Evaluation of the quality of life after surgical removal of lung cancer

Introduction: Morbidity and mortality attributed to lung cancer remain at high levels, especially where men are concerned.The surgery for lung cancer involves removing neoplastic lesions in order to save the largest possible part of the healthy lung.Of importance is also pre- and post-surgical rehabilitation. The aim of this thesis is to gauge the quality of life of the patients whohave had their lung cancer surgically removed. Material and methods: The study was conducted on 72 patients (52 men and 20 women) after surgical removal of lung cancer.The subjects were examined prior to, a week after and six months following surgery. The investigation employed the standardisedquestionnaires to assess the quality of life, i.e. EORTC QLQ-C30 and EORTC QLQ-LC13, as well as the visual analogue pain scale(VAS). Statistical analyses were performed using the Anova Friedman test and Dunna test, and p-value calculated in multiplecomparisons with significance level assumed at p < 0.05. Results: During six months after the operation, the quality of life deteriorated in relation to the one before operation as evidencedby the functioning scale at the level of p < 0.001. Overall symptom scale, as well as symptomatic scale and the VAS scale showedthat some symptoms increased significantly in the early period after surgery p < 0.001, then with the passage of time, thepatients felt improvement, however, some of them, e.g. pain sensations can persist till six months after surgery. Conclusions: Surgical removal of lung cancer is associated with a significant deterioration of the quality of life in the early periodafter surgery and can persist till six months later

Is There Influence of Gender and the Specificity of Sports Activities on the Performance of Body Balance in Young Athletes?

Sports training can significantly influence specific motor skills. The aim of this study was to investigate the influence of gender and the specificity of sports activities on body balance, symmetry of lower extremity loads (SI) as well as body mass index (BMI) in young athletes aged 14 to 17. There were 240 participants (145 boys and 95 girls) divided into five groups: swimmers, dancers, soccer players, archery and control group. The average age was 16. Participants had 3 years of training experience (training three times a week or training that lasted between 4.5 and 6 h weekly). To assess balance, the stabilized Zebris platform was used in the study. The SI was calculated based on the percentage load on the lower extremities, dividing the greater value by the lower. Body mass index was calculated on the basis of height and weight. Women had a significantly lower BMI and balance in some analyzed parameters, while men had better SI. Archers obtained the best results of the balance parameters and the worst results of SI. Only swimmers and soccer players had a normal SI. Sports specialization generates significant differences in the manifestation of balance compared to the gender variable and sport discipline

Social competence of physiotherapists in the region of Subcarpathia

Cel badań. Celem badań była analiza kompetencji społecznych fizjoterapeutów w ich samoocenie oraz w ocenie ich pacjentów z uwzględnieniem płci, wieku, poziomu wykształcenia oraz ( w wypadku fizjoterapeutów) miejsca i stażu pracy. Materiał i metoda. W badaniu wzięło udział 120 osób pracujących z regionu Podkarpacia, w tym 60 fizjoterapeutów oceniających samych siebie oraz 60 pacjentów oceniających swoich fizjoterapeutów. Do oceny kompetencji społecznych fizjoterapeutów wykorzystano standaryzowany Kwestionariusz Kompetencji Społecznych (KKS). W celu analizy statystycznej różnic wyników KKS pomiędzy samooceną fizjoterapeutów a oceną pacjentów zastosowano testy t-Studenta, U Manna-Whitneya i Kruskala-Wallisa. Wyniki uznano za istotne statystycznie dla p 0,05. Wyniki. Badane fizjoterapeutki w samoocenie KKS uzyskały przeciętne wyniki (sten 5), a fizjoterapeuci wysokie (sten 6). W ocenie fizjoterapeutów dokonanej przez ich pacjentów, zarówno kobiety, jak i mężczyźni uzyskali wysoki wynik w zakresie kompetencji społecznych (sten 6) świadczący o ich dużych kompetencjach społecznych. Stwierdzono również różnice w wynikach kompetencji społecznych w samoocenie fizjoterapeutów w zależności od płci. Wnioski. Kompetencje społeczne fizjoterapeutów są oceniane przez ich pacjentów niezależnie od płci, wieku i poziomu wykształcenia bardzo wysoko. Fizjoterapeuci, zwłaszcza kobiety, bardziej krytycznie oceniają swoje kompetencje. Samoocena dokonywana przez fizjoterapeutów jest niezależna od poziomu wykształcenia, wieku i stażu pracy.Background. The aim of the study was to analyse the social competence of physiotherapists in their self-assessment and in their patients’ opinion with the consideration of gender, age, educational level, place of work, and seniority. Material and methods. The study involved 120 people working in Subcarpathia, including 60 physiotherapists evaluating themselves and 60 patients assessing their physiotherapists. The standardized Social Competence Questionnaire was used to assess the social competence of physiotherapists. For the statistical analysis of differences in the questionnaire results between the physiotherapists’ self-assessments and their evaluation made by their patients, the t-Student, U Mann-Whitney, and Kruskal-Wallis tests were applied. The results were considered statistically significant for p 0,05. Results. The female physiotherapists obtained average results in the self-assessment (sten 5), while the outcomes were high for males (sten 6). In the case of patients’ evaluation, both male and female physiotherapists achieved high social competence scores (sten 6). Conclusions. The social competence of physiotherapists in the assessment of their patients is very high regardless of gender, age, or education level of the patients. Physiotherapists, particularly women, evaluate their own competence more critically than their patients. Regardless of age, level of education, place of work, and seniority, male physiotherapists highly assess their competence. The level of physiotherapists’ social competence is high and patients are satisfied with their therapists’ work

Kształtowanie się przednio-tylnych krzywizn kręgosłupa u uczniów z klas gimnazjalnych i licealnych

Introduction: Defects of posture in children and adolescents have been frequently observed for many years. The determination of the shape and size of anterior-posterior spinal curvatures is one of the elements within the examination and assessment of body posture. Aim: Characteristics of anterior-posterior spinal curvatures in the examined young people in reference to general Saunders norm. Material and method: the examinations covered 117 young people (67 girls and 50 boys), aged 13–19 years old. The measurements of the size of anterior-posterior spinal curvatures were taken using an inclinometer. The children were examinated under the following points: the medianus point of the sacrum bone (- angle), area intervertebralis Th12–L1 (0 angle) and area intervertebralis C7–Th1 (1 angle). The Wolanski method was applied to show the differences of individual types of body posture. The Statistica 7.0 program (-t-Student test and 4²test) was applied to check if statistically significant differences occured.Results: The differences of the statistically significant (p<0.05) were stated in the 1 angle amongst young people from grammar school and junior high school. The statistically significant differences were noted in the forming of thoracal kyphosis between the girls from the junior high school and the girls from the grammar school and between the boys from the junior high school and the boys from the grammar school (in both cases p<0.05). The most common type of body posture for all the teenagers was of the kyphotic type (63.2%). The most frequent defect of body posture was flat lumbar lordosis (28.2%).Conclusions: The existence of a curvature angle increase in thoracal kyphosis and angle reduction in lumbar lordosis in reference to the general Saunders norm is common in both research groups. The thoracal kyphosis is formed differently in girls and boys from grammar schools and junior high schools. It follows to form the lumbar lordosis in the correction of body posture

Chód pacjentów z niedowładem połowiczym po udarze mózgu i metody jego oceny

Cerebral stroke, a serious complication of cardiovascular system disorders, has become an important medical issue in contemporary societies. Gait disorders in patients after stroke constitute a serious clinical challenge - every year, more than ten thousand patients become seriously disabled as a result of stroke. Locomotor disability is one of stroke’s consequences. Patients with stroke-related hemiparesis often show gait disorders. Hemiparetic gait is characterized with a number of disorders, such as a considerable asymmetry of gait phase time, i.e. step length, or limb load – the healthy leg being overloaded. These disorders result in limiting patients’ everyday activity. Therefore, objective methods of gait analysis are currently being researched. Among gait assessment methods there are clinical, or observation methods – which consist of gait description as related to the normal gait patterns; as well as quantitative, or objective methods – which consist of measuring, description and analysis of chosen parameters of human gait. The aim of the study is to characterise gait in patients with stroke-related hemiparesis, as well as to discuss the methods of its assessment.Udar mózgu, będący dramatycznym powikłaniem chorób układu naczyniowego, stanowi duży problem zdrowotny we współczesnym społeczeństwie. U pacjentów z niedowładem połowiczym po udarze mózgu występuje patologiczny wzorzec chodu. Chód hemiparetyczny cechuje się serią zaburzeń, w tym znaczną asymetrią czasu trwania faz chodu, długości kroku, obciążenia kończyn, polegającą na przeciążaniu kończyny zdrowej. Skutkuje to ograniczeniem aktywności w życiu codziennym. Ze względu na narastające znaczenie społeczne i powszechność udaru mózgu coraz częściej poszukuje się metod w zakresie analizy chodu tej grupy chorych. Wśród metod oceny chodu wyróżnia się metody kliniczne, obserwacyjne polegające na opisie chodu w odniesieniu do wzorca prawidłowego oraz metody ilościowe, obiektywne, polegające na pomiarze, opisie i analizie wybranych parametrów charakteryzujących chód człowieka. Celem pracy jest charakterystyka chodu pacjentów z niedowładem połowiczym po udarze mózgu i metod jego oceny

Diversification of results of orientating questionnaire of motoric and psycho-social development in regard to the level of educational maturity (school readiness) in prematurely born children

Introduction. Currently, one of the most common problems in neonatology is the occurrence of distant consequences of prematurity. In infants, toddlers, and children with special problems, there can be disorders in psychomotor development and in growing, and later also intellectual and cognitive disorders. Pre-school and early-school age is particularly significant in the lives of prematurely born children. In this period, usually beside the stage of somatic growth, there is intensive physical and mental development and intellectual disorders may appear. Aim. Assessment of preterm training in motor skills and psychosocial development Materials and methods. The research group consisted of 61 prematurely born children aged 5-8. Perinatal interviews were collected and basic anthropometric measurements were performed. Results. There is no statistical significance between questionnaire results in particular areas of development, summary, age, gender, subsequent pregnancies, number of fetuses, delivery term and the type of delivery. Conclusions. The Apgar disinfectant scale differentiates the results of the indicative questionnaire on motor development research. The results of the study confirm the prognostic importance of the Apgar scale in terms of development

Influence of the Weight of a School Backpack on Spinal Curvature in the Sagittal Plane of Seven-Year-Old Children

The aim of the paper was to determine a correlation between the weight of a child’s backpack, their body weight, and certain features of their body posture. Material and Methods. The study group consisted of 109 children, all aged seven years. The parameters of body posture were determined using the Zebris Ultrasonic System. Results. The number of children carrying a school backpack in accordance with recommendations was 44 subjects (40.37%). Statistically significant changes were found in the total length of the spine (Z=2.223, p=0.026) and between backpack weight and changes in the following parameters: the total length of the spine (rs=-0.3999, p=0.017), the length and the angle of the lumbar lordosis (rs=-0.3352, p=0.049), the angle of the lumbar lordosis (rs=-0.5065, p=0.002), and the sacral angle (rs=-0.4279, p=0.010). Conclusions. Wearing a backpack heavier than 10% of one’s body weight can cause shallowing of the lumbar lordosis and a tendency towards a vertical position of the sacrum. Monitoring the weight of children’s school backpacks and enabling them to leave books and notebooks at school would probably be beneficial in reducing the daily burden put on children’s spines

Gimnastyka w wodzie a sprawność funkcjonalna kobiet po 60. roku życia – badania pilotażowe

Introduction and Aim: Aging of the society is a serious problem of the modern world. Elderly people often avoid physical activities which lead to sedentary lifestyle. One suitable forms of physical activity for elderly is aqua gymnastics. The aim of the study was to determine if a larger study, using the chosen methods is feasible. This study tested the hypothesis that performing a 16-week course of aqua gymnastic training would result in improved functional fitness in women aged over 60. Material and Methods: The trial included a sample of 20 women randomly selected from the 100 who responded to the application of research. The measurements such as height, weight, waistline and hip width were conducted before and after a series of exercises in water. Results: After four-month-period of exercises in water an improvement in index value was due to weight loss, a slight decrease in waistline, the basis of the Fullerton Functional Fitness and an improvement in functional efficiency of all tested women was observed. Conclusion: After 16 weeks of aqua aerobic in the group of women aged over 60 a significant functional fitness improvement was observed.Wstęp: Starzenie się społeczeństwa jest poważnym problemem współczesnego świata. Starsi ludzie często unikają aktywności fizycznej, co prowadzi do siedzącego trybu życia. Jedną z odpowiednich form aktywności ruchowej dla osób starszych jest Aqua gimnastyka. Cel pracy: Celem badania pilotażowego było sprawdzenie, czy sprawność funkcjonalna osób starszych po 16-tygodniowym udziale w Aqua gimnastyce znacząco się poprawi. W badaniu założono hipotezę; że 16-tygodniowy trening Aqua gimnastyki skutecznie zwiększy sprawności funkcjonalną kobiet w wieku powyżej 60. roku życia. Materiał i metoda: Badanie objęło 20 losowo dobranych kobiet spośród 100, które zgłosiły się do udziału w badaniach. Pomiary takie jak: wzrost, waga, obwód talii i bioder przeprowadzono przed i po serii ćwiczeń w wodzie. Wyniki: Po czteromiesięcznym okresie ćwiczeń w wodzie zaobserwowano zmianę wartości pomiarów, odpowiednio spadek masy ciała, niewielki spadek obwodu talii. Na podstawie Fullerton Functional Fitness test stwierdzono poprawę wyników wszystkich prób sprawności funkcjonalnej badanych kobiet. Wniosek:Zaobserwowano znaczną poprawę sprawności funkcjonalnej kobiet w wieku powyżej 60. roku życia po 16-tygodniowym Aqua aerobiku

Diversification of results of orientating questionnaire of motoric and psycho-social development in regard to the level of educational maturity (school readiness) in prematurely born children

Introduction. Currently, one of the most common problems in neonatology is the occurrence of distant consequences of prematurity. In infants, toddlers, and children with special problems, there can be disorders in psychomotor development and in growing, and later also intellectual and cognitive disorders. Pre-school and early-school age is particularly significant in the lives of prematurely born children. In this period, usually beside the stage of somatic growth, there is intensive physical and mental development and intellectual disorders may appear. Aim. Assessment of preterm training in motor skills and psychosocial development Materials and methods. The research group consisted of 61 prematurely born children aged 5-8. Perinatal interviews were collected and basic anthropometric measurements were performed. Results. There is no statistical significance between questionnaire results in particular areas of development, summary, age, gender, subsequent pregnancies, number of fetuses, delivery term and the type of delivery. Conclusions. The Apgar disinfectant scale differentiates the results of the indicative questionnaire on motor development research. The results of the study confirm the prognostic importance of the Apgar scale in terms of development