The situation of physiotherapists after four years of legal regulation of the profession

Marek Kiljański, Dariusz Jasiński

M. Kiljański, D. Jasiński – The situation of physiotherapists after four years of legal regulation of the profession. Fizjoterapia Polska 2019; 19(2); 168-173

Abstract

Introduction. The financial situation of physiotherapists has deteriorated over the last ten years. It was influenced by various factors – law changes, inflation and the lack of adequate financing of rehabilitation in Poland. After the legal regulation of the profession in 2015, physiotherapists are constantly incurring duties, but this does not translate into adequate earnings. The best educated physiotherapists – specialists are also getting less and less valuable in the health care system.
Goal. In this work, we will try to consider: are physiotherapists right, demanding higher wages and can their employers and the healthcare system in Poland afford it.

Key words:
salaries of physiotherapists, finances in health care, nfz, specialists in physiotherapy

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Determinants of physical activity students of the College of Engineering and Health

Joanna Łuczak, Agata Wolska, Joanna Michalik

J. Łuczak, A. Wolska, J. Michalik – Determinants of physical activity students of the College of Engineering and Health. Fizjoterapia Polska 2019; 19(2); 158-167

Abstract
Aim. The study aimed to find determinants of physical activity (PA) assessed by the International Physical Activity Questionnaire IPAQ.
Material and methods. Study group: 249 women, age 18–30 (AVG 22.8, SD 2.7), students of the College of Engineering and Health. IPAQ (short version) and proprietary questionnaire were performed, the stature and body mass of the respondents were measured.
Results. The total level of students PA was 2524 MET-min/week, including walking 1463, vigorous activities 540, and moderate 521. High-level PA was found more often in those doing sports, but not in connection with work or daily activities (p < 0.0001). Students with high PA also practised sports in the past, not strictly during PE lessons (p < 0.05) and come from homes where the sport was practised by parents or grandparents (p < 0.001). Conclusions 1. Among students of speciality cosmetology at the College of Engineering and Health: 17.67% have low, 52.21% moderate, and 30.12% high level of physical activity. 2. The subgroup with a high level of physical activity in the studied group is those who are regularly playing sports. The level of activity is not related to full-time or part-time studies or combining studies with work. 3. People who in addition to PE in the primary school, middle or high school were playing sport, also practice sports more often during their studies. 4. The pattern transmitted in the family is significant – often in adult life sport is practised by people whose grandparents or parents also played sports regularly. Key words: physical activity level, assessment of physical activity, IPAQ, determinants of physical activity

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Assessment of the effectiveness of deep electromagnetic stimulation in the treatment of low back pain depending on the area of application

Agnieszka Przedborska, Małgorzata Kilon, Agnieszka Leszczyńska, Małgorzata Misztal, Jan W. Raczkowski

A. Przedborska, M. Kilon, A. Leszczyńska, M. Misztal, J. W. Raczkowski – Assessment of the effectiveness of deep electromagnetic stimulation in the treatment of low back pain depending on the area of application. Fizjoterapia Polska 2019; 19(2); 148-156

Abstract
Introduction. Disturbed mechanism of central stabilization associated with reduced pelvic floor muscle tone may be the cause of low back pain. The aim of the study was to assess the effectiveness of deep electromagnetic stimulation applied in the lumbosacral region or in the pelvic floor muscles in women with low back pain.
Material and methods. The study enrolled 109 women with spinal degenerative disease. Two groups were distinguished: the study group of 45 women who underwent a series of 10 sessions of deep electromagnetic stimulation in the pelvic floor muscles and a comparative group of 64 women in whom the procedure was applied in the lumbosacral region. The effectiveness of the therapy was assessed according to the VAS scale, locomotion and self-care were also evaluated.
Results. VAS scale demonstrated statistically significant reduction in pain intensity in both groups – Me(IQR) respectively: 5 (4-7) before the therapy vs 2 (1-3) afterwards in the study group and 6 (4-7) before the therapy vs 3 (2-4) after the therapy in the comparative group. Functional mobility and ability to perform everyday activities also improved statistically significantly. The obtained results were not long-lasting. In half of the patients the analgesic effect lasted at most 2 months (IQR: 1-4) in the study group and at most 4 months (IQR: 2-6) in the comparative group.
Conclusions. 1. Regardless of the area of application, deep electromagnetic stimulation reduces pain, improves the gait function and self-care of women with low back pain. 2. The analgesic effect of the therapy lasts longer when applying treatment in the lumbosacral region of the spine.

Key words:
low back pain, degenerative disease, pelvic floor muscles, electromagnetic stimulation

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Effect of Forward Head Posture on Temporomandibular Joint Proprioception in Post-Pubertal Females: An Observational Study

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman – Effect of Forward Head Posture on Temporomandibular Joint Proprioception in Post-Pubertal Females: An Observational Study. Fizjoterapia Polska 2019; 19(2); 142-146

Abstract
Aim: to explore the effect of forward head posture (FHP) on temporomandibular joint (TMJ) proprioception in post-pubertal females.
Material and Method. Forty post-pubertal females participated in this study. They were classified in accordance with the craniovertebral angle (CVA) into two groups. The Forward head posture (FHP) group had CVA of less than 48° (n = 21), while the control group had CVA of more than 48° (n = 19). TMJ repositioning accuracy had been measured by vernier caliper for females in both groups.
Results. Statistical analysis revealed that there were no significant (p > 0.05) differences between both groups regarding TMJ repositioning errors in all directions (mouth opening, protrusion and lateral movements) with eyes open or closed.
Conclusion and Discussion. In post-pubertal females, FHP has no negative effect on TMJ proprioception in all directions whether the eyes are open or closed.

Key words:
Forward head posture, craniovertebral angle, temporomandibular joint, proprioception, post-pubertal females

 

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Physioprophylaxis of civilization diseases in the consciousness and health behaviours of students of medical faculties at PSW in Biała Podlaska

Zofia Kubińska, Kamil Zaworski

Zofia Kubińska, Kamil Zaworski – Physioprophylaxis of civilization diseases in the consciousness and health behaviours of students of medical faculties at PSW in Biała Podlaska. Fizjoterapia Polska 2019; 19(2); 130-140

Abstract
The task of physioprophylaxis is to promote health-related behaviors as well as to shape and maintain the fitness and efficiency of people of all ages in order to prevent disability. Civilization diseases (CHC) are the diseases associated with the negative effects of living in conditions of highly developed civilization. The inclusion of CHC in literature most often exposes their determinants, among which physical activity (PA) is a very important health behavior.
Aim. The aim of the thesis is to obtain and present the declarations of nursing and physiotherapy students regarding knowledge of civilization diseases and the implementation of CHC physioprophy by regular and moderate PA.
Material and method. 152 PSW students in Biała Podlaska were tested, among them 82 from nursing and 70 from physiotherapy 70. The survey used a proprietary questionnaire on students’ knowledge about CHC and the use of CHC physioprophy by PA.
SPSS and tests: Phi and V Kramer test were used for statistical analysis.
Results. The results show a high level of students’ knowledge about CHC (from 71.1 to 90.8%) and low level of CHC physioprophylaxis by PA (from 36.2 to 59.2%).
Conclusions. 1. Nursing students more often than physiotherapy ones claim to have knowledge about diseases of the digestive, respiratory, immune and mental systems. Women more frequently than men indicated their knowledge, and in the case of diseases of the digestive system a statistically significant relationship occurred.
2. Subjects who did not know about CHC were more likely to indicate that they did not pursue physiotherapy. The relationship between not having knowledge and not physioprophylaxis was important in both groups in relation to diseases; motion, cancer, gastrointestinal, immune and neurological systems.

Key words:
physioprophylaxis, civilization diseases, students, physical activity

 

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Factors influencing functional performance of patients after hip joint arthroplasty

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Agnieszka Leszczyńska, Jan W. Raczkowski

M. Kilon, A. Przedborska, J. Kostka, A. Leszczyńska, J. W. Raczkowski – Factors influencing functional performance of patients after hip joint arthroplasty. Fizjoterapia Polska 2019; 19(2); 122-128

Abstract
Aim. The aim of the study was to assess factors affecting functional status of patients after total unilateral hip arthroplasty.
Material and methods. A total of 50 patients (33 women, 17 men), aged 29-88 years (mean 66,7 ± 13 years) with unilateral hip joint prosthesis were included in the study. The assessment of the balance and gait function was made on the basis of the following tests: Tinetti, Timed Up and Go (TUG) and the two scales test, on the basis of which the Symmetry Index (SI) was calculated. The degree of pain sensation while walking on a flat surface and on stairs and the level of stiffness were estimated using the Likert scale. To assess the ability to perform simple and complex daily activities, the Katz ADL (Activities of Daily Living) and the Lawton IADL (Instrumental Activities of Daily Living) scales were used. Self-assessment of the quality of life was also made on the basis of a numerical rating scale. Moreover, the body mass index (BMI) was calculated.
Results. Age of patients, pain and stiffness determined the majority of test results and functional scales. Patients suffering from more diseases achieved worse results in the Tinetti test. Only the severity of pain while climbing the stairs affected the SI result. Patients reporting more severe pain and morning stiffness were characterized by poorer self-assessment of their quality of life.
Conclusions. Age, pain and morning stiffness affect the functional status and the quality of life of patients with unilateral hip prosthesis. BMI and the time that elapsed since surgery did not affect the patients’ condition.

Key words:
hip joint arthroplasty, quality of life, functional status

 

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Effect of laser acupuncture on lumbar bone mineral density and back pain in postmenopausal women with osteoporosis: A Randomized Controlled Trial

Elham Shahat Hassan, Salwa Mostafa EL-Badry, Amel Mohamed Yousef, Hamada Ahmed Hamda, Mohamed Hassan Mostafa

Elham Shahat Hassan, Salwa Mostafa EL-Badry, Amel Mohamed Yousef, Hamada Ahmed Hamda, Mohamed Hassan Mostafa – Effect of laser acupuncture on lumbar bone mineral density and back pain in postmenopausal women with osteoporosis: A Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(2); 116-121

Abstract
Purpose. To determine the effect of laser acupuncture on lumbar bone mineral density (BMD) and back pain in postmenopausal women with osteoporosis.
Methods. Forty postmenopausal osteoporotic women, aged 55-75 years, were randomized into 2 equal groups. Group (A) received calcium and vitamin D3 supplement for 12 weeks, while group (B) received the same calcium and vitamin D3 supplement in addition to laser acupuncture therapy for 12 weeks. The T-score of lumbar BMD was evaluated by dual energy X-ray absorptiometry (DEXA) and the back pain level was assessed by Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41) before and after treatment.
Results. There were a highly significant improvement in lumbar BMD and a highly significant reduction in back pain level within both groups (p = 0.0001). Comparing both groups post-treatment showed that there was a highly significant improvement in lumbar BMD (p = 0.0001) while there was a highly significant reduction in back pain level (p = 0.001) in favor of group (B).
Conclusion. Laser acupuncture is an effective modality in improving lumbar BMD and reducing back pain in osteoporotic postmenopausal women.

Key words:
Postmenopausal osteoporosis, back pain, laser acupuncture, calcium, vitamin D3 supplement

 

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Rehabilitation after multiple fractures of olecranon process treated surgically. A case study

Joanna Bukowska, Magdalena Wilk-Frańczuk, Rafał Trąbka, Tomasz Maicki

J. Bukowska, M. Wilk-Frańczuk, R. Trąbka, T. Maicki – Rehabilitation after multiple fractures of olecranon process treated surgically. A case study. Fizjoterapia Polska 2019; 19(2); 106-114

Abstract
Goal of the study is to present a process and results of rehabilitation of a patient after fracture of elbow joint – a case study.
Materials and methods are shown basing on rehabilitation of a 23-year old female patient after fracture of the right olecranon process as a result of a bike fall. She was treated surgically by reposition and stabilization of the fracture by Weber’s wire. The rehabilitation started two weeks after the operation in an ambulatory conditions, after which the full range of motion in the joint was not achieved. Flexion and extension contracture, significantly limiting everyday activities, has been established. Subsequent cycles of intensive physiotherapy influenced improvement of joint function, pain reduction and allowed to achieve goals set in an individual physiotherapeutic plan. The recovery process in the presented case was long and lasted 2.5 years due to numerous complications treated surgically.
Results. Analysis of the process shows that main physiotherapeutic approach should be aimed at limitation of inflammation, pain reduction and achieving full range of motion in the elbow joint.
Conclusion. 1. Fractures of olecranon process lead to complications. 2. Rehabilitation after fractures of olecranon process should be early, intensive and individualized. 3. Presented programme of rehabilitation allowed recovery of lost functions.

Key words:
fracture of olecranon process, complications, arthrolysis, physiotherapy, contracture

 

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Foot defects in children attending first class of primary school in Silesian voivodeship

Paulina Głowacka, Marcela Przyłudzka

P. Głowacka, M. Przyłudzka – Foot defects in children attending first class of primary school in Silesian voivodeship. Fizjoterapia Polska 2019; 19(2); 94-105

Abstract
Introduction. Foot defects concern ever-greater social group. They develop due to muscle weakening and the instability of ligament-capsular apparatus, thus leading to static and functional foot disorders. The habits of maintaining incorrect body position, lack of education in this field and of preventive measures are the factors conditioning triggering of the issue.
The aim of the work. Static analysis of the feet using plantokonturography in children aged from 7 to 10 and presenting the dependencies among sex, body mass and height (BMI) and the mentioned parameters.
Material and methodology. 30 children took part in the diagnosis, 15 girls and 15 boys from primary schools of Silesian voivodeship. In plantokonturography analysis four parameters have been taken into consideration: Clark’s angle index, “W” Wejsflog index, gamma heel angle, and hallux valgus alpha angle.
Results. The statistically important correlation between BMI and increased alpha and gamma angles have been observed. Lowered values of Clark’s angle index have been observed with all the examined. Population.
Conclusions. 1. With all the examined population the lowered foot arches have been observed. 2. Body mass, BMI, play significant role influencing foot longitudinal and transverse arches.

Key words:
foot defects, plantokonturography, diagnosis, foot arch

 

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