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An assessment of relationship between urinary incontinence, and quality of life and psychosocial functioning in elderly women from southeastern Poland

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Ćwirlej-Sozańska A. B., Wiśniowska-Szurlej A., Wilmowska-Pietruszyńska A., Szurlej Ł., Sozański B.
Advances in Rehabilitation
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2019
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vol. 33
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issue 4
19-26
EN
Introduction The rapid aging of the human population is an increasing challenge to public health. With aging of population, the number of people functionally and cognitively dependent increases. The incidence of lower urinary tract symptoms and urinary incontinence increases, too. Material and methods The study included 1032 randomly selected women aged 60–80 years living in south-eastern Poland (the Podkarpackie region). For comparative analysis, we divided this population into two subgroups: I - women with a problem recognized by the doctor considering urinary incontinence (UI) and II - clinical control group (women without urinary incontinence, WP). The WHODAS 2.0 questionnaire was used to assess the disability and functioning and WHOQOL-bref to assess the quality of life. Results In the studied population of women aged 60-80 years, 14.53% reported urinary incontinence. The global disability level was higher in the UI group in comparison to WP group (0<0.001). The intensity of disability was highest in domains of activities of daily life, mobility and social participation. In comparison to women without urinary incontinence, the UI group women experienced larger effect of their dysfunction on all domains of quality of life, in particular the psychical health, psychological health and environment (p<0.001) Conclusions The study proves that urinary incontinence has a significant effect on lowering the quality of life and psychosocial functioning of elderly women living in south-eastern Poland. The results point to those domains of functioning which require greatest support. These conclusions communicate a significant message for those who develop rehabilitation programmes for elderly patients with urinary incontinence.
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The influence of static stretching of specific lower limb muscle groups on the jump height parameter of volleyball players aged 16-17: a pilot study

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Ćwirlej-Sozańska A. B., Wójcik O., Wójcik J., Mól M., Kolasa T.
Advances in Rehabilitation
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2021
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vol. 35
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issue 1
32-38
EN
Introduction The jump is one of the most important parameters in volleyball. Often, warmup exercise strategies are based on static stretching. The aim of the study is to show whether the static stretching of muscles of the lower limbs influences the jump parameter of volleyball players. Material and methods The study included 25 players (16-17 years) from the club AKS Resovia Rzeszów. The study consisted of two measurements (M1 and M2) with intervention conducted between them. The vertical jump and heel to buttock tests were performed. Quadriceps femoris, iliopsoas and gastrocnemius were subjected to static stretching. Results Statistically significant differences in the heel-buttock test between the M1 and M2 for both right and left lower limbs were found. The average distance between the anthropometric points in M1 for the left lower limb was 14.54±6.16 cm. This tendency was similar to the right lower limb. After the intervention in M2, the average distance was 11±6.06 cm. A significant reduction of the value of the vertical jump after the intervention has been noted. The average value of the jump before the intervention was 325.64±10.15 cm. In M2 the mean value was 324.24±9.81 cm. The difference between M1 and M2 was statistically significant. Conclusions It has been found that in the study group static stretching had negative influence on the jump parameters directly after performing it. A positive effect of static stretching on increasing the range of mobility of the knee joint was noted.
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An analysis of social competences of professionally active physiotherapists in southeastern Poland – a pilot study

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Ćwirlej-Sozańska A. B., Wiśniowska-Szurlej A., Kołodziej G., Chmura K., Ochojska D., Wilmowska-Pietruszyńska A., Sozański B.
Advances in Rehabilitation
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2019
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vol. 33
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issue 1
5-14
EN
Introduction Social competence is the basis of professional potential and has to be understood as complex abilities that determine the effectiveness of dealing with social situations. The aim of this work was an assessment of social competences found in professionally active physiotherapists working in Poland. Material and methods The study involved 121 physiotherapists: 32 men and 89 women, aged 25 to 49 years. We used Social Competences Questionnaire by Anna Matczak (KKS-A(D) to assess the level of social competence. Results The study revealed that physiotherapists had a good level of social competence. 44.63% of the study population had average general social competence, and 14.05% had high general social competence. A significant proportion of the study population, had low level of social competence (41.32%). The level of competence in dealing with situations that involved intimacy, social contacts and assertiveness was similar. We found that younger physiotherapists coped better in intimate situations. Studied therapists who were eager to listen to their patients’ problems scored significantly higher on the competence scale that reflected effective behavior in social situations. Conclusions Social competence of a therapist is an essential condition for them building appropriate rapport with patients, gives patients a sense of safety, and therefore significantly affects the effectiveness of the treatment.
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