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EN
Introduction. Post-traumatic epilepsy develops as a complication of a serious craniocerebral trauma, frequently an open head injury, resulting in neurological impairments. Aim. The study was designed to discuss problems associated with sensory integration dysfunction observed in a seven-year old girl with epilepsy which occurred as a result of craniocerebral injury. Description of the case. The case study is based on information gained from the girl’s medical records, an interview with her guardians and a sensory function questionnaire. Additional examinations assessed the girl’s balance control, and her functional performance according to Barthel scale. The girl received a three-week sensory integration therapy which included exercise involving tactile, vestibular and proprioceptive stimulation, as well as balance exercises and self-care training. Conclusions. In this particular case, application of sensory integration therapy produced beneficial results. The findings show improvement in balance, coordination as well as self-care.
EN
The paper reflects on the results of a comparative analysis conducted in two collaborating youth detention centres: Jugendhilfezentrum Leinerstift in Grossefehn, Germany and the Racibórz Youth Detention Centre in Poland. To obtain research data, the authors visited the two detention centres. The collected data include:  the beginning and the development of the 15-year cooperation between the two centres;  the similarities and differences in the applied pedagogical methods;  favourable changes in rehabilitative treatment during cooperation between the analysed centres;  periodic exchanges of the Polish and German youth under rehabilitation;  the participation of Polish and German teachers and scholars in conferences and trainings. The multiaspectual comparative analysis of the functioning of the Polish and German rehabilitation centres broadens our practical and theoretical knowledge of comparative pedagogy. The mutual contacts of the teachers and the youth facilitate the process of eliminating prejudices and promoting genuine friendship and tolerance.
EN
Introduction: Breast cancer is the most common malignant tumor in women in the Polish region. Surgery is a basic method of breast cancer treatment. Surgery often carries a lot of unwanted changes as follows: limitation of mobility in the shoulder joint on the operated side, secondary lymphoedema, post mastectomy pain syndrome (PMPS), reduction of muscle strength or disorders in body posture. Therefore, the implementation of physiotherapeutic activities that are designed to prevent and eliminate postoperative complications seems very important. The main aim of this work was to present physiotherapeutic management in women after mastectomy based on the analysis of available literature. The physiotherapeutic process can be divided into three periods: early hospital, early ambulatory and the late ambulatory period. In the first period, active slow exercises, self-support of the upper limb on the operated side and breathing exercises on the thoracic track are used to prevent circulatory disorders, pulmonary complications, and edema. The early ambulatory period includes corrective exercises, general improvement exercises, stretching and learning of automatic massage of the upper limb of the operated side. The last period should be enriched by recreational methods of physical activity such as swimming, cycling or Nordic walking to maintain physical fitness, proper mobility of the shoulder girdle and improve the patient's psychophysical state. It is very important the patient regular continues the rehabilitation program after curing of breast cancer as well. In the case of secondary lymphoedema of the upper limb, comprehensive rehabilitation physiotherapy is used, consisting of manual lymphatic drainage, healing exercises, compression therapy, and skin care. Conclusions: Physiotherapy in women after breast cancer surgery is a complex and long-term process. Physiotherapeutic methods are effective in treating complications after surgery of breast cancer surgery. It is necessary to constantly update the physio-therapy knowledge in women after breast cancer surgery.
EN
Background: This article is about the rehabilitation of a patient with kinaesthetic aphasia based on an original computer program. The program facilitates the practice of correct kinaesthetic responses in patients with impaired sensation of the configuration of the various elements of the articulation apparatus.Case description: The study was conducted on JB, a male patient with kinaesthetic aphasia following left hemisphere apoplexy. The computer-assisted therapy began in February 2006 and lasted until the end of June 2006. The article provides a detailed account of the changes in the patient's functioning resulting from the speech therapy conducted in the year 2006, and presents the results of the speech examination conducted after 33 months since its completion. The second study was performed in order to evaluate the lasting effect of the therapy.Conclusions: The results of this study have demonstrated the effectiveness of speech therapy using an original computer program for the rehabilitation of patients with kinaesthetic aphasia.
PL
For many years, there has been a tendency in Poland to organize preventive and rehabilitation activities for offenders as much as possible in environment of freedom.This results, among other things, from criticizing the penalty of deprivation of liberty, which does not fully implement the goals set for it, disappointing with its results and thus searching for more effective ways of transforming, modifying or modeling the attitudes and behaviors of socially maladjusted people. The probation officer is an important instrument of social control and social rehabilitation impact on both minors and adults. He faces new challenges resulting from socio-economic changes, and in the changing social reality, the behavior of defendants also changes. This requires the probation officer to be mindful, flexible, and respond quickly to the rehabilitation needs of supervised.
EN
Cochlear implants (CI) are surgically implanted electronic devices that enable individuals who are profoundly deaf to hear. It should be pointed out that a surgically implanted device does not provide a sense of sound totally . It does allow the deaf to recognize sounds and help to understand speech. However, after placing a cochlear implant the quality of sound is different from natural hearing and takes time to learn and recognize the memory signs. The article consists of preliminary diagnosis and stages of patient rehabilitation before and after placing CI.
EN
Introduction. Airway clearance techniques are an essential part of routine respiratory physiotherapy, enabling bronchial secretion clearance-the mucus overproduction and retaining results in lung function deterioration and disrupts effective pulmonary rehabilitation. Several mucus clearance methods are included in the physiotherapy daily routine of patients with chronic lung conditions; nevertheless, new techniques and approaches are continuously developed. Aim. Thus, this systematic review summarizes novel airway clearance techniques applied in patients with chronic pulmonary conditions. Material and methods. The PubMed, Cochrane Library, and PEDro databases were searched from 2010 to 2021, and studies were selected based on eligibility criteria. Analysis of the literature. 101 patients from five studies describing four different techniques were included. Novel techniques were non-invasive ventilation, intrapulmonary percussive ventilation, trachea vibration, and PEP-sound wave combination. Significant improvements were noted for ventilation homogeneity (NIV), saturation (NIV), respiratory rate (IPV), and diffusion capacity (VL), whereas cardiovascular function and exercise endurance did not change significantly. Conclusion. The presented methods are considered to have similar effectiveness as well-known airway clearance techniques. However, the systematic use of presented methods in routine pulmonary rehabilitation must be preceded by in-depth investigation to provide no-bias results.
EN
Introduction. The Constitution of 1997 of the Republic of Poland guarantees all citizens the equal right to healthcare benefits financed from public funds. The National Health Fund (NFZ), being the main payer in the system, is responsible for contracts with both public and private healthcare providers. Patients with healthcare insurance are entitled to guaranteed healthcare benefits in accordance with the current medical knowledge within the limits of NFZ funds available. The aim of the thesis is to analyze the availability of the guaranteed healthcare benefits in medical rehabilitation in the Podkarpacie province. Materials and methods. The research includes information and data on amounts of money for healthcare contracts related to medical rehabilitation in the Podkarpacie province from July 1, 2014 to June 30,2017. The information is posted on the website of the Rzeszow Podkarpacie Branch of The National Health Fund. Results. The analysis conducted indicates that in the Podkarpacie province there are significant statistical differences in the distribution of funds for ambulatory physiotherapy and medical rehabilitation care in individual districts. Conclusions. It is necessary to increase investment funds and a change in the distribution, increasing access to rehabilitation to those in need
EN
Rehabilitative modalities such as incentive spirometry and physiotherapy interventions, e.g. aerobic exercises, have been shown to produce positive outcomes in patients with sickle cell disease (SCD). Hemispheric CVA and other complications arising from SCD are amenable to physiotherapy. There have been few studies on the effectiveness of physiotherapy in the management of individuals with SCD. The present study attempts to assess the SCD-related knowledge, attitude and level of participation of physiotherapists in the Nigerian healthcare system. It also examines a possible association between the foregoing and practice settings. The study was carried out among physiotherapists in South-West Nigeria registered on professional e-platforms. The respondents filled in an adapted electronic version of a questionnaire. The IBM SPSS 20 was used for statistical analysis, and a chi-square test was used to determine an association between the levels of knowledge, practice settings, and participation among the respondents (p < 0.05). The study findings revealed that only 19% of respondents had received a specific training related to the care of SCD patients, although 65% had been involved in the treatment of at least one patient with SCD. Only 29.5% of respondents had “Good Knowledge” of SCD pathophysiology. A statistically significant association (χ2 = 75.357, p = 0.012) was found between respondents’ level of knowledge and their practice settings, i.e. a teaching hospital mostly. The physiotherapists from the Nigerian South-West,mostly those working in teaching hospitals, reported an average level of knowledge of SCD care. Since the management of sickle cell disease is of multidisciplinary character and requires an all hands-on deck approach, controlled trials should be undertaken by physiotherapy researchers regarding the effects of modalities and interventions on pro-inflammatory bio-molecules.
XX
Introduction: Stress urinary incontinence (SUI) is a troublesome and embarrassing problem for many people. It is five times more common in women than in men. Although the ailment can be treated, prevention is of the highest importance. Dissemination of the knowledge of prevention and rehabilitation would contribute to the improvement of life quality among women at risk of SUI. Purpose: Assessment of women’s attitude towards prevention and rehabilitation of SUI. Materials and methods: The study was performed in a group of 280 women treated in the Department of Gynecology and Oncological Gynecology, University Hospital in Bialystok. A proprietary questionnaire was used for data collection. Conclusions: Women with SUI have poor knowledge of its preventive measures. Health-promoting actions in the field of prevention and rehabilitation of SUI should become intensified, which requires more substantial involvement of nursing staff.
EN
The study focuses on a critical analysis of the rehabilitation model implemented in the context of the sentence of imprisonment. Opposite the indicated form of judicial enforcement of sentence lies social work. Realistically perceived process of execution of the penalty should assume the initiation of activities related to social empowerment of prisoners, prevention of deterioration of their social skills and provision of contact with the outside world. From this perspective, a personalized social rehabilitation should be treated as a rather ineffective undertaking.
EN
The article presents numerous problems of veterans and their families which they face after their participation in peacekeeping missions. Despite a significant improvement in their life conditions, medical support, psychological and social rehabilitation they continue to have problems which cause unnecessary tension and conflicts.
EN
The article discusses another approach to the perception and understanding of disability and rehabilitation as well as to disabled persons themselves. Our discussion set in the context of life-span psychology makes it possible to combine several areas such as development, development support, disability, and rehabilitation in a common semantic space. This theoretical method, resulting from natural notions, may help us change how disabled persons are perceived, that is, only through their defi ciencies. Life-span psychology enables one to approach disabled people by treating their rehabilitation as a living process that supports their development.
EN
Patients aged above 60 represent a very diversified population group with respect to their health condition. This may result from multimorbidity. In the rehabilitation process of elderly patients it is especially crucial to identify not only the underlying diseases which constituted the grounds for referral to the rehabilitation clinic, but also the comorbidities that have to be taken into consideration while planning their rehabilitation. The aim of the present paper is the assessment of comorbidities in patients of the rehabilitation clinic. The study population included 1616 patients (447 man and 1169 women) treated at the rehabilitation clinic. The factors put through analysis were the age and gender of the patient, the main diagnosed (underlying) illness subject to rehabilitation treatment, as well as comorbidities. All diseases, both the underlying conditions and the comorbidities have been classified according to the International Statistical Classification of Diseases and Related Health Problems (10th revised edition). The main reasons for the treatment at the rehabilitation outpatient clinic were arthrosis of the spine, knee and hip joints, polyarthritis, osteoporosis, diseases of the central nervous system diseases and paralytic syndromes as consequences of strokes, hypertension or atherosclerosis, as well as post-traumatic conditions. The most frequent comorbidities occurring in patients of the rehabilitation clinic were cardiovascular diseases (irrespective of the age group and the underlying disease). In the age group of 60-64, the subsequent comorbidities were gastrointestinal and cancers, and in the age of 65-74, neoplasms were the most frequently occurring comorbidities. The performed analysis resulted in the following conclusions: The majority of patients diagnosed and treated at the rehabilitation centre suffered from irregularities in the muscular, articular and skeletal system or the connective tissue (those were mainly the arthrosis of the spine, hip and knee joints as well as osteoporosis). The most frequently observed comorbidities in patients of the rehabilitation clinic were cardiovascular and gastrointestinal diseases, as well as neoplasms.
XX
Parkinson's Disease (PD) is the second most common neurodegenerative disease. Symptoms relate to the movement and cognitive sphere; they have a negative impact on the quality of life of people suffering from PD. Pharmacotherapy and rehabilitation slow the progression of the disease. The aim of the work was to determine the impact of physical rehabilitation on the level of social relations in the context of the quality of life of people with PD. 47 people with idiopathic PD were involved in the study, all were in the second stage of the disease according to the Hoehn & Yahr scale. The Courage Social Network Index (CSNI) was used to assess social relations. The scales: Quality of Life in Parkinson’s Disease 39 (PDQ-39), Medical Outcomes Study 36-item Short-Form Heath Survey (SF-36) and Parkinson’s Disease Quality of Life Questionnaire (PDQL) were applied in order to evaluate the quality of life of patients The subjects were divided into two groups: research and control. The research group took part in a rehabilitation program two times a week for 45 minutes for three months. The control group did not participate in any form of physical rehabilitation. The results of the research showed a significantly higher level of social bonds as well as quality of life of people with PD participating in physical rehabilitation. At the same time, a higher level of correlation between the level of social bonds and the level of quality of life was found in the research group. Therefore, the positive impact of physical rehabilitation on the level of social bonds and the quality of life of people with PD constituted the conclusion of the work.
EN
One of the forms of rehabilitation is social work. Activities for the benefit of other people not only allows for the formation of pro-social attitudes, but also enhances one’s sense of worth and gives meaning to one’s life. Of particular importance in the context of crystallization of civil society is voluntary work. Although widely applied in Poland for many years now, voluntary work has gained its contemporary meaning after 1989 and since then has been implemented mostly, but not exclusively, in the third sector. These days, the major Polish cities form Regional Volunteer Centers that encourage activities for other people on many levels. Voluntary work is regulated by law and moral standards, which define the range and forms of this type of activity.
EN
Without prejudice to numerous institutions organized in the best possible way, nothing affect interpersonal relations as much as individual, empathic and intimate contact with other human being does. The greatest help in case of any challenge is the support of another person followed by an institution. The similar thesis was put forward but A. Zurek who claimed that people comprise the most important link in the process or rehabilitation, both those who provide care and those who receive it. When people face the fact of disability so called first circle of support seems to play a major role in dealing with the experience. Its purpose is to provide specific type of support aimed at creating measures to overcome negative consequences of the disability. Social support includes care, trust, respect (emotional support), expressing acceptance, encouragement and understanding. The purpose of this article is to show the importance of human assistance as a crucial component of social and proffessional rehabilitation of people with disabilities.
EN
The author, based on the available literature and his own professional experience in the police service, analysed the state of the penitentiary policy applied to convicts. He took into account and characterized the background of the activities performed as part of the execution of the imprisonment sentence in the People's Republic of Poland until 1989 and the solutions applied after the systemic transformation, indicating the status of the convict within the framework of rehabilitation procedures. He presented solutions in the area of social rehabilitation of prisoners and the possibility of their return to social life. In addition, he referred to the sociological basis of social rehabilitation as part of supervised freedom.He took into account and characterized the background of the activities performed as part of the execution of the imprisonment sentence in the People's Republic of Poland until 1989 and the solutions applied after the systemic transformation, indicating the status of the convict within the framework of rehabilitation procedures. He presented solutions in the area of social rehabilitation of prisoners and the possibility of their return to social life. In addition, he referred to the sociological basis of social rehabilitation as part of supervised freedom.
XX
This paper presents the results of a study into somatic development and physical fitness among schoolgirls with mild intellectual disabilities and their able-bodied peers. Comparative analysis of the height and weight of the children was carried out, and results from 60m and 600m runs, long jump, palant ball throw and medicine ball throw were obtained. Analysis of the data, which were collected from 2012 to 2015, revealed no statistically significant differences in somatic development and physical fitness between schoolgirls with mild intellectual disabilities and their able-bodied peers, who constituted a control group. The results obtained indicate that there is a possibility of integrating schoolgirls with this type of disability with their ablebodied peers during physical education lessons and school sports competitions. A comparative study involving team sports would be very important for school practice.
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