Marek Jóźwiak

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An interdisciplinary European group of clinical experts in the field of movement disorders and experienced Botulinum toxin users has updated the consensus for the use of Botulinum toxin in the treatment of children with cerebral palsy (CP). A problem-orientated approach was used focussing on both published and practice-based evidence. In part I of the(More)
BACKGROUND Two-dimensional (2D) measurements of acetabular morphology and orientation are well known; there is less information on these acetabular characteristics in three dimensions. One important reason is the lack of standardized reference planes for the pelvis, especially in relation to the spinopelvic unit; another is that no method precisely assesses(More)
The study presents the long-term results of operative treatment of spastic subluxation and dislocation of hip joints in cerebral palsy children with open reduction and pelvic transiliac osteotomy by Dega. The subjects were 25 patients (30 hips) and the follow-up lasted from 3 to 25 years (average 12 years). Final examinations were carried out after the end(More)
BACKGROUND Although botulinum toxin is a well-established treatment of focal spasticity in cerebral palsy, most trials have been small, and few have simultaneously assessed measures of muscle tone and clinical benefit. METHODS Global, randomized, controlled study to assess the efficacy and safety of abobotulinumtoxinA versus placebo in cerebral palsy(More)
The purpose of this article was to present the etiologic factors involved in the nonprogressive, early brain damage that leads to cerebral palsy. Progress in the diagnostics and management of postural and motor function disabilities are described. A major contribution to this progress was made by improved understanding of the neurophysiological basis of(More)
BACKGROUND Authors present and compare early and late results of treatment of spastic hip dislocation in cerebral palsy patients. MATERIAL AND METHODS We analyzed a group of 77 patients (109 hips) with hip joint dislocation (MP>80%). The patients were divided into two groups: <3 years of follow-up vs. > 3 years of follow-up. The first group thus included(More)
PURPOSE Pain is a serious complication associated with hip dislocation in cerebral palsy (CP), limiting patient independence and quality of life. This study aimed to determine the frequency of pain in severe CP patients with hip dislocation and to reveal factors associated with the hip pain. METHODS Seventy-three consecutive new-intervention CP patients(More)
This study compared radiologic and ultrasonographic methods of evaluation of patella position. The radiologic examination was based on the evaluation of Insall and Salvati's index (I-S index), whereas the ultrasonographic examination was based on the determination of analogous coefficient called the patellar tendon-patellar coefficient (T-P coefficient).(More)
BACKGROUND Hippotherapy has been shown to produce beneficial effects by improving the most difficult motor functions, such as sitting, running, jumping, coordination, as well as balance and muscle strength in children with motor developmental delays. The aim of this study was to analyze the effect of hippotherapy on spatiotemporal parameters of gait in(More)
PURPOSE The principles of conservative management of neuromuscular scoliosis in childhood and adolescence are presented. METHODS Analysis of personal experience and literature review. The topic is discussed separately for patients with flaccid or spastic paresis. RESULTS These demonstrate that conservative management might be proposed for patients with(More)