Introduction: Rheumatoid arthritis (RA) is a chronic and progressive inflammatory process resulting in the destruction of articular and periarticular tissues and leading to the development of functional impairment, permanent deformities and disability. RA affects approximately 1% of the global population and is more common in women than men. Aim: To assess the effects of physical therapy in RA patients. Material and Methods: The study assessed 21 patients with stage III/IV RA. They were managed with physical therapy, including thermotherapy, electrotherapy, laser therapy, magnetic field therapy and light therapy. The data collected in the study were statistically analysed. Results: After treatment, all study patients showed pain reduction, improved well-being, reduced duration of morning joint stiffness, improved ranges of motion in the joints and a better quality of life. Conclusions: 1. Rheumatoid arthritis is a difficult clinical and social problem. 2. The physical therapy used in the study reduced the pain experienced by the patients and the duration of morning joint stiffness and improved the ranges of motion and quality of life. 3. Physical therapy and rehabilitation constitute the main method of treatment of this disorder.
Introduction: Cerebral palsy / MPD/is a motor and postural disorder caused by permanent brain damage that occurred at an early stage of development. Cerebral palsy is the most common cause of disability in children. The aim: To present cerebral palsy as a clinical problem and to outline the importance of physiotherapy in the treatment of cerebral palsy patients. Materials and methods: The study included 67 children with cerebral palsy (mean age was 9 years) treated and followed up for 6 months at the “Górka” Orthopaedic and Rehabilitation Hospital in Busko Zdrój. The clinical presentation was dominated by manifestations of motor and postural abnormalities resulting from upper motor neuron and corticospinal tract damage. A diagnostic survey was used as the research method. The physiotherapy and rehabilitation used in the patients consisted of kinesiotherapy (usually Bobath/NDT) and physical therapy procedures (magnetic stimulation, laser therapy, LED light therapy). The study used a survey questionnaire that collected information about problems with everyday life and functioning of cerebral palsy patients and opinions about their rehabilitation programme. Results: Follow-up data were analysed in patient groups, which were created based on the method of ambulation in children with cerebral palsy. The results emphasise the role of physiotherapy in the rehabilitation of cerebral palsy patients. Systematic motor rehabilitation contributed to an improved physical fitness and better everyday functioning. Parents of children walking with aids reported having problems with access to specialist healthcare, which resulted from the fact that they did not live close enough to an appropriate centre. Parents of non-ambulatory patients reported that they lacked financial means and parents of children who were able to walk unassisted complained of long waiting times for rehabilitation. Conclusions: 1. MPD is a difficult clinical and social problem. 2. Physical improvement procedures is an essential element in the treatment of this group of patients.
Introduction: Autism is a pervasive developmental disorder characterised by abnormal development in the first two years of life and impairment with respect to the following three areas: social interactions, communication, and behaviour. The disorder is more common in males than females. The aim: The study was conducted to assess the effects of sensory integration therapy on selected fitness skills in autistic children. Material and methods: The study assessed a group of 20 children (15 boys and 5 girls) aged 3 to 10 years. All children were diagnosed with autism and underwent 2-year therapy. The children showed impaired sensory modulation with abnormal stimulus reception and processing in the tactile, auditory, vestibular (balance), olfactory, and gustatory sensory systems. The study assessed fitness skills and their correlations with sensory integration therapy used in the children. The assessment used the Sensorimotor Development Questionnaire developed by Zbigniew Przyrowski and selected tests from “Obserwacja Kliniczna” as well as history-taking conducted with the parents. The following aspects were analysed: muscle tone, static balance, dynamic balance, jumping on two legs, jumping on one leg, catching and throwing a ball, and self-care activities, such as putting on shoes. Results: Sensory integration therapy contributed to an improvement in motor, sensory, cognitive, emotional, communication, and social development in the study patients. Conclusion: The use of sensory integration effectively supports sensory processes in autistic children.
Schwartz-Jampel syndrome (SJS) is a rare genetic disorder characterised by myotonia and bone dysplasia. It is inherited as an autosomal recessive trait and caused by mutations in the gene encoding perlecan (HSPG2). Its symptoms include muscular stiffness and hypertrophy. The aim of the study was to analyse the clinical presentation as well as the physical therapy and rehabilitation in a patient with SJS. A 16-year-old patient with SJS has been followed up by the authors for the last 2 years. We assessed the physical therapy and rehabilitation conducted at home and presented the possibilities of an extended programme that can be implemented at the multi-field Division of Physical Medicine. Patients with SJS represent an extremely difficult clinical and therapeutic problem. StreszczenieZespół Schwartza-Jampela (SJS) to rzadka choroba genetyczna charakteryzująca się miotonią i dysplazją kostną. Choroba dziedziczona jest autosomalnie recesywnie i spowodowana mutacjami w genie kodującym perlekan HSPG2. Wśród objawów przeważają sztywność mięśni i hipertrofia mięśniowa. Celem pracy była analiza obrazu klinicznego oraz postępowania fizykalno-usprawniającego u chorego z SJS. Chory, lat 16, z zespołem SJS był obserwowany przez autorów przez ostatnie 2 lata. W pracy oceniono postępowanie fizykalno-usprawniające prowadzone w warunkach domowych oraz przedstawiono możliwości rozszerzonego programu do realizowania w warunkach wieloprofilowego Zakładu Medycyny Fizykalnej. Przypadek zaprezentowano ze względu na to, że chorzy z SJS stanowią bardzo trudny problem kliniczny i leczniczy.
The aim: To assess the quality of life in women after mastectomy. Materials and methods: The study included 25 women after mastectomy. The patients were aged 31 to over 50 years and were members of a breast cancer support group at the Holy Cross Cancer Centre in Kielce. During group meetings, the patients underwent rehabilitation and worked with psychologists and social workers. Results: Most women after mastectomy who underwent breast reconstruction or wore breast prostheses reported a better quality of life. Mastectomy affects ipsilateral upper limb function and causes difficulty with activities of daily living, such as cleaning, cooking, brushing hair, bathing, and dressing. Conclusions: 1. All women who rated their health as poor experienced such negative emotions as sadness, low mood, dejection. 2. Mastectomy affects ipsilateral upper limb function. 3. Breast reconstruction after mastectomy improves patient-rated quality of life. 4. Pain in the ipsilateral upper limb is considerably more common in women with a limited range of motion. 5. All women who participated in breast cancer support group meetings found support there and the time they spent together resulted in an improved quality of life.
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