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EN
Purpose. The aim of the study was an assessment of posture in women who regularly perform aerobic exercise. Methods. The study group consisted of 50 women actively participating in aerobics classes (mean: age 28.64 ± 5.3 years, body mass 59.83 ± 6.7 kg, height 167.75 ± 4.9 cm, BMI 21.24 ± 3.6 m/kg2) and a control group of 50 women not involved in any regular physical activity (mean: age 28.55 ± 5.05 years, body mass 62.47 ± 10.5 kg, height 167.74 ± 4.8 cm, BMI 22.26 ± 4.8 m/kg2). All participants were subjected to a photogrammetric assessment of posture. Results. Statistically significant differences in posture were identified between the two groups for lumbarosacral and thoracolumbar spinal curvatures. Conclusions. Women who regularly perform aerobic exercise present greater thoracic kyphosis and shoulder asymmetry than women not involved in aerobics.
EN
Study aim: martial arts can be traced back thousands of years. Karate is one of the most common martial arts, and both children and adults practice it. The aim of the study was to evaluate selected body posture parameters in children aged 7–10 years who regularly practice karate. Material and method: the study population (Group I) consisted of 50 children aged 7–10 years, mean age 8.1 ± 1.5 years, who had been practicing karate more than two years. The control group consisted of 50 children of the same age (Group II). Body posture was assessed with photogrammetric method based on the phenomenon of the projective moiré pattern, using CQ Elektronik equipment. Results: on the basis of analysis of the inclination of the thoracolumbar section of the spine in both the study population and the control group, a statistically significant difference was found. Analysis revealed a statistically significant difference between the SIT parameter measurements of the two groups (p < 0.05). There is a similar difference regarding the measurements of depth of thoracic kyphosis and depth of lumbar lordosis (p < 0.001 and p < 0.05, respectively). Analysis also revealed a statistically significant difference between the mean shoulder line inclination angle parameter measurements for the two groups of children (p < 0.01). Conclusion: karate training children had a significant deepening of physiological thoracic kyphosis and lumbar lordosis. The body posture in karate training children is characterised by a greater angle of thoracolumbar region and a smaller shoulder asymmetry.
EN
Study aim: the aim of this study was to determine how body height, body weight, and moderate physical activity affected postural stability in young schoolchildren. Materials and methods: the study population consisted of 148 primary school pupils. To assess postural stability, we used the CQStab2P stabilometric equipment (the bi-platform version), and an assessment of physical activity was conducted via questionnaire. Results: the study revealed that both greater body weight and greater body height positively affected postural stability in the studied population. We found a low, yet significant correlation regarding postural stability in children who attended sports classes. In the cases of path length and mean amplitude of sway with eyes closed, the children who were more active in sports had better vertical postural stability. We did not find any relationships between static balance and the number of sports classes attended in a week, or with participating in extra academic classes. Conclusions: 1. Children’s postural stability improved with age. 2. Children who took part in sports classes had better body balance. 3. The number of sports classes attended did not correlate with better postural stability.
EN
Study aim: the aim of the study was to compare the postural stability and ability to control balance in active women who attend fitness classes versus inactive women. Material and methods: the study included 41 women who exercise regularly (mean age 28.64±5.26 years). The control group consisted of 42 women not engaged in regular physical activity (mean age 28.55±5.05 years). In each subject, postural stability testing was performed using the Stabilometric Platform CQStab2P (the 2-platform version). Authors analysed the mean, median and standard deviation for each parameter of the stabilogram and statokinesiogram. Results: for most of the studied parameters, the statistical analysis showed a positive effect of exercising on the level of fitness compared to the control group, for both the test with eyes open and the test with eyes closed. Conclusions: attending fitness classes significantly affects postural stability and balance control in young women, and leads to lesser dependence on sight to maintain it.
EN
Introduction: As the most important period in the formation of the feet is considered to be preschool and early school age. The aim of the study was to evaluate the development of the feet in children of preschool age taking into account age and gender. An additional aim was to determine whether using simple testing methods available for physiotherapists can reliably determine the parameters of the foot in children. Material and methods: The study was conducted among 95 preschool children 49 girls (51.6%) and 46 boys (48.4%). The following data were analyzed: sex, age, anthropometric data. The research was conducted by foot print method. Following parameters were analyzed: length and width of the foot, ALPHA - hallux valgus angle, BETA - the little finger varus angle, GAMMA - heel angle, the Wejsflog index and Clarke index. Results: The study using the footprint method allowed an accurate assessment of the foot of the study group. Highly statistically significant relationship between the width and length of the right and left foot, and the age of the children was confirmed. In the case of Wejsflog index highly significant differences between the measurements in children 5-year-old children in comparing to children 3-year-old and 4-year-old were reported. There were no differences between the structure of children’s feet, taking into account their sex. Conclusion: 1. Structure of girls and boys foot during their progressive development did not significantly differed, suggesting the absence of a clearly marked sex dimorphism in the development of the foot arch. 2. Most of the children foot had proper structure, thus ordering corrective exercises for all children migth not be reasonable. 3.The study confirmed the high value of footprint method.
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.
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.
EN
Introduction: Low level of physical activity, frequent and long lasting sitting position and higher educational requirements make the postural defects more common. The main purpose of this thesis was to define the connection between body balance and postural defects in the body trunk. Material and methods: The examined group consisted of 104 Elementary School pupils: 46 boys and 56 girls in classes I-III. Zebris System with software WinSpine 2.3 was used to examine the body posture; to assess the balance Zebris PDM platform was used. Results: The correlation between the increase of right-sided scoliosis and the increase in the average deviation measure of the foot pressure in the frontal plane was observed. Conclusions: The lack of or low correlations between body posture and balance parameters in examined group were stated.
EN
Introduction Low-back pain syndromes are a common problem. The authors estimate that this ailment is experienced by more than 80% of populations in developed countries. The treatment of spine pain syndromes is an interdisciplinary issue. Therefore, a proper therapy must be multifactorial and take into consideration all aspects of a patient’s life. The aim of this work was to compare subjective evaluation of the process of rehabilitation of patients suffering from ailments related to lumbar spine pain who received physiotherapy within the health insurance reimbursement in Poland and in France. Material and methods The study included 100 patients who underwent physiotherapy due to lumbosacral spine pain complaints. The study group consisted of 50 participants who received physiotherapy in Poland and 50 subjects who underwent it in France. The authors’ own questionnaire was employed in the study. It was prepared in two language versions, i.e. Polish and French. The questionnaire consisted of 34 questions on demography, pain complaints, the process of physiotherapy and the evaluation of pain on the VAS scale, before and after physiotherapy Results The assessment of the promptness of the employed treatments was statistically higher in the case of the patients in France (p=0.039). The general assessment of the physiotherapy process by the examined patients in Poland and in France was similar. No statistically significant differences were revealed in this respect (p=0.240). The process of the therapy was most often regarded as very good (66%). Conclusions The patients with chronic lumbar spine pain undergoing therapy in France evaluated it higher than the patients in Poland. The effectiveness of physiotherapy in both countries did not vary considerably. France respects the rules of early intervention and extensiveness of physiotherapy to a larger degree than Poland.
EN
Introduction Osteoarthritis (OA) is one of the most common joint disorders and affects a significant percentage of the elderly. Reflexology is a therapeutic method of applying appropriate compression technique to pressure points located, for instance, on feet. The aim of this study was to evaluate the impact of foot reflexology treatment on pain and vitality level in persons with osteoarthritis. Material and methods The study was conducted on a group 20 individuals (16 women and 4 men) aged 41-76, who suffered from osteoarthritis. Two questionnaires (surveys), i.e. the NRS scale and the WOMAC questionnaire, were the research tools applied in the study. The study was conducted prior to the therapy and after a series of 8 sessions. Results After the treatment, the researchers observed an improvement in average results obtained in the WOMAC questionnaire. Moreover, the respondents reported a reduction in pain intensity and improvement in functionality. The applied treatment effectively reduced the intake of pain medications by the surveyed individuals (p = 0.006). The respondents also reported improvement in the quality of sleep. Conclusions According to the individuals surveyed, reflexology is an effective analgesic method, as a notable reduction in pain severity was observed. Reflexology increases the activity of patients and reduces the intake of pain medications.
PL
Wstęp Choroba zwyrodnieniowa jest jedną z najczęstszych chorób stawów i dotyka znaczny odsetek osób w wieku podeszłym. Refleksoterapia jest metodą polegającą na stosowaniu odpowiedniej techniki uciskowej na punkty zlokalizowane m.in. na stopach. Celem pracy była ocena wpływu refleksoterapii stóp na dolegliwości bólowe i aktywność życiową osób z chorobą zwyrodnieniową. Materiał i metody Badania zostały przeprowadzone na 20-osobowej grupie 16 kobiet i 4 mężczyzn w wieku 41-76 lat, którzy cierpieli na chorobę zwyrodnieniową stawów. Narzędziami badawczymi były dwa zaprojektowane kwestionariusze ankiety zawierające skalę NRS oraz kwestionariusz WOMAC. Badania zostały przeprowadzone przed zabiegami refleksologii i po serii 8 zabiegów. Wyniki Po terapii zaobserwowano poprawę średniego wyniku uzyskanego w formularzu WOMAC. Stwierdzono również zmniejszenie intensywności dolegliwości bólowych, oraz poprawę funkcji. Zastosowana terapia wpłynęła na zmniejszenie liczby przyjmowanych tabletek przeciwbólowych (p=0.006). Poprawiła się także jakość snu. Wnioski Refleksoterapia w opinii badanych osób jest skuteczną metodą przeciwbólową, ponieważ zauważono u nich zmniejszenie nasilenia dolegliwości bólowych. Refleksoterapia wpływa na wzrost aktywność pacjentów oraz ograniczenie przyjmowania leków przeciwbólowych.
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Założenia: U osób w podeszłym wieku przyspieszeniu zmian inwolucyjnych w obrębie stóp sprzyja niedostateczna ilość ruchu wynikająca z braku zainteresowania aktywnością ruchową, częstych dolegliwości bólowych, spadku kondycji i wydolności fizycznej organizmu oraz często wyizolowania ze świata zewnętrznego z powodu depresji.Cel: Ocena ukształtowania stóp kobiet po 60 roku życia w zależności od wzrostu i masy ciała oraz zbadanie zależności pomiędzy długością, masą ciała i wskaźnikiem BMI a parametrami opisującymi ukształtowanie stóp.Materiał i Metoda: Badaniami objęto 130 kobiet w wieku 60-90 lat. Grupę kontrolną stanowiło 130 zdrowych kobiet w wieku 20-25. Pomiary stóp wykonano z pomocą urządzenia CQ-ST firmy CQ Elektronik System. Analizowano długość i szerokość stóp, wskaźnik Wejsfloga, kąt Clarka oraz kąty Alfa, Beta, Gamma.Wyniki: Analiza statystyczna wykazała w przypadku większości badanych parametrów istotne różnice w ukształtowaniu stóp kobiet po 60 roku życia w porównaniu do kobiet w wieku 20-25 lat. U kobiet w wieku 20-25 wykazano zależności pomiędzy długością i masą ciała a długością i szerokością stóp oraz pomiędzy wskaźnikiem BMI a szerokością stóp. Zależności takich nie odnotowano w grupie starszych kobiet.Wnioski: Ukształtowanie stóp kobiet po 60-tym roku życia różni się istotnie od ukształtowania stóp młodych kobiet. Konieczne jest zbadanie, które parametry opisujące ukształtowanie stóp, i w jaki sposób, powinny być uwzględniane przy projektowaniu obuwia i planowaniu ćwiczeń ruchowych.
EN
Background: At an elderly age the foot is prone to accelerated involutional changes as a result of an insufficient amount of activity. The latter is a result of the lack of interest, frequent pain, a decline in physiological condition and capacity, as well as isolation from the outside world due to depression.Objective: To assess changes in the shape of the foot in women over sixty and to examine the relation between length, body weight and the BMI index and parameters describing foot shape.Material and methods: The study included 130 women between sixty and ninety. The control group consisted of 130 healthy subjects, aged from twenty to twenty five. Foot measurements were obtained using the computer method of CQ-ST bases of the CQ Elektronik System company. The analysis depended on the following parameters: the length and the width of the foot, Wejsflog’s index, Clarke’s angle and Alpha, Beta and Gamma angles.Results: Statistical results showed a great deal of differences in the foot shape of women over sixty, compared to the women in the control group for the majority of the tested parameters. The exception was the Beta and Gamma angle in the right foot. Correlations were shown in the control group between the length and the body weight and between the BMI index and the width of the feet. Such correlations were not noted in the group of older womenConclusions: The shape of women’s feet after 60 significantly differs from the foot shape of young women. It follows to examine which of the described parameters and in what way they should be taken into account during shoe design for the elderly and in the preparation of treatment and a prevention exercise programme.
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
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

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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.
EN
Introduction: Elongation exercises are designed to reduce existing pathological or increased physiological curvatures of the spine. The aim of the study was to evaluate the changes occurring in the parameters describing the anterior-posterior spinal curvatures during the performance of symmetric elongation exercises. Material and methods: The study included 150 children aged 7-10 years: 82 girls and 68 boys. It was performed in June 2012, following prior parental and the subjects’ consent. The study design was approved by the Bioethical Committee of the Medical Faculty of Rzeszow University (number 05/07/2012). In each subject, an examination of the body posture was performed twice - first in a relaxed position and second during an elongation exercise. The Wilcoxon pair sequence test was used for statistical analysis. Results: The lumbosacral angle was significantly higher during the performance of an elongation exercise (p < 0.001), and so was the thoracolumbar angle (p < 0.001). The angle of the upper thoracic spine (p < 0.01) was significantly reduced. In the case of parameters describing thoracic kyphosis, a significant increase was observed both for the thoracic kyphosis angle (p < 0.01) and the depth of this part of the spine. As for the parameters describing lumbar lordosis, both the lordosis angle and its depth were significantly reduced (p < 0.001 and p < 0.001). Conclusions: 1. Elongation exercises reduce the depth of lumbar lordosis. 2. During elongation exercises thoracic kyphosis becomes deeper
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