Wiek, a jakość życia kobiet po mastektomii / Influence of age on life quality in women after mastectomy

Celem pracy było przedstawienie zależności pomiędzy jakością życia kobiet po mastektomii, a ich wiekiem. Materiał i metody: Badania przeprowadzono za pomocą kwestionariusza QLQ-C30 u pacjentek po wykonanym zabiegu mastektomii. Badania wykonano wśród 100 pacjentek, z których 62 należały do Klubu Amazonek, a pozostałe nie były jego członkiniami. Wyniki: Zabieg mastektomii wpływa na wszystkie obszary jakości życia kobiet, utrudniając prawidłowe funkcjonowanie zarówno na płaszczyźnie społecznej jak i zawodowej. Zaobserwowano istotne zależności pomiędzy elementami jakości życia, a wiekiem kobiet po mastektomii. U większości badanych wraz z wiekiem zaobserwowano istotne zmiany w jakości życia. Wnioski: Kobiety po mastektomii mają specyficzne doświadczenia związane z własną chorobą nowotworową, która wywiera ogromny wpływ na całe ich życie, a zwłaszcza na sferę codziennej aktywności rodzinnej, kontaktów z innymi ludźmi oraz możliwość wykonywania pracy zawodowej. Istotnym czynnikiem mającym wpływ na te zmiany był wiek respondentek

The Influence of Plantar Short Foot Muscle Exercises on Foot Posture and Fundamental Movement Patterns in Long-Distance Runners, a Non-Randomized, Non-Blinded Clinical Trial.

BACKGROUND:The objective of this study was to evaluate the influence of two kinds of plantar short foot muscles exercise on foot posture and fundamental movement patterns in long-distance runners. DESIGN:A parallel group non-blinded trial with 6-week follow-up. METHODS:Twenty five long-distance runners aged 22-35 years. They were divided into two groups. In group 1 (n = 13) subjects performed the exercise "Vele's Forward Lean" and "Reverse Tandem Gait" and in Group 2 (n = 12) the "Short Foot Exercise." The runners performed the exercises daily for 6 weeks. The Foot Posture Index (FPI-6) and The Functional Movement Screen (FMS) tests were performed twice: at baseline and after 6 weeks of the exercise. RESULTS:A significant improvement was observed in FPI -6 (talar head palpation in Group 1, and inversion/eversion of the calcaneus in Group 2). Also in Group 1 a significant improvement was noted in FMS tests: deep squat, active straight leg raise and in total score. CONCLUSIONS:Short foot muscles strengthening exercises have beneficial effect on functional movement patterns and on foot posture, therefore they should be included as a part of daily training program of runners. TRIAL REGISTRATION:Australian New Zealand Clinical Trials Registry ACTRN12615001200572

The FPI-6 test at baseline and after 6 weeks of exercising.

<p>The FPI-6 test at baseline and after 6 weeks of exercising.</p

Consort diagram.

<p>Consort diagram.</p

The influence of cervical spine rehabilitation on bioelectrical activity (sEMG) of cervical and masticatory system muscles.

BackgroundCoexistence of temporomandibular joint discomfort along with cervical spine disorders is quite common, and is associated with many limitations and adverse symptoms for the patient. Both diagnostics and treatment of these ailments are difficult, and in many cases, the effects of therapy are not satisfactory. This study assessed the impact of a 3-week neck-only rehabilitation programme without direct intervention in the craniofacial area on the bioelectric activity of both the cervical spine and muscles in the craniofacial area among patients with idiopathic neck pain who do not report TMJ pain.DesignA parallel group trial with follow-up; Setting: Rehabilitation Clinic.MethodsTwenty five patients experiencing idiopathic neck pain underwent the 3-week rehabilitation programme. Thirty five age-matched subjects with no cervical spine and temporomandibular joint (TMJ) dysfunctions were control group. At baseline and after 3 weeks the cervical and craniofacial area muscles' bioelectrical activity (sEMG) was evaluated.ResultsIn the experimental group during cervical flexion, a significant decrease of sEMG amplitude was noted in the right (mean 25.1 μV; 95% CI: 21.5-28.6 vs mean 16.8 μV; 95% CI: 13.8-19.7) and left (mean 25.9 μV; 95% CI: 21.7-30.0 vs mean 17.2 μV; 95% CI: 13.6-20.7) Sternocleidomastoid as well as a significant increase in sEMG amplitude of the right (mean 11.1 μV; 95% CI: 7.9-14.2 vs mean 15.7 μV; 95% CI: 12.1-19.2) and left (mean 15.3 μV; 95% CI: 11.9-18.6 vs mean 20.2 μV; 95% CI: 15.7-24.2) Upper Trapezius muscles. In the experimental group, after therapy right and left Sternocleidomastoid, Temporalis Anterior and Masseter muscles presented lower fatigue levels.ConclusionsThree weeks of rehabilitation without any therapeutic intervention in temporomandibular joint significantly decreased the bioelectrical activity of the neck and craniofacial muscles while improving the muscle pattern of coactivation in participants with idiopathic neck pain who do not report temporomandibular joint pain. These observations could be helpful in the physiotherapeutic treatment of neck and craniofacial area dysfunctions.Trial registrationID ISRCTN14511735-retrospectively registered