Regular yoga exercises and quality of life in women with low back pain - a pilot study

Back pain symptoms are one of prevailing disfunctions that determine lowering quality of life and functioning in work environment becoming not only a health problem, but also a social problem in developed countries. In available literature yoga exercises are more and more indicated as a method of leveling low back pain. The aim of this pilot study was to assess the effectiveness of 8-week yoga exercises on quality of life and back pain symptoms by it’s location and intensity in women with normal and excessive body weight. Twenty seven women completed both surveys (preliminary and evaluation), and systematically took part in yoga exercises for 8 weeks. The duration of a single yoga class was 45-60 minutes long. Yoga exercise program required attending to a conducted yoga classes (ashtanga yoga, yin yoga, hatha yoga, vinyasa yoga and yoga for hips and spine), at least twice a week for two months. After 8 weeks 92,59% of participants of program declared noticeable reduce in back pain intensity related to yoga exercises (including 22,22% of complete pain relief). Pain in the lumbar region of the spine was still dominating after 8 weeks (55,56%). It was observed that the majority of the SF-36 health domains scores increased values after 8-week yoga program, what could be related to the reduce of back pain intensity. After 8-week yoga program decrease in mean values of body mass were observed, however these changes were not statistically significant. Two-month yoga intervention may be recommended as a complementary physiotherapeutic method in low back pain treatment as well as to improve the quality of life for women. The relationship between yoga and prevention of obesity requires further research on larger group and the impact of obesity phenotypes is needed to be investigated

THE IMPACT OF LOWER LIMB-LENGTH EQUALISATION ON POSTURAL STABILITY IN PATIENTS TREATED WITH THE ILIZAROV METHOD

Background and Objective The aim of the study was to assess postural stability in patients with varying degrees of equalisation of limb shortness in the lower leg after treatment with the Ilizarov method compared to a control group, which consisted of people with lower extremities of equal lengths. Material and Methods The study included 58 men treated with the Ilizarov method due to lower-limb length (LL) inequality in the lower leg and 61 healthy men who served as the control group. Patients with LL inequality were divided into two groups with varying degrees of limb equalisation. The measurement was made using the Biodex Balance System, which enables examination of the patient's ability to control balance and to assess the patient's lower-limb support function by determining their ability to control bilateral, dynamic postural stability on an unstable surface. Results: The study showed that not all patients treated with the Ilizarov method obtained results matching those in the control group. The largest limb-loading asymmetries were recorded in patients with a limb shortness of greater than 1 cm. People with LL asymmetry up to 1 cm obtained better results in terms of all measured parameters compared to patients whose LL discrepancy after treatment was more than 1 cm. The results of the balance parameter on an unstable surface differed between the patients subjected to treatment with the Ilizarov method and the group of healthy individuals. Conclusions People with lower limb-length asymmetry up to 1 cm obtained better results on all measured parameters compared to those with a limb-length discrepancy exceeding 1 cm. The results of the balance control parameter obtained on an unstable surface differed between groups of patients following treatment with the Ilizarov method and healthy individuals. People with limb-length asymmetry up to 1 cm following the treatment placed their weight in the lower extremities in a similar way as healthy individuals did

Quality of Life of Physically Active and Inactive Women Who Are Older after Surgery for Stress Urinary Incontinence Using a Transobturator Tape (TOT)

Urinary incontinence is a major health problem. According to various authors, it concerns 30–40% of the population and grows with age, affecting approximately 50% of women aged over 70. According to the recommendations of the International Continence Society, the treatment of urinary incontinence should commence with conservative treatment and, above all, with physiotherapy. If the conservative treatment fails or the level of urinary incontinence is too high, surgery is recommended. With regard to female patients examined at work, the TOT method was applied. The aim of this study was to assess the relationship between regular physical activity and the quality of life of women aged 65–87 who underwent surgical treatment for stress urinary incontinence (SUI) using the TOT method. The study group involved 60 postmenopausal women, patients of the Department of Gynaecology of the Hospital of Ministry of the Interior and Administration in Wroclaw, with SUI diagnosed during ultrasonography. The female patients were surveyed before and 12 months after the surgery using standardised IPAQ and WHOQOL-BREF.FL questionnaires. Significant positive relationships between quality of life and physical activity before and 12 months after the surgery were demonstrated in the somatic and social domains. Physically active postmenopausal women presented higher values in all domains and total quality of life according to the WHOQOL-BREF compared with physically inactive women, both before and 12 months after the procedure using the TOT method

The locomotor system's ailments of professionally active nurses : original research results

Praca pielęgniarek wiąże się z narażeniem na szkodliwe czynniki chemiczne, biologiczne i przeciążenia układu ruchu, co negatywnie wpływa na ich zdrowie. Większość z nich cierpi z powodu bólu kręgosłupa, a także wskazuje związek między wykonywaną pracą a zdrowiem fizycznym oraz psychicznym. Dolegliwości bólowe nasilają się głównie przy utrzymywaniu długotrwałych, wymuszonych pozycji ciała oraz przy dźwiganiu ciężkich rzeczy. Niedostateczna ilość sprzętu pomocniczego i jego nieodpowiedni stan techniczny, a także problemy natury ergonomicznej to dodatkowe elementy zwiększające ryzyko wystąpienia dolegliwości u pielęgniarek.The work of nurses is associated with exposure to harmful chemical and biological factors, as well as overload of the motor system, which negatively affects their health. Most nurses sufler from back pain and indicate the link between work and physical and mental health. Pain complaints increased mainly while maintaining long-lasting, forced body positions and when carrying heavy things. We should also pay attention to the insufficient amount of auxiliary equipment in the care of the patient or if existing its poor technical condition

Body Balance after Fascial Therapy in Athletes with Soft Lower Limb Muscle Injuries

Background: Most injuries in competitive sports are due to overstrain and excessive muscular and fascial tension. This study aimed to assess the effects of a single session of fascial therapy on balance and lower limb weight-bearing in professional athletes following a lower limb soft-tissue injury. Methods: A pedobarographic platform was used to assess the weight-bearing on both lower limbs and corporal balance. A total of 41 athletes with an acute soft-tissue injury involving the quadriceps femoris muscle were included in the study. Each patient underwent myofascial therapy in the injured limb only. The therapy was intended to release tension and improve proprioception. Results: The injured and healthy limbs showed significant asymmetry in body weight distribution. Before treatment, the patients bore less weight on the injured limb than on the healthy limb. After fascial therapy, eyes-closed tests showed an improved weight distribution symmetry between the two lower limbs. There were no significant differences in the values of the evaluated balance parameters between those measured at baseline and those measured after the therapy, measured after the rehabilitation session. Conclusions: A single fascial therapy session has a beneficial effect on corporal balance in runners with an injured lower limb

Assessment of Gait after Treatment of Tibial Nonunion with the Ilizarov Method

Background: Tibial nonunion is a common bone union disorder leading to abnormal gait, and thus reducing quality of life in the social dimension. Research question: The aim of our work was to comprehensively assess gait parameters of patients who had undergone Ilizarov treatment for tibial nonunion compared to a control group of healthy individuals. Methods: This study evaluated patients treated for aseptic tibial nonunion with the Ilizarov method. 24 patients with a mean age of 55.0 years were included in the study. The control group consisted of 32 healthy volunteers with no significant medical history who were selected to match the gender and age of patients in the study group so that the groups were homogeneous. A Zebris Medical GmbH pedobarographic platform was used to assess the gait parameters. Results: For all gait parameters examined, force forefoot max, force backfoot max, step length, stance phase, swing phase and step time, we observed statistically significant differences between the group that had undergone treatment and the control group. In the group of patients, statistically significant differences between the operated lower limb and the non-operated limb were only observed for the force forefoot max and step time parameters (p = 0.029 and p = 0.045, respectively). Patients presented a longer loading of the operated limb (0.720 s) than the non-operated limb (0.635 s). For the stride time, step cadence and gait velocity parameters, healthy subjects achieved much better results during locomotion, and these differences were statistically significant at p < 0.001. Significance: Treatment of tibial nonunion with the Ilizarov method did not restore normal gait parameters in our group of patients. In fact, the gait parameters of patients were significantly worse than the healthy individuals in the control group. Furthermore, gait parameters following treatment were not symmetrical, and the dynamics of the musculoskeletal system remained impaired

Gait Symmetry Analysis in Patients after Treatment of Pilon Fractures by the Ilizarov Method

The aim of this study was to comprehensively assess the gait parameters in patients who had undergone treatment of pilon fractures by the Ilizarov method. We analyzed gait parameters in patients who had undergone treatment for pilon fractures by the Ilizarov method; 20 patients aged 47.0 years (25.2–78.6) were included in the study. The control group consisted of 32 healthy volunteers. Gait examination was performed using the pedobarographic platform. Statistically significant differences in the following gait parameters: maximum forefoot force (%), step length (cm), and step time (s) were found between the study group and the control group, between the nonoperated leg, and both the operated leg and the dominant limb. Statistically significant differences in the study group between the treated lower limb and the healthy lower limb were only observed in the case of the maximum forefoot force parameter (%). Healthy subjects from the control group obtained significantly higher values during locomotion for stride time, cadence step, and velocity than the patients, with stride time being statistically significantly shorter and the velocity and the cadence step higher. We observed symmetry in the gait parameters after treating pilon fractures by the Ilizarov method. This method of stabilization allows the restoration of gait parameters, with results similar to those obtained after the treatment of other motor organ pathologies described in the literature, although different from those observed in healthy subjects. In particular, the biomechanics of the lower limbs remain disturbed

Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method

Background: The purpose of our study was to analyze kinematic parameters following pilon fracture treatment with the Ilizarov method. Methods: Our study assessed kinematic parameters of gait in 23 patients with pilon fractures treated with the Ilizarov method. Patients had completed their treatment 24–48 months prior to measurements. The range-of-motion values in the non-operated limb (NOL) and operated limb (OL) were compared. Kinematic parameters were measured using the Noraxon MyoMOTION System. Results: We observed no significant differences in hip flexion, hip abduction, or knee flection between the OLs and NOLs in patients after treatment with the Ilizarov method. We observed significant differences in the ranges of ankle dorsiflexion, inversion, and abduction (p p p < 0.003, respectively) between the OLs and the NOLs. Conclusion: Following pilon fracture treatment with the Ilizarov method, we observed no differences in terms of knee or hip joint mobility between the OL and the NOL, whereas the range of motion in the ankle joint of the OL was significantly limited. The treatment of pilon fractures with the Ilizarov method does not ensure the complete normalization of ankle joint kinematic parameters. Therefore, intense personalized rehabilitation of the ankle joint is recommended