Search results

1

Zakresy rotacji tułowia i miednicy u dziewcząt ze skoliozą idiopatyczną / A range of rotation of the trunk and pelvis in girls with idiopathic scoliosis

100%

Stępień A.

Advances in Rehabilitation

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2011

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vol. 25

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issue 3

5-12

EN

Introduction: Mobility of spine in persons with different types of idiopathic scoliosis hasn’t been estimate. The aim of this study was to state the influence of scoliosis on a range of rotation of trunk and pelvis in adolescent girls with idiopathic scoliosis (AIS). Methods: 59 AIS girls at the age of 10-18 participated in the study. Right thoracic curve or left lumbar curve at spine radiography were the criteria for further measurements. Four groups including girls with different types of scoliosis were formed. Measurements were made in upright standing position The special designed prototype axial rotation tester with flip computer system was used to assess the range of rotation. The shoulder girdle with upper p of the trunk or the pelvis were fixed during tested rotation motions. The number and order motions were precisely determined in the study. 30 healthy girls without scoliosis were test as the control group. ANOVA test and T-test were used for statistical analyzes. Results: There are significant differences between the girls with double curve scoliosis with dominant right thoracic curve, the girls with single or double curve scoliosis with dominant left lumbar curve and the control group. Limited rotation of trunk and pelvis in horizontal plane were observed in the girls with double curve scoliosis with the dominant right thoracic curve. Increased rotation of pelvis in girls with single or double curve scoliosis with dominant left lumbar curve was found. Conclusions: A range of rotation of trunk and pelvis in girls with idiopathic scoliosis depends on a type of scoliosis, especially on location of dominant curve of scoliosis. A dominant right thoracic curve causes limitation of a range of rotation of trunk or pelvis and provokes asymmetries between a range of left and right rotation. A dominant left lumbar curve is conductive to increase a range of rotation of pelvis and provokes asymmetries between a range of left and right rotation.

2

A simple method for the determination of the cholesterol esterase activity

64%

Stępień A., Gonchar M.

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EN

The proposed method determines the activity of cholesterol esterase (CEH) and takes advantage of its ability to catalyze the hydrolysis of cholesterol esters naturally present in human serum. The assay is based on Allain's method of spectrophotometric determination of cholesterol by means of cholesterol oxidase, peroxidase, but using 3,5-dichloro-dihydroxybenzenesulfonic acid (DHBS) as phenolic chromogen and human serum as a source of substrate for the CEH as a novelty. Furthermore, it is characterized by low costs and high precision. It can be employed to control the activity of CE preparations used for the preparation of enzymatic kits for the determination of cholesterol or for screening of potential bacterial enzyme producers.

3

Motor development in the first year of life versus trunk rotation angle, lumbo-pelvic-hip complex mobility and joint hypermobility in children aged 3-9

51%

Guzek K., Stępień A., Składowska P., Rekowski W.

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2019

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vol. 33

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issue 3

11-17

EN

Introduction Infancy is the key period in human development. Disorders in the motor development during the first year of life may affect the body posture, motor patterns and functioning in the period of childhood. The study objective was to assess the correlation between motor development in the first year of life and angle of trunk rotation, lumbopelvic- hip complex mobility and occurrence of joint hypermobility in children aged 3-9. Material and methods 120 healthy children aged 3 to 9 participated in the study. The study comprised a questionnaire and a clinical trial. The children in whom the questionnaire revealed abnormal motor development in the first year of life were included in the study group, and the other children were a control group. Then, a physiotherapist assessed the value of the trunk rotation angle with the use of a scoliometer, the lumbopelvic- hip complex mobility with the use of TPHA test, and the occurrence of joint hypermobility with the use of Beigthon test. Results Children with abnormal motor development in the first year of life were characterized by a statistically significantly higher value of the trunk rotation angle in the thoracic section and they had a higher asymmetry of rotational movement of the lumbopelvic- hip complex, as well as higher values in the Beighton test. Conclusions Abnormal motor development in the first year of life is a factor predisposing to increased values of the trunk rotation angle in the thoracic section, asymmetry of rotational movement of the lumbo-pelvic-hip complex, and joint hypermobility. Studies of other factors potentially leading to development of such disorders should be continued. Children with impaired development should be included in programmes of prophylaxis.

4

Zmiany czynności mioelektrycznej żołądka u osób z depresją i objawami dyspeptycznymi

51%

Wojtkiewicz P., Stępień A., Chojnacki J.

Folia Medica Lodziensia

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2016

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vol. 43

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issue 1

17-37

EN

Introduction: A chronic or recurrent pain and discomfort in the upper abdomen occurs frequently in depressive patients. The pathogenesis of these symptoms is complex and not fully understood. The aim of the study was to estimate the gastric myoelectrical activity in this group of patients. Material and methods: The study group consisted of 90 subjects, including 71 women and 19 men (mean age – 38.0±8.1). Among them three groups were divided: healthy subjects (K, n=30), depressive patients with dyspepsia (group II, n=30) and depressive patients with Helicobacter pylori infection (group III, n=30). All the subjects completed Hamilton Depression Scale and the gastric myoelectrical activity examination with Polygraph–Medtronic A/S (Denmark) was done before and after a liquid meal for 120 minutes. Results: Preprandial normogastria in depressive patients (group II, III) compared to healthy subjects (group K) was lower 79.5±8.1% vs 73.6±8.7% (p<0.01) and 79.5±8.1% vs 68.4±9.9 (p<0.001). The similar differences were recorded during postprandial time. Power ratio scale (PR) was also lower in depressive patients than in healthy subjects: 3.5±0.7 (K), 1.6±0.7 (group II), 1.7±0.8 (group III) – p<0.001, p<0.001 respectively. Conclusions: In depressive patients gastric myoelectrical activity is disturbed and probably causes chronic dyspepsia symptoms.

5

Effects of auditory integration disorders on language development and the use of NBAS to diagnose auditory processing disorders

51%

Religa D., Stępowska J., Stępień A.

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2018

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vol. 32

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issue 1

47-55

EN

The occurrence of problems linked to cognitive-linguistic and auditory processing may lead to serious phonological disorders such as an incorrect use of sounds by a child. Early diagnosis of auditory processing disorders makes it possible to start the therapy quickly and enhances the child’s chances of proper development. In the cerebral cortex, there is a physiological connection between auditory processing and speech production. Auditory processing disorders lead to improper development of speech and language communication. Auditory processing disorders in older children are assessed with the use of behavioural tests such as a binaural integration test, Staggered Spondaic Word (SSW) test, Dichotic Digit Test and Speech-in-noise (SIN) test. The drawbacks of these tests are that they are applied when speech production disorders already occur. They cannot be used in newborns due to the fact that they are incapable of cooperating. The NBAS scale used in physiotherapeutic diagnosis may be employed to assess processing disorders in the youngest children. This procedure is very simple and results provide early information regarding the child’s auditory integration. Foreign research points to a significant correlation between auditory processing disorders and phonological disorders mainly in terms of distinguishing phonemes.

6

Rola tryptofanu i serotoniny w patogenezie i leczeniu zespołu jelita nadwrażliwego

51%

Stępień A., Walecka-Kapica E., Błońska A., Klupińska G.

Folia Medica Lodziensia

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2014

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vol. 41

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issue 2

139-154

EN

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder of a very complex etiopathogenesis. There are three clinical types of this syndrome: with constipation, with diarrhea and mixed, with alternating constipation and diarrhea. Etiopathogenetic factors include, among others, genetic, environmental and inflammatory predispositions, chronic stress and depression. Therefore, it is contemplated whether the disease affects the digestive or the nervous system. Both, in the central nervous system and in the gastrointestinal tract, there are many same receptors and neurotransmitters involved in the regulation of their activities. Among them, serotonin plays an important role. The main function of serotonin is the regulation of gastrointestinal motility and secretion. L-tryptophan, exogenous amino acid, is its precursor. The deficiency or the excess of both the compounds and disorders in their metabolism affect the abnormal bowel function. Thus, taking this into account, a proper diet should not be forgotten in the treatment of irritable bowel syndrome. It has been demonstrated that patients with diarrhea-predominant IBS have a higher blood serotonin level compared to healthy subjects. No such difference was observed in constipation-predominant IBS. Furthermore, patients with constipationpredominant disease demonstrated lower levels of serotonin metabolite – 5-hydroxy-3-indoleacetic acid (5-HIAA) in urine. Patients with higher postprandial blood levels of serotonin feel discomfort after a meal. This confirms the validity of the use of selective serotonin reuptake inhibitors in the treatment of patients with constipation-predominant IBS, as the availability of this neurotransmitter is increased in the body, which stimulates peristalsis. Thus, it may be reasonable to recommend patients with constipationpredominant IBS a diet rich in tryptophan-containing foods, whereas patients with diarrhea-predominant IBS should avoid their consumption.

PL

Zespół jelita nadwrażliwego (IBS) jest czynnościową chorobą przewodu pokarmowego o bardzo złożonej etiopatogenezie. Wyróżnia się trzy postacie kliniczne tego zespołu: zaparciową, biegunkową i mieszaną. Wśród czynników etiopatogenetycznych wymienia się m. in. predyspozycje genetyczne, środowiskowe, zapalne, przewlekły stres i depresję. Dlatego rozważa się, czy choroba dotyczy układu pokarmowego czy nerwowego. Zarówno w ośrodkowym układzie nerwowym, jak i w układzie pokarmowym występuje wiele takich samych receptorów i neuroprzekaźników, uczestniczących w regulacji czynności tych układów. Wśród nich ważną rolę odgrywa serotonina. Do głównych funkcji serotoniny należy udział w regulacji czynności motorycznej i wydzielniczej przewodu pokarmowego. Jej prekursorem jest egzogenny aminokwas L-tryptofan. Niedobór lub nadmiar obu związków oraz zaburzenia ich metabolizmu mają wpływ na nieprawidłowe funkcjonowanie jelit. Biorąc to pod uwagę, w leczeniu zespołu jelita nadwrażliwego nie powinno się zatem zapominać o odpowiedniej diecie. Wykazano, że pacjenci z biegunkową postacią IBS mają, w porównaniu ze zdrowymi osobami, wyższe stężenie serotoniny we krwi. Różnicy takiej nie zaobserwowano w postaci zaparciowej jelita nadwrażliwego. Dodatkowo, u pacjentów z typem zaparciowym choroby obserwowano niższe stężenie metabolitu serotoniny – kwasu 5-hydroksy-3- indolooctowego w moczu. Pacjenci z wyższym poposiłkowym stężeniem serotoniny we krwi odczuwają dolegliwości po spożyciu posiłku. Potwierdza to zasadność stosowania selektywnych inhibitorów zwrotnego wychwytu serotoniny w leczeniu pacjentów z zaparciową postacią zespołu jelita nadwrażliwego. Zwiększa się wówczas dostępność serotoniny w organizmie, co pobudza perystaltykę jelit. Zasadne może być zatem zalecenie chorym z postacią zaparciową jelita nadwrażliwego spożywania produktów bogatych w tryptofan, podczas gdy pacjenci z postacią biegunkową powinni ograniczyć ich spożycie.

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Metoda PNF w odniesieniu do wytycznych Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) dotyczących leczenia zachowawczego osób ze skoliozami / PNF method in relation to the guidelines of Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) for conservative treatment of people with scoliosis

45%

Stępień A., Graff K., Kloze A., Stępowska J., Marciński J.

Advances in Rehabilitation

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2014

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vol. 28

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issue 4

21-28

EN

Introduction: Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) is an international organization which determines standards for scoliosis treatment and research. Physiotherapy is a necessary part of treatment standards. SOSORT indicates which conditions must be fulfilled by physiotherapy methods in order to be used for scoliosis treatment. One of the concepts used worldwide in the process of scoliosis conservative treatment is Proprioceptive Neuromuscular Facilitation (PNF). International PNF Association (IPNFA) establishes the PNF teaching standards, application and related research. Aim: The goal of this work is to demonstrate conformity PNF method to SOSORT guidelines for conservative treatment of people with scoliosis. Material and methods: SOSORT recommendations set in 2005-2012 were used to analyze knowledge and information, according to the newest IPNFA agreements. Results: Conformity PNF method to SOSORT guidelines can be observed in: personal treatment planning; focus on treatment goals (stopping the progression of curvature, breathing function improvement, reduction in pain, aesthetic issues), possibility of special effects on the spine deformity (autocorrection of the spine and pelvis in three planes, stabilization of the posture, activities of the daily living and general health education). The positive influence of the selected PNF patterns on postural parameters of individuals with scoliosis was observed in the initial studies. Conclusions: Described in details structure of PNF method can be used in the planning of research. It is necessary to conduct research to demonstrate the effectiveness of PNF method in the treatment of people with scoliosis.

8

Assessment of the lumbo-pelvic-hip complex mobility with the Trunk-Pelvis-Hip Angle test: intraobserver reliability and differences in ranges of motion between girls with idiopathic scoliosis and their healthy counterparts

45%

Stępień A., Guzek K., Rekowski W., Radomska I., Stępowska J.

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2020

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vol. 30

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issue 3

27-39

EN

Introduction The Trunk-Pelvis-Hip Angle (TPHA) test is used for assessing the mobility of lumbo-pelvic-hip complex. The aim of the research was to assess the intraobserver reliability of the TPHA test in girls with and without idiopathic scoliosis and to compare the test values obtained by the girls in both groups. Material and methods The research included girls without scoliosis and girls with double idiopathic scoliosis aged 8-16. The trunk-pelvis-hip angle was measured three times on each body side within one session. Statistical analysis was performed with the use of ANOVA intraclass correlation coefficient for dependent groups, Kolmogorov-Smirnov test as well as non-parametric Wilcoxon signed-rank test for dependent groups and Mann-Whitney U test for independent groups. Results The research included 49 healthy girls (aged 11.8 ± SD 2.5 years) and 49 girls with double idiopathic scoliosis (aged 12.7 ± SD 2.6 years; Cobb angle Th 27.7º ± SD 13.4º and L Cobb 25.8º ± SD 10.5º). The intraobserver reliability for the TPHA measurements was very high (ICC>0.85). In both groups the left-side TPHA value was significantly higher than the right-side value (p=0.001). The TPHA range of motion on the right side of the body was more limited in the scoliotic girls than in the healthy ones (p=0.001). Conclusions The TPHA test is a reliable means of assessing mobility in the lumbo-pelvic-hip complex in girls by one observer.The asymmetry of movements in the lumbo-pelvic-hip complex in healthy girls needs to be observed since it may constitute one of the factors predisposing to scoliosis which limits spine rotation range of motion. The TPHA test needs further research.

9

Anomalie stawu biodrowego we wczesnym dzieciństwie występują z podobną częstością u chorych ze skoliozą idiopatyczną i zdrowych – badanie ankietowe rodziców

39%

Stępień A., Guzek K., Czubak J., Surowińska J., Stępowska J., Kiebzak W.

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2018

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vol. 31

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issue 4

5-18

EN

Introduction Improper hip joint development may lead to numerous unfavourable changes in the musculoskeletal system. The aim of this research was to determine how often adolescents with idiopathic scoliosis and their healthy counterparts experienced anomalies of the hip in their infancy period and to examine the correlation between the occurrence of hip anomalies and idiopathic scoliosis. Material and methods The research was conducted in medical centres as well as in schools. The parents of adolescents with idiopathic scoliosis and parents of healthy adolescents completed a questionnaire on the basis of their child’s development history included in the medical records book and other medical documentation. Results 533 questionnaires were taken into consideration, included 145 questionnaires completed by parents of adolescents with scoliosis (121 girls – 13.8 years, SD 1.9; 24 boys – 12.9 years, SD 2.5) and 388 questionnaires from the group of adolescents without scoliosis (194 girls – 13.5 years, SD 2.0; 194 boys – 13.4 years, SD 2.1). No significant differences were noted in the incidence of hip anomalies between the groups of girls and boys with and without scoliosis, no correlations between anomalies of the hip and scoliosis were found (girls χ2=0.840; Cramer V=0.052; p=0.36; boys χ2=1.205; Cramer V=0.074; p=0.27). Conclusions Hip anomalies such as hip dysplasia, movement asymmetry or range of motion limitations diagnosed in the infancy period did not correlate with idiopathic scoliosis. Further research aimed at a separate analysis of the influence of hip dysplasia on the occurrence of idiopathic scoliosis should be carried out.

10

Wydzielanie serotoniny i melatoniny oraz mioelektryczna i motoryczna czynność żołądka u kobiet po menopauzie

39%

Jałocha W., Wachowska-Kelly P., Stępień A., Wojtkiewicz P., Walecka-Kapica E., Chojnacki J., Klupińska G.

Folia Medica Lodziensia

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2014

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vol. 41

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issue 2

155-167

EN

In postmenopausal women various psychosomatic disorders concerning mood and appetite occur. The reason is not only estrogen deficiency, but also other hormones and neurotransmitters. The aim of the study was to estimate serotonin and melatonin levels and myoelectrical activity and gastric motor in postmenopausal women in relation to their nutritional status. The study was conducted in three 30-person groups of women: premenopausal (group I), postmenopausal with a normal body mass (group II), postmenopausal overweight (group III). Compared with group I, in group II there were no significant differences, while in group III serotonin level was lower respectively 156.5±40.2 ng/ml and 83.4±32.5 ng/ml (p<0.01), as well as the percentage of normogastria – 82.9±5.6% and 66.9±8.2 (p<0.05) and gastric emptying half-time 43.6±14.7 min and 27.4±12.2 min (p<0.01). Moreover, a negative correlation between body mass index and serotonin (r = -0.4744) and melatonin (r = -0.7146) levels was observed. The study results indicate the involvement of serotonin and melatonin in the pathogenesis of eating disorders in postmenopausal women.

PL

U kobiet po menopauzie występują różnorodne zaburzenia psychosomatyczne, w tym dotyczące nastroju i łaknienia. Przyczyną tego jest niedobór estrogenów, ale także innych hormonów i neurotransmiterów. Celem badania było określenie stężenia serotoniny i melatoniny oraz czynności mioelektrycznej i motorycznej żołądka u kobiet po menopauzie w odniesieniu do ich stanu odżywienia. Badania przeprowadzono w trzech 30-sto osobowych grupach kobiet: przed menopauzą (grupa I), po menopauzie z prawidłową masą ciała (grupa II), po menopauzie ze współistniejącą nadwagą (grupa III). W porównaniu z grupą I, w grupie II nie stwierdzono istotnych różnic, natomiast w grupie III niższe było stężenie serotoniny, odpowiednio 156,5±40,2 ng/mL i 83,4±32,5 ng/mL (p<0,01), a także niższy był odsetek prawidłowej czynności mioelektrycznej żołądka (normogastrii) – 82,9±5,6% i 66,9±8,2 (p<0,05) oraz krótszy był czas połowicznego opróżniania żołądka (43,6±14,7 min. i 27,4±12,2 min.; p<0,01. Ponadto stwierdzono odwrotną zależność między wskaźnikiem masy ciała a stężeniem serotoniny (r = -0,4744) i melatoniny (r = -0,7146). Wyniki badań wskazują na udział serotoniny i melatoniny w patogenezie zaburzeń odżywiania u kobiet po menopauzie.

11

Identyfikacja wartości sił rozwijanych kończynami górnymi podczas różnych form aktywności fizycznej i manualnych technik fizjoterapeutycznych – przegląd literatury

33%

Trzaskoma Z., Molik B., Morgulec-Adamowicz N., Truszczyńska-Baszak A., Ogonowska-Słodownik A., Marszałek J., Stępień A., Krawczyk M., Wójcik A.

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2017

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vol. 31

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issue 1

59-70

EN

The aim of this study was to review the literature dealing with the force-time characteristics of different forms of physical activity performed with upper limbs by the elderly and the disabled (Nordic Walking and using a wheelchair, respectively) and of manual techniques used by physiotherapists. Values of work and power were analysed as well. Based on the analysis of the literature concerning the substantive areas included in this article, we believe that objective measurements will expand the present knowledge about values of force developed by upper limbs during different forms of human activity. It seems to be of particular significance in the application of manual therapy techniques, because currently values of force exerted upon the patient while applying these techniques are selected by a physiotherapist intuitively and are neither objective nor systematically controlled. The identification of the values of force developed with upper limbs by the elderly, the disabled and physiotherapists during the aforementioned forms of activity will make an original contribution to the broadly defined physical culture, especially rehabilitation and health promotion.

PL

Niniejsze badania miały na celu przegląd literatury dotyczącej charakterystyki siła- czas kończyn górnych osób starszych i niepełnosprawnych podczas różnych form aktywności fizycznej (odpowiednio Nordic Walking oraz poruszanie się na wózku) oraz fizjoterapeutów podczas stosowania technik manualnych, jak również analizę wartości pracy i mocy. W oparciu o analizę literatury przedmiotu dotyczącej zagadnień merytorycznych uwzględnionych w niniejszym artykule uważamy, że obiektywne pomiary rozszerzą aktualny stan wiedzy na temat wartości sił rozwijanych przez kończyny górne podczas różnych form aktywności fizycznej. Wydaje się to mieć szczególne znaczenie w przypadku stosowania manualnych technik fizjoterapeutycznych, jako że aktualnie wartości siły wywieranej na pacjenta podczas stosowania tych technik są dobierane intuicyjnie przez fizjoterapeutę i nie są ani obiektywne, ani systematycznie kontrolowane. Identyfikacja wartości sił rozwijanych kończynami górnymi przez osoby starsze, niepełnosprawne oraz przez fizjoterapeutów podczas wyżej wymienionych form aktywności przyczyni się do rozwoju szeroko pojętej kultury fizycznej, w tym szczególnie rehabilitacji oraz promocji zdrowia.

Refine search results

Zakresy rotacji tułowia i miednicy u dziewcząt ze skoliozą idiopatyczną / A range of rotation of the trunk and pelvis in girls with idiopathic scoliosis

A simple method for the determination of the cholesterol esterase activity

Motor development in the first year of life versus trunk rotation angle, lumbo-pelvic-hip complex mobility and joint hypermobility in children aged 3-9

Zmiany czynności mioelektrycznej żołądka u osób z depresją i objawami dyspeptycznymi

Effects of auditory integration disorders on language development and the use of NBAS to diagnose auditory processing disorders

Rola tryptofanu i serotoniny w patogenezie i leczeniu zespołu jelita nadwrażliwego

Assessment of the lumbo-pelvic-hip complex mobility with the Trunk-Pelvis-Hip Angle test: intraobserver reliability and differences in ranges of motion between girls with idiopathic scoliosis and their healthy counterparts

Anomalie stawu biodrowego we wczesnym dzieciństwie występują z podobną częstością u chorych ze skoliozą idiopatyczną i zdrowych – badanie ankietowe rodziców

Wydzielanie serotoniny i melatoniny oraz mioelektryczna i motoryczna czynność żołądka u kobiet po menopauzie

Identyfikacja wartości sił rozwijanych kończynami górnymi podczas różnych form aktywności fizycznej i manualnych technik fizjoterapeutycznych – przegląd literatury