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

THE EVALUATION OF THE INCIDENCE OF MUSCULOSKELETAL PAIN SYNDROMES IN DENTAL HEALTH WORKERS

Abstract

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

 

 

Rafał Sapuła1,2 Marek Nowaczek1, Marta Wolanin1, Ryszard Weremczuk3, Joanna Sapuła3, Tzu-Hui Wang4

1Katedra Fizjoterapii, Wyższa Szkoła Zarządzania i Administracji w Zamościu
2Katedra Fizjoterapii, Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie
3Puls sp. z o.o., Zamość
4Katedra i Klinika Rehabilitacji i Ortopedii Uniwersytetu Medycznego w Lublinie

Słowa kluczowe: spondyloza szyjna, wskaźnik sprawności NDI, fizjoterapia

EVALUATION OF REHABILITATION EFFICIENCY IN THE SPONDYLOSIS

Abstract

Cervical spondylosis is a growing diagnostic and therapeutic problem. Neck pain is reported in about 34% of the general population, and 14% of people have symptoms that persist for more than 6 months. The aim of the study is to evaluate the disability resulting from the pain of the cervical spine and the effectiveness of rehabilitation in the treatment of neck and neck pain. The study was conducted among 72 people with cervical spine pain. The research used the original questionnaire and the NDI (Neck Disability Index). The analysis showed that most of the respondents work in a sitting position that promotes pathological changes. Disability caused by cervical spondylosis disrupts normal functioning in everyday life. Increased severe neck pain is the reason for more frequent use of rehabilitation. The use of rehabilitation in the examined persons causes the reduction of pain.

Keywords: cervical spondylosis, neck disability index, physiotherapy

 

 

 

Urszula Tofilska1, Agnieszka Bejer2

1Szpital Specjalistyczny SANUS, Stalowa Wola
2Instytut Fizjoterapii, Wydział Medyczny, Uniwersytet Rzeszowski

THE IMPACT OF MANUAL THERAPY FOR RANGE OF MOTION OF THE SPINE AND SUBJECTIVE PERCEPTION OF PAIN INTENSITY IN PATIENTS WITH LOW BACK PAIN

Abstract

Background. The pain of the lumbar spine section is one of the frequent disorders patients turn to physiotherapists with. Still, manual therapy is one of the physiotherapeutic methods applied in such cases. The aim of the thesis is to evaluate the influence of the manual therapy on the improvement of the motility of the lumbar spine and limiting the pain in this section.

Material and methods. 30 patients with the lumbar spine pain syndrome took part in the study. The measurement of spine motility in the plain median and the plane axial, and the BPS scale as the applicative evaluation of the spine motility were applied. The subjective feeling of pain was estimated on the basis of VAS scale. The research was conducted during the first day of the treatment and after the series of ten treatments was completed.

Results. The results of the study showed the decrease in the subjective feeling of pain as well as improvements of the spine motility in the section in question.

Conclusions. The manual therapy is an effective therapy measurement for people suffering from lumbar spine section pain syndrome. After the completion of the series of treatment, the subjective feeling of pain decreased and the spine motility increased.

Keywords: lumbar spine section pain syndrome, manual therapy, functional tests

 

 

 

Katarzyna Ściegienna1, Małgorzata Machaj2, Ireneusz Kotela1,3

1Uniwersytet Jana Kochanowskiego w Kielcach, Instytut Fizjoterapii, Zakład Rehabilitacji w Schorzeniach Narządu Ruchu
2Centralny Szpital Kliniczny MSW w Warszawie, Dział Organizacji i Zasobów Ludzkich
3Centralny Szpital Kliniczny MSW w Warszawie, Klinika Ortopedii i Traumatologii

OCCURENCE OF PAIN COMPLAINTS IN LOCOMOTOR SYSTEM OF PHYSIOTHERAPISTS

Abstract

Background. The pain of the musculoskeletal system of physiotherapists are a phenomenon quite common. Unergonomic positions at work, forgetting the prevention of the effect of creating within the congestion of traffic. Symptoms most often affects the spine in the lumbar-sacral. Conservative treatment combining kinesitherapy and physiotherapy gives a satisfactory therapeutic effects. Work is to check whether the specific activity at a physiotherapist triggers pain? Is prevention or no impact on the appearance of the pain and whether it is dependent on lifestyle physical therapists?

Material and methods. The study involved 56 people with higher education towards physiotherapy, working in a profession. These persons employedare involved in the rehabilitation centers in the Province. Among the respondents are 36 women and 20 men. The study was used for this purpose prepared questionnaire consisting of 22 questions about work, life style and the type and intensity of pain experienced.

Results. It turned out that about 86% of those surveyed feel pain.58% of them shows the lumbar spine, the same people declare, symptoms that appear when the trunk flexion. Half of the respondents feel the pain a few times a month, 73% in performing their duties. However, the majority concluded that it does not affect significantly to function in everyday life and described him as a moderate.

Conclusions. The specificity of work affects the formation of pain, and the type of employees, work experience and use of prophylaxis did not show significant correlation with perceived pain. In leisure activities and the dominant mode of transport has a significant impact on the perception of pain. To a lesser extent, is also affected by the systematic practice of sports.

Keywords: pain, physiotherapists, ergonomic operation

 

 

 

Zenon Kossowski1,2, Rafał Sapuła2,3

1Gabinet Medyczny „Ortopedycznej Terapii Manualnej” w Zamościu
2Katedra Fizjoterapii, Wyższa Szkoła Zarządzania i Administracji w Zamościu
3Katedra Fizjoterapii, Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie

APPLYING MANUAL THERAPY IN PAIN SYNDROME OF LOWER PART OF THE SPINE

Abstract

Pain complaints of the lumbar spine they constitute one of serious problems of the diagnostic and healing today, particularly in the group of people in an economically productive age. Simultaneously this issue to which more and more attention is devot- ing itself is and is implementing new procedures. A show is a purpose of the work possibilities of using the chiropractic, which through diagnostics and the therapeutic treatment is able to turn away disturbed functions of the layout of the movement and attitudes of the body. Therapy with exploiting chosen techniques of the chiropractic can be effective and to allow for the reinstatement both of significant mobility in the lumbar region as well as to have a positive effect for reducing pain complaints at patients. She is contributing to remove pain complaints and the improvement of quality of life of persons with pain problems of the spine.

Keywords: chiropractic, pain complaints, the lumbar region of the spine, the method Therapy Kaltenborn – Evjenth, method of McKenzie Robin, therapy B. Mul- ligan, method of Dr. Philip Wilhelm Ackermann

 

 

 

Ewa Puszczałowska-Lizis1, Natalia Bober2

1Uniwersytet Rzeszowski, Wydział Medyczny, Instytut Fizjoterapii
2Gabinet rehabilitacji Vitberg BIS w Przeworsku

EFFECTIVENESS OF THE MASSAGE TREATMENTS IN THERAPY OF CHRONIC PAIN IN THE LUMBOSACRAL SPINE

Abstract

Background. Lumbosacral spine pain is one of the most frequent problems concerning the structures and function of locomotor system. The aim of this study was to comparison the effectiveness of vibratory therapy and the classical massage treatments on pain injury in lumbosacral part of spine and functional ability in females aged 40-50.

Material and methods. 100 females aged 40-50 with chronic low back pain of discopathic etiology, including 50 patients of a private surgery Vitberg BIS in Przeworsk (group I) undergoing vibratory massage treatment and 50 patients of Healthcare Cen- tre Sanvit in Iwonicz-Zdrój branch (group II) attending to classical massage — were surveyed two times. Massage was treated on lumbosacral spine in both groups of patients. The research tool was the Laitinen Pain Scale (LPS) and Oswestry Disability Index (ODI). Student’s t test, Mann-Whithey U test and Wilcoxon test were used for analyses.

Results. After the end of therapy in both of groups there was observed statistically significant improvement in terms of capabilities of daily activities. In females from I group was the greatest decrease of pain intensity (p = 0,014) and pain frequency (p = 0,005).

Conclusions. Both vibratory and classical massage has similar influence on reducing the use of analgesics, and restrictions of physical activity and improvement of functional capacity. Vibratory massage gives better results than classical massage in reducing pain intensity and pain frequency in persons with discopathy of the lumbosacral spine.

Keywords: lumbar discopathy, pain, disability, vibratory massage, classical massage

 

 

 

Małgorzata Machaj

Centralny Szpital Kliniczny MSW w Warszawie, Dział Organizacji i Zasobów Ludzkich

THE MECHANISM BEHIND THE DEVELOPMENT OF CHRONIC BACK PAIN IN THE LUMBOSACRAL REGION OF THE SPINE

Abstract

Back pain in the lumbosacral region is one of the main “epidemics” of the early twenty-first Century. The aim of this study is to look at the mechanism behind chronic back pain in lumbosacral region of the spine. Based on the literature studied, it can be determined that back pain is not related to one’s work or lifestyle. This article presents the means for accurate recognition and diagnosis, therapeutic treatment of spinal degeneration that is detected early, the insurance system and effects on the general public.

Keywords: chronic pain, lumbosacral region, the spine, intervertebral discs

 

 

 

Katarzyna Pawłowska1, Jakub Pawłowski2, Rafał Bochyński3

1Akademia Wychowania Fizycznego im. Jędrzeja Śniadeckiego w Gdańsku
2Prywatna praktyka fizjoterapeutyczna Fizjoterapia i Osteopatia
3Szpital Rehabilitacyjno-Kardiologiczny w Kowanówku

FEMORAL STRESS NECK FRACTURE— CASE REPORT

Abstract

A case demonstrates a 38 years old healthy female who came to physiotherapist with hip pain which started during running and increased especially in weight bearing. Clinical tests showed gluteus medius muscle injury, confirmed later in ultrasonography. After USG patient was directed to Magnetic Resonance Imaging to eliminate joint injuries. MRI scan showed stable femoral neck stress fracture. After diagnosis patient had an orthopedic surgery. Daily rehabilitation took almost 3 months.

Keywords: hip pain, femoral neck stress fracture, case report

 

 

 

Ewa Wawak1, Paweł Basiński2, Małgorzata Gąsiorek2, Krzysztof Marczewski1,2,3

1Oddział Chorób Wewnętrznych i Gastroenterologii, Szpital im. Papieża Jana Pawła II w Zamościu
2Oddział Nefrologii, Endokrynologii Nadciśnienia Tętniczego i Chorób Wewnętrznych, Szpital im. Papieża Jana Pawła II w Zamościu
3Wydział Medyczny Wyższej Szkoły Ekonomii i Innowacji w Lublinie

INNUMERACY AS A COMMON PROBLEM OF PATIENTS WITH ENDOCRINE DISEASES

Abstract

We can observe prolonged longevity of population, partly it has been gained by clinical medicine progress. We can also admit that amount of endocrine patients is growing. According to WHO definition of lifestyle disease we find there two the most common endocrinopathy – diabetes and obesity. Good communication physician-patient is absolutely essential for effective treatment. Unfortunately, we don’t use any tool to estimate understanding of medical prescriptions as a routine procedure. There is much bigger problem when we have to ask patient for giving informed consent. We have only a little idea about health numeracy in medicine, which is integral for cor- rect fulfilling medical prescriptions, admitting drugs, running checkups and making decisions by analyzing probabilities, percents, fractions.

In English they call it as health literacy and health numeracy. Still there is no compact definition for those. Scientist increasingly signal the need of distinct health numeracy as a separate phenomenon. Health numeracy is defined as critical point of health literacy. Numbers are everywhere, on each level of medical communications.

In this study two health numeracy test has been used, The Berlin Numeracy Test (BNT) and Schwartz 3 items. We have examined 125 patients from endocrine ward in John Paul II Hospital in Zamość. There was 110 women, 15 men in age from 17 to 85 years old. 112 patients had thyroid disease. 27 patients had metabolic disease. Nobody achieved maximal score (which is 4 points in BNT and 3 points in Schwartz 3 items). The most common score was 1 point in both tests.

According to results from this study we can state that endocrine patients have prob- lems with health numeracy on high level. We routinely don’t estimate it, so there is no reliable information about the level of health numeracy in ours patients.

Counclusion: Innumeracy are very common in patients with endocrine diseases.

Keywords: health numeracy, innumeracy, Schwartz test, the Berlin Numeracy Test, endocrine disease, endocrinopathy

 

 

 

Edward Przychodaj

Wyższa Szkoła Zarządzania i Administracji w Zamościu

SOCIAL INSTITUTIONS IN CONSIDERATION OF DISABLED PEOPLE

Abastract

The content of this article is a synthetic overview of selected, and in the author’s opinion, the ‘most important disability ‘matters. They are included in several dimensions: theoretical and practical, presented by some scientific disciplines and from the perspective of public institutions involved in the rehabilitation and social assistance, including social work. Above all, however, the primary reference and the central figure of the following considerations are disabled people — their subjectivity, the situation and needs.

Keywords: disability, disabled person, institutions and social organizations, social assistance, rehabilitation, social work, law, the Polish and the European Union legislation, applied sociology, operation of specialized services for disabled people

 

 

 

Anna Gołda1, Agnieszka Sawicka1, Agata Bielecka1, Krzysztof Marczewski1,2

1Oddział Nefrologii Endokrynologii, Nadciśnienia Tętniczego i Chorób Wewnętrznych SP. WSS im Papieża Jana Pawła II w Zamościu
2Wydział Nauk o Zdrowiu WSEI w Lublinie

FALSE MEMORY, PSYCHOLOGICAL CURIOSITY OR DISEASE SYMPTOM

Abstract

Introduction. The phenomenon of false memory is defined as memory present in the memory, endowed with a strong subjective belief that memory is real, but which in fact did not take place. The problem of “remembering” the facts that there were initially seemed rather curiosity, later gained some interest in psychology, especially the judiciary. But only in recent years it began to be more widely interested in this phenomenon, as perhaps an important symptom among medical patients, particularly geriatric.

Aim of study. Rating frequency phenomenon of false memories in people over 65 years of age and the impact of cognitive and executive impairment on the formation of memory distortion.

Methods. Patients aged > 65 years with co-morbidity and multimorbidity were subjected to tests for typical geriatric assessment and tests investigating the so-called. false memory, according to the method of the DRM paradigm.

Results. In 47 out of 49 tested (i.e., 95,9%), there was at least one not presented critical lure.

Conclusion. The phenomenon of false memory is present in the vast majority of geriatric patients. False memory may prove to be an important problem among older people. Although its clinical significance needs further study

Keywords: false memory, the DRM paradigm, false recognition, false recall, Compre- hensive Geriatric Assessment

 

 

 

Tomasz Blicharski1, Mariola Janiszewska2, Małgorzata A. Dziedzic2, Tzu-Hui Wang1, Jakub Kosiński1, Małgorzata Charytanowicz3,4 Rafał Sapuła5

1Department of Rehabilitation and Orthopaedics, Medical University of Lublin, Poland
2The Chair of Public Health, Faculty of Nursing and Health Sciences, Medical University of Lublin, Poland
3Institute of Mathematics and Computer Science, Department of Computer Image Analysis, Faculty of Mathematics, Informatics and Landscape Architecture, The John Paul II Catholic University of Lublin, Poland
4Systems Research Institute, Centre of Information Technology for Data Analysis Methods, Polish Academy of Sciences, Poland
5Department of Physiotherapy, University of Information Technology and Management in Rzeszow, Poland

OSTEOPOROSIS PROPHYLAXIS AND HEALTH HABITS IN THE RURAL AREA PATIENTS

Abstract

Introduction. Proper habits and physical activities are the fundamentals of precise prophylaxis and osteoporosis treatment. Urban area are especially required to meet the need. Proper types of treatment and prophylaxis treatment programs are essential for the right purpose.

Aim of study. Determine the association between selected risk factors of osteoporosis and sociodemographic variables, coefficient of T-score with patients presented to densitometry in the rural Lublin area.

Materials and Methods. 1260 patient exams from Lublin were analyzed. Mea- surements were performed in the area where patient lives, with medical history and bone density scan. Researchers used t-Student test, ANOVA test, Pearson correla- tion coefficient, and chi-square test. Significance level was p < 0,05 and p < 0,01. Researchers used Statistics 10 software.

Results. Low risk factors for osteoporosis, such as family history of osteoporosis, chronic corticosteroid use, slim body as well as the advanced age predispose to lower values T-score. Risk factors such as smoking, thyroid disease, alcohol consumption and excessive intake of coffee, fair skin patient do not diversify the patients studiedby looking at the value of T-score. Most of the results indicate osteoporosis and osteopenia are received by patients with primary education.

Conclusions. Prophylaxis programs should be considered for implementation especially in high risk populations.

Keywords: osteoporosis, bone densitometry scan, T- score, prophylactics

 

 

Weronika Oleszczak-Momot1, Andrzej Momot2

1Wyższa Szkoła Zarządzania i Administracji, Katedra Fizjoterapii
2Niepubliczny Specjalistyczny Zakład Opieki Zdrowotnej Ortopedia Zamojska, Zakład Re habilitacji w Zamościu

SIGNIFICANCE OF DISINFECTION PROCESSES IN REHABILITATION CENTER TAKING INTO ACCOUNT THE HYGIENE OF THE HANDS OF THE STAFF

Abstract

The article discusses the importance of disinfection and hand hygiene in rehabilitation centers. The process of disinfection reduces the number of microorganisms by killing vegetative forms of bacteria and fungi and inactivating the amount of micro- organisms on the surfaces of objects or tools to a level that under no circumstances presents a risk to human health. Disinfection is mainly used to protect staff from infection with micro-organisms from the patient, thus preventing the development of infections in rehabilitation facilities. In the profession of physiotherapist as well as in other occupations where direct contact with another person plays a role of hand washing and disinfection, it is undoubtedly that the most frequently used and precise „tool” in rehabilitation practice is the hands of the staff. The ‘most popular, •yet effective technique of hand washing and disinfection is Ayliffe’s scheme. During cleaning and disinfection we guarantee that no area will be omitted and the hands will be thoroughly cleaned.

Keywords: rehabilitation, disinfection, hand hygiene