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EN
An effective and, more importantly, reliable measurement of pain has always been a difficult task, mainly due to the availability of only a subjective evaluation of pain. However, an accurate estimation of the sensation is extremely useful in the healing process, and it can determine the effectiveness of treatment. The multitude of different types of pain rating scales found in scientific research inspires reflections on their quality and possible use in the processes of both therapy and research. The aim of this paper is to present one-dimensional pain assessment scales, showing their advantages and disadvantages with respect to criteria such as age, cultural background, pain type, disorder type, and the ease of application and interpretation, as well as to try to select the best one from the scales listed. This paper also aims to present possible modifications of pain rating scales that have appeared in recent years as new measurement tools used in scientific research on the subjective assessment of pain. All articles were found via the EBSCO HOST website. Only English-language literature was taken into consideration; only those articles where it was possible to view their full text were taken into consideration. The individual search tags used were as follows: ‘pain measurement tool’, ‘pain scale’ and ‘NRS scale’. The last criterion was adopted because the Numeric Rating Scale (NRS) is the most commonly used scale in research on the method of measuring pain, regardless of pain type, severity, cause, or duration. The literature complied for this paper was published between 1979 and 2013. The articles analysed indicate that each of the pain rating scales listed could be a reliable measurement tool. However, the highest rated and the most commonly used scales are NRS and FPS (Face Pain Scale – pain assessment scale using facial images). It should be emphasized that only the appropriately matched tools for measuring pain intensity, tailored to a research group, shall determine the effectiveness of the research.
EN
Pelvic asymmetry is a phenomenon of dual character. Some describe it in terms of pathology, whereas others report that pelvic asymmetry also occurs in healthy subjects.A group of 321 subjects showing symmetrical alignment of the pelvis were involved in the study. Different forms of mechanical loads (jumps, resistance exercises of selected muscle groups) were tested for their ability to alter the configuration of the lower girdle. A hand inclinometer was used to measure pelvic asymmetry in standing. Asymmetrical configuration of the pelvis appears frequently as a consequence of mechanical loading of the lower girdle. It was registered in 25.08% of our study group. The greatest capacity to introduce pelvic asymmetry appeared in cases of asymmetrical loads that were applied in a form of so-called ‘mechanical shock’ (i.e., a force with great impulse). From this viewpoint, pelvic asymmetry should be regarded as a physiologic adaptative alteration of the locomotory system to transmission of asymmetrical mechanical loads.
EN
Background: Low back pain is a common problem in ballroom dancers. In the United States of America about 23% of all injuries in dancers is low back pain. Low back pain in dancers can be related to the extended position of the spine during dancing. The activity of the abdominal muscles, such as transverse abdominis and multifidus muscles can play significant role in the pathomechanics of the problem. These muscles are important for stability of the pelvis and the lumbar spine. The purpose of the study was to estimate the effectiveness of stability exercises of the lumbo-pelvic-hip complex in reducing low back pain among ballroom dancers. Material/Methods: 30 professional dancers (mean age of 19 years) both males and females participated in the research. Subjects were randomised into two groups. Dancers from the first group continued normal dance training with extra stability training (the experimental group). Participants from the second group continued normal dance training only, without any modifications (the control group). The pain rate was measured by the Numerical Pain Rating Scale. The stability muscles activity was estimated with the biofeedback pressure unit in supine and prone position. Results: After 6 weeks of stability trainings in dancers from experimental group low back pain significantly decreased and the stability muscles activity improved (p < 0.05). Conclusions: Results of the study show that stability exercises can be effective in reducing low back pain in ballroom dancers. However, prolonged observations and research comparing different training regimens (e.g. general exercises or Pilates) are needed.
EN
Background: The vast majority of pain dysfunctions of the cervical spine is underlain by prolonged overload and one effective therapy is traction. The aim of this study is to assess the influence of cervical spine traction on changes in heart rate and arterial blood pressure in people with arterial hypertension and normotension. Material/Methods: The study involved a total of 168 patients, in whom chronic cervical spine pain syndrome of low intensity, with no radiation of symptoms and with no significant functional limitations occurred. The subjects were intentionally allocated into a group with arterial hypertension and a group with normotension. Results: The analysis of the obtained results showed that cervical spine traction does not strain the cardiovascular system. In the group of subjects with arterial hypertension, a linear value reduction of all the heart hemodynamic parameters measured in the successive trials was observed. The most significant difference between the initial and final test was observed in patients, in whom the traction procedure was only simulated. Conclusions: Cervical spine traction performed according to D. Saunders’ method does not constitute any threat to patients with arterial hypertension.
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2008
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vol. 16
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issue 1
92-98
PL
Sztywność mięśnia jest najczęściej określana jako stosunek zmiany jego długości do wielkości siły, w wyniku której owa zmiana zachodzi. Wzrost sztywności tkanki mięśniowej to problem, z którym fizjoterapia styka się coraz częściej. Z jednej strony stanowi ona czynnik decydujący o efektywnej stabilizacji stawu, z drugiej natomiast zwiększa komponentę sił dociskających powierzchnie stawowe do siebie, co po dłuższym czasie może prowadzić do zmian przeciążeniowych i szybszego "zużywania" się chrząstki stawowej. Niniejsza praca przedstawia aktualne poglądy dotyczące zjawiska sztywności, a także podejmuje próbę poszukiwania jej uwarunkowań.
EN
Muscle stiffness is usually described as the ratio of change in muscle length to value of force causing this change. Nowadays, increase in muscle stiffness constitutes a problem that physiotherapy meets more and more often. On one hand it creates a crucial factor enabling effective stabilization of the joint, on the other hand - may accelerate overloading changes due to inevitable increase of compressive forces acting on articular surfaces. The objective of the paper is to present modern views on stiffness phenomenon and undertake a pursuit of factors conditioning it.
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Kinesiophobia - Introducing a New Diagnostic Tool

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EN
Technical development of human civilisation brings about a decrease of adaptation potential of an individual, which is directly linked to deficient motor activity. Only precise identification of factors leading to hypokinesia would make prophylactic and therapeutic actions possible. In this article, authors would like to introduce a new, original tool aiming at diagnosing limitations of motor activity in adults. They propose a synthetic diagnosis of hypokinesia in two domains: biological and psycho-social, which is based on the contemporary model of health.
EN
Background: As a result of numerous advantages of Nordic Walking such as the movement simplicity, its affordability and availability for people of various ages and with different levels of fitness, this relatively young physical activity has been developing remarkably for several years. It has the potential of increasing physical activity among elderly people. Defining to what extent practicing Nordic Walking (NW) influences the general level of physical activity and the quality of life of elderly people. Material/Methods: 161 people were examined (93 women and 68 men) at the age of 60 or above. In this group 48 practised NW: 33 women and 15 men. Health self-assessment was determined using the SF-36 questionnaire, whereas the level of physical activity using the SEWL questionnaire. Results: Statistically significant differences were noted (p <0.05) between respondents practising NW and the control group at the level of both physical activity and health selfassessment. Conclusions: Practising NW positively influences the increase of elderly people’s physical activity, translating to the level of health self-assessment.
EN
Background. Y – Balance Test Kit is a widely used tool for dynamic balance assessment. However, the so far applied research protocol has been developed only for football training adults and youth aged 14-17 years. The main goal of the research was estimation of the reliability and the necessary number of trials to obtain stability of the Y-BT results on a sample of football training children. Material and methods. The sample comprised 60 children training football, aged 10-11 years. Y-BT Kit was used for the assessment, involving four training tests in each direction, both with the right and the left lower limb. Next, the participants performed five tests in each of the three directions. After each test, the relative length of the lower limbs was measured to calculate the values of distance according to the formula: (the distance obtained during the test/the relative length of the lower limb) *100. Results. Stability of the obtained values was achieved after 6 tests for the posterolateral (right lower limb) direction and for the anterior direction (left lower limb). No differences were found between the fourth and the fifth test results, and in the seventh test, stability of the results was obtained. The analysis of the interrater test–retest reliability (ICC3.1) results, obtained from the third, fourth and fifth tests ranged from 0.85 to 0.89 and the standard error of measurement (SEM) values ranged from 2,02 to 4.14. Conclusions. It is recommended to perform seven Y-test measurements in football training children as stability of the results is usually obtained after the fourth test.
PL
Wstęp. Y – balance test Kit jest powszechnie stosowanym narzędziem do oceny równowagi dynamicznej. Jednakże dotychczasowy protokół przeprowadzenia badania został opracowany wyłącznie dla osób dorosłych i młodzieży w wieku 14-17 lat trenującej piłkę nożną. Głównym celem badania było oszacowanie rzetelności i niezbędnej ilości prób potrzebnej do uzyskania stabilności wyników na Y-BT w grupie dzieci trenującej piłkę nożną. Materiał i metody. Grupę badaną stanowiło 60 dzieci w wieku 10-11 lat trenujących piłkę nożną. Do przeprowadzenia badania wykorzystano Y – BT Kit. Badanie polegało na przeprowadzeniu czterech prób szkoleniowych w każdym z trzech kierunków, zarówno prawą, jak i lewą kończyną dolną. Następnie badani wykonywali pięć prób pomiarowych w każdym z trzech kierunków. Po badaniu dokonywano pomiaru długości względnej kończyn dolnych, w celu obliczenia wartości odległości według wzoru: (odległość uzyskana w próbie/długość względna kończyny dolnej) *100. Wyniki. Stabilność wyników dla większości kierunków uzyskano po 6 próbach, dla kierunku tylno-bocznego (kończyna dolna prawa) i dla kierunku przedniego (kończyna dolna lewa) wskazano brak różnic pomiędzy próbą 4 i 5, dla tych dwóch kierunków uzyskano stabilizację wyników po 7 próbie. Z analizy wyników dla 3,4 i 5 próby wartość ICC3.1 wahała się od 0.85 do 0.89, a wartość SEM od 2,02 do 4,14. Wnioski. Podczas badania dzieci trenujących piłkę nożną za pomocą testu Y rekomenduje się wykonanie siedmiu prób pomiarowych ze względu na występowanie stabilizacji wyników we wszystkich kierunkach po czwartej próbie testowej.
EN
One of the most important factors of successful ageing is a sufficient level of motor independence, which is strongly associated with an appropriate level of activity. It was decided to determine the relationship between barriers to physical activity and physical activity and health self-assessment in healthy and chronically ill men, among 206 men aged 65–83 years. A relationship was found between kinesiophobia, physical activity and self-assessment of health, and the differences between health self-assessment in the healthy and chronically ill. No differences were found regarding activity. Important factors affecting the health of older men are selfawareness of being chronically sick, BMI and level of physical activity. A relationship exists between kinesiophobia, physical activity and self-assessment of health. The awareness of being chronically sick, BMI and level of physical activity are the most significant factors affecting the health self-assessment of older men.
EN
Body posture is determined by many factors, including central regulation connected with anti-gravitational mechanism which develops in ontogenesis. Postural disorders arise as a result of a compensatory anti-gravitational mechanism, in which the main component is reduced postural tone (volume and distribution disorders). Compensation mechanisms consist in improper alignment of particular body segments (distribution disorders) (e.g., increase or decrease of spinal curvatures, external or internal rotation of the lower limbs, valgus and varus deformity of the knees and feet). Such disorders may constitute a reason for abnormal component development, thus limiting trunk rotational mobility.An aim of the study was to assess the range of trunk rotational mobility.Pupils (n=123) aged 13-15 underwent the following parameter evaluations: 1. Posture according to Kasperczyk's scoring method, 2. Postural tone volume by analysis of pelvis control in the long sitting, 3. Range of trunk rotation with use of upper tension test (muscle latissimus dorsi and thoracolumbar fascia).Positive tension test was recorded in 32 children (21 unilateral and 11 bilateral). Diversification of statistical averages of scoring for body posture, from the lowest (x=6.41) in 91 subjects with negative tension test, to the highest (x=7.72) in 11 subjects with double-sided positive result was recorded. Statistical analyzes confirmed significance of correlation between body posture's quality and trunk's rotational mobility (r=0.286 at p=0.001), as well as between volume of postural tone and range of trunk's rotational mobility. Coefficients of correlation amount to, respectively, for tension test and free sitting position r=0.187, p=0.038; and for tension test and corrected sitting position r=0.253, p=0.05. Disorders of muscle tone volume and distribution cause limitation of trunk rotational mobility development.
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