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EN
Background: Pelvic floor dysfunctions, among which urinary incontinence is the most onerous symptom, pose a serious social problem whose significance is probable to grow together with the process of an ageing society and more frequent incontinence episodes in menopausal women. The growing absence of professionally active people suffering from incontinence is prone to result both from plans to raise the retirement age and the process of an ageing society. The concept of Corefit system has been created to meet the incontinent women’s expectations. The above mentioned system is based on an individualized sensomotoric training programme as well as the re-education of incorrect motor patterns resulting in pelvic floor muscle overload. What is also essential for Corefit system effectiveness is monitoring the process of facilitation, which enables constant training plan correction.
EN
Background: To date, reliability of ultrasound imaging (USI) measures of the abdominal muscles in children during the active straight leg raise (ASLR) test has not been confirmed. The aim of this study is to assess the intra-rater reliability of USI in measuring of the thickness and percent thickness change of the external oblique (EO), internal oblique (IO) and transversus abdominis (TrA) on both sides of the body during the ASLR test. Material/Methods: Thirty-two healthy children between 10-12 years old participated in the study. Three repeated USI measurements were recorded, in supine and resting positions and during the ASLR test. In supine position, measurements were collected at the end of normal expiration. In the case of ASLR, measurements were collected when the person undergoing examination touched the transverse delimiter with the distal part of the lower leg. A repeat session of the measurements was carried out 6 to 8 days later. Results: The use of mean value of the three repeated measurements showed that ICC3.3 fluctuated from 0.81 to 0.97 for OE, OI and TrA in resting position and during the ASLR test. In terms of percentage change of muscle thickness, the ICC3.3 result obtained for TrA, OE and IO were 0.86, 0.83 and 0.78, respectively. Conclusions: The USI evaluation of the lateral abdominal muscles thickness at rest has high reliability in children between 10-12 years old. The USI of the actual thickness and reflex activity of OE, OI and TrA during the ASLR test, based on three repeated measurements, is also reliable. It is recommended to perform three repeated measurements for children between 10-12 years old. There is still a need to seek solutions that will decrease the SDD value while evaluating the reflex activity of the lateral abdominal muscles during the ASLR test.
EN
Background. Y – Balance Test Kit is a widely used tool for dynamic balance assessment. However, the so far applied research protocol has been developed only for football training adults and youth aged 14-17 years. The main goal of the research was estimation of the reliability and the necessary number of trials to obtain stability of the Y-BT results on a sample of football training children. Material and methods. The sample comprised 60 children training football, aged 10-11 years. Y-BT Kit was used for the assessment, involving four training tests in each direction, both with the right and the left lower limb. Next, the participants performed five tests in each of the three directions. After each test, the relative length of the lower limbs was measured to calculate the values of distance according to the formula: (the distance obtained during the test/the relative length of the lower limb) *100. Results. Stability of the obtained values was achieved after 6 tests for the posterolateral (right lower limb) direction and for the anterior direction (left lower limb). No differences were found between the fourth and the fifth test results, and in the seventh test, stability of the results was obtained. The analysis of the interrater test–retest reliability (ICC3.1) results, obtained from the third, fourth and fifth tests ranged from 0.85 to 0.89 and the standard error of measurement (SEM) values ranged from 2,02 to 4.14. Conclusions. It is recommended to perform seven Y-test measurements in football training children as stability of the results is usually obtained after the fourth test.
PL
Wstęp. Y – balance test Kit jest powszechnie stosowanym narzędziem do oceny równowagi dynamicznej. Jednakże dotychczasowy protokół przeprowadzenia badania został opracowany wyłącznie dla osób dorosłych i młodzieży w wieku 14-17 lat trenującej piłkę nożną. Głównym celem badania było oszacowanie rzetelności i niezbędnej ilości prób potrzebnej do uzyskania stabilności wyników na Y-BT w grupie dzieci trenującej piłkę nożną. Materiał i metody. Grupę badaną stanowiło 60 dzieci w wieku 10-11 lat trenujących piłkę nożną. Do przeprowadzenia badania wykorzystano Y – BT Kit. Badanie polegało na przeprowadzeniu czterech prób szkoleniowych w każdym z trzech kierunków, zarówno prawą, jak i lewą kończyną dolną. Następnie badani wykonywali pięć prób pomiarowych w każdym z trzech kierunków. Po badaniu dokonywano pomiaru długości względnej kończyn dolnych, w celu obliczenia wartości odległości według wzoru: (odległość uzyskana w próbie/długość względna kończyny dolnej) *100. Wyniki. Stabilność wyników dla większości kierunków uzyskano po 6 próbach, dla kierunku tylno-bocznego (kończyna dolna prawa) i dla kierunku przedniego (kończyna dolna lewa) wskazano brak różnic pomiędzy próbą 4 i 5, dla tych dwóch kierunków uzyskano stabilizację wyników po 7 próbie. Z analizy wyników dla 3,4 i 5 próby wartość ICC3.1 wahała się od 0.85 do 0.89, a wartość SEM od 2,02 do 4,14. Wnioski. Podczas badania dzieci trenujących piłkę nożną za pomocą testu Y rekomenduje się wykonanie siedmiu prób pomiarowych ze względu na występowanie stabilizacji wyników we wszystkich kierunkach po czwartej próbie testowej.
EN
One of the most important factors of successful ageing is a sufficient level of motor independence, which is strongly associated with an appropriate level of activity. It was decided to determine the relationship between barriers to physical activity and physical activity and health self-assessment in healthy and chronically ill men, among 206 men aged 65–83 years. A relationship was found between kinesiophobia, physical activity and self-assessment of health, and the differences between health self-assessment in the healthy and chronically ill. No differences were found regarding activity. Important factors affecting the health of older men are selfawareness of being chronically sick, BMI and level of physical activity. A relationship exists between kinesiophobia, physical activity and self-assessment of health. The awareness of being chronically sick, BMI and level of physical activity are the most significant factors affecting the health self-assessment of older men.
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