Search PubMed⌕ Search

Biomedical subjects

A Kwolek

Publications and source records attributed to A Kwolek.

15 recordsLinked to original sources
PubMed1992

[Use of biological vicarious biofeedback in the rehabilitation of patients with brain damage].

The mechanisms of feedback not controlled by our consciousness play an essential role in the functions of the central nervous system in the process of programming of activities, behaviour and control of these functions. In case of deviations or errors of activities the possibility of their immediate correction exists. Brain damage after trauma or caused by tumour disturbs these normal feedback mechanisms producing very varying symptom complexes. In such cases it is advantageous to introduce vicarious feedback based mainly on visual and auditory afferentation. The authors present own original methods used in the rehabilitation of such patients using vicarious feedback with elbow crutch with light and sound signalling in walk learning, and platform for attitude stability exercises. The earlier obtained results of rehabilitation by this method in a large group of patients after stroke, and preliminary observations of patients after trauma and after tumour operations justify recommendation of the method.

Adult↗
PubMed1970

[Sirenomelus].

Explore the source record for details and available documents.

Bone and Bones↗
PubMedDate not supplied

[Rehabilitation after stroke in patients with diabetes mellitus].

Diabetes mellitus is not only one of the fundamental risk factors for stroke, but it may also constitute a significant impediment and limitation of rehabilitation process in diabetic patients after stroke. Insufficiently controlled diabetes or insufficient insulin therapy inadequately carried out, especially during the period of acute cerebrovascular complications, may increase the risk of repeated stroke or increase the size of ischaemic area. In patients suffering from diabetes the course of stroke is more severe, cerebral oedema appears more often and mortality is higher. In the present paper methods of rehabilitation and results achieved in a group of patients with stroke and a group of patients with stroke and diabetes mellitus are described, as well as effects of rehabilitation in both those groups. Fifty one (20%), out of 251 patients with cerebral stroke in the past who were rehabilitated in a Rehabilitation Department in 1997, had diabetes mellitus lasting, on average, 21 years. Individual rehabilitation programme for each patient was arranged collectively, taking into consideration restrictions necessary in the course of diabetes, including education of patients. Multidirectional assessment of initial condition and condition after termination of the rehabilitation was carried out taking into consideration the scale of lesions (the Brunnstrom stages), functional scales and the quality of life index (the Barthel index). More objective parameters, i.e. the index of symmetry of loading of lower extremities and walking speed, were also applied. All the patients with both stroke and diabetes mellitus completed the planned rehabilitation programme, although the initial condition of patients with concomitant diabetes was worse than that of patients with stroke only, as far as most of the applied parameters of assessment were concerned. Also improvement achieved in diabetic patients was not observed in each of the parameters examined and differed from that achieved in the group of patients with stroke alone. We found, that in-hospital rehabilitation of patients with stroke and concomitant diabetes mellitus (even long lasting) resulted in a measurable and significant improvement of their condition evaluated multidirectionally, and that diabetes mellitus coexisting with stroke is not a contraindication to in-hospital rehabilitation. In patients with concomitant diabetes mellitus significant disturbances of during the rehabilitation were not found course diabetes mellitus. However they all required meticulous care and monitoring of carbohydrate metabolism, and the average time of their hospitalisation was longer by about 3 days.

Adult↗
PubMedDate not supplied

[Evaluation of the condition of patients with post-stroke hemiplegia and the progress in their rehabilitation].

The authors describe a method of documentation for assessing the condition of the patient on the basis of own experiences with over 1200 patients after stroke and a review of the pertinent literature. In a comprehensive evaluation of the condition of the patient after beginning of rehabilitation treatment and after its completion the participants were: the attending physician, a neuropsychologist, a kinesitherapeutist and a logopedist. All aspects having an influence on the functional state were taken into consideration: motor ability, contact with the surroundings, psychic state, sphincter control, cardiovascular efficiency, ventilatory efficiency, sensory function, general functioning. This method makes possible a reliable, objective and comparable documentation to be obtained, which facilitates assessment of the progression in treatment and the methods used in the treatment.

Cerebrovascular Disorders↗