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Introduction: Children with psychomotor retardation demonstrate lower than average level of development, that is characteristic for the majority of population in a certain period of life. These children require specialised, coordinated and interdisciplinary therapeutic efforts. The aim of the present thesis was to assess the influence of choreotherapy on the development of children with psychomotor retardation. Material and methods: The study consisted of two measurement sessions of 4-6 years old children attending for therapeutic activities to the Early Intervention Centre in Mielec. The research tool was the Bogdanowicz Behaviour Observation Scale (SOZ-D). Basic descriptive statistics were calculated in the analysis. The Mann-Whitney U test was used to assess differences in psychomotor development between the examined group (participating in the therapeutic program which included choreotherapy) and the control group. The rate of improvement was tested by means of the ANOVA Kruskal-Wallis test. Results: There were statistically significant differences between both the examined and the control group in all subscales of the SOZ-D scale. At children participating in the experimental program the greatest improvement was noticed in emotional, social and physical spheres of development. Conclusions: The applied therapeutic program had a beneficial effect on stimulating the development of emotional, social and physical spheres of children with psychomotor retardation. The present thesis demonstrates the usefulness of this program, and consequently implies the need of propagating the therapy in other educational and care centres for children.
EN
Introduction: Scoliosis, commonly known as lateral bending of the spine, in fact, is a distortion of space, whose causes are not precisely known. Careful diagnosis is essential to the proper diagnosis of scoliosis and appropriate rehabilitation proceedings. The aim of the study was to present the effects of conservative treatment of patients with scoliosis, based on the three pillars of therapy, including early diagnosis. Study case: Patients W.P., 12 years old male from 2008 was under medical supervision and regularly performed exercises, without a correction effect. In February 2009 patient after a previous diagnosis of x-ray was admitted to the conservative treatment. Exercises were based on individually prepared program of corrective exercises, which initially consisted of three exercises for thoracic spine and then after the addition of diagnostics, also series. The patient was also obliged to wear a Cheneau correction corset several hours a day. Results: Introduced exercises for thoracic spine caused a decrease in the angle of curvature of 25 degrees (February 2009) that in the end (October 2010) achieve a reduction in the angle of curvature to 14 degrees. In the lumbar spine, therapy was started after three months of treatment (no prior diagnosis of the lumbar spine) and scoliosis correction was achieved by 11 degrees from 23 degrees (May 2009.) to 12 degrees (October 2010). Conclusion: In the present case of study applied exercises and kind of treatment caused a decrease in spinal deformity. Incomplete initial diagnosis extended treatment time and ordered patient additional X-ray projections.
EN
Introduction: Gonarthrosis is the most common disease of peripheral joints. Among population of developing countries, it concerns about 70% of people over 65 year of age. Because its chronic, progressive and irreversible nature it is one of the most common cause of work incapacity. It is also a common cause of disability in people in six decade of life. Objective: The aim of this study was to evaluate the effect of cryogymnastic on quality of life and functional efficiency of patients with knee osteoarthritis. Material and methods: The study consisted of group of 50 people diagnosed with osteoarthritis of the knee (gonarthrosis). Patients were tested twice. First examination was conducted before the start of therapy, a second examination was conducted after 10 treatments cryotherapy. To evaluate the results of cryogymnastic we used goniometric measurement, WOMAC questionnaire and functional test Up & Go. Results: We found that applied local cryotherapy and exercise in studied group had been effective in increasing joint range of motion, improving quality of life and patients’ functional efficiency. Conclusions: 1. Our treatment for patients with knee arthritis after local cryotherapy and exercises improved significantly joint range of motion, quality of life and functional efficiency. 2. Local cryotherapy is a safe procedure and well tolerated by patients with knee osteoarthritis.
EN
Introduction: Correct balance is necessary ability to proper performance of activities of daily living. Age-related weakening of the sensory and motor reactions, can cause postural instability and increase risk of falls. Aim of this study is to determine the differences in the values of the parameters describing the postural stability of women over 60 years of age. Material and methods: 180 women participated in the study: 98 women between the age of 60 and 92 (x=71 years old) and 82 women between the age of 21 and 26 (x=21 years old). Standing balance was assessed in the trial with eyes open and closed, by using stabilometric platform. Six different motion parameters of center of pressure (COP) were evaluated. Results: Statistical analysis showed significant differences in most parameters of the balance of women over 60 years of age and women in the control group. Conclusions: 1) With age, there are significant changes in the in the balancing process, causing growing deficit of postural stability. 2) Women over age 60 have a worse postural stability than younger women within each analyzed parameter with the exception of swings in the frontal plane.
EN
Introduction Gait recovery is one of the main objectives in the rehabilitation of post-stroke patients. The study aim was to assess the correlations between gait speed in post-stroke hemiparetic patients and the level of motor control in the paretic lower limb, the time from stroke onset, the subjects’ age as well as the impairment of proprioception and visual field. Materials and methods This retrospective study was performed at the Clinical Rehabilitation Ward of the Regional Hospital No. 2 in Rzeszow. The study group consisted of 600 patients after a first stroke who walked independently. The measurements focused on gait speed assessed in a 10-meter walking test, motor control in the lower limb according to Brunnström recovery stages, proprioception in lower limbs, visual field as well as functional independence according to The Barthel Index. Results The study revealed a slight negative correlation between gait speed and the subjects’ age (r = - 0.25). No correlation was found between mean gait speed and the time from stroke onset. On the other hand, gait speed strongly correlated both with the level of motor control in the lower limb (p = 0.0008) and the incidence of impaired proprioception. Additionally, a strong statistically significant correlation between the patients’ gait speed and the level of functional independence was found with the use of The Barthel Index. Conclusions The level of motor control in the paretic lower limb and proprioception are vital factors affecting gait speed and functional independence. Patients with a higher level of functional independence demonstrated higher gait speed.
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