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Związki pomiędzy wysklepieniem poprzecznym stóp a wybranymi cechami morfologicznymi u młodych osób dorosłych / Correlations between the transverse arch of the foot and chosen morphological characteristics in young adults

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Puszczałowska-Lizis E.
Physiotherapy
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2011
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vol. 19
|
issue 1
3-9
EN
There are no reports on the correlations between the transverse arch of the foot and chosen morphological characteristics. Evaluate the correlations between the transverse arch of the foot and the chosen morphological features in young adults. Cross-sectional studies were carried out in 2008-2009 in a group of 280 students aged 20-28 randomly selected from The University of Rzeszow and Beskidy Higher School of Skills in Żywiec. The method used in the study was plantographic evaluation of the feet in static conditions. The prints of the feet were obtained by means of the non-stain technique invented by Ślężyński. The plantograms gave grounds for calculating the following indexes: Wejsflog index (Wwp) and heel angle (γ). The characteristics of the gathered material was based on descriptive statistics. In order to evaluate the correlations between the transverse arch of the foot and the chosen morphological characteristics the Pearson’s linear correlation way employed. The transverse arch of the left and right foot in women showed a correlation with body height, relative length of the lower limbs and of feet. There was also a correlation between the transverse arch and circumferences of thighs. In men there was a correlation between the transverse arch of the left foot and body height, relative length of the lower limbs and of feet. The transverse arch in the examined students correlated with body height, relative length of the lower limbs, feet and in women with circumferences of thighs.
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Verification of the correctness in index choice in foot structure evaluation on the basis of research into the feet of women aged 20 to 27

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Puszczałowska-Lizis E.
Medical Rehabilitation
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2011
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vol. 15(2)
2-14
PL
Wstęp: Ocena prawidłowości ukształtowania stóp ma istotne znaczenie z punktu widzenia profilaktyki i korekcji. Pomimo duŜej liczby prac poświęconych diagnostyce stóp konieczne są nowe badania w celu ujednolicenia oceny oraz określenia sposobu klasyfikacji deformacji stóp. Celem pracy jest próba zweryfikowania, które ze wskaźników służących do oceny wysklepienia podłużnego, poprzecznego i proporcji stóp mają największą siłę diagnostyczną, a więc w założeniu są najbardziej trafne. Materiał i metody: Badaniami przekrojowymi w latach 2008-2009 objęto losowo dobraną grupę 150 studentek. Wiek badanych mieścił się w przedziale 20-27 lat. Odbitki stóp wykonano techniką niebrudzącą, przyrządem pomysłu ŚlęŜyńskiego. Z plantogramów uzyskano następujące wskaźniki oceniające wysklepienie podłużne: wskaźnik kątowy Clarke’a (CL), wskaźnik KY, wskaźnik Chippaux-Smirak (CSI), wskaźnik głębokości wysklepienia podłużnego stopy (Wgwp). Wyznaczono wskaźniki wysklepienia poprzecznego: wskaźnik Wwp Wejsfloga, kąt piętowy (γ). Wskaźniki proporcji stopy: wskaźnik tęgości stopy (Ts), wskaźnik długościowo-szerokościowy (Wd-sz). Weryfikacji trafności doboru wskaźników do oceny stóp dokonano metodą analizy czynnikowej. Analizy statystyczne przeprowadzono przy uŜyciu programu Microsoft Excel pakietu Office firmy Microsoft oraz programu STATISTICA 8.0 firmy StatSoft. Wyniki: Wskaźnik głębokości wysklepienia podłużnego stopy (Wgwp) osiągnął najwyższe wartości ładunków w ramach czynnika. Wskaźnik Wwp Wejsfloga osiągnął wyŜsze wartości ładunków czynnikowych niŜ kąt piętowy. Wskaźnik Wd-sz osiągnął wyŜsze wartości ładunków w ramach czynnika niż wskaźnik tęgości stopy (Ts). Wnioski: Do oceny wysklepienia podłużnego stóp najbardziej trafny w zastosowaniu jest wskaźnik głębokości wysklepienia podłużnego stopy (Wgwp). Do oceny wysklepienia poprzecznego najbardziej przydatny jest wskaźnik Wwp Wejsfloga, natomiast w ocenie proporcji stóp najbardziej trafny jest wskaźnik długościowo-szerokościowy (Wd-sz).
EN
Background: The evaluation of correctness in feet shaping is significant from the point of view of the prevention and correction in foot deformation. Besides the ample works devoted to the diagnostic testing of feet, new research is necessary to standardize these evaluations as well as to determine the manner of foot deformation classification. The purpose of the work is an attempt to verify which of the suggested indexes will be more useful in evaluating the longitudinal arch of the foot, the transverse arch and foot proportion.Material and methods: Cross-sectional studies were performed in 2008-2009 and included 150 randomly selected students. The tested women were aged 20-27. A plantographic method non-marking technique was used to evaluate the feet. The longitudinal arch of the foot was evaluated by Clark’s angle (CL), KY index, Chippaux-Smirak Index (CSI) and the author’s index of depth of the longitudinal arch of the foot (IDLA). To evaluate the transverse arch of the foot the Wejsflog index (WI) and heel angle (γ) were used. Foot proportions were tested by using the following indexes: foot corpulence (FCI) and the length and width index (LWI). Verification of choice relevance of the plantographic indexes in relation to foot evaluation was carried out by factors analysis.Results: The index of depth of the longitudinal arch of the foot (IDLA) achieved the maximum load factor values. The Wejsflog index (WI) achieved slightly higher load factor values than did the heel angle. The length and width index (LWI) achieved slightly higher load factor values than did the foot corpulence index (FCI).Conclusions: In evaluating the longitudinal arch the most accurate is the index of the depth of the longitudinal arch (IDLA). To evaluate the transverse arch the Wejsflog index (WI) is more useful. To evaluate foot proportions the length and width index (LWI) is more useful.
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Związki pomiędzy cechami plantograficznymi stóp a siłą eksplozywną kończyn dolnych u kobiet w wieku 20-27 lat / Correlations between the plantographic characteristics of feet and the explosive power of the lower limbs in 20-27 years old women

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Puszczałowska-Lizis E.
Physiotherapy
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2011
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vol. 19
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issue 2
9-15
EN
Human foot is an important static-dynamic element of the motor system. On the basis of available scientific references it could be stated that the height of the longitudinal arch of the foot is identified with its efficiency. Correlations between the longitudinal arch and the parameters of the frontal support area and the explosive power of the lower limbs have not been a frequent subject of scientific research. To evaluate the correlations between the longitudinal arch of the foot and the explosive power of the lower limbs in women aged 20-27. A cross-sectional study was carried out in 2008-2009 in a group of 150 female students aged 20-27 randomly selected from The University of Rzeszow and Beskidy Higher School of Skills in Żywiec. The method used in the study was plantographic evaluation of the feet in static conditions. The prints of the feet were obtained by means of the non-stain technique invented by Ślężyński. The explosive power of the lower limbs was determined on the basis of the standing long jump and the standing vertical jump. The gathered date gave grounds for calculating arithmetical mean values (x￣), standard deviations (s) and coefficient of variability (V). In order to evaluate the correlations between the chosen parameters of the arch of the foot and the explosive power of the lower limbs the Pearson’s linear correlation was employed. Slight correlations between the parameters of the longitudinal arch of the foot and the explosive power of the lower limbs were observed in the examined group of women. There were no correlations between the longitudinal arch and the frontal support area and the length of the standing long jump and the height of the vertical jump. The longitudinal arch correlated with the explosive power of the lower limbs, whereas the transverse arch and the parameters of the frontal support area revealed no correlations with the explosive power of the lower limbs in the examined women aged 20-27
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Związki wyskiepienia podłużnego z architekturą poprzeczną i przednią strefą podparcia stopy u młodzieży akademickiej / Correlations between the longitudinal and the transverse arch and the front support area of the foot in students numer

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Puszczałowska-Lizis E.
Physiotherapy
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2011
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vol. 19
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issue 3
3-8
EN
The human foot is an important static and dynamic part of the motion organ. On the one hand it is a supporting ele­ment and in static conditions enables one to balance the body in a spatial position. On the other hand it is a driving mechanism of the body which gives it propulsion during movement. Aims: to evaluate the correlations between the longitudinal and transverse arch of the foot and the frontal support area of the foot in academic students. A cross- sectional study was carried out in 2008-2009 in a group of 280 academic students aged 20-28 randomly selected from The University of Rzeszów and Beskidy Higher School of Skills in Żywiec. The method used in the study was plantographic evaluation of the feet in static conditions. The prints of the feet were obtained by means of the non- stain technique invented by Ślężyński. In order to evaluate the correlations between the longitudinal and transverse arch of the foot and the frontal support area the Pearson's linear correlation was employed. Results: slight cor­relations between the longitudinal depth index (W w ) and the heel angle were observed in the examined group of women. There were no correlations between the longitudinal and transverse arch and the frontal support area ob­served in men. Conclusions: the longitudinal arch shows no correlations with the transverse arch and the the frontal support in the examined students aged 20-28.
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Związki pomiędzy wysklepieniem podłużnym stóp a wybranymi cechami morfologicznymi studentów wybranych uczelni Podkarpacia i Podbeskidzia / Correlations between the longitudinal and chosen morphological characteristics in students of colleges in Podkarpackie Province and Podbeskidzkie Region

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Puszczałowska-Lizis E.
Physiotherapy
|
2011
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vol. 19
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issue 4
11-16
EN
The human foot is an important supporting element and a driving mechanism and therefore contributes to the general fitness of the whole body. A review of studies and researches concerning the built and functions of the foot in people of all ages and in various environments allows one to state that the research results do not provide clear answer to the question which morphological characteristics are of primary significance for the longitudinal foot arch evaluated by means of the Clarke’s angle. The aim of the study was to evaluated the correlations between the longitudinal arch of the foot and chosen morphological characteristics in academic students. A cross-sectional study was carried out in a group of 130 academic students aged 20-28 randomly selected from The University of Rzeszow and Beskidy Higher School of Skills in Żywiec. The chosen morphological characteristics were examined. The longitudinal arch was evaluated by means of Clark’s angle (CL), Sztriter-Godunow index (KY), index of the depth of the longitudinal arch of the foot (Wgwp) and Chippaux-Smirak (CSI) index. The prints of the feet were obtained by means of the non-stain technique invented by Ślężyński. In order to evaluate the correlations between the longitudinal arch of the foot and the chosen morphological characteristics the Pearson’s linear correlation was employed. Slight correlations between the longitudinal arch of foot and the chosen morphological characteristics did not reach the lowest anticipated level of statistical significance. The longitudinal arch in the examined men shows no correlations with the chosen morphological characteristics.
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Functional efficiency in persons with lumbar spine discopathy after treatment at a health resort

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Puszczałowska-Lizis E., Zwiercan I.
Medical Rehabilitation
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2016
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vol. 20(3)
31-37
PL
Wstęp: Schorzenia dolnego odcinka kręgosłupa stanowią przyczynę ograniczeń w różnych sferach życia człowieka. Celem pracy była ocena wpływu terapii uzdrowiskowej na sprawność funkcjonalną osób z dyskopatią lędźwiową na tle grupy porównawczej. Materiał i metody: Trzykrotnym badaniem objęto 360 osób w wieku 50-60 lat z dyskopatią lędźwiową, w tym 180 pensjonariuszy Sanatorium Uzdrowiskowego „Piast” w Iwoniczu-Zdroju (grupa badana) i 180 pacjentów ambulatoryjnych Niepublicznego Zakładu Opieki Zdrowotnej REH-MED w Jaśle (grupa kontrolna). Narzędzie badawcze stanowił wskaźnik sprawności w bólach dolnej części kręgosłupa − ODI. Do analiz wykorzystano testy: ANOVA Friedmana, Wilcoxona i U Manna-Whitneya. Wyniki: W badaniu przeprowadzonym 3 miesiące od zakończenia terapii u pacjentów uzdrowiskowych dolegliwości bólowe znacznie rzadziej utrudniały sen (p=0,001) i lokomocję (p=0,045) w porównaniu do grupy ambulatoryjnej. Po terapii osoby z grupy badanej wyżej oceniały możliwość prowadzenia życia towarzyskiego (p=0,037), a efekt utrzymywał się na niezmiennym poziomie 3 miesiące od jej zakończenia (p=0,505). Wnioski: Stosowanie zabiegów wykorzystujących surowce naturalne podnosi efektywność terapii ukierunkowanej na poprawę funkcjonowania osób z dyskopatią lędźwiową w życiu codziennym. Odległy efekt terapii uzdrowiskowej jest szczególnie widoczny w poprawie lokomocji i snu, a także w sferze życia towarzyskiego.
EN
Lower back pain is the most common cause of limitation in different spheres of a person’s life. The aim of this study was to evaluate the influence of health-resort therapy on the functional efficiency in persons with discopathy of the lumbar spine, compared to a control group. 360 people aged 50-60 with discopathy of the lumbar spine, including 180 boarders of the “Piast” Health Resort in Iwonicz-Zdrój (experimental group) and 180 ambulatory patients of the REH-MED Non-public Healthcare Centre in Jasło (control group) were surveyed three times. The research tool was the Oswestry Disability Index (ODI). The Anova Friedman test, Wilcoxon signed-rank test and Mann-Whitney U test were used for analyses. In the study performed 3 months after the end of therapy, in the health-resort patients, the pain less often disrupted sleep (p=0.001) and locomotion (p=0.045) compared to the ambulatory group. After the end of therapy, patients from the experimental group achieved much better results regarding social life (p=0.037) and the effects persisted at constant level for 3 months after stopping treatment (p=0.505). Application procedures based on mineral resources increases efficiency of therapy aimed at improvement of functioning in daily life in persons with discopathy of the lumbar spine. Distant effects of health-resort spa therapy are especially observable in the improvement of sleep, walking ability and also in the area of social life. Puszczałowska-Lizis E., Zwiercan I. Functional efficiency in persons with lumbar spine discopathy after treatment at a health resort. Med Rehabil 2016; 20(3): 31-37. DOI: 10.5604/01.3001.0009.5012
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Direct and remote evaluation of effectiveness of health resort therapy on people with discopathy of the lumbar spine

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Puszczałowska-Lizis E., Zwiercan I.
Advances in Rehabilitation
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2020
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vol. 30
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issue 1
33-40
EN
Introduction Lower back afflictions are a challenge for contemporary physiotherapy, both in preventive treatment and streamline proceedings. The aim of this study was to evaluate effec-tiveness of a complex program of health resort therapeutics in soothing pain and reducing functional limitations in people with discopathy of the lumbar spine. Material and methods 360 people aged 50-60 with discopathy of the lumbar spine, including 180 boarders of a Health Resort “Piast” in Iwonicz-Zdrój (experimental group) and 180 am-bulatory patients of the Non-public Healthcare Centre REH-MED in Jasło (control group) were surveyed three times. The research tool was a Numeric Rating Scale of pain intensity (NRS) and Roland-Morris Disability Questionnaire (RMDQ). Anova Friedman test, Wilcoxon signed-rank test and Mann-Whithey U test were used for analyses. Results Before the beginning of therapy intensity of pain and functional condition of people qualified for particular groups was similar (p=0.848, p=0.872). Decline of intensity of pain took place by the action of therapy, both in case of patients from the experimental group (p=0.000), as well as the control group (p=0.001). Within 3 months from the completion of streamlining, intensity of pain of patients from the experimental group was gradually lowering, and in the control group it increased. Statistically significant differences in results after 3 months from the completion of therapy between the groups were stated (p=0.000). Just after treatment and 3 months later health resort patients had better functional ability (p=0.011, p=0.006). Conclusions Complex proceedings in health resort therapeutics in comparison to ambulatory therapy bring more permanent results in the soothing pain and reduction of functional limita-tions resulting from lumbar degenerative disc disorder.
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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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Influence of choretherapy on the development of children with psychomotor retardation

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Puszczałowska-Lizis E., Pop T., Szymańska-Smoleń E.
Advances in Rehabilitation
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2015
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vol. 29
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issue 3
21-28
EN
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.
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Comparison of the effectiveness of two physiotherapy programs for female patients with lumbar spine discopathy

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Puszczałowska-Lizis E., Dziedzic P., Jandziś S.
Medical Rehabilitation
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2017
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vol. 21(3)
43-50
PL
Wstęp. Schorzenia dolnej części kręgosłupa należą do najczęściej występujących u człowieka problemów związanych z zaburzeniem struktury i funkcji narządu ruchu. Stanowią wyzwanie dla współczesnej fizjoterapii, której celem jest obniżenie lub w miarę możliwości wyeliminow-anie dolegliwości bólowych, przywrócenie sprawności umożliwiającej funkcjonowanie w życiu codziennym, a także zapobieganie nawrotom. Cel pracy stanowiło porównanie dwóch programów usprawniania w aspekcie obniżenia natężenia dolegliwości bólowych, poprawy ruchomości lędźwiowej i piersiowo-lędźwiowej części kręgosłupa oraz sprawności funkcjonalnej u kobiet z dyskopatią lędźwiową. Materiał i metody. Badaniami objęto 100 kobiet w wieku 45-50 lat z dyskopatią lędźwiową, usprawnianych w warunkach ambulatoryjnych. Pacjentki podzielono na dwie 50-osobowe grupy, w zależności od zaaplikowanego programu. Program fizjoterapii pacjentek z grupy I obejmował: masaż klasyczny, kinezyterapię i prądy interferencyjne, a w grupie II zastosowano: masaż klasyczny, kinezyterapię i ultradźwięki. Narzędzie badawcze stanowiła numeryczna skala natężenia bólu (NRS), kwestionariusz Rolanda-Morrisa (RMDQ) i pomiary zakresów ruchu lędźwiowej i piersiowo-lędźwiowej części kręgosłupa. Do analiz wykorzystano testy: U Manna-Whitneya i Wilcoxona. Wyniki. Po zakończeniu usprawniania kobiety z grupy I odznaczały się istotnie niższym poziomem dolegliwości bólowych (p=0,037) i wyższą sprawnością funkcjonalną (p=0,001). Zakres poprawy, oceniany różnicą wyników uzyskanych w badaniu II i III, był istotnie większy w przypadku kobiet z grupy II (p=0,002). Po miesiącu od zakończenia postępowania terapeutycznego stwierdzono brak statystycznie istotnych międzygrupowych różnic (p=0,169, p=0,067). Wnioski. Zastosowanie prądów interferencyjnych w fizjoterapii osób z dyskopatią lędźwiową w porównaniu do terapii z wykorzystaniem ultradźwięków pozwala na uzyskanie większej poprawy w kwestii obniżenia natężenia dolegliwości bólowych, zwiększenia ruchomości lędźwiowej i piersiowo-lędźwiowej części kręgosłupa oraz sprawności funkcjonalnej. Skuteczność ultradźwięków wzrasta w miarę upływu czasu od zakończenia terapii i dopiero po miesiącu w przypadku obu programów fizjoterapii można zaobserwować zbliżone efekty.
EN
Background. Lower back pain is one of the most common problems in the human body relat-ed to the disturbances of the motor organ’s structure and function. It challenges contemporary physiotherapy which aim is to reduce or, when possible, eliminate pain, restore fitness for eve-ryday life and prevent recurrences. The aim of the study was to compare two physiotherapy programmes in terms of lowering pain intensity, improvement of lumbar and thoracolumbar spine mobility, as well as functional ability in females with lumbar spine discopathy. Material and methods. The study included 100 women aged 45-50 with lumbar spine disco-pathy being treated in outpatient conditions. The patients were divided into two 50-subject groups depending on the programme used. The physiotherapy programme for group I patients included classic massage, kinesiotherapy and interferential currents, and in group II: classic massage, kinesiotherapy and ultrasound. The research tool was the Numeric Pain Rating Scale (NRS), the Roland Morris Disability Questionnaire (RMDQ) and measurements of lumbar and thoracolumbar spine mobility. The Wilcoxon and Mann-Whitney U tests were used for the analysis. Results. After completion of the physiotherapy programme, the women in group I experi-enced significantly lower pain (p=0.037) and higher functional efficiency (p=0,001). The range of improvement, assessed by the difference in the results of study II and III, was signif-icantly higher for the II group of women (p=0,002). One month after completion of therapeu-tic treatment, there were no statistically significant differences between the groups (p=0,169, p=0,067). Conclusions. The use of interferential currents in the physiotherapy of individuals with lum-bar spine discopathy compared to ultrasound therapy allows for greater improvement in reduc-ing pain intensity, lumbar and thoracolumbar spine mobility, as well as higher functional effi-ciency. The effectiveness of ultrasound had increased over time since the end of therapy and only after one month in the case of both physiotherapy programmes, similar effects could be observed.
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