OCENA SPRAWNOŚCI MOTORYCZNEJ MŁODZIEŻY W WIEKU 13 I 14 LAT

Motor skills, diversity of motor development, its versatility and dynamics in the very first stages of life depict how humans, initially helpless beings, in a short time master the skills to perform complex activates. Not only they begin to freely move in a world surrounding them but they gradually start to control it and put it under their command. Due to those factors, changes in motor skills of children are far more recognizable processes than differentiation, growth and going through puberty.Sprawność motoryczna, bogactwo rozwoju ruchowego, wielostronność i dynamika w pierwszych etapach życia ukazują, jak człowiek, początkowo bezradny, w ciągu krótkiego okresu czasu opanowuje czynności złożone. Nie tylko sam może swobodnie poruszać się w świecie, który go otacza, ale także potrafi go opanować i sobie podporządkować. W związku z tym przemiany motoryczne u dzieci są bardziej widoczne niż zachodzące zjawiska różnicowania, wzrastania i dojrzewania

EDUKACJA ZDROWOTNA A ZACHOWANIA ZDROWOTNE WŚRÓD STUDENTÓW KIERUNKU FIZJOTERAPIA

The aim of this paper is to evaluate the connection between health education and health behaviour in a group of physiotherapy students attending two Warsaw universities. The study used Health Behaviour Inventory and an interview questionnaire. The analysis of obtained results revealed a high level of health behaviour among physiotherapy students of both universities.Celem pracy była ocena związku pomiędzy edukacją zdrowotną a zachowaniami zdrowotnymi w grupie studentów kierunku fizjoterapia dwóch uczelni warszawskich. Do badań wykorzystano Inwentarz Zachowań Zdrowotnych i kwestionariusz wywiadu. Analiza uzyskanych wyników ujawniła wysoki poziom zachowań zdrowotnych wśród studentów fizjoterapii na obydwu uczelniach

WIEDZA STUDENTÓW FIZJOTERAPII NA TEMAT ZAWODOWEGO KODEKSU ETYCZNEGO

KNOWLEDGE OF PHYSIOTHERAPY STUDENTS ON PROFESSIONAL ETHICS COD

KOMUNIKACJA KLINICZNA JAKO POTRZEBA CZY OBOWIĄZEK KSZTAŁCENIA STUDENTÓW NA KIERUNKU FIZJOTERAPIA

Teaching clinical communication is a new challenge in the medical fields of study in Polish higher education. The Medical University of Warsaw was the only school to teach this subject to physiotherapy students. To fulfil this obligation, education is indispensable, as a need and obligation, based on programmes and standards that systematise knowledge and skills, as well as social and clinical competences.W polskim szkolnictwie wyższym, kształcenie w przedmiocie komunikacja kliniczna jest nowym wyzwaniem na kierunkach medycznych. Warszawski Uniwersytet Medyczny był jedyną uczelnią kształcącą w tym przedmiocie studentów kierunku Fizjoterapia. W celu realizacji tych postanowień niezbędne jest kształcenie jako potrzeba i obowiązek na podstawie programów oraz standardów, które usystematyzują wiedzę, umiejętności i kompetencje społeczne i kliniczne

The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip

Rehabilitation programs are considered effective at reducing the impact of osteoarthritis (OA) of the hip; however, studies using reliable measures related to OA biomarkers to assess the effects of rehabilitation are lacking. The objective of this study was to investigate whether an MRI-based (Magnetic Resonance Imaging-based), semi-quantitative system for an OA severity assessment is feasible for the evaluation of the structural changes in the joint observed during a long-term physiotherapy program in patients with hip OA. The study group consisted of 37 adult OA patients who participated in a 12-month physiotherapy program. The Scoring hip osteoarthritis with MRI (SHOMRI) system was used to evaluate the severity of structural changes related to hip OA. Hip disability and the osteoarthritis outcome score (HOOS) and the core set of performance-based tests recommended by Osteoarthritis Research Society International were used for functional assessment. SHOMRI showed excellent inter- and intra-rater agreement, proving to be a reliable method for the evaluation of hip abnormalities. At the 12-month follow-up no statistically significant changes were observed within the hip joint; however, a trend of structural progression was detected. There was a negative correlation between most of the SHOMRI and HOOS subscales at baseline and the 12-month follow-up. Although SHOMRI provides a reliable assessment of the hip joint in patients with OA it showed a limited value in detecting significant changes over time in the patients receiving physiotherapy over a 12-month period

Improvement of exercise tolerance in cardiopulmonary testing with sustained safety after regular training in outpatients with systolic heart failure (NYHA III) and an implantable cardioverter-defibrillator. Prospective 18-month randomized study

Introduction: The aim of the study was to evaluate the impact of individual training on the level of physical capacity and echocardiographic parameters in patients with systolic heart failure (SHF), NYHA III and an implantable cardioverter-defibrillator (ICD). Material and methods : The study included 84 patients with SHF, randomly assigned to one of two groups: with regular training (ICD-Ex) and a control group (ICD-control). The ICD-Ex group participated in a hospital rehabilitation program which after discharge was individually continued for 6 months in an outpatient setting. The ICD-control group participated in a training program during hospitalization, but after discharge did not perform any controlled activities. Prior to discharge, at 6 and 18 months cardiopulmonary exercise testing (CPX), standard echocardiographic examination and the 6-minute walk test (6-MWT) were performed in all patients. Results : After 18 months in the ICD-Ex group most of the CPX parameters improved significantly (VO2 peak, ml/kg/min: 13.0 ±4.1 vs. 15.9 ±6.1, p < 0.0017; VCO2 peak, l/min: 1.14 ±0.34 vs. 1.58 ±0.65, p < 0.0008; Watt: 74.5 ±29.7 vs. 92.6 ±39.1, p < 0.0006; METs 3.72 ±1.81 vs. 4.35 ±1.46, p < 0.0131). In the ICD-control group no significant improvement of any parameter was observed. Left ventricular systolic dimensions remained significantly lower at 18 months only in the ICD-Ex group (49.5 ±11.0 vs. 43.4 ±10.0, p < 0.011). Left ventricular ejection fraction in both groups significantly increased at 6 and 18 months compared to baseline (ICD-Ex: 25.07 ±5.4 vs. 31.4 ±9.2, p < 0.001, vs. 30.9 ±8.9, p < 0.002, ICD-C: 25.1 ±8.3 vs. 29.2 ±7.7, p < 0.012 vs. 30.1 ±9.1, p < 0.005). Distance of the 6-MWT was significantly improved after 6 and 18 months in the ICD-Ex group and was overall longer than in the ICD-control group (491 ±127 vs. 423 ±114 m, p < 0.04). Conclusions : An individual, 6-month training program, properly controlled in patients with SHF and an implanted ICD, was safe and resulted in a significant improvement of exercise tolerance and capacity and echocardiographic parameters