Andrzej Kwolek

Andrzej Kwolek
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83
Publications
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408
Citations
Citations since 2017
19 Research Items
317 Citations
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20172018201920202021202220230204060
20172018201920202021202220230204060
20172018201920202021202220230204060

Publications

Publications (83)
Article
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Introduction: Over the last few decades, the quality of care and the quality of life of nursing home (NH) residents have significantly improved, but insufficient physical activity and social involvement still represent substantial challenges in modern nursing facilities. The main aim of this research was to assess the influence of physical exercis...
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Background: Huntington's disease is a progressive neurodegenerative disorder that usually manifests in adulthood and is inherited in an autosomal dominant manner. The main aim of the study was to assess the psychometric properties of the 12-item WHO Disability Assessment Schedule (WHODAS) 2.0 in studying the level of disability in people with Hunt...
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Background and objectives: Stroke is one of the leading causes of morbidity, mortality and long-term adult disability. The aim of this study was to assess the changes in body mass composition in patients after stroke in connection with selected socio-demographic and clinical factors (sex, age, type of stroke and time from the first symptoms) follow...
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Background: The aging is a multi-faceted process comprising both-the physical and mental alterations. Thus, the aim of the study was to evaluate the variables affecting the psychophysical state of the elderly people using wheelchairs and living in nursing homes (NH). Methods: 165 older wheelchair users were included in the study after meeting the i...
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Background: The incidence of stroke is growing in various parts of the world and the condition most commonly affects the adult population. Objectives: The purpose of the study is to provide a narrative review of papers published in the last 11 years in English and in Polish and focusing on demographic characteristics of individuals returning to...
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BACKGROUND We assessed the relationship between body mass index and results of rehabilitation in stroke patients. MATERIAL AND METHODS The study was carried out at the Clinical Rehabilitation Ward with Early Neurological Rehabilitation Unit at the Clinical Hospital. The examinations were performed 3 times. Based on inclusion and exclusion criteria,...
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Objective: To examine the effects of age, time from stroke onset, gender and side of paresis in gait re-education with the use of treadmill with biofeedback, in patients with chronic stroke. Methods: The study was performed with a group of 50 patients. 10-metre walk test, 2-minute walk test, "Up and Go" test, the number of steps performed with t...
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The aim of the study was to assess the effect of various diets on BMI and selected components of body mass, i.e., fat mass (FAT%), visceral fat (VFAT level), muscle mass (PMM %), body water (TBW %), and functional fitness during a 4-month observation period. Examinations were conducted three times in a group of 100 people after a stroke. The study...
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Objectives The study aims to assess selected factors contributing to the long-term effects of the conservative treatment of carpal tunnel syndrome (CTS). Material and Methods Forty-nine individuals diagnosed with CTS were enrolled in the study. The symptoms resulted from occupational hand overuse in 37 patients. The assessment involved 78 hands be...
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Background Wisconsin Gait Scale (WGS) is an observational tool for the evaluation of gait quality in individuals after stroke with hemiplegia. It is divided into four subscales, which assess a total of fourteen spatiotemporal and kinematic parameters of gait observed during the consecutive gait phases. However, the WGS score change indicative of im...
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Background: Increased variability in spatiotemporal variables has been demonstrated in individuals after stroke. Gait Variability Index (GVI) has recently been proposed, potentially to be used as a standardized tool for quantifying gait impairment due to spatiotemporal variables. The experience with the GVI in patients after stroke is unknown. Rese...
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Background: In clinical practice there is a need for a specific scale enabling detailed and multifactorial assessment of gait in children with spastic hemiplegic cerebral palsy. The practical value of the present study is linked with the attempts to find a new, affordable, easy-to-use tool for gait assessment in children with spastic hemiplegic ce...
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Introduction/Background There are no studies evaluating compatibility of visual gait assessment scales and Gait Deviation Index (GDI), Gait Variability Index (GVI) in individuals after stroke. The study was designed to compare results of the observational Wisconsin Gait Scale (WGS) and the global gait indexes such as GDI and GVI, constituting an ob...
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Purpose: The Gait Variability Index (GVI) summarizes overall gait quality, taking into account spatiotemporal parameters from a 3-dimensional gait analysis. However, there are no studies evaluating changes in gait patterns after stroke, based on the GVI. The study was designed to assess usefulness of the GVI for evaluation of gait pathology in sub...
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Background This study was designed to determine whether or not gait training based on the use of treadmill with visual biofeedback and body weight support (BWS) would produce better effects in patients with subacute stroke compared to BWS treadmill training with no visual biofeedback. Materials and Methods 30 patients with subacute stroke were ran...
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Background: There are few reports in the literature investigating the relationship between observational gait scales used to assess individuals after a stroke and objective data acquired from 3-dimensional gait analysis (3DGA). Research question: The objective of this study was to compare the relationship between the specific items of the Wiscon...
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Purpose: Subjects with post-stroke hemiparesis frequently present with asymmetric gait patterns. Symmetry, reflecting similarities in temporospatial, kinematic parameters, is an important measure of gait assessment. The study was designed to examine the relationships between asymmetry of temporal, spatial and kinematic gait parameters and walking...
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Introduction: In order to assess hand spasticity in post-stroke patients, it is necessary to apply an objective and sensitive method which allows for characterising motor control. It is significant due to the necessity to monitor the effects of the therapeutic process according to the requirements of Evidence-Based Medicine (EBM). The aim of the st...
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Background One of the most significant challenges for patients who survive a stroke is relearning basic motor tasks such as walking. The goal of this study was to evaluate whether training on a treadmill with visual biofeedback improves gait symmetry, as well as spatiotemporal and kinematic gait parameters, in stroke patients. Material/Methods Thi...
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Magnetic field is used in therapies designed for patients with rheumatic disorders such as rheumatoid arthritis (RA). The question of selecting adequate treatment parameters to obtain optimal therapeutic effects still needs to be answered. The purpose of the study was to assess the influence of magnetic field, depending on its nature, on problems a...
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Purpose: The aim of the study is to define the impact of exercise on a treadmill on static balance and stability of posture in a group of patients after cerebral stroke rehabilitated in a late period, with an application of a treadmill with the function of visual biofeedback. Methods: The examination was carried out in a group of 46 people in a...
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Introduction: Due to the increasing incidence and social effects of stroke there is a growing interest in finding methods enabling gait analysis in this group of patients. Observational techniques are predominantly applied in clinical practice; on the other hand advanced quantitative methods allow in-depth multidimensional gait assessment. The pre...
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Magnetic fields are commonly used in therapies designed for subjects with rheumatic diseases, yet the effects of magnetotherapy are not entirely clear in these disorders. This study is designed to examine the literature investigating applications of magnetotherapy in the treatment of rheumatoid arthritis (RA). The review focused on publications rel...
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A proper assessment of gait pattern is a significant aspect in planning the process of teaching gait in hemiparetic post-stroke patients. The Wisconsin Gait Scale (WGS) is an observational tool for assessing post-stroke patients’ gait. The aim of the study was to assess test-retest reliability and internal consistency of the WGS and examine correla...
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Gait recovery is one of the main objectives in the rehabilitation of post-stroke patients. The study aim was to assess the correlations between gait speed in post-stroke hemiparetic patients and the level of motor control in the paretic lower limb, the time from stroke onset, the subjects’ age as well as the impairment of proprioception and visual...
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Objective: The aim of the study was to evaluate the frequency of incidence and analysis of the risk factors for the occurrence of back pain (BP) in a group of professionally active inhabitants of the Podkarpackie Region of south-east Poland. Materials and method: The study was carried out with a method of social survey on a randomly selected gro...
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Gait velocity as a tool for evaluating the effects of gait training in patients with chronic stroke Prędkość chodu jako narzędzie oceny efektów treningu chodu u pacjentów w okresie późnym po udarze mózgu ABSTRACT Background. Gait velocity is a simple but very essential parameter which may be applied as an indicator of functional efficiency. Gait of...
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Introduction: Multiple Sclerosis (MS) is a chronic progressive disease of the nervous system which etiology is still unknown. Environmental factors, genetic predisposition and complex autoimmune reactions play a significant role in its pathogenesis. MS is not a fatal disease, but patients often require constant medical care and complex social welfa...
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To evaluate the effects of gait training using a treadmill with and without visual biofeedback in patients in the late period after stroke, and to compare both training methods. A randomized, controlled study. Fifty people at least 6 months after stroke, randomly enrolled into groups with a rehabilitation programme of treadmill training with or wit...
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Abstract: Introduction and aim: The aim of the paper was to evaluate the influence of chosen socio-demographic factors (age, gender, marital status, place of residence, source of income, housing conditions) on quality of life of stroke patients. Material and methods: Research included 60 patients after their first hemispheric stroke treated in 2012...
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This article includes a review of research and chosen solutions of use of biofeedback in contemporary neurorehabilitation. Their subject matter concerns persons suffering from neurological diseases. These kinds of research are performed increasingly, so the scientific reports that are more and more numerous indicate the fact that properly construct...
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Streszczenie Od około 40 lat, dokonano szeregu zmian w zakresie rehabilitacji osób ze stwardnieniem rozsianym (SR). Było to możliwe dzięki wynikom licznych badań polegających na weryfikacji skuteczności poszczególnych programów leczniczych czy też pojedynczych metod. W ostatnich latach przeprowadzono szereg badań klinicznych, których wyniki wykazał...
Article
Full-text available
This article includes a review of research and chosen solutions of use of biofeedback in contemporary neurorehabilitation. Their subject matter concerns persons suffering from neurological diseases. These kinds of research are performed increasingly, so the scientific reports that are more and more numerous indicate the fact that properly construct...
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Full-text available
Introduction: Breast cancer is the most common cancer in Poland, in Europe and the US. Women after breast cancer treatment suffer from various motor dysfunctions. The most frequent is upper limb dysfunction on the operated side caused by lymphedema and limitations in the shoulder complex mobility. Physical therapy and psychotherapy have a significa...
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Carpal tunnel syndrome is a serious therapeutic problem and it considerably impairs the patients' quality of life. Despite many studies, the effectiveness of conservative treatment is still debatable. This study aimed to evaluate the immediate and long-term effects of conservative treatment involving ultrasound therapy combined with massage and kin...
Article
Background The aim of the study was to determine neurological and neuropsychiatric manifestations in a group of patients with previously undiagnosed or untreated phenylketonuria (PKU) in the south-eastern part of Poland. Methods The study was conducted among 400 adults with severe intellectual disability who were born prior to neonatal screening an...
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A human hand is an excellent tool owing to which a man can perform a number of tasks requiring extreme care and precision or high speed and force. The gripping and manipulative skills combined with appropriate force are factors conditioning the full efficiency within the scope of everyday activities. The grip function, force, range of movement and...
Article
One of the most important goals of rehabilitation of post-stroke hemiplegic patients is the recovery of their locomotion function. The aim of the study was to assess walking function recovery by means of in-patient rehabilitation procedures, as well as the effectiveness of treadmill gait training with the use of biological feedback. The research in...
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Stwardnienie rozsiane jest nieuleczalną postępującą chorobą, w której leczenie farmakologiczne nadal jest niewystarczające i w pewnym tylko zakresie udowodnione odnośnie skuteczności. Dlatego prowadzenie w tej grupie chorych wczesnej, ciągłej i realizowanej w sposób kompleksowy rehabilitacji jest niezbędne i rzutuje na losy chorego. Rehabilitacja w...
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Background: The Podkarpackie Province in the prevailing majority consists of the country areas. According to many authors population living in the country suffers from more diseases, particularly of chronic character and presents significantly lower widely understood health promoting culture than inhabitants of cities. On the one hand it results fr...
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To evaluate physical growth, development and nutritional status in adults with previously undiagnosed/ untreated phenylketonuria (PKU). Four hundred adults (201 females and 199 males) with severe intellectual disability who were born prior to compulsory neonatal screening (before 1976) and who resided in social welfare homes in southeastern Poland...
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The aim of the study was to determine the level of functional independence in adult patients with previously undiagnosed or untreated phenylketonuria (PKU). The study was conducted among 400 intellectually impaired adult residents of Social Welfare Homes in South-Eastern Poland born prior to the introduction of neonatal PKU screening programs. PKU...
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Introduction: quality of life is a wide term included all aspects of patient’s functioning after a brain stroke. Evaluation of quality of life is dependent basically on stroke effect, as well as other factors i.a. age, sex, weight and time elapsed from stroke. The aim of this research was a comparison of the functional state and independence in act...
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Cel: celem pracy była ocena znaczenia postępowania terapeutycznego u dziecka z ADHD, poszcze-gólnych jego składowych oraz wpływu stosowanych metod terapeutycznych w trzech obszarach zaburzeń: koncentracji uwagi, hiperaktywności oraz impulsywności. Materiał: Badaniem objęto grupę dzieci, których rodzice należą, bądź należeli do Stowarzyszenia na Rze...
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Introduction: Studies on quality of life help in proper planning of rehabilitation procedures, their modification and assessment of results achieved. Foreign Stroke-Specific questionnaires exist for the assessment of health-related life quality of patients after stroke but before implementing those specific tools in other country its adaptation sho...
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Non-traumatic, or spontaneous subarachnoid haemorrhage (SAH) is responsible for 5-7% of strokes. In Podkarpackie voivodeship, 217 patients were hospitalized in 2003 with spontaneous SAH. The aim of this study was to assess the relationship between the results of rehabilitation carried out in patients after surgical treatment of SAH estimated on the...
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The aim of this research was to assess the impact of rehabilitation on the quality of life (QoL) of elderly stroke patients in comparison to control group of younger people. The research was conducted among patients treated at rehabilitation wards of three hospitals in Podkarpackie voivodeship from November 2006 to March 2007. It covered 39 persons...
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The aim of the study was to evaluate the impact of selected factors, such as: gender, age, stroke type, side of paresis, time to initiation of rehabilitation, first or successive inpatient rehabilitation and severity of paresis at admission on the final clinical status of patients and on the outcome of treatment at the department of rehabilitation,...
Article
Spinal traumas are less frequent than limb, cranial or trunk injuries. Cervical spine traumas with spinal cord damage are classified as the most difficult cases. This kind of trauma can often change a young, healthy and professionally active individual into a person who are entirely dependent on other people. The trauma results not only in clearly...
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The hemivertebras constitute about 33% of all congenital defects of spine and can be detected accidentally during diagnostics of pain syndrome of spine or other neurological disturbances. In the paper is introduced the case of patient with pain syndrome of spine (man, physical worker, 47years old), who was directed to the rehabilitation ward with r...
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According to European Stroke Initiative (EUSI) recommendations every stroke patient should undergo rehabilitation. We aimed to evaluate the needs of comprehensive stroke in-patient rehabilitation in Poland. We designed and distributed a questionnaire evaluating rehabilitation departments in Poland, where stroke patients undergo early rehabilitation...
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Strokes among young people are not only the most threatening complications of the cerebrovascular diseases, but they also lead to considerable disability and society' dependency. Among patients under 40 years old heart diseases constitute about 18% causes of ischaemic strokes. Other causes of strokes are: artery wall dissection, blood clotting dist...
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Introduction: Rehabilitation of patients with hemiparesis after a stroke is a dynamic process, with preset tasks, which takes into account the needs and abilities of the patient. Undoubtedly one of the most important needs of a patient with hemiparesis is to regain the locomotive self-sufficiency as quickly as possible. Study Aim: The objective of...
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Introduction: About 60 to 70 thousand people in Poland falls ill of the stroke. In the last decade, the number of rehabilitation wards increased nationwide. Podkarpacie district itself, in 2003, started up four new departments. The number of medical rehabilitation and physiotherapy specialists has also increased, one may expect that the possibiliti...
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Background. Hemivertebrae account for ca. 33% of all congenital anomalies of the spine. They are often detected incidentally during diagnosis of spinal pain syndrome or other neurological disturbances. Case report. We describe the case of patient with spinal pain syndrome (manual, manual laborer, 47 years old), who was referred for rehabilitation w...
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Subluxations of the glenohumeral joint on the paretic side in patients after stroke are the cause of limitation in the mobility range and of occurrence of the vicious circle of pain". They often result in termination of the rehabilitation programme and thus in loss of the opportunity to regain full functioning of the upper limb. The aim of this stu...
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Background. Functional disorder of the shoulder joint on the paretic side is among the more common post-stroke complications. Rehabilitation can be hindered by the associated pain, limited joint mobility, and muscle distension during the period of flaccid paresis (or plegia). The purpose of our study was to evaluate certain shoulder joint structure...
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Background. The purpose of our study was to evaluate differences in the growth and physical fitness of school-age children and youth, with and without posture defects, in the former voivodeship of Rzeszów, Poland Material and methods. The research involved 3117 children of both sexes, ranging in age from 7 to 14 years, enrolled in 44 primary school...
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Background. Patients undergoing rehabilitation in rehablitation wards particulary those focused on geriatry or neurology are expose to falls.It is connected with advanced age and also their illness essence. This kind of falls appears to be very important problem because some of them could lead to severe physical contusion or loss of trust in own ab...
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In 1997 people over 60 constituted 16.2% of Poland's population and their percentage will rise to 22.4 by 2020 according to the General Statistics Office (GUS). The increasing number of the elderly entails the need for new demographic, social, economical and health solutions. Thus, the need to create various centres, such as old people's homes. Thi...
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Background. The aim of this study is to present the authors clinical experience in the rehabilitation of cerebral palsied children in the Podkarpacie district of Poland. Material and method. During the period 1989-2001 the authors treated 1980 children in the Outpatient Rehabilitation Clinic for Children at District Hospital No. 2 in Rzeszow, Polan...
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Background. One of often met complications in rehabilitation of patients after the apoplexy are functional disturbances of the shoulder joint on the side of paresis. Connected with it painfulness and limitation of mobility makes difficult re-education of the extremity's function. The aim of this work is evaluation of the structures of shoulder join...
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This article describes the currently accepted principles for the comprehensive treatment of children with cerebral palsy. Emphasis is given to the importance of the quickest possible diagnosis of even slight damage to the central nervous system, the implementation of early and continuous rehabilitation by a rehabilitation team, and the participants...
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Z Klinische Abteilung für Rehabilitation des Woiwodschaftskrankenhauses Nr. 2 in Rzeszow Chefarzt: Prof. Dr. hab. med. Andrzej Kwolek Rheumatoide Gelenkentzündung (RA) ist eine chronisch verlaufende entzündliche Erkrankung mit akuten Schüben und Remissionsphasen, die als eine Autoimmunkrankheit klassifiziert wird. Die Krankheit tritt bei Patienten...
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Assessment of emotional condition of active seniors Introduction. Lowered psychosomatic condition is a common disorder among the elderly people. Aim: The aim of the research is to estimate the frequency of occurrence of lowered emotional effi-ciency among senior mature students in relation to their physical and social activeness. Patients and metho...
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Effects of rehabilitation for patients after stroke after operative treatment of femoral bone fracture Objective of this thesis is to evaluate results of comprehensive rehabilitation of patients after femo-ral joint endoprosthesis reconstructive operation and patients after femoral joint endoprosthesis recon-structive operation and after stroke und...
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Clinic Rehabilitation Ward, Voivodship Hospital No 2 in Rzeszów 3 District Hospital in Łańcut 4 Voivodship Specialist Hospital in Rzeszów 5 Klinikum fűr Rehabilitation im Bad Salzuflen Each year in Poland 60,000 patients, i.e. 0.16% of Polish population, suffer from stroke. Slightly higher incidence of new stroke is noted in Germany, where annually...

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