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Assessment of the strength and endurance of the trunk muscle in patients with low back pain

100%

Głodzik J., Chwała W., Marchewka A., Ruchlewicz T., Skura A.

Medical Rehabilitation

2008

vol. 12(3)

15-23

Introduction: In this study, strength and endurance of the trunk muscles were assessed in patients with spondyloarthrosis of the lower spine. Material and methods: 52 women and 49 men with low back pain syndrome (LBPS) were enrolled into the study. The muscle strength of the flexors and extensors of the trunk was determined by calculation of the maximum (MT) and relative torque (RT) during an isometric contraction. Evaluation of endurance of the extensors used calculation of the regression coefficient of the strength reduction during the testing of maximum strength capability. The obtained results were compared to results obtained in healthy persons. Moreover, the relation of those parameters to age, body-mass index – BMI (describing somatic habitus) and the Oswestry Disability Index – ODI (describing pain intensity during activities of daily living) was assessed. Separate analyses were conducted for the groups of males and females.Results: Based on the conducted study and the performed analyses, it can be stated that in patients with chronic low back pain syndrome there is a marked reduction in trunk muscle strength as compared to healthy persons. For females, the reduction ranged from 45% (flexors) to 48% (extensors) for absolute maximum torque values, while for relative values (RT) – from 51% (flexors) to 56% (extensors). In men, the strength reduction of abdominal and back muscles was smaller and was approximately 40% (for MT and RT). Because of such differences in the strength of the back muscles and methodological reasons, endurance variables were not compared. Reduction in trunk muscle strength is primarily due to the pain syndrome and does not depend on patients’ age or habitus. Lower muscle strength can affect the intensity of spinal pain during every-day activities.Conclusions: Precise determination of strength and endurance of the trunk muscles and the appropriate selection of methods of their reinforcement should constitute one of the principal aims of rehabilitation treatment in patients with low back pain.

Selected trials of the EUROFIT test as a measure of the physical fitness of children with recurrent respiratory diseases - a preliminary report

86%

Swatkowska H., Mętel S., Głodzik J., Golec J., Szczygieł E., Golec P.

Medical Rehabilitation

2013

vol. 17(4)

11-18

Wstęp: W pracy oceniono przydatność wybranych prób z Europejskiego Testu Sprawności Fizycznej jako narzędzia służącego do pomiaru sprawności fizycznej dzieci z nawracającymi schorzeniami układu oddechowego leczonych w warunkach subterraneoterapii. Projekt badań: Badanie „przed i po”. Materiał i metody: W badaniu przeprowadzonym w pierwszym i ostatnim dniu turnusu rehabilitacyjno-leczniczego w Uzdrowisku Kopalni Soli „Wieliczka” wzięło udział 58 dzieci, w tym 25 dziewcząt i 33 chłopców w wieku od 5 do 10 lat życia, które codziennie wykonywały ćwiczenia oddechowe, ogólnousprawniające, formy muzyczno-ruchowe oraz biegi z pomiarem czasu. Do oceny sprawności fizycznej dzieci zastosowano 3 próby Europejskiego Testu Sprawności Fizycznej – EUROFIT, oceniające gibkość, szybkość i siłę eksplozywną kończyn dolnych oraz obliczono wartość dla skoku w dal z miejsca unormowanego. Wyniki: Średni dystans testu skłonu tułowia w przód w siadzie prostym uległ zwiększeniu po turnusie rehabilitacyjnym o 1,78 cm u 7-10 letnich dziewczynek (p≤ 0.05). Średnia odległości skoku w dal z miejsca uległa zwiększeniu od 0,7 cm u 5-6 letnich dziewczynek, aż do 6,6 cm u 7-10 letnich dziewczynek. U chłopców rezultaty te były większe u starszych i wyniosły 3,6 cm, niż u młodszych – 2,7 cm. Różnice istotne statystycznie odnotowano u dzieci w wieku 7-10 lat życia. Analizując parametr uwzględniający skok z miejsca i wysokość ciała zaobserwowano podobne zależności. Wnioski: Zaproponowane próby z Europejskiego Testu Sprawności Fizycznej wydają się być dobrym narzędziem do oceny sprawności fizycznej dzieci z nawracającymi schorzeniami układu oddechowego. Uzyskane wyniki są zachęcające i wskazują na konieczność prowadzenia kompleksowego postępowania usprawniającego z uwzględnieniem metod kinezyterapii, muzykoterapii i choreoterapii. Niezbędne są dalsze badania potwierdzające skuteczność programu usprawniania prowadzonego w warunkach subterraneoterapii.

Introduction: The study assessed the usefulness of selected trials from the European Physical Fitness Test as a tool for measuring the physical fitness of children with recurrent respiratory diseases treated in subterraneotherapy conditions.Research project: Before-after study.Materials and methods: The assessment was conducted in the first and last day of a rehabilitation stay at the ‘Wieliczka’ Salt Mine Health Resort with the participation of 58 children, comprising 25 girls and 33 boys aged 5 to 10 years old, who had been performing daily breathing exercises, general rehabilitation exercises, some form of dancing and running with time measurement. To assess the physical fitness of the children, the 3 trials of the European Physical Fitness Test – EUROFIT were used, evaluating the flexibility, speed and explosive strength of the lower limbs and also the value for a standardized, standing long jump was calculated.Results: The mean distance of the sit-and-reach test increased after the rehabilitation program to 1.78 cm for the 7-10 year-old girls (p ≤ 0.05). The average distance of the standardized, standing long jump increased from 0.7 cm in the 5-6 year-old girls, up to 6.6 cm in the 7-10 year-old girls. In the boys group, these results were higher in the older children and amounted to 3.6 cm, than in the younger - 2.7 cm. Statistically significant differences were noted in children aged 7-10 years old (Figure 3). Analyzing the parameter which takes into account the standing long jump and body height, similar relationships was observed.Conclusions: The proposed trials of the European Physical Fitness Test seem to be a good tool for assessing the physical fitness of children with recurrent respiratory diseases. The results are encouraging and indicate the need to engage in comprehensive rehabilitation proceedings with regard to kinetic therapy, music therapy and choreotherapy. Further research is needed to confirm the effectiveness of a rehabilitation programme carried out under subterraneotherapy.

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1 Ruchlewicz T.

1 Skura A.

1 Swatkowska H.

1 Szczygieł E.

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Assessment of the strength and endurance of the trunk muscle in patients with low back pain

Selected trials of the EUROFIT test as a measure of the physical fitness of children with recurrent respiratory diseases - a preliminary report