Rehabilitation as a process of return to fitness should take place at every stage of the disease. Stimulation to restore lost motor function should take place all day, including when lying in bed or transferring from one position to another. Placement items are an indispensable component of restoring floatation, as well as the element of nursing the patient. By correct arrangement of the patient we affect the stimulatory nervous system. Thanks to the correct arrangement we prevent bone-joint changes, lymphedema and also stimulate the cerebral cortex.
This articule aims to propose the positioning of the patient and his transfers as a passive way of rehabilitation

Biernacki, Maciej

Filarecka, Agnieszka

Kaźmierczak, Paweł

Kaźmierczak, Rafał

Kuczma, Monika

Journal of Education Health and Sport

English

Obesity is Jena of the most common diseases of civilization twenty-first century. Affects people of all ages, it carries a number of complications, not only in terms of physical and mental health. I estimate that obese people have a greater sociological problems, and the level of self-acceptance in these individuals is much lower. Ways to deal with the problem of obesity are many, but one of the most effective physical activity is combined with diet. Epidemiological studies confirm the beneficial effect of physical activity to reduce the risk of obesity and its impact on the comprehensive treatment. Increasing energy expenditure affects not only the reduction of body fat.
Regular physical activity increases muscle tissue and bone, and a decrease in resting and exercise blood pressure, pulse. Through physical activity, we are able to influence the lipid profile and glucose tolerance. Adaptation of physical activity should be an individual, it is recommended to increase daily physical activity for 30 minutes.
The unit training should increase energy expenditure by 300 - 400kcal. Coexistence of diseases in obesity is a major limiting factor for some physical activity, however, there are forms of relieving traffic using such a resistance. Exercises in water or a bike.
Objective: Effects of exercise and diet on body weight change in the composition and the results of biochemical blood.
Methods: Case study of women - 40 years, BMI 36.06, a man - 39 years, BMI 46.69, using the same physical activity and diet throughout the year. Used in the study of body composition, performed every month, and the results of biochemical blood made prior to physical activity after switching diets, and after a year.
Case study :To describe the changes in body composition under the influence of exercise and diet used a man and woman - marriage. The study lasted one year. Physical activity in both people was the same (frequency - 5 times a week). The diet consisted of the exclusion of sugar and fruits, junk food, highly processed foods. Eating regular meals. Both individuals are working as a sales representative. A woman born in 1976, 164 cm tall, 97 kg output. The man born in 1977, 178 cm tall 148kg weight output. In women, there were no chronic diseases in the male there is asthma and hypertension.
Results: For one year body composition has changed significantly. In women reported weight loss of 33kg, U man of 51 kg. Loss of body fat in women was 35 kg and 2 kg gain muscle mass.
One man, a decrease of 63 kg body fat to 16 kg and 4 kg increase in muscle mass. Blood biochemical parameters in both cases, have changed. Total cholesterol decreased in women with 288 mg / dl to 152 mg / dl in men with 325mg / dl to 157 mg / dl. In both sexes increased level of self-acceptance, mental health and general well-being. Additionally, in men increased capacity (FVC), and the blood pressure is normalized.
Conclusions: Physical activity and diet changes the composition of body weight. The combination of exercise and diet affect the results of biochemical blood, normalization of blood pressure and asthma. Physical activity and diet is the prevention of diabetes, hypertension. The elimination of sugars and fruits is an effective method to reduce body fat. Weight loss is not linear. Physical activity affects the growth of muscle tissue

Każimierczak, Paweł

Każimierczak, Rafał

Akademicka Platforma Czasopism

The impact of exercise and diet on body composition and biochemical parameters of blood - a case study

Filarecka Agnieszka, Biernacki Maciej, Kaźmierczak Paweł, Kaźmierczak Rafał. The impact of exercise and diet on body composition and biochemical parameters of blood - a case study. Journal of Education, Health and Sport. 2019;9(9):775-783. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3460248

http://ojs.ukw.edu.pl/index.php/johs/article/view/7489

 

 

 

 

 

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

© The Authors 2019;

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 Share alike.

(http://creativecommons.org/licenses/by-nc-sa/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: 25.08.2019. Revised: 31.08.2019. Accepted: 22.09.2019.

 

 

 

Rehabilitation of a patient with CNS damage through positioning and transfers

 

Agnieszka Filarecka1,3, Maciej Biernacki2,3 , Paweł Kaźmierczak3, 

Rafał Kaźmierczak3

 

1Collegium Medicum, UMK Bydgoszcz, Chair and Clinic of Oncological Surgery 

2Collegium Medicum, UMK Bydgoszcz, Chair and Department od Anatomy  

3Saint Celestine Association Mikoszyn

 

Corresponding author: 

mgr Agnieszka Filarecka 

Collegium Medicum, UMK Bydgoszcz, hair and Clinic of Oncological Surgery 

Ul. Izabeli Romanowskiej 2, 85-796 Bydgoszcz, Poland 

Tel. 503074346 

e-mail: aga.filarecka@gmail.com 

 

 

Abstract

Rehabilitation as a process of return to fitness should take place at every stage of the disease. Stimulation to restore lost motor function should take place all day, including when lying in bed or transferring from one position to another. Placement items are an indispensable component of restoring floatation, as well as the element of nursing the patient. By correct arrangement of the patient we affect the stimulatory nervous system. Thanks to the correct arrangement we prevent bone-joint changes, lymphedema and also stimulate the cerebral cortex.

This articule aims to propose the positioning of the patient and his transfers as a passive way of rehabilitation.

 

Key words: positioning, patient positioning, rehabilitation, care, patient transfe

ZENODO

Kaźimierczak, Paweł

Kaźimierczak, Rafał

775  Filarecka Agnieszka, Biernacki Maciej, Kaźmierczak Paweł, Kaźmierczak Rafał. The impact of exercise and diet on body composition and biochemical parameters of blood - a case study. Journal of Education, Health and Sport. 2019;9(9):775-783. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3460248 http://ojs.ukw.edu.pl/index.php/johs/article/view/7489      The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2019; 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 25.08.2019. Revised: 31.08.2019. Accepted: 22.09.2019.    Rehabilitation of a patient with CNS damage through positioning and transfers  Agnieszka Filarecka1,3, Maciej Biernacki2,3 , Paweł Kaźmierczak3,  Rafał Kaźmierczak3  1Collegium Medicum, UMK Bydgoszcz, Chair and Clinic of Oncological Surgery  2Collegium Medicum, UMK Bydgoszcz, Chair and Department od Anatomy   3Saint Celestine Association Mikoszyn  Corresponding author:  mgr Agnieszka Filarecka  Collegium Medicum, UMK Bydgoszcz, hair and Clinic of Oncological Surgery  Ul. Izabeli Romanowskiej 2, 85-796 Bydgoszcz, Poland  Tel. 503074346  e-mail: aga.filarecka@gmail.com    Abstract Rehabilitation as a process of return to fitness should take place at every stage of the disease. Stimulation to restore lost motor function should take place all day, including when lying in bed or transferring from one position to another. Placement items are an indispensable component of re-storing floatation, as well as the element of nursing the patient. By correct arrangement of the pa-tient we affect the stimulatory nervous system. Thanks to the correct arrangement we prevent bone-joint changes, lymphedema and also stimulate the cerebral cortex. 776  This articule aims to propose the positioning of the patient and his transfers as a passive way of re-habilitation.  Key words: positioning, patient positioning, rehabilitation, care, patient transfer.    INTRODUCTION In the first minutes, with stabilized vital functions, after a vascular incident, craniocerebral trauma and other injuries within the central nervous system, it is important to implement rehabilitation through postural stimulation. Often this type of rehabilitation lasts until the end of the patient's life to maintain the achieved level of fitness after the incident. In chronically ill patients, rehabilitation should last 24 hours a day by using even positioning and transfers. These activities are usually per-formed not only by the physiotherapists themselves but also by all medical personnel and the family [1, 2, 3]. Positioning the patient plays an important role not only in rehabilitation, but also in nursing the pa-tient, especially in patients unable to change positions for various reasons [4]. Thanks to the posi-tioning and transfers, we affect not only the convenience and comfort of life, but also stimulate the patient to act by stimulating his nervous system and thus activating him to act [2]. Studies show that even people in comas during passive positions, performed passively with a word instructor, activate the areas of the cerebral cortex, which is necessary for mobility to return [5,3, 6]  REVIEW OF THE LITERATURE Rehabilitation, as a complex process aimed at restoring the highest efficiency, in highly developed countries is an indispensable element of treatment. Restoring health to the disabled means a set of activities, in particular organizational, therapeutic, psychological, technical, training, educational and social, aimed at achieving, with the active partic-ipation of these people, the highest possible level of their functioning, quality of life and social in-tegration [4, 7] . Medical rehabilitation is understood as a healing process that allows accelerating the process of natural regeneration and reducing the physical and mental consequences of the disease. Therapeutic rehabilitation must stimulate the entire therapeutic process mainly through physical and mental ac-tivity [8]. In the event of permanent loss of some bodily functions, appropriate psychological con-duct must lead to the recognition and acceptance of your "new" body [1, 9]. 777  Compensating and adaptive elements are included in the treatment of severe, especially permanent morphological damage or loss of body functions. Compensation is a process that triggers the natural replacement possibilities that exist in every liv-ing organism. It is the ability to replace by restoring lost functions by a partially damaged organ, or by the complete takeover of this function by another healthy organ.  Compensation may apply to dynamic, static, functional and static-dynamic disorders. The adapta-tion process is often associated with the phenomenon of compensation. Adaptation is the ability to adapt a person to social conditions, a morphological condition that must be accepted as fixed. Adaptation therefore allows adaptation to the diminished performance of vital organs following illness or injury. Properly controlled or used adaptation allows to obtain the most optimal result of the final treatment. The most important in the adaptation process is to gain life in-dependence in the broad sense, i.e. in everyday activities as well as in professional, social and fami-ly activities [1]. Positioning positions, used as a preliminary rehabilitation process, are designed to stimulate the pa-tient's nervous system. The main purpose of positioning is to perceive, regulate muscle tone, pre-vent pressure ulcer, and activate the patient. Positioning should give the patient a sense of security, especially in people with perception disorders, pay attention to the positioning on the side at the edge of the bed so that they do not have fear of falling out of bed. Arrangement should be used im-mediately after stabilization of vital functions and change every 2 hours [1, 10]. Transfer is a change of arrangement from lying to sitting down from sitting down to standing up from sitting down on a bed to sit down on a chair or pram. This is an important element of patient care needed even when performing a toilet in a patient. The patient is often accused of not helping us when transferring, and even on the contrary disturb-ing and resisting. However, the question is whether we do it correctly for him? Maybe we are intro-ducing a defensive element for him because we do it in such a way that he does not feel safe [1]. The disease can be divided into three phases: 1. acute 2. subacute, 3.  chronic. In each of these phases, the rehabilitation process is different, but in each of them it is necessary to use positioning and transfers as a supplement to therapy or as basic therapy. The acute phase is characterized by a life-threatening condition, the main goal is to stabilize body homeostasis, the goal of rehabilitation is to prevent pressure sores, thrombosis, inflammation (main-ly the respiratory system), edema, limitation of joint mobility, and perception tracking [1,2.10]. 778  In this phase, the use of positioning positions is crucial, as it is often the only type of therapy that can be used. In the 1950s, the human brain was thought to be unchanging, only changing during development. However, in the 1980s it was proved that there was a possibility of reorganization of central nervous system structures and the concept of brain plasticity Merzenich and Taub arose in studies on monkeys that the brain has the ability to learn and activate new structures. [11] Motor teaching is a set of processes related to practice, leading to a relatively permanent change in responsiveness. [12,13]. Changes in sensory motor stimulation lead to a change in the activity of the cortical region respon-sible for sensory motor control, which causes a change in descending stimuli. Therapy by changing the position or position should take into account the elements of the patient's external and internal world, as well as ways of communication of the patient with the environment. Very often, we don't tell the patient what we want to do. Therefore, when we try to passively change our position, we encounter resistance on the part of the patient, which is a defensive act [1]. The stimuli we use should be above all acceptable to the patient, safe for him and inspire trust. You should always inform the patient about what we want to do and how, even if he or she is in a coma. We should apply the principles of a positive approach to the patient and family. The patient's posi-tion should regulate muscle tone and build a sense of security [2]. During positioning, we should be guided by the following principles: • when changing position, do not pull the patient only by the hand, the patient's arm should be sup-ported all the time and move it in the proximal and distal part, directing it with the movement of the entire torso, • do not turn the patient through the affected shoulder, as this can cause subluxation of the shoulder joint, • the correct positioning of the hips and shoulders is important, which should be extended forward, the lower limb placed in the direction of internal rotation, the shoulder in the direction of external rotation [1]. Characteristics of the patient's position in the supine position [1, 4]: • the head is directed towards the affected side and raised slightly upwards with the help of a pil-low, • the affected side of the body should be lifted with a cushion or roller, 779  • shoulder and pelvis are supported to a small extent to achieve a neutral position, • the palm is pointing downwards, • the knee should be in a slight flexion without pillows, • a soft roller should be placed underneath the foot to avoid foot plantar flexion The position on the back can be modified depending on the range of movements and contractures in the patient. Characteristics of the patient's position in lying on its side [1, 4]: • the patient should be placed on both sides, healthy and paralyzed, • on the affected side, the patient is positioned so that his arm is turned outwards, while the elbow and palm are pointed upwards,  Figure 1. Transition from lying on the back to the lying on the side • a healthy lower limb rests bent on the wedge, while the paralysis is straightened, • lying on the unoccupied side, both the upper and lower limb of the affected side rest on the cush-ion, where the arm should be extended forward with the elbow straight, • the head is facing the affected side, • the affected lower limb should be slightly bent at the hip and knee joint. Characteristics of the patient's position in lying on the paralyzed side [1, 4]: • flat bed, • torso supported from the dorsal side, • head and neck supported to avoid pressure on the m-o joint, • shoulder in light protraction - shoulder, • shoulders bent and rot rotated, 780  • elbow in extension or flexion and supination, • paralyzed leg maximally from the back and straight, loose foot, • less affected hip and knee 90 degrees bend supported by a pillow. Figure 2. Positioning on the affected side  Characteristics of the patient's position in lying on the side less infested [1, 4]: • bed flat, • torso supported from the abdominal and dorsal side, • the head is looking at the affected side, • shoulder blade in pro or retraction, • hip and knee 90 degrees.  Characteristics of the position of the patient in supine [1, 4]: • head and pelvis pillow, • when needed we put pillows under the arm, • no pillows under the knees.  Characteristics of patient positioning on a wheelchair [1, 4]: • upright position • hard pillows at the Th-L transition height • arms on the table to the elbows, • feet flat on the floor knees 90 degrees, • feet extended only while riding on footrests, • a patient who is unable to sit independently needs support from the abdominal and lateral side and under the shoulder girdle. 781  Sitting is the transition between lying and walking [1, 4]: • sitting with legs on the bed (obtained by placing pillows behind the patient's back to stabilize the straight torso, symmetrical weight distribution on both buttocks, as well as by pulling the upper limb forward with simultaneous external rotation in the shoulder joint)  Figure 3. Patient transfer from bed to chair and vice versa • sitting down with your legs down is a patient balance training. The patient's feet must be in full contact with the ground, and the knee and hip joints are bent at 90 degrees. Positioning should take place in any position. By passing through all these positions, we change the position of the joints and individual body parts. It is important that the arrangement is comfortable and acceptable to the patient. Only a stable and comfortable position will give the patient a sense of security and it will have a stimulating and not inhibitory effect on the nervous system. The inhibito-ry effect on the nervous system causes pain. The patient's behavior during changes of position should be monitored, and the position should be changed if the patient reports discomfort, either through words or pain grimaces. The patient may not always be able to lie in the position for 2 hours, so positions can be changed more often. The time specified for 2 hours is the maximum time. Initially, the patient is placed in a passive manner, and his maintenance of a specific position is se-cured by using wedges, rollers, cushions [7]. Then the patient is strived to obtain an active pose without using any help.  CONCLUSION Patient positioning is an important process of rehabilitation and patient care. The arrangement should be convenient for the patient and adapted to his possibilities associated with articular limita-tions. When changing positions and transfer, communication with the patient is very important. So as to try to stimulate him to help, but also to calm down providing him with comfort and security. 782  Stable position stimulates the cerebral cortex and reduces elevated muscle tone [1, 4]. The patient should be transferred from the bed to the trolley and vice versa in a safe and ergonomic way for the patient and the person performing it, only in this way will we activate the patient during changes of position. Appropriate positioning positively affects the patient's circulatory system and provides him with various stimuli, thus stimulating the nervous system, helping to regain sensory functions [1, 5].                             783  Literature: 1. Bömer B.: IBITA Bobath dla dorosłych (IBITA Bobath for adults) – skrypt kursu podstawowego. Warszawa: Reha Plus; 2015 2. Lai S.M., Studentski S., Richards L., et al.: Therapeutic exercise and depressive symptoms after stroke. J Am Geriatr  2006; 54(2): 240–247.  3. Danovska M., Stamenov B, Alexandrova M et al.: Post- stroke cognitivei mpairment–phenomenology and prognostic actors. Jurnal of IMAB 18 (2012), s.290–297.  4. Górna E. Proprioceptive neuromuscular facilitation, Skrypt kursu podstawowego PNF,Bydgoszcz 2014   5. Bode R.K., Heineman A.W., Semik P., et al.: Relative importance of rehabilitation therapy characteristics on functional outcomes for persons with stroke. Stroke 2004; 35(11): 2537–2542.  6. Opara J., Kozubski W., Liberski P.: Podstawy rehabilitacji neurologicznej. Choroby układu nerwowego. Warszawa: Wydawnictwo Lekarskie PZWL; 2004: 561–571. 7. Laidler P.: Rehabilitacja po udarze mózgu. Wydawnictwo Lekarskie, Warszawa 2000. 8. Horst R. Trening strategii motorycznych i PNF, Top School, Kraków 2010  9. Adler S., Beckers D., Buck M.: PNF w praktyce, Warszawa 2009.   10. Pąchalska M: Urazy mózgu. Vol. 1–2, Polskie Wydawnictwo Naukowe, Warszawa 2012. 11. Dobkin B.H.: Strategies for stroke rehabilitation. Lancet Neurol 2004; 3(9): 528–536.  12. Opala GM, Ochudło S: Poudarowe zaburzenia poznawcze. Polski Przegląd Neurologiczny 2005; 1, s. 35–43.  13. Babyar S.R., Peterson M.G., Bohannon R.: Clinical examination tools for lateropulsion or pusher syndrome following stroke: a systematic review of the literature. Clin Rehabil 2009; 23: 639–650. 

Rehabilitation of a patient with CNS damage through positioning and transfers

Filarecka Agnieszka, Biernacki Maciej, Kuczma Monika, Kaźmierczak Paweł, Kaźmierczak Rafał. The impact of exercise and diet on body composition and biochemical parameters of blood - a case study. Journal of Education, Health and Sport. 2019;9(9):648-662. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3454073

http://ojs.ukw.edu.pl/index.php/johs/article/view/7488

 

 

 

 

 

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

© The Authors 2019;

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 Share alike.

(http://creativecommons.org/licenses/by-nc-sa/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: 10.09.2019. Revised: 19.09.2019. Accepted: 19.09.2019.

 

 

 

 

 

The impact of exercise and diet on body composition and biochemical parameters of blood - a case study

 

 

 

Agnieszka Filarecka 1,4, Maciej Biernacki 2,4, Monika Kuczma 3,

Paweł Kaźmierczak 4, Rafał Kaźmierczak 4

 

 

 

 

 

 

Collegium Medicum, UMK Bydgoszcz, Chair and Clinic of Oncological Surgery 

Collegium Medicum, UMK Bydgoszcz, Chair and Department od Anatomy  

Academy of Physical Education in Poznań, Department of Rehabilitation, Department of Physical Culture in Gorzów Wielkopolski

Saint Celestine Association Mikoszyn

 

Corresponding author: 

mgr Agnieszka Filarecka 

Collegium Medicum, UMK Bydgoszcz, hair and Clinic of Oncological Surgery 

Ul. Izabeli Romanowskiej 2, 85-796 Bydgoszcz, Poland 

Tel. 503074346 

e-mail: aga.filarecka@gmail.com 

 

Abstract

Obesity is Jena of the most common diseases of civilization twenty-first century. Affects people of all ages, it carries a number of complications, not only in terms of physical and mental health. I estimate that obese people have a greater sociological problems, and the level of self-acceptance in these individuals is much lower. Ways to deal with the problem of obesity are many, but one of the most effective physical activity is combined with diet. Epidemiological studies confirm the beneficial effect of physical activity to reduce the risk of obesity and its impact on the comprehensive treatment. Increasing energy expenditure affects not only the reduction of body fat.
Regular physical activity increases muscle tissue and bone, and a decrease in resting and exercise blood pressure, pulse. Through physical activity, we are able to influence the lipid profile and glucose tolerance. Adaptation of physical activity should be an individual, it is recommended to increase daily physical activity for 30 minutes.

The unit training should increase energy expenditure by 300 - 400kcal. Coexistence of diseases in obesity is a major limiting factor for some physical activity, however, there are forms of relieving traffic using such a resistance. Exercises in water or a bike.

Objective: Effects of exercise and diet on body weight change in the composition and the results of biochemical blood.

Methods: Case study of women - 40 years, BMI 36.06, a man - 39 years, BMI 46.69, using the same physical activity and diet throughout the year. Used in the study of body composition, performed every month, and the results of biochemical blood made prior to physical activity after switching diets, and after a year.

Case study :To describe the changes in body composition under the influence of exercise and diet used a man and woman - marriage. The study lasted one year. Physical activity in both people was the same (frequency - 5 times a week). The diet consisted of the exclusion of sugar and fruits, junk food, highly processed foods. Eating regular meals. Both individuals are working as a sales representative. A woman born in 1976, 164 cm tall, 97 kg output. The man born in 1977, 178 cm tall 148kg weight output. In women, there were no chronic diseases in the male there is asthma and hypertension.

Results: For one year body composition has changed significantly. In women reported weight loss of 33kg, U man of 51 kg. Loss of body fat in women was 35 kg and 2 kg gain muscle mass.

One man, a decrease of 63 kg body fat to 16 kg and 4 kg increase in muscle mass. Blood biochemical parameters in both cases, have changed. Total cholesterol decreased in women with 288 mg / dl to 152 mg / dl in men with 325mg / dl to 157 mg / dl. In both sexes increased level of self-acceptance, mental health and general well-being. Additionally, in men increased capacity (FVC), and the blood pressure is normalized.

Conclusions: Physical activity and diet changes the composition of body weight. The combination of exercise and diet affect the results of biochemical blood, normalization of blood pressure and asthma. Physical activity and diet is the prevention of diabetes, hypertension. The elimination of sugars and fruits is an effective method to reduce body fat. Weight loss is not linear. Physical activity affects the growth of muscle tissue.

 

Key words: overweight, obesity, aerobics, exercises in wate

NEUROSURGERY ENTHUSIASTIC WOMEN SOCIETY

Rehabilitation as a process of return to fitness should take place at every stage of the disease. Stimulation to restore lost motor function should take place all day, including when lying in bed or transferring from one position to another. Placement items are an indispensable component of restoring floatation, as well as the element of nursing the patient. By correct arrangement of the patient we affect the stimulatory nervous system. Thanks to the correct arrangement we prevent bone-joint changes, lymphedema and also stimulate the cerebral cortex.
 This articule aims to propose the positioning of the patient and his transfers as a passive way of rehabilitation

Repository of Nicolaus Copernicus University

https://apcz.umk.pl/JEHS/article/download/7489/23284

Rehabilitation of a patient with CNS damage through positioning and transfers

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NEUROSURGERY ENTHUSIASTIC WOMEN SOCIETY

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Repository of Nicolaus Copernicus University