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Needle-related procedures are often a source of pain, anxiety and fear in young patients. This systematic review aimed to investigate the effectiveness of virtual reality (VR) on reducing pain, fear and anxiety in pediatric patients undergoing needle-related procedures. Pain, anxiety, fear, changes in blood pressure and heart rate as well as satisfaction were evaluated as outcomes during needle-related procedures in VR compared with standard care conditions. A meta-analysis was performed, taking into account online databases. Two authors independently conducted literature searches in December 2020. The last search was conducted in March 2021 from a total of 106 records, 7 met our inclusion criteria. One study was excluded from the meta-analysis due to insufficient data. VR was applied as a distractor during venous access. Statistically significant benefits of using VR were shown in children’s pain scores, where VR significantly decreased symptoms (n = 3204 patients, MD = −2.85; 95% CI −3.57, −2.14, for the Wong–Baker Faces Pain Rating Scale and n = 2240 patients, MD = −0.19; 95% CI −0.58, 0.20, for the Faces Pain Scale—Revised). The analysis of fear, anxiety and satisfaction scores revealed no significant differences between the conditions, as the studies were too heterogeneous to be pooled. Distraction using virtual reality may be an effective intervention for reducing pain in children undergoing needle-related medical procedures. However, further research in the implementation of VR as a distractor for children and adolescents is required, due to the limited research into this field.
Oliver Czech; Adam Wrzeciono; Anna Rutkowska; Agnieszka Guzik; Paweł Kiper; Sebastian Rutkowski. Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine 2021, 10, 3248 .
AMA StyleOliver Czech, Adam Wrzeciono, Anna Rutkowska, Agnieszka Guzik, Paweł Kiper, Sebastian Rutkowski. Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2021; 10 (15):3248.
Chicago/Turabian StyleOliver Czech; Adam Wrzeciono; Anna Rutkowska; Agnieszka Guzik; Paweł Kiper; Sebastian Rutkowski. 2021. "Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis." Journal of Clinical Medicine 10, no. 15: 3248.
A study of the literature shows the lack of data on a comprehensive analysis of eating disorders in children with neurodysfunction, which constitute a clinical subgroup with an increased risk of abnormalities in this area. Therefore, the aim of this study was to determine the relationship between the coexistence of nutritional disorders and diseases or syndromes associated with neurodysfunction based on data collected during hospitalization at a rehabilitation center for children and adolescents. A retrospective analysis was carried out in a group of 327 children and adolescents aged 4–18 years. The study group covered various types of diseases or syndromes involving damage to the central nervous system. A retrospective analysis of baseline data (age, sex, main and additional diagnosis and Body Mass Index—BMI) was performed. Two assessment criteria of nutritional status were taken into account (z-score BMI and other previously published normative values). In the study group, malnutrition was found more frequently (18.0% of the respondents) than obesity (11.3% of the subjects). Hypothyroidism coexisting with malnutrition was identified in the study group (N% = 43.8%, p = 0.011) and malnutrition with tetraplegia in the subgroup of spastic cerebral palsy (N% = 34.2 %, p = 0.029).
Justyna Podgórska-Bednarz; Lidia Perenc; Mariusz Drużbicki; Agnieszka Guzik. Nutritional Disorders in a Group of Children and Adolescents with Syndromes or Diseases Involving Neurodysfunction. Nutrients 2021, 13, 1786 .
AMA StyleJustyna Podgórska-Bednarz, Lidia Perenc, Mariusz Drużbicki, Agnieszka Guzik. Nutritional Disorders in a Group of Children and Adolescents with Syndromes or Diseases Involving Neurodysfunction. Nutrients. 2021; 13 (6):1786.
Chicago/Turabian StyleJustyna Podgórska-Bednarz; Lidia Perenc; Mariusz Drużbicki; Agnieszka Guzik. 2021. "Nutritional Disorders in a Group of Children and Adolescents with Syndromes or Diseases Involving Neurodysfunction." Nutrients 13, no. 6: 1786.
Background: Rehabilitation-oriented therapy after a stroke must continue in various forms as a life-long effort. Aim: The study investigated the impact of spa rehabilitation on the quality of life and functional efficiency in patients after an ischemic stroke at a chronic stage of recovery. Methods: The assessment was carried out in a spa resort in southeastern Poland. It involved 32 patients with strokes who participated in a three-week rehabilitation program. Three examinations were performed: upon admission, on the day of discharge and at a two-month follow-up. The quality of life and functional efficiency were assessed with the WHOQOL-BREF and Barthel Index. Results: The quality of life was significantly higher in Exam II compared with Exam I (p < 0.001), and improvement was retained at the follow-up. The Barthel scores were higher in Exam II compared with Exam I (79.84 vs. 68.59), while the differences between the scores in Exams II and III were small (p = 0.039). Conclusions: Three-week spa rehabilitation seems to favorably affect the functional efficiency and quality of life after a stroke. The effects appear to be long-term. The gender, age and time from stroke onset do not seem to impact short-term effects. However, long-term effects are related to the time from stroke onset.
Bogumiła Pniak; Justyna Leszczak; Jadwiga Kurczab; Aleksandra Krzemińska; Joanna Pięta; Agnieszka Plis; Ewelina Czenczek-Lewandowska; Agnieszka Guzik. The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports. Brain Sciences 2021, 11, 501 .
AMA StyleBogumiła Pniak, Justyna Leszczak, Jadwiga Kurczab, Aleksandra Krzemińska, Joanna Pięta, Agnieszka Plis, Ewelina Czenczek-Lewandowska, Agnieszka Guzik. The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports. Brain Sciences. 2021; 11 (4):501.
Chicago/Turabian StyleBogumiła Pniak; Justyna Leszczak; Jadwiga Kurczab; Aleksandra Krzemińska; Joanna Pięta; Agnieszka Plis; Ewelina Czenczek-Lewandowska; Agnieszka Guzik. 2021. "The Efficiency of Spa Rehabilitation in Chronic Ischemic Stroke Patients—Preliminary Reports." Brain Sciences 11, no. 4: 501.
In Poland the issue of microsomic body structure (micro-SBS) and macrosomic body structure (macro-SBS) has so far been overlooked. Up until now only a small amount of data have been published, most often as an overview of the problem. The current study was designed to investigate the co-occurrence of microsomic/macrosomic body structure (micro/macro-SBS) and congenital nervous system disorders or neurological syndromes with symptoms visible from infancy, based on essential data acquired during admission procedures at a neurological rehabilitation ward for children and adolescents. The study applied a retrospective analysis of data collected during hospitalization of 327 children and adolescents, aged 4–18 years who had been affected since infancy by congenital disorders of the nervous system and/or neurological syndromes associated with a minimum of one neurodysfunction. To identify subjects with microsomic or macrosomic body structure in the group of children and adolescents, the adopted criteria took into account z-score values for body height (z-score Ht), body weight (z-score Wt), head circumference (z-score HC), BMI (z-score BMI) and head circumference index (z-score HCI). The rates of micro/macro-SBS in the study group amounted to 7.3% and 0.6%, respectively. The findings show a more frequent co-occurrence of, as well as statistically significant correlations between, micro/macro-SBS and type of spasticity (cerebral palsy) (p = 0.024) as well as hydrocephalus not treated surgically (p < 0.001). Macro-SBS was found to more frequently co-occur with hemiplegia and hydrocephalus not treated surgically.
Lidia Perenc; Agnieszka Guzik; Justyna Podgórska-Bednarz; Mariusz Drużbicki. Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction. Scientific Reports 2021, 11, 1 -14.
AMA StyleLidia Perenc, Agnieszka Guzik, Justyna Podgórska-Bednarz, Mariusz Drużbicki. Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction. Scientific Reports. 2021; 11 (1):1-14.
Chicago/Turabian StyleLidia Perenc; Agnieszka Guzik; Justyna Podgórska-Bednarz; Mariusz Drużbicki. 2021. "Microsomic and macrosomic body structure in children and adolescents affected by syndromes or diseases associated with neurodysfunction." Scientific Reports 11, no. 1: 1-14.
Extension crosswise osteotomy at C7 (C7 ECO) was developed for the correction of forward gaze in patients with chin-on-chest deformity due to ankylosing spondylitis. A modification of cervicothoracic extension osteoclasis (C/T EO), C7 ECO replaces osteoclasis of the anterior column with a crosswise cut of the C7 vertebral body to eliminate the risks of unintended dislocation of the cervical spine. C7 ECO also eliminates the risks of C7 and T1 pedicle subtraction osteotomies (C/T PSOs), in which a posteriorly based wedge excision may lead to stretching injuries of the lower cervical roots and/or failure to achieve the exact angle of excision required for an optimal correction. Furthermore, opening the osteotomy anteriorly, as in the authors’ method, instead of closing it posteriorly, as in PSO, eliminates the risks related to shortening of the posterior column, such as buckling of the dura, kinking of the spinal cord, and stretching of the lower cervical nerve roots. Here, the authors report the use of C7 ECO for the surgical treatment of a 69-year-old man with severe compromise of his forward gaze due to chin-on-chest deformity in the course of ankylosing spondylitis. After uneventful correction surgery, the patient regained the ability to see objects, namely faces of people, at the level of his head while standing and to perform work tasks at a desk.
Andrzej Maciejczak; Andzelina Wolan-Nieroda; Agnieszka Guzik. C7 extension crosswise osteotomy: a novel osteotomy for correction of chin-on-chest deformity in a patient with ankylosing spondylitis. Journal of Neurosurgery: Spine 2021, 34, 424 -429.
AMA StyleAndrzej Maciejczak, Andzelina Wolan-Nieroda, Agnieszka Guzik. C7 extension crosswise osteotomy: a novel osteotomy for correction of chin-on-chest deformity in a patient with ankylosing spondylitis. Journal of Neurosurgery: Spine. 2021; 34 (3):424-429.
Chicago/Turabian StyleAndrzej Maciejczak; Andzelina Wolan-Nieroda; Agnieszka Guzik. 2021. "C7 extension crosswise osteotomy: a novel osteotomy for correction of chin-on-chest deformity in a patient with ankylosing spondylitis." Journal of Neurosurgery: Spine 34, no. 3: 424-429.
Occupational burnout, which is more and more commonly encountered among medical professionals and investigated by researchers worldwide, may in particular affect health care workers during the COVID-19 pandemic. The aim of the study was to assess the risk of occupational burnout among physiotherapists working actively in clinical hospitals in south-eastern Poland during the COVID-19 pandemic. The level of burnout among the studied physiotherapists was assessed using the Polish version of the Maslach Burnout Inventory by Maslach (MBI). The study was conducted from 20 March to 3 May, 2020 among physiotherapists working professionally during the COVID-19 pandemic in the south east of Poland, during which time health services related to therapeutic rehabilitation were suspended. The study was conducted among 1,540 physiotherapists with a license to practice who worked in clinical departments. Considering the inclusion and exclusion criteria, 106 physiotherapists were qualified for the study. The current findings show that during the COVID-19 pandemic physiotherapists present high burnout rates in all three dimensions: EE (Mean 32.31; CI 29.47-35.15); DP (Mean 16.25; CI 14.48-18.03); PA (Mean 26.25; CI 24.41-28.10). As for gender-related effects, higher burnout rates were observed in the male workers, compared to the females, in all three domains: EE (Men: Mean 34.70; CI 29.90-39.50 -Women: Mean 31.03; CI 27.45-34.60); DP (Men: Mean 18.78; CI 15.98-21.59 -Women: Mean 14.90; CI 12.64-17.16) and PA (Men: Mean 24.54; CI 21.32-27.76 -Women: Mean 27.17; CI 24.90-29.44). The highest burnout rates, presented by the physiotherapists working in the profession for more than 20 years, were identified in the domain of EE (Mean: 35.30; CI 30.51-40.10) and in those with 10-15 years of experience, in the domains of DP (Mean: 18.31; CI 14.89-21.73) and PA (Mean: 23.97; CI 20.13-27.81). The highest rate of occupational burnout, reflected by the scores in all three domains (EE, DP, PA), was identified in Department I -Intensive Care and Anaesthesiology Department: EE - (Mean: 40.89, CI 35.27-46.52); DP - (Mean: 21.39, CI 17.90-24.88); and PA - (Mean: 23.07, CI 20.04-26.10), compared to the other departments. The subjects who rarely participated in courses or training programs showed the highest burnout rates (EE- Mean: 33.55, CI 29.33-37.77; DP- Mean: 16.71, CI 13.99-19.43; PA- Mean: 25.45, CI 22.47-28.43). Occupational burnout during the COVID-19 pandemic is noticeable among physiotherapists working in clinical departments. The current findings show high burnout rates in all three domains: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). A comparative analysis of these findings with reference to related studies published before the pandemic shows that the burnout rates among physiotherapists may have significantly increased during the COVID-19 pandemic. However, given the scarcity of scientific evidence related to this specific problem in Poland and worldwide, it is necessary to continue research in occupational burnout affecting physiotherapists, particularly during the second wave of the pandemic, in order to gain a better understanding of the possible effects of social isolation and greater personal work-related health risks on the mental health of these medical professionals.
Bogumiła Pniak; Justyna Leszczak; Marzena Adamczyk; Wojciech Rusek; Piotr Matłosz; Agnieszka Guzik. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work 2021, 68, 285 -295.
AMA StyleBogumiła Pniak, Justyna Leszczak, Marzena Adamczyk, Wojciech Rusek, Piotr Matłosz, Agnieszka Guzik. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work. 2021; 68 (2):285-295.
Chicago/Turabian StyleBogumiła Pniak; Justyna Leszczak; Marzena Adamczyk; Wojciech Rusek; Piotr Matłosz; Agnieszka Guzik. 2021. "Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland." Work 68, no. 2: 285-295.
Microcephaly and macrocephaly can be considered both cranial growth defects and clinical symptoms. There are two assessment criteria: one applied in dysmorphology and another conventionally used in clinical practice. The determination of which definition or under which paradigm the terminology should be applied can vary on a daily basis and from case to case as necessity dictates, as can defining the relationship between microcephaly or macrocephaly and syndromes or diseases associated with neurodysfunction. Thus, there is a need for standardization of the definition of microcephaly and macrocephaly. This study was designed to investigate associations between abnormal cranial development (head size) and diseases or syndromes linked to neurodysfunction based on essential data collected upon admission of patients to the Neurological Rehabilitation Ward for Children and Adolescents in Poland. The retrospective analysis involved 327 children and adolescents with medical conditions associated with neurodysfunction. Two assessment criteria were applied to identify subgroups of patients with microcephaly, normal head size, and macrocephaly: one system commonly used in clinical practice and another applied in dysmorphology. Based on the results, children and adolescents with syndromes or diseases associated with neurodysfunction present abnormal cranial development (head size), and microcephaly rarely co-occurs with neuromuscular disease. Macrocephaly frequently co-occurs with neural tube defects or neuromuscular diseases and rarely with cerebral palsy (p < 0.05); microcephaly frequently co-occurs with epilepsy and hypothyroidism (p < 0.001). Traditional classification facilitates the identification of a greater number of relationships and is therefore recommended for use in daily practice. There is a need to standardize the definition of microcephaly and macrocephaly and to include them in ‘Human Phenotype Ontology’ terms.
Agnieszka Guzik; Lidia Perenc; Mariusz Drużbicki; Justyna Podgórska-Bednarz. Abnormal cranium development in children and adolescents affected by syndromes or diseases associated with neurodysfunction. Scientific Reports 2021, 11, 1 -15.
AMA StyleAgnieszka Guzik, Lidia Perenc, Mariusz Drużbicki, Justyna Podgórska-Bednarz. Abnormal cranium development in children and adolescents affected by syndromes or diseases associated with neurodysfunction. Scientific Reports. 2021; 11 (1):1-15.
Chicago/Turabian StyleAgnieszka Guzik; Lidia Perenc; Mariusz Drużbicki; Justyna Podgórska-Bednarz. 2021. "Abnormal cranium development in children and adolescents affected by syndromes or diseases associated with neurodysfunction." Scientific Reports 11, no. 1: 1-15.
Background: Although dog-assisted therapy (DAT) has been used for years, there is still a scarcity of research findings confirming efficacy of the method. The current study was designed to assess effects of DAT on psychomotor development of children with mild intellectual disabilities. Material and method: The study involved 60 children with mild intellectual disabilities, aged 10–13 years, divided into a group participating in a 10-month DAT program, and the control group. Four tests were applied, i.e., finger identification, postural imitation, kinaesthesia, and Bourdon-Wiersma Dot Cancellation Test. The examinations were carried out before the start and at the end of the DAT, and at a two-month follow-up. Results: The results obtained by the DAT group in all the four tests, at all the three timepoints, were not the same (p < 0.001). No statistically significant differences were found in the measurement at the end of the therapy between the DAT group and the controls. On the other hand, the DAT group achieved significantly better scores (p = 0.001 and p = 0.001), compared to the control, in the follow-up measurements two months after the end of the therapy in postural imitation and finger identification tests. Conclusions: Some of the scores achieved by the children in the DAT group improved in the measurements performed over time. Two months after the therapy ended, the children in the DAT group presented greater gains in motor planning (postural imitation test) and in the sense of touch, attention, and concentration (finger identification test), compared to the control group. Although the measurement performed immediately after the therapy did not show significant differences between the DAT group and the controls, the examination carried out at the two-month follow-up identified long-term gains in the treatment group in the domain of motor planning (postural imitation test).
Andżelina Wolan-Nieroda; Jadwiga Dudziak; Mariusz Drużbicki; Bogumiła Pniak; Agnieszka Guzik. Effect of Dog-Assisted Therapy on Psychomotor Development of Children with Intellectual Disability. Children 2020, 8, 13 .
AMA StyleAndżelina Wolan-Nieroda, Jadwiga Dudziak, Mariusz Drużbicki, Bogumiła Pniak, Agnieszka Guzik. Effect of Dog-Assisted Therapy on Psychomotor Development of Children with Intellectual Disability. Children. 2020; 8 (1):13.
Chicago/Turabian StyleAndżelina Wolan-Nieroda; Jadwiga Dudziak; Mariusz Drużbicki; Bogumiła Pniak; Agnieszka Guzik. 2020. "Effect of Dog-Assisted Therapy on Psychomotor Development of Children with Intellectual Disability." Children 8, no. 1: 13.
The current study was designed to investigate co-occurrence of absolute/relative microcephaly, absolute/relative macrocephaly and congenital nervous system disorders or neurological syndromes with symptoms visible since infancy, based on fundamental data acquired during the admission procedure at a neurological rehabilitation ward for children and adolescents. The study applied a retrospective analysis of data collected during the hospitalization of 327 children and adolescents, aged 4–18 years, affected since infancy by congenital disorders of the nervous system and/or neurological syndromes associated with a minimum of one neurodysfunction. To identify subjects with absolute/relative microcephaly, absolute/relative macrocephaly in the group of children and adolescents, the adopted criteria took into account z-score values for head circumference (z-score hc) and head circumference index (z-score HCI). Dysmorphological (x+/−3s) and traditional (x+/−2s) criteria were adopted to diagnose developmental disorders of head size. Regardless of the adopted criteria, absolute macrocephaly often coexists with state after surgery of lumbar myelomeningocele and hydrocephalus, isolated hydrocephalus, hereditary motor and sensory polyneuropathy, and Becker’s muscular dystrophy (p < 0.001, p = 0.002). Absolute macrocephaly is often associated with neural tube defects and neuromuscular disorders (p = 0.001, p = 0.001). Relative microcephaly often occurs with non-progressive encephalopathy (p = 0.017, p = 0.029). Absolute microcephaly, diagnosed on the basis of traditional criteria, is often associated with epilepsy (p = 0.043). In children and adolescents with congenital nervous system disorders or neurological syndromes with one or more neurodysfunction visible since infancy, there is variation in abnormal head size (statistically significant relationships and clinical implications were established). The definitions used allowed for the differentiation of abnormal head size.
Lidia Perenc; Agnieszka Guzik; Justyna Podgórska-Bednarz; Mariusz Drużbicki. Abnormal Head Size in Children and Adolescents with Congenital Nervous System Disorders or Neurological Syndromes with One or More Neurodysfunction Visible since Infancy. Journal of Clinical Medicine 2020, 9, 3739 .
AMA StyleLidia Perenc, Agnieszka Guzik, Justyna Podgórska-Bednarz, Mariusz Drużbicki. Abnormal Head Size in Children and Adolescents with Congenital Nervous System Disorders or Neurological Syndromes with One or More Neurodysfunction Visible since Infancy. Journal of Clinical Medicine. 2020; 9 (11):3739.
Chicago/Turabian StyleLidia Perenc; Agnieszka Guzik; Justyna Podgórska-Bednarz; Mariusz Drużbicki. 2020. "Abnormal Head Size in Children and Adolescents with Congenital Nervous System Disorders or Neurological Syndromes with One or More Neurodysfunction Visible since Infancy." Journal of Clinical Medicine 9, no. 11: 3739.
Objective To assess effects of 15 exoskeleton-assisted gait training sessions, reflected by the muscle strength of the lower limbs, and by walking speed immediately after the training sessions and at the six-week follow-up. Design Single-group longitudinal preliminary study. Setting Individuals with MS clinic at a hospital neurology ward. Participants 14 subjects, women and men aged from 36 to 61 years, with Expanded Disability Status Scale scores from 5.0 to 6.5. Interventions Exoskeleton-assisted walk training. Main Outcome Measures: Primary outcomes included dynamometric knee extensor and flexor strength (Biodex Pro4), postural balance, center of pressure displacements (Zebris FMD-S). Secondary outcomes included walking speed measured with Timed 25 Foot Walk Test and fatigue (Fatigue Severity Scale). Assessments were performed four times, i.e. prior to the start of the program, (T0), at the end of the physiotherapy without exoskeleton (T1), at the end of the exoskeleton-assisted training (T2), and at 6-week follow-up (T3). Results It was shown that at the end of exoskeleton-assisted gait training there was a statistically significant improvement in peak torque of knee extensor muscles compared to the period of exercise without exoskeleton. No statistically significant change was identified in the value of peak torque of knee flexors at T1. Likewise, the assessment at T2 showed the change in peak torque of knee flexors was not significant. The participants presented significantly faster walking speed following exoskeleton-assisted gait training, compared to T0 and T1. No improvement was found in body balance. The subjects reported lower fatigue after exoskeleton-assisted gait training, however the differences between the assessments at T1 and T0, as well as T2 and T1 were statistically insignificant. Conclusions Individuals with MS with multiple sclerosis and severe gait impairment participating in exoskeleton-assisted gait training achieved significant improvement in lower limb muscle strength and increase in walking speed, yet the effect was not long-lasting.
Mariusz Drużbicki; Agnieszka Guzik; Grzegorz Przysada; Lidia Perenc; Agnieszka Brzozowska-Magoń; Krzysztof Cygoń; Grzegorz Boczula; Halina Bartosik-Psujek. Effects of Robotic Exoskeleton-Aided Gait Training in the Strength, Body Balance, and Walking Speed in Individuals With Multiple Sclerosis: A Single-Group Preliminary Study. Archives of Physical Medicine and Rehabilitation 2020, 102, 175 -184.
AMA StyleMariusz Drużbicki, Agnieszka Guzik, Grzegorz Przysada, Lidia Perenc, Agnieszka Brzozowska-Magoń, Krzysztof Cygoń, Grzegorz Boczula, Halina Bartosik-Psujek. Effects of Robotic Exoskeleton-Aided Gait Training in the Strength, Body Balance, and Walking Speed in Individuals With Multiple Sclerosis: A Single-Group Preliminary Study. Archives of Physical Medicine and Rehabilitation. 2020; 102 (2):175-184.
Chicago/Turabian StyleMariusz Drużbicki; Agnieszka Guzik; Grzegorz Przysada; Lidia Perenc; Agnieszka Brzozowska-Magoń; Krzysztof Cygoń; Grzegorz Boczula; Halina Bartosik-Psujek. 2020. "Effects of Robotic Exoskeleton-Aided Gait Training in the Strength, Body Balance, and Walking Speed in Individuals With Multiple Sclerosis: A Single-Group Preliminary Study." Archives of Physical Medicine and Rehabilitation 102, no. 2: 175-184.
The importance of knee sagittal kinematic parameters, as a predictor of walking performance in post-stroke gait has been emphasised by numerous researchers. However, no studies so far were designed to determine the minimal clinically important differences (MCID), i.e., the smallest difference in the relevant score for the kinematic gait parameters, which are perceived as beneficial for patients with stroke. Studies focusing on clinically important difference are useful because they can identify the clinical relevance of changes in the scores. The purpose of the study was to estimate the MCID for knee range of motion (ROM) in the sagittal plane for the affected and unaffected side at a chronic stage post-stroke. Fifty individuals were identified in a database of a rehabilitation clinic. We estimated MCID values using: an anchor-based method, distribution-based method, linear regression analysis and specification of the receiver operating characteristic (ROC) curve. In the anchor-based study, the mean change in knee flexion/extension ROM for the affected/unaffected side in the MCID group amounted to 8.48°/6.81° (the first MCID estimate). In the distribution-based study, the standard error of measurement for the no-change group was 1.86°/5.63° (the second MCID estimate). Method 3 analyses showed 7.71°/4.66° change in the ROM corresponding to 1.85-point change in the Barthel Index. The best cut-off point, determined with ROC curve, was the value corresponding to 3.9°/3.8° of change in the knee sagittal ROM for the affected/unaffected side (the fourth MCID estimate). We have determined that, in chronic stroke, MCID estimates of knee sagittal ROM for the affected side amount to 8.48° and for the unaffected side to 6.81°. These findings will assist clinicians and researchers in interpreting the significance of changes observed in kinematic sagittal plane parameters of the knee. The data are part of the following clinical trial: Australian New Zealand Clinical Trials Registry: ACTRN12617000436370
Agnieszka Guzik; Mariusz Drużbicki; Andżelina Wolan-Nieroda; Andrea Turolla; Pawel Kiper. Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke. Journal of Clinical Medicine 2020, 9, 3305 .
AMA StyleAgnieszka Guzik, Mariusz Drużbicki, Andżelina Wolan-Nieroda, Andrea Turolla, Pawel Kiper. Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke. Journal of Clinical Medicine. 2020; 9 (10):3305.
Chicago/Turabian StyleAgnieszka Guzik; Mariusz Drużbicki; Andżelina Wolan-Nieroda; Andrea Turolla; Pawel Kiper. 2020. "Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke." Journal of Clinical Medicine 9, no. 10: 3305.
Purpose. The current study was designed to assess interrater and intrarater validity of cervical range of motion measurements performed with a CROM goniometer. Material and Methods. The study involved 95 healthy university students (31 males and 64 females) aged 20-24 years. Two examiners performed measurements of cervical range of motion using a CROM goniometer. The same subjects were examined again after two weeks, in the same conditions. The results acquired by one rater during the first and the second examination were compared for reproducibility, while the results obtained by the two examiners were compared to assess validity and reliability of the tool. Cronbach’s alpha was applied to determine intrarater reliability, and the values of correlations were used to assess the interrater agreement. Results. Analysis of the results showed both intrarater and interrater agreement in all the measures of cervical range of motion. The highest intrarater and interrater concordance was observed in the measure of extension. Intrarater agreement for Examiner 1 was reflected by Cronbach’s alpha=0.85, and for Examiner 2 by Cronbach’s alpha=0.89. As for the interrater agreement in the measure of extension, the value of correlation in both the first and the second measurement amounted to r=0.89. Conclusions. Measurements performed with the CROM goniometer show interrater and intrarater agreement in assessments of cervical range of motion. The CROM goniometer can be recommended for use in daily clinical practice.
Andzelina Wolan-Nieroda; Agnieszka Guzik; Paulina Mocur; Mariusz Drużbicki; Andrzej Maciejczak. Assessment of Interrater and Intrarater Reliability of Cervical Range of Motion (CROM) Goniometer. BioMed Research International 2020, 2020, 1 -8.
AMA StyleAndzelina Wolan-Nieroda, Agnieszka Guzik, Paulina Mocur, Mariusz Drużbicki, Andrzej Maciejczak. Assessment of Interrater and Intrarater Reliability of Cervical Range of Motion (CROM) Goniometer. BioMed Research International. 2020; 2020 ():1-8.
Chicago/Turabian StyleAndzelina Wolan-Nieroda; Agnieszka Guzik; Paulina Mocur; Mariusz Drużbicki; Andrzej Maciejczak. 2020. "Assessment of Interrater and Intrarater Reliability of Cervical Range of Motion (CROM) Goniometer." BioMed Research International 2020, no. : 1-8.
In Poland there is no data related to the impact of halny wind and the related environmental variables on the incidence of cardiac events. We decided to investigate the relationship between this weather phenomenon, as well as the related environmental variables, and the incidence of cardiac events in the population of southern Poland, a region affected by this type of wind. We also decided to determine whether the environmental changes coincide with or predate the event examined. We analysed data related to 465 patients admitted to the cardiology ward in a large regional hospital during twelve months of 2011 due to acute myocardial infarction. All the patients in the study group lived in areas affected by halny wind and at the time of the event were staying in those areas. The frequency of admissions on halny days did not differ significantly from the admissions on the remaining days of the year (p = 0.496). No statistically significant differences were found between the number of admissions on halny days and on the remaining days during halny months (p = 0.084). We have identified a difference in the number of admissions between days with no halny and days immediately preceding onset of halny (p = 0.001). However, no effects of the related environmental variables have been observed in the incidence of cardiac events (p = 0.866, F = 0.37). On the days with halny wind, incidence of cardiac events is similar to that on the remaining days of the year.
Andrzej Maciejczak; Agnieszka Guzik; Andżelina Wolan-Nieroda; Marzena Wójcik; Teresa Pop. Impact of Foehn Wind and Related Environmental Variables on the Incidence of Cardiac Events. International Journal of Environmental Research and Public Health 2020, 17, 2638 .
AMA StyleAndrzej Maciejczak, Agnieszka Guzik, Andżelina Wolan-Nieroda, Marzena Wójcik, Teresa Pop. Impact of Foehn Wind and Related Environmental Variables on the Incidence of Cardiac Events. International Journal of Environmental Research and Public Health. 2020; 17 (8):2638.
Chicago/Turabian StyleAndrzej Maciejczak; Agnieszka Guzik; Andżelina Wolan-Nieroda; Marzena Wójcik; Teresa Pop. 2020. "Impact of Foehn Wind and Related Environmental Variables on the Incidence of Cardiac Events." International Journal of Environmental Research and Public Health 17, no. 8: 2638.
To investigate whether a simple observational tool may be a substitute to the time-consuming and costly 3-dimensional (3D) analysis, the study applied the Wisconsin Gait Scale (WGS), enabling assessment which is highly consistent with 3D gait parameters in patients after a stroke. The aim of this study was to determine whether, and to what extent, observational information obtained from WGS-based assessment can be applied to predict results of 3D gait analysis for selected symmetry indicators related to spatiotemporal and kinematic gait parameters. Fifty patients at a chronic stage of recovery post-stroke were enrolled in the study. The spatiotemporal and kinematic gait parameters were measured using a movement analysis system. The symmetry index (SI), was calculated for selected gait parameters. The patients’ gait was evaluated by means of the WGS. It was shown that stance % SI, as well as hip and knee flexion-extension range of motion SI can most effectively be substituted by WGS-based estimations (coefficient of determination exceeding 80%). It was shown that information acquired based on the WGS can be used to obtain results comparable to those achieved in 3D assessment for selected SIs of spatiotemporal and kinematic gait parameters. The study confirms that observation of gait using the WGS, which is an ordinal scale, is consistent with the selected aims of 3D assessment. Therefore, the scale can be used as a complementary tool in gait assessment.
Agnieszka Guzik; Mariusz Drużbicki; Lidia Perenc; Justyna Podgórska-Bednarz. Can an Observational Gait Scale Produce a Result Consistent with Symmetry Indexes Obtained from 3-Dimensional Gait Analysis?: A Concurrent Validity Study. Journal of Clinical Medicine 2020, 9, 926 .
AMA StyleAgnieszka Guzik, Mariusz Drużbicki, Lidia Perenc, Justyna Podgórska-Bednarz. Can an Observational Gait Scale Produce a Result Consistent with Symmetry Indexes Obtained from 3-Dimensional Gait Analysis?: A Concurrent Validity Study. Journal of Clinical Medicine. 2020; 9 (4):926.
Chicago/Turabian StyleAgnieszka Guzik; Mariusz Drużbicki; Lidia Perenc; Justyna Podgórska-Bednarz. 2020. "Can an Observational Gait Scale Produce a Result Consistent with Symmetry Indexes Obtained from 3-Dimensional Gait Analysis?: A Concurrent Validity Study." Journal of Clinical Medicine 9, no. 4: 926.
The incidence of stroke is growing in various parts of the world and the condition most commonly affects the adult population. The purpose of the study is to provide a narrative review of papers published in the last 11 years in English and in Polish and focusing on demographic characteristics of individuals returning to work after stroke, return to work rates, length of time post stroke to return to work as well as health conditions, or personal and environmental factors associated with return to work after stroke. The study also presents the situation regarding return to work after stroke in Poland in comparison to other countries. The narrative review covers Polish and foreign literature published between 2007 and 2018. The number of records initially identified through English databases search amounted to 4,912. Five records were additionally identified through other sources (Polish databases). Ultimately 26 (21 foreign, 5 Polish) refereed publications were selected to be reviewed in this study, based on their relevance in terms of specific inclusion/exclusion criteria. The appraisal of Polish and English-language literature shows that stroke survivors' ability to return to work varies; in our country the rate being 43% and outside of Poland reaching the rate of 74.7%. Average time frames for return to work for stroke survivors include from 3 to 6 months, from 12 to 18 months and up to 3 years post stroke. One of the most frequently reported positive factors in the English-language literature is individually tailored vocational rehabilitation. There is a scarcity of studies related to return to work after stroke in Poland. The findings from studies included in this narrative review may suggest a need to improve the situation in Poland with regard to measures related to return to work after stroke, including vocational rehabilitation which is insufficiently available in Poland.
Agnieszka Guzik; Andrzej Kwolek; Mariusz Drużbicki; Grzegorz Przysada. Return to work after stroke and related factors in Poland and abroad: A literature review. Work 2020, 65, 447 -462.
AMA StyleAgnieszka Guzik, Andrzej Kwolek, Mariusz Drużbicki, Grzegorz Przysada. Return to work after stroke and related factors in Poland and abroad: A literature review. Work. 2020; 65 (2):447-462.
Chicago/Turabian StyleAgnieszka Guzik; Andrzej Kwolek; Mariusz Drużbicki; Grzegorz Przysada. 2020. "Return to work after stroke and related factors in Poland and abroad: A literature review." Work 65, no. 2: 447-462.
To examine the effects of age, time from stroke onset, gender and side of paresis in gait re-education with the use of treadmill with biofeedback, in patients with chronic stroke. The study was performed with a group of 50 patients. 10-metre walk test, 2-minute walk test, "Up and Go" test, the number of steps performed with the paretic lower limb at a distance of 10 metres, Barthel index and FIM scale were used to assess the effects of rehabilitation. The study shows that the subjects' abilities and fitness prior to the rehabilitation were not related to age, sex or side of paresis. Analysis of the impact of age, time from stroke and sex on rehabilitation outcomes showed no statistically significant correlations. On the other hand, analysis of rehabilitation results relative to the side of paresis showed that the latter factor significantly differentiates rehabilitation outcomes measured with gait velocity test - p= 0.045. Age, duration of time from stroke onset, and sex do not affect outcomes of gait re-education based on treadmill training in patients at a chronic stage post-stroke and Brunnstrom recovery stage 3-4. Side of paresis significantly differentiates rehabilitation outcomes measured with speed test. The best scores in all the performance measures before rehabilitation were identified in the group 3-6 years after stroke.
Agnieszka Guzik; Mariusz Drużbicki; Andrzej Kwolek; Grzegorz Przysada; Agnieszka Brzozowska-Magoń; Andżelina Wolan-Nieroda; Agnieszka Ćwirlej-Sozańska; Agnieszka Wiśniowska-Szurlej; Justyna Wyszyńska. Analysis of the association between selected factors and outcomes of treadmill gait training with biofeedback in patients with chronic stroke. Journal of Back and Musculoskeletal Rehabilitation 2020, 33, 159 -168.
AMA StyleAgnieszka Guzik, Mariusz Drużbicki, Andrzej Kwolek, Grzegorz Przysada, Agnieszka Brzozowska-Magoń, Andżelina Wolan-Nieroda, Agnieszka Ćwirlej-Sozańska, Agnieszka Wiśniowska-Szurlej, Justyna Wyszyńska. Analysis of the association between selected factors and outcomes of treadmill gait training with biofeedback in patients with chronic stroke. Journal of Back and Musculoskeletal Rehabilitation. 2020; 33 (1):159-168.
Chicago/Turabian StyleAgnieszka Guzik; Mariusz Drużbicki; Andrzej Kwolek; Grzegorz Przysada; Agnieszka Brzozowska-Magoń; Andżelina Wolan-Nieroda; Agnieszka Ćwirlej-Sozańska; Agnieszka Wiśniowska-Szurlej; Justyna Wyszyńska. 2020. "Analysis of the association between selected factors and outcomes of treadmill gait training with biofeedback in patients with chronic stroke." Journal of Back and Musculoskeletal Rehabilitation 33, no. 1: 159-168.
Purpose: 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. Methods: 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.
Katarzyna Bazarnik-Mucha; Sławomir Snela; Magdalena Szczepanik; Agnieszka Jarmuziewicz; Agnieszka Guzik; Olga Wolińska; Mariusz Drużbicki. Three-dimensional analysis of gait in children and adolescents with juvenile idiopathic arthritis. Acta of Bioengineering and Biomechanics 2020, 22, 1 .
AMA StyleKatarzyna Bazarnik-Mucha, Sławomir Snela, Magdalena Szczepanik, Agnieszka Jarmuziewicz, Agnieszka Guzik, Olga Wolińska, Mariusz Drużbicki. Three-dimensional analysis of gait in children and adolescents with juvenile idiopathic arthritis. Acta of Bioengineering and Biomechanics. 2020; 22 (2):1.
Chicago/Turabian StyleKatarzyna Bazarnik-Mucha; Sławomir Snela; Magdalena Szczepanik; Agnieszka Jarmuziewicz; Agnieszka Guzik; Olga Wolińska; Mariusz Drużbicki. 2020. "Three-dimensional analysis of gait in children and adolescents with juvenile idiopathic arthritis." Acta of Bioengineering and Biomechanics 22, no. 2: 1.
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.
Maria Widelak; Andżelina Wolan-Nieroda; Justyna Podgórska-Bednarz; Agnieszka Guzik. Effects of sensory integration therapy in a 7-year old child with epilepsy following craniocerebral trauma – a case study. European Journal of Clinical and Experimental Medicine 2020, 18, 67 -71.
AMA StyleMaria Widelak, Andżelina Wolan-Nieroda, Justyna Podgórska-Bednarz, Agnieszka Guzik. Effects of sensory integration therapy in a 7-year old child with epilepsy following craniocerebral trauma – a case study. European Journal of Clinical and Experimental Medicine. 2020; 18 (1):67-71.
Chicago/Turabian StyleMaria Widelak; Andżelina Wolan-Nieroda; Justyna Podgórska-Bednarz; Agnieszka Guzik. 2020. "Effects of sensory integration therapy in a 7-year old child with epilepsy following craniocerebral trauma – a case study." European Journal of Clinical and Experimental Medicine 18, no. 1: 67-71.
Due to the complexity and volume of kinematic data from 3-dimensional gait analysis, the Gait Deviation Index (GDI) was introduced as a summary measure providing a global picture of gait kinematic data, however previously it was not validated as an outcome measure in individuals after stroke. The present study investigated the concurrent validity of the GDI as an outcome measure of gait defects at a chronic stage of recovery post-stroke, through comparisons with conventional measures of gait. Those enrolled included 65 individuals after stroke and 65 healthy individuals without gait disorders, matched for age and gender. The kinematic gait parameters were measured using a movement analysis system. Walking speed, walking distance, number of steps, self-reliant mobility, cadence, step length, and single support time were evaluated. Strong correlation was found between cadence and mGDI as well as GDI for the affected leg (0.7 ≤ |R| < 0.9; p < 0.001). Moderate correlations were found between walking speed, number of steps, step length affected leg and mGDI as well as GDI for the affected leg (0.5 ≤ |R| < 0.7; p < 0.001). Low correlations were found between walking distance, self-reliant mobility, single support time affected leg and mGDI as well as GDI for the affected leg (0.3 ≤ |R| < 0.5; p < 0.001; p < 0.005). The findings confirm the concurrent validity of the GDI, but only for the affected leg and mGDI in post-stroke patients. On the other hand, the GDI for unaffected leg may be useful in efforts to identify any compensatory mechanisms developing in post-stroke gait patterns. Trial registration: anzctr.org.au, ID: ACTRN12617000436370. Registered 24 March 2017.
Agnieszka Guzik; Mariusz Drużbicki. Application of the Gait Deviation Index in the analysis of post-stroke hemiparetic gait. Journal of Biomechanics 2019, 99, 109575 .
AMA StyleAgnieszka Guzik, Mariusz Drużbicki. Application of the Gait Deviation Index in the analysis of post-stroke hemiparetic gait. Journal of Biomechanics. 2019; 99 ():109575.
Chicago/Turabian StyleAgnieszka Guzik; Mariusz Drużbicki. 2019. "Application of the Gait Deviation Index in the analysis of post-stroke hemiparetic gait." Journal of Biomechanics 99, no. : 109575.
We have observed that one in three patients admitted to the Neurological Rehabilitation Ward for Children and Adolescents due to a syndrome or disease associated with neurodysfunction is short of stature for their age. In order to identify the relationship between growth defects (short stature) and syndromes or diseases associated with neurodysfunction, we analyzed data collected during admission to the Neurological Rehabilitation Ward for Children and Adolescents. The study applied a retrospective analysis of data collected during hospitalization of 327 children and adolescents, aged 4–18 years, affected by congenital disorders of the nervous system and/or neurological syndromes associated with a minimum of one neurodysfunction. Two assessment systems were taken into account – one system traditionally applied, and another one in accordance with indications approved by the Food and Drug Administration, related to diagnosing short stature. The findings show more frequent co-occurrence of, as well as statistically significant correlations between, short stature in certain groups: operated myelomeningocele with hydrocephalus in the subgroup of neural tube defects (p = 0.029), tetraplegia in the subgroup of spastic cerebral palsy (p < 0.001), and hypothyroidism (p = 0.04) in the entire study group.
Lidia Perenc; Agnieszka Guzik; Justyna Podgórska-Bednarz; Mariusz Drużbicki. Growth disorders in children and adolescents affected by syndromes or diseases associated with neurodysfunction. Scientific Reports 2019, 9, 1 -10.
AMA StyleLidia Perenc, Agnieszka Guzik, Justyna Podgórska-Bednarz, Mariusz Drużbicki. Growth disorders in children and adolescents affected by syndromes or diseases associated with neurodysfunction. Scientific Reports. 2019; 9 (1):1-10.
Chicago/Turabian StyleLidia Perenc; Agnieszka Guzik; Justyna Podgórska-Bednarz; Mariusz Drużbicki. 2019. "Growth disorders in children and adolescents affected by syndromes or diseases associated with neurodysfunction." Scientific Reports 9, no. 1: 1-10.