2017 Vol. XIX No. 1

Ewa Puszczałowska-Lizis, Katarzyna Kuźniar, Katarzyna Bać, Aleksandra Fołta, Patrycja Wilczakowska
Uniwersytet Rzeszowski, Wydział Medyczny, Instytut Fizjoterapii



Background. Progressive socio-economic changes, development of medical science, contribute to the prolongation of human life causing steady increasing the percentage of elderly people. Regular physical activity is one of the means that can sustain the functional independence of older people. The aim of this research was an attempt to evaluate the level of physical activity and some of its determinants in the population of seniors.

Material and method. We have analysed results of diagnostic survey in group 53 seniors at the age of 65-80, living in the urban area of the Podkarpackie Voivodeship. The research tool was an International Physical Activity Questionnaire (IPAQ) in short form. Student’s t test for independent samples or alternatively, the nonparametric Mann-Whitney U tests were used for the analysis.

Results. Average week’s energy expenditure of intensive physical activity in seniors with proper body weight was significantly higher in comparison to subject with overweight or obesity (p = 0,022). There were not statistically significant differences in relation to adopted the category of physical efforts and time spent on sitting between groups signed due to age, sex and the educaction level.

Conclusions. The main differentiating factor towards the weekly energy expenditure of the intensive physical activities is the body composition. This points to the need for implementation of educational programs for seniors about the health consequences of obesity, as well as ways strategies of its preventing. These measure can contribute to maintain the optimal — in relation to age — level of functional capacity and thus improve quality of life elderly people.

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2016 Vol. XVIII No. 1

Kamila Gworys1, Ilona Kowalewska2, Anna Puzder1, Przemysław Gworys3, Maria D. Staniszewska1, Elżbieta Kowalewska1, Jolanta Kujawa1

1Klinika Rehabilitacji Medycznej Uniwersytetu Medycznego w Łodzi
2Specjalistyczne Centrum Stomatologii TMK w Łodzi
3Oddział Kardiologii Wojewódzkiego Szpitala Specjalistycznego im. M. Kopernika w Łodzi



Background. Dental health workers have increased risk of disorders related to the occupational factors. Back pain syndromes are one of these disorders.

The aim of the study was to assess the incidence of back and extremities pain in dental health workers and its correlation with body posture at work.

Materials and methods. 50 dental health workers (dentists and dental assistants) were included to the study. They were asked to fill a questionnaire dealing with: posture at work, time of static muscle activity at work, breaks at work, work at operational microscope, the incidence of back pain, pain intensity according to VAS scale.

Results. 70% of the study group (35 from 50 persons) suffered from back pain. Mean intensity according to VAS was 5,14 points. The pain was localized in lumbar (34% ), chest (29%) and neck (23%) region. Statistically significant correlation between the existence of pain and trunk posture was revealed. Persons suffering from pain at work had more often laterally bended and rotated trunk. It was revealed that persons with upper limbs pain had raised arms at work.

Conclusions. Lumbar and sacral region back pain syndromes are the most frequent complaint in dental health workers. Back pain is more frequent in workers with lat- erally bended and rotated trunk. Back pain is more frequent in workers with raised arms at work

Keywords: back pain syndromes, dental health workers, ergonomic work habits

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2015 Vol. XVII No. 1

Robert Walaszek1, Wojciech Porada2, Anna Marszałek3, Katarzyna Walaszek4, Marcin Burdacki4
1 Katedra Rekreacji i Odnowy Biologicznej Akademii Wychowania Fizycznego w Krakowie
2 Ośrodek Rehabilitacyjny Wichrowe Wzgórze w Siemianowicach Śląskich
3 Publiczna Szkoła Podstawowa Stowarzyszenia Przyjaciół Szkół Katolickich w Hucisku Pewelce
4 Akademia Wychowania Fizycznego w Krakowie, student I roku SUM kierunku Fizjo­terapia


Abstract: Young musicians who keep mastering their instrument playing skills often sit in the same position for many hours a day. These positions are non-physiological and unhealthy in terms of maintaining the proper body posture. zsim-tom-xvii-zeszyt-2Symmetric and asym­metric, static and dynamic overloading of some parts of the motor system during a prolonged musical training may have a negative impact on the quality of motor abilities. This study’s objective was to compare the body posture and, by using appropriate tests to assess motor abilities of women, who played wind and string musical instruments. The subjects of this study were Ą2 female music students of Akademia Muzyczna im. Karola Szymanowskiego in Katowice, aged between 20-25. The study was conducted between 15-20 February 2015. Half of the subjects played string instruments whereas the other half played wind instruments. The scoring method by Kasperczyk was used to assess the body posture, and for the assessment of the motor abilities some selected parts of the Eurofit test were used. The flexibility of the subjects was assessed using the Fingertip-to-Floor (FTF) test. The skills were measured using a special instrument which had been prepared prior to the test. The main statistical measures were used in order to describe the subjects; the arithmetic mean () and standard deviation (s) were calculated. The t-student test was used to analyse the differences between the measured parameters. The tests showed that the women who played wind instruments had a very good body posture, whereas the other women who played string instruments had an average body posture. More specific motor ability tests proved that it was sometimes the women playing dent instruments who achieved better results in the tests, and another time it was the women who played string instruments who performed better.

Keywords: musicians, body posture, postural anomalies, motor abilities

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2014 Vol. XVI No. 2

zsim-2014-xvi-2Barbara Jurkowska1, Tomasz Saran1, Wioletta Tuszyńska-Bogucka2, Elżbieta Pietryka-Michałowska3, Grzegorz Nowicki4, Andrzej Prystupa5, Marcin Gniewek6

1 Instytut Medycyny Wsi w Lublinie
2 Zakład Psychologii Wychowawczej i Psychologii Rodziny, Instytut Psychologii, UMCS w Lublinie
3 Zakład Matematyki i Biostatystyki Medycznej, Uniwersytet Medyczny, Lublin
4Zakład Kwalifikowanej Pomocy Medycznej z Pracownią Ratownictwa Medycznego, Uniwersytet Medyczny w Lubline
5 Katedra i Klinika Chorób Wewnętrznych, Uniwersytet Medyczny w Lublinie
6 Zakład Rehabilitacji i Fizjoterapii Katedry Rehabilitacji, Fizjoterapii i Balneoterapii, Uniwersytetu Medycznego w Lublinie

Stress management and disease acceptance in patients with osteoarthritis


Our contemporary times are marked by a cult of health, youth and fitness, and the onset of a disease of affluence affecting the skeletal system(such as osteoarthritis) brings a crisis that induces the need to adjust the stress management styles and the level of disease acceptance to the current state of health and activity level. Depending on the type of the joint affected and the subjective assessment of the severity of the illness, patients prefer to follow various styles of stress management, and their acceptance level depends on how much of their fitness they have lost and how much pain they feel, both of which are the main everyday symptoms of the disease felt by patients. In recognition of this, the extended period of professional activity and the challenges of the difficult labour market result in patients needing broadly defined medical rehabilitation that would take into account not only the medical aspect, but also generally defined psychological assistance aimed at changing the perception of the stressor – disease, as well as increasing the level of disease acceptance so as to improve the quality of life of patients and their families.

Keywords: osteoarthritis, acceptance of illness, coping with stress

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2014 Vol. XVI No. 1

Rafał Sapuła

Katedra Fizjoterapii Wyższej Szkoły Informatyki i Zarządzania w Rzeszowie Katedra Fizjoterapii Wyższej Szkoły Zarządzania i Administracji w Zamościu Zamojska Klinika Rehabilitacji WSZiA w Zamościu

okladka_2014_1Controversies in using the barthel index in care-treatment ward


Background. Bartel Index is the most commonly used scale to assess performance of activities of daily living (ADL). Bartel Index assesses ten basic activities of daily living.

Objective. Evaluation of the functional status of patients in Care-Treatment Ward and the possibility of using the Barthel Index.

Material and method. The study used a author’s questionnaire and an anonymous question-naire. The questionnaires was conducted in 86 Care-Treatment Wards in Poland. Some of the questions the questionnaires has not responded.

Results. Over 60% of respondents think that the Barthel Index is not an objective tool and does not reflect the correct functional state in patients of Care-Treatment Ward.

Conclusions. Barthel Index does not describe the functional status of patients of Care-Treatment Ward. Barthel Index is dedicated to the functional assessment of patients with neurological diseases ex.: stroke, craniocerebral trauma, brain tumors. Barthel Index makes interpretation problems for medical staff in Care-Treatment Ward.

Keywords: Barthel Index, Care-Treatment Ward

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2013 Vol. XV No. 2

Ewa Puszczałowska-Lizis, Joanna Cisek



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.

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2013 Vol. XV No. 1

zsim-fizjoterapia-tom-xv-zeszyt-1Kamila Gworys, Jacek Ratuszyński, Przemysław Gworys, Anna Puzder, Tomasz Adamczewski, Jolanta Kujawa


Background. Knee osteoarthritis is one of the most frequent painful conditions in the human population. Total knee replacement is the standard treatment for patients with severe knee osteoarthritis. The objective of the study was to evaluate the efficacy of the rehabilitation protocol on the functional status of patients after total knee replacement.

Materials and methods. 47pts after total knee replacement were included in the study. The effectiveness of therapy was evaluated with the use of: Knee injury and Osteoarthritis Outcome Score (KOOS) and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC knee). The individual program of rehabilitation and education was performed in the patients. The evaluation was performed twice: at the beginning and after 2 month of rehabilitation. The statistical analysis of results was performed with the MedCalc v.

Results. A significantly improvement in KOOS (from 112,6 to 73,2 point) and in WOMAC (from 80,2 to 44,6 point) was observed. in the subjects of group after rehabilitation protocol.

Conclusions. The patient directly after total knee replacement have poor physical condition measured by KOOS and WOMAC knee scale. The improvement of physical condition was received after rehabilitation. The rehabilitation after total knee replacement reduces pain and stiffness, and improves functional ability, such as bringing up, dressing, riding car.

Keywords: knee osteoarthritis, total knee replacement, physiotherapy

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Year 2012, Issue 2

zsim-2012-zeszyt-2Yevhen Dzis1,2 Ivan Dzis3, Oleksandra Tomashevska1

1 Danylo Halytsky Lviv National Medical University

2 University of Management and Administration in Zamość

3 State Institution “Institute of Blood Pathology and Transfusion Medicine, Academy of Medical Sciences of Ukraine”, Lviv

Factors Affected Quality of Life of Patients Treated for Lymphoproliferative Diseases

Background. Lymphoproliferative disorders are the group of hematoonkological diseases. Manifestations of these diseases, adverse effects of treatment and complications may significantly reduce patients’ quality of life (QoL).

The aim of the study was to examine the QoL of patients with lymphoproliferative diseases according to their socio-demographic profiles, education and clinical data.

Methods. This study involved 55 patients diagnosed with non-Hodgkin lymphoma, chronic lymphocytic leukemia, Hodgkin lymphoma, and multiple myeloma. The EORTC QLQ-C30 questionnaire was used to measure their QoL. Additionally, it was used a self-composed questionnaire to assess some socio-demographic factors, patients’ awareness of their diseases, assessment of QoL in percentages and level of trust in physicians. Continue reading

Year 2012, Issue 1 (ZSiM 35)

Jolanta Zwolińska, Andrzej Kwolek

Introduction. Traditional electrodiagnostic methods are not fully used in diagnosing and monitoring the outcomes of rehabilitation. These are non-invasive methods which are commonly available in all physiotherapy rooms and may be helpful in taking decisions related to therapy.
Purpose. The study aimed at accessing the usefulness of electrodiagnostic parameters in monitoring the process of rehabilitation in patients with carpal tunnel syndrome.
Material and method. The study group included 6 patients referred for physiotherapy due to carpal tunnel syndrome. Altogether 8 hands were analysed: 6 right and 2 left hands. The study applied quantity-based electrodiagnostic methods. Nervous excitability of thenar muscles was assessed. The following values were measured: rheobase, chronaxie, accommodation threshold, and accommodation index. The assessment also included subjective clinical symptoms, and a computer method was used to measure the range of motion in hand joints, and hand grip strength. Examinations were performed before the rehabilitation programme was initiated and after it was concluded. The rehabilitation programme included sonication, whirlpool massage, and neuromobilization of the median nerve. Continue reading

Year 2011 (ZSiM 34)

Metody fizjoterapeutyczne w piśmiennictwie lekarskim okresu II Rzeczpospolitej

Piotr Jankowski
Metody zaliczane do fizjoterapii rozwijane były od tysięcy lat. Powstawały procedury uznane i stosowane do dzisiaj, ale też niektóre z metod postępowania zostały po pewnym czasie z różnych przyczyn zaniechane. Nawet te „nietrafione sposoby” przynosiły możliwość poznania „praw i zasad” rządzących ciałem ludzkim i jako takie mają miejsce w historii medycyny.

Słowa kluczowe: fizykoterapia, historia, zaniechane metody.

Pobierz pełną treść artykułu: P.Jankowski, Metody fizjoterapeutyczne … (PDF)

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