are often mistaken. Further investigation and new assessment tools are needed to improve outcomes in both entities.
[Show abstract][Hide abstract] ABSTRACT: Background
The relationship between obesity, physical fitness, and inflammation was analyzed in a Polish population aged 12 to 18 years.
Body mass index measurements and Eurofit physical fitness tests were undertaken to assess the adiposity and physical fitness status, respectively, of subjects. Serum samples were collected to measure standard inflammatory markers, including interleukin 6; and the acute-phase proteins alpha1-acid glycoprotein and alpha1-antichymotrypsin. In addition, the glycosylation profiles of alpha1-acid glycoprotein and alpha1-antichymotrypsin were analyzed to further evaluate immune statuses.
The physical fitness of individuals was negatively influenced by obesity. Obese subjects were characterized by an abnormal immune balance, including increased levels of alpha1-acid glycoprotein, as well as alpha1-antichymotrypsin, and altered glycosylation profiles indicative of an underlying inflammatory condition. Older age, male sex, and a large body mass index appeared to correlate with poor physical fitness scores and a disturbed immune status.
Impaired physical fitness is indicative for non-compensated overweight and affects mainly males aged 15 to 18 years. Female subjects seemed to cope better with increased body mass.
Medical science monitor: international medical journal of experimental and clinical research 06/2013; 19(1):493-500. DOI:10.12659/MSM.883959 · 1.43 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: In this study, we analyzed the effect of water and frequency on the dielectric properties of the nail plate in healthy individuals and in diabetic patients. The temperature dependencies of the loss tangent for both healthy and diabetic nail represent the relation between the electrical energy lost and stored in keratin-glucose-water complexes of this tissue. The differences between these materials concern the temperature ranges in which there appears the decomposition of loosely bound water. The effect of glycation on the loss tangent of the wet and the dry nail is supported by higher values of this parameter than in those describing the healthy samples in the whole temperature range and above 100°C, respectively. In addition, glycation lead to distinct increase in the dielectric relaxation decrement in permittivity and dielectric loss between the frequency of 500Hz and 100kHz for the wet and the dry nail. The results of this study indicate that the dielectric spectroscopy may be useful in observing the decomposition of water in the diabetic nail plate.
[Show abstract][Hide abstract] ABSTRACT: Psoriatic arthritis (PsA) is a chronic inflammatory disease characterized by the coexistence of arthritis with psoriasis of the skin and nails. The sacroiliac joints were observed in 34-78% of patients with psoriatic arthritis. Due to such a high prevalence of SIJ dysfunction, understanding pathophysiology of pain and the associated pain pattern becomes a very important aspect of PsA diagnosis. As far as the etiology of SI joint dysfunction is concerned, it has not been disambiguated yet. Among the main causative factors, injuries and strains of the structures surrounding the joint are noted. Joint pathology usually manifests itself by pain occurring within the area of the joint. The causes of pain may be divided into two categories: intra-articular and extra-articular. Pain caused by the SI joint may be nociceptive or neural in nature, whereas the pain pattern characteristic of the joint correlates with its innervation and is consistent with S2 dorsal rami.