Fracture Risk Assessment Tool (FRAX)®

For many years, there were no models for Polish population. Prospective studies showed that the use of British data model is reliable for the Polish patients, as supported by Przedlacki21,26,27 and others. Lately, a new version of the FRAX® method, including Polish data was introduced28,29. This triggered writing of the current paper, to continue farther studies of this population. Use of the described method to monitor treatment or to evaluate patients already treated, is pointless. Still, the method should be popularized, since only 10% of patients after an osteoporotic fracture are treated for the underlying condition3. The goal should be prevention of future fractures, return of independence in the activities of daily living and mobility

Rating nurses' knowledge of basic steps of cardiopulmonary resuscitation

First aid is provided by the witnesses in this connection it is important to ensure that every citizen of the aid granted in a correct and effective until the arrival of emergency medical team. From witnesses to a large extent depend on the survival chances of the victim or his injury. Education in first aid begins in elementary school, however, important that the students of these classes were able to use the knowledge in practic

Imaging studies and indications for surgical treatment of carotid spondylosis

Spondylosis cervical spine, is the result of a complex process which occurs in the course of normal physiological aging body tissues. This lengthy process progresses normally for decades. It is believed that it is initiated early degenerative changes in the intervertebral discs. Surgical treatment of only a part of the treatment and never correspond to the whole patient's expectations. Alleviates or eliminates direct threat to life or loss of health, not solving the drug problem as a whole. Before planning surgery, are widely used imaging. It is important to remember that radiological signs of wear of the cervical spine, does not always correspond to the clinical manifestations

Przegląd wybranych metod rehabilitacji kończyny górnej u pacjentów po przebytym udarze niedokrwiennym mózgu = A review of selected methods for the rehabilitation of the upper extremity in patients after undergone brain ischemic stroke

Siminska Joanna, Pietkun Katarzyna, Porzych Piotr, Głowacka Iwona, Świątkowska Anna, Ogurkowski Karol, Grzyb Sebastian, Nowacka Krystyna, Beuth Wojciech. Przegląd wybranych metod rehabilitacji kończyny górnej u pacjentów po przebytym udarze niedokrwiennym mózgu = A review of selected methods for the rehabilitation of the upper extremity in patients after undergone brain ischemic stroke. Journal of Education, Health and Sport. 2016;6(4):240-248. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.50155http://ojs.ukw.edu.pl/index.php/johs/article/view/3466 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 20.03.2016. Revised 17.04.2016. Accepted: 17.04.2016.  PRZEGLĄD WYBRANYCH METOD REHABILITACJI KOŃCZYNY GÓRNEJ U PACJENTÓW PO PRZEBYTYM UDARZE NIEDOKRWIENNYM MÓZGUA review of selected methods for the rehabilitation of the upper extremity in patients after undergone brain ischemic stroke Siminska Joanna1, Pietkun Katarzyna1,2, Porzych Piotr1, Głowacka Iwona1, Świątkowska Anna1, Ogurkowski Karol1, Grzyb Sebastian3, Nowacka Krystyna1, Beuth Wojciech4 1Katedra i Klinika Rehabilitacji CM UMK Bydgoszcz2Katedry Kosmetologii i Dermatologii Estetycznej CM UMK Bydgoszcz3Klinika Neurochirurgii, Neurotraumatologii i Neurochirurgii Dziecięcej CM UMK Bydgoszcz4Oddział Neurochirurgii, Wojewódzki Szpital Specjalistyczny, Włocławek Słowa kluczowe: udar niedokrwienny mózgu.Keywords: ischemic stroke.  Streszczenie Analizując dane statystyczne uważa się, że udary mózgu stanowią około 15% wszystkich zgonów na świecie. W Polsce na udar mózgu zapada około 70 tysięcy osób rocznie , spośród których w okresie pierwszego miesiąca umiera około 20%, kolejne 10-25% pacjentów odzyskuje pełną samodzielność, u 40% chorych pozostaje umiarkowana niepełnosprawność, zaś około 15-30%  osób wymaga stałej pomocy osób drugich. Dlatego tak niezwykle istotnym faktem staje się wczesne wdrążenie właściwych algorytmów postępowania procedur rehabilitacji. Wiadomo, że optymalnym okresem powrotu i poprawy funkcji, w tym wykonywania czynności samoobsługowych, są pierwsze 3 miesiące od wystąpienia incydentu udaru mózgu. W tym okresie należy odpowiednio zaplanować i zastosować możliwie najefektywniejsze metody leczenia i usprawniania, co pozwala na poprawę jakości życia jak i podniesienie możliwości wykonywania czynności w zakresie samoobsługi tych chorych. Abstract Analysing statistical data, it is considered that strokes account for approximately 15% of all deaths in the world. In Poland the stroke falls approximately 70 thousand people per year, of which during the first month dies around 20%, 10-25% of patients recover full autonomy in 40% of patients remains a moderate disability, while about 15-30% of people requires constant assistance of another person. Why it is so extremely important fact becomes early implementation of the relevant algorithms conduct rehabilitation procedures. It is known that the optimal period of return and improved features, including self-service operations, are the first 3 months of the occurrence of an incident of stroke. During this period, please plan accordingly and apply as soon as possible the most effective methods of treatment and improve, allowing you to improve the quality of life and raise the possibility of performing self-service operations of these patients

The use of neurorehabilitation techniques based on the currently used model of therapy in patients with neurological disorders

Adherence to the rehabilitation guidelines of the patient brings measurable favorable conditions to achieve the intended effect of returning the patient to health. The present model of rehabilitation of a neurological patient is recommended to be based on the use of rehabilitation methods that prescribe the use of a tool called ICF (International Classification of Functioning), with which we assess its disability and set up a rehabilitation plan. The ICF model assumes that it should follow a prescribed work schedule with the patient, which consists of 3 components: 1) structure 2) activity 3) participation. The whole medical team applies to the assumptions resulting from the above classification because of the improvement of the entire rehabilitation process. The role of the physiotherapist is to inform all nursing staff to make important decisions relevant to the role of the patient's vision, including the correct placement of the patient, which significantly prevents the development of pressure sores and contractures. Rehabilitation is designed to restore the patient's full fitness as quickly as possible and to allow him / her to stand up and, in the future, re-train his or her locomotive skills

Uncovertebral joints – their structure, development and relationships with intervertebral discs of cervical spine

Uncovertebral joints, also referred to as Luschka’s joints, are found from the level of second cervical vertebra down to first or second thoracic vertebra. In adults, they appear as regular spaces in annulus fibrosus between the uncinate processes and round edges of vertebral body above. Their development remains in close relationship with changes occurring in intervertebral discs. The joint space, which is formed by the fissure into the fibrocartilaginous core of the intervertebral disc, widens medially at its rear aspect for a various distance. In aged spines, this space extends into additional, smaller lateral fissures, vast and irregular in shape. It is believed that the changes in the uncinate process’ structure are the outcome of progressing dehydration and narrowing of the intervertebral discs of cervical spine. This results in remodeling of the process, which begins to expand and flatten with age. According to many authors, uncovertebral joints are small synovial articulations, that aren’t yet noticeable at age of 6 to 9 and become fully developed before the age of 18.There is some controversy on whether they should be classified as true synovial joints. Some researchers claim that they’re an outcome of degenerative processes occurring within the intervertebral discs and therefore shouldn’t be treated as a product of natural development. The presence of synovial tissue within the joints has been a point of some discussions. Recent studies conclusively shown the presence of synoviocytes in the lateral joint capsule tissue of elderly uncovertebral articulations.The purpose of this paper is to describe the structure, development and relationships of uncovertebral joints with intervertebral discs of cervical spine

A Feasibility Study of the Usefulness of the TEMPS-A Scale in Assessing Affective Temperament in Athletes

Background and objectives: Current studies show an important role of affective temperament in sport performance. The aim of this study was to assess the feasibility of the use of the TEMPS-A scale, by using it to examine five dimensions of affective temperament in three groups of athletes. We hypothesized that temperament may be a predisposing factor to the level of commitment and type of training. Materials and methods: The study group (N:71, 33 female) consisted of professional canoeists (N:25, aged 18−30), sports pilots (N:21, aged 19−57) and non-professionals regularly performing aerobic exercises (N:25, aged 23−33). The Affective Temperament of Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A) was used to evaluate affective temperament dimensions. Statistical analysis was performed using non-parametric tests. Results: The TEMPS_A scale shows good internal consistency; a hyperthymic temperament was associated with different factors compared to other temperament traits. The most prevalent trait in the study group was hyperthymic temperament. The study group scored higher on hyperthymic and lower on depressive and anxious temperaments when compared with the general population. Canoeists scored higher on cyclothymic temperament compared with non-professional athletes and on cyclothymic and irritable dimensions in comparison with pilots. Pilots obtained significantly lower scores on irritable and anxious temperaments than non-professional athletes. Females scored higher on both hyperthymic and irritable dimensions. No significant differences were found in respect of depressive, cyclothymic and anxious traits. Age was negatively correlated with cyclothymic and irritable temperament scores. Conclusions: TEMPS-A scale is a useful tool for assessing affective temperament in athletes. The results suggest that affective temperament may be a factor influencing physical activity engagement. Different types of activities may be connected with different temperament dimensions. Younger athletes present a higher tendency to mood lability and sensitivity to environmental factors. However, further research is needed, involving larger numbers of subjects

Przegląd metody leczenia i najczęstszych przyczyn amputacji otwartych i zamkniętych w obrębie kończyny górnej = Review of the methods of treatment and the most common causes of open and closed amputations within areas upper extremity

Pietkun Katarzyna, Siminska Joanna, Stocka Joanna, Ogurkowski Karol, Hagner Wojciech, Nowacka Krystyna. Przegląd metody leczenia  i najczęstszych przyczyn amputacji otwartych i zamkniętych w obrębie kończyny górnej = Review of the methods of treatment and the most common causes of open and closed amputations within areas upper extremity. Journal of Education, Health and Sport. 2015;5(3):311-324. ISSN 2391-8306. DOI: 10.5281/zenodo.16770 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%283%29%3A311-324 https://pbn.nauka.gov.pl/works/554269 http://dx.doi.org/10.5281/zenodo.16770 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive   Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.01.2014. Revised 27.02.2015. Accepted: 12.03.2015.   PRZEGLĄD METODY LECZENIA I NAJCZĘSTSZYCH PRZYCZYN AMPUTACJI OTWARTYCH I ZAMKNIĘTYCH W OBRĘBIE KOŃCZYNY GÓRNEJ REVIEW OF THE METHODS OF TREATMENT AND THE MOST COMMON CAUSES OF OPEN AND CLOSED AMPUTATIONS WITHIN AREAS UPPER EXTREMITY Pietkun Katarzyna, Siminska Joanna, Stocka Joanna, Ogurkowski Karol, Hagner Wojciech, Nowacka Krystyna Katedra i Klinika Rehabilitacji Collegium Medicum UMK w Bydgoszczy Streszczenie W obecnych czasach obrażenia w obrębie rąk są dość często spotykanymi urazami w obrębie ciała. Często przyczynami amputacji są urazy powstałe podczas obsługi maszyn  zarówno maszyn rolniczych jak i maszyn w przemyśle rzemieślniczym. Każda amputacja jest zabiegiem odjęcia części kończyny lub jej całej. Nieważne jak dobrze będzie  dobrana proteza i długość uformowanego kikuta prawdziwej ręki nic nie zastąpi. Amputacje wiążą się nie tylko z utratą części własnego ciała, ale również z dużą zmianą postawy psychicznej. Słowa kluczowe: amputacja, przyczyny amputacji, powikłania po amputacji, amputacja zamknięta, amputacja otwarta.   Abstract   At the present time the damage within the hands are quite often common injuries within the body. Often the causes of amputation injuries are caused when handling machines both agricultural machinery and machinery in the craft. Each amputation is to become part of a limb or the entire. No matter how well chosen and the length of the prosthesis will be molded a genuine die-hand there is no substitute. Amputations are not only with the loss of parts of his own body, but also with a large change in mental attitude. Keywords: amputation, the causes of amputation, complications after amputation, closed amputation, open amputation

Kolumna szyjna kręgosłupa – ruchomość i wybrane sposoby jej pomiaru – przegląd literatury = Cervical vertebral column - mobility and selected ways of measurement - a literature review

Porzych Piotr, Ratuszek-Sadowska Dorota, Pyskir Małgorzata, Simińska Joanna, Ogurkowski Karol, Kitschke Ewa. Kolumna szyjna kręgosłupa – ruchomość i wybrane sposoby jej pomiaru – przegląd literatury = Cervical vertebral column - mobility and selected ways of measurement - a literature review. Journal of Education, Health and Sport. 2016;6(6):505-516. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.56384 http://ojs.ukw.edu.pl/index.php/johs/article/view/3638 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 25.05.2016. Revised 25.06.2016. Accepted: 25.06.2016. Kolumna szyjna kręgosłupa – ruchomość i wybrane sposoby jej pomiaru – przegląd literatury Cervical vertebral column - mobility and selected ways of measurement - a literature review Piotr Porzych, Dorota Ratuszek-Sadowska, Małgorzata Pyskir, Joanna Simińska, Karol Ogurkowski, Ewa Kitschke Katedra i Klinika Rehabilitacji, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu Streszczenie Kręgosłup szyjny to najbardziej mobilny odcinek całej kolumny kręgowej. Kręgi szyjne, tworząc szkielet szyi, wspierają głowę umożliwiając jej odpowiednią orientację w przestrzeni we wszystkich kierunkach. Pomiędzy typowym szkieletem osiowym a odmiennie zbudowaną czaszką możemy wyróżnić kompleks potyliczno-szczytowo-obrotowy. Dwa najwyżej leżące kręgi zostały ukształtowane odmiennie umożliwiając głowie maksymalną swobodę ruchów. W dolnej części kręgosłupa szyjnego występują kręgi o zbliżonej budowie, które funkcjonalnie mają takie same możliwości, chodź siódmy krąg różni się nieco budową anatomiczną od pozostałych. W problematyce związanej z badaniem ruchomości odcinka szyjnego kręgosłupa można odnieść się do testów klinicznych, mających charakter oceny subiektywnej oraz badań opartych na obiektywnie zebranych wynikach przy użyciu skomputeryzowanych urządzeń pomiarowych. Słowa kluczowe: kręgosłup szyjny, anatomia, zakresy ruchów, badanie ruchomości. Abstract The cervical spine is the most mobile section of the entire vertebral column. Cervical vertebrae, construct the neck skeleton, support the head allowing the appropriate orientation in all directions. Between the typical axial skeleton and differently built skull we can distinguish occipito-atlanto-axial complex. The maximum discretion of head movement is possible thanks to two highest lying vertebrae which are dissimilar shaped. In the lower part of the cervical spine are vertebrae with similar construction and functional abilities. The seventh vertebra has slightly different anatomy structure. The issues related to the examination of cervical spine range of motion can be applied to clinical tests which are subjective evaluation and research based on objectively collected results using computerized measurement devices. Key words: cervical spine, anatomy, range of motion, motion measurement

Schorzenia w obrębie stawu łokciowego. Łokieć teniststy - schorzenie i współczesne metody leczenia = Diseases within the elbow joint. Tennis elbow - condition and modern methods of treatment

Siminska Joanna, Pietkun Katarzyna, Ogurkowski Karol, Stocka Joanna, Dejewska Jolanta, Nowacka Krystyna, Hagner Wojciech. Schorzenia w obrębie stawu łokciowego. Łokieć tenisisty - schorzenie i współczesne metody leczenia = Diseases within the elbow joint. Tennis elbow - condition and modern methods of treatment. Journal of Education, Health and Sport. 2015;5(4):205-218. ISSN 2391-8306. DOI: 10.5281/zenodo.16769 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%284%29%3A205-218 https://pbn.nauka.gov.pl/works/554266 http://dx.doi.org/10.5281/zenodo.16769 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive   Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.02.2015. Revised 27.03.2015. Accepted: 10.04.2015.   SCHORZENIA W OBRĘBIE STAWU ŁOKCIOWEGO. ŁOKIEĆ TENISISTY - SCHORZENIE I WSPÓŁCZESNE METODY LECZENIA DISEASES WITHIN THE ELBOW JOINT. TENNIS ELBOW - CONDITION AND MODERN METHODS OF TREATMENT   Siminska Joanna, Pietkun Katarzyna, Ogurkowski Karol, Stocka Joanna, Dejewska Jolanta, Nowacka Krystyna, Hagner Wojciech   Katedra i Klinika Rehabilitacji Collegium Medicum UMK w Bydgoszczy   Streszczenie   Według najnowszych danych Światowej Organizacji Zdrowia zauważyć należy, iż że wśród wszystkich obrażeń układu mięśniowo-szkieletowego prawie połowa to urazy tkanek miękkich (wraz ze ścięgnami i więzadłami), które często prowadzą one do powstawania przewlekłych dolegliwości  bólowych, ograniczenia ruchomości a  nawet niepełnosprawności. Ciągły rozwój medycyny oraz postęp technologiczny umożliwiają lepsze poznanie schorzeń układu mięśniowo-szkieletowego, ale również znalezienie najlepszych sposobów kompleksowej rehabilitacji. Jednym z obecnie najczęstszych urazów jest zapalenie nadkłykcia bocznego kości ramiennej, popularnie zwane „łokciem tenisisty”. Pacjent z tym schorzeniem zgłasza się z odczuwanym bólem, który  jest spowodowany zwyrodnieniem w okolicy ścięgna prostowników. Omówiono również  najczęstsze urazy, które  dotyczą stawu łokciowego. Obecnie możemy wyróżnić kilka  metod leczenia schorzenia zapalenia nadkłykcia bocznego kości ramiennej m. in. polegające na ostrzykiwaniu miejsca sprawiającego ból: pełną krwią, sterydami oraz płukanymi płytkami krwi. Ponadto możemy stosować także  terapię falami uderzeniowymi oraz zabieg koblacji topaz.   Słowa kluczowe: łokieć tenisisty, leczenie, dolegliwości bólowe nadkłykcia bocznego kości ramiennej. Abstract According to the latest World Health Organization data that should be noted that among all the injuries of the musculoskeletal system, nearly half of the soft tissue injuries (along with the tendons and ligaments), which often lead to the formation of chronic pain disorders, limitation of movable property and even disability. The continuous development of the medicine and technological advances make it possible to better know the conditions of the musculoskeletal system, but also to find the best ways for comprehensive rehabilitation. One of the currently most common injuries is inflammation of the lateral epicondyle of the humerus, commonly referred to as "tennis elbow". A patient with this condition shall be reported with felt pain, which is caused by degeneration of the extensor tendons in the area. Also discusses the most common injuries that affect the elbow joint. Now we can distinguish a number of treatments for diseases of inflammation of the lateral epicondyle of the humerus, among others, consisting of injections space causing pain: full blood, steroids and washed platelets. In addition, we can also be used with shock wave therapy and treatment coblation topaz. Keywords: tennis elbow, treatment, humeral lateral epicondyle aches and pains