[Show abstract][Hide abstract] ABSTRACT: Old age is correlated with frequent morbidity, reduced physical fitness and resourcefulness, and often with lack of independence. The risk of falls in the elderly is a serious problem. Gradual adoption of social behavior patterns coming from more wealthy countries can positively influence social attitude towards help and care directed at the elderly. An increasing percentage of these people will benefit from the support of institutions providing 24-hour care and safety. The paper presents the algorithm for determining the level of increased risk of falls. It might be a starting point for preventive and therapeutic policies for the institutions providing care for the elderly. The idea to construct an algorithm was initiated on the basis of professional experience and the literature focusing on the problems of falls in geriatric medicine. Okres starości zawiązany jest z powszechnie występującą chorobowością, mniejszą sprawnością fizyczną i zaradnością, często – z brakiem samodzielności. Ryzyko upadków stanowi w wieku starszym poważny problem. Stopniowe przyjmowanie wzorów zachowań społecznych napływających z krajów bogatszych, zmienia nastawienie do pomocy i opieki skierowanej do ludzi w podeszłym wieku. Osoby te w coraz większym odsetku będą korzystały ze wsparcia instytucji zapewniających całodobową opiekę i bezpieczeństwo. Praca przedstawia algorytm określający poziom zwiększonego ryzyka upadków. Stanowił by on punkt wyjścia do działań profilaktycznych i terapeutycznych w instytucjach zajmujących się opieką ludzi starych. Pomysł skonstruowania algorytmu zrodził się na bazie doświadczeń zawodowych oraz na podstawie piśmiennictwa wskazującego na problemy upadków w geriatrii. Słowa kluczowe: ryzyko upadków, starość, algorytm profilaktyczny
[Show abstract][Hide abstract] ABSTRACT: Background
Range of motion (ROM) and kinesthetic differentiation of movement (KDM) significantly influence hand
functions during work and while performing everyday activities. Because to date ROM and KDM in carpal tunnel
syndrome (CTS) patients and its changes following different forms of physiotherapy have not been thoroughly
assessed, they became the objective of our study. The aim was to assess the influence of two physiotherapeutic
programs on the ROM and KDM in patients with CTS.
140 people participated in the experiment, including 122 (87,15%) women and 18 (,85%) men. Each person
who was not excluded and fulfilled the inclusion criteria to the study was randomly assigned to a group
rehabilitated by means of either manual therapy including neurodynamic techniques (MT) or physical therapy
including electrophysical modalities (EM). ROM and KDM were assessed. The therapy in MT group was based on
manual therapy including neurodynamic techniques and in the EM group on laser therapy and ultrasounds.
Statistically significant improvement was observed in flexion and extension ROM in upper extremities with
CTS only in the MT group (p<0.001). Similar effects were obtained in KDM. Similar results distribution occurred
while comparing extremities with CTS and healthy extremities. Statistically significant improvement in
assessment of ROM and KDM were observed only in the MT group (p<0.001).
Therapeutic program using manual therapy including neurodynamic techniques improves ROM and KDM in
patients with CTS. The cycle of therapy improved the status of symptomatic limbs. A decreased difference in
terms of ROM and KDM in the symptomatic limb in relation to the asymptomatic limb was observed.
[Show abstract][Hide abstract] ABSTRACT: [Purpose] The objective of the study was to evaluate the symmetry of the thickness of the abdominal
muscles at rest and while standing in patients with adolescent idiopathic scoliosis. [Subjects and Methods] An ultrasound assessment was performed of the side-to-side differences of the external oblique (EO), internal oblique (IO), and transversus abdominalis (TrA) muscles in the supine and standing positions in adolescent idiopathic scoliosis (AIS) and control groups. [Results] In the AIS group, 64.3% of the patients had left scoliosis with a mean Cobb angle of 10.7°, and 35.7% of the patients had right scoliosis with a mean Cobb angle of 10°. In the supine position, the thickness asymmetry of the TrA was greater in the AIS compared with the control group by an average of 14% (95% CI 3.9–24.2). [Conclusion] Among the abdominal muscles examined, patients with AIS exhibited more asymmetry only for the TrA. In the standing position, the TrA was as symmetric in the patients as in the control group. Mild scoliosis has no impact on the symmetry of the thickness of the OE and OI in the supine and standing positions. The direction of curvature had no effect on the symmetry of the abdominal muscles studied.
[Show abstract][Hide abstract] ABSTRACT: In contrast to a normal gait, the locomotion of people with infantile cerebral palsy (ICP) is characterized by great variability. An experiment was conducted to determine if the use of whole-body vibrations changes the time of support by each of the extremities as well as the range of flexion of the hip and knee articulations. Three women with ICP were involved in the whole-body vibration experiment. The parameters of the vibration adopted during training were a frequency of 20 Hz and an amplitude of 2 mm. The BTS Smart system for three-plane movement analysis paired with a desktop computer was used for the evaluation of gait parameters. The vibration procedure improved the range of flexion in knee articulation but did not change the range of flexion in hip articulation. The equalization of time disparities in the load of both extremities was obtained after the first treatment procedure. In this investigated group, the vibration procedure may be a complement to the rehabilitation process.
[Show abstract][Hide abstract] ABSTRACT: Background This study aimed to analyse the self-evaluations of physicians and physiotherapists, from different specialisations, about their preparedness for work with people with intellectual disability (ID), and what they considered were the most significant barriers in working with people with ID. Both the physicians and physiotherapists pointed to initiatives that they found useful, such as the Healthy Athletes Program of the Special Olympics, which prepares them for everyday work with people with disability.
[Show abstract][Hide abstract] ABSTRACT: Civilizacne ochorenia a ich vplyv na kvalitu zivota, zdravia a socialno-ekonomicku oblast. : Socialna praca, dobrovolnictvo marginalizovane skupiny, etika, varia. / Ed.: S. Bugri, P. Beno, M. Sramka. Presov : Ustav socialnych vied a zdravotnictva bl. P.P Gojdica, 2014 Summary: Spinal ailments put limitation on functional one's possibilities. Working with the disabled, taking forced and often disadvantageous positions of the body cause dysfunctions or increase the degree of the existing ones. In this article preventive actions are shown that can be taken to maintain indispensable physical health. Therefore, it is crucial for both persons taking care of the sick and people working with the disabled to learn principles of ergonomics as a basis of their general education. The main task of ergonomics is to develop the most optimal way working system, both its individual elements and the relation between them. This should be understood not only as assurance of working in full safety but also as comprehensive development of an employee-intellectual, mental and social. These optimal working conditions create further possibilities for an employee and motivate them to be more efficient at work. Social background – the scale of the disability problem Disability is one of the key problems of the modern world, the proof of which is the scale of the problem – over 650 million people in the world are disabled; the number constitutes c.a. 10% of the world's population. The problem of disability is also present in Poland. According to the data collected during national census in Poland, the number of the disabled reached the level of 4,7 million people, 3,1 million of whom had legal confirmation of their disability. The results of the Study of Economic Activity of the Population (BAEL), conducted by Central Statistical Office in Poland, indicate that 27,4% of the disabled in Poland are those with its severe level (GUS, 2011). Those figures need to be treated as underestimated – due to the methodology of the study (voluntary character of the responses). The other reason, which indicates underestimation of the number of the disabled, is the percentage of the elderly. Poland is demographically an old society, with over 5 million people at the age of over 65 in 2010, which constitutes 14% of the society (according to United Nations, the threshold of demographically advanced aged society is when 7% of the
Civilizacne ochorenia a ich vplyv na kvalitu zivota, zdravia a socialno-ekonomicku oblast. : Socialna praca, dobrovolnictvo marginalizovane skupiny, etika, varia., Edited by S. Bugri, P. Beno, M. Sramka, 10/2014: pages 41-48; Presov : Ustav socialnych vied a zdravotnictva bl. P.P Gojdica, 2014., ISBN: 978-80-89464-26-5
[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; DOI:10.1016/j.dhjo.2014.09.008 · 1.50 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Attempt to compare the occlusion condition in groups of children with different body posture.
336 children aged from 8 to 14 years were investigated. The subjects were selected in orthodontic clinics (237 children) and at schools (98 children). All participants were divided into groups with different body posture according to Kasperczyk's point method. The comparison of the occlusion quality was performed with the use of a scale developed by Emmerich-Popłatek.
The studied group comprised following number of persons: 12 (3.56%) with no malocclusion, 37 (10.98%) with mild, 162 (48.37%) with moderate and 124 (37.09%) with severe malocclusion. In relation to the body posture, 52.67% of the participants had correct posture, 45.53 % had a faulty posture of mild degree and 1.78% of severe degree. A considerable differentiation of the occlusion condition was discovered within the three groups. In view of a small number of participants with a faulty posture of considerable degree (n=6) the comparative analysis of the occlusion condition was performed between the group with a correct body posture and group with faulty posture (created by combining group 2 and 3). The result of the analysis suggests a significant differentiation of the occlusion condition between the groups mentioned above (p<0.01).
Children with faulty postures present more intense malocclusions than children with a correct body posture. Results of this type suggest the need for interdisciplinary look at people with malocclusions whose therapy should involve body posture correction.
[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.
[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.
[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: Background & Study Aim: Many empirical data provides evidence that the correct, long combat sports training stimulates biological, mental and social human's development. The research aimed is impact of systematic judo training on the dynamism of development processes in the youth during puberty. Material & methods: The research was of semi longitudinal (2-years) character: it was first-age of the subjects: 13, then repeated after one year - age of the subjects: 14 and next done after another year - age of the subjects 15. One hundred sixty-two persons were studied: 88 females and 74 males; Research group: 8 females and 15 males practised judo, control group: 80 females and 59 males. Linear measurements to calculate the indices: RI, WHR, LLI, ULIWLI. Body weight of the subjects [kg] and body fat percentage evaluated using BIA method [FAT %] were measured. Results: The descriptive statistics for females point to lower values of average morphologic factors of females training judo in comparison to control group. Contrasting, the average body mass, body fat percentage, as well as RI index for males practicing judo are higher comparing to the control group. Conclusions: The spontaneous selection in judo practised prefers shorter females of lower body mass than in peers. Judo training has an impact on body mass gain in males in puberty. Biologically-conditioned body mass and height growth during puberty is to a great extent independent from stimuli used in judo training.
Archives of Budo 06/2014; 10:155-160. · 0.84 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Objectives-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. Methods-Sixty-nine asymptomatic participants aged 10 to 15 years without any postural faults participated in the study. The participants were divided into 3 age groups: 10 to 11, 12 to 13, and 14 to 15 years, according to their sex. All participants underwent 3 measurements of the thickness of the transversus abdominis, internal oblique, and external oblique muscles on both sides of the body in the supine, sitting, and standing positions. The participants' measurements were taken at the end of normal exhalation, and the values were recorded in millimeters. Results-Regardless of the participant's age, sex, and body position, the results for the 3 measurements (intraclass correlation coefficient [ICC3,3]) for the transversus abdominis and internal oblique ranged from 0.81 to 0.99. With reference to the external oblique, intraexaminer reliability (ICC3,3) in the supine position ranged from 0.81 to 0.98, whereas in the sitting and standing positions, it fluctuated from 0.63 to 0.96. Conclusions-Sonography for assessment of the internal oblique and transversus abdominis muscles in different body positions in healthy adolescents aged 10 to 15 years was found to have reliability. To obtain high measurement reliability for the transversus abdominis and internal oblique at rest, at least 2 measurements should be performed, regardless of age, sex, or resting body position. Performing 3 measurements of the external oblique guarantees satisfactory reliability only in the supine position.
Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 06/2014; 33(6):1049-56. DOI:10.7863/ultra.33.6.1049 · 1.53 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: 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