Tag: profilaktyka

Factors determining the knowledge of women aged 30-40 from the Rzeszów poviat about urinary incontinence

Ewa Puszczałowska-Lizis, Paweł Rychter, Marcin Wilczyński, Monika Banek


Ewa Puszczałowska-Lizis, Paweł Rychter, Marcin Wilczyński, Monika Banek – Factors determining the knowledge of women aged 30-40 from the Rzeszów poviat about urinary incontinence. Fizjoterapia Polska 2022; 22(1); 198-206

Abstract
Introduction. Urinary incontinence is any incident of uncontrolled leakage of urine from the urethra, regardless of the cause. The aim of the study was to assess the dependencies of se-lected factors with the level of knowledge about urinary incontinence in women.
Material and methods. The diagnostic survey using the author’s questionnaire covered 207 women aged 30 to 40 from the Rzeszów poviat, The data were analyzed based on Pearson’s Chi-square test (χ2).
Results. A statistically significant dependence was found between the level of education and the level of knowledge about urinary incontinence (p = 0.001).
Conclusions. Women with higher education have more knowledge about urinary incontinence than women with secondary and vocational education. Educational activities should be aimed mainly at women with secondary and vocational education. The elimination of risk factors should be encouraged, as well as the necessity of early diagnosis of urinary incontinence and immediate treatment.
Key words:
pelvic floor, urinary incontinence, prophylaxis, diagnostics, therapy
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The low-frequency alternating magnetic field prevention of osteoporosis

Włodzisław Kuliński, Andrzej Misztela, Tomasz Rybak, Józef Mróz

Włodzisław Kuliński, Andrzej Misztela, Tomasz Rybak, Józef Mróz – The low-frequency alternating magnetic field prevention of osteoporosis. Fizjoterapia Polska 2001; 1(3); 268-270

Abstract

Background. Osteoporosis is one of the most importance diseases of contemporary civilization, diagnosed in over 25% of women and 10% of men over the age of 60. This article describes the negative impact of the growth of civilization on the development of osteoporosis. Recommendations are given for proper nutrition. The article also discusses the mechanisms governing the potential impact of physical exertion, one of the strongest stimuli of osteogenesis, on the prevention of osteoporosis. The authors suggest the possibility of preventing osteoporosis by daily exposure, 15-20 minutes long, ultraviolet light in patients with risk factors caused by the use of drugs (steroids). This article evaluates the therapeutic efficacy of a low-frequency alternating magnetic field (LFAMF) in the prevention of bone mass loss in patient’s long-term steroid treatment. Material and methods. Our research involved 25 men with chronic obturative pulmonary disease (COPD) receiving long-term steroid therapy. The patients were administered a program of LFAMF therapy, receiving 2-3 month-long treatment courses within a one-year period. Before and after LFAMF therapy the patients were evaluated for the degree of pain intensity and the number of COPD exacerbations, and their BMD and T-scores were compared densitometrically. Results. In all patients after two years of treatment we found less pain, a more than two-fold reduction number in the number COPD exacerbations, and increased bone mass.

Key words:
low-frequency alternating magnetic field, Osteoporosis, prophylaxis
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Evaluating the manner of performing selected activities of daily living in the light of early prevention of low back pain

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik – Evaluating the manner of performing selected activities of daily living in the light of early prevention of low back pain. Fizjoterapia Polska 2001; 1(4); 381-384

Abstract
Background. Low back pain is both a medical and a social problem. One way to limit its dimensions is prevention, broadly understood. In our research we attempted to determine how activities of daily living that are particularly burdensome for the spine are performed. Material and methods. Our research involved 265 healthy subject (i.e. without spinal pain symptoms at the moment of testing), among whom 136 were manual laborers and 129 were white-collar workers. The subject were asked to perform 3 movement tasks: to change body position from lying to standing, to assume a sitting position on a chair, and to lift a weigh from the floor. Results. The results we obtained indicate a lack of proper movement habits, which are essential in the prevention of low back pain in the great majority of subjects. Conclusions. It would be advisable to conduct training in the area of preventing strain on the spine, as a result of which spinal pain symptoms can develop. The general public should be made aware of the importance of the problem, with particular emphasis on the consequences of the errors committed on a daily basis.

Key words:
Low Back Pain, prevention, back school

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Problems in physico- and physiotherapy of patients in the course of HIV infection and AIDS infection

Włodzisław Kuliński, Anna Muszyńska, Jerzy Kruszewski

Włodzisław Kuliński, Anna Muszyńska, Jerzy Kruszewski – Problems in physico- and physiotherapy of patients in the course of HIV infection and AIDS infection. Fizjoterapia Polska 2002; 2(1); 68-70

Abstract
In 1989, the first case was diagnosed of the disease later called acquired immune deficiency syndrome (AIDS). According to WHO data, by the end of 1998 over 30 million persons around the world were known to be infected by the human immunodeficiency virus (HIV); every day 16,000 new cases of HIV infection are reported, and several million people have died of AIDS. In Poland, by the end of 1999 several thousand persons had been infected with HIV, of whom several hundred had been diagnosed with AIDS. From the moment of infection to the full development of the disease takes about ten years. AIDS is spreading on an epidemic scale. Pharmalogical treatment is imperfect and only serves to slow the progress of the infection and delay the onset of AIDS. In the development of the disease we observe the appearance of changes in the central and peripheral nervous systems, caused directly by the action of the virus and by the worsening impairment of cell immunity. Multi-focal leukoencephalopathy is found in the brain, and in the peripheral nervous system there are symptoms of sensory polyneuropathy, followed by demyelinating neuropathy and symptoms of damage to multiple peripheral nerves. In practice, peripheral neuropathy occurs in conjection with subacute encephalitis and paresis of the cranial nerves, primarily V, VII and VIII. Lesions in the vicinity of the spinal cord cause weakening of muscle strength, sphincter disorders, and progressive plegia of the limbs. In many patients we also observe symptoms in the joints. In the physico- and physiotherapeutic treatment of these patients we recommend variable low-frequency magnetic fields for subacute encephalitis with involvement of the cranial nerves (the article specifies the parameters for the procedures and the exposure time, also for patients with symptoms of peripheral neuropathy and limb plegia). The possibilities of selective physicotherapy by other means is discussed. Physical therapy procedures are also presented in the course of joint disorders, and kinesitherapeutic procedures are discussed. In the balance of the article the detailed rules for personal hygiene in handling these patients are discussed. The risk of transmitting HIV infection during physio- and physiotherapeutic procedures has been estimated at 5-10%. We have not had much experience in Poland with managing this group of patients. This article should be regarded as an attempt to raise problems which should be solved in cooperation.

Key words:
Physical Medicine, rehabilitation, prevention

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Physiotherapist in every school: ademand in the view of students, lecturers, parents and physiotherapists

Elżbieta Trylińska-Tekielska, Karolina Włostowska, Monika Drewnik, Lidia Nowińska, Hubert Nałęcz, Anna Makulska

Elżbieta Trylińska-Tekielska, Karolina Włostowska, Monika Drewnik, Lidia Nowińska, Hubert Nałęcz, Anna Makulska – Physiotherapist in every school: ademand in the view of students, lecturers, parents and physiotherapists. Fizjoterapia Polska 2021; 21(1); 126-139

Abstract
Introduction. A large percentage of musculoskeletal disorders among adolescents can be attributed to the lack of physical activity. Properly directed prevention as well as assuring the right conditions for development constitutes a valid part in the research on the subject.
Objective. To assess the opinion of students, lecturers, parents and physiotherapists on the need of cooperation with a physiotherapist in the school environment.
Design. The research was conducted at the primary and secondary schools in Warsaw in 2018. 1053 participants were selected to take the survey. The distribution among the group was as follows: lecturers (N = 178), students (N = 548), parents (N = 97) and physiotherapists (N = 230). A survey “Physiotherapist at every school” by E. Trylińska-Tekielska and L. Nowińska was used.
Results. There was a shared agreement among the participants on the need of having access to a physiotherapist at every school with choices respectively: lecturers (94%), parents (89%), students (82%) in favor. Teachers were overwhelmingly open (93%) to the possibility of working together with a physiotherapist. Most of the students (91%) pointed to experiencing fatigue at school with majority (67%) agreeing that having an access to physiotherapist would positively affect their physical well-being.
Conclusions.
1. A presence of a medical professional in the form of physiotherapist is important to and expected by the study group.
2. Teachers were willing to work with a physiotherapist and agreeing on its positive influence on students’ physical condition.
3. Majority of the students agree that physiotherapist will positively influence their physical condition.
Key words:
physiotherapist, student, school, prevention
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Application of the Functional Movement Screen (FMS) test to determine the risk of musculoskeletal injuries among firefighters and soldiers – pilot study

Joanna Jagiełka, Małgorzata Chochowska, Ewa Kamińska

J. Jagiełka, M. Chochowska, E. Kamińska – Application of the Functional Movement Screen (FMS) test to determine the risk of musculoskeletal injuries among firefighters and soldiers – pilot study. Fizjoterapia Polska 2020; 20(1); 114-123

Abstract
Objective. Work specificity of uniformed services is characterized by a significant risk of injuries that may cause resignation from military service and results in significant social and economic costs. Many injuries can be prevented if abnormal movement patterns are noticed and corrected at the right time.
The objective of the study was to assess the quality of movement patterns and determine the risk of injuries to the musculoskeletal system among young soldiers and firefighters using the Functional Movement Screen (FMS) test.
Material and methods. Sixty men aged 19-30 (average: 26.5 years) participated in the pilot study, including 30 soldiers (S) and 30 firefighters (F).
Results: In 5 out of 7 FMS tests, F obtained better results compared to S, however statistically significant differences were observed only in: deep squat test (F: 2.67 points vs S: 2.32 points; p = 0.020) and in-line lunge test (F: 2.87 points vs S: 2.42 points; p = 0.000). In addition, F obtained a statistically better final result of the FMS test (F: 17.50 points vs.
S: 16.97 points; p = 0.046). In both groups, the lowest results were obtained in the rotary stability test (F: 2.13 points;
S: 2.10 points) and the active straight leg raise test (F: 2.20 points; S: 2.00 points) .
Conclusions. The final FMS result in the groups F and S was in the upper limit of the middle range of scores (14-17 points), estimating the risk of injuries at the level of 25-35% and indicating the need for remedial procedures. FMS can be a useful tool in assessing the risk of injury to the musculoskeletal system in the case of employees of uniformed services and be part of their prevention.

Key words:
Functional Movement Screen, żołnierze, strażacy, ryzyko urazu, profilaktyka

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Faulty posture – analysis among school-age children and assessment of parents’ knowledge of prevention and correction

Renata Sawicka

Renata Sawicka – Faulty posture – analysis among school-age children and assessment of parents’ knowledge of prevention and correction. Fizjoterapia Polska 2018; 18(3); 56-63

Abstract
Introduction. The objective of this study is to analyse the frequency of faulty posture among school-age children. Additionally, the author will attempt to evaluate whether the place of residence affects the frequency of faulty posture and early diagnosis of faulty posture. Additionally, the level of parents’ knowledge of prevention and correction of faulty posture was analysed.
Materials and methods. The assessment covered 118 children aged 9-13, 58 of whom are girls and 60 – boys. Body posture assessment used the Kasperczyk point method consisting in observation of body structure while standing. The data collected was entered in an Excel database. The percentage rates were calculated for girls and boys separately, too. The statistical analysis was based on the Chi2 Test. Girls and boys were compared in terms of distribution of results in the scope of the respective variables analysed. In order to learn of parents’ knowledge of prevention and correction of faulty posture, a diagnostics survey was conducted in the form of a questionnaire.
Results. The author found that 33% school-age children demonstrate faulty posture and that there is no statistically significant difference between gender and frequency of faulty posture. It was demonstrated that faulty posture appears in children living both in cities and villages. It was proven there is no statistically relevant relationship between the place of residence and the age of diagnosing faulty posture. It follows from the research conducted that parents are aware of the causes of faulty posture and the ways of correcting it.
Conclusions. 1. School-age children continue to demonstrate faulty posture. 2. There is no statistically relevant relationship between gender and frequency of faulty posture. 3. The place of residence does not have a significant effect on diagnosis of faulty posture. . Parents are aware of prevention and correction of faulty posture. 5. The common prevalence of faulty posture should make parents, guardians and teachers observe children’s development so as to allow early therapeutic intervention.

Key words:
faulty posture, body posture, prevention, correction

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Preventive Physical Therapy as a Health Need and Service. Theoretical Background

Zofia Kubińska, Kamil Zaworski

Z. Kubińska, K. Zaworski – Preventive Physical Therapy as a Health Need and Service. Theoretical Background. Fizjoterapia Polska 2018; 18(2); 58-68

Abstract

Under the Act on the Profession of Physical Therapist, preventive physical therapy is one of the health services provided within physical therapy activities. Its task is to promote pro-health behaviours and to develop and maintain fitness and endurance of people of different age, for the purpose of preventing disability.There are three levels of preventive physical therapy – primary, secondary and tertiary. Primary preventive physical therapy is addressed at the whole population or at susceptible groups. Its purpose is to provide the knowledge of and skills for maintaining health using proper types of physical activity. Secondary preventive physical therapy covers the activities undertaken after the occurrence of the first signs of disease. Its purpose is to prevent the consequences of the diseases or to inhibit the development of the expected but not yet visible, signs. Tertiary preventive physical therapy includes the activities undertaken in the case of a developed disease or dysfunction which are not possible to cure. Its purpose is to prevent the exacerbation of signs and to provide optimum compensation mechanisms.The following persons are statutorily obliged to develop the life and special skills directed towards (propedeutic) competences in the scope of preventive physical therapy: parents, teachers, health promoters, caretakers, nurses, physicians and physical therapists.

Key words:
physical therapy, preventive physical therapy, preventive treatment

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