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

Influence of gait in high heels on posture, and division of pressure on the contact area of the feet and tne floor

Title: Influence of gait in high heels on posture, and division of pressure on the contact area level of the feet and the floor Objective: The aim of the dissertation was to verify how walking in high-heeled shoes influences the time and pressure parameters of the step cycle and posture during slow and very slow walking in low experienced wearers. Methods: The research study was an empirical, comparative intra-individual study. Pedar-X® measuring inserts (Novel, Munich, Germany) were used to measure the distribution of plantar pressures and to evaluate time parameters while walking on a conveyor belt at v1 = 0.97 ms-1 and v2 = 0.56 ms-1 in straight shoes and high-heeled shoes. SonoSens Monitor Analyzer® (Gefremed, Chemnitz, Germany) was used to assess posture. The research group consisted of thirty healthy women wearing high-heeled shoes occasionally (age: 21.8 ± 2.09 years, weight: 55.7 ± 4.05 kg, height: 1.66 ± 0.03 m). Anova test and paired t-test were used for statistical analysis, and the Cohen coefficient d was used to calculate material significance. Results: Significant differences in time and plantar pressure variables were found when walking in high-heeled shoes compared to straight footwear. For both types of footwear, walking speed only affected time variables, but not dynamic..

Influence of gait in high heels on posture, and division of pressure on the contact area of the feet and tne floor

Title: Influence of gait in high heels on posture, and division of pressure on the contact area level of the feet and the floor Objective: The aim of the dissertation was to verify how walking in high-heeled shoes influences the time and pressure parameters of the step cycle and posture during slow and very slow walking in low experienced wearers. Methods: The research study was an empirical, comparative intra-individual study. Pedar-X® measuring inserts (Novel, Munich, Germany) were used to measure the distribution of plantar pressures and to evaluate time parameters while walking on a conveyor belt at v1 = 0.97 ms-1 and v2 = 0.56 ms-1 in straight shoes and high-heeled shoes. SonoSens Monitor Analyzer® (Gefremed, Chemnitz, Germany) was used to assess posture. The research group consisted of thirty healthy women wearing high-heeled shoes occasionally (age: 21.8 ± 2.09 years, weight: 55.7 ± 4.05 kg, height: 1.66 ± 0.03 m). Anova test and paired t-test were used for statistical analysis, and the Cohen coefficient d was used to calculate material significance. Results: Significant differences in time and plantar pressure variables were found when walking in high-heeled shoes compared to straight footwear. For both types of footwear, walking speed only affected time variables, but not dynamic...Název: Vliv chůze v obuvi na vysokém podpatku na držení těla a rozložení tlaků na úrovni kontaktu nohy s podložkou. Cíl práce: Cílem disertační práce bylo ověřit, jak chůze v obuvi na vysokém podpatku ovlivňuje časové a tlakové parametry krokového cyklu a držení těla při pomalé a velmi pomalé chůzi u málo zkušených nositelek této obuvi. Metody: Výzkumná studie měla empirický, komparativní intra-individuální charakter. K měření distribuce plantárních tlaků a na vyhodnocení časových parametrů při chůzi na běžícím pásu s rychlostí v1 = 0,97 m.s-1 a v2 = 0,56 m.s-1 v rovné obuvi a v botách na vysokém podpatku byly použity měřicí vložky Pedar-X® (Novel, Mnichov, Německo). Pro posouzení držení těla byl použit SonoSens Monitor Analyzer® (Gefremed, Chemnitz, Německo). Výzkumný soubor tvořilo třicet zdravých žen, které nosí boty na vysokém podpatku jen příležitostně (věk: 21,8 ± 2,09 let, hmotnost: 55,7 ± 4,05 kg, výška: 1,66 ± 0,03 m). Pro statistickou analýzu byly použity testy ANOVA a párový t-test, pro výpočet věcné významnosti jsme využili Cohenův koeficient d. Výsledky: Byly zjištěny významné rozdíly v časových a plantárních tlakových proměnných při chůzi v obuvi na vysokém podpatku ve srovnání s rovnou obuví. U obou typů rychlost chůze ovlivňovala jenom časové proměnné, ale ne dynamické parametry. V...Univerzita Karlova, Fakulta tělesné výchovy a sportuFakulta tělesné výchovy a sportuFaculty of Physical Education and Spor

Temporal and dynamic changes in plantar pressure distribution, as well as in posture during slow walking in flat and high-heel shoes

Purpose: The aim of the study was to assess the differences in plantar pressure distribution and in posture during slow and very slow walking on the treadmill in flat and high-heeled shoes. Methods: The Pedar-X® (Novel, Munich, Germany) measuring insoles were used to measure the plantar pressure distribution and to assess temporal parameters during walking on the treadmill with the speed v1 = 0.97 ms–1 and v2 = 0.56 ms–1 in flat shoes (FS) and HH. For postural measurement, the SonoSens Monitor Analyzer (Gefremed, Chemnitz, Ger-many) was used. Thirty healthy females who only occasionally wear HH volunteered to participate in the study (age: 21.8 ± 2.09 years, weight: 55.7 ± 4.05 kg, height: 1.66 ± 0.03 m). For statistical analysis the ANOVA, and paired t-test were used. Results: Significant differences in walking in HH were detected in temporal and plantar pressure variables, compared to FS. The walking speed influenced the temporal variables, but not the measured dynamic parameters, in either shoes. In the sagittal plane, significant differences in all sections of the spine were identified for v1 and v2. While walking in HH, lordosis at lumbar spine decreased significantly as well as at cervical spine, and kyphosis increased in the thoracic spine. In HH statistically significant differences between the walking speeds were observed particularly in the thoracic spine. Conclusions: Walking in high heels caused a plantar pressure changes and curvature of the spine, and the slowing of walking speed did not prevent these changes

Analiza pokretljivosti kralježnice i držanja tijela kod zubnih liječnika i zubnih higijeničara u Slovačkoj

Aims and objectives. The aim of this study was to investigate the incidence of changes in the axial organ among dentists and dental hygienists as well as to compare the monitored parameters with a group of dental hygiene students. Background. The work of dentists or dental hygienists requires prolonged standing in non-ergonomic positions. This has a negative impact on their health. Current prevention programs seem to be ineffective. This paper deals with the biomechanical analysis and assessment of the health risk factors of dentists and dental hygienists. Methods. In order to evaluate possible risks, postural parameters were detected among 54 dentists and dental hygienists and 75 dental hygiene students by means of the SpinalMouse®. Changes in the basic shape of the spine position in the sagittal and frontal plane and mobility in the sagittal plane were monitored. Results. The results show an increased incidence of changes in axial organ among dentists and dental hygienists, which indicates a decreased quality of body control in young persons. Relevance for clinical practice. The study suggests that changes in the axial organ represent a significant burden for the dental profession.Cilj istraživanja bio je utvrditi pojavu promjena u aksijalnom organu kod zubnih liječnika i zubnih higijeničara te istodobno usporediti praćene parametre s onima u skupini studenata dentalne higijene. Posao zubnih liječnika i zubnih higijeničara zahtjeva da se nalaze duže vrijeme u neergonomičnim položajima, što je razlog nastanka zdravstvenih problema kod ovih zanimanja. Istodobno preventivni programi čine se neučinkovitima. U radu su prikazani rezultati biomehaničke analize promjena aksijalnoga organa kod 54 zubna liječnika i dentalna higijeničara te 75 studenata dentalne higijene. Biomehanička analiza provedena je korištenjem uređaja SpinalMouse. Utvrđene su promjene oblika kralježnice u aksijalnom položaju u sagitalnoji i frontalnoj ravnini te mobilnosti kralježnice u sagitalnoj ravnini. Rezultati ukazuju na učestalu pojavu promjena u aksijalnom organu kod zubnih liječnika i dentalnih higijeničara, te istodobno na smanjeni kvalitet posture kod mladih osoba. Promjene u aksijalnom organu ukazuju na značajno zdravstveno opterećenje ove struke te se razmatraju rizični faktori koji utječu na zdravlje zubnih liječnika i higijeničara

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