[Show abstract][Hide abstract] ABSTRACT: Background
Pain in the cervical spine area is one of the main health problems of inhabitants of Western Europe. The necessity of parents’ taking care of a child with physical disability is connected with parents’ exposure to the factors affecting the risk of occurrence of pain in the cervical spine.
The objective of this study was to analyse whether there are differences in the occurrence of cervical spine pain between the group of parents of children with physical disability and parents of children without a disability.
The research included a group of parents of school-aged children with physical disability (n = 47) and a group of parents of children without disability (n = 69), aged between 29 and 60 years from the Silesian Voivodeship (Poland). The people taking part in the research were asked to complete two questionnaires: Visual Analogue Scale (VAS) for the cervical spine and Neck Disability Index (NDI) questionnaire. Means, standard deviations, and ranges to compare scores across groups were calculated.
The mean VAS score among parents of children with physical disability was 4.22 (SD = 3.23) compared to 2.16 (SD = 2.31; p < .001) among parents of children without physical disability. Similarly, mean NDI scores were 19.6 (SD = 15.12) and 9.68 (SD = 8.84; p < .001), respectively.
The parents of children with physical disability are to a greater extent exposed to the occurrence of cervical spine pain. Therefore, suitable training as regards ergonomics, especially during lifting, transferring and transporting children might be beneficial to these parents.
Disability and Health Journal 10/2014; · 1.50 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Among the procedures used in the therapy of spinal pain syndromes one of the most frequently recommended is the cervical traction. The methods of performing the traction are varied.
It was decided to examine in the research whether the abduction and external rotation of the brachium, causing relaxation of the pectoral girdle muscles as well as the cervical spine, affects the quality and efficiency of traction in the patient's subjective assessment and the changes in the cervical spine range of motion.
Fifty subjects aged 20 to 42 were involved in the study, including 26 women and 24 men. The criterion of inclusion into the research project was the age between 20 and 40 years and the result of questionnaire containing the NDI scale for evaluation of the degree of dysfunction of the cervical spine, ranging in value between 5 and 14 points. The admitted group of 50 subjects was randomly divided into two experimental groups. The traction of the cervical spine was performed twice in both groups by means of the Saunders device. In the first group used the traditional positing, with the upper extremities placed along the torso, was adapted as first whereas in the second group the modified position was applied, in which the upper extremities were in the external rotation in abduction and with flexion in the cubital articulation, in other words the patients placed their hands next to head. In both cases the patient was in the supine position on a therapeutic table with a support roll under the knees.
The evaluation of the cervical spine range of motion pointed, that in both position all the obtained differences proved statistical significance. The subjects taking part in the research claimed that the procedure performed by means of the traditional method was more pleasant.
No significant difference was discovered in the effectiveness of the suggested positioning of the arms during performing the traction procedure of the cervical spine. The modified position caused greater sensation of discomfort than position with traditional arrangement of the arms.
Advances in clinical and experimental medicine : official organ Wroclaw Medical University. 09/2014; 23(5):769-74.
[Show abstract][Hide abstract] ABSTRACT: Background. One of the methods of assessing the transverse abdominal muscle is ultrasonography, which visualizes its thickness and location. We set out to answer the question if the transverse abdominal muscle can always be treated as located symmetrically among the trunk structures. Material and methods. A group of 113 volunteers took part in the study. The volunteers did not experience any severe pain of musculoskeletal structures as determined by the VAS and ODI scales. The location of the transverse abdominal muscle (TRA) was determined with a Honda NS 2100 ultrasound system. Basing on original methodology, the distance between the place where the transverse abdominal muscle tendon becomes the muscle belly and the linea alba was measured. The next stage was the assessment of correlation of pain. Results. The results in the study group show a statistically significant difference in the distance between the place where the transverse abdominal muscle tendon becomes the muscle belly and the linea alba between left and right. No correlation was found between the asymmetry and pain intensity. Conclusions. 1. Differences in the distance between the transverse abdominal muscle and the linea alba on left and right side of the body were discovered in the study group. 2. No correlations were found between the presence of an asymmetry and lumbar pain in the study group.
[Show abstract][Hide abstract] ABSTRACT: Background
To date, the reliability of ultrasound imaging (USI) measures of the later abdominal muscles in children and adolescents during active straight leg raise (ASLR) test has not been confirmed.
To assess the intra-rater reliability of USI measures of the thickness and percentage thickness change of the external oblique (EO), internal oblique (IO) and transversus abdominis (TrA) on both sides of the body during the ASLR test in healthy adolescents.
Single-group repeated-measures intra-rater reliability study.
Thirty nine adolescents between the ages of 13 and 16 years.
Three repeated USI measurements were recorded in the supine resting position and during the ASLR test on 2 sessions, 6 to 8 days apart. In supine position, measurements were collected at the end of normal expiration. In the case of ASLR, measurements were collected when the person undergoing examination touched the transverse delimiter with the distal part of their lower leg, i.e., to a 30 degree flexion of the hip.
Main outcome measurements
USI of abdominal muscle thickness.
By using the mean of 3 measures, in the supine, resting position, intra-examiner reliability point estimates (ICC3.3)ranged from 0.95 to 0.97 for EO, IO and TrA. During the ASLR test, the ICC result of thickness measurements of all muscles was also above 0.90. In terms of percentage change of muscle thickness, the highest ICC3.3 result obtained for the TrA was 0.81 to 0.85, for EO ranged from 0.72 to 0.89, and the result for the IO was between 0.65 and 0.79.
USI measurements of the thickness of the EO, IO and TrA muscles at rest and during the ASLR test in healthy adolescents between 13 and 16 years of age are reliable. Because of an increase in the precision of measurements, we recommend using the mean of three consecutive measurements of the EO, IO and TrA muscles in adolescents to ensure a good reliability level. Based on three consecutive measurements, good reliability for the percentage change in the TrA thickness was achieved.
[Show abstract][Hide abstract] ABSTRACT: To date, the reliability of ultrasound imaging (USI) measures of the later abdominal muscles in children and adolescents during active straight leg raise (ASLR) test has not been confirmed.
PM & R : the journal of injury, function, and rehabilitation. 07/2014;
[Show abstract][Hide abstract] ABSTRACT: Lateral abdominal wall muscles in children and adolescents have not been characterised to date. In the present report, we examined the reliability of the ultrasound measurement and thickness of the oblique external muscle (OE), oblique internal muscle (OI) and transverse abdominal muscle (TrA) at rest and during abdominal drawing-in manoeuvre (ADIM) on both sides of the body in healthy adolescents. We also determined possible differences between boys and girls and defined any factors—such as body mass, height and BMI—that may affect the thickness of the abdominal muscles. B-mode ultrasound was used to assess OE, OI and TrA on both sides of the body in the supine position. Ultrasound measurements at rest and during ADIM were reliable in this age group (ICC3,3>0.92). OI was always the thickest and TrA the thinnest muscle on both sides of the body. In this group, an identical pattern of the contribution of the individual muscles to the structure of the lateral abdominal wall (OI>OE>TrA) was observed. At rest and during ADIM, no statistically significant side-to-side differences were demonstrated in either gender. The body mass constitutes between 30% and <50% of the thickness differences in all muscles under examination at rest and during ADIM. The structure of lateral abdominal wall in adolescents is similar to that of adults. During ADIM, the abdominal muscles in adolescents react similarly to those in adults. This study provided extensive information regarding the structure of the lateral abdominal wall in healthy adolescents.
[Show abstract][Hide abstract] ABSTRACT: The primary aim of this study was to determine the reliability of abdominal sonographic measurements in adolescents. The secondary aim was to determine whether age, sex, or body position had an impact on the reliability of abdominal muscle sonographic measurements in adolescents.
Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 06/2014; 33(6):1049-56. · 1.40 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non-commercial and is otherwise in compliance with the license. Abstract Background Many empirical data provides evidence that the correct, long combat sports training stimulates biological,
[Show abstract][Hide abstract] ABSTRACT: Deutsche Zeitschrift für sportmeDiZiN 133 ORIGINALIA LeIstuNGsspORt uNd BeweGLIchkeIt Die funktionelle Leistungsfähigkeit des menschlichen Bewegungsapparates ist ein wichtiger Faktor für das körperliche Wohlbefinden, das laut der WHO unab-dingbar zum Gesundheitsbegriff dazugehört. Untersucht wurden 171 freiwillige männliche Probanden im Alter von 30 bis 60 Jahren, dabei wurden das aktuelle und zurückliegende physische Aktivitätsniveau erhoben sowie motorische Tests zur Überprüfung der Rumpfbeweglichkeit in drei Ebenen durchgeführt. Insge-samt konnte der Einfluss regelmäßiger körperlicher Aktivität auf die motorische Leistungsfähigkeit, einschließlich der Beweglichkeit, festgestellt werden. Zudem kann man schlussfolgern, dass sportliche Betätigung in der Jugend im Allgemei-nen einen höheren Grad der Beweglichkeit in späteren Lebensjahren zufolge hat, auch unter Berücksichtigung eines aktuellen Mangels an physischer Aktivität, was wiederum auf einen möglichen "Übertragungseffekt" hinweist. Schlüsselwörter: Beweglichkeit, körperliche Aktivität, Übertragungseffekt The functional efficiency of the physical motor system constitutes one of the basic factors creating welfare which according to WHO is synonymous to health. 171 men aged 30-60 were tested. The current and past levels of physical activity were determined in the research. Measurements of the range of the torso' s three-plane mobility. An impact of a systematic physical activity on the level of the functional efficiency of the physical motor system, including suppleness, was established. The results of the research allowed the authors to conclude that doing sports pro-fessionally in youth brings about a generally higher level of flexibility in adulthood, even with a lack of physical activity, which seems to indicate the existence of the "translocation effect". einfluss von Leistungssport auf die Beweglichkeit in späteren Lebensjahren The Influence of Professional Sport on Flexibility in Adulthood
[Show abstract][Hide abstract] ABSTRACT: The functional efficiency of the physical motor system constitutes one of the basic factors creating welfare which according to WHO is synonymous to health. 171 men aged 30-60 were tested. The current and past levels of physical activity were determined in the research. Measurements of the range of the torso’s three-plane mobility. An impact of a systematic physical activity on the level of the functional efficiency of the physical motor system, including suppleness, was established. The results of the research allowed the authors to conclude that doing sports professionally in youth brings about a generally higher level of flexibility in adulthood, even with a lack of physical activity, which seems to indicate the existence of the „translocation effect”.
Deutsche Zeitschrift für Sportmedizin 05/2014; · 0.58 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background. The excessive lateral pressure syndrome is a common complication following anterior cruciate ligament (ACL) reconstruction is. It may lead to premature wear of the articular surfaces of the femur and patella. The aim of the study was to assess the effectiveness of physiotherapy in the treatment of excessive lateral pressure syndrome after ACL reconstruction. Material and methods. A total of 18 patients (4 women, 14 men) after arthroscopic ACL reconstruction were enrolled (age: 16 -54 years). The patients were randomly divided into two groups: experimental (Group E, 9 people), who attended therapy, and control (group C, 9 people). The distance between the lateral edge of the patella and the lateral condyle of femur was measured with an ultrasound scanner in both extremities. The experimental group patients attended 12 treatment sessions of the.Neurac method. A single session lasted 45 minutes. Results. The baseline examination of both groups showed statistically significant excessive lateral pressure in the operated extremity in relation to the non-operated one in every angular position. At the same time, the quadriceps femoris of the operated extremity was found to be significantly weaker than its counterpart. On completion of the rehabilitation, statistically significant differences in quadriceps strength were recorded in the experimental group compared to the baseline examination while there were no significant differences in the control group. An intergroup comparison did not reveal any significant differences in quadriceps strength. There were also no significant differences in the severity of lateral pressure syndrome before and after the therapy in either group. Conclusions. 1. Rehabilitation improved quadriceps femoris, strength; it did not, however, decrease excessive lateral pressure syndrome. 2. The rehabilitation programme is not sufficient in conservative treatment of excessive lateral pressure syndrome.
[Show abstract][Hide abstract] ABSTRACT: Introduction: Carpal tunnel syndrome (CTS) is the most common and most commonly described neuropathy of the peripheral nervous ¬system. Epidemiological data suggests that it is responsible for 90% of compression neuropathy cases.
Purpose: The main objective of the study was to evaluate the effectiveness of physiotherapy based on manual therapy and neural mobilization of the median nerve in the treatment of carpal tunnel syndrome.
Materials and methods: A total of 40 individuals, including 36 (90%) women and 4 (10%) men, have been evaluated. Each person who had met the inclusion criteria for the study was randomly assigned to either a neural mobilization exercises (NME) group or physical therapy exercises (PTE) group. Nerve conduction, pain severity and functional status were assessed. Therapy in the NME group was based on manual and neural mobilization techniques, while laser and ultrasound were used in the PTE group.
Results: A cycle of therapy resulted in an overall improvement in both groups, however benefits in the MNE group were more significant. In this group, median nerve sensory fiber conduction increased by 19.4%, while motor fiber conduction improved by 2.98%. Pain reduction was equal to 314%. Significant improvement in functional status (49.6%) and reduction of subjective symptoms of CTS (76.3%) were also observed. Therapeutic interventions in the PTF group had no significant impact on median nerve conduction. Reduction in pain was 27.3%. Subjective symptoms of CTS decreased by 11%, while functional status improvement was equal to 5.31%.
Conclusion: Therapeutic techniques applied in both groups had a positive effect on objective and subjective symptoms in individuals with carpal tunnel syndrome.
[Show abstract][Hide abstract] ABSTRACT: Lower postural tone is not always associated with central nervous system structural damage. There is such kind of tone that stays within the broadly defined normal range, but is characterized by distinct decrease of tone of the deep muscles responsible for stabilization. External syndromes are features of active or passive compensation observed in the postural and motor patterns. Active compensation of the lower muscle tone is associated with excessive use of the superficial muscles for stabilization that leads to limitation of motion in the joints and to functional shortening of some muscles. Active compensation mechanisms in the lower part of the body cause decreased anterior pelvic tilt, functional shortening of the hamstring muscles and pes cavus (spastoidal type). Passive compensation is initiated in case of decreased tone of both deep and superficial muscles. Stabilization is kept with considerable participation of the spatial shape of bones, ligaments, meniscus and passive properties of the muscles. Tendency to hypermobility of the periarthritis elements is observed, which is manifested by increase of the physiological range of motion in the joints. As a result in the lower part of the body postural faults develop, which are characterized by increased lumbar lordosis, anterior pelvic tilt, valgus knee and feet (atetoidal type). Observations indicate that lower tone of the muscles responsible for stabilization triggers off the sequence of compensatory mechanisms that ultimately lead to specific postural faults.
Developmental period medicine. 01/2014; 18(3):386-93.
[Show abstract][Hide abstract] ABSTRACT: Purpose:
This study evaluates the effectiveness of peripheral nerve mobilisations according to Butler’s approach in upper limb discriminatory sense rehabilitation in late-stage post-stroke patients.
Material and Methods:
64 stroke patients were randomly divided into 2 groups. The therapeutic program in Group A was based on traditional post-stroke therapy combined with proprioceptive neuromuscular facilitation method. Group B underwent the same therapeutic program as Group A, plus Butler’s neuromobilisations of the peripheral nerves of the impaired upper limb. Assessment of the 2-point discriminatory sense was performed on the palmar side of the distal phalangae from I to V: a compass with 2 blunted tips and a calliper gauge served as tools for this. Measurements were made before the start of the therapeutic program (initial) and after its completion (final).
Application of Butler’s mobilisations directed to the peripheral nerves of the affected upper extremity resulted in a significant improvement in the discriminatory sense of the stroke patients. The inter-group differences, that were non-significant during the initial measurement (p>0.05 in each case), showed a trend towards significance during the second series. Results for fingers as follows: 1st p<0.0001; 2nd p<0.05; 3rd p<0.01; 4th p<0.05; 5th p<0.001). In each case more functional progress was apparent in Group B compared with Group A.
The theoretical argument and experimental data presented above support the idea of incorporating mobilisation of peripheral nerves in the post-stroke rehabilitation program. As we have demonstrated, such technique have a beneficial effect on the level of discriminatory sense. It seems that all the available therapeutic techniques should find their own place in the routine “therapeutic workshop” of every physiotherapist dealing with neurological problems connected with disturbed neuromechanics.
It appears that individually selected techniques that enhance neurodynamics are a beneficial method to improve sensory deficits even in the late, adaptational stage of post-stroke convalescence.
[Show abstract][Hide abstract] ABSTRACT: Neurological literature indicates the existence of children with low postural tone without association with central nervous system damage. This fact induces to think about mechanisms, which allow these children to maintain upright posture. There is a suspicion that compensatory mechanism included in this process, enables to achieve upright posture, but at expense of body posture quality. Observations of children's developmental stages caused determination of some postural tone area, which comprise both children with normotonia and with low postural tone without characteristics of central nervous system (CNS) damage. Set of specific qualities allows determination of two types of low postural tone: spastoidal and atetoidal type. Spastoidal type is characterized by deep trunk muscles (local) low postural tone compensated by excessive tension of superficial muscles (global). Atetoidal type includes children with low postural tone in both deep and superficial muscles. At inefficient active subsystem, verticalization proceeds at excessive use of passive subsystem qualities, that is meniscus, ligament, bone shape, and muscles passive features. From neurodevelopmental point of view compensatory mechanisms can be used in children with low postural tone in order to achieve upright posture, but at expense of body posture quality.
Developmental period medicine. 01/2014; 18(3):374-9.
[Show abstract][Hide abstract] ABSTRACT: Aneta Warmuz-Wancisiewicz. Naukovyj Casopis Naciažnoho Pedahohicnoho Universytetu imeni M.O. Drahomanova 2013; T.1, Vypusk 7 (33), s.333-340 Serija 15: Naukovo-pedagogićni problemy fizyćnoi kultury. Fizyćna kultura i sport. Summary Inadequate level of physical activity in relations to biological needs (hypokinesia) is a problem of developed societies. Effectiveness of interventional programmes is conditioned by physical activity barrier diagnosis. 3447 subjects (2246 female and 1201 male) were examined using psychometric methods – SEWL physical activity and KCS kinesiophobia questionnaire, taking into consideration variability related to age. Higher level of kinesiophobia and lower level of physical activity was observed in female subjects. Gender-related dimorphism was also noted among variabilities of coefficients examined, including age. Regardless of gender, psychological domain of kinesiophobia has greater impact on physical activity than the biological one. Streszczenie Niewystarczający – w stosunku do biologicznych potrzeb poziom aktywności fizycznej (hipokinezja) jest problemem społeczeństw rozwiniętych. Skuteczność programów interwencyjnych warunkowana jest diagnozą barier aktywności fizycznej. Zbadano 3447 osób (2246 kobiet i 1201 mężczyzn) technikami psychometrycznymi – kwestionariuszami aktywności fizycznej SEWL i kinezjofobii KCS, uwzględniając zmienność związaną z wiekiem. Stwierdzono wyższy poziom kinezjofobii i niższy poziom aktywności fizycznej u kobiet niż u mężczyzn.
[Show abstract][Hide abstract] ABSTRACT: This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non-commercial and is otherwise in compliance with the license. Abstract Background & Study Aim: The increasing life span and sedentary lifestyle of the general population impose higher demands on functional
[Show abstract][Hide abstract] ABSTRACT: To investigate intra- and inter-rater reliability of the ultrasound measurement of transversus abdominis (TrA) thickness and thickness change (difference between thickness at rest and during contraction) in asymptomatic, trained subjects. To define the number of repeated measurements that provide acceptable level of reliability. To investigate variability of the measurements over time of 5 days and the reliability of duplicate analysis of images.
A single-group repeated-measures design was used to assess reliability. Healthy volunteers (n = 10) were subjected to 1-week training in voluntary activation of TrA. Real-time ultrasound imaging and subsequent measurement of the TrA thickness at rest and during voluntary contraction were repeated on Monday, Wednesday and Friday of the next week.
Using a single repeated measurement, intraclass correlation coefficients (ICCs) for TrA thickness were: 0.86-0.95 (intra-rater), 0.86-0.92 (inter-rater); and for TrA thickness change: 0.34-0.56 (intra-rater), 0.47-0.61 (inter-rater). Using the mean of three repeated measurements respective values were: 0.97, 0.96-0.98; and 0.81-0.84, 0.80-0.90. No significant differences were found between mean values of TrA thickness as well as thickness change obtained on three consecutive measurement days. Duplicate analysis of the images was highly reliable with ICCs of 0.89-0.99.
Two repeated measurements for TrA thickness and at least three measurements for TrA thickness change are needed to achieve acceptable levels of intra- and inter-rater reliability. In healthy trained volunteers TrA thickness and thickness change are relatively stable parameters over a 5-day period. Duplicate analysis of the same images by two blinded observers is reliable.
European Spine Journal 02/2012; 21(8):1508-15. · 2.47 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: abstract
introduction: Hypokinesis, being one of the major causes of
diseases, constitutes a big problem for modern developed
societies. The solution to it will become achievable after
diagnosing the major causes of passivity. It has been assumed
that physical passivity is caused by kinesiophobia, understood
as character disposition.
objective: The aim of the study is to establish the level and
potential dimorphic differences of barriers to physical activity.
subject group and methodology: 996 people (708 female,
288 male) were examined using psychometric techniques.
A Polish version of Kinesiophobia Causes Scale (KCS)
questionnaire was used supported by author’s demographics.
Statistical analysis encompassed carrying out descriptive
statistics and comparison of subjects on the basis of gender
(U Mann Whitney test), age and place of residence (ANOVA).
Also the relationship between BMI and domains and the
general indicator of kinesiophobia was examined.
results: Gender is the factor differentiating the level of
kinesiophobia both in regard to its general level as well as
biological and psychological spheres.
conclusion: When creating both preventive and therapeutic
programmes among various factors of kinesiophobia as well
as gender differentiation should be taken into consideration.
Key words: kinesiophobia, hypokinesia, barriers to physical
Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie. 01/2012; 3(ISSN 2082-369X):277-287.