2013 Vol. XV No. 2

Ewa Puszczałowska-Lizis, Joanna Cisek

OCCURRENCE OF SPINE PAIN COMPLAINTS IN WORKERS OF ELECTROMECHANICAL INDUSTRY

Abstract

Background. Medicine of work is science, which deals manners of protection employees in his work-place and during its practice. This science researches of change reach in human organism influenced by work.

Aim. The analysis of spine pain complaints in workers of electromechanical industry.

Material and method. Diagnostic survey include 50 workers with a long practice, at least 20 years in electromechanical industry. Researchers were in the 38-55 range. Numbers and percentages schedules of answers on chosen questions of questionnaire were calculated. The collected research results were analyzed with the use of a nonparametric test of independence x2 with significance level of a = 0,05.

Results. The study showed that the 96% of respondents experienced spine pain complaints at least once in their lives. In the majority of cases pain complaints concern lumbar parts of spine and are closely connected with the character of respondents’ work. Only 20% of respondents declare solid observance of work ergonomics. In order to eliminate pain 50% of respondents use physiotherapy and 32% pharmacotherapy. Majority of respondents observed the improvement of the quality of life as the effect of used physiotherapy.

Conclusions. The pain complaints of workers of electromechanical industry are frequent. The awareness of researchers concerning work ergonomics is scarce. The results of research emphasize the necessity for informing workers about importance of work ergonomics observance. Moreover, they indicate the need for the implementation of new concepts of work organization with reference to researched professional group.

Keywords: medicine of work, work ergonomics, electromechanical industry.

 

Natalia Migut, Andrzej Kwolek, Jolanta Zwolińska

THE INFLUENCE OF REHABILITATION OF HAND FUNCTION IN WOMEN WITH RHEUMATOID ARTHRITIS

Abstract

Background. Rheumatoid arthritis is a chronic disease progressing steadily. As a result of inflammation comes to distortion and dysfunction of joints, as well as complications in the internal organs and mental changes. This disease significantly reduces the quality of life of patients, leading to disability and even premature death. In the treatment of rheumatoid arthritis, it is necessary to comprehensive rehabilitation, which launched early reduces pain and improves physical function of patients.

Aim. The aim of this study was to evaluate the effect of rehabilitation on hand function in patients with RA according to the form of the disease.

Material and methods. The study group consisted of 60 women treated for rheumatoid arthritis. The study was conducted at the Provincial Hospital No. 2 in Rzeszów branch of rheumatology. Patients were examined hand muscle strength, pain intensity and ability to perform tricks. The survey was conducted before and after the rehabilitation proceedings.

Results. Both in the group of patients with early-stage rheumatoid arthritis and severe form of rheumatoid arthritis pain assessment and rehabilitation after the procedure has been reduced as compared to the prior rehabilitation. Grip strength in both right and left hand in patients in both groups was increased. Greater improvement relative to assess pain and grip strength was observed in the patients with early stage RA. Analysis of T-test for independent samples showed differences in average statistically significant in most measurements holds in both groups.

Conclusions. The results demonstrate that the conduct rehabilitation in patients with RA is an important and effective part of a comprehensive treatment. The results achieved rehabilitation permit the conclusion that rehabilitation should be introduced as soon as possible, because its effectiveness is greatest in the early stages of the disease when changes in the joints are far from settled.

Keywords: rheumatoid arthritis, rehabilitation, rheumatoid hand

 

 

 

Grzegorz Przysada, Joanna Baran, Justyna Leszczak, Aneta Weres, Ewelina Czenczek-Lewandowska, Justyna Rykała, Justyna Podgórska-Bednarz, Izabela Tokarczyk, Teresa Pop, Mariusz Drużbicki

THE TYPES AND INCIDENCE OF KNEE INJURIES IN BORDER GUARDS IN THE COUNTY BIESZCZADY

Abstract

Introduction. Because of its strategic location and functions knee is an injuryprone joint, vulnerable to all sorts of damage and dysfunction.

Objective of the work. The main purpose of this research was to investigate the prevalence and kind of knee injuries among Border Guard officers and identify contributing factors and mechanisms for this type of disorders. Assessing joint mobility and general limb condition of patients with an injured knee is also an important part of this dissertation.

Research materials and methodology. The study group under investigation consisted of 50 individuals, who are living in Bieszczady district and working as Border Patrol officers. The study questionnaire was used as well as the improvement card which was assessed using diagnostic tests and anthropometric measuring functional status of the knee joints in people after the injury.

Results. The prevalence of knee injuries in the study group was relatively high — total 46%. Among the most frequently damaged knee structures were; anterior cruciate ligament, articular cartilage and medial meniscus. Abnormalities in collateral ligament and posterior cruciate ligament on the other hand were rather rare. Factors such as length of service and dwelling-place have contributed most significantly to joint injury and knee dysfunction in analyzed cases.

Conclusion: People who are physically active are at highest risk of knee joint injures. Anterior cruciate ligament and articular cartilage are parts of the knee structure which are most likely to be damage at the time of injury.

Keywords: knee, anterior cruciate ligament, meniscus, articular cartilage

 

 

Agnieszka Pyrcz, Grzegorz Przysada, Krzysztof Kołodziej, Piotr Szpunar, Mariola Kędra

THE RISK OF DEEP VEIN THROMBOSIS IN PATIENTS TREATED IN THE DEPARTMENT OF REHABILITATION

Introduction. Deep vein thrombosis is still a significant cause of morbidity and mortality among hospitalized patients and outpatients. Wells Score is used to estimate the probability of deep vein thrombosis, and thus managed appropriately.

Objective. To evaluate the risk of deep vein thrombosis in patients rehabilitated in the Department of Rehabilitation. Evaluation of the impact of some factors such as sex, age, type of applied rehabilitation of the risk of thrombosis in patients treated in the Department of Rehabilitation. Investigate how often used pharmacological prophylaxis in patients referred for rehabilitation stationary.

Material. The study population of 591 patients had treated in 2012 in the Department of Rehabilitation 53,3% were women and 46,7% men. 27,7% of patients were early neurological rehabilitation, 14,6% of the chronic neurological rehabilitation, 49,2% — systemic, 8,5% core rehabilitation.

Method. Based on an analysis of medical records rated clinical parameters in patients with generally accepted Scale Wells, used to assess the risk of deep vein thrombosis.

Results. In 60% of patients was used pharmacological prophylaxis. In 87,6% of the patients had a low risk of DVT, a medium risk in 11,5% of patients, while in the high risk group were 0,8% of patients. There was no statistically significant difference in VTE risk between men and women. Analyzing the group, because of age, medium/ high risk of thrombosis was highest in patients above 70 years of age, while the lowest risk was observed in patients between 40 and 49 years of age. Among patients enrolled in neurological rehabilitation early every fifth patient had a risk of at least a secondary education (22% ). The rehabilitation of systemic proportion of this risk was 7%. In the group of patients deprived of pharmacological prophylaxis 2% had a risk of medium/high.

Conclusions. The probability of acute deep vein thrombosis of the lower limbs, resulting from the audit, in patients hospitalized in the Department of Rehabilitation was approximately 12%. Sex does not differentiate significantly the risk of VTE. However, the risk of thrombosis significantly affects the patient’s age. In patients over 70 years of age risk was highest and amounted to 19%, and among patients aged 40-49 years, 5%. The most vulnerable group of patients were admitted to the neurological early rehabilitation. Is right to increase the frequency of use of chemoprophylaxis in patients with moderate or high risk of deep vein thrombosis.

Keywords: Venous Thromboembolism (VTE), Deep Vein Thrombosis (DVT), the risk, Wells Score, rehabilitation

 

 

Tomasz Derewiecki, Krzysztof Mroczek, Marta Duda, Danuta Chmiel-Derewiecka, Piotr Majcher

KNOWLEDGE ABOUT PRINCIPLES OF THE PREVENTION OF THE SPINE PAIN COMPLAINTS AMONGST PERSONS AFTER 65 OF YEAR OF AGE

Abstract

Background. The development of the civilization caused that the man lived for the half longer, than at the beginning of the 20th century. In 2010 the world population of people already at the age of 60 and more achieved the size of 1 billion what constitutes about 1/6 of the whole of the population. Quickened the ageing of the society is putting a lot of challenges before organizers of the health care, the education and doctors in the scope of education, prevention and curing the population of geriatric Poland. Persons in the advanced century frequently must contend with problems influencing their functioning, the self-reliance and self-nursing. In the more late period illnesses and complaints often cause the disability or disability and cause, that elderly people are becoming dependent on other people. Early detection of impairment of the functional fitness at elderly people, connected with the benefit aim of medical services, can result in a sense of well-being of patients and lowest costs of the welfare.

Purpose. Recognizing the acquaintance of principles of the prevention of the spine pain complaints amongst persons by 65 of year of age.

Material and methods. 304 patients took part in the examination from the Zamość Clinic of the Rehabilitation. Respondents were diversified in terms of the age, the domicile and the education. Age examined fluctuated from 65 to 88 years. Results were subjected to a statistical analysis.

Results. The acquaintance of principles of the prevention of the spine pain complaints amongst the examined group is insufficient what the fact that respondents weren’t able correctly to exchange even three principles is providing preventions about. The 35.66% of respondents is combining the appearance of the first pain complaints of the spine with the reception of the lowered position, but the 29.84% with picking the heavy object up. In the moment of the riot of pain of the spine by choice in the large degree taking pharmacological centres is a conduct of respondents, applying gels and accepting the recumbency.

Conclusion. The prevention is a crucial element of the rehabilitation process. We should make the society aware of the scale of the problem and consequences resulting from the lack of knowledge to this subject. Conducting trainings in the prevention of pain complaints of the spine is intentional.

Keywords: prevention, pain complaints of the spine, geriatric

 

 

Justyna Podgórska-Bednarz, Andrzej Kwolek, Justyna Wyszyńska, Justyna Leszczak, Elwira Zatyka-Kapczyńska

KNOWLEDGE OF THE PATIENTS ABOUT THE RELATIONSHIP BETWEEN OBESITY AND OCCURRENCE OF OTHER DISEASES, INCLUDING DISEASES OF THE MUSCULOSKELETAL SYSTEM

Abstract

Introduction. Obesity belonging to the group of civilization disease is an important therapeutic and social problem. Obesity not only is disease but it is also condition predisposes to other diseases, including diseases of the musculoskeletal system.

The aim of the study was to investigate patients knowledge about the relationship between the incidence of obesity and the prevalence of other diseases, including diseases of the musculoskeletal system. An additional objective of the study was to determine the prevalence of factors determining the existence of obesity in both groups.

Material and method. The study was conducted on a group of women (50) diagnosed with obesity based on BMI value above 29.99. Control group (50) consisted of women with normal weight (BMI between 18,5-24,9). The range of age in both groups ranged from 40-60 years. The research method was used diagnostic survey (questionnaire by the author) and also basic anthropometric measurements (height, weight ) in order to determine the value of BMI.

Results. In the study group were significantly higher incidence of diseases of musculoskeletal system (back pain: p < 0,001, Osteoarthritis: p < 0,001) and other diseases compared to the control group. There was no statistically significant correlation between the place of residence (p = 0,5869), the financial status (p = 0,78812) and the prevalence of obesity. It was found a statistically significant relationship between the level of education and the prevalence of obesity. A group of obese patients also were characterized by statistically significant differences in physical activity and the following of principles of a healthy diet compared to the control group.

Conclusions. Patients in the study group, despite its knowledge of the adverse health effects of obesity had significantly more unhealthy behaviors. This group was also characterized by a lack of awareness of their own irregularities of weight.

Keywords: obesity, diseases of the musculoskeletal system, unhealthy behaviors, knowledge

 

 

Justyna Podgórska-Bednarz, Grzegorz Przysada

QUALITY OF LIFE IN PATIENTS WITH MULTIPLE SCLEROSIS

Abstract

Introduction. Multiple sclerosis is a chronic CNS inflammatory and demyelinating disease that afflict mainly young adults. The progressive and unpredictable nature of the disease and the multiplicity of symptoms caused by degenerative process often leads to rapid deterioration of the patient’s functional status.

The aim of the study. The aim of this study was to assess the quality of life and independence in performing basic activities of daily living and the impact of the disease on the professional status of patients in the rehabilitation holiday in Wola Batorska.

Material and methods. The study included 30 people (14 women and 16 men). The age ranged from 20-65 years (mean age: 46,23±10,Ц). As a research tools used: authorial questionnaire, EDSS Scale, Barthel Index and Visual Analogue Scale.

Results. The impact of symptoms on the occurrence of limitations in daily functioning were found in 80% (24 people) of the study group. Existing deficits also translated into the reduction of autonomy, participation in social life and reduce the quality of life of patients.

Conclusions. The appearance of progressive incurable disease affects in significant way on the deterioration of the quality of life of patients. MS patients were significantly forced to reorganize the way of life, work and enlist the help of others.

Keywords: quality of life, multiple sclerosis, rehabilitation

 

 

Dorota Tomczyszyn

LIFE QUALITY OF MOTHERS RAISING AN INTELLECTUALLY DISABLED CHILD

Summary

Introduction. The quality of life affects people’s activity and their social functioning, in particular family and professional roles. Special character of social roles results from a social position of a disabled child’s mother. Monotonous life caused by responsibilities, constant eagerness and willingness for devotion — these are common situations describing daily routine of mothers raising disabled children.

Purpose. The purpose of research was to analyze and learn the life quality of mentally disabled children’s mothers.

Material and method. The Schalock and Keith’s Quality of Life Questionnaire was used. The research was conducted in 2013 in three counties: bialski, łukowski and lubartowski. In research participated 111 mothers of children with intellectual disability in moderate to severe degree.

Results. It turned out that 63% of mothers evaluated their lives positively. The results of three categories are within the limits of medium and high performance (i.e., satisfaction, skills, and belonging to the community). The very high level results were obtained in the ability to act category.

Keywords: mother of a disabled child, intellectual disability, life quality

 

 

Kamil Chmielarski, Krzysztof Mataczyński, Mateusz Pelc

MEANING OF MOTOR ACTIVITY IN PROPHYLAXIS OF CIVILIZATION DISEASES

Abstract

Introduction. A level of Poles’ physical activity stray from a level of many nations, not necessarily better economically developed.

Aim. The aim of this work was to receive an answer to a question: what is a level, in which systematic motor activity has a positive influence on our health, pro-healthy behaviour and, consequently, a frequency of the chosen civilization diseases occurrence, in the examined group of physically active and inactive people.

Material and method.The examined group consisted of 140 randomly chosen people, being the inhabitants of Radzyń Podlaski. A research was conducted from May to June 2010, and was based on a questionnaire.

Results. Different forms of motor recreation was undertaken by 49 people (35%). The undertaken form of activity was mainly recreational, 46 people (32%). Most frequently, motor activity was undertaken by people performing mental work, 34 people (22%), people at the age of 25-35 (22 people) and 36-50 (20 people). 32 people (65%) had a several-year practice of motor activity. They also paid much attention to frequency and duration of that activity. 35 people (71%) did the exercises min. 3 times a week, and 36 people (73%) devoted to it 30-60 minutes, every time.

Conclusions. In the physically active group, occurrence of arterial hypertension and obesity was less frequent, the result was statistically significant, occurrence of diabetes was also less frequent in this group. Physical activity has improved psychological well-being, and thus to improve the quality of life. There is a need to promote the importance of regular physical activity in the prevention of lifestyle diseases.

Keywords: motor activity, civilization diseases, hypertension, diabetes, obesity.

 

 

Mirosława Sidor, Zofia Kubińska

EXPECTATIONS AND NEEDS OF PATIENTS ATTENDING PHYSIOTHERAPEUTIC TREATMENTS IN THE HEALTH AND REHABILITATION CENTER IN BIAŁA PODLASKA

Abstract

Because of multitude and diversity of rehabilitation and physiotherapy facilities, the patients are forced to make a deliberate choice of the best contractor of prophylaxis and therapy services.

The main aim of the present article was cognition and introduction the patients* opinions about the degree, to what the physiotherapeutic facilities met their expectations and needs. Separated were such groups of expectations, as location and availability of a parlor, time limits of completion of rendered services, aesthetics, professionalism and safety of performed treatments, intellectual and emotional support delivered by the therapists, as well as a significant improvement of health.

Materials and methods. Tested were 150 persons, including 100 polled patients of the Health and Rehabilitation Center in Biała Podlaska and 50 polled patients in a similar center in Swory.

Results. The highest share of tested patients expected completing such needs, as pleasant atmosphere (76,66), modern equipment (75,33), kind and friendly receptionists (73,33), as well as the high level of sanitation and hygienic standards (73,33). The lowest percent of the respondent expected health improvement (26,66).

Conclusions. On the basis of the obtained results we can introduce the following ranking of needs and expectations of the polled patients. They demand from a rehabilitation facility to provide a pleasant atmosphere; conducting the treatments with the aid of a modern equipment; high standards of cleanliness in a parlor; a kind and professional reception service; good transport connections and easy access to the treatments; receiving sympathy, understanding and hope; safe and secure treatments; good communication with the therapists; short distance from their dwelling places; a professional information and emotional support; short time limits of waiting for the beginning of the therapy; finally they needed a health improvement after the therapy.

Keywords: physiotherapy center, treatments, needs, expectations, patients

 

 

Iwona Gryniuk-Toruń, Elżbieta Wróblewska, Barbara Jurkowska, Wojciech Tyburczyk, Grzegorz Nowicki, Andrzej Prystupa, Katarzyna Zielonka

PSYCHOLOGICAL ASSISTANCE FOR CARDIAC PATIENTS AND THEIR FAMILIES

Abstract

Introduction. Cardiovascular diseases in their acute and chronic phases, as well as their psychological consequences significantly affect the functioning of patients and their families.

Aim of the study. To present and discuss the importance of psychological support directed to the patient treated for cardiovascular disease.

Material and methods. The study was based on available literature.

Results. The patient’s difficulties and the crisis experienced by his or her family and environment usually require therapeutic intervention and/or psychological assistance — intervention understood as the provision of adequate help on two levels — medical and psychological.

Conclusions. Medical help is only provided to the patient. Psychological assistance, however, following the systemic theory, relates to the whole family, and is inclusive of all aspects of life (including sexuality) which change as a result of the diagnosis. The cooperation of the therapeutic team, which includes a psychologist, is the key to the properly conducted care of cardiac patients, from the diagnosis, to the conclusion of treatment or death of the patient, the latter involving providing support for the family during the time of mourning.

Keywords: psychological, cardiovascular heart disease, family

 

 

Rafał Bochyński, Jakub Pawłowski, Katarzyna Pawłowska

MYOFASCIAL TRIGGER POINTS TREATMENT IN SHOULDER PAIN. PRELIMINARY REPORT

Abstract

Background. Myofascial trigger points are defined as exquisitely tender spots in discrete taut bands of hardened muscle that produced local and referred sympthoms. There are common in many musculosceletal disorders. Myofascial pain condition is produced by this points. There are many methods of treatment. One of them is compression and post isometric relaxation

The aim of the study. The aim of this study was to assess the effectiveness of myofascial trigger point treatment in shoulder pain.

Methods. In this study took part 20 women in age of 45-65 with degenerative disc disease. Visual Analogue Scale (VAS) and Functional Arm Questionnaire UCLA, range of motion of shoulder and cervical spine were assessed before and after treatment.

Results and conclusion. The results of this study have shown that manual therapy of myofascial trigger points decrease pain (p=0,000), increase range of motion (arm and neck) and improve shoulder function in patients with shoulder pain.

Keyword: schoulder pain, myofascial trigger point, schoulder impingement syndrome

 

 

Grzegorz Przysada, Agnieszka Pyrcz, Piotr Pyrcz, Mariusz Drużbicki

THE USE OF DISCOUNTS AND EXERCISE OF RIGHTS BY THE PHYSICALY DISABLED

Abstract

Various types of assistance designed for the disabled aim at ensuring equal opportunities for this group of individuals. Such benefits take the form of discounts, rights and privileges defined by legal acts on both local and national level. These provisions are not identical for all disabled persons. The type and range of such benefits depend on the degree and nature of disability. This is the so-called positive discrimination. Not all of these forms of assistance are fully used by people entitled to them. This is caused by a variety of reasons. The purpose of this study is to answer the question what are the decisive factors impacting the disabled in their use of discounts and exercise of rights and privileges designed for this social group.

Keywords: disability, entitlement, equal opportunities

 

 

Mariusz Ryszkowski

A CHILD WITH ARND — AN UNKNOWN ISSUE?

Abstract

ARND is a special case of the FAS spectrum disorders (Fetal Alcohol Syndrome). One can observe a variety of brain injuries which are dependent on the period of mother’s pregnancy, the amount of consumed alcohol, as well as individual genetic features in children with ARND. The diagnosis is difficult as the children with ARDN do not ‘manifest ‘most of the physical anomalies associated with FAS. The child’s functioning in the society depends on the correct information about the problem which facilitates a proper therapeutic approach.

Keywords: Fetal Alcohol Syndrome (FAS), Alcohol-induced Nervous System Disorders (ARND), physical anomalies, secondary disorders

 

 

Grzegorz Nowicki, Alina Dzirba, Ewa Chemperek, Katarzyna Zielonka, Jadwiga Woźniak, Patryk Rzońca, Andrzej Prystupa, Mariusz Goniewicz

LIFE-SAVING PROCEDTJRES IN HEAD INJTJRIES. PART II. CONDUCT DURING TRANSPORT AND IN THE EMERGENCY DEPARTMENT

Abstract

Patients which experienced head trauma require thorough attention during transport and hospitalization, beside the appropriate treatment at the scene of the emergency. The scrutiny aims at recounting the rules of conduct during transportation and in the casualty department. To continue, when transporting the state of the victim should be monitored for basic vital signs as well as the neurological state. Additionally, in the ambulance they should carry out detailed trauma examinations for other injuries. Moreover, the emergency department is a place of immediate, a thorough image and laboratory diagnosis, specialist assessments that prompts specialist medical care. As a result, a wide spectrum of activities must be performed as soon as possible, within the „golden hour”.

Keywords: head injuries, emergency medical services, qualified medical