The symptoms of an overactive bladder in Polish students of physiotherapy

Aneta Dąbek

Aneta Dąbek – The symptoms of an overactive bladder in Polish students of physiotherapy. Fizjoterapia Polska 2021; 21(3); 120-126

Abstract
Introduction. Overactive bladder (OAB) is a condition that is diagnosed by at least one of three symptoms: pollakiuria, nocturia, and strong urinary urgency. Overactive bladder is a social disease. It is estimated that problems with OAB affect from 2% to 53% of the population.
Objective. The objective of the study was to assess the incidence of overactive bladder in a group of potentially healthy people and to assess the risk factors for OAB.
Material and methods. The study group consisted of 85 students (58 women and 27 men) of Warsaw Universities, mainly students of courses in the field of physiotherapy. The mean age was 26 (SD = 5.74). The research tools were: the author’s questionnaire, voiding diary, GPPAQ (The General Practice Physical Activity Questionnaire) and the strip test.
Results. The analysis of data obtained from voiding diaries showed that the most common symptom of OAB was strong urinary urgency (33 people – 39%), followed by pollakiuria (21 people – 25%) and nocturia (15 people – 18%). There was a significant correlation between strong urinary urgency and gender (p = 0.03) and between strong urinary urgency and physical activity (p = 0.04).
Conclusions. 1. The group of potentially healthy students experienced symptoms of overactive bladder, such as pollakiuria, strong urinary urgency and nocturia. 2. The most common symptom of overactive bladder was urinary urgency. 3. Strong urinary urgency was more common among women and physically inactive people.
Key words:
overactive bladder, risk factors, physical activity
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Quantitative and qualitative aspects of physical activity in adults

Tadeusz Kasperczyk

Tadeusz Kasperczyk – Quantitative and qualitative aspects of physical activity in adults. Fizjoterapia Polska 2001; 1(1); 74-75

Abstract
This article deals with the theory of recreation (health) training. Motor activity is a modeling factor that leads to the most advantageous morphological and functional status of the organism. A link is assumed to exist between general health and the level of physical activity. Five different recommendations for a healthy daily dose of movement were subjected to quantitative and qualitative analysis: 1) daily exertion for ten minutes with an intensity equal to 80% of the maximum pulse; 2) 3 times a week for 30 minutes at an intensity sufficient to maintain a pulse rate of 130 (Cooper’s recommendations); 10-15,000 steps daily; a general recommendation that the energy cost of exertion should amount to 1200-2000 Kcal; and a one-hour walk every day. The exertion involved was characterized in terms of the exercise value in Kcal, oxygen consumption during exercise, and the magnitude of exertion as expressed by the so-called metabolic equivalent. It was ascertained by the recommendation of a one-hour daily walk meets the qualitative and quantitative requirements in respect to movement.

Key words:
Physical activity, Exertion, Health

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Atypical presentation of bilateral congenital high hip luxation – case illustration

Marcin Syrko, Jerzy Jabłecki, Andrzej Majer

Marcin Syrko, Jerzy Jabłecki, Andrzej Majer – Atypical presentation of bilateral congenital high hip luxation – case illustration. Fizjoterapia Polska 2006; 6(2); 163-166

Abstract

Congenital hip dislocation present in adults, thanks to the wide prophylaxis, is nowadays quite uncommon in Polish population. There are three distinct forms of this disease: 1) the dysplasia, in which the femoral head, despite some degree of subluxation is contained within the original acetabulum, 2) low dislocation, in which the femoral head articulate with a false acetabulum, and, 3) high dislocation, in which the femoral head has migrated superiorly and posteriorly and articulates with a hollow in the iliac wing. Acetabular deficiencies also have been noted in all three types. Evolution of pathological changes within the pelvis due to this dislocation is well known, resulting in serious locomotion disturbances. Similarly it is maintained in the medical literature that in the above mentioned cases the pain starts at an average age of about 30. This rules have exceptions and the case we observed is one of those. A 64-years of age patient was presented suffering from bilateral congenital high hip luxation. The pain ensuing from the congenital hip disease was localized in lower part of vertebral column appeared no sooner then at the senior age. It was the reason for orthopedic consultation. The patient was during all her life very physically active, participating in her youth in school sport competitions, moved until 64 years of age without crutches. The case was discussed with the reference of a general pathology of congenital hip disease and it’s operative options. It may serve as a prove that a strong dedication to physical activity may seriously diminish the sequels of even serious mutilation.

Key words:
congenital hip luxation, evolution of hip pathology, hip alloplasty, physical activity
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Osteoporosis risk factors vs. BMD in post-menopausal women

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk

Bożena Jasiak-Tyrkalska, Jolanta Jaworek, Bogusław Frańczuk – Osteoporosis risk factors vs. BMD in post-menopausal women. Fizjoterapia Polska 2006; 6(2); 126-132

Abstract

Background. It is commonly known that the main characteristic feature of osteoporosis is bone brittleness, whose complications include fractures. Consequently the most important treatment objective is to prevent fractures by maintaining or increasing bone mass, to prevent falls and injuries, to reduce acute and chronic conditions and to improve physical, and psychosocial functions. The significance of increased physical activity as one of the protective factors that prevent bone fractures in an elderly age needs to be underscored. Osteoporosis becomes a not only a medical challenge, but also a social and economic problem. Such a dynamically growing problem is the reason behind the present paper whose aim is to show if and to what extent selected factors, such as age, body mass and physical activity influence bone mineral density (BMD) in post-menopausal women. Material and methods. 54 women participated in the study, median age 66.8 years. Bone mineral density was determined on the basis of a densitometric test, which was then juxtaposed with osteoporosis risk factors and correlations were analysed. On the basis of body mass and height of study participants the body mass index was calculated (BMI). Data concerning physical activity over the last dozen years or so was obtained during an interview. The level of physical activity was assessed using a four-grade scale developed by the author. Results. A statistically significant negative correlation was shown between BMD and the age of women participating in the study (p<0,01). A similar correlation was observed (p<0,01) between (BMD) an the BMI. A very high correlation (p<0,001) was shown between BMD and physical activity of women participating in the study. Conclusions. An important factor in osteoporosis prevention is physical activity. Age is not necessarily a risk factor in osteoporosis. Moderate overweight has a positive impact on BMD level.

Key words:
osteoporosis, body mass index, physical activity
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Physical exercises to ameliorate the sequelae of osteoporosis

Agnieszka Nawrat, Ewa Zmudzka-Wilczek

Agnieszka Nawrat, Ewa Zmudzka-Wilczek – Physical exercises to ameliorate the sequelae of osteoporosis. Fizjoterapia Polska 2009; 9(1); 69-74

Abstract
Background. The manifestations of osteoporosis, such as fractures, pain, disorders of gastrointestinal and respiratory function, and postural deformities, become evident only after a number of years. Appropriate and regular physical activity makes it pos-sible to ameliorate these signs and symptoms.The goal of the present study was to determine whether a 3-month bone-strength-ening exercise programme can reduce the negative consequences of osteoporosis by increasing mobility in the joints of the pe/wc and shoulder girdles and the spine and improving rib cage mobility.Materiał and methods. The study was carried out at the St. Elizabeth Centrę in Ruda Śląska and involved 30 patients with osteoporosis confirmed by densitometry The patients were divided into a study group and a control group on the basis of their involvement in the bone-strengthening exercise programme. Both groups underwent physical examinations. The following param-eters were evaluated: raising the upper limb forwards through flexion and sideways through abduction, flexion and abduction of the lower limb, sagittal and forward bending of the trunk (finger-floor test) and mobility of the rib cage. Results. The programme of bone-strengthening exercise was shown not to make a significant difference in the parameters of the locomotor system evaluated. Nevertheless, positive changes had been maintained with a tendency towards improvement in the following parameters: raising the upper limb forwards through flexion (41% improvement), mobility of the rib cage (40% improve-ment), and raising the upper limb sideways through abduction (33% improvement). Conclusions. A programme of physical exercise designed to strengthen bones exerts a positive effect slowing down the pro-gression of osteoporosis and may even improve the patienfs overall musculoskeletal health.
Key words:
physical activity, exercise, osteoporosis
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Pain among women with primary dysmenorrhea

Aneta Kościelny, Aneta Dąbek, Witold Rekowski

Aneta Kościelny, Aneta Dąbek, Witold Rekowski – Pain among women with primary dysmenorrhea. Fizjoterapia Polska 2021; 21(2); 84-92

Abstract
Objective. The objective of the study was to assess pain in a group of women with primary dysmenorrhea (PD) and to identify factors that may affect pain intensity. Material and methods. The study involved 336 women with PD symptoms, aged 18–35 years (mean age 23 ± 3.7). The study was conducted using an extensive online questionnaire. The research tools were: the authors’ questionnaire, the NRS numerical pain rating scale, the IPAQ International Physical Activity Questionnaire – short version and the PSS-10 scale of perceived stress. Results. Based on the conducted analysis, a high level of menstrual pain was observed in 64.6% of the women participating in the study. There was no significant correlation between the level of physical activity and pain (p = 0.280). The correlation between physical activity and the duration of menstruation was statistically significant (p = 0.05), as was the correlation between stress and pain (p = 0.05). BMI, pelvic position and body type did not correlate with menstrual pain (p > 0.05). Conclusions. 1. Most of the women participating in the study experienced high levels of pain in the lower abdomen in the first two days of menstruation. 2. Physical activity did not affect pain in the case of the women participating in the study, neither did: BMI, waist circumference, body type or pelvic position. 3. The high level of stress intensified pain in women with PD.
Key words:
pain, primary dysmenorrhea, physical activity
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Following the recommendations concerning pulmonary rehabilitation by parents of children with cystic fibrosis

Oktawia Kuna, Halina Woś, Bożena Kordys-Darmolińska, Agnieszka Ciukszo, Jacek Durmała, Zbigniew Śliwiński, Marcin Mikos, Jan W.Raczkowski, Mateusz Curyło

Oktawia Kuna, Halina Woś, Bożena Kordys-Darmolińska, Agnieszka Ciukszo, Jacek Durmała, Zbigniew Śliwiński, Marcin Mikos, Jan W.Raczkowski, Mateusz Curyło – Following the recommendations concerning pulmonary rehabilitation by parents of children with cystic fibrosis. Fizjoterapia Polska 2021; 21(1); 178-186

Abstract
Introduction. When performed according to the most recent standards, rehabilitation and nebulization enable the prevention of progression of cystic fibrosis.
Aim. The aim of the study was to assess the parents’ knowledge concerning the disease, education of pro-health attitudes, taking care of pulmonary rehabilitation equipment, and following the recommendations on how to perform inhalations correctly.
Materials and methods. Seventy-four parents with at least one child affected by cystic fibrosis participated in a survey, where we applied our own questionnaire.
Results. A majority of the parents claim to possess knowledge about the disease and to be familiar with the specialist terminology; however, a control question does not confirm that. Only 50% of the respondents take advantage of a positive influence of physical effort on the respiratory function, whereas 50% of the children assume incorrect positions during nebulization, and merely half of the parents maintain nebulization equipment in the right way.
Conclusions. Parents still need further education concerning their children’s condition, the principles of their rehabilitation, hygiene, the ways of properly maintaining the equipment, as well as dosing the suitable amount of physical activity on a daily basis.
Key words:
cystic fibrosis, rehabilitation, nebulization, physical activity, education
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Vitamin D and Physical Activity

Sheela Ravinder S., Padmavathi R., Narasimman S., M. Mohan Kumar, K.N.Maruthy

Sheela Ravinder S., Padmavathi R., Narasimman S., M. Mohan Kumar, K.N.Maruthy – Vitamin D and Physical Activity. Fizjoterapia Polska 2020; 20(2); 126-131

Abstract
Aim. To study the impact of physical activity carried out both outdoor and indoor on vitamin D status based on systematic review of literature from various studies.
Materials & Methods. Systematic literature survey was carried out by searching electronic databases including PUBMED, Cochrane library & Google Scholar and was investigated until March 2018 for all case–control studies evaluating the association between physical activity and vitamin D.
Results. Various studies demonstrated that the study participants who took part in physical activity showed positive correlation with both improved 25(OH) levels and significant improvement in quality of life. Few studies attributed rise in vitamin D levels to physical activity done indoors signifying that levels of vitamin D are not improved by solar exposure alone. Hence, though different studies have revealed clear relationship between physical activity and vitamin D in adults, the outcomes were not uniform.
Conclusion. The current review is a collective narrative of various studies that have been carried out in the past (especially over the last decade) to assess the association between vitamin D status and physical activity. Most studies included in the review indicate clearly that there is an elevation in plasma vitamin D concentration in response to physical activity both outdoors and indoors.

Key words:
Vitamin D, physical activity, sunlight exposure

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Džudo kao alternativna metoda rehabilitacije kod multiple skleroze – pilot studija

Katarzyna Wiszniewska, Feliks Jaroszyk, Krystyna Opalko, Małgorzata Wiszniewska

K. Wiszniewska, F. Jaroszyk, K. Opalko, M. Wiszniewska – Judo as an alternative rehabilitation method in multiple sclerosis. Fizjoterapia Polska 2019; 19(1); 30-36

Abstract
Objective. To evaluate the efectiveness of training judo as a part of a physiotheraphy programme in MS patients
Materials and methodology. 4 female RR-MS patients, aged between 32 and 49, have taken part in a 8-week programme. Their condition was evaluated twice – before and after the therapy. Two surveys have been carried out: one prepared by the authors of the study and Multiple Sclerosis Impact Scale (MSIS-29). In order to evaluate the functional state the following methods have been used: Functional Reach Test, 10 m TW (Time Walking) test and the Lovett test (for the following muscles: rectus femoris, biceps femoris, rectus abdominis, deltoideus).
Results. After the therapy the most persisting ailments decresed considerably. The functional tests showed better results and the patients had a better phycological disposition.
Conclusions. Judo training improved both functional and psychogical condition of the patients in the rehabilitation group. The programme proved to be an alternative form of physiotherapy for MS patients.

Key words:
multiple sclerosis, physiotherapy, judo, physical activity

 

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Wpływ aktywności ruchowej na wyrównanie zaburzeń przemiany materii u młodzieży licealnej

Magdalena Madej, Zbigniew Śliwiński

M. Madej, Z. Śliwiński – The influence of physical activity on the alignment of metabolic disorders in secondary school students. Fizjoterapia Polska 2018; 18(4); 102-111

Streszczenie
Wstęp. Celem pracy była ocena wpływu systematycznej aktywność fizycznej na zmiany parametrów ciśnienia tętniczego krwi a tym samym na przemianę materii, rozmieszczenie tłuszczu, składu procentowego mięśni, wody, masy tkanki kostnej w ciele uczniów oraz wartość BMI.
Materiał i metody. Badaniami objęto 98 uczniów, którzy nie uprawiają regularnie aktywności ruchowej, oraz 98 uczniów którzy uprawiają sport przynajmniej 3-4 razy tygodniowo. Pacjentów przebadano pojedynczo według ustalonego schematu: analiza bioimpedancji tkankowej, pomiar obwodu talii oraz bioder, wykonanie próby wydolnościowej Martineta. Na koniec anonimowa ankieta dotycząca stylu życia.
Wyniki. Niższe średnie wartości wskaźnika BMI, WHR oraz składu procentowego tłuszczu odnotowano wśród uczniów, którzy regularnie uprawiają uprawiają sport. Ci sami, wykazali również lepszą wydolność organizmu.
Wnioski. Przeprowadzone badania jednoznacznie udowadniają, iż systematyczna aktywność fizyczna, ma korzystny wpływ na organizm człowieka. Gwarantuje maksymalną efektywność organizmu, chroni przed wieloma chorobami metabolicznymi, ma wpływ na proporcje składu ciała oraz jest nieodłącznym elementem dobrego samopoczucia. W większym stopniu w grupie badanej. Różnica była istotna statystycznie.

Słowa kluczowe:
aktywność ruchowa, przemiana materii, bioimpedancja, BMI, choroby metaboliczne

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