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

THE KNOWLEDGE ON LYME BORRELIOSIS AND OTHER TICK-BORNE DISEASES AMONG NURSING STUDENTS FROM POLAND AND SLOVAKIA

Tick-borne diseases are infectious diseases transmitted by the bites of infected ticks. The most common vector-borne disease in Europe is Lyme borreliosis (LB). The number of the reported cases of LB has been steadily increasing. For this reason, it is important to undertake educational activities in the field of tick-borne diseases. The aim of the study was to investigate the level and scope of knowledge on tick-borne diseases among nursing students from Poland and Slovakia. The study sample consisted of 428 nursing students (192 students of the State School of Higher Education in Biała Podlaska, Poland and 236 students of the University in Presov, Slovakia). The knowledge of the surveyed students on tick-borne diseases is limited. Polish students demonstrated greater knowledge about LB, while students from Slovakia showed greater awareness of the threat posed by tick-borne encephalitis. Particularly worrying is the lack of knowledge on proper way of removal of a tick attached to the skin. Students recognize the need to broaden their knowledge on tick-borne diseases, which should be taken into consideration in realized studies curricula.

MONITORING VÝSKYTU PORÚCH OSOVÉHO ORGÁNU U ŠTUDENTOV DENTÁLNEJ HYGIENY

MONITORING THE OCCURRENCE OF THE AXIAL ORGAN DEFECTS IN DENTAL HYGIENE STUDENTS. Objective: The aim of the research was to evaluate changes in the curvature of the spine in the basic position in the sagittal and frontal plane in dental hygiene students using SpinalMouse, as well as comparing the quality of posture with a group of physiotherapy students. File: The surveyed sample consisted of 120 Presov University students, aged 21 to 34 years. Methods: Measurements were made using the SpinalMouse device. The percentage representation of changes in the basic shape of the spine in the sagittal and in the frontal plane in the various spine sections were calculated from the acquired data within the entire file. Results: The main problems were diagnosed in the frontal plane in the lumbar section of the spine. Pathological curvature without emphasis on the assessment of the curvature degree was found in more than 90% of the examined persons. Conclusion: The research highlights the negative changes in the parameters of the spinal shape in the examination sample of students. In order to prevent many health risks, attention should be paid to the method of teaching healthy habits within the work of dentists or dental hygienists

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

Distribution of Minimal and Maximal Values of the Location of the Centre of Pressure in the Frontal and Sagittal Planes in Healthy Boys and Boys with Mild Intellectual Disability Participating in 12-Week Equestrian Classes

Humans maintain balance in the vertical position through random movements that result from instability of the body supported in two points. These tracking movements are responsible for the motor activity focused on maintaining body balance. The role of the postural control system is to choose a strategy, that is, the behaviour as a response to stimuli and regaining the balance through coordinated activity of the muscles that stabilize the talocrural and hip joints that perform movements in the frontal and sagittal planes. The aim of this study is to evaluate the effect of equestrian classes on postural balance in the frontal and sagittal balance in healthy boys aged 15 to 17 years and boys at the same age with mild intellectual disability. The study examined 100 randomized boys aged 15 to 17 years with mild intellectual disability and healthy boys. The study participants were divided into two groups: experimental group, who participated for 12 weeks in equestrian classes and the control group, with boys attending outdoor or indoor physical education classes. Before and after completion of the study, both experimental and control groups were diagnosed by means of Accu SwayPlus force plate. Maximum and minimum locations of the position of the centre of pressure (COP) with respect to the base of support on the platform were evaluated in the frontal and sagittal planes. The description of the parameters was based on the arithmetic mean, maximal and minimal value, scatter diagram and percentage distribution of values. Correlation of the parameters was also evaluated. Significant changes were found in the experimental groups after horse-riding classes, which pointed to the improvement in balance response, particularly in the sagittal plane, both in terms of minimal and maximal values. The character of these changes was similar: value of body sway in the sagittal plane was reduced and the higher percentage of minimal values was recorded for each parameter in both planes after the equestrian effect. Correlations were found between maximum position of the centre of pressure (COP) in the frontal plane and minimal and maximal position of the centre of pressure in the sagittal plane. All the significant changes and trends found for the experimental group which occurred after 12 weeks of equestrian classes suggest improved parameters of balance. The lack of changes in balance parameters in the control group shows that the equestrian classes help develop balance abilities in healthy boys aged 15 to 17 years and, to a lesser extent, in those with mild intellectual disability