European Journal of Clinical and Experimental Medicine T.15, z. 3 (2017)
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- PozycjaAssessment 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, AndżelinaHip 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.
- PozycjaCare and nurture patient with Multiple Sclerosis, mechanically ventilated at home – a case report(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Krupa, SabinaMechanical ventilation at home is one of the methods of treatment of respiratory failure, but it is not yet widespread in Poland. Domestic ventilation can increase quality of life of patients who can remain at home under the care of a therapeutic team. Multiple sclerosis is one of the diseases that require mechanical ventilation. This disease, leds in many cases to respiratory failure. Here, we describe a case of the patient who has suffered from multiple sclerosis for 23 years and is now mechanically ventilated at home. The paper presents the current state of the patient, problems that affected her and her family, and what changes have occured since the time of her diagnosis with MS.
- PozycjaA renal abscess in the isthmus of horseshoe kidney(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Balawender, Krzysztof; Orkisz, Stanisław; Biela, Przemysław; Sęk-Mastej, AnnaHorseshoe kidney (HSK) is the renal fusion anomaly caused by disturbances in embryonic development when the kidneys are fused together in the lower or upper pole forming an isthmus. The most common disorders in urinary tract related to horseshoe kidney are ureteral pelvic junction obstruction, urinary tract infection and urolithiasis. In our study, we present a rare case of an abscess in the isthmus of horseshoe kidney after extracorporeal shockwave lithotripsy on the right kidney was performed. The patient has had recurrent urolithiasis and underwent 4 treatments on the left kidney in the past without complications.
- PozycjaReview of surgical techniques for the reconstruction of the maxillofacial region used in the Department of Maxillo-Facial Surgery in Rzeszów(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Frańczak, Jan; Pakla, Paweł; Brodowski, Robert; Stopyra, Wojciech; Burdzy, Danuta; Lewandowski, BogumiłPostoperative reconstruction of tissue loss within the head and neck after extensive resections due to malignant neoplasms or traumas has always been a challenge for maxillo-facial surgeons or ENT physicians. Due to the complex anatomical structure of the head and neck region, every patient requires an individual approach and there is no standard method of management appropriate for all patients. The number of patients treated for malignancy is increasing year by year. The possibility of performing extensive resections in the head and neck region are conditioned by appropriate reconstruction. Aim. The aim of the paper is to present the reconstructive methods used in the Clinical Department of Maxillofacial Surgery, F. Chopin Hospital No. 1 in Rzeszow. A short review of the most commonly used flaps is presented, taking into account their advantages, disadvantages and surgical technique in terms of their usefulness in daily clinical practice.
- PozycjaComplex relationships between endocrinopathies and obstructive sleep apnea syndrome(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Szymańska, Monika; Mizerski, Grzegorz; Kiciński, PawełSleep-related disordered breathing (SRDB) is a term covering a heterogeneous group of conditions with a similar clinical picture yet different pathogenesis. Nocturnal episodes of obstructive apnoea, leading to repeated periods of desaturation and re-oxygenation, activate chemoreceptors and increase the activity of the sympathetic as well as renin-angiotensin-aldosterone system. Moreover, the generation of free radicals and proinflammatory cytokines increases. All the above mentioned disturbances interfere with the function of endocrine glands. On the other hand, many endocrine disorders are associated with an increased risk of obstructive sleep apnoea syndrome (OSAS). In this paper, we discuss relationships between selected endocrinopathies and OSAS.
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