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The aim of the study was to evaluate the effect of rehabilitation treatment to improve the treatment results of patients operated for ganglions of the wrist. We studied the hands of 77 patients with ganglions of the wrist. 43 women and 34 men aged between 16 and 98 years participated in the study. The open method was used in the surgical treatment to remove the wrist ganglions in all the patients. In the post-operative treatment 46 patients (group I) underwent hand rehabilitation treatment under the supervision of the authors and 31 patients (group II) did not undergo such a treatment. The examination was carried out on all the patients before surgery and at weeks 1 and 4 after surgery. The patients with ganglions of the wrist and pain, impaired hand mobility and impaired hand efficiency were qualified for the surgical treatment. In the rehabilitation treatment stretching exercises were performed as well as loosening and stabilizing the hand and teaching the patients the correct positioning of the upper limb during work and physical activity. The results were statistically analyzed using non-parametric tests such as the chi-square test, signs test and Mann-Whitney test. It was found that in patients after surgical removal of the wrist ganglion rehabilitation treatment has led to the resolution of pain syndromes, movement disorders and efficiency of hand.
According to the statistical data, there is being observed a definite increase in percentage of children affected by posture defects, particularly scolioses. The aquatic environment facilitates treatment of scolioses, since it provides relief conditions used in order to perform prophylactic, corrective and therapeutic tasks. Hydrokinetic therapy is one of the many rehabilitation methods. It seems, however, that corrective and therapeutic swimming is far too rarely used as an auxiliary measure for treatment of scolioses. This paper presents the concept of treatment of scolioses employing asymmetrical exercises in aquatic environment, the author of which in Poland is Iwanowski. In the study desk research of literature studies was applied along with the analysis of publications, including available study reports, articles, documents and also own video and photographic materials. The author suggests the concept of conservative treatment of scolioses through the application of asymmetrical swimming exercises in aquatic environment. Such procedure is efficient in preventing significant spinal deformations, which may protect against surgical intervention.
Clinical studies were carried out in the period of 2003-2008 at the Provincial Children’s Rehabilitation Hospital in Ameryka near Olsztyn (Poland). The study involved a group of children and youths exhibiting spinal deformity progression in idiopathic scoliosis (IS) of more than 5o per year according to the Cobb scale. Four hundred and fifty patients between 4 and 15 years of age were divided into three groups (n = 150). Group I received 2-hour and group II 9-hour treatment of Lateral Electrical Surface Stimulation (LESS), respectively, whereas group III (control) was treated only with corrective exercises for 30 minutes twice a day. LESS was performed as 24-month treatment with the use of a battery-operated SCOL-2 stimulator manufactured by Elmech, Warsaw, Poland. The effectiveness of this method was confirmed in the treatment of spinal IS in children and adolescent patients, especially when the initial spinal deformity does not exceed 20o according to the Cobb scale. A short-duration electrostimulation – 2 hours daily – was found to produce results similar to those obtained after overnight, 9-hour electrostimulation. Moreover, the analysis of the Harrington prognostic index F confirms the positive effect of LESS in both groups of patients (2 h and 9 h of LESS).
Background: The origin and prevalence of cerebral palsy can hardly be considered fully understood. The relationship between orthopedic and neuropsychiatric disorders in children with cerebral palsy in the available literature is also insufficiently presented. Material/Methods: Authors conducted a clinical and epidemiological analysis and examined the nature of motor disorders in 267 children with cerebral palsy aged from 3 to 16 years old. The monitoring period of patients ranged from 3 to 7 years. They underwent clinical neurological examination, radiography of the spine and joints, ultrasound examination of the joints and periarticular structures, electroencephalography and electroneuromyography in dynamics, with the help of a variational cardiointervalography characterized by an autonomic dysfunction (Veyn AM, 2000), studied the biomechanical parameters of walking, using scorecards, questioning and evaluate the effectiveness of the treatment using the special system to cerebral palsy (Pinchuk D Yu, Dudin MG, 2002). Results: In 80% of cases, brain damage occurred during fetal development. The authors distinguished primary and secondary disorders of movements. 71 persons (26.6%) had neurogenic and myogenic contractures, and in 196 people (73.4%) contractions were exacerbated by bone deformities. In the rehabilitation system 163 people (61 %) had a need for a surgical operation. Conclusions: The efficiency ratio of the functional status after rehabilitation in different age groups has improved by 10-22% more than before the treatment. It was shown objectively that improvement in the motor capacity in patients with cerebral palsy due rehabilitation has a positive effect on the function of the cerebral cortex.
Biomechanical factors such as reduced muscle strength and narrowing of the knee joint play an important role in the initiation and progression of primary osteoarthritis. Pharmacological treatment is not always effective and, in some cases, is accompanied by side effects. However, some factors associated with osteoarthritis, such as muscle dysfunction and decreased physical activity, may be improved through physical rehabilitation. In this article, we describe the pathogenesis, clinical manifestations and approaches to physical rehabilitation for biomechanical disorders associated with primary osteoarthritis of the knee (gonarthrosis).
The objective of this article was to show the educational values of adventure tourism in the process of rehabilitation of juveniles. Theoretical considerations concerning this topic give rise to the following conclusions: 1. Thanks to qualified tourism, young people shape their character and face weaknesses. It helps to change the behavior and create pro-social attitudes. 2. Qualified tourism teaches basic life skills. All of the above-mentioned points prove that part of correctional facilities activity should be based on qualified tourism.
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The role of physical therapy in cancer treatment

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Cancer is a very important problem in both medical and social respects. In recent years, there has been a shift in approach to oncological prevention, diagnostics and treatment. As a result, oncology has become an interdisciplinary field. Factors relevant for successful oncological treatment are: sequence, type and scope of intervention, including diagnosis of the cancer, assessment of its progression, systemic treatment, surgery, radiotherapy, supportive therapy and rehabilitation. Rehabilitation addresses the realm of psychology (psychooncology), as well as somatic and social issues. Physical therapy is a notion inseparably related to medical rehabilitation and it encompasses a range of treatments which are based on the body’s reactivity to stimuli. The purpose of this article is to present the specific character, the methods and the role of physical therapy in oncology, as an increasingly popular strategy in medicine, which helps to improve performance and physical function in cancer patients. Physical therapy is essential in primary and secondary cancer prevention and it greatly contributes to improving the quality of life of patients and helps them recover quicker. Four basic kinds of intervention in oncological rehabilitation include: preventive interventions, restorative interventions, supportive interventions and palliative interventions. The main principle in rehabilitating a patient with an advanced cancer is progressing steadily but gradually. The primary and essential form of rehabilitation for cancer patients is movement exercise i.e. kinesiotherapy. Integration and cooperation during group exercise are also among the strategies that therapists seek to employ while working to improve the condition of patients diagnosed with cancer. Kinesiotherapy prevents pulmonary and thromboembolic complications in cancer patients. One method of physical therapy applied in cancer treatment is lymphatic drainage (massage), which improves circulation of lymph. To sum up, physical therapy plays an increasingly important role in holistic care of cancer patients. It is indispensable and should become a standard approach, as a method of reducing the risk of complications, helping in faster recovery and limiting the economic and social costs of treatment.
Introduction and objective. Musculoskeletal disorders are frequently met in dentistry. Objectives. To show the efficiency of rehabilitation and to make correlations among patients’ pain levels, their overall health status, and the number of days of work absenteeism. Materials and method. A total of 390 dentists diagnosed with low back pain, scapulohumeral periarthritis, cervicobrachial neuralgia, hand osteoarthritis, tendinitis or tenosynovitis of the upper limb, carpal tunnel syndrome, spinal deformities and fibromyalgia, were followed in a 2-year prospective study. For each ailment the patients were divided into two groups. Group 1 followed both medical and rehabilitation treatment, while group 2 followed medical treatment. The patients were assessed by the visual analogue scale (VAS), the Health Assessment Questionnaire adapted for Dentists (HAQD) and the number of days of absenteeism. Results. VAS scores did not significantly differ between the two groups at the beginning of the study but were significantly lower at final assessment. HAQD scores were significantly lower at one-year and two-year assessments in Group 1. The number of days of absenteeism did not differ significantly between the two groups at the initial assessment. Nevertheless, the number of days of absenteeism was significantly higher for Group 2 patients at the end of the study. For increased values of the visual analogue scale at the beginning and at the end of the study, the significantly increased numbers of days of absenteeism and of health assessment questionnaire scores were associated. Conclusions: Improvements of functional parameters and increase in work productivity were recorded in dentists who followed physical therapy.
Due to aging of the population and the desire of people to maintain the best possible mobility, the demand for hip replacement is increasing. As a result, personalization of physical therapy after surgery is needed to achieve the best possible outcomes. However, patients undergoing hip replacement surgery often have additional factors, such as advanced age and obesity, which may hinder the process of rehabilitation. The aim of this study was to review the need and recommendations for personalized physical therapy before and after hip replacement surgery in patients with co-morbid factors such as advanced age and obesity. The research literature emphasizes the importance of effective recovery following hip replacement surgery. Older patients may require prolonged postoperative rehabilitation due to the type of surgery, muscle weakness or cognitive dysfunction. Proprioception and balance disorders may benefit from training on an unstable surface aimed at learning safe falling and getting up after a fall. Weakened gluteal muscles which may be present in the elderly and obese may benefit from strength training in the preoperative period. Excessive exposure of the elderly and obese to thromboembolic complications necessitate the inclusion in rehabilitation programs of exercises based on active ankle movement.
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