Changes in the level of physical fitness in visually impaired children in the context of rehabilitation

Anna Cabak

Anna Cabak – Changes in the level of physical fitness in visually impaired children in the context of rehabilitation. Fizjoterapia Polska 2003; 3(2); 146-152

Abstract
Background. The main aim of the research was to show positive changes in the level of physical fitness among visually impaired children with age. Physical fitness is also presented as an extremely useful measure of general health for purposes of rehabilitation. Material and methods. 213 children took part in the study (101 blind and 112 partially sighted), ranging in age from 7 to 15 years. The Universal Fitness Test developed by S. Pilicz was applied. The physical fitness level was evaluated on the basis of 3 motor features. Results and Conclusions. The results showed a diminishing gap in terms of physical fitness between visually impaired children and normally seeing peers with age, particularly in respect to blind children.

Key words:
Physical Fitness, blind and partially sighted children, motor development

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Changes in the circulatory and respiratory systems under the influence of magnetic stimulation

Zbigniew Janczak, Anna Cabak, Agnieszka Niemierzycka, Andrzej Magiera

Zbigniew Janczak, Anna Cabak, Agnieszka Niemierzycka, Andrzej Magiera – Changes in the circulatory and respiratory systems under the influence of magnetic stimulation. Fizjoterapia Polska 2004; 4(4); 316-322

Abstract

Background. The aim of our research was to evaluate the impact of magnetic stimulation on recovery following submaximal physical effort.  Material and methods. The study was conducted on a group of 19 students. The subjects performed submaximal effort on an ergometer. The test began with a 50-watt load, gradually increased to a maximum load of 3.5 watt/kg. Directly after exertion, the subjects rested 30 minutes in prone position. While resting, they were subjected to low-frequency magnetic fields (VIOFOR JPS device and a program using Ion Cyclotron Resonance, ICR) or to a placebo. During both the exertion and the resting period we continuously monitored the heart rate, oxygen consumption and minute ventilation of the lungs. The blood lactate concentration was assessed before every test and at 3, 5, 9, 15, and 30 minutes after exertion. Results. No significant differences were found in any of the tested variables between the group subjected to magnetic stimulation and the placebo controls. During the 30-minute rest period the rate of return of the variables to baseline values was identical in both groups. Conclusions. Magnetic stimulation of the whole body applied directly after submaximal physical effort did not significantly influence blood lactate elimination, heart rate, minute ventilation of lungs, or oxygen consumption.

Key words:
physical exertion, spirometry, gasometry
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Acromioclavicular arthropathy – the painful shoulder syndrom

Marek Łyp, Wojciech Maciak, Anna Cabak, Adam Ogonowski

Marek Łyp, Wojciech Maciak, Anna Cabak, Adam Ogonowski – Acromioclavicular arthropathy – the painful shoulder syndrom. Fizjoterapia Polska 2006; 6(1); 51-57

Abstract

Background, The painful shoulder syndrom is very difficult and makes problems even to experiences clinicians. Based on our knowledge of the structure and topography of the acromioclavicular joint two tests to assess the joint were used. These were the passive forced flexion of the upper extremity in the horizontal plain and forced elevation by adduction. Material and methods. The homogenous group of twenty probands with acromioclavicular arthropathy was separated based on the criterion that no other reason of the painful shoulder was observed. The first step of the therapy was an advice to the patients to reduce the movement in the joint and simultaneously the series of treatment with 2,5% ketoprofen was applied. Patients who were not fully recovery were given one or two injection in the joint with 1 ml triamcinolone acetonite and 1 ml 1%-lignocaine. For the subjective assessment we use four steps verbal pain scale. For the objective assessment authors use the special tests for the acromioclavicular arthropathy in physical examination. Results. After ten phonophoresis treatments a full recovery of six patients was observed. Next in 14 patients who was not observed full recovery we use one or two injection with 1 ml triamcinolone acetonite and 1 ml 1%-lignocaine. After the first injection ten of fourteen patients reported no pain in the shoulder region. The four patients who still claimed the pain in the shoulder were given the second injection after a week. The full recovery was observed in two of the cases. The two patients reported an improvement. Conclusion. The correct diagnosis builds the basement of the successful therapy. Phonophoresis with 2,5% ketoprofenem with additional local injection of anaestheticum with glucocorticosteroid (1 ml triamcinolone acetonite and 1 ml 1%-lignocaine) is an effective method of therapy the acromioclavicular arthropathy. The study should be continued with larger groups of patients to present objective results.

Key words:
painful shoulder syndrome, acromioclavicular arthropathy, fonoforesis, injection with glucocorticosteroid
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Early post stroke rehabilitation after heart transplantation

Elżbieta Miller, Zbigniew Śliwiński, Anna Cabak

Elżbieta Miller, Zbigniew Śliwiński, Anna Cabak – Early post stroke rehabilitation after heart transplantation. Fizjoterapia Polska 2007; 7(3); 351-354

Abstract
Brain stroke is the leading cause of disability, and usually affects people after 60. At this age, the risk of concomitant diseases, affecting not only the cardiovascular system is high. The number and intensity of the diseases are often contraindications for early post stroke rehabilitation. Patients after brain stroke and heart transplantation are rare cases. The aim of the study was to present the effectiveness of early post-stroke rehabilitation in case of the 53-year-old man who underwent heart transplantation in 2000, due to congestive cardiomyopathy. The patient was examined 4 times during the 3rd, 6th, 9th and 15th week after the stroke. The test examined muscle strength in Lovett scale and the grade of muscle tone in Ashworth scale. A functional test was performed in Barthel scale and the extent of requiring care and attention — in Rankin scale. The paper presents an individual diagram of physiotherapeutic procedures divided into two stages: the early stage (0-6 weeks) and the transient stage (6-9 weeks), adjusted to the patient’s actual neurological and cardiological state. Basic recovery after physiotherapeutic treatment was obtained before the 9th week. Patients after heart transplantation can be successfully treated by rehabilitation. A substantial progress in medicine obligates to exchange information about rehabilitation treatment of patients with untypical concomitant diseases.
Key words:
brain stroke, heart transplantation, post stroke rehabilitation
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Perception of the physiotherapist profession by first-year students of Polish universities of various educational orientations

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński – Perception of the physiotherapist profession by first-year students of Polish universities of various educational orientations. Fizjoterapia Polska 2009; 9(2); 109-121

Abstract
Background. In Poland at present, physiotherapy studies are offered at three types of school: medical universities, universities of physical education, and schools not specialising in either the medical sciences or physical education. The aim was to compare the perception of the physiotherapist profession by first-year students of different types of universities. Material and methods. The study sample comprised 1145 1st year BA programme students from eleven schools in Poland. The study utili-sed the diagnostic poll method – a questionnaire, which comprised three parts. The Kruskal-Wallis test was used along with the median test and the Chi-squared test (p<0.05). Results. Most students stated that the professional status of physiotherapists is lower than that of doctors (above 52%), but is higher than that of nurses (above 70%). 92% of the students believed that physiotherapists and physicians should work together as partners (p=NS). The vast ma-jority (70%) of the students believed that the physiotherapist profession is related to medicine rather than physical education. Conclusions. 1. The educational orientation of the university did not influence first-year students’ perception of their futurę profession in this study with most of the surveyed stating that physiotherapist is a medical profession. 2. In the light of the findmgs of foreign authors, there is a ne-ed to carry out a study in Poland that would address the issue of the position of the physiotherapist in the therapeutic team in relation to the doctor and the team nurse as well as the other members of the team: dietitian, psychologist and occupational adviser.
Key words:
medical education, physiotherapy, type of university, perception of the profession
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Motivations for studying physiotherapy and familiarity with employment situation among physiotherapy students at variously oriented university-level schools in Poland

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński

Tomasz Wolny, Edward Saulicz, Rafał Gnat, Mirosław Kokosz, Michał Kuszewski, Andrzej Myśliwiec – Motivations for studying physiotherapy and familiarity with employment situation among physiotherapy students at variously oriented university-level schools in Poland. Fizjoterapia Polska 2009; 9(3); 232-244

Abstract
Background. There is considerable interest in studying physiotherapy in Poland and in many countries of the European Union. The objective was to identify the factors that motivate applicants to choose Physiotherapy studies and find out what students know about working in Poland and other EU countries. Material and methods. The study sample comprised 954 1st year BA students from eleven universities: medical sciences (MS), physical education (PE), and other universities (OU). The statistical analysis was based on questionnaires obtained from : 211 MS, 118 PE and 625 OU. Results. Students relied on advice of active physiotherapists when choosing a study programme: 62% ME, 57% PE and 68% OU. Respondents would like to study for the Master’s degree and take up work: 55% PM, 56% PWF and 62% IP. Students were not familiar with employment opportunities: 87% MS, 91% PE and 73%. The most important factors aiding in finding a job are knowledge and skills: 43% MS, 42% PE and 45% OU. Conclusions. 1. The respondents did not choose studies by accident but based their decision on stereotypes. 2. Universities should set great store by their teaching standards as applicants decide to choose a university on the basis of opinions about the particular university. 3. There is a need to develop a professional information service on study opportunities in physiotherapy in Poland that would necessarily include objective information regarding employment opportunities for physiotherapists in EU countries and in the world.
Key words:
employment situation, motivation, European Union, physiotherapy, type of university
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Relationship between repeated infrared sauna therapy and body weight

Aneta Dąbek, Małgorzata Bujar, Janusz Domaniecki, Anna Cabak

Aneta Dąbek, Małgorzata Bujar, Janusz Domaniecki, Anna Cabak – Relationship between repeated infrared sauna therapy and body weight. Fizjoterapia Polska 2009; 9(4); 332-339

Abstract
Background. Infrared sauna therapy is one ofthe least costly safest and widely used ways to eliminate toxins and combat infections and allergies. Repeated sauna use can lower elevated blood pressure and improve arterial elasticity The present study looked at the relationship between repeated sauna therapy and body weight reduction. Material and methods. We examined the effects oftwo weeks ofdaily sauna therapy on body weight in 18 obese patients and in 12 normal-weight patients using an infrared dry sauna system (65°C for 40 min). Patients were weighed before and after the sauna treatment; oral hydration with water was used to compensate for lost weight. Results. Mean body weight was significantly lower after two weeks of sauna therapy (falling by about 1.77 kg in the experimental group and 1.03 kg in the control group). The most marked weight reduction of 5.4 kg was noted in an obese class II man (BMI=36.9). Conclusion. The results suggest that repeated sauna therapy decreased body weight in both obese and normal-weight patients. We consider that repeated sauna therapy is useful in the treatment of obesity.
Key words:
infrared sauna therapy, BMI, treatment of obesity
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Does duration ofintubation influence ventilation parameters following CABG?

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed – Does duration ofintubation influence ventilation parameters following CABG? Fizjoterapia Polska 2010; 10(1); 78-83

Abstract
Background. Contemporary cardiac surgery is increasingly relying on less invasive techniques to minimise hospital stay. We asses-sed the influence ofartificial ventilation time in CABG patients on ventilation parameters.Materiał and methods. The study enrolled 92 men aged 35-75 years following CABG undergoing rehabilitation. Patients were divi-ded into two groups based on duration of intubation: Group I included patients with artificial ventilation time (AVT) <17 hours and Group II those with AVT > 17h The correlation between AVT and respiratory capacity was assessed by spirometry before CABG, on fifth po-stoperative day, and at three months post-CABG.Results. The parameters decreased significantly in both groups on 5th post-operative day, except ERV (ns) in Group II. At 90 days post-surgery, all parameters had increased significantly compared to the 5th post-operative day readings in both groups, but FEV1 had not reached the preoperative level in either group. FVC EX was higher than pre-CABG value in Group I (ns) but not in Group II (p<0.05). VC failed to reach preoperative levels in both groups (Gr I ns, Gr II p<0.005).Conclusions. Most spirometric parameters tended to behave in the same manner irrespective of the duration ofAVT. Shorter AVThad a significant effect only on VC and FVC EX at 90 days after the surgery. The decrease in respiratory capacity was apparently related to the sternotomy associated with cardiac surgery.
Key words:
CABG, spirometry, cardiac rehabilitation
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Analysis of changes in attitudes towards starting the chosen career among physiotherapy students during their Bachelor program studies at university-level schools of differenteducational orientations

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kuła, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński, Andrzej Wall

Joanna Gotlib, Dariusz Białoszewski, Anna Cabak, Katarzyna Barczyk, Aleksandra Bauer, Wojciech Kuła, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński, Andrzej Wall – Analysis of changes in attitudes towards starting the chosen career among physiotherapy students during their Bachelor program studies at university-level schools of differenteducational orientations. Fizjoterapia Polska 2010; 10(1); 25-36

Abstract
Background. The education of physiotherapists in Poland takes place at three types of university-level schools: medical universities, universities of physical education and universities of other orientations. The orientations differ in terms of: educational traditions, teaching quality and various approaches to the subject of study. The objective of this study was to analyze the perception of the futurę career in physiotherapy by comparing first- and third-year students from universities of different orientations. Material and methods. The study involved 1145 students from 11 university-level schools. The same students were sun/eyed twice: during the first and third year of their studies. The research tool was a yoluntary anonymous questionnaire designed by the authors containing a total of 88 questions. The analysis (Statsoft STATISTICA 8) was based on the following non-parametric statistical tests: the chi-square (x2) test, Kruskal-Wallis test and Wilcoxon signed-rank test (p<0.05). Results. The third-year students were morę willing to undertake Master-level studies and significantly less willing to embarkon their chosen career than when they were in the first year. While the familiarity with opportunities for starting their career as physiotherapists had increased significantly, most students still declared that they were not familiar with them. Most students claimed that it was easy to findajob in other European Union countnes. Conclusions. 1. In the study group, the school orientation had no significant influence on the students’attitude towards their futurę chosen career. 2. It is important that the education curricula for the students of Bachelor-level studies in physiotherapy be complemented with objecth/e source.
Key words:
students, vocational attitudes, starting a career, European Union
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Analysis of physiotherapy students’ opinions on curricula in university-level schools of different educational orientations

Dariusz Białoszewski, Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński

Dariusz Białoszewski, Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Wojciech Kułak, Piotr Majcher, Olga Nowotny-Czupryna, Maciej Płaszewski, Janusz Sierdziński – Analysis of physiotherapy students’ opinions on curricula in university-level schools of different educational orientations. Fizjoterapia Polska 2010; 10(2); 136-148

Abstract
Introduction and Objective. Physiotherapy as a university degree programme was first offered in Poland in 1997, with courses including 3-year Bachelor-level and 2-year Master-level programmes. The education of physiotherapists in Poland currently takes place at three types of university-level schools: medical universities (MS), universities of physical education (PE) and university-level schools of orientations not connected with medicine or physical education (OU).This study aims to analyse and compare opinions of MS, PE and OU students on the curricula offered by the three types of university-level schools. Material and methods. The study involved a total of 593 students in their third year of Bachelor programme studies from 10 university-level schools of different educational orientations. Participation in the study was voluntary and anonymous involved completing a questionnaire distributed in March and April 2009. The questionnaire, designed by the authors, consisted of 4 parts and contained a total of 88 questions. The statistical analysis of the survey data (STATISTICA 9.0) was conducted using the Kruskall-Wallis test. Results. The majority of MS students believed the amount of practical classes was appropriate, while PE and OU participants assessed it as insufficient (p=NS). The MS students were satisfied with the amount of time of working directly with patients during clinical classes, while their PE and OU counterparts found the time insufficient. The largest number of MS, PE and OU participants declared that training in special techniques in physiotherapy was insufficient (p=NS). Conclusions. 1. It would be advisable to combine the clinical experience of medical universities with the facilities and teaching staff of specialists in physiotherapy-related courses available in universities of physical education in order to improve the quality of physiotherapy education in Poland.2. In view of the current level of research in physiotherapy, it seems important to provide students with high quality training in state-of-the-art physiotherapy techniques.
Key words:
physiotherapy, students, Bachelor-degree programmes, medical universities, universities of physical education
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