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The influence of applied research methods on the frequency of the appearance of abnormal spinal curvatures

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Drzał-Grabiec J., Walicka-Cupryś K., Truszczyńska A.
Advances in Rehabilitation
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2013
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vol. 27
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issue 4
41-46
EN
Introduction: The frequency of the appearance of abnormal spinal curvatures is different, depending on the adopted method, the researcher and the adopted norms. The aim of the study is to compare the frequency of the appearance of abnormal spinal curvatures of the body, detected with the mechanical inclinometer and the Moire method, irrespectively of the adopted norms and their influence on the received diagnosis. Material and methods: 96 subjects were involved in the examinations (48 boys and 48 girls at the age of 9). Each tested child had the anterior-posterior spine curvatures examined, with the use of the photogrammetric method and the mechanical inclinometer. Results: Results of measurements of the α , β, γ angles differ significantly in the examined groups (p=0,017). The diagnosis from the photogrametric examination and the inclinometer is characterised by a low unanimity (25,0-37,2%). Similarly in case of comparing the diagnosis from the photogrametric examination, applying two various criteria, the agreement amounts to 9,5-42,3 %, in case of the flat back (93,5%). Conclusions: 1. The frequency of the detection of abnormal spinal curvatures will depend on the applied research method 2. The kind of the detected defect is based on the accepted norms even within one research method.
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Control of static balance among women after mastectomy. Vision impact on the quality of the equilibrium response

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Rachwał M., Drzał-Grabiec J., Walicka-Cupryś K., Truszczyńska A.
Advances in Rehabilitation
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2013
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vol. 27
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issue 3
9-16
EN
Introduction: Structural stability assess of the impact of the sense of the reactions equivalent. The aim of this study was to determine the importance of maintaining control patterns in static equilibrium of women after mastectomy. Materials and methods: The study included 150 women. In the first group there were 75 women after mastectomy, mean age 60 (±7,6), mean BMI 26 (±3,6). In the control group there were 75 age matched women (59 (±6,5), BMI 26 (±7,9) without a history of cancer diseases. The study was conducted using a tensometric platform. Quantification was composed of two 30-second test, the first test with eyes open and a second after 5-10 second pause with eyes closed. Results: It was found that there were significant statistical differences within a significant part of the measured parameters with eyes closed, and for all the Romberg parameters. There were: COP (centre of pressure) path length (p = 0.0411), the COP path length measured in the anterior-posterior direction (p = 0.0251), the average tilt COP (p = 0.0025), the maximum swing in the x-axis (relating to the range lateral stability) (p = 0.0447). In addition, there were statistically significant differences between the parameters: the average speed of a moving 2D COP (p = 0.0432) and the y-axis (p = 0.0240). Conclusion: Balance after mastectomy was less dependent on the vision than in the control group. Physiotherapy program after mastectomy should include proprioceptive training, with closed eyes to improve the equilibrium reaction quality and increase the postural stability.
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The forming of anterior-posterior spinal curvatures in young people from junior high schools and grammar schools

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Walicka-Cupryś K., Puszczałowska-Lizis E., Maziarz K.
Medical Rehabilitation
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2008
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vol. 12(4)
28-36
EN
Introduction: Defects of posture in children and adolescents have been frequently observed for many years. The determination of the shape and size of anterior-posterior spinal curvatures is one of the elements within the examination and assessment of body posture. Aim: Characteristics of anterior-posterior spinal curvatures in the examined young people in reference to general Saunders norm. Material and method: the examinations covered 117 young people (67 girls and 50 boys), aged 13–19 years old. The measurements of the size of anterior-posterior spinal curvatures were taken using an inclinometer. The children were examinated under the following points: the medianus point of the sacrum bone (- angle), area intervertebralis Th12–L1 (0 angle) and area intervertebralis C7–Th1 (1 angle). The Wolanski method was applied to show the differences of individual types of body posture. The Statistica 7.0 program (-t-Student test and 4²test) was applied to check if statistically significant differences occured.Results: The differences of the statistically significant (p<0.05) were stated in the 1 angle amongst young people from grammar school and junior high school. The statistically significant differences were noted in the forming of thoracal kyphosis between the girls from the junior high school and the girls from the grammar school and between the boys from the junior high school and the boys from the grammar school (in both cases p<0.05). The most common type of body posture for all the teenagers was of the kyphotic type (63.2%). The most frequent defect of body posture was flat lumbar lordosis (28.2%).Conclusions: The existence of a curvature angle increase in thoracal kyphosis and angle reduction in lumbar lordosis in reference to the general Saunders norm is common in both research groups. The thoracal kyphosis is formed differently in girls and boys from grammar schools and junior high schools. It follows to form the lumbar lordosis in the correction of body posture.
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Kompetencje Społeczne Fizjoterapeutów – Wyniki Badań Pilotażowych

88%
Zaborniak-Sobczak M., Walicka-Cupryś K., Ćwirlej-Sozańska A., Drzał-Grabiec J., Truszczyńska A.
Advances in Rehabilitation
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2014
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vol. 28
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issue 2
5-12
EN
Wstęp: Choroba i niepełnosprawność wywołują stres, który w dużym stopniu zaburzać może życie osoby doświadczającej trudnej sytuacji. Powstaje pytanie, jakimi cechami oso-bowości powinien charakteryzować się personel ochrony zdrowia, by efektywnie pełnić swą rolę wobec pacjentów? Celem badań była ocena kompetencji społecznych fizjoterapeutów oraz ustalenie czyn-ników socjodemograficznych warunkujących poziom tych kompetencji. Materiał i metody: W badaniach wzięło udział 45 fizjoterapeutów: 29 kobiet (64%) i 16 mężczyzn (36%), w wieku od 23 do 51 lat (śr. 33, 5±8, 5). Kompetencje społeczne zostały ustalone za pomocą Kwestionariusza Kompetencji Społecznych (KKS) wg Anny Matczak Wyniki: Badani fizjoterapeuci uzyskali wysokie wyniki w zakresie kompetencji społecz-nych. Mężczyźni charakteryzowali się wyższymi kompetencjami (p = 0, 030) w sytuacjach wymagających asertywności, niż kobiety fizjoterapeutki. W skalach oceniających kompe-tencje w sytuacjach ekspozycji społecznej i w sytuacjach intymnych nie stwierdzono istot-nych różnic w zależności od płci badanych. Nie stwierdzono istotnych różnic rozkładów skal kompetencji społecznych w zależności od wieku badanych, miejsca pracy i od stażu pracy. Wyniki kompetencji społecznych u osób z wyższym wykształceniem zawodowym i magisterskim różniły się istotnie (p = 0, 025) na korzyść osób z wykształceniem magister-skim (p = 0, 015). Wnioski: Badani fizjoterapeuci uzyskali wysokie wyniki w zakresie kompetencji spo-łecznych. Poziom kompetencji społecznych badanych fizjoterapeutów nie zależał od płci i wieku badanych, miejsca i stażu pracy.
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Changes in shape of elderly foot

88%
Drzał-Grabiec J., Podgórska J., Rykała J., Walicka-Cupryś K., Truszczyńska A.
Advances in Rehabilitation
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2013
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vol. 27
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issue 4
13-19
EN
Introduction: The human foot is an important static and dynamic part of motor organ. Changes that occur with age in shaping the feet causes worsening the quality of life, loss of mobility and increased risk of falls. The aim of this study was to assess changes in the women and men’s over 60’s feet shape parameters. Material and Methods: Seventy people (35 women and 35 men), aged between 60 and 90 years old, mean body height 167±5.6 cm, mean weight 78.1±12. kg participated in the study. The control group consisted of 70 people (35 women and 35 men) between the age of 20 and 25, mean body height 172±7,3 cm, mean body weight 70±8,4 kg. Non-invasive photogrammetric method based on the Moiré phenomenon has been used to evaluate the feet shape parameters. Results: Statistical analysis showed significant differences in the foot shape between men and women over sixty, compared to the control group for the majority of tested parameters. Analyzing the parameters between a group of men and women, statistically significant differences were found regarding the length (P:p=0.0000; L:p=0.0000) and the width of the foot (P:p=0.0017; L:p=0.0007). The other parameters do not show statistically significant differences. Conclusions: 1. The structure and the shape of a foot among men and women depends on age. 2. Changes in the foot shape among men and women over sixty, in most cases are not correlated with gender.
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