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EN
Introduction The foot is an important element of the human motor system. It is a single mechanism of propulsion and amortisation. Sports people, football players in particular, are especially prone to limb loading. In this discipline, the first contact with the sport as well as training begin at a very young age. In order to prevent traumas and injuries among young players, it is important to assess their foot arch. Material and methods A group of 30 players aged 13-18 who played football at the Progres Sports Academy in Cracow and at the lower- and upper-secondary schools in Cracow under the patronage of Marcin Gortat were tested. The tests involved the podoscopic evaluation of both feet, the test of both feet on a tensometric mat and a survey. To assess the longitudinal foot arch, Clarke’s angle was applied in the authors’ own tests. The transverse arch was evaluated using the Wejsflog index. Results For the overwhelming majority of the persons tested, the most common type of longitudinal arch was flat foot. Only a scant minority had a tendency towards hollow foot. The most common injuries among the examined footballers included muscle pulling and tearing as well as sprains and overloading. Most players suffered injuries of thigh muscles, knee joints, tarsal joints and feet. Conclusions It was confirmed that there was a significant correlation between the intensity of training and the frequency of injuries.
EN
Recreational running is an activity with multiple reported health benefits for both sexes, however, chronic injuries caused by excessive and/or repetitive loading of the Achilles tendon are common. Males have been identified as being at an increased risk of suffering an injury to the Achilles tendon and as such, knowledge of differences in loading between the sexes may provide further information to better understand why this is the case. The aim of the current investigation was to determine whether gender differences in the Achilles tendon load exist in recreational runners. Fifteen male (age 26.74 ± 5.52 years, body height 1.80 ± 0.11 m and body mass 74.22 ± 7.27 kg) and fifteen female (age 25.13 ± 6.39 years, body height 1.68 ± 0.12 m and body mass 67.12 ± 9.11 kg) recreational runners volunteered to take part in the current investigation. Participants completed 10 trials running at 4.0 m·s-1 ±5% striking a force platform (1000 Hz) with their right foot. Ankle joint kinematics were synchronously recorded (250 Hz) using an optoelectric motion capture system. Ankle joint kinetics were computed using Newton-Euler inverse-dynamics. Net external ankle joint moments were then calculated. To estimate Achilles tendon kinetics the plantarflexion moment calculated was divided by an estimated Achilles tendon moment arm of 0.05 m. Differences in Achilles tendon kinetics were examined using independent sample t-tests (p<0.05). The results indicate that males were associated with significantly (p<0.05) greater Achilles tendon loads than females. The findings from this study support the notion that male recreational runners may be at greater risk of Achilles tendon pathology.
XX
INTRODUCTION: Road accidents lead to injuries which are one of the most common causes of hospitalisation in trauma centres. Proper placement and number of EMS units determine quick arrival in the scene of accident and need for transport to the adequate healthcare entity. MATERIAL AND METHODS: An analysis was carried out of the profile of the patient, the distance to the scene of accident as well as the allocation of accident casualties to healthcare entities. A statistical analysis was conducted by means of the Chi-Square Test of Independence and the Kruskal-Wallis test by ranks. RESULTS: Distances between the scenes of accidents and places where EMS units were stationed was from 0.5 to 37 kilometres (mean: 9.8 km). 170 patients participated in the accidents. Most frequently, these were males at the age from 21 to 40 (mean: 35.77 ± 15.45). The most common diagnoses according to ICD-10 were injuries to the head (42.7%) and injuries of lower limbs (12%). In most cases, the accident casualties were transported to the Emergency Department in Łuków. 21 patients in total were placed in hospital facilities outside the catchment area. The Polish Medical Air Rescue transported the 10 patients in the most severe condition. CONCLUSIONS: Road accidents are most frequently experienced by middle-aged men. Injuries to the head and of lower limbs are the most common injuries. The placement of EMS units in the area under analysis is optimal, but the mean distance covered by the ambulance to reach to scene of accident is nearly 10 kilometres. Despite the presence of the Emergency Department in Łuków, one in ten injured patient warrants transport outside the catchment area and almost 6% of patients qualify for transport by air.
EN
Background The profession of a firefighter involves multiple factors that directly or indirectly impact on the person's health. The aim of this study was to establish the correlation between physical fitness of the selected group of firefighters with respect to anthropometric parameters, additional physical activity, and injury rate. Material and methods The study examined 77 men who worked for the State Fire Service (age: 28.87±9.84 years, body mass: 82.13±9.37 kg, body height: 180.12±6.39 cm). Of he study group, 53% of the fire-fighters had normal BMI, 42% were overweight and 5% had first degree obesity. The study used a survey questionnaire concerning the anthropometric data, previous injuries, physiotherapeutic procedures following the injury, and participants' involvement in additional physical activity. A physical fitness test battery was used to determine the correlation between physical fitness and: age, BMI and additional physical activity and injury rate. Results Musculoskeletal injuries accounted for 51% of all injuries. Of all injuries, 56% were occupational. The correlations between the results of the handgrip test were insignificant with respect to BMI and age, whereas in other tests, the correlations were statistically significant (p<0.05). No differences were observed in the results of handgrip test between the group of firefighters who were and those who were not involve in additional physical activity. Comparison of the results obtained by firefighters following the injury and without previous injuries revealed a statistically significant difference (p<0.05) in the 4 x 10 m shuttle run. Conclusions Age and higher values of BMI are the factors that reduce the level of physical fitness of firefighters. Involvement in additional physical activity is a factor in improving physical fitness of firefighters. Previous injuries the firefighters had suffered did not have an effect on their physical fitness.
EN
Introduction Basketball is characterized by high intensity play and a lot of physical contact. Players are required to be well-trained physically in order to be able to face the dynamics, speed and variability of the game and the training loads to which they are exposed. Basketball is a sport that predisposes the athletes to musculoskeletal injuries. The aim of this study was to characterize the injuries experienced by young adult male basketball players. Material and methods Young adult male Polish basketball players from various clubs (17±1.4 years; n = 28; 47%) and amateur basketball players (17±1.4 years; n =30; 53%) took part in this study. To assess the injuries of young basketball players, a survey consisting of 28 questions was used. Results The most common injuries were lower limb injuries (54%), of which ankle injuries prevailed (ankle injuries were the most common injuries of all). Upper limb injuries accounted for 36% of all injuries. Of these, subluxations in finger joints occurred most often. Most often, injuries occurred during physical contact with another player (40%). Despite an injury, the players either did not alter the length of their warm-up or they devoted more time to it. In terms of stretching before a training session or a match, differences between players training up to three times a week and players training four or more times per week were statistically significant (χ2 = 8.926, p = 0.012, V = 0.392). Conclusions Basketball is a sport that causes injuries. Basketball players mostly experience lower limb injuries.
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vol. 2
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issue 4
25-35
EN
Burns represent a significant percentage of injuries amongst trauma patients. The risks from a burn wound depends on the causative factor, time and place of exposure, extent and severity of the burn. Classification according to the American Burn Association indicates that severe burns should be diagnosed from as low as 10% of Third-degree total body surface burn. The burn disease develops progressively through shock, catabolic and anabolic phases until the development of Multiple Organ Dysfunction Syndrome (MODS). Actions performed in the pre-hospital phase are crucial for the effectiveness of the therapeutic process. Wrongful first aid performed by a witnesses of the event may worsen the patient's condition and lead to secondary infection. Studies available in the literature indicate the use of egg whites, yoghurts and ice as means of first aid. Educational projects to promote good practice, using products such as hydrogel dressings, seem therefore necessary. Medical personnel should quickly assess the extent and severity of burns. Furthermore, one ought to implement volume-calculated fluid therapy, protect the respiratory tract and strive to ensure thermal comfort. It seems mandatory to assess the extent of pain and administer appropriate pharmacological measures to perform analgosedation. Due to the limited number of specialist burn treatment centres, paramedics should consider indications for hospitalization and the use of Medical Air Rescue (MAR) enabling rapid patient allocation.
PL
Oparzenia stanowią znaczny odsetek wśród pacjentów urazowych. Zagrożenia wynikające z powstania rany oparzeniowej zależą od czynnika powodującego, czasu i miejsca ekspozycji, rozległości oraz stopnia oparzenia. Klasyfikacja według American Burn Association wskazuje, że oparzenia ciężkie należy rozpoznać już od 10% powierzchni ciała oparzonej w stopniu III. Choroba oparzeniowa rozwija się stopniowo przechodząc przez fazę wstrząsową, kataboliczną, anaboliczną, aż do rozwinięcia się pełnoobjawowego zespołu niewydolności wielonarządowej (MODS – Multiple Organ Dysfunction Syndrome). Dla skuteczności procesu terapeutycznego kluczowe są działania wykonane w fazie przedszpitalnej. Błędnie udzielona pierwsza pomoc przez świadków zdarzenia może pogorszyć stan pacjenta i prowadzić do wtórnego zakażenia. Badania dostępne w literaturze wskazują na wykorzystywanie w ramach pierwszej pomocy białek jaj kurzych, jogurtów i lodu. Dlatego konieczne wydają się projekty edukacyjne promujące prawidłowe zasady postępowania, z wykorzystaniem takich produktów jak opatrunki hydrożelowe. Personel medyczny powinien dokonać szybkiej oceny rozległości i stopnia oparzeń. Należy wdrożyć odpowiednio wyliczoną objętościowo płynoterapię, zabezpieczyć drogi oddechowe i dążyć do zachowania komfortu termicznego. Obowiązkowa wydaje się ocena skali bólu oraz podanie właściwych środków farmakologicznych w celu wykonania analgosedacji. Z uwagi na ograniczoną liczbę specjalistycznych ośrodków leczenia oparzeń ratownicy medyczni powinni rozważyć wskazania do hospitalizacji, a także wykorzystanie Medical Air Rescue (MAR) umożliwiającego szybką alokację pacjenta.
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Content available remote

A Half Century of Scientific Research in Field Hockey

75%
Human Movement
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2011
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vol. 12
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issue 2
108-123
EN
Purpose. Using databases available on the Internet, the number of scientific papers on the subject of field hockey were examined. Basic procedures. As a result, 208 scientific studies covering the fields of biochemistry, physiology, sport injuries, psychology and tactics were found, which were published within the last 50 years (from 1960 to 2010). Despite the popularity of field hockey and its status as an Olympic sport, the number of scientific studies which focused on field hockey was much smaller when compared to the amount of publications on other team sports, such as soccer, basketball, or baseball. Main findings. It was found that the greatest number of publications (61.06%) originated from five English-speaking countries (UK, USA, Canada, Australia, and New Zealand), with the majority focusing on sport psychology, injuries and biochemistry. What was discovered was that the vast majority of scientific studies used field hockey merely as a reference point in comparison to other team sports. Conclusions. The varying topic diversity of the scientific studies found among the databases significantly hinders an effective comparison of findings, especially considering that most of the studies focused on only a few selected aspects of the problem matter and were chiefly small sample studies, nor were they repeated.
EN
Background. Purpose of the study was to determine the degree of frequently of injuries in four sports-team games and determine the relationship between the disciplines and the type and prevalence of the most common injuries, as well as their similarities in this, in a multidimensional approach. Material and methods. The research was conducted in the year 2017, in sports clubs on the territory of the Lower Silesia region. Research group accounted for 125 male athletes aged between 15 and 18 years of age (Cadet-junior) with an average of 16.27 years. They represented 4 sports. 22 athletes with American football, 30 athletes football, 49 players handball and 24 volleyball athletes. The analysis uses survey data on the history of injuries related to cultivated discipline related to the circumstances, the part of the body and type of injury. Results. The vast majority of the surveyed 81.60% had an injury as a result of practicing chosen sport. The most common injuries suffered footballers, 96.66%, the least volleyball players 54.55%. The most common injuries are the limbs, especially low limb-70.40% of all identified injuries. The most common type of injury is breaking 54.40%. Overall, a little less injuries to the affected muscle damage (break, sprain) 52% Conclusions. Practice of the presented sports team involves a risk of injury. Most of the injuries are exposed footballers, and the least volleyball players. Injuries most often apply to the lower limbs, with most of the bruises and muscle injuries. Calls for a search for preventive solutions to protect players from injuries.
PL
Wstęp. Celem badań było określenie częstości urazów czterech dyscyplin sportowych – gier zespołowych oraz określenia powiązań między poszczególnymi dyscyplinami, a rodzajem i miejscem występowania najczęstszych urazów, a także ich podobieństw pod tym, w ujęciu wielowymiarowym. Materiał i metody. Badania przeprowadzono w 2017 roku, w klubach sportowych funkcjonujących na terenie województwa dolnośląskiego. Grupę badawczą stanowiło 125 zawodników płci męskiej w wieku między 15 a 18 rokiem życia (kadet-junior) ze średnią 16,27 lat. Reprezentowali oni 4 dyscypliny sportowe. 22 zawodników uprawiających football amerykański, 30 zawodników uprawiających piłkę nożną, 49 zawodników piłkę ręczną oraz 24 zawodników uprawiających piłkę siatkową. Do analizy wykorzystano dane ankietowe dotyczące urazów związanych z uprawianą dyscypliną sportu. Wyniki. Zdecydowana większość badanych 81,60% odniosła uraz w wyniku uprawiania wybranej dyscypliny sportu. Najczęściej urazy odnosili piłkarze nożni, 96,66%, najrzadziej siatkarze 54,55%. Najczęściej urazom ulegają kończyny, szczególnie kończyna dolna - 70,40% wszystkich stwierdzonych urazów. Najczęstszym rodzajem urazu jest stłuczenie 54,40%. Ogółem, niewiele mniej urazów dotyczy uszkodzenia mięśni - 52%. Wnioski. Uprawianie przedstawionych sportowych gier zespołowych wiąże się z ryzykiem wystąpienia urazu. Najbardziej na uraz narażeni są piłkarze nożni, a najmniej siatkarze. Urazy najczęściej dotyczą kończyn dolnych, z czego większość to stłuczenia i urazy mięśniowe. Postuluje się poszukiwanie rozwiązań prewencyjnych chroniących zawodników przed urazami.
EN
Background. The hip joint is one of the most important joints in the human body. Although its multiaxial movements account for many benefits, they also render the hip one of the most hard-working joints. Injuries to the hip joint and thigh often occur as a result of a fall. According to epidemiologic data, such falls are most frequent in the elderly, particularly in osteoporosis sufferers. Material and methods. The “Services” component of the Statistics API version 1.0 provided by the National Health Fund (NHF) was used in order to evaluate the number of hospitalizations due to hip joint and thigh injuries. Information on the number of patients was obtained in a number of stages. The first stage involved determination of hip and thigh injuries as the main diagnosis. Then, the billing products which made possible settlement for hospitalization of patients with the selected diagnoses were chosen. The last stage consisted in the extraction of relevant medical data sets from the “Services” component of the NHF Statistics API, which made possible this analysis. Results. According to the NHF reporting data, over the four-year period of interest there were approx. 42,000 hospitalizations per year. The most frequent causes of hospitalization were fractures of the neck of the femur (S72.0) and trochanteric fractures (S72.1), accounting for approx. 48% and 36% of all hospital stays, respectively. Conclusions. 1. Hip injuries constitute a significant health problem in Poland (approx. 42,000 hospitalizations per year). 2. The most frequent causes of hospitalization are injuries in the form of fractures of the neck of the femur or trochanteric fractures (corresponding to the ICD-10 codes S72.0 and S72.1, respectively). 3. It appears advisable to develop a tool to enable medical service providers to adjust their services to patients’ changing needs. This tool could employ open-access data on injuries published in the NHF Statistics API.
PL
Wstęp. Staw biodrowy jest jednym z najważniejszych stawów ludzkiego ciała. Wieloosiowe ruchy w stawie pomimo niewątpliwych zalet sprawiają, że staw biodrowy jest prawdopodobnie jednym z najciężej pracujących stawów ludzkiego ciała. Uszkodzenie stawu biodrowego czy struktur uda często powstaje w wyniku upadku, który jak wskazują dane epidemiczne najczęściej zdarza się osobom starszym, szczególnie w przypadku osób cierpiących na osteoporozę. Materiał i metody. W celu określenia liczby pacjentów hospitalizowanych z powodu urazu stawu biodrowego i uda posłużono się Interfejsem API Statystyki NFZ – Świadczenia wersja 1.0. Proces prowadzący do uzyskania informacji dotyczącej liczby pacjentów odbył się w kilku etapach. Pierwszy etap stanowił wybór rozpoznań głównych z zakresu urazów stawu biodrowego i uda. Następnie wyłoniono produkty, w ramach których możliwe było rozliczenie hospitalizacji pacjentów z wybranymi rozpoznaniami. W ostatnim etapie wygenerowano odpowiednie zbiory danych medycznych z wykorzystaniem Interfejsu API Statystyka NFZ – Świadczenia, pozwalające na przeprowadzenie analizy. Wyniki. Zgodnie z danymi sprawozdawczymi NFZ łącznie na przestrzeni 4 analizowanych lat obserwowanych jest średnio prawie 42 tys. hospitalizacji rocznie. Najczęstszym powodem hospitalizacji były złamanie szyjki kości udowej (S72.0) i złamanie przezkrętarzowe (S72.1) stanowiące średnio ok. 48% oraz 36% wszystkich hospitalizacji. Wnioski. 1. Urazy stawu biodrowego stanowią duży problem zdrowotny w Polsce (średnio prawie 42 tys. hospitalizowanych pacjentów rocznie). 2. Najczęstszą przyczyną hospitalizacji są urazy związane ze złamaniem szyjki kości udowej oraz złamaniem przezkrętarzowym (zgodnie z ICD-10 S72.0 i S72.1). 3. Uzasadnione jest stworzenie narzędzia umożliwiającego podmiotom medycznym dostosowywanie usług do zmieniających się potrzeb pacjentów. Narzędzie to może wykorzystywać ogólnodostępne dane dotyczących urazów publikowane w API Statystyki NFZ.
EN
Background: The goal of the presented study was to assess the predictive value of harmonious (HP) and obsessive (OP) passion in the of formation perception of susceptibility to injuries among recreational cyclists and to verify whether the mean values corresponding to these variables and correlations (force and direction) differ in harmoniously and obsessively passionate cyclists. Material and methods: 394 recreational cyclists participated in the study. The participants completed the Passion Scale, indicating the number of recently sustained contusions and assessed the risk of these contusions on a yearly basis. Results: The analysis showed significant positive correlations between the number of sustained injuries and OP, and the perceived risk of injury. No correlation was found between HP and this variable in general population in cyclists ¬ enthusiasts. After the division into two groups, namely harmoniously and obsessively passionate cyclists, it was found that obsessively passionate cyclists obtained significantly higher OP values and their value corresponding to the assessment of injury risk was significantly higher. The HP value obtained from this group was significantly lower than that obtained from harmoniously passionate cyclists. Significant positive correlations were found between the number of injuries, OP and the perceived injury risk in the group of harmoniously passionate participants. Conversely, significant negative correlations between HP and OP, and the same variable were found in the group of obsessively passionate cyclists. Conclusions: The results of the presented study suggest that interventions aimed at promoting preventive behaviors should be also applied in participants involved in recreational sports. Besides, earlier experience after sustaining injuries and motivation for taking part in such activities should be considered.
PL
Wstęp: Celem prezentowanych badań jest ocena wartości predykcyjnej liczby doznanych urazów, pasji harmonijnej (HP) i obsesyjnej (OP) w kształtowaniu postrzegania podatności na urazy sportowe u kolarzy rekreacyjnych oraz sprawdzanie czy u pasjonatów harmonijnych i obsesyjnych średnie wyników tych zmiennych i zależności (ich siła i kierunek) pomiędzy nimi różnią się. Materiał i metody: W badaniu wzięło udział 394 kolarzy rekreacyjnych. Respondenci wypełnili Skalę Pasji, wskazali liczbę kontuzji doznanych w ostatnim sezonie oraz określili ryzyko przebytych kontuzji w trakcie roku aktywności Wyniki: Analiza wykazała istotne pozytywne zależności pomiędzy liczbą przebytych urazów i OP a postrzeganym ryzykiem przebycia urazu oraz brak zależności pomiędzy HP a tą zmienną w ogólnej populacji pasjonatów – rowerzystów. Po wyodrębnieniu grup pasjonatów harmonijnych i obsesyjnych wykazano, że pasjonaci obsesyjni osiągnęli istotnie wyższy wynik OP, istotnie wyżej ocenili ryzyko wystąpienia kontuzji oraz osiągnęli istotnie niższy wynik HP niż pasjonaci harmonijni. Wykazano istotne pozytywne zależności pomiędzy liczbą urazów i OP a postrzeganym ryzykiem kontuzji w grupie pasjonatów harmonijnych oraz istotne negatywne zależności pomiędzy HP i OP a tą samą zmienną w grupie pasjonatów obsesyjnych. Wnioski: Wyniki prezentowanego badania sugerują, że interwencje mające na celu promowanie zachowań profilaktycznych powinny także dotyczyć sportowców rekreacyjnych i uwzględniać wcześniejsze doświadczenia po przebyciu urazów i motywację do angażowania w aktywność.
EN
Introduction. Martial arts and combat sports are practical sports that are being practised by an increasing number of women. The aim of this study was to examine the relationship between the ability of female judo, taekwondo and karate competitors to fall safely and their susceptibility to injuries during falls. Material and methods. A total of 120 persons participated in the research. The study group consisted of 45 female judo, taekwondo (WTF) and karate Shotokan competitors; in the control group there were 75 persons who did not practise sport professionally. The research tools included the Test of Susceptibility to Injury during Falls (TSIDF) developed by Kalina and a questionnaire designed by the authors. Results. The female martial arts competitors had considerably lower TSIDF results (p<0.001), which means that they made fewer errors when performing motor tasks. The mean result of the TSIDF was 2.48 for the study group and 6.08 for the control one. Significant differences (p<0.001) were found between the groups for all types of errors and all of the motor tasks. Conclusions. Women practising combat sports and martial arts made significantly fewer errors in the Test of Susceptibility to Injuries During Falls, which can be seen as evidence for the practical usefulness of the training they are undergoing.
EN
Background. Running in developed countries is a very common and easily accessible form of physical activity, its main goals include recreation and sport. The aim of the study was to assess the most common injuries in people regularly involved in amateur long-distance runs. Material and methods. 140 people, 79 women and 61 men aged 18-61, mainly residents of Warsaw, participated in the study. The mean age is 35.59 (SD 9.24). The data was collected by means of a questionnaire, survey method, and described in a qualitative manner without the use of statistical analyzes. Results and Conclusions. 91 of the 140 subjects suffered various injuries while running. The most common injuries in runners were to the foot and ankle area and included sprains (30%), tears (16%) and overloads (16%). Most of the runners undergo biological regeneration and almost half of them use self-massage. Regular jogging is a good form of taking care of health and almost all respondents would recommend it to other people.
PL
Wstęp. Bieganie w krajach rozwiniętych jest bardzo powszechną i łatwo dostępną formą aktywności fizycznej, jego głównym celem stała się rekreacja i sport. Celem pracy była ocena najczęściej występujących kontuzji/urazów u osób regularnie biegających w biegach długodystansowych w formie amatorskiej. Materiał i metody. W badaniu wzięło udział 140 osób, 79 kobiet oraz 61 mężczyzn w wieku od 18 do 61 lat, głównie mieszkańcy Warszawy. Średnia wieku to 35,59 (SD 9,24). Dane zostały zebrane za pomocą ankiety, metodą sondażową, a opisane zostały w sposób jakościowy bez użycia analiz statystycznych. Wyniki i Wnioski. 91 badanych ze 140 doznało różnych kontuzji podczas biegania. Do najczęstszych urazów u biegaczy doszło w okolicy stopy i stawie skokowym, były to skręcenia (30%), naderwania (16%) i przeciążenia (16%). Większość osób biegających stosuje odnowę biologiczną w tym prawie połowa automasaż. Regularne bieganie stanowi dobrą formę dbania o zdrowie, prawie wszyscy badani polecili by ją innym osobom.
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