The stabilizing system of the spine

The spatial orientation of the lumbar part of spine determines the position of central axis of the human skeleton, which in turn is closely related to the position of the pelvis. In a biomechanical aspect, the pelvis should be connected with the lumbar spine but also with the hip joints (  lumbo-pelvic-hip complex – LPH) . This area is intended to provide the body with the stability needed to carry the load with simultaneous  maintaining the mobility required to perform  locomotive functions. Stabilization means the maintenance of balance in both static and dynamic conditions, where the complex moves along a specific track. In the last decades of 20th and early 21st century there was a discussion whether stabilization of the LPH complex was more about the activation of deep muscles (local) or combination of deep and superficial muscles contraction (global). It is now known that both global and local muscles play an important role in stabilization. The stabilizing  system of the spine , which was introduced by Panjabi in 1992, works on the cooperation of those three systems: neural, which is the control system; muscular-fascial, which is the active system; osteoarticular - ligamentous, which creates a passive system. Hoffman and Gabel [22] proposed a new, extended theoretical model in which the new mobility system is placed beside the existing stability system and subsystems. Harmonious work of stability and mobility systems determines the quality of movement, but the malfunction of these systems affects other subsystems and thereby the quality of movement. The authors of this theoretical model suggest that both rehabilitation and mobility systems should be involved in rehabilitation exercises, with the movement being at a possible level but without pain and discomfort. LPH stabilization exercises are used in physiotherapeutic procedures in patients with pain and traumas, with stress urinary incontinence and in pregnant women

The role of proprioceptive system in the rehabilitation of patients after Achilles tendon reconstruction

Achilles tendon injury is a major clinical problem because it prevents proper functioning of the patient. The recommended procedure in the event of tendon rupture is surgical treatment - reconstruction of tendon reconstruction. The aim of surgical treatment of Achilles tendon rupture is to bring back its function by restoring the correct length and tension of the tendon and to obtain the highest possible functional state of the patient. The selection of the optimal post-operative rehabilitation programme with a predominance of functional physiotherapy elements is an essential part of the treatment of Achilles tendon rupture. A proper rehabilitation after the surgery enables the patient to achieve better functional results. During the surgery proprioceptors are damaged, that is why the treatment working on three levels of motor control should be introduced as fast as possible, such as kinesthetic or proprioceptive training

Health at work and coping with stress of prison officers.

Sygit–Kowalkowska Ewa, Weber-Rajek Magdalena, Szrajda Justyna, Kraszkiewicz Krzysztof. Health at work and coping with stress of prison officers. Journal of Education, Health and Sport. 2017;7(3):153-165. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.268294 http://ojs.ukw.edu.pl/index.php/johs/article/view/4230 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; 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: 05.01.2017. Revised 21.01.2017. Accepted: 02.02.2017. Health at work and coping with stress of prison officers Ewa Sygit–Kowalkowska1, Magdalena Weber-Rajek2, Justyna Szrajda3, Krzysztof Kraszkiewicz1 1 Kazimierz Wielki University in Bydgoszcz, Institute of Psychology, Department of Organizational and Management Psychology, Bydgoszcz, Poland Uniwersytet Kazimierza Wielkiego, Zakład Psychologii Organizacji i Zarządzania, Bydgoszcz, Polska 2 Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Department of Physiotherapy, Division of Principles of Physiotherapy, Bydgoszcz, Poland Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, Katedra Fizjoterapii, Zakład Podstaw Fizjoterapii, Bydgoszcz, Polska 3 Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Department of Hygiene, Epidemiology and Ergonomics, Bydgoszcz, Poland Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, Katedra Higieny, Epidemiologii i Ergonomii, Bydgoszcz, Polska Summary Background The aim of the study was to assess the state of mental and physical health and the expressed strategies for coping with stress of prison officers which are a group that is relatively unknown and seldom subjected to the tests. Among the coping strategies, the authors also identified those that were predictors of mental and physical well-being at work men working professionally in penitentiary institutions. Material and Methods The sample consisted of 90 prison officers working in the security department who are in direct contact with inmates. The control group consisted of 85 men working in services and trade in the Kujawsko-Pomorskie Voivodeship (Poland), chosen by the authors as a result of intentional selection. The study used the following tools: "Psychosocial Working Conditions" Questionnaire by R. Cieślak, M. Widerszal–Bazyl, Mini-COPE Questionnaire by C.S. Carver, adapted to Poland by Z. Juczyński and N. Ogińska-Bulik. Socio-demographic data were also collected. The results were compared with a group of men working outside the uniformed services. Results In the group of prison officers, longer seniority was associated with a statistically significant deterioration of mental and physical well-being. Based on higher level of seeking support in stressful situations as well as a lower level of helplessness, one could predict a higher general level of physical and mental well-being. Conclusions Due to the character of the work and the risk of negative phenomena is important broad-based health promotion in this occupational group. Key words: health, work, stress, prison, officer. Streszczenie Wstęp Celem pracy była ocena stanu zdrowia psychofizycznego i przejawianych strategii radzenia sobie ze stresem u funkcjonariuszy służby więziennej. Spośród strategii radzenia sobie, założono również określenie tych, które stanowią predyktory dobrego samopoczucia psychofizycznego w pracy mężczyzn pracujących zawodowo w ramach struktur penitencjarnych. Materiał i metody Próbę badawczą stanowiło 90 funkcjonariuszy służby więziennej pracujących w dziale ochrony, którzy pozostają w bezpośrednim kontakcie z osadzonymi. Grupę porównawczą stanowiło 85 mężczyzn, pracujących w branży usług i handlu, wybranych przez autorów niniejszych badań w wyniku doboru celowego. W badaniu wykorzystano następujące narzędzia: Kwestionariusz „Psychospołeczne Warunki Pracy” autorstwa R. Cieślak i M. Widerszal – Bazyl do oceny samopoczucia psychofizycznego, Kwestionariusz Mini - COPE autorstwa C.S. Carvera w polskiej adaptacji Z. Juczyńskiego N. Ogińskiej-Bulik, który służy do oceny stosowanych strategii radzenia sobie ze stresem oraz metryczkę zawierającą dane socjodemograficzne. Wyniki W wyniku przeprowadzonych badań stwierdzono, że kondycja psychofizyczna funkcjonariuszy służby więziennej jest znacząco gorsza w stosunku do osób wykonujących inne zawody. Predyktorami wyższego poziomu samopoczucia psychofizycznego jest poszukiwanie wsparcia w sytuacjach stresowych. Wnioski Z uwagi na charakter pracy i zagrożenie negatywnymi zjawiskami ważna jest szeroko zakrojona promocja zdrowia w tej grupie zawodowej. Słowa kluczowe: zdrowie, praca, stres, więzienie, funkcjonariusz

Zachowania zdrowotne studentów Dietetyki = Health behaviors of students of Dietetics

Weber-Rajek Magdalena, Radzimińska Agnieszka, Kalisz Zdzisława, Hoffmann Magdalena, Juraszek Karolina, Goch Aleksander, Zukow Walery. Zachowania zdrowotne studentów Dietetyki = Health behaviors of students of Dietetics. Journal of Education, Health and Sport. 2016;6(6):469-477. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.56236http://ojs.ukw.edu.pl/index.php/johs/article/view/3619 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: 05.05.2016. Revised 25.05.2016. Accepted: 16.06.2016. Zachowania zdrowotne studentów Dietetyki Health behaviors of students of Dietetics Magdalena Weber-Rajek1, Agnieszka Radzimińska1, Zdzisława Kalisz2, Magdalena Hoffmann3, Karolina Juraszek4, Aleksander Goch5, Walery Zukow6 1.     Katedra Fizjoterapii, Zakład Podstaw Fizjoterapii, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu2.     Bydgoska Szkoła Wyższa w Bydgoszczy3.     Uniwersyteckie Centrum Kliniczne w Gdańsku, Klinika Nadciśnienia Tętniczego i Diabetologii4.     Centrum Onkologii im. prof. F. Łukaszczyka w Bydgoszczy, Zakład Rehabilitacji5.     Katedra Fizjoterapii, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu6.        Uniwersytet Mikołaja Kopernika w Toruniu Słowa kluczowe: zachowania zdrowotne, studenci.Key words: health behaviors, students.  StreszczenieBardzo ważną rolę w procesie ochrony zdrowia jest styl życia człowieka – jego nawyki oraz wzorce postępowania. Celem badań była ocena zachowań zdrowotnych studentów kierunku Dietetyka. Grupę badawczą (Grupa I) stanowiło 80 studentów kierunku Dietetyka. Grupę porównawczą (Grupa II) stanowiło 70 studentów kierunków „niemedycznych” (kierunki inżynierskie). W grupie studentów Dietetyki uzyskano wysoki poziom zachowań zdrowotnych. Najwyższy poziom zachowań zdrowotnych uzyskano w kategorii „prawidłowe nawyki żywieniowe”. Studenci kierunku Dietetyka uzyskali wyższe wyniki zachowań zdrowotnych od studentów kierunków inżynierskich. Wprowadzanie programów promocji zdrowia i edukacji zdrowotnej powinno objąć wszystkie kierunki studiów, tym bardziej, że wczesna dorosłość jest najlepszym okresem dla osiągnięcia długotrwałych korzyści z wyboru zdrowego trybu życia.   SummaryVery important role in the protection of health is a lifestyle - habits and patterns of conduct. The aim of the study was to assess health behaviors of Dietetics students. The research group (Group I) conducted of 80 students of Dietetics. The control group (Group II) conducted of 70 students of non-medical (in engineering). In the group of Dietetic student achieved a high level of health behaviors. The highest level of health behaviors was achieved in the category of "nutrition habits." Students of Dietetics scored higher health behavior of engineering students. Entering programs of health promotion and health education should be extended to all fields of study, especially that early adulthood is the best time to achieve long-term benefits of a healthy lifestyle choice

Knowledge of Hormonal Contraception Among Young Women in Poland

Introduction. Hormonal contraception could activate wide range of biological effects in women body and what’s important these pharmaceuticals are often used for long time. The aim of this study was to examine the level of knowledge among young women studying on the universities of Bydgoszcz (Poland) about the health effects of hormonal contraception. Materials and Methods. 172 women aged from 18 to over 25 years (the majority of respondents were in the age 21-24 years) were assessed with original anonymous questionnaire. Results. The state of knowledge of young women concerning negative aspects of using contraception differs depending on field of study. The awareness of women using contraception was higher than women which didn’t use hormonal contraception. Conclusion. General state of knowledge of studied women concerning using hormonal contraception was not satisfactory. Especially alarming is ignorance of health threads connected with using hormonal contraception among women using this method of contraception

Leczenie zachowawcze zespołu bocznego przyparcia rzepki = Conservative treatment of excessive lateral pressure syndrome

Strojek Katarzyna, Witkowska Agnieszka, Radzimińska Agnieszka, Kaźmierczak Urszula, Piekorz Zuzanna, Bułatowicz Irena, Goch Aleksander, Zukow Walery. Analiza przyczyn i konsekwencji upadków u chorych z zespołem Parkinsona = Analysis of the causes and consequences of falls in patients with Parkinson's syndrome. Journal of Education, Health and Sport. 2015;5(5):548-555. ISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.38788http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%285%29%3A548-555http://pbn.nauka.gov.pl/works/685831Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://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, 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/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 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: 10.04.2015. Revised 15.05.2015. Accepted: 31.05.2015. Analiza przyczyn i konsekwencji upadków u chorych z zespołem ParkinsonaAnalysis of the causes and consequences of falls in patients with Parkinson's syndrome Katarzyna Strojek1, Agnieszka Witkowska1, Agnieszka Radzimińska1, Urszula Kaźmierczak1, Zuzanna Piekorz1, Irena Bułatowicz1, Aleksander Goch1,Walery Zukow2 1. Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum w Bydgoszczy, Katedra Fizjoterapii, Bydgoszcz, Polska2. Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Bydgoszcz, Polska Adres do korespondencji:dr n. med. Katarzyna StrojekUniwersytet Mikołaja Kopernika w ToruniuCollegium Medicum im. Ludwika Rydygiera w BydgoszczyKatedra Fizjoterapiiul. Marii Skłodowskiej-Curie 9, 85-094 Bydgoszcze-mail: [email protected] Streszczenie Choroba Parkinsona jest jednym z najczęściej występujących schorzeń ośrodkowego układu nerwowego. Oprócz najbardziej charakterystycznych objawów choroby Parkinsona, należy zwrócić uwagę na towarzyszący im ogromny problem, jakim są upadki.W przypadku pacjentów cierpiących na chorobę Parkinsona nabierają one szczególnego znaczenia, ponieważ choroba zwiększa ryzyko upadków aż 10-krotnie. Celem pracy była analiza przyczyn i konsekwencji upadków u pacjentów z chorobą Parkinsona, należących do Stowarzyszenia Osób Niepełnosprawnych „Akson” w Bydgoszczy.W wyniku przeprowadzonych badań stwierdzono, że główną przyczyną upadków u pacjentów z chorobą Parkinsona są czynniki środowiskowe. Natomiast najczęstszymi konsekwencjami upadków w badanej grupie są: uszkodzenie powłok skórnych, złamanie kości w obrębie nadgarstka, przedramienia, szyjki kości udowej. Na ryzyko upadków wpływa czas trwania choroby Parkinsona oraz wiek chorego. Abstract Parkinson's disease is one of the most common diseases of the central nervous system. In addition to most characteristic symptoms of Parkinson's disease, you should pay attention to the accompanying huge problem, which they are falling.In patients suffering from Parkinson's disease and also important, because the disease increases the risk of falls to 10-fold. The aim of the study was to analyze the causes and consequences of falls in patients with Parkinson's disease, belonging to the Association of People with Disabilities "Axon" in Bydgoszcz.The results showed that the main cause of falls in patients with Parkinson's disease are environmental factors. In contrast, the most common consequences of falls in the study group are: skin lacerations, fractures within the wrist, forearm, hip fractures. At the risk of falls affected by Parkinson's disease duration and age of the patient. Słowa kluczowe: upadek; zespół Parkinsona.Keywords: fall; Parkinson syndrome

Diagnozowanie skręcenia stawu skokowego = Diagnosis of ankle sprain

Kaźmierczak Urszula, Kwiatkowski Szymon, Radzimińska Agnieszka, Strojek Katarzyna, Weber-Rajek Magdalena, Zukow Walery. Diagnozowanie skręcenia stawu skokowego = Diagnosis of ankle sprain. Journal of Education, Health and Sport. 2016;6(12):441-451. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.206008http://ojs.ukw.edu.pl/index.php/johs/article/view/4075    The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016).754 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: 01.12.2016. Revised 12.12.2016. Accepted: 16.12.2016.   Diagnozowanie skręcenia stawu skokowegoDiagnosis of ankle sprain Urszula Kaźmierczak1, Szymon Kwiatkowski1, Agnieszka Radzimińska¹, Katarzyna Strojek¹, Magdalena Weber-Rajek¹, Walery Zukow²1Department of Physiotherapy, Division of Principles of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland2Kazimierz Wielki University, Bydgoszcz Słowa kluczowe: staw skokowy, diagnozowanie, skręcenie, skręcenie stawu skokowego Keywords: ankle, diagnosis, sprain, ankle sprain  Streszczenie Postawienie prawidłowej diagnozy po skręceniu stawu skokowego jest kluczowym elementem pozwalającym zaplanować i wdrożyć odpowiednie leczenie. Należy w tym celu przeprowadzić dokładne badanie podmiotowe, czyli szczegółowy wywiad z pacjentem, a następnie badanie przedmiotowe. Jego elementami są obserwacja i palpacja, testy funkcjonalne oraz badania dodatkowe. Działanie takie pozwala nabrać pewności na temat tego, które struktury i w jakim stopniu zostały uszkodzone.Uraz skrętny stawu skokowego może wiązać się nie tylko z uszkodzeniem więzadeł czy torebki stawowej, ale również powstawanie ukrytych problemów.  W przypadku przeoczenia, mogą znacznie przedłużyć proces powrotu do zdrowia. Abstract Making the right diagnosis after spraining an ankle is a key element that allows to plan and implement appropriate treatment. A medical history which is a detailed interview with a patient and then physical examination should be undertaken. The components of the latter are observation and palpation, functional tests and additional examinations. Such a proceeding enables ensuring which structures and to which extend got damaged. The torsion injury of the ankle may be associated with not only the damage of the joint capsule or ligaments, but also the formation of hidden problems. Those, when overlooked, may substantially extend the process of recovery

Evaluation of the effectiveness of Kinesiology Taping in the treatment of symptoms of gonarthrosis - a pilot study

The aim Evaluation of the effectiveness of Kinesiology Taping in the treatment of gonarthrosis Material and Methods The study included 40 pacient with osteoarthritis of the knee joints, confirmed on the basis of a medical diagnosis. The subjects were randomly divided into two groups: Study group (n = 20) and control group (n = 20) Patients in both groups before the study completed a questionnaire containing basic questions about gender, age, height and weight. The Body Mass Index (BMI) was calculated for all patients. Before and after therapy, both groups were: • assessment of the level of pain, stiffness and functionality of the knee joint using the WOMAC scale; • assessment of the functionality using the Time Up and Go test. Results In the group of patients who underwent the Kinesiology Taping application, significant reduction of pain and stiffness as well as improvement of knee function was demonstrated (WOMAC scale and the Time Up and Go test). In the control group, there were no statistically significant differences before and after therapy in all domains of the WOMAC scale, while a statistically significant worsening of the results of the Time up and Go test was demonstrated. Comparing the results of the study group and control after treatment, statistically significant differences were found - better results were obtained in the study group

Physical treatment in ankle injures - review of the literature

Physical treatment in ankle injures - review of the literatur

Conservative treatment of ankle sprain according to a recent literature

Due to complicated structure of ankle, it is exceptionally susceptible to injuries, of which one of the most common is a sprain. The sprain involves soft-tissue injuries that, depending on their level of seriousness, are categorized as first-, second- or third-degree sprains. The main goals of rehabilitation in the acute phase after the injury include reduction of pain, swelling and hematoma, as well as prevention from secondary injuries. During the subacute phase the emphasis should be put on restoring the joint’s function and its range of motion, as well as on gentle loading of the joint. Proprioception training, strength and stretching exercises should also be introduced. The next stage, during which the reconstruction of the damaged tissues takes place, involves the implementation of gradual progressive loading and the variety of earlier introduced procedures. In the final phase of rehabilitation, it is vital to reassure that the patient is able to return to full activity, especially if he or she is an athlete. Therefore, functional testing such as the Dorsiflexion Lunge Test or The Star Excursion Balance Test may be of help. The main predisposing factor for an ankle sprain is a previous injury of the same type. It is due to the fact that such an injury leads to impaired proprioceptive function and impaired postural control. Improper rehabilitation or the lack of thereof may cause the development of chronic ankle instability, which substantially reduces the chances of physical activity and the patient’s quality of life. The implementation of adequate preventive measures based on employing external stabilisers and neuromuscular training appears to be essential. The objective is to regain a good sense of proprioception as well as muscle reaction time within the ankle joint