Procjena djelotvornosti fizioterapije i upravljanja režima pacijenata na funkcioniranje ramenog zgloba nakon implantacije ukupne reverzibilne endoproteze

Aim: The aim of our study was to evaluate the effect of established regime and physiotherapy treatment described by Brems on patients after reverse arthroplasty of shoulder joint, their ability to perform activities of daily living, functional status of the shoulder girdle, and a range of motion. Methods: The research sample consisted of 60 patients, 57±2.9 years, with implanted total reverse endoprosthesis of shoulder joint. To assess the ability of performing the activities of daily living, we used the Simple Shoulder Test. Functional status of shoulder joint was evaluated through a “Constant Score” questionnaire. The range of movement was evaluated through the “Constant Score – Range of Motion“ questionnaire. The examined parameters were evaluated before surgery and a month after the surgery. During the one-month post-surgery period, all participants undergone the set of targeted physiotherapy treatment and kept the established regime. After one month of targeted physiotherapeutical treatment and correct regime management we observed significant differences in all examined parameters (p<0.001). Results: After one month of post-surgery physiotherapy, significant differences in the ability to perform certain activities of daily living, functioning of the operated shoulder joint and in the range of movement, have been reported. Conclusion: The results of our study confirmed that if patients follow this specific rehabilitation protocol and cooperate during various stages of recovery, there is a high probability that after one month, they can perform activities of daily living.Cilj: Cilj studije bio je procijeniti učinak uspostavljenog režima i fizioterapeutskog tretmana koji je opisao Brems na pacijentima nakon reverzne artroplastike ramenog zgloba, njihove sposobnosti za obavljanje svakodnevnih aktivnosti, funkcionalno stanje ramena i raspon pokreta. Metode: Uzorak istraživanja sastojao se od 60 pacijenata, 57 ± 2,9 godina, s implantiranom ukupnom reverzibilnom endoprotezom ramenog zgloba. Da bismo procijenili sposobnost pacijenata za obavljanje svakodnevnih aktivnosti koristili smo test Simple shoulder. Funkcionalno stanje ramenog zgloba ocijenjeno je upitnikom “Constant score”. Raspon pokreta ocijenjen je upitnikom “Constant score – range of motion”. Razmatrani parametri procijenjeni su prije operacije i mjesec dana nakon operacije. Tijekom jednomjesečnog postoperativnog razdoblja svi su sudionici prošli skup ciljanog fizioterapeutskog tretmana i pridržavali se uspostavljenog režima. Nakon mjesec dana ciljanog fizioterapeutskog tretmana i ispravnog upravljanja režimom zabilježili smo značajne razlike u svim razmatranim parametrima (p ≤ 0.001). Rezultati: Nakon mjesec dana postoperativne fizioterapije zabilježene su bitne razlike u sposobnosti za obavljanje određenih aktivnosti svakodnevnog života, u funkcioniranju operiranog ramenog zgloba i u rasponu pokreta. Zaključak: Rezultati naše studije potvrdili su da, ako se pacijenti pridržavaju ovog specifičnog rehabilitacijskog protokola i surađuju tijekom različitih faza oporavka, postoji velika vjerojatnost da će nakon mjesec dana moći obavljati svakodnevne aktivnosti

Kvaliteta života osoba s kroničnom opstruktivnom plućnom bolešću

Aims and objectives. The goal of this study was to determine the impact of symptoms on the individual dimensions of the quality of life in patients with chronic obstructive pulmonary disease (COPD). Background. The presence of symptoms or the fear of them in patients with COPD affects their physical and social activities. Actively combatting the disease depletes physical, emotional, and financial resources and affects the ability of the patient to overcome other life situations. Methods. The sample consisted of 80 respondents with COPD, Stage II, as per GOLD classification. The average age of respondents was 62.9 years. The research was conducted using the Short Form Quality of Life Questionnaire (SF-36) and St. George’s Respiratory Questionnaire (SGRQ). Results. Results of the SF-36 questionnaire indicated that the health-related quality of life was mostly limited: general health, physical functioning, vitality, and mental health. Next to the worsening of symptoms such as cough and dyspnoea, patients reported a worsening of the following dimensions: general health, physical functioning, bodily pain, vitality, social functioning, and mental health. A strong linear relationship was observed between the symptoms and the dimension limitation of emotional problems. Relevance for clinical practice. The aim of a COPD comprehensive therapy should be to reduce its symptoms, preventing the loss of performance, improving daily activities, and in general improving the patient’s quality of life.Cilj istraživanja bio je utvrditi utjecaj simptoma na individualne dimenzije kvalitete života u bolesnika s kroničnom opstruktivnom plućnom bolešću (KOPB). Prisutnost simptoma ili strah od njih kod osoba koje boluju od KOPB-a utječe na njihove fizičke i socijalne aktivnosti. Aktivno suprotstavljanje bolesti umanjuje fizičke, emocionalne i financijske resurse osobe i utječe na pacijentovu sposobnost prevladavanja drugih životnih situacija. Uzorak ispitanika u ovom istraživanju sastojao se od 80 osoba s KOPB-om, II stupanj po GOLD klasifikaciji. Prosječna dob ispitanika bila je 62.9 godina. Ispitivanje je provedeno primjenom kratke forme Upitnika o kvaliteti života SF-36 te upitnika SGRQ. Rezultati ispitanika na upitniku SF-36 pokazali su da je uslijed bolesti kvaliteta njihova života bila smanjena – sniženi rezultati bili su prisutni na dimenzijama općeg zdravlja, fizičkog funkcioniranja, vitalnosti i mentalnog zdravlja. S pogoršanjem simptoma bolesti, poput kašlja i dispneje, ispitanici su iskazali pogoršanje u odnosu na sljedeće dimenzije: opće zdravlje, fizičko funkcioniranje, tjelesna bol, vitalnost, socijalno funkcioniranje i mentalno zdravlje. Snažna linearna povezanost pokazala se između simptoma bolesti i ograničenja koja osoba trpi uslijed emocionalnih problema. Cilj sveobuhvatne terapije KOPB-a trebao bi biti ublažavanje simptoma, sprječavanje gubitka kompetencija, pospješivanje dnevnih aktivnosti i opće poboljšanje kvalitete života osoba koje boluju od ove kronične bolesti

The coordination changes in the selected remote part of the motion system when walking in flat shoes and high heels shoes

Title: Coordination changes in a selected remote part of the locomotor system when walking in straight shoes and high heels. Objective: The aim of the dissertation is to find out how walking on a high heel affects the coordination changes and timing of the beginning of muscle activation in a selected part of the musculoskeletal system in comparison with walking in shoes with straight soles. Methods: This research work has an empirical, comparative intra-individual character. Comparative analysis of coordination characteristics of the locomotor system with the experimental character of obtaining quantitative data. We used a portable electromyograph BIOMONITOR ME6000 (Mega Electronics Ltd., Finland) to monitor changes in the timing of muscle coordination during walking in flat-soled and high-heeled shoes on flat terrain and on a treadmill. We recorded the synchronized video on a Sony HDR-SR12 digital video camera (SONY Co., Japan). Motor units and their electrical potential were sensed by self-adhesive homologated hydrogels electrodes MEDICO LEAD-LOK (Medico Electrodes Int., India, ISO 13485: 2003). The research group consisted of 30 healthy women (age 25 ± 5 years, weight 57 ± 7 kg, height 16 ± 5 cm, BMI 21 ± 3), all respondents are occasional wearers of high-heeled shoes. Results: We confirmed the..

Koordinační změny ve vybrané odlehlé části pohybové soustavy při chůzi v ploché obuvi a na vysokých podpatcích

Názov: Koordinačné zmeny vo vybranej odľahlej časti pohybovej sústavy pri chôdzi v rovnej obuvi a na vysokých podpätkoch. Cieľ práce: Cieľom dizertačnej práce je zistiť, ako chôdza na vysokom opätku vplýva na koordinačné zmeny a timing počiatku svalovej aktivácie vo vybranej časti pohybovej sústavy v porovnaní s chôdzou v topánkach s rovnou podrážkou. Metódy: Táto výskumná práca má empirický, komparatívny, intra-individuálny charakter. Ide o komparatívnu analýzu koordinačných charakteristík pohybovej sústavy s experimentálnym charakterom získavania kvantitatívnych dát. Pre sledovanie zmien timingu svalovej koordinácie počas chôdze v topánkach s rovnou podrážkou a topánkach s vysokým opätkom po rovnom teréne a na bežiacom páse sme použili prenosný elektromyograf BIOMONITOR ME6000 (Mega Electronics Ltd., Finland), synchronizovaný videozáznam sme zachytili na digitálnu videokameru Sony HDR-SR12 (SONY Co., Japan). Motorické jednotky a ich elektrický potenciál boli snímané samolepiacimi homologovanými hydrogélovými elektródami MEDICO LEAD-LOK (Medico Electrodes Int., India, ISO 13485:2003). Výskumný súbor tvorilo 30 zdravých žien (vek 25±5 rokov, hmotnosť 57±7 kg, výška 16 ±5 cm, BMI 21±3), všetky respondentky patria medzi občasné nositeľky topánok s vysokým opätkom. Výsledky: Štatistickú významnosť...Title: Coordination changes in a selected remote part of the locomotor system when walking in straight shoes and high heels. Objective: The aim of the dissertation is to find out how walking on a high heel affects the coordination changes and timing of the beginning of muscle activation in a selected part of the musculoskeletal system in comparison with walking in shoes with straight soles. Methods: This research work has an empirical, comparative intra-individual character. Comparative analysis of coordination characteristics of the locomotor system with the experimental character of obtaining quantitative data. We used a portable electromyograph BIOMONITOR ME6000 (Mega Electronics Ltd., Finland) to monitor changes in the timing of muscle coordination during walking in flat-soled and high-heeled shoes on flat terrain and on a treadmill. We recorded the synchronized video on a Sony HDR-SR12 digital video camera (SONY Co., Japan). Motor units and their electrical potential were sensed by self-adhesive homologated hydrogels electrodes MEDICO LEAD-LOK (Medico Electrodes Int., India, ISO 13485: 2003). The research group consisted of 30 healthy women (age 25 ± 5 years, weight 57 ± 7 kg, height 16 ± 5 cm, BMI 21 ± 3), all respondents are occasional wearers of high-heeled shoes. Results: We confirmed the...Sporty v příroděFakulta tělesné výchovy a sportuFaculty of Physical Education and Spor

Wpływ aktywności fizycznej na funkcje płuc u pacjentów z lejkowatą klatką piersiową

Background. The aim of this study was to determine the impact of the level of physical activity on pulmonary function in patients with pectus excavatum. Material and methods. This study included 47 patients diagnosed with pectus excavatum, with a median age of 19 years (min. 17 years, max. 26 years). The degree of deformity was evaluated clinically by anthropometric measurement. Spirometry was used for the evaluation of pulmonary function. The demographic, clinical data, and experience of patients with sporting activity were examined using a questionnaire. The self-reported International Physical Activity Questionnaire short form (IPAQ-SF) was used to determine physical activity levels. Results. With higher physical activity, there was statistically significant higher inspiratory vital capacity (IVC) (rho=0.628), forced vital capacity (FVCex) (rho=0.455), and forced expiratory volume in 1 second (FEV1) (rho=0.356). A statistically significant relationship was observed between deformity rate and spirometric parameters for FEV1 (p=0.011), maximal expiratory flow rate of 75% FVC (MEF75) (p<0.0001), and peak expiratory flow (PEF) (p<0.0001). Conclusions. Respiratory functions of patients with chest deformity are positively influenced by physical activity.Wprowadzenie. Celem badania było ustalenie wpływu poziomu aktywności fizycznej na funkcje płuc u pacjentów z lejkowatą klatką piersiową. Materiał i metody. W badaniu wzięło udział 47 pacjentów ze zdiagnozowaną lejkowatą klatką piersiową. Średnia wieku wynosiła 19 lat (minimum 17, maksimum 26 lat). Stopień deformacji został określony klinicznie za pomocą pomiaru antropometrycznego. Do określenia funkcji płuc zastosowano spirometrię. Dane demograficzne, kliniczne oraz związane z aktywnością sportową pacjentów zostały zebrane w postaci ankiety, natomiast w celu ocenienia poziomu aktywności fizycznej wykorzystano skrócony Międzynarodowy Kwestionariusz Aktywności Fizycznej (IPAQ-SF) wypełniony przez pacjentów. Wyniki. Wraz ze wzrostem aktywności fizycznej pacjentów zaobserwowano statystycznie istotny wzrost wdechowej pojemności życiowej (IVC) (rho=0,628), natężonej objętości wydechowej (FVCex) (rho=0,455) i objętości wydechowej pierwszosekundowej (FEV1) (rho=0,356). Zaobserwowany związek pomiędzy stopniem deformacji i parametrami spirometrycznymi okazał się statystycznie istotny dla zmiennych: FEV1 ( p= 0.011), maksymalnego przepływu wydechowego o 75% FVC (MEF75) (p<0,0001) i szczytowego przepływu wydechowego (PEF) (p<0,0001). Wnioski. Aktywność fizyczna ma pozytywny wpływ na funkcje oddechowe pacjentów z deformacją klatki piersiowej