Evaluation of functional performance and locomotion of children with cerebral palsy

Purpose. Demonstration of the author's motor assessment questionnaire as a tool allowing detailed evaluation of movement dissociation disorders in children with cerebral palsy and damaged pyramidal system. Material and Methods. The study included 19 children with cerebral palsy aged 4 to 16 years. Mean age: 8 years old (SD = 3.53). The research was performed in the Neuron Rehabilitation Centre in Bydgoszcz. A motor assessment questionnaire was used to examine the possibility of changing position from the lowest, i.e. lying back, to the highest, i.e. standing and walking. Based on the Gross Motors Function Classification Scale (GMFCS), children were qualified to specific functional levels from I to V. The Functional Mobility Scale (FMS) scale was used to examine the capability of locomotion at three distances: 5m, 50m and 500m. Total examination - using the motor assessment questionnaire, the GMFCS scale and the FMS scale - was used to determine dysfunctions and current skills of the subjects and predict their functioning and locomotion. Results. The range of points scored by children according to the motor assessment table was 7 to 46 out of 48. Based on the GMFCS scale, the subjects were qualified to levels from I to V, and according to the FMS scale - to eight groups depending on the locomotion capabilities. The results obtained by the study group in individual scales were compared. Conclusions 1. The general functional performance of a child expressed by GMFCS level is significantly affected by factors not related to motor activity itself. This is confirmed by the lack of a close relationship between the motor skills assessment and GMFCS level. 2. Scores obtained in the motor assessment test in most cases are adequate to the capability of independent upright mobilization. 3. Scores obtained in the motor assessment test always determine the capability of walking on three distances according to the FMS scale. 4. Independent walking with the use of orthopedic support is possible for children, who obtained at least 30 points out of 48 in the motor assessment test. 5. It has been shown that the author's motor assessment questionnaire is useful for the motor assessment of children with cerebral palsy

Early hospital rehabilitation in patients with a performed intestinal stoma

An intestinal stoma is an intentional connection between the light of the small intestine (ileostomy) or the large intestine (colostomy) and the skin surface. The aim of the study was to present the topic of early hospital rehabilitation in patients who had to have a selected stoma as a result of the procedure. Rehabilitation is a supplement to surgical treatment and conditions good functioning of the patient after surgery. The main components of the therapy are: respiratory exercises, exercises of expectoration and effective coughing, wound stabilization, learning to change position from lying to sitting, anticoagulation exercises, general development exercises, verticalisation. More and more often, the rehabilitation is complemented by the use of kinesiology taping. Properly conducted physiotherapy may bring measurable benefits to the patient in the form of functional improvement and return to efficiency before surgery, or reduction of the degree of disability. The patient improvement plan is subject to constant modification by the therapist and is adapted to the physical and mental abilities of the patient on a given day. An important element in the healing process of patients with a performed stoma is the interdisciplinary care provided by all members of the therapeutic team: a doctor, a nurse, a physiotherapist, a psychologist, a nutritionist

The relationship between physical activity and quality of life of people in age 25–30, 35–40 and 45-50

Purpose: The aim of the research was to assess the relationship between physical activity and quality of life of the respondents. Methods: There was a study conducted on 150 people divided into three age groups: 25-30, 35-40 and 45-50 years old. The study was conducted by using its own questionnaire. The evaluated factors were health status, material status, life satisfaction, attitudes to drugs and drug use, ways of spending free time, the ratio of physical activity or cultivated forms of activity. In order to carry out the correlation analysis between the subjective assessment of quality of life and physical activity there were numerical indicators of quality of life and physical activity introduced.  Results: The correlation between these indicators for all examined and for different age groups was assessed. The most evident correlation appeared in the oldest group. Conclusions: The examined are aware that taking up physical activity regularly is conducive to improving their well-being, physical condition and appearance. The subjective evaluation of the level of general fitness and the frequency of doing physical activity tend to fall with age. Physical activity influences not only the physical and psychological health, but also indirectly conditions the capability of succeeding in other areas of life

Bariatric patient from the point of view of a nutritionist

Nowadays obesity is one of the biggest worldwide problem. The predominant factor that may result in obesity is an excesive amount of energy and low physical activity. At the present time there are two overwhelming methods to fight obesity- conservative treatment and bariatric surgery. The second one is regarded as the most effective way to reduce body weight of the people suffering from the morbid obesity. Surgical treatment can only be efficient when it is followed by introducing dietary indications, both before and after the surgery. The bariatric patients have to be monitored by medical staff including the dietician to help them change eating habits. The dietician’s support is also crucial to avoid nutrient deficiency and digestive system ailments

Healthcare professionals knowledge of autism spectrum disorders

Introduction: Autism spectrum disorders (ASD) is a diverse group of neurodevelopmental disorders, which belongs to the most frequent child developmental problems. It characterized by different levels of functioning of persons who has this disorder, showing impaired social interaction, impaired communication, and restricted and repetitive behavior. What is more, there is likelihood of occurring other disorders. Particularity of ASD, the difficulties in diagnosing cause that the person has frequent contact with medical personnel. The patient with ASD is special patient, presenting atypical behaviors and reactions, due to the different reception of the surrounding reality. He requires from health care practitioners to adopt an individual approach and special treatment based on knowledge about the specificities of autism spectrum disorders and professional competence. The aim of a study: Determining the level of knowledge of health care professionals on autism spectrum disorders. The factors which influence on the level of their knowledge were the subject of thorough statistical analysis. In addition, the views of medical personnel on the individual treatment of autistic persons in their work and the impact of the level of knowledge declared on the treatment of ASD patients were analyzed. Material and methods: 122 health workers took part in the study in the Regional Specialist Hospital in Grudziadz: doctors, nurses / midwifes and registrants / medical secretaries. Results: The research shows that the level of knowledge of health care workers on ASD disorders is low. The best performers were doctors, then nurses/midwives and finally medical recorders/ secretaries. Despite low levels of knowledge, medical professionals do not participate in specialist courses and fewer than half of the subjects are knowledgeable about ASD. At the same time they are convinced of the need for special treatment of autistic patients, but not taking them out of que. Conclusions: Improving the knowledge of health professionals on autism spectrum disorders by increasing knowledge, attending conferences and the courses and experience of caregivers and professionals dealing with ASD patients will have a beneficial effect on the health and well-being of patients while providing health services, which will significantly improve the quality of services provided

Dietary catering and its effectiveness combined with physical exercise

Introduction: Proper nutrition benefits affect the health of the body. Throughout the world, you can observe the prevailing trend for physical exercise, healthy eating and active lifestyle. There are a lot of publications and books about dietetics, physical activity and selected diets. The aim of a study: The aim of the presented work was concerning the effects of catering diet combined with physical exertion, by customers catering for " Perfect Housewife " based in Ostrów Wielkopolski, Poland. Material and methods: A hundred people using dietary catering were asked about the re¬sults of the service. The relation between dietary catering and physical activity, sex, place of resi-dence and having food intolerance were evaluated. Conclusions: 1. Results of dietary catering are better when it is combined with physical ac-tivities. 2. Men have better mood more often and residents of towns from 20 to 100 thousands inhabitants have better medical examinations results as a consequence of using dietary cater-ing. 3. Food intolerance have no influence on the efficacy of using dietary catering

Autism spectrum disorder in children - case study analysis

Autism belongs to the group of global neurological developmental disorders. A disturbance in the emotional and social sphere constitutes its specific symptom, together with lack of understanding of other people’s behavior, as well as communicating with them. Most autistic children isolate themselves from the outside world because of too many stimuli, which cause anxiety, fear or self-aggression. The essence is individual therapy, which generalizes and maintains the acquired knowledge and skills, makes the most of the autistic person’s potential, as well as shapes and stimulates psychomotor functions, which are usually reduced by this disorder. The aim of the work was to present the therapeutic path of a boy at different stages of his physical, motor, emotional, social and intellectual development. The functioning of the child before the therapy and the progress made after 4 years were compared. Thorough analysis shows that early therapy has a positive influence on the emotional and social development of an autistic child. To improve the functioning of an autistic child, it is necessary to introduce individual therapies, use a special organization of learning, adapt educational needs and forms of stimulation through fun. The reactions of autistic children are usually atypical in terms of behavior, however, they should not be negatively perceived from the perspective of their otherness. Everyone deserves respect and understanding, and thus society should be open to promoting knowledge about autism

Quality of sexual life after inguinal hernia repair

Inguinal hernia repair is one of the most common surgical procedures. Post-operative pain is one of the main factors determining sexual life satisfaction and general quality of life. However, not much research has focused on the problem of chronic pain after a corrective surgery and its impact on the quality of human sex life. Recurrent inguinal hernia to a large extent has been reduced due to the use of synthetic mesh, but there was a serious problem - chronic postoperative pain, which significantly reduces the overall quality of life of patients

The assessment of the patients disability degree using the EDSS scale in various forms of multiple sclerosis

Purpose. The aim of the study is to assess the patients disability degree using the Extended Scale of Disability in various forms of multiple sclerosis.Material and Methods. The study was conducted on a group of 40 people suffering from multiple sclerosis, diagnosed and treated in the Neurology Clinic of the 10th Military Clinical Hospital in Bydgoszcz. In order to assess the patients disability degree, the Extended Disability Management Scale was used. The other information needed for statistical analysis was obtained from the clinical observation chart established for each patient.Results. The disability degree of patients with multiple sclerosis is determined by many variables. The Expanded Disability Rating Scale is a good tool to assess the degree of disability of patients with multiple sclerosis.Conclusion. 1. In the group of people with relapsing remitting MS, the average value of the degree of disability in the Expanded Disability Scale was the smallest. 2. The childbirth during the course of multiple sclerosis causes exacerbation of clinical symptoms immediately after the childbirth. 3. Optic neuritis as the initial symptom of multiple sclerosis predisposes to a milder course of the disease. 4. Symptoms of the first relapse of multiple sclerosis that support faster progression of disability are: lower limb paresis, sphincter dysfunction and balance disorders. 5. Multifocal symptomatology of the first relapse of multiple sclerosis speaks for faster progression of disability in relation to patients with the first relapse characterized only by one symptom

Effects of health behaviours on the quality of life of patients following intervention cardiology procedures

Introduction: Diseases of the cardiovascular system are the main health problem of the population not only Polish, but also highly developed countries. Invasive treatment largely contributes to the reduction of mortality, cardiac complications and improves the quality of life of patients. Paying attention to the quality of life of people after cardiac episodes, can help to modify and achieve better therapeutic effects. The aim of a study: Assessment of the impact of health behaviours on the quality of life of patients following intervention cardiology procedures. Material and methods: The study was carried out on a group of 100 people, treated in the Department of Cardiology, the Department of Intensive Cardiac Supervision, the Hemodynamic Work of the Multidisciplinary Hospital of Ludwik Blazek in Inowroclaw. A questionnaire consisting of 22 single-choice questions was used to assess the quality of life of patients. Conclusions: 1. Close to 60% of respondents positively determines their quality of life. 2. The relationship between the effects of pro-health behaviours and quality of life has not been demonstrated. 3. The level of patient awareness of positive health behaviours is small, only a minority progresses according to their principles. 4. Unconsciousness of the health status of patients of the branch causes no reference to staff recommendations. 5. Alarming is prefering anti-health behaviour