Przeglądanie według Autor "Drużbicki, Mariusz"

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Analysis of dysarthria in a 55-year-old female patient with multiple sclerosis by means of an IT tool based on respiratory and phonatory examination – a case study
(Publishing Office of the University of Rzeszow, 2023-09) Warmbier, Wojciech A.; Popiel, Małgorzata; Guzik, Agnieszka; Drużbicki, Mariusz; Bartosik-Psujek, Halina
Introduction and aim. There are no available objective tools for assessing dysarthric disorders in the course of multiple sclerosis (MS). The aim of the study is to analyse a case of mixed dysarthria in a 55-year-old female patient in the course of secondary progressive MS and to present the severity of the patient’s dysarthric disorder in contrast with the control group as evaluated by means of an IT tool based on respiratory and phonatory examination. Description of the case. A 55-year-old patient was admitted to the Clinic of Neurology with the Stroke Unit due to a worsening condition in the course of MS. She was examined with an objective tool for respiratory and phonatory disorders. Her results were, then, compared to those of 24 healthy individuals from the control group, matched in terms of sex and age. Following speech parameters were analysed: phonetics of utterances, number of produced syllables per breath during the execution of individual texts, sound quality, intonation, and the total performance time of each. Conclusion. The analysed case indicates that the developed objective IT tool is a promising diagnostic method that can facilitate diagnosis and can be used in clinical practice.
Assessment of manual abilities in children with infantile cerebral palsy
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Przysada, Grzegorz; Guzik, Agnieszka; Wolan-Nieroda, Andżelina; Przybyło, Magdalena; Drużbicki, Mariusz; Mazur, Artur
Introduction. Cerebral palsy (CP) is a problem presenting multiple issues and the prevalence of this condition is quite significant. CP risk factors are mainly observed in prematurely born children as well as those affected by complications around the time of birth or during the period of mother’s pregnancy. Quite frequently CP is manifested by abnormal muscle tone, contractures and deformities, and consequently impaired fine and gross motor functions. Aim. The study was designed to examine the level of hand function, i.e. fine motor skills and to investigate whether there is a correlation between development of fine motor and gross motor functions. Material and methods. The study group included 80 children with infantile CP. In the group there were 24 cases with spastic diplegia, 36 with spastic hemiplegia, and 20 with bilateral hemiplegia. During the study the children performed Box and Blocks test, and their parents filled in Manual Ability Classification System (MACS) describing the level of fine motor function development in their children. The children were additionally asked to perform two motor tasks. The first one involved an attempt to assume position on all fours, and the other one checked the ability to assume and maintain standing position. Results. The best scores in the conducted tests were found in children with CP taking the form of spastic diplegia, and the poorest scores in MACS, Box and Blocks test as well as in motor tasks assessing gross motor function were observed in children with bilateral hemiplegia. Conclusion. The form of infantile CP affects the level of manual abilities. There is a correlation between the level of gross motor and fine motor functions development.
Assessment of mobility, body balance and risk of fractures in the elderly
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna; Wiśniowska, Agnieszka; Guzik, Agnieszka; Drużbicki, Mariusz; Sozański, Bernard
Introduction. In recent years, we have seen significant changes in the highly dynamic process of ageing amongst the population of Europe, leading to increasing life expectancy. Prolonging the life of the elderly, in which full independence and functional performance are maintained, is a challenge facing modern medicine. It is necessary to take actions to improve health and quality of life during old age. Purpose. The aim of this research is to assess the differences in mobility level and static/dynamic balance, as well as the risk of bone fractures between people aged 50 and 65 years and the elderly aged between 66 and 80 years. An analysis of the suitability of selected clinical tests is conducted to assess the above mentioned parameters. Material and methods. The study included a group of 200 randomly selected people living in Rzeszow, a city in southeastern Poland, who were aged between 50 and 80 years. All the results of the research, which ultimately involved 138 people – 103 women and 35 men – have been analysed. To assess the mobility and static/dynamic balance, the following clinical tests were used: Timed Up and Go, Functional Reach, Tandem Stance, Tandem Walk and Tandem 180° Pivot. For the assessment of fracture risk, the Fracture Risk Assessment Tool (FRAX) calculator was used, while the data were collected on the basis of direct interviews. Results. It was found that, with age, the frequency of dynamic balance, mobility disorders and the risk of bone fractures significantly increase. In a group of people aged 66 to 80 years, a decrease in the efficiency level of mobility and balance was observed in 30% of respondents on average, depending on the kind of functional test used (20-60%), in relation to people whose age did not exceed 65 years. Conclusions. It is necessary to take preventive actions, especially amongst a group of people aged over 65 years, in order to improve functional efficiency and balance, thereby reducing the risk of fractures.
Assessment of relation between gait and static balance in children with cerebral palsy
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Majewska, Joanna; Szczepanik, Magdalena; Drużbicki, Mariusz; Snela, Sławomir; Rusek, Wojciech; Sobota, Grzegorz; Nowak, Ewelina; Durmała, Jacek; Bonikowski, Marcin
Introduction. Cancer, after cardiovascular disease, is the second most common cause of death both in Poland anIntroduction. In children with cerebral palsy, gait and balance assessment allows for an objective gait pattern evaluation as well as for therapy planning and assessment. It was hypothesised that asymmetry of the lower limbs load in a standing position causes asymmetry of spatiotemporal gait parameters. Material and methods. 19 children with spastic diplegia and 20 healthy children participated in this study. 3D gait analysis was performed using the BTS Smart optoelectronic system. Stabilometric evaluation was performed using the Zebris Force Plate. Additionally, the Symmetry Index for selected gait and balance parameters was calculated. Results and conclusion. It was shown that symmetry of gait parameters and lower limb load in standing position differs significantly between the study and control groups. There was no correlation confirmed between lower limbs symmetry in standing position and symmetry of gait parameters. It was shown that 80% of children with cerebral palsy had asymmetrical gait patterns. It has also been shown that asymmetry of lower limbs load in a standing position correlates with an asymmetry of spatiotemporal gait parameters. The majority of children with spastic diplegia present asymmetrical gait patterns and asymmetrical balance parameters, but it has no influence on gait symmetry.
Assessment of the effects of Proprioceptive Neuromuscular Facilitation therapy on the improvement of motor function in a patient after total hip replacement – a case study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Guzik, Agnieszka; Szpitman, Anna; Drużbicki, Mariusz; Wyszyńska, Justyna; Wolan-Nieroda, Andżelina
Hip osteoarthritis is a serious clinical and social problem. The number of patients who suffer from degenerative changes in the hip joints and require endoprosthesis-plasty is constantly increasing. This paper presents physiotherapeutic activities based on Proprioceptive Neuromuscular Facilitation (PNF) which optimize a patient’s mobilization using the reserves in their body fully to make improvements in movement and to regain lost functions for achieving beneficial therapeutic effects. The aim of the study was to evaluate the influence of PNF therapy on changes in muscle strength, mobility, and gait pattern in patients after Total Hip Arthroplasty. The case described here regards a 63-year-old woman diagnosed with left hip osteoarthritis who had Total Hip Arthroplasty. The patient was examined twice before and after PNF therapy. The range of mobility of hip joints, level of pain, muscular strength and gait were assessed. Applied PNF therapy, including dynamic (eccentric, concentric) and static muscle training, post-isometric relaxation, stabilization and control in the stance phase, resulted in improved hip joint mobility, muscle strength, gait pattern and pain reduction in the patient. The case study demonstrates that a short (two-week) but intensive (over two hours per day) PNF therapy positively influenced selected motor functions after Total Hip Arthroplasty.
Gait velocity as a tool for evaluating the effects of gait training in patients with chronic stroke
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Guzik, Agnieszka; Drużbicki, Mariusz; Kwolek, Andrzej; Przysada, Grzegorz; Brzozowska-Magoń, Agnieszka
Background. Gait velocity is a simple but very essential parameter which may be applied as an indicator of functional efficiency. Gait of stroke patients is characterized by reduced speed. As a result, the patients have significantly limited functioning capabilities, including walking independently outside home. The study was designed to assess selected temporal gait parameters, including gait velocity, stride velocity and swing phase velocity in patients with chronic stroke following a rehabilitation program with the use treadmill. Material and method. The study was conducted in a group of 50 patients with hemiparesis in the late period after stroke. Temporal gait parameters such as: gait velocity, stride velocity and swing velocity were examined. Additionally, 10-metre walk test was measured. Results. While analyzing 10-metre walk test results it was shown that after rehabilitation gait velocity increased by an average of 0.15 m/s (p = 0.0000). Similar results were obtained in terms of gait velocity which had been assessed using a 3-dimensional gait analysis, the average gait velocity increased by 0,14m/s (p = 0.0000). Analyzing stride velocity, both the paretic and non-paretic side it was noted that after rehabilitation this particular parameter increased by an average of 0.05 m/s (p = 0.0019) and 0.06 m/s (p = 0.0052). Similar results were achieved in terms of swing velocity of the paretic side - p = 0.0017. Conclusions. It was demonstrated that rehabilitation program with the use of treadmill enabled significant improvement in gait velocity, stride velocity and swing phase velocity in patients with chronic stroke. Gait velocity is a practical and simple tool to be applied for monitoring of progress in rehabilitation and for assessing effects of gait re-education in patients with hemiplegia in a chronic stage after stroke.
Ocena przydatności wybranych skal i metod stosowanych w ocenie równowagi i sprawności fizycznej seniorów – badanie pilotażowe
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2015) Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna; Guzik, Agnieszka; Wiśniowska, Agnieszka; Drużbicki, Mariusz
Wstęp i cel pracy: Wraz z wiekiem znacząco wzrasta ryzyko upadków. Celem pracy była analiza przydatności wybranych skal i metod stosowanych w ocenie równowagi i sprawności fizycznej seniorów. Materiał i metoda: Badaniem pilotażowym objęto grupę 25 osób w wieku 60–77 lat. Do oceny sprawności funkcjonalnej wykorzystano specjalistyczny test dla osób starszych Fullerton Functional Fitness Test. Do oceny równowagi seniorów wykorzystano testy kliniczne: Up&Go Test, Functional Reach Test, Tandem Stance Test, Tandem Walk Test oraz Tandem Pivot 180° oraz pomiary na platformie stabilometrycznej Cosmogamma. Wyniki: W wyniku przeprowadzonych badań wykazano występowanie relacji pomiędzy wynikami testów klinicznych a pomiarem sprawności funkcjonalnej. Wykazano też zależność pomiędzy wynikami testów klinicznych a wynikami pomiaru długości ścieżki środka pola podparcia na platformie stabilometrycznej w staniu na jednej kończynie dolnej z oczami otwartymi. Pomimo że w literaturze istnieją doniesienia dotyczące badań nad oceną wydolności systemu kontroli równowagi seniorów, brak jest ujednoliconych procedur wskazujących, które testy i metody ilościowe oceny równowagi powinny być analizowane, aby zapewnić wiarygodność badań. Wykazano, że na podstawie wyników jednego ze wskazanych w pracy testów można przewidywać z dość dużą pewnością wyniki dla innego. Wnioski: Zastosowane w pracy testy: Up&Go, Tandem Walk, Tandem Pivot 180° i Functional Reach są wartościowymi narzędziami do jakościowej oceny równowagi w populacji osób powyżej 60 roku życia. Stabilometryczna ocena równowagi seniorów pozostaje w zależności z wynikami testów klinicznych. Konieczne są dalsze badania obejmujące większą grupę osób w celu potwierdzenia wiarygodności uzyskanych wyników.
Range of motion in the cervical spine after odontoid fracture treated with anterior screw fixation.
(2018) Wolan-Nieroda, Andżelina; Maciejczak, Andrzej; Guzik, Agnieszka; Przysada, Grzegorz; Szeliga, Ewa; Drużbicki, Mariusz
ABSTRACT Introduction It is believed that direct odontoid screw fixation preserves the physiological cervical range of motion following surgery. However, there are no clinical studies confirming the motion sparing value of this technique. Objective. (1) to assess active cervical range of motion following type II and type III odontoid fracture, successfully treated with anterior odontoid screw fixation, (2) to examine the relationship between the range of motion of the head and: (i) duration of collar usage, (ii) neck pain, (iii) quality of life, and (iv) patients’ age. Material and method. The study involved 41 patients subjected to a procedure of direct osteosynthesis of the dens with lag screw. Following the operation all the patients had to wear a cervical collar to protect the osteosynthesis. The control group consisted of 41 individuals with no clinical diagnosis of any cervical spine disorders. Spinal motion was assessed using Multi-Cervical Unit, taking into account bending/extension, left and right lateral flexion, as well as left and right axial rotation. The ranges of motion in the study group were compared to the corresponding control data. Results. Compared to the controls, the study group presented significantly lower ranges of cervical movement (p<0.001). In the study group spine mobility correlated with the duration of hard collar usage following the operation, with a longer duration corresponding to poorer spine mobility at the end of the treatment. Statistically significant correlation was observed in the case of extension (p<0.021) and axial rotation (p<0.007). In the study group there was a negative correlation between the range of motion and the patients’ age, i.e. the older the patient the poorer his/her spinal mobility (p<0.001). The strongest correlation between age and range of motion was identified in the case of lateral flexion and axial rotation (p<0.001). The findings also showed a correlation between intensity of neck pain and range of motion (most significantly in lateral flexion p<0.005) where lower range of motion corresponded to greater neck pain. Conclusions. Active cervical range of motion in patients following direct osteosynthesis of the dens, augmented with hard collar, was significantly lower than in the control population and it correlated negatively with the duration of collar usage, the patients’ age and intensity of spinal pain.
The assessment of the impact of myofascial training on postural control – a case study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Guzik, Agnieszka; Chwaszcz, Bartłomiej; Drużbicki, Mariusz; Wolan-Nieroda, Andżelina; Wyszyńska, Justyna
Introduction. A sedentary lifestyle with lack of physical activity contributes to deteriorated balance among healthy young people. Physical activity is import_ant since it stimulates neuromuscular junctions that control body posture, especially at younger age, when greater postural sway may be observed in stabilography compared to adults. Proper work of individual muscle groups is import_ant to maintain proper balance. Abnormal muscle tone can lead to dysbalances that make it difficult o maintain a stable posture in a variety of conditions. Aim. The aim of the study was to evaluate the effect of a training cycle consisting of stretching of the ilopsoas, rectus femoris, gluteus maximus, hamstring and rectus abdominis, and eccentric training of the above mentioned muscles to improve static and dynamic balance. Methods. Oobjective and qualitative-subjective were used to assess the results in a man aged 22 yrs. Postural control was tested twice in the patient with the Neurocom International Inc. SMART EquiTest device under static conditions without visual control and with dynamic visual surrounding and unstable support surface. Automatic postural reflexes were also evaluated. In addition, clinical tests were performed. Results. Myo-fascial training, which included eccentric training combined with lower limb and trunk stretching improved the postural control in the subject.
The credibility and reliability of a Biometrics
(2023-04) Leszczak, Justyna; Pniak, Bogumiła; Drużbicki, Mariusz; Guzik, Agnieszka
The paediatric version of Wisconsin Gait Scale, adaptation for children with hemiplegic cerebral palsy: a prospective observational study
(2017) Guzik, Agnieszka; Drużbicki, Mariusz; Kwolek, Andrzej; Przysada, Grzegorz; Bazarnik-Mucha, Katarzyna; Szczepanik, Magdalena; Wolan-Nieroda, Andżelina; Sobolewski, Marek
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 objective of the study is to assess the Wisconsin Gait Scale (WGS) in terms of its inter- and intra-observer reliability in observational gait analysis of children with hemiplegic cerebral palsy. The study was conducted in a group of 34 patients with hemiplegic cerebral palsy. At the first stage the original version of WGS was used to assess gait. At the second stage a modified WGS was introduced and the same video recordings were rescored using the new, paediatric version of WGS. Three independent examiners performed the assessment twice (two weeks apart). Inter and intra-observer reliability of the modified WGS were determined. The findings show very high inter- and intra-observer reliability of the modified WGS. This was reflected by a lack of systematically oriented differences between the repeated measurements, very high value of Spearman's rank correlation coefficient 0.9  |R| < 1, very high value of ICC > 0.9, and low value of CV< 2.5% for the specific physical therapists. The new, paediatric version of WGS is a promising tool to be used in qualitative observational gait assessment of children with spastic hemiplegic cerebral palsy. The findings of the study have practical value as they show feasibility of the new, affordable, easy-to-use tool for gait assessment to be used in clinical practice specifically for children with spastic hemiplegic cerebral palsy.
Three-dimensional analysis of gait in children and adolescents with juvenile idiopathic arthritis
(2019) Bazarnik-Mucha, Katarzyna; Snela, Sławomir; Szczepanik, Magdalena; Jarmuziewicz, Agnieszka; Guzik, Agnieszka; Wolińska, Olga; Drużbicki, Mariusz
Background: The paper aimed to assess the gait pattern in children and adolescents with juvenile idiopathic arthritis (JIA) treated at the rehabilitation center and to assess changes in this pattern after the end of treatment and 9 months later. Material and method: 50 children with JIA were enrolled into the study. 35 healthy volunteers were enrolled into the study for a comparison. Spatiotemporal and kinematic gait parameters were obtained using a movement analysis system. The Gait Deviation Index (GDI) was calculated. The assessment was performed three times: on the day of admission to the rehabilitation center, after the end of a 4-week treatment period and 9 months later. Results: With regard to the majority of spatiotemporal and kinematic parameters, differences in their distribution were highly statistically significant between the study group and the control group (p<0.001). In two subsequent tests differences were less significant when compared to the control group (p<0.01). In the study group ranges of motion in the sagittal plane in the hip (p<0.01), knee (p<0.001) and ankle joints (p<0.01) increased significantly between tests 1 and 2, and 1 and 3. A significantly lower value of GDI was observed in the study group (right limb; p=0.036). Conclusions: The gait pattern of children with JIA is significantly different from the one observed in healthy children. A rehabilitation program significantly improved gait in children with JIA, but differences compared to healthy children were still observed, and it indicates that the abnormal gait pattern became permanent in this group of subjects.
Wybrane metody w ocenie efektów rehabilitacji u pacjentów po udarze mózgu leczonych w oddziale rehabilitacji
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2015) Przysada, Grzegorz; Guzik, Agnieszka; Wolan-Nieroda, Andżelina; Walicka-Cupryś, Katarzyna; Drużbicki, Mariusz
Celem pracy była ocena metod stosowanych do analizy stanu pacjentów i efektów rehabilitacji w grupie osób po udarze mózgu leczonych w oddziale rehabilitacji. Prześledzono również, w jakim stopniu stosowane w badaniu skale oceny stanu chorych są ze sobą skorelowane, a tym samym wiarygodne i przydatne w ocenie efektu rehabilitacji w tej grupie pacjentów. Materiał i metoda. Badaniem objęto grupę 1124 pacjentów po przebytym udarze mózgu. Średni wiek badanych w czasie rehabilitacji wynosił 64,3 lat ± 12,6, czas od udaru 24,4 miesięcy. W ocenie stanu pacjentów wykorzystano test Brunnström, wskaźnik Barthel, sprawność ogólną oraz test Wilcoxona oraz korelacji rang Spearmana, za istotność statystyczną przyjęto p > 0,05. Wyniki. Stwierdzono po zakończeniu rehabilitacji istotną poprawę we wszystkich stosowanych miarach sprawności. Największą średnią wartość poprawy w badanej grupie uzyskano z wykorzystaniem wskaźnika Barthel (3,25). U 4,6% badanych nie odnotowano poprawy w zakresie analizowanych testów i skal, natomiast aż, u 43,4% była ona widoczna we wszystkich trzech stosowanych w ocenie stanu pacjentów miarach sprawności. Wykazano przeciętna korelację testu Brunnström z dwoma pozostałymi miarami sprawności. Wnioski. Wielokierunkowa kompleksowa rehabilitacja, prowadzona przez zespół rehabilitacyjny przynosi istotną poprawę stanu pacjentów po udarze mózgu obserwowaną we wszystkich stosowanych miarach oceny sprawności. Test Brunnström, wskaźnik Barthel, test sprawność ogólnej służące do oceny stanu pacjentów po udarze mózgu pozostają w słabej wzajemnej korelacji, co udowadnia, iż mierzą różne aspekty zdrowia człowieka. Należy jednocześnie stosować kilka różnych metod oceny stanu zdrowia, co stwarza możliwość obiektywnej i szerokiej oceny uzyskanych wyników leczenia oraz zmian zachodzących w przebiegu procesu rehabilitacji.