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2011
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vol. 19
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issue 2
69-78
EN
The aim of this paper is to verify a hypothesis that there is no legal definition of the notion of physiotherapist in Polish legal system. The task was to identify the source of the legal status of physiotherapists in Poland, preceded by an analysis of the existing legal order. Critical analysis of selected literature was used as the research method. The analytic method has also been used in the selection of sources of law and an analysis of their contents, which have been then synthesized in order to define the concept. The following conclusions are the result of the study. None of the existing sources of law contain the definition of a physiotherapist profession. Physiotherapist is a medical profession grounded on possession of the specialized education. Physiotherapists and their activities have been taken into account in the existing catalogue of the professions and services. A physiotherapist is a physical culture personnel representative.
2
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Biomechanical changes in pregnant women

100%
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2009
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vol. 17
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issue 3
51-55
PL
Celem pracy jest przedstawienie problemów związanych z różnorodnymi biomechanicznymi zmianami w układzie mięśniowo-szkieletowym kobiet w ciąży dotyczącymi postawy ciała także w aspekcie dolegliwości bólowych, zwłaszcza w dolnym odcinku pleców. Poruszane są zagadnienia związane ze zmianą funkcjonalnego zakresu ruchomości tułowia oraz ograniczeniami i trudnościami w wykonywaniu czynności codziennych i zawodowych. W pracy przedstawiono także wpływ ciąży na stabilność posturalną i chód. Wiedza zawarta w artykule powinna być pomocna zarówno osobom prowadzącym zajęcia w szkołach rodzenia, jak też lekarzom i fizjoterapeutom w profilaktyce oraz leczeniu dolegliwości układu mięśniowo-szkieletowego u kobiet w ciąży i po porodzie.
EN
The purpose of the paper is to present the problems related to various biomechanical changes taking place in the musculoskeletal system in pregnant women concerning body posture and pain problems and especially low back pain. The changes of the functional motion range of the trunk as well as the limitations and difficulties in daily life activities and work performance are taken into consideration. The influence of pregnancy on postural stability and gait is also presented in the paper. The knowledge gathered in the article should be helpful to those who provide the child birth classes as well as to physicians and physical therapists in prevention and treatment of musculoskeletal complaints of women during pregnancy and post partum.
3
88%
EN
The main objective of this study was the estimation of intrasession reliability of the limits of stability (LOS) test conducted on a force platform as an alternative measurement to standard posturography in quiet standing. Fifteen healthy adults took part in the experiment. The standardized measurement protocol of the LOS test was proposed. It consists of three phases - 1st phase - 10s of quiet standing, 2nd phase - the maximal forward leaning in a self paced manner, and 3rd phase - maintenance of maximal forward leaning position. The analysis of variance Friedman's ANOVA and Repeated Measures ANOVA/MANOVA was used to diagnose the differences between 10 consecutive trials of the LOS test. In order to establish reliability of the test, the intraclass correlation (ICC) procedure was used. We presented different ways of maximal center of pressure (COP) excursion estimates. The results of this study show no significant differences between the chosen parameters of the LOS test. Moreover, the measurement of the range of COP excursion, which is most commonly analyzed in such tests, showed to be quite reliable with ICC2,1 above .85. LOS test conducted along the standard procedure should be considered as a very useful method in clinical and research conditions. Still the specific parameters of the LOS test should be given more thorough insight, but it is a very good alternative to quiet standing posturography.
EN
The purpose of the study was to compare the average location of the center of gravity vertical projection in sagittal plane in women at the beginning of and in advanced pregnancy as well as after delivery. The experiment was performed with the use of a force platform during four test sessions. A group of 44 women (8-16 weeks of pregnancy) participated in the initial test session. In the following sessions the number of the subjects reduced mainly due to medical and childcare problems: 33 women were tested in late pregnancy (2-3 weeks before delivery), and 39 women were tested two and six months after delivery.The results showed the statisticaly significant (p<0,05) posterior displacement of the projection of the center of gravity of the lenth of approximately 4 mm in late pregnancy comparing to the beginning of pregnancy. The displacement may be the result of the body's adaptation to the increased mass in the anterior trunk area in late pregnancy. No discrepancy was found when comparing the average center of gravity location in the early pregnancy and after delivery.We concluded that the change of the center of gravity location in late pregnancy is temporary and two months after delivery the vertical projection of the center of gravity is located as it was at the beginning of pregnancy.
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