Biomedical subjects

V J Kitowski

Publications and source records attributed to V J Kitowski.

2 recordsLinked to original sources

PubMed1979

Rehabilitation of patients with cardiac disease and associated cerebrovascular accident.

The physician is faced with multiple rehabilitation problems when a patient with cardiac disease develops a cerebrovascular accident. This presentation outlines the recommended rehabilitation procedure used for such patients referred to the Physical Medicine and Rehabilitation Service of St. Luke's Episcopal Hospital. The implementation of combined cardiac and stroke rehabilitation is described. Controlled levels of energy expenditure are ordered and increased within the patient's improving cardiac work tolerance. The type of level of exercise prescribed will depend upon the existing neurologic deficits and degree of cardiac impairment.

Cerebrovascular Disorders↗

PubMed1975

Prosthetic fitting immediately after below-knee amputation.

Frequently surgical amputation of a lower extremity is required when gangrene develops as a result of peripheral vascular disease. This is particularly true in geriatric patients. A below-knee amputation, with refinements in the surgical procedure, and immediate rigid-cast prosthetic fitting are strongly advocated by our group. The progress of two patients treated in this manner is described. Preservation of the knee joint improves the amputee's prognosis for ambulation with a below-knee prosthesis. The rigid-cast dressing on the below-knee amputation reduces edema and postoperative pain, is of psychologic value to the patient, and permits him to stand at from one to two days postoperatively.

Aged↗