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Ocena równowagi kobiet po 60 roku życia/ Assessment of Balance women over 60 years of age

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Wyszyńska J., Drzał-Grabiec J., Podgórska-Bednarz J., Pop T., Snela S.
Advances in Rehabilitation
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2015
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vol. 29
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issue 1
31-37
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.
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Wybrane czynniki wpływające na sprawność lokomocji osób po uszkodzeniu rdzenia kręgowego poruszających się na wózku inwalidzkim

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Przysada G., Wyszyńska J., Drużbicki M., Pajda A., Leszczak J., Podgórska-Bednarz J., Kołodziej K.
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2020
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vol. 30
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issue 2
5-15
PL
Wstęp Poziom sprawności funkcjonowania po uszkodzeniu rdzenia kręgowego zależy od poziomu uszkodzenia rdzenia. Rehabilitacja osób po uszkodzeniu rdzenia kręgowego ma na celu jak najlepsze przygotowanie do funkcjonowania w społeczeństwie. Jednym z ważnych zadań w rehabilitacji jest nauka jazdy na wózku inwalidzkim, który dla większości osób staje się jedynym środkiem lokomocji. Celem pracy była ocena wpływu wybranych czynników, takich jak: wiek, płeć, czas jaki upłynął od wystąpienia urazu, poziom uszkodzenia rdzenia kręgowego, uczestnictwo w obozach Aktywnej Rehabilitacji oraz poziom aktywności fizycznej na sprawność lokomocji na wózku osób po urazie rdzenia kręgowego. Materiał i metody badaniami objęto 55 osób po całkowitym uszkodzeniu rdzenia kręgowego (39 mężczyzn i 16 kobiet poruszających się na wózkach aktywnych), w wieku od 19 do 59 lat. Obszar uszkodzenia rdzenia oceniono na podstawie subiektywnej klasyfikacji ASIA. Poziom sprawności jazdy na wózku oceniano Testem Techniki Jazdy na wózku inwalidzkim wg Tasiemskiego (ocena wykonania 14 zadań uwzględniających bariery architektoniczne). Wyniki większość badanych (n=28) uzyskała wynik „średni” z testu, 16 osób poziom „niski”, a 11 poziom „wysoki”. Badane kobiety uzyskały co najwyżej poziom „średni”. Wyłącznie mężczyźni (n=11) uzyskali „wysoki” poziom sprawności. Nie stwierdzono istotnych statystycznie zależności pomiędzy sprawnością poruszania się na wózku a poziomem uszkodzenia rdzenia kręgowego. Zaobserwowano, że osoby młodsze oraz codziennie uprawiające sport uzyskały lepsze wyniki testu. Wnioski Wiek badanego wpływał na sprawność lokomocji na wózku inwalidzkim. Kobiety charakteryzowały się gorszą sprawnością lokomocji na wózku w porównaniu do mężczyzn. Podejmowanie systematycznej aktywności sportowej w znaczący sposób wpływało na możliwości lokomocyjne badanych osób.
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Assessment of the correlations between gait speed in post-stroke patients and the time from stroke onset, the level of motor control in the paretic lower limb, proprioception, visual field impairment and functional independence

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Drużbicki M., Przysada G., Podgórska-Bednarz J., Kwolek A., Pop T., Wyszyńska J., Leszczak J.
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2020
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vol. 30
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issue 3
5-16
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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Assessment of test-retest reliability and internal consistency of the Wisconsin Gait Scale in hemiparetic post-stroke patients

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Guzik A., Drużbicki M., Przysada G., Kwolek A., Brzozowska-Magoń A., Wyszyńska J., Podgórska-Bednarz J.
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2020
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vol. 30
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issue 3
41-53
EN
Introduction A proper assessment of gait pattern is a significant aspect in planning the process of teaching gait in hemiparetic post-stroke patients. The Wisconsin Gait Scale (WGS) is an observational tool for assessing post-stroke patients’ gait. Study aim. The aim of the study was to assess test-retest reliability and internal consistency of the WGS and examine correlations between gait assessment made with the WGS and gait speed, Brunnström scale, Ashworth’s scale and the Barthel Index. Material and methods The research included 36 post-stroke patients. The patients’ gait was assessed with the use of the Wisconsin Gait Scale, gait speed with the use of walk test, the level of motor control in a paretic lower limb – according to Brunnström recovery stages, muscle tone in a paretic lower limb – according to modified Ashworth’s scale and functional independence was assessed using the Barthel Index. Gait was assessed with the use of the WGS twice, with a 7-day interval, by three experienced physiotherapists. Results The analysis of internal consistency of the WGS revealed that the Cronbach’s α coefficient was high in the case of all the three raters and ranged from 0.85 to 0.88. It was noted that the coefficient of variation for all the comparisons was below 10%. When assessing the repeatability of the results, it was revealed that correlations between both measurements made by particular raters were very strong and highly significant. The WGS results significantly correlated with Brunnström scale, Ashworth’s scale and gait speed. Conclusions It was concluded that the WGS has a high internal consistency and test-retest reliability. Also, significant correlations were found between gait assessment made with the use of the WGS and gait speed, level of motor control and muscle tone of a paretic lower limb. The WGS constitutes a promising tool for a qualitative, observational analysis of gait in post-stroke patients and allows for proper planning, monitoring and assessing rehabilitation results.
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