Ewa Puszczałowska-Lizis, Paweł Rychter, Sławomir Jandziś, Patryk Zygmunt
Ewa Puszczałowska-Lizis, Paweł Rychter, Sławomir Jandziś, Patryk Zygmunt – Influence of classical massage on pain and functional state of people with lumbar discopathy. Fizjoterapia Polska 2021; 21(3); 8-18
Introduction. Pain in the lumbar spine is a medical and social problem in highly developed countries. In Europe, about 25-43% of people suffer from them. Approximately 25-60% of patients suffer from chronic, progressive ailments, which lead to both incapacity for work and limitation of activities of daily living. The aim of the study was to assess the impact of classic massage on pain and functional state of people with lumbar discopathy.
Material and methods. The study included 61 people aged 45–50, attending therapy at the Independent Public Health Care Facility in Leżajsk due to pain in the lumbar spine. Patients were classified into 2 groups, depending on the applied rehabilitation program. The research tool was the NRS scale and questionnaires: ODI i RMDQ. The Chi-square test, Mann-Whitney U test, Wilcoxon test, Pearson linear correlation and Spearman rank correlation were used for analyses.
Results. After treatment statistically significant reduction of pain and improvement of functional efficiency were noted in both groups. A statistically significant positive relationship was found between the amount of improvement in functional capacity assessed by the ODI questionnaire and the age of patients (R = 0.43; p = 0.026).
Conclusions. Classical massage has an effect on relieving pain and improving functional performance in people with lumbar discopathy. There are relationships between functional performance and age in people with lumbar discopathy. The improvement in functional performance is smaller with age. Body build is not a factor affecting the severity of pain and functional performance of people with lumbar discopathy.
lumbar spine, pain, functional efficiency
Ewa Puszczałowska-Lizis, Filip Śmigiel, Katarzyna Zajkiewicz
Ewa Puszczałowska-Lizis, Filip Śmigiel, Katarzyna Zajkiewicz – Evaluation of progress of psychomotor therapy in children and youth with mental handicap and musculoskeletal disorders. Fizjoterapia Polska 2010; 10(1); 60-68
Background. The rehabilitation of children and youth with mental handicap and musculoskeletal disorders is a difficult for both the therapist and the patient. To evaluate the effectiveness of therapy of mentally and physically handicapped children and youth and examine the correlation between therapeutic success and the degree of disability and place of residence.Materials and methods. The study involved two examinations of a group of 40 children attending a Centrę of Rehabilitation and Education in Rzeszów. The primary research tool was the PEDI scalę, which was used to evaluate the capacity for and performance of functional activities in three categories: independence, mobility and social functions.Results. Profoundly handicapped children and youth attained better results in independence and social function skills than persons with moderate and marked mental handicap. lmprovements in independence were seen in children aged 8-14 years from rural areas while improved social functions was seen in children aged 8-14 years living in urban areas and children in aged 15-17 years living in rural areas.Conclusions. The selection of therapeutic modalities should take into account the intellectual ability ofthe handicapped persons. The place of residence can influence the functions investigated in the study only up to a certain period oflife.
children rehabilitation, mental handicap,musculosceletal disorders, PEDI scale
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Ewa Puszczałowska-Lizis, Paweł Lizis
Ewa Puszczałowska-Lizis, Paweł Lizis – The influence of systematic physiotherapy on upper limb function in post-mastectomy women. Fizjoterapia Polska 2011; 11(1); 41-48
The aim of this paper was to evaluate the effect of physiotherapy on upper limb function in post-mastectomy women. Thirty-three women attending the Amazons Post-Mastectomy Women’s Club at the Holy Cross Cancer Centre in Kielce were examined on two occasions at three months’ interval. The participants were divided into Group I of 15 patients regularly attending rehabilitation and Group II of 18 patients practicing rehabilitation occasionally. Bilateral measurement of the angular range of motion in the shoulder was the basic method of assessment. A shoulder range of motion of the upper limb on the operated side smaller by more than 10° in relation to the opposite limb was regarded as ROM limitation. Upper limb circumferences were also measured at 10 cm above and below the lateral humeral epicondyle and in the central metacarpus excluding the thumb to an accuracy of 1 mm. Circumferences of the upper limb on the operated side greater by more than 2 cm compared to the opposite limb were regarded as lymphoedema. Our evaluation of statistical significance of correlations between qualitative parameters (influence of rehabilitation on limitation of the shoulder range of motion and incidence of lymphoedema) relied on the non-parametric Chi-square test (χ²).There was a statistically significant correlation between regular rehabilitation practice and the shoulder range of motion and persistence of upper limb lymphoedema on the mastectomy side.Physiotherapy improves ROM and effectively prevents deterioration of upper limb lymphoedema in post-mastectomy women.
breast cancer, mastectomy, shoulder joint, range of motion, lymphoedema
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Ewa Puszczałowska-Lizis, Izabela Zbrońska, Małgorzata Słomiana, Sabina Lizis
Ewa Puszczałowska-Lizis, Izabela Zbrońska, Małgorzata Słomiana, Sabina Lizis – Effects of therapy of children with psychomotor development disorders in the Conductive Education system. Fizjoterapia Polska 2021; 21(1); 106-111
Introduction. Children with psychomotor disorders require specialized, interdisciplinary, coordinated revalidation and therapeutic interventions focused on correcting developmental deficiencies or their compensation. The aim of the study was to assess the impact of a 3-month therapy in the Conductive Education system on independence, mobility and social functions of children with psychomotor retardation.
Material and methods. The study included 80 6-year-old children with psychomotor retardation. The research tool was the Pediatric Evaluation of Disability Inventory – PEDI.
Results. Statistically significant intergroup differences were found in the results of examinations I-II, related to the category: independence, mobility and social functions. There were no statistically significant discrepancies in terms of improvement (differences in the results of examination II versus examination I).
Results. The three-month therapy of children with disorders of psychomotor development in the Conductive Education System resulted in improvement in terms of independence, mobility and social functions. The extent of improvement, which was the difference between the results obtained in examination II and examination I, was comparable to the results of the therapeutic procedures carried out in the Day Ward of Neurorehabilitation.
independence, mobility, social functions, physiotherapy, rewalidation
Ewa Puszczałowska-Lizis, Sylwia Kędzior, Izabela Zbrońska, Sabina Lizis
E. Puszczałowska-Lizis, S. Kędzior, I. Zbrońska, S. Lizis – Attitudes of high school students towards people with disabilities. Fizjoterapia Polska 2020; 20(4); 144-153
Introduction. Social attitude is a relatively permanent system of beliefs, emotions, feelings and behaviors in relation to a given object/person, which is the result of interactions that an individual is subjected to throughout their life. The aim of the study was to assess attitudes of upper secondary school students towards people with disabilities.
Materiał i metody. 287 students (122 women and 165 men) were included in the diagnostic survey using the author’s survey and the Scale of Attitudes Towards Disabled People in upper secondary schools. The data were analyzed based on Chi-square test, Mann Whitney U test, ANOVA Kruskal-Wallis test, post hoc test for multiple comparisons.
Results. Statistically significant relationships were found between gender and irony and mockery behaviors for people with disabilities (p < 0.001) and participation in actions for the disabled (p < 0.001). Gender differentiated the attitude towards charity actions for the benefit of people with disabilities (p < 0.001), and the type of school diversified attitudes of high school youth towards the disabled (p = 0.003).
Wnioski. Men more often directed irony and mockery at people with disabilities. Women had a better attitude to charity campaigns for the disabled and participate in them more often. High school students had definitely more positive attitudes than representatives of vocational schools and technical secondary schools.
social influences, stereotypes, rejection, acceptance, socialization
Ewa Puszczałowska-Lizis, Aleksandra Rokosz, Izabela Zbrońska, Sabina Lizis
E. Puszczałowska-Lizis, A. Rokosz, I. Zbrońska, S. Lizis –The situation of mothers raising children with intellectual disabilities in relation to selected sociodemographic and clinical factors. Fizjoterapia Polska 2020; 20(2); 110-124
Background. The diagnosis of a child’s intellectual disability may trigger different emotions in parents, as a result of which the family may be strengthened, unified or weakened and destabilized. The aim of the study was to assess the situation of mothers raising children with disabilities depending on their age, living environment, education level and the degree of intellectual disability of the child.
Material and methods. The Chi-square test analyzed the results of 103 questionnaires from a diagnostic survey carried out in rehabilitation and educational facilities among mothers of children with intellectual disabilities.
Results. Statistically significant correlations between the age of mothers and the forms of education chosen for children (p = 0.021) and the type of extra classes (p = 0.015) were found. The level of education of mothers showed relationships with the type of sources of information about the specificity of child disorders (p = 0.043), and the degree of disability of the child with the frequency of receiving support from loved ones (p = 0.038), using institutional material help (p = 0.002), the type of factors that are most difficult to accept (p = 0.021), and feelings about the future of children (p = 0.002).
Conclusions. The mothers’ age determines the forms of education and the type of extra-curricular activities. The living environment does not determine the situation of families raising a child with intellectual disability. The mothers’ level of education determines the frequency of using sources of information about the specificity of a child’s disorder. The degree of intellectual disability of a child determines the frequency with which mothers can count on the support of the loved ones, the frequency of using material assistance provided by institutions, as well as the most difficult to accept factors and feelings about the future.
disability, support, acceptance, education
Ewa Puszczałowska-Lizis, Kamila Dobrucka, Izabela Zbrońska
E. Puszczałowska-Lizis, K. Dobrucka, I. Zbrońska – Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes. Fizjoterapia Polska 2019; 19(4); 126-135
Background. Back problems become a medical and social problem in the era of modern civilization. Wide variety of pain syndromes, their recurrent character and persisting pain in chronic cases prompts the search for effective diagnostic and therapeutic methods. The aim of the study was to compare the effectiveness of two spa therapy programs in alleviating pain and eliminating functional limitations in office workers with degenerative disease of the cervical spine.
Material and methods. The study involved 144 office workers aged 45-55, staying on a rehabilitation stay due to pain in the cervical spine caused by degenerative changes. Patients were divided into two groups depending on the rehabilitation programme administered. Research tools was functional tests of the cervical spine (Valsalva, Kernig, compression test and traction test), linear measurements of ranges of cervical spine, NRS scale and NDI questionnaire. The data were analyzed based on the Chi-square test, Student t test, Mann Whitney U test, Wilcoxon test.
Results. In both groups, after improvement, a statistically significant improvement was noted in terms of functional test results, cervical spine movement ranges, NRS scale values and NDI index. The differences in the results obtained in Test II in relation to I were significantly greater for patients from group I. The application of both therapeutic programs had an effect on alleviating pain and improving functional capacity.
Conclusions. Application of both programs contributed to the relief intensity of pain and improved functional capacity, however, the extent of improvement was significantly greater in the case of patients subjected to a program containing mud therapy.
cervical spine, pain, functional capacity, balneotherapy
Ewa Puszczałowska-Lizis, Patrycja Birek, Agnieszka Stanuch-Omorczyk
E. Puszczałowska-Lizis, P. Birek, A. Stanuch-Omorczyk – The degree of adaptation of the urban infrastructure of Rzeszów to the needs of people with disabilities in the opinion of respondents with mobility dysfunction in a wheelchair. Fizjoterapia Polska 2019; 19(3); 68-81
Introduction. Assistance to a person with a disability should be directed both at improving their functional status as well as at the adaptation of the living space. The aim of the study was to analyze the opinion of people with mobility disabilities on the accessibility of buildings and public places in the city of Rzeszów.
Material and methods. A total of 104 residents of Rzeszów, including 44 females and 60 males with mobility dysfunctions in a wheelchair, were surveyed using a diagnostic survey method. The research tool was a questionnaire. The data were analyzed based on the Mann Whitney U test, Kruskal-Wallis test, and then subjected to Dunn posthoc test with Bonferroni adjustment.
Results. Statistically significant differences in the subjective assessment of the degree of adaptation of the category of buildings and public places to the needs of people with disabilities were found (p = 0.029). People with different levels of education had different opinions about adaptation of shopping malls (p = 0.032) and restaurants and pubs (p = 0.005).
Conclusions. The respondents considered cultural and entertainment facilities to be the best adapted, followed by public institutions, and public transport was rated the lowest. People with secondary education rated the adaptation of shopping malls, restaurants and pubs the best, while the respondents with vocational education rated the availability of shopping malls better than people with secondary education; people with higher education assessed the adaptation of restaurants and pubs better than people with vocational education.
disabled, social activity, barriers
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Sławomir Jandziś, Ewa Puszczałowska-Lizis, Maciej Łuczak
S. Jandziś, E. Puszczałowska-Lizis, Maciej Łuczak – Edward Madeyski’s pioneering activities for the development of physiotherapy, physical education and hygiene in Lviv in the years 1870-1906. Fizjoterapia Polska 2018; 18(4); 130-136
Autorzy na podstawie materiałów źródłowych i nielicznych opracowań przedstawili działalność Edwarda Madeyskiego na rzecz rozwoju fizjoterapii, wychowania fizycznego i higieny we Lwowie w latach 1870–1906. Ten z wykształcenia lekarz, a z zamiłowania propagator gimnastyki, fizjoterapii, higieny, dietetyki i zdrowego stylu życia stworzył podstawy teorii wychowania fizycznego. Prezentował kierunek zdrowotno-higieniczny, był zwolennikiem „gimnastyki racjonalnej”, opublikował pierwsze polskie podręczniki do nauczania gimnastyki w szkołach. Głównym celem artykułu jest przedstawienie mało znanej działalności E. Madeyskiego w zakresie fizjoterapii jaką prowadził od 1870 r. we własnym Ortopedycznym Zakładzie Gimnastycznym we Lwowie. Leczył tam przy pomocy czynników fizykalnych (gimnastyka lecznicza, masaż, zaopatrzenie ortopedyczne) dzieci ze schorzeniami narządu ruchu, głównie ze skrzywieniami kręgosłupa. Autorzy przedstawili również działania E. Madeyskiego jako nauczyciela i popularyzatora wychowania fizycznego i higieny w Galicji na przełomie XIX i XX wieku. Jego praca dała podstawy do rozwoju teorii wychowania fizycznego, kształcenia specjalistów gimnastyki oraz działalności zakładów ortopedyczno-gimnastycznych. W uznaniu zasług za wieloletnią działalność leczniczą, pedagogiczną i naukową w 1889 r. cesarz nadał mu tytuł profesora.
fizjoterapia, gimnastyka lecznicza, historia rehabilitacji
Ewa Puszczałowska-Lizis, Paulina Murdzyk, Sławomir Jandziś, Marek Kiljański
E. Puszczałowska-Lizis, P. Murdzyk, S. Jandziś, M. Kiljański – The effects of health resort treatment on hand function in female rheumatoid arthritis patients; Fizjoterapia Polska 2018; 18(1); 74-82
Wstęp. Reumatoidalne zapalenie stawów (RZS), to ogólnoustrojowa, przewlekła choroba tkanki łącznej o podłożu immunologicznym. Typowe dla schorzenia zapalenia stawów, głównie rąk prowadzą do osłabienia chwytu i ubytków funkcji manipulacyjnej, co w wielu przypadkach utrudnia codzienne funkcjonowanie i powoduje zależność od otoczenia. Celem pracy była ocena efektów terapii uzdrowiskowej w aspekcie poprawy funkcji ręki u kobiet z RZS na tle grupy porównawczej pacjentek usprawnianych w warunkach ambulatoryjnych.
Materiał i metody. Dwukrotnym badaniem objęto 120 kobiet z RZS w wieku 35-45 lat, w tym 60 pacjentek usprawnianych w Szpitalu Uzdrowiskowym „Ziemowit” w Rymanowie-Zdroju i 60 pacjentek poddanych terapii w warunkach ambulatoryjnych w Zakładzie Medycyny Pracy NZOZ w Sanoku. Przeprowadzono badanie chwytu szczypcowego i chwytu klucza oraz test Grinda. Do analiz wykorzystano test Wilcoxona i nieparametryczny test niezależności Chi-kwadrat Pearsona.
Wyniki. Po zakończeniu terapii w obu grupach uległa zwiększeniu liczba kobiet, które były w stanie poprawnie wykonać chwyt szczypcowy i chwyt klucza a w teście Grinda nie odczuwały bólu w okolicy stawu nadgarstkowo-śródręcznego kciuka. Stwierdzono również statystycznie istotny, wskazujący na poprawę wzrost wartości punktowych (zgodnie z przyjętym systemem „0-1”) odnoszących się do poszczególnych testów.
Wnioski. Kompleksowe postępowanie w leczeniu uzdrowiskowym i terapia w warunkach ambulatoryjnych w podobnym stopniu wpływają na poprawę parametrów funkcjonalnych ręki u pacjentek z RZS.
choroby reumatyczne, ograniczenia funkcjonalne, rehabilitacja