Rehabilitation programme for patients after shoulder arthroplaty.

Wstęp. W ostatnich latach coraz częściej stosowanym zabiegiem w przypadku patologii stawu ramiennego o różnym podłożu jest endoprotezoplastyka. W zależności od stanu zdrowia pacjenta oraz wskazań, wykonywany jest zabieg całkowitej, odwróconej lub połowiczej alloplastyki stawu ramiennego. Bardzo ważnym elementem procesu leczenia jest fizjoterapia pacjenta.Cel pracy. Celem pracy było przedstawienie postępowania fizjoterapeutycznego u pacjentów po zabiegu operacyjnym endoprotezoplastyki stawu ramiennego w zależności od rodzaju zastosowanej endoprotezy.Materiał i metody. Wyszukiwanie artykułów wykonane zostało za pomocą serwisu PubMed oraz Google Scholar. Zakres poszukiwań obejmował artykuły opublikowane przed lipcem 2016 roku. Spośród 36 znalezionych artykułów dotyczących endoprotezoplastyki całkowitej, odwróconej, połowiczej oraz o ogólnej tematyce dotyczącej alloplastyki stawu ramiennego, w niniejszej pracy wykorzystano 17.Wyniki. W wyniku analizy dostępnych, związanych z tematem pracy publikacji, omówiony został program rehabilitacji pacjentów po zabiegu endoprotezoplastyki całkowitej anatomicznej oraz odwróconej stawu ramiennego. Dla każdego przypadku składa się on z 3 głównych etapów. Pierwszym z nich jest wczesny okres pooperacyjny, gdzie głównym celem jest ochrona operowanego stawu, a wykonywany ruch w stawie odbywa się głównie w sposób bierny. Drugi etap rozpoczyna pracę pacjenta nad przywróceniem czynnego zakresem ruchu oraz aktywności mięśni zaopatrujących kompleks barkowy. W trzecim etapie kontynuowane jest wzmacnianie mięśni, wprowadza się większe obciążenie zewnętrzne. Ponadto wykonywane się ćwiczenia mające na celu poprawę funkcjonalności stawu.Wnioski. Operacja endoprotezoplastyki stawu ramiennego jest skuteczną formą leczenia bólu stawu o różnej etiologii oraz częściowego przywrócenia funkcji stawu. Znaczącą rolę w procesie leczenia odgrywa fizjoterapia, jednak w literaturze brakuje doniesień przedstawiających porównanie różnych programów rehabilitacji oraz ich efektów.Introtuction. Shoulder arthroplasty becomes more common as an approach chosen in cases of patology of the shoulder joint. Depending on the indications, and health of the patient, a total shoulder arthroplasty (TSA), reverse shoulder arthroplasty (RSA) or hemiarthroplasty (HA) is performed. Rehabilitation following the procedure is a very important part of the healing proces.Aim of study. The aim of my thesis was to present a physiotherapeutic protocol for patients who undergone shoulder replacement surgery depending on what kind of protesis was chosen.Material and methods. Pubmed and Google Scholar were used researching for this thesis. The research was limited to articles published before july 2016. Out of all 36 articles found referring to TSA, RSA, HE and generally to shoulder joint replacement, only 17 were used for writting this thesis.Results. As a result of comparison of the found articles and other materials, a rehabilitation programme following total shoulder arthroplasty and reverse shoulder arthroplasty was made. In both cases the rehabilitation protocol consists of 3 stages. The first is immediate surgical stage. At this time the main goal is to protect the operated joint and the patient does only passive exercise with assistance of the physiotherapist. The second stage introduces early strengthening and active range of motion exercises. The next stage is mainly continuing the strengthening exercises, but with resistance and exercises increasing functional independence of the patient as much as possible.Conclusions. Joint replacement surgery is an effective form of curing pain and bringing back at least partially function of the shoulder. The rehabilitation is a significant part of the treatment, yet the literature lacks publications which concentrate on comparing different kinds of rehabilitation and their effects

The Influence of Accelerated UV-A and Q-SUN Irradiation on the Antimicrobial Properties of Coatings Containing ZnO Nanoparticles

The influence of accelerated UV-A and Q-SUN irradiation on the antimicrobial properties of coatings containing ZnO nanoparticles was investigated using a polyethylene (PE) film covering. The results of the study showed that Methyl Hydroxypropyl Celluloses (MHPC) coatings did not influence the growth of S. aureus, B. cereus, E. coli, P. aeruginosa or C. albicans cells. MHPC coatings containing ZnO nanoparticles inhibited the growth of bacterial strains and reduced the number of C. albicans strains. Accelerated Q-SUN and UV-A irradiation had no influence on the antimicrobial effect of nano ZnO coatings against S. aureus, B. cereus and E. coli. Q-SUN irradiation decreased the activity of MHPC coatings containing nanoparticles against P. aeruginosa and C. albicans. An FT-IR analysis clearly showed that ZnO nanoparticles shielded the MHPC coating during Q-SUN irradiation

Extract from Aronia melanocarpa L. Berries Prevents Cadmium-Induced Oxidative Stress in the Liver: A Study in A Rat Model of Low-Level and Moderate Lifetime Human Exposure to this Toxic Metal

The study investigated, in a rat model of low-level and moderate environmental exposure to cadmium (Cd; 1 or 5 mg Cd/kg diet, respectively, for 3 to 24 months), whether the co-administration of 0.1% extract from Aronia melanocarpa L. berries (AE) may protect against oxidative stress in the liver and in this way mediate this organ status. The intoxication with Cd, dose- and duration-dependently, weakened the enzymatic antioxidative barrier, decreased the concentrations of reduced glutathione and total thiol groups, and increased the concentrations of oxidized glutathione, hydrogen peroxide, xanthine oxidase, and myeloperoxidase in this organ. These resulted in a decrease in the total antioxidative status, increase in the total oxidative status and development of oxidative stress (increased oxidative stress index and malondialdehyde concentration) and histopathological changes in the liver. The administration of AE at both levels of Cd treatment significantly improved the enzymatic and nonenzymatic antioxidative barrier, decreased pro-oxidant concentration, and protected from the development of oxidative stress in the liver and changes in its morphology, as well as normalized the serum activities of liver enzymes markers. In conclusion, consumption of aronia products may prevent Cd-induced destroying the oxidative/antioxidative balance and development of oxidative stress in the liver protecting against this organ damage

Protective Effect of Chokeberry (Aronia melanocarpa L.) Extract against Cadmium Impact on the Biomechanical Properties of the Femur: A Study in a Rat Model of Low and Moderate Lifetime Women Exposure to This Heavy Metal

The hypothesis that the consumption of Aronia melanocarpa berries (chokeberries) extract, recently reported by us to improve bone metabolism in female rats at low-level and moderate chronic exposure to cadmium (1 and 5 mg Cd/kg diet for up to 24 months), may increase the bone resistance to fracture was investigated. Biomechanical properties of the neck (bending test with vertical head loading) and diaphysis (three-point bending test) of the femur of rats administered 0.1% aqueous chokeberry extract (65.74% of polyphenols) or/and Cd in the diet (1 and 5 mg Cd/kg) for 3, 10, 17, and 24 months were evaluated. Moreover, procollagen I was assayed in the bone tissue. The low-level and moderate exposure to Cd decreased the procollagen I concentration in the bone tissue and weakened the biomechanical properties of the femoral neck and diaphysis. Chokeberry extract administration under the exposure to Cd improved the bone collagen biosynthesis and femur biomechanical properties. The results allow for the conclusion that the consumption of chokeberry products under exposure to Cd may improve the bone biomechanical properties and protect from fracture. This study provides support for Aronia melanocarpa berries being a promising natural agent for skeletal protection under low-level and moderate chronic exposure to Cd

Development, Characterization, and Bioactivity of Non-Dairy Kefir-Like Fermented Beverage Based on Flaxseed Oil Cake

Flaxseed oil cake (FOC) was evaluated as a potential substrate for the production of a novel kefir-like fermented beverage. Three variants containing 5%, 10%, and 15% (w/w) of FOC were inoculated with kefir grains and incubated at 25 °C for 24 h. After processing, beverages were stored in refrigerated conditions (6 °C) for 21 days. Changes in microbial population, pH, acidity, levels of proteins, polyphenolics, flavonoids, ascorbic acid, and reducing sugars were estimated. Additionally, viscosity, firmness, color, and antioxidant properties were determined. Results showed that lactic acid bacteria as well as yeast were capable of growing well in the FOC without any supplementation. During refrigerated storage, the viability of the microorganisms were over the recommended minimum level for kefir products. As a result of fermentation, the beverages showed excellent antioxidant activity. Because of the functional characteristics conferred to the FOC beverages, the use of kefir grains showed adequate potential for the industrial application. Therefore, this beverages could be used as a new, non-dairy vehicle for beneficial microflora consumption, especially by vegans and lactose-intolerant consumers