Krzysztof Czernicki

Krakowskie Centrum Rehabilitacji

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Jacek Durmała

University of Silesia in Katowice

Krystyna Dobosiewicz

Katowice School of Economics

Irena Dyner-Jama

Medical University of Silesia

Maria Flak

Medical University of Silesia

Hanna Jendrzejek

Małgorzata Szota

Medical University of Silesia

Anna Jędrzejewska

Wojewódzki Szpital Specjalistyczny nr 4 w Bytomiu

Irena Baranowska

Polish Academy of Sciences

Magdalena Wilk-Frańczuk

Jagiellonian University

Justyna Bugała-Szpak

Medical University of Silesia

Cooperative Institutions

Medical University of Silesia

Górnośląskie Centrum Medyczne

Krakowskie Centrum Rehabilitacji

Jagiellonian University

University of Silesia in Katowice

Cracow University of Technology

Wojewódzki Szpital Specjalistyczny nr 4 w Bytomiu

Polish Academy of Sciences

Poznan University of Medical Sciences

Postgraduate School of Molecular Medicine

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[Developmental age idiopathic osteoporosis--diagnostics and rehabilitation].

PubMed (2002)

Krystyna Dobosiewicz Anna Jędrzejewska Jacek Durmała Irena Dyner-Jama Hanna Jendrzejek

Developmental age idiopathic osteoporosis is a rare metabolic disease, which pathomechanism is different from involutional osteoporosis. Its etiology still remains unknown. An onset of the disease is rapid, affecting previously healthy children of both sexes aged 3.5-15. A rapid loss of bone mass is especially remarkable. Clinical picture of the disease includes pain localised initially in feet, then in thoraco-lumbar section of the vertebral column, gradually progressive deformation of the longitudinal axes of limbs, gait pathology and progressive depletion of a lower limb muscle strength. The onset of the disease is non-specific. Diagnosis is possible on the basis of roentgen imaging depicting rarefaction of cancellous layer of the bone, numerous infractions of long bones and typical for osteoporotic deformation of vertebral shafts with reduction of their vertical dimension. Current research presents two-staged method of rehabilitation applied in developmental age osteoporosis. The main principle of treatment is based on increasing axial load of lower limbs in antigravitational position causing joint surfaces to be pushed together. Final stage of rehabilitation includes interval training on a moving track.

Etiology

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Quality of life of patients with adolescent idiopathic scoliosis undergoing conservative treatment

Scoliosis (2009)

M Kolebacz Jacek Durmała Krzysztof Czernicki

Materials and methods 69 adolescents, aged 10 to 18 years, were classified into two groups according to the method of treatment. 39 patients underwent Cheneau bracing and physiotherapy with the DoboMed program, and 30 were treated with physiotherapy only. All children were asked about their social, emotional and biological problems related to their illness and method of treatment. The group being treated with bracing answered a 24-point questionnaire, and the non-braced group answered a 21-point questionnaire. Each question had answer scale from 1 point (never) to 5 points (always). Results The Cheneau brace negatively affected adolescent quality of life in social and biological aspects. Most of the patients declared feeling ashamed in a school environment and experienced an uncomfortable sense of heat and pressure. Patients treated by physiotherapy only did not experience negative consequences of their illness and applied treating methods.

Idiopathic scoliosis

Conservative Treatment

10.1186/1748-7161-4-s2-o69

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Faulty Posture and Style of Life in Young Adults

Studies in health technology and informatics (2008)

A Czakwari Krzysztof Czernicki Jacek Durmała

Study was aimed to determine the incidence of postural faults, level of physical activity and their possible relationship in young adults. Material included 100 subjects recruited randomly among students of Medical University of Silesia (54F aged 20–28, mean=22.9, SD=2.11 and 46M aged 20–29, mean=25.1, SD=1.86). Posture was examined according to modified Klapp protocol. For thoracic kyphosis and lumbar lordosis, values of 30°±2 were considered as normal. ATR exceeding 5° was considered as scoliosis. Physical activity was evaluated with a questionnaire, admitting 1 point for each hour of physical labour and 2 points for each hour of sport activity per week. Statistical analysis was based on the one-way ANOVA test. Postural faults were widespread in assessed group. Most common was lumbar hypolordosis (71.0%, 48.1%F and 97.8%M) and thoracic hyperkyphosis (58.0%, 53.7%F and 63.0%M). Scoliosis was observed in 54.0% (50%F and 58.7%M). Physical activity in assessed group was high, with 71% of cases (76%F and 62.5%M) within range of mean value ± 1SD. Level of activity in men was significantly higher than women (mean 20.25 vs. 6.28 points, p<0.05). Significant dependence of postural faults and physical activity was not observed. Conclusions: Young adults prefer active way of life. Postural faults are widespread among young adults. Correlation between level of physical activity and postural faults was not observed.

10.3233/978-1-58603-888-5-107

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Citations (6)

The analysis of lead, cadmium, zinc, copper and nickel content in human bones from the Upper Silesian industrial district

The Science of The Total Environment (1995)

Irena Baranowska Krzysztof Czernicki R Aleksandrowicz

Microwave digestion

10.1016/0048-9697(95)04218-p

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Wykorzystanie jakościowej i ilościowej analizy EEG dla oceny wczesnych i późnych następstw urazów czaszkowo-mózgowych u dzieci

Child Neurology (2008)

Anna Jędrzejewska Krystyna Dobosiewicz Małgorzata Szota Krzysztof Czernicki Maria Flak

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[Effect of asymmetric respiratory exercise therapy on respiratory system function; evaluation using spirometric examination in children with idiopathic scoliosis].

PubMed (2000)

Irena Dyner-Jama Krystyna Dobosiewicz K Niepsuj G Niepsuj A Jedrzejewska

Current work presents the results of spirometric examinations in 124 children aged 5 to 16 years (mean age 12.1 years) suffering from idiopathic scoliosis. Children were treated according to asymmetric respiratory exercises method applied in period of 24 days. Healthy children living in Upper Silesia industrial region were the control group. Examined scoliotic group was characterized by generally mild lung function impairment, although the values of spirometric indexes tended to deplete with time of duration and severity of the scoliosis. Especially the tendency of the forced expiratory volume in first second (FEV1) decrease was apparent, as well as maximal expiratory flows MEF50 and MEF25, in conjunction with Cobb angle increase. Slight but evident increase of forced vital capacity (FVC) and FEV1 was observed as a result of rehabilitation utilizing asymmetric respiratory exercises method.

Vital capacity

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Cerebral circulation insufficiency - correlation of CTA-visualized atherosclerotic lesions in extra- and intracranial arteries.

Medical Science Monitor (2004)

Katarzyna Gruszczyńska Jan Baron Zbigniew Zieliński Jerzy Walecki Jan Gniadek

To analyze the co-occurrence of atherosclerotic lesions in CT angiograms of extra and intracranial arteries in patients with cerebral circulation insufficiency.Extra-and intracranial CTA was performed in 70 patients with symptoms of cerebral circulation insufficiency. Co-occurrence of atherosclerotic lesions at both levels and correlation between the degree of atherosclerosis and sex, age, and clinical symptoms were evaluated. Intracranial CTA results were compared to those of the control group, which consisted of 34 subjects asymptomatic of cerebral circulation insufficiency. The usefulness of various data reconstruction techniques (MIP and MPR vs. MIP only) for the evaluation of intracranial stenosis was subjected to independent analysis by two radiologists.Concomitant occurrence of extra-and intracranial lesions was diagnosed in 56% of patients examined. A statistically significant correlation was found between the degree of stenosis at both levels under consideration (chi2=81.452; p<0.00001; contingency coefficient CC=0.733). A significant correlation was found between the development of clinical symptoms and the severity of extra and intracranial stenosis. The consistency between % representation of CTA-detected intracranial carotid stenosis, as independently analyzed by two radiologists, was higher in combined MIP &MPR than in MIP only (correlation coefficient R=0.9924, p<0.00001).There was a statistically significant correlation found between extra-and intracranial arterial stenosis in patients with symptoms of cerebral circulation insufficiency indicating that cervical and cerebral stenosis tend to occur concomitantly. Combination of MIP & MPR seemed the optimum CTA post-processing technique when evaluating the intracranial arteries.

Cerebral circulation

Cerebral atherosclerosis

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Citations (4)

Virtual Reality Rehabilitation and Exergames—Physical and Psychological Impact on Fall Prevention among the Elderly—A Literature Review

Applied Sciences (2021)

Joanna Piech Krzysztof Czernicki

The present review is aimed at the effectiveness of virtual reality (VR) and exergames in the prevention of falls among the elderly. Falls become a significant problem in the aging population and lead to psychological, social, and physical impairment. Prevention of falls is crucial to the well-being of the elderly population and is one of the challenges of contemporary rehabilitation. Recently, in view of the threat of the SARS-CoV-2 pandemic, contactless methods of rehabilitation, including telerehabilitation, appear as valuable rehabilitation tools. This review is based on the PRISMA guidelines and was carried out in five databases: PubMed, Medline, Web of Science, Scopus, and PEDro. Twenty-one randomized controlled trials, focused on the application of VR and exergames in the prevention of falls, were included. This review suggests that VR training in rehabilitation appears to be a promising complement to traditional techniques of physiotherapy to improve specific physical outcomes. VR and exergames could be considered as a complement of standard physiotherapy and its possible continuation at home for elderly. However, further high-quality studies, with carefully designed protocols and proper blinding, are needed.

Telerehabilitation

Blinding

10.3390/app11094098

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Citations (44)

Tibial nerve somato-sensory evoked potentials in idiopathic scoliosis.

PubMed (2005)

Krystyna Dobosiewicz Maria Flak Jacek Durmała Hanna Jendrzejek Małgorzata Szota

Background. For many years the etiology of idiopathic scoliosis has been a topic of interest for researchers and clinicists. Material and methods. We examined somatosensory evoked potentials from the tibial nerves (tSSEP) in 120 children with idiopathic scoliosis, of whom 40 showed abnormal results and were retested by tSSEP one year later. The progressive nature of the scoliosis was evaluated on the basis of clinical and radiological examination. This group of 40 children was divided into two subgroups: Group I, consisting of 25 children with progressive scoliosis, and Group II, consisting of 15 children with non-progressive scoliosis. The groups were cross-referenced for one-curve scoliosis (21 children) and two-curve scoliosis (19 children). These children had been treated conservatively by asymmetrical three-plane trunk mobilization using the Dobosiewicz method. Results. Of the 40 children with abnormal results in the first tSSEP examination, 70% still had pathological recordings in the second examination. 65% of this group had progressive scoliosis, as compared to only 40.8% in the entire study population of 140 children. In the follow-up x-ray we found slight but statistically significant regressio of the Cobb angle and rotation. The radiological changes had no significant relation to changes in the tSSEPs. There was no statistically significant different in quantitative pathology on the tSSEPs between progressive and non-progressive scoliosis. Conclusions. These results may be an argument in favor of the hypothesis that idiopathic scoliosis results from a dysfunction of the sensory pathways.

Cobb angle

Somatosensory evoked potential

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The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Journal of Clinical Medicine (2020)

Joanna Byra Krzysztof Czernicki

Osteoarthritis (OA) is a common health problem leading to pain, limitation in physical function, a decrease in the quality of life and disability. OA affects 60-70% of the population above 65 years of age all over the world, and is associated with a high cost of healthcare. The main method of treatment of OA, apart from pharmacotherapy and surgery, is comprehensive rehabilitation. Advances in medical technology have resulted in the possibility of using computer-assisted interventions in rehabilitation. The present narrative review is aimed at investigating the effectiveness of virtual reality (VR) in the rehabilitation of elderly patients with knee or hip osteoarthritis, including patients after arthroplasty. This literature review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was carried out in five databases: PubMed, Medline, Web of Science, Scopus and PEDro. It includes ten randomized controlled trials focused on the application of games and biofeedback in the rehabilitation of patients with knee and hip osteoarthritis. There are no conclusive reports that interventions based on VR are more effective than standard physical therapy. Moreover, evidence regarding patients after total hip arthroplasty (THA) is very scarce. The effectiveness of VR-based rehabilitation is unclear, although interventions based on VR are promising in view of pain management, postural and proprioception training. However, this evidence is not sufficient to create clinical guidelines and further high-quality studies are needed.

10.3390/jcm9082639

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Citations (55)