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An assessment of the relationship between the level of physical activity and the risk of falls and depression in elderly adults aged 60 - 75 years from the Podkarpackie region.

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Wołoszyn N., Wiśniowska-Szurlej A., Sozański B.
Advances in Rehabilitation
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2018
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vol. 32
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issue 2
41-48
EN
Introduction Almost all societies of the world are ageing. One of the most common problems of the elderly are falls and mobility disorders. They may result in disability and in loss of functional independence. We conducted the study to assess the relationship between the level of physical activity and the risk of falls and depression in adults aged 60-75 years. Materials and Methods We used the random route method and included 500 subjects from southeast Poland. We measured physical activity with the International Physical Activity Questionnaire (IPAQ), and we assessed the risk of falls with the Tinetti test. To assess depressive states, we used the Geriatric Depression Scale (GDS-15). We used a questionnaire to obtain sociodemographic and anthropometric data. Results The mean weekly energy expense (metabolic equivalent of task - MET) of the studied population measured with the IPAQ was 823.88 MET min/week. We found a statistically significant relationship between the level of physical activity and the risk of falls and depression in the studied population. Subjects with insufficient physical activity had statistically higher risk of falls (p=0.0373), and had depression statistically more often (p=0.0003). Conclusion Subsequent studies should aim at establishing an optimal training programme for the elderly. It is important for subjects over 60 years of age to know that physical activity is crucial for maintaining good health and functional ability, as well as for subjective wellbeing.
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An assessment of relationship between urinary incontinence, and quality of life and psychosocial functioning in elderly women from southeastern Poland

88%
Ćwirlej-Sozańska A. B., Wiśniowska-Szurlej A., Wilmowska-Pietruszyńska A., Szurlej Ł., Sozański B.
Advances in Rehabilitation
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2019
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vol. 33
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issue 4
19-26
EN
Introduction The rapid aging of the human population is an increasing challenge to public health. With aging of population, the number of people functionally and cognitively dependent increases. The incidence of lower urinary tract symptoms and urinary incontinence increases, too. Material and methods The study included 1032 randomly selected women aged 60–80 years living in south-eastern Poland (the Podkarpackie region). For comparative analysis, we divided this population into two subgroups: I - women with a problem recognized by the doctor considering urinary incontinence (UI) and II - clinical control group (women without urinary incontinence, WP). The WHODAS 2.0 questionnaire was used to assess the disability and functioning and WHOQOL-bref to assess the quality of life. Results In the studied population of women aged 60-80 years, 14.53% reported urinary incontinence. The global disability level was higher in the UI group in comparison to WP group (0<0.001). The intensity of disability was highest in domains of activities of daily life, mobility and social participation. In comparison to women without urinary incontinence, the UI group women experienced larger effect of their dysfunction on all domains of quality of life, in particular the psychical health, psychological health and environment (p<0.001) Conclusions The study proves that urinary incontinence has a significant effect on lowering the quality of life and psychosocial functioning of elderly women living in south-eastern Poland. The results point to those domains of functioning which require greatest support. These conclusions communicate a significant message for those who develop rehabilitation programmes for elderly patients with urinary incontinence.
3
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Assessment of the quality of life and the relationship between its level and sociodemographic factors and physical activity in the group of patients with Parkinson’s disease

88%
Szmul G., Kowal J., Sozański B., Wiśniowska-Szurlej A., Ćwirlej-Sozańska A.
Advances in Rehabilitation
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2019
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vol. 33
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issue 4
43-50
EN
Introduction Parkinson’s disease is a chronic condition that has a significant impact on one’s quality of life (QOL). There is a growing interest in the QOL of people with chronic illnesses. An individuals’ QOL is an important element of the overall assessment of health status and the effectiveness of treatment regimens. Material and method The study group consisted of 44 people with diagnosed Parkinson’s disease from the Krakow Association of People Affected by Parkinson’s Disease and the Association of People Affected by Parkinson’s Disease Ostoja in Krakow. The WHOQOL-Bref Questionnaire was used to assess QOL, while the IPAQ Questionnaire was used to evaluate the level of physical activity. Sociodemographic data were collected by means of a questionnaire. Results The lowest domain of QOL observed in the study group was psychological area (44.6 points), and the highest in the environmental area (60.5 points). The physical domain score was significantly related to age, marital status and duration of disease, whereas the psychological domain score was correlated with hypertension. The social domain score was associated with the level of education and their place of residence. The environmental domain score was associated with their material status and level of education. Greater levels of physical activity correlated with better QOL in the physical (p=0.005), psychological (p=0.001) and social domains (p=0.0001). Conclusions The study demonstrates the relationship between the QOL and various sociodemographic factors (age, education, marital status, place of residence, material status, duration of the disease and coexistence of hypertension) and the level of physical activity in individuals with Parkinson’s disease.
4
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An analysis of social competences of professionally active physiotherapists in southeastern Poland – a pilot study

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Ćwirlej-Sozańska A. B., Wiśniowska-Szurlej A., Kołodziej G., Chmura K., Ochojska D., Wilmowska-Pietruszyńska A., Sozański B.
Advances in Rehabilitation
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2019
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vol. 33
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issue 1
5-14
EN
Introduction Social competence is the basis of professional potential and has to be understood as complex abilities that determine the effectiveness of dealing with social situations. The aim of this work was an assessment of social competences found in professionally active physiotherapists working in Poland. Material and methods The study involved 121 physiotherapists: 32 men and 89 women, aged 25 to 49 years. We used Social Competences Questionnaire by Anna Matczak (KKS-A(D) to assess the level of social competence. Results The study revealed that physiotherapists had a good level of social competence. 44.63% of the study population had average general social competence, and 14.05% had high general social competence. A significant proportion of the study population, had low level of social competence (41.32%). The level of competence in dealing with situations that involved intimacy, social contacts and assertiveness was similar. We found that younger physiotherapists coped better in intimate situations. Studied therapists who were eager to listen to their patients’ problems scored significantly higher on the competence scale that reflected effective behavior in social situations. Conclusions Social competence of a therapist is an essential condition for them building appropriate rapport with patients, gives patients a sense of safety, and therefore significantly affects the effectiveness of the treatment.
5
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Assessment of the correlations between the level of physical activity and sociodemographic factors, functional capabilities and cognitive capabilities of elderly persons from south-eastern Poland

76%
Szmul G., Podufały A., Pych F., Wójcicka A., Wiśniowska-Szurlej A., Sozański B.
Advances in Rehabilitation
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2019
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vol. 32
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issue 4
5-11
EN
Introduction Insufficient physical activity constitutes one of the most problematic issues in the contemporary society. Data show that seniors should take up physical activity as it considerably affects their health and quality of life. Material and method The study included 76 individuals over 60 years of age who actively participated in social life (Senior Clubs, Country Housewives' Clubs, Folk groups) in south-eastern Poland. The International Physical Activity Questionnaire (IPAQ), Timed Up and Go Test (TUG), Timed Up and Go Cognitive Test (TUG cog), 10-Meter Walk Test (10MWT), right and left handgrip test, Functional Chair Stand Test (FS test), Geriatric Depression Scale (GDS) and Mini Mental State Examination (MMSE) were applied in the study. Results It was revealed that male participants (p=0.001), individuals being in a relationship (p=0.02) and subjects who had never had any fractures before (p=0.02) demonstrated higher levels of physical activity. In the examined group, a higher level of physical activity significantly correlated with a higher level of muscle strength of lower limbs (p=0.32) and left handgrip strength (p=0.26), shorter time of covering the distance of 10 metres (p=-0.23) and a higher level of cognitive capabilities (p=0.29). Conclusions Physical activity depends on sociodemographic factors and correlates with functional and cognitive capabilities of seniors. Therefore, it is important to promote active lifestyle among elderly individuals and to draw attention to its positive influence on everyday functioning.
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