Subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain

Łubkowska Wioletta, Połeć Justyna, Szark-Eckardt Mirosława, Żukowska Hanna. Subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain. Journal of Education, Health and Sport. 2016;6(2):255-266. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46656 http://ojs.ukw.edu.pl/index.php/johs/article/view/3398 https://pbn.nauka.gov.pl/works/717132 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016. Subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain Łubkowska Wioletta¹, Połeć Justyna¹, Szark-Eckardt Mirosława², Żukowska Hanna² ¹ Department of Physical Education and Health Promotion, University of Szczecin, Poland ² Kazimierz Wielki University in Bydgoszcz, Poland Abstract Background. Spinal pain has triggered interest in many fields of medicine, such as orthopedics, neurology, rheumatology, and rehabilitation. Despite ongoing development of surgery techniques, a major role is played by fitness improvement treatments, which need to be promoted. The aim of the research was a subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain. Material/Methods. This paper has an empirical character. The research was conducted amongst a randomly selected group of 60 patients of Independent Public Health Care Unit in Choszczno, Poland (rehabilitation at an outpatients’ clinic), aged 20-51. All of them were subjected to a series of 10 kinesitherapy treatments. The research used diagnostic polling method and the following techniques: survey and implicit interview. Results. The research proved that after completion of 10 treatments, the subjects noticed a significant improvement of their health. Kinesitherapy helped return to an active professional life for those who were forced to resign or suspend their work. Subjects reported that 10 kinesitherapy treatments were enough to notice their effectiveness in lumbar spine pain reduction. Kinesitherapy treatments resulted in a reduced usage of painkillers. Conclusions. There is evidence of positive impact of physical exercise on treatment results and beneficial effects in patients with spinal pain. Proper education aimed at changing bad habits and advising how to care for spine may be a powerful way to fight for health. Keywords: spine, pain syndromes, lumbar spine, kinesitherapy, curative exercises, improving fitness

Signs binding at indoor pools as a system supporting the safety and hygiene of water recreational and sport activity

                The aim of the research was to determine the level and nature of risks occurring in the sign zone of indoor pools relating to required safety rules. The research was conducted at 29 facilities located in ten provinces. The method of qualitative field research was applied. It was found that at more than half of the examined indoor pools (51.7%) the A-8 prohibitory sign “jumping into water is prohibited” had the graphic form that was inconsistent with the binding provisions. The information signs: C-2 – “dangerous depth of water” and C-3 – “sudden drop” occurred only at 27.6% of examined facilities. Within the scope of non-legal signs – communicators it was found that there is no uniform manner of providing information. The symbols used is very diverse which causes chaos in the form of various markings. In order to improve the safety of persons using the indoor pools, activities aiming at developing and introducing uniform models of markings should be undertaken, which constitutes a necessary condition of full participation in modern physical culture

Doping and supplementation applied in Bydgoszcz gyms

The aim of the study is to determine what kind of doping and what kind of supplements are in use by those exercising in gyms in Bydgoszcz.The study was conducted among people practicing in gyms in Bydgoszcz. Method that was used was a diagnostic survey.Based on research it can be concluded that the anabolic androgenic steroids are the most commonly used doping. It can be also conclude that a significant proportion of respondents is using creatine to improve the appearance of the figure, which affects the quality of training. Almost all respondents claim that supplementation is a phenomenon commonly occured

The laparoscopic gastric sleeve resection vs quality of life — case study

Wstęp. Otyłość jest chorobą przewlekłą, powodującą zaburzenia wielu procesów życiowych oraz negatywnie wpływającą na jakość i długość życia. Leczenie chirurgiczne to jedna z najskuteczniejszych metod leczenia otyłości. Udział pielęgniarki jako członka zespołu terapeutycznego może mieć znaczący wpływ na osiągnięcie pożądanego wyniku poprawy jakości życia chorych po operacjach bariatrycznych. Cel pracy. Ewaluacja wyników odległych pacjenta po laparoskopowej resekcji rękawowej żołądka (LSG) w zakresie oceny jakości życia; ocena udziału usług pielęgniarskich w poprawie jakości życia. Materiały i metody. Badanie — metodą studium przypadku — przeprowadzono w Szpitalu Specjalistycznym w Wejherowie. Do oceny jakości życia użyto kwestionariusza Moorehead-Ardelt QOL (M-A QOL) — specyficznego narzędzia dla tej grupy chorych. W celu oceny wpływu działań pielęgniarki na poprawę jakości życia zastosowano autorski kwestionariusz ankiety. Wyniki. Wyniki uzyskane w kwestionariuszu M-A QOL wykazały poprawę jakości życia badanego przypadku na poziomie średnio dobrym. Poprzez ocenę wpływu działań pielęgniarskich na wynik końcowy procesu terapeutycznego i poprawę jakości życia pacjenta uzyskano wyniki zadowalające w zakresie sprawowania opieki pielęgniarskiej podczas hospitalizacji w szpitalu, wykazano jednak brak satysfakcji w okresie przygotowującym do terapii oraz po wypisie ze szpitala. Wnioski. Chirurgia otyłości jest punktem wyjściowym do zmiany stylu życia. W przypadku operacji bariatrycznych wymagane są odpowiednie przygotowanie chorego przed zabiegiem operacyjnym oraz kontynuacja follow-up po operacji do końca życia. Analiza przypadku potwierdziła konieczność utworzenia zestandaryzowanego systemu postępowania terapeutycznego z udziałem pielęgniarki bariatrycznej jako członka zespołu wielodyscyplinarnego. Doświadczenia innych krajów uczą, że taki system zapewnia choremu poczucie bezpieczeństwa oraz wpływa korzystnie na poprawę oceny jakości życia.Introduction. Obesity is a chronic disease, which results in many life threatening disorders and leading to a negative influence on the quality and longevity of life. Surgery is one of the most effective methods of treating obesity. Nurse can have a significant impact on the achievement of the desired outcome to enhance the quality of life after bariatric surgery. The aim of the work. The evaluation of long term results after Laparoscopic Sleeve Gastrectomy (LSG), rating the quality of life and the influence of nursing practices to improve it. Material and methods. Research took place in Specialist Hospital in Wejherowo, using clinical study method. The quality of life was assessed by Moorehead-Ardelt QOL questionnaire (M-A QOL), which is a specific tool for bariatric patients. To evaluate the work of nursing for the improvement of the QOL, the authorship questionnaire was used. Results. The results in M-A QOL questionnaire showed an improvement on an average level. Evaluating the influence of the nursing practices on improvement of the QOL, satisfactory result was gained in case of nursing care during hospitalization, however unsatisfactory in the pre-surgical period as well as after post-hospitalization. Conclusions. Bariatric surgery is only the starting point of a new lifestyle, however requires adequate pre-surgery preparation and follow-up to the end of life. This clinical research showed that the establishment of a standardized therapeutic system, with bariatric nurse, as a member of multidisciplinary team, is necessary. This kind of system will ensure patients safety and will improve QOL

Ocena procesu gojenia się rany operacyjnej zaopatrzonej samoadaptacyjnym szwem skórnym lub staplerem mechanicznym Evaluation of the surgery wound healing process using self‑adaptive skin suture or mechanical staple

Gojenie się rany jest skomplikowanym i rozłożonym w czasie procesem. Występowanie licznych obciążeń, stanów chorobowych, jak również uwarunkowania zewnętrzne, mają istotny wpływ na ryzyko powstania potencjalnych powikłań. Przygotowując pacjenta do zabiegu należy zwrócić uwagę na szereg czynników determinujących prawidłowy proces gojenia. Celem pracy było porównanie wyników wczesnego okresu gojenia rany operacyjnej z dostępu przez laparotomię przy zastosowaniu techniki samoadaptacyjnego szwu oraz staplera do zamykania powłok skórnych. Materiał i metodyka. Badaniem objęto 120 pacjentów zakwalifikowanych do trzech grup, zróżnicowanych pod względem stopnia czystości rany operacyjnej według CDC (Center for Disease Control and Prevention). Zastosowano obiektywne kryteria wykluczenia pacjentów ze względu na wyższe ryzyko wystąpienia powikłań. Warstwę skóry zamykano monofilamentowym szwem skórnym lub bądź jednorazowym staplerem. Prowadzono dziesięciodniową obserwację procesu gojenia się ran operacyjnych. Badanie było randomizowane. Wyniki. W przypadku grup pacjentów „rana czysta” i „rana czysta/skażona” nie zaobserwowano znaczących różnic w procesie gojenia ran. W grupie badanych „rana zakażona/brudna” zanotowano istotnie wyższą liczbę powikłań w procesie gojenia ran (p<0,05), w których zastosowano zaopatrzenie skóry monofilamentowym szwem chirurgicznym. Wnioski. Należy przyjąć, że zastosowanie szwu mechanicznego w ranach zakażonych/brudnych jest bardziej rekomendowane ze względu na niższe ryzyko powikłań gojenia rany. W przypadku ran czystych i czystych/skażonych dobór materiału szewnego nie ma istotnego wpływu na proces gojenia rany

Evaluation Of the surgery wound healing process using self‑adaptive SKIN suture OR mechanical stapler

Wound healing is a complex and time-phased process. The occurrence of numerous negative conditions as well as external factors have a significant influence on the risk of potential complications. Preparing the patient for surgery, attention should be paid to a number of factors determining the proper healing process. The aim of the study was to compare the results of the early period of surgical wound healing process with access via laparotomy using techniques, which are self-adaptive sutures and mechanical staplers used for skin closure. Material and methods. The study included 120 patients divided into three groups, according to the degree of wound continence, in accordance with the CDC (Center for Disease Control and Prevention). Exclusion criteria based on objective analysis were applied for patients with a higher risk of complications. In all cases the skin layer was closed with monofilament suture or single-patient use stapler. A ten-day observation of the wound healing process was implemented. The study was randomized. Results. In the case of patients groups identified as a “Clean Wound “ and “ Clean / Infected Wound“ no significant differences were discovered. In the group “Contaminated/Infected Wound “significantly higher percentage of wound-healing complications were reported (p < 0.05) for which monofilament sutures was used. Conclusions. The study showed, that mechanical stapler is recommended for contaminated/infected surgical wounds due to significantly lower risk of complications. In the case of wounds divided as a “Clean” and “Clean/Infected” type of suturing material has no significant effect on wound healing

Znaki obowiązujące na krytych pływalniach jako system wspomagający bezpieczeństwo i higienę wodnej aktywności rekreacyjno-sportowej = Signs binding at indoor pools as a system supporting the safety and hygiene of water recreational and sport activity

Łubkowska Wioletta, Szark-Eckardt Mirosława, Żukowska Hanna. Znaki obowiązujące na krytych pływalniach jako system wspomagający bezpieczeństwo i higienę wodnej aktywności rekreacyjno-sportowej = Signs binding at indoor pools as a system supporting the safety and hygiene of water recreational and sport activity. Journal of Education, Health and Sport. 2015;5(11):551-564. eISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.35697 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%2811%29%3A551-564 http://pbn.nauka.gov.pl/works/684761 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive   Original Text published © The Author (s) 2015. Łubkowska Wioletta, Szark-Eckardt Mirosława, Żukowska Hanna. Znaki obowiązujące na krytych pływalniach jako system wspomagający bezpieczeństwo i higienę wodnej aktywności rekreacyjno-sportowej. Quality in Sport. 2015;1(3):7-19. eISSN 2450-3118. http://ojs.ukw.edu.pl/index.php/QiS/article/view/QUALITY%20IN%20SPORT%201%20%283%29%202015%2C%20s.%207-19   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport (null) 2391-8306 7 © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland. Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.11.2015. Revised 20.11.2015. Accepted: 30.11.2015.   Wioletta Łubkowska Wydział Kultury Fizycznej i Promocji Zdrowia, Uniwersytet Szczeciński Mirosława Szark-Eckardt, Hanna Żukowska Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy   Znaki obowiązujące na krytych pływalniach jako system wspomagający bezpieczeństwo i higienę wodnej aktywności rekreacyjno-sportowej Signs binding at indoor pools as a system supporting the safety and hygiene of water recreational and sport activity       Streszczenie                 Celem badań było określenie stopnia i charakteru zagrożeń występujących w strefie oznakowania pływalni krytych odnoszących się do wymaganych zasad bezpieczeństwa. Badania przeprowadzono na 29 obiektach, zlokalizowanych na terenie dziesięciu województw. Posłużono się metodą jakościowych badań terenowych oraz metodą badań niereaktywnych. Stwierdzono, iż w ponad połowie badanych pływalni krytych (51,7%) znak zakazu A-8 „skakanie do wody zabronione” miał formę graficzną niezgodną z obowiązującymi przepisami. Znaki informacyjne: C-2 – „niebezpieczna głębokość wody” i C-3 – „nagły uskok” wystąpiły tylko w 27,6% badanych obiektów. W zakresie znaków pozaprawnych – komunikatorów stwierdzono, że nie istnieje ujednolicony sposób przekazywania informacji. Używana symbolika jest bardzo różnorodna, co powoduje chaos w postaci różnych oznakowań. W celu zwiększenia bezpieczeństwa osób korzystających z pływalni krytych należałoby podjąć działania zmierzające do opracowania i wprowadzenia ujednoliconych wzorów oznaczeń, co stanowi konieczny warunek pełnego uczestnictwa we współczesnej kulturze fizycznej.   Słowa kluczowe: pływalnia kryta, parki wodne, bezpieczeństwo, higiena, znaki, piktogramy, ratownictwo wodne, WOPR.       Abstract                 The aim of the research was to determine the level and nature of risks occurring in the sign zone of indoor pools relating to required safety rules. The research was conducted at 29 facilities located in ten provinces. The method of qualitative field research was applied. It was found that at more than half of the examined indoor pools (51.7%) the A-8 prohibitory sign “jumping into water is prohibited” had the graphic form that was inconsistent with the binding provisions. The information signs: C-2 – “dangerous depth of water” and C-3 – “sudden drop” occurred only at 27.6% of examined facilities. Within the scope of non-legal signs – communicators it was found that there is no uniform manner of providing information. The symbols used is very diverse which causes chaos in the form of various markings. In order to improve the safety of persons using the indoor pools, activities aiming at developing and introducing uniform models of markings should be undertaken, which constitutes a necessary condition of full participation in modern physical culture.   Key words: indoor pool, water parks, safety, hygiene, signs, pictograms, water rescue, WOPR [Volunteer Water Rescue Service]

Subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain

Łubkowska Wioletta, Połeć Justyna, Szark-Eckardt Mirosława, Żukowska Hanna. Subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain. Journal of Education, Health and Sport. 2016;6(2):255-266. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46656 http://ojs.ukw.edu.pl/index.php/johs/article/view/3398 https://pbn.nauka.gov.pl/works/717132   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016.     Subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain   Łubkowska Wioletta¹, Połeć Justyna¹, Szark-Eckardt Mirosława², Żukowska Hanna²   ¹ Department of Physical Education and Health Promotion, University of Szczecin, Poland ² Kazimierz Wielki University in Bydgoszcz, Poland     Abstract Background. Spinal pain has triggered interest in many fields of medicine, such as orthopedics, neurology, rheumatology, and rehabilitation. Despite ongoing development of surgery techniques, a major role is played by fitness improvement treatments, which need to be promoted. The aim of the research was a subjective assessment of kinesitherapy as an element of comprehensive rehabilitation process of subjects with lower spine pain. Material/Methods. This paper has an empirical character. The research was conducted amongst a randomly selected group of 60 patients of Independent Public Health Care Unit in Choszczno, Poland (rehabilitation at an outpatients’ clinic), aged 20-51. All of them were subjected to a series of 10 kinesitherapy treatments. The research used diagnostic polling method and the following techniques: survey and implicit interview. Results. The research proved that after completion of 10 treatments, the subjects noticed a significant improvement of their health. Kinesitherapy helped return to an active professional life for those who were forced to resign or suspend their work. Subjects reported that 10 kinesitherapy treatments were enough to notice their effectiveness in lumbar spine pain reduction. Kinesitherapy treatments resulted in a reduced usage of painkillers. Conclusions. There is evidence of positive impact of physical exercise on treatment results and beneficial effects in patients with spinal pain. Proper education aimed at changing bad habits and advising how to care for spine may be a powerful way to fight for health.   Keywords: spine, pain syndromes, lumbar spine, kinesitherapy, curative exercises, improving fitness

Doping i suplementy stosowane w bydgoskich siłowniach = Doping and supplementation applied in Bydgoszcz gyms

Szark-Eckardt Mirosława, Kowalczyk Łukasz, Żukowska Hanna, Łubkowska Wioletta. Doping i suplementy stosowane w bydgoskich siłowniach = Doping and supplementation applied in Bydgoszcz gyms. Journal of Education, Health and Sport. 2015;5(11):577-594. eISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.35700 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%2811%29%3A577-594 http://pbn.nauka.gov.pl/works/684798 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive   Original Text published © The Author (s) 2015. Szark-Eckardt Mirosława, Kowalczyk Łukasz, Żukowska Hanna, Łubkowska Wioletta. Doping i suplementy stosowane w bydgoskich siłowniach. Quality in Sport. 2015;1(2):26-42. eISSN 2450-3118.   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport (null) 2391-8306 7 © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland. Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.11.2015. Revised 20.11.2015. Accepted: 30.11.2015. Mirosława Szark-Eckardt, Łukasz Kowalczyk, Hanna Żukowska Uniwersytet Kazimierza Wielkiego Wydział Kultury Fizycznej, Zdrowia i Turystyki Wioletta Łubkowska Uniwersytet Szczeciński, Wydział Kultury Fizycznej i Promocji Zdrowia   Doping i suplementy stosowane w bydgoskich siłowniach Doping and supplementation applied in Bydgoszcz gyms       Streszczenie Celem pracy jest określenie jakich środków dopingujących oraz jakich suplementów diety używają osoby ćwiczące na siłowniach w Bydgoszczy. Badania zostały przeprowadzone wśród osób trenujących na siłowniach  w Bydgoszczy. Metodą, która została zastosowana był sondaż diagnostyczny. Na podstawie badań można stwierdzić, że sterydy anaboliczno-androgenne są  najczęściej stosowanym środkiem dopingującym. Badania wykazały również, że znaczna część badanych stosuje kreatynę w celu poprawienia wyglądu sylwetki, co wpływa na jakość ich treningów. Prawie wszyscy ankietowani natomiast twierdzą, że suplementacja jest zjawiskiem powszechnie występującym.   Słowa kluczowe: doping, suplementy, siłownia, Bydgoszcz.       Abstract The aim of the study is to determine what kind of doping and what kind of supplements are in use by those exercising in gyms in Bydgoszcz. The study was conducted among people practicing in gyms in Bydgoszcz. Method that was used was a diagnostic survey. Based on research it can be concluded that the anabolic androgenic steroids are the most commonly used doping. It can be also conclude that a significant proportion of respondents is using creatine to improve the appearance of the figure, which affects the quality of training. Almost all respondents claim that supplementation is a phenomenon commonly occured.   Key words: doping, supplements, gym, Bydgoszcz

Držanje tijela kod djevojčica uzrasta od 7-15 godina u odnosu na njihov indeks tjelesne mase // Body Posture of Girls Aged 7-15 in Relation to Their Body Mass Index

Uprkos značajnim teorijskim izvorima koji se odnose na loše držanje kod djece i adolescenata, a koje je izazvala promjena načina života, saznanja o problemu abnormalne kičmene krivine treba da budu dopunjena. Može se uvidjeti sve veći broj gojazne djece i ovaj problem težine može dovesti do veće učestalosti lošeg držanja tijela. Ovaj rad ima za cilj da utvrdi učestalost dobrog i lošeg držanja tijela kod djevojčica u odnosu na njihove tjelesne težine, kao i da otkrije da li prekomjerna težina (gojaznost) daju predispoziciju za loše držanje. Istraživanje je obuhvatilo 500 djevojčica uzrasta 7-15 godina, koje žive u Szczecinu u Poljskoj. U procjeni držanja tjela, korišćena je sferosomatometrijska metoda Ivanovskog. Djevojčice sa normalnom tjelesnom težinom su predstavljale 77,7% ispitanika. U 6,7% slučajeva, identifikovana je nedovoljna tjelesna težina. 11,3% su imale  višak kilograma , dok je 4,3% djevojčica bilo gojazno - što iznosi 15,6 % ispitanica. Nepravilno držanje tijela je identifikovano u 32,4% ispitanica. Najveći broj djevojčica sa lošim držanjem tijela pronađeno je među 9-godišnjakinjama (38,6%), 13-godišnjakinjama (35.2 %) i 15-godišnjakinjama (35,1%). Prekomjerna težina i gojaznost je bila predispozicija kod ispitanica za pojavu nepravilnog držanja kičme: abnormalna kičmena krivina je pronađena u 30,8% gojaznih djevojčica i djevojčica sa prekomjernom težinom