Long-term evaluation of selected parameters of shoulder girdle and quality of life in post-mastectomy women

Aneta Bac, Anna Jędrzejewska, Renata Woźniacka, Edward Golec

Aneta Bac, Anna Jędrzejewska, Renata Woźniacka, Edward Golec – Long-term evaluation of selected parameters of shoulder girdle and quality of life in post-mastectomy women. Fizjoterapia Polska 2011; 11(3); 261-272

Abstract
The purpose of the above study was to evaluate the quality of life and the type of late postoperative complications in women after breast cancer surgery. The research group consisted of 30 women who underwent treatment for breast cancer. The women were members of the “Amazons” Post-Mastectomy Women’s Club in Tarnów (50%) and in Kraków (50%). The questionnaire dealt with the quality of life and health and was based on the EORTC QLQ-30 questionnaire. The examination chart determined the range of active movement in the joints of the shoulder girdle, limb circumference, potential contracture of the pectoral muscles, measurement of muscle strength and hand strength. The quality of life in the examined women who underwent mastectomy did not change dramatically. In the research group, the range of movement in the shoulder joint on the side of the operated breast became limited in all directions and similarly, the strength of the analyzed muscles decreased. The upper limb lymphoedema was registered in half of the examined women. Pain and sleep disorders were the two postoperative complications that most strongly affected the quality of life in post-mastectomy women.
Key words:
breast cancer, Mastectomy, Quality of Life, shoulder girdle
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The Efficiency of Physiotherapy for Hip Osteoarthritis in the Light of Self-assessed Health-related Quality of Life

Daria Chmielewska, Joanna Wawrzyńczyk, Janusz Kubacki, Edward Błaszczak, Agnieszka Perkowska

Daria Chmielewska, Joanna Wawrzyńczyk, Janusz Kubacki, Edward Błaszczak, Agnieszka Perkowska – The Efficiency of Physiotherapy for Hip Osteoarthritis in the Light of Self-assessed Health-related Quality of Life. Fizjoterapia Polska 2012; 12(1); 59-70

Abstract
The aim of this study was to assess the effectiveness of a 4-week osteoarthritis rehabilitation program in terms of the amount of change in pain severity, range of motion in the hip affected as well as changes in function subscales as determined by SF-36 Health Survey, version 2 (SF-36v2) both in the total study population and in relation to gender. Correlations between the changes and range of motion and pain indices were also analyzed. The study group comprised 30 patients with hip osteoarthritis participating in a 4-week reha­bilitation program. Both active and passive. range of motion (ROM) in the hip joint was assessed Pain severity was measur­ed using the Numerical Rating Scale (NRS). Health-related quality of life was determined by means of SF-36 Health Survey, version 2 (SF-36v2) before and after the rehabilitation program. The analysis of mean scores in SF-36v2 function subscales obtained before and after therapy demonstrated major improvements in health-related quality of life subscales except general physical function. Pain severity decreased as suggested by the bodily pain subscale of the SF-36v2 and numerical rating pain scale. Statistically significant changes in active range of motion after therapy compared to the baseline values observed in the total study population as well as in female and male subgroups seem to confirm the effectiveness of physiotherapy for hip osteoarthritis.
Key words:
Osteoarthritis, Quality of Life, SF36v2 Health Survey
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Assessment of the relationship between the level of physical fitness and the quality of life among women over 60 years old attending physical activity classes in comparison with their non – training peers

Dominika Drelich, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

Dominika Drelich, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska – Assessment of the relationship between the level of physical fitness and the quality of life among women over 60 years old attending physical activity classes in comparison with their non – training peers. Fizjoterapia Polska 2020; 20(5); 150-159

Abstract
Aim. The aim of the study was to assess the impact of regular physical activity on the level of general fitness and quality of life in women over 60 years of age.
Materials and methods. The study included 36 healthy women (18 training and 18 non-training) over 60 years old, among whom the Senior Fitness Test and the WHOQOL–BREF questionnaire were carried out
Results. The analysis of the U Mann-Whitney test showed statistically significant differences for most of the variables between the study groups (p < 0.05) in the Senior Fitness Test (except for the Arm Bending Test, p = 0.137) in favor of training women. Based on the results of the shortened version of the WHOQOL–BREF questionnaire, it was observed that seniors who attend physical exercises consider their standard of living as significantly better than their non-training peers.
Conclusions.
1) Women over 60 years old who regularly attend physical activities, show significantly higher level of physical fitness compared to inactive peers.
2) Active seniors consider their standard of living to be significantly better than that of non-training women.
3) A high level of physical fitness positively correlates with the overall life quality.

 

Key words:
physical fitness, quality of life, Senior Fitness Test, WHOQOL – BREF
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Quality of life of children with ICP as assessed by parents

Artur Marszałek, Zuzanna Płaza, Zbigniew Śliwiński

A. Marszałek, Z. Płaza, Z. Śliwiński – Quality of life of children with ICP as assessed by parents. Fizjoterapia Polska 2020; 20(4); 6-14

Streszczenie

Introduction. Infantile cerebral palsy should not be treated as a separate disease entity. It is a complex of different symptoms resulting from various etiological factors. It is “a permanent, time-changing disturbance of movement or posture, or movement and posture, with dysfunctions, resulting from permanent, non-progressive brain damage at the stage of incomplete development”. It is estimated that the prevalence of cerebral palsy in Poland is 2.0–2.5 per 1,000 live births.
Objective. Assessment of the quality of life of children with ICP based on the opinions of their parents.
Material and methods. The study uses the method of a diagnostic survey. A group of parents of 25 children with infantile cerebral palsy and, as a control group, parents of 25 healthy children were interviewed. For this purpose, the CHQ-PF 50 child health questionnaire was used to measure the parents’ perceptions of their children’s quality of life.
Conclusions. Infantile cerebral palsy, like any other type of disability, reduces the quality of life. ICP has a negative impact on the functioning of children in society, causing them to feel discomfort in various areas of life.

Słowa kluczowe:
cerebral pals, quality of life, physical disability
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Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems

Krzysztof Czupryna, Olga Nowotny-Czupryna, Joanna Szymańska, Renata Szczepaniak

K. Czupryna, O. Nowotny-Czupryna, J. Szymańska, R. Szczepaniak – Quality of life of the family of a child with psychomotor disability in the context of solving everyday problems. Fizjoterapia Polska 2019; 19(3); 54-61

Abstract
There is a strong relation between the type and severity of the disease/disability, the effects of treatment and/or improvement on one hand, and the quality of life on the other. In the case of a disabled child, this relation also includes members of the family. The criterion of a reduced quality of family life is the limitation of its participation in social life assessed in the area of 6 aspects, i.e.: communication, interpersonal relations with the child, mobility, self-care, domes-tic life and social life. The aim of the work is to present everyday problems in the area of the above mentioned aspects of a family with a disabled child in connection with the necessity to acquire new competences by its members.

Key words:
quality of life, disability, limitations of family in social life

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Assessment suitability of the home rehabilitation for increasing the physical and psychological ability of disabled people

Michalina Musiałek, Dariusz Białoszewski, Maciej Janiszewski, Aleksandra Maciąg, Mirosław Dłużniewski

M. Musiałek, D. Białoszewski, M. Janiszewski, A. Maciąg, M. Dłużniewski – Ocena przydatności rehabilitacji domowej w podnoszeniu sprawności fizycznej i psychospołecznej osób niepełnosprawnych. FP 2013; 13(3); 34-40

Abstract
lntroduction: Home rehabilitation is a service provided within the healthcare system. For handicapped people it is typically the only one option to maintain their physical ability of the highest reachable level. Goal of this paper was to analyze, whether home rehabilitation brings benefits to the physical and psychosocial ability of the handicapped people, or not.
Materials and methods: 50 handicapped patients in age between 31 to 89, covered with the home rehabilitation programme, were invited to a survey condition of patients before the beginning of the rehabilitation programme — 1st Part of the survey, and after a half-year period of the rehabilitation — the 2nd Part was assessed. The questions concerned individual experience of patients relating to their physical and psychosocial condition, locomotion, routine activities, falls and ailments. Then the differences in the answers in both parts of the survey were analyzed in order to verify the rehabilitation effects. ln summing The results up, statistical methods available in the Statistica 9PL software were used. Results: Comparative analysis of the surveys, using basic statistics and Wilcoxon signed-rank test showed, among other things, an improvement in physical condition (p<0.05) and psychical condition (p< 0.05), an improvement in locomotion (p<0.07), in ability to leave home (p<0.05) and reduced fear of falling (p<0.05). 96% of The interviewees saw health benefits from the home rehabilitation. Conclusions: 1. The home rehabilitation brings advantages in terms of physical and psychosocial ability. 2. lt is especially important to the handicapped “bedridden” people and to people, who are not able to perform their routine, personal activites and their social roles by themselves.

Keywords:
disability, home rehabilitation, life quality

 

 

Veiksniai, turintys įtakos pacientų su klubo sąnario endoproteze funkciniam efektyvumui

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

M. Kilon, A. Przedborska, J. Kostka, A. Leszczyńska, J. W. Raczkowski – Factors influencing functional performance of patients after hip joint arthroplasty. Fizjoterapia Polska 2019; 19(2); 122-128

Abstract
Aim. The aim of the study was to assess factors affecting functional status of patients after total unilateral hip arthroplasty.
Material and methods. A total of 50 patients (33 women, 17 men), aged 29-88 years (mean 66,7 ± 13 years) with unilateral hip joint prosthesis were included in the study. The assessment of the balance and gait function was made on the basis of the following tests: Tinetti, Timed Up and Go (TUG) and the two scales test, on the basis of which the Symmetry Index (SI) was calculated. The degree of pain sensation while walking on a flat surface and on stairs and the level of stiffness were estimated using the Likert scale. To assess the ability to perform simple and complex daily activities, the Katz ADL (Activities of Daily Living) and the Lawton IADL (Instrumental Activities of Daily Living) scales were used. Self-assessment of the quality of life was also made on the basis of a numerical rating scale. Moreover, the body mass index (BMI) was calculated.
Results. Age of patients, pain and stiffness determined the majority of test results and functional scales. Patients suffering from more diseases achieved worse results in the Tinetti test. Only the severity of pain while climbing the stairs affected the SI result. Patients reporting more severe pain and morning stiffness were characterized by poorer self-assessment of their quality of life.
Conclusions. Age, pain and morning stiffness affect the functional status and the quality of life of patients with unilateral hip prosthesis. BMI and the time that elapsed since surgery did not affect the patients’ condition.

Key words:
hip joint arthroplasty, quality of life, functional status

 

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Zmiany jakości życia osób z przewlekłym niedokrwieniem kończyn dolnych pod wpływem terapii energotonowej

Joanna Szymańska, Olga Nowotny-Czupryna, Krzysztof Czupryna, Renata Szczepaniak

J. Szymańska, O. Nowotny-Czupryna, K. Czupryna, R. Szczepaniak – Improvement in the quality of life of persons with chronic lower extremity ischaemia after high-tone power therapy. FP 2017; 17(3); 64-73

Streszczenie

Wstęp. PNKD powoduje obniżenie zdolności chodzenia czego powodem jest spowodowane bólem ograniczanie aktywności fizycznej. Jest to zasadniczy element obserwowanego u tych chorych obniżenia jakości życia. Z tych też powodów jednym z celów terapeutycznych jest zmniejszenie ubytku wydolności fizycznej, do której doszło wskutek wieloletniej zwykle bardzo niskiej aktywności ruchowej.
Celem pracy było sprawdzenie, czy u pacjentów z PNKD terapia energotonowa wpływa na poprawę możliwości funkcjonalnych w zakresie chodu, a poprzez to poprawia jakość życia w ich własnej ocenie.
Materiał i metodyka. Badaniami objęto 68 chorych w wieku 40-70 lat, których
przydzielono do grupy A – zasadniczej i B – kontrolnej. Oceniano ich możliwości funkcjonalne w zakresie chodu z wykorzystaniem kwestionariusza WIQ – Walking Impairment Questionnaire, oceniającego 4 domeny: dystans chromania, szybkość chodzenia, natężenie chromania, zdolność chodzenia po schodach. Badanych z grupy A poddano serii zabiegów terapii energotonowej, zaś w grupie B zabiegi te były symulowane.
Wyniki. Wykazano różnice w każdej badanej domenie kwestionariusza WIQ, jednak istotne tylko w grupie A. Największe zmiany dotyczyły bólu i kurczów łydek, nieco mniejsze prędkości chodu oraz chodzenia na różnych dystansach, zaś najmniejsze możliwości chodzenia po schodach. Pewne zmiany odnotowano też w grupie kontrolnej, ale były one mniej wyraźne i dotyczyły niektórych tylko domen kwestionariusza WIQ.
Wnioski. Terapia energotonowa powoduje subiektywną poprawę możliwości funkcjonalnych w zakresie lokomocji we wszystkich domenach samooceny chorych. Poprawa funkcji kończyn dolnych uwarunkowana jest obecnością dodatkowych czynników, stanowiących swego rodzaju czynniki ryzyka choroby.

Słowa kluczowe:
terapia energotonowa (HiToP), jakość życia, przewlekłe niedokrwienie kończyn dolnych (PNKD)

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Quality of life in patients with lumbar spinal pain

Zbigniew Śliwiński, Malwina Śliwa, Małgorzata Starczyńska, Wojciech Kiebzak

Z. Śliwiński, M. Śliwa, M. Starczyńska, W. Kiebzak – Quality of life in patients with lumbar spinal pain. FP 2014; 14(2); 26-39

Abstract

In recent years, increasing attention has been drawn to the need of a holistic approach to patients. Studies involving the measurement of the quality of life and taking into consideration not only the physical, but also emotional and spiritual aspects of well-being, have been conducted with increasing intensity over the last few decades. In case of disorders as common as spinal pain syndromes, the measurement of the intensity of pain is particularly important, as these diseases are a scourge for the developing societies. The goal of this study was to present and popularize data on the quality of life. The study included 38 subjects (23 females and 15 males) complaining of lumbar spinal pains. The study group was diverse in many aspects, including age distribution. The studies revealed different levels of quality of live impairment depending on the degree of impairment as the result of the disease. Conclusions based on the survey demonstrate the need to include the quality of life in the rehabilitation process. Measurements of the quality of life provide much information on the patient, their attitude to the disease as well as the rehabilitation process.

Key words:
quality of life, Roland-Morris low back pain questionnaire, low back pain, Oswestry Disability Index, Ferrans and Powers Quality of Life Index

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Badanie wpływu masy ciała oraz aktywności fizycznej na jakość życia młodzieży gimnazjalnej

Anna Kogut, Marek Kiljański

A. Kogut, M. Kiljański – Studying the impact of body weight and physical activity on quality of life of junior high school students. FP 2017; 17(1); 14-22

Streszczenie
Wprowadzenie. Nadwaga i otyłość obecnie stanowią poważne zagrożenie zarówno w Polsce, jak i na świecie. Dotykają one nie tylko osób dorosłych. Z roku na rok powiększa się liczba dzieci i młodzieży borykających się z problemem nadwagi lub otyłości. Nieakceptowanie własnego ciała może przyczynić się do obniżenia jakości życia u tych osób. Ważnym aspektem staje się regularnie podejmowana aktywność fizyczna.
Cel pracy. Badanie wpływu masy ciała i aktywności fizycznej na jakość życia młodzieży gimnazjalnej.
Materiał i metoda. Badania wykonano u 57 osób (w tym 29 dziewczynek i 28 chłopców), w wieku od 12-15 lat (średnia 13,75 roku). W badanej grupie przeprowadzono ankietę dotyczącą aktywności fizycznej, Inwentarz poczucia własnej wartości CSEI S. Coopersmitha oraz wykonano cztery testy sprawnościowe.
Wyniki. Po zebraniu danych i analizie wyników nie zaobserwowano obniżenia jakości życia osób, u których BMI przekraczało górną granicę normy.
Wnioski. Nadmierna masa ciała nie powoduje obniżenia jakości życia nastolatków.
Poziom aktywności fizycznej nie wpływa na jakość życia młodzieży.
Częstość aktywności fizycznej znacząco wpływa na samoocenę i poczucie własnej wartości.

Słowa kluczowe:
jakość życia, BMI, otyłość, aktywność fizyczna

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