Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint

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

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski – Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint. Fizjoterapia Polska 2021; 21(3); 134-142

Abstract
Objective. The objective of the study was to compare the level of functional efficiency and factors influencing it in women after the age of 50 with advanced osteoarthritis of the hip (coxarthrosis) or knee (gonarthrosis) joint.
Material and methods. The study included 70 women aged 50–90 years with coxarthrosis (n = 35) or gonarthrosis (n = 35), stage 3 according to the Kellegren-Lawrence scale.
The functional status was assessed based on the Tinetti test and the Two-scales test. The Likert scale rated pain, stiffness, and the difficulty of getting up and putting on socks. The quality of life was assessed using a 100-point scale.
Results. Women with coxarthrosis achieved worse results in the Tinetti test in the part concerning gait (p < 0.01) and balance (p < 0.05). Pain and stiffness determined the results of most tests. Patients with gonarthrosis had greater problems with walking on flat surfaces and with getting up from a chair (p < 0.001). Pain determined difficulties when walking and putting on socks, and stiffness influenced difficulties in walking, standing up, putting on socks, and the results of the Tinetti test.
Conclusions.
1. Stiffness and pain deteriorate functional efficiency in women with coxarthrosis and gonarthrosis.
2. Greater problems with gait and balance occur in women with coxarthrosis, while women with gonarthrosis have greater difficulties with walking on flat surfaces and getting up from a chair.
Key words:
osteoarthritis, hip joints, knee joints, functional efficiency, Tinetti test
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The functional aspects of occupational therapy

Jerzy Rottermund, Joanna Szymańska, Aneta Warmuz-Wancisiewicz, Renata Szczepaniak

Jerzy Rottermund, Joanna Szymańska, Aneta Warmuz-Wancisiewicz, Renata Szczepaniak – The functional aspects of occupational therapy. Fizjoterapia Polska 2018; 18(3); 78-85

 

Abstract
The basic intent of occupational therapy is to reduce functional limitations or to completely eliminate them, along with striving to obtain, depending on the possessed psychophysical capabilities of self-reliance, self-sufficiency and independence. The aim of the work is to point to occupational therapy as a means to improve the functional efficiency necessary to perform everyday activities.
Functions in medicine mean activities and many physiological processeses that are essential in the work of the body as a whole. In occupational therapy, the term function means a series of activities that a participant of the therapy is able to perform. The article presents and discusses the conditions for the restoration of motor functions that an occupational therapist should consider in his or her professional work.

Key words:
occupational therapy, functional efficiency, dysfunction

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Physiotherapist – occupational predispositions. Level of flexibility

Weronika Gallert-Kopyto, Andrzej Knapik, Dagmara Wasiuk-Zowada, Anna Brzęk, Małgorzata Domagalska-Szopa, Andrzej Szopa

W. Gallert-Kopyto, A. Knapik, D. Wasiuk-Zowada, A. Brzęk, M. Domagalska-Szopa, A. Szopa – Physiotherapist – occupational predispositions. Level of flexibility. FP 2016;16(4);130-140

Abstract

Background. Possibly high level of functional efficiency is not only the foundation of human welfare, but it also plays an important role in fulfilling social functions, including professional functions. Among professions in which physical fitness is an important element of the quality of work stands out the profession of physiotherapist. Flexibility is one of the components of physical fitness. In those professions, which are characterized by volatility of positions and different effort load, the appropriate level of flexibility seems to be of particular importance.
Aim of the study. The aim of the study was to determine the level of mobility (flexibility) of the trunk among physiotherapy students. It was also decided to investigate how such variables as gender, age, morphological parameters, past and current physical activity are related to the present level of flexibility.
Material and methods. 341 people have been examined: 289 women (84.25% of the total) and 52 men (15.25%). The average age of the study group was: 20.26 years (SD = 1.69) for women; 19.85 years (SD = 1.73) for men. All of these persons were physiotherapy students.
Following data have been collected: age, past sports and physical activity – according to the Baecke questionnaire. Anthropometric measurements and three – plane measurement of the flexibility of the spine have been also made.
Results. There have been weak relationships between morphological parameters and flexibility – only in women. Physical activity strongly differentiated the level of flexibility among women in a sagittal plane (p <.05) and a transverse plane (p <.001; p <.002), a similar situation is with past sports: a sagittal plane: (p <.001) and a lateral plane on the left side (p <.05). In men, only past sports differentiated flexibility in a transverse plane on the right side (p <.05).
Conclusions. The level of flexibility varies individually, especially in a sagittal plane. Gender, age and morphological parameters in young adults are poorly associated with the flexibility. Past and current physical activity have a positive influence on the trunk functional efficiency.

Keywords:

functional efficiency, trunk flexibility, physical fitness, three – plane measurement of the flexibility, physiotherapy profession

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