The impact of remote learning on the silhouette of a school-age child in the era of the Sars-CoV-2 coronavirus pandemic

Marzena Wiernicka, Emilia Brulińska

Dr. Marzena Wiernicka was interviewed by Emilia Brulińska – Through the eyes of an expert – The impact of remote learning on the silhouette of a school-age child in the era of the Sars-CoV-2 coronavirus pandemic. Physiotherapy Poland 2021; 21(3); 5-7
Available in paper edition only – only Polish version

Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly

Reham R. Mahmoud, Awny F. Rahmy, Mohamed G. Ibrahim, Abeer A. Farghaly – Effect of Pulsed Electromagnetic Field on Walking Capacity in Patients with Peripheral Arterial Disease. Fizjoterapia Polska 2021; 21(3); 226-232

Abstract
Background. Peripheral arterial disease (PAD) is a common vascular disorder characterized by intermittent claudication with costly complications and marked reduction in functional capacity. The pulsed electromagnetic field (PEMF) has been used widely for different patient populations owing to its analgesic, anti-inflammatory, and angiogenetic effects, however, its use in the management of PAD has been recently introduced. Aim. this study aimed to assess the effect of PEMF on functional walking parameters in patients with PAD. Material and Methods. Sixty patients with PAD (Fontaine stage II), aged from 45-65 were divided into two groups A & B. Group (A) received pulsed electromagnetic field for 60 minutes/session, 3 sessions/week, and for 8 weeks plus drug treatment, whereas, group (B) only received the traditional drug treatment for 8 weeks. The endpoints of the study were claudication pain distance (CPD), maximal walking distance (MWD), claudication pain time (CPT), maximal walking time (MWT), and ankle-brachial index (ABI). Results. There were significant changes in all measured variables compared to the baseline in the two groups. There were significant differences between the two groups in CPD, MWD, CPT, MWT, and ABI in favor of the PEMF group (P < 0.05). Conclusion. PEMF could be an effective therapeutic modality that can help improve the functional walking capacity in patients with PAD (Fontaine stage II).
Key words:
Pulsed electromagnetic field, peripheral arterial disease, walking capacity, Intermittent claudication
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Analysis of pain and quality of life in women after radical and sparing mastectomy

Kinga Czaja, Zbigniew Śliwiński, Edyta Dziewisz-Markowska, Kamil Markowski

Kinga Czaja, Zbigniew Śliwiński, Edyta Dziewisz-Markowska, Kamil Markowski – Analysis of pain and quality of life in women after radical and sparing mastectomy. Fizjoterapia Polska 2021; 21(3); 214-225

Abstract
Objective. The objective of the study was to analyse pain and quality of life in women after radical and sparing mastectomy. The quality of life after radical mastectomy compared to sparing mastectomy was characterized, assessing difficulties in everyday life and work, as well as limitations in undertaking various activities caused by pain after the procedure. The study verified whether the type of mastectomy significantly impacted selected aspects of life.
Material and method. The questionnaire-based study was carried out among 100 patients of Holy Cross Cancer Centre, aged 29 to 88 years, after radical and sparing breast cancer treatment. In order to compare the values of quantitative and qualitative variables between the groups, Student’s t-test, chi-square test, Mann-Whitney test and Shapiro-Wilk test were used. A significance level of p <0.05 was adopted in the course of the analysis. Statistical analysis was performed using Statistica 13.1 by StatSoft; the data was collected in Excel 2016.
Results. The analysis showed no statistically significant differences in the level of pain intensity in each analysed area between the groups of women, however, it confirmed a statistically significant correlation between the type of surgery performed and the onset of pain as well as limitations in everyday functioning. The analysis showed no statistically significant differences in pain intensity depending on the treatment period.
Conclusions. The level of pain after radical and sparing mastectomy was similar. After radical mastectomy, the patients’ quality of life was lower than after sparing mastectomy. Rehabilitation reduced pain intensity and improved the patients’ quality of life.
Key words:
radical mastectomy, sparing mastectomy, rehabilitation, quality of life
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Effect of ketogenic diet and aerobic exercise on glucose level in prediabetes female with normal weight: A randomized controlled trial

Mona Mohamed Abdelkhalek, Hend Reda Sakr, Hanaa Mohsen Abd -Elfattah, Fairouz Hatem Ameen

Mona Mohamed Abdelkhalek, Hend Reda Sakr, Hanaa Mohsen Abd -Elfattah, Fairouz Hatem Ameen – Effect of ketogenic diet and aerobic exercise on glucose level in prediabetes female with normal weight: A randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 206-211

Abstract
Objectives. It is well known that Individuals with prediabetes have a high risk of developing type 2 diabetes. This study aimed to compare the effect of combination of ketogenic diet and aerobic exercise interventions versus ketogenic diet alone on the glucose level in prediabetes female with normal weight. Methods. A total of sixty volunteer prediabetes females with normal body mass index (BMI) from 20-25 kg/m2 their age ranged from 40-60 years old, randomly divided into two equal groups and were recruited for a three-month trial. Group (I) (n = 30) treated by continuous aerobic exercise in form of treadmill 5 sessions per week and ketogenic diet. Group (II) (n = 30) treated by ketogenic diet alone. The primary outcome was the fasting plasma glucose and glycated hemoglobin while the secondary outcome was   body mass index and waist circumference. The outcome measures were measured before and after intervention for both groups. Results. Comparing both groups post-treatment revealed that there was significant improvement in fasting plasma glucose and glycated hemoglobin in favor of Group (I). Conclusion. combined continuous aerobic exercise and ketogenic diet improve glucose level in prediabetes female through decrease fasting plasma glucose and glycated hemoglobin.
Key words:
Prediabetes, Ketogenic diet, Aerobic exercise, Fasting plasma glucose, Glycated hemoglobin
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Long-term evaluation of the quality of life of patients with osteoarthritis treated conservatively and surgically

Marcin Świątczak, Aneta Nowicka, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski

Marcin Świątczak, Aneta Nowicka, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski – Long-term evaluation of the quality of life of patients with osteoarthritis treated conservatively and surgically. Fizjoterapia Polska 2021; 21(3); 198-204

Abstract
Introduction. Osteoarthritis of the hip joint is one of the most common chronic diseases of the locomotor system. Total hip replacement (THR) is a treatment option of choice alongside conservative treatment. The aim of the study was the long-term assessment of the quality of life of patients after total hip replacement surgery and after conservative treatment.
Material and methods. The study group consisted of 35 patients diagnosed with many years of osteoarthritis of the hip who underwent THR with posterolateral surgical approach. The assessment was carried out at the Department of Orthopedics and Traumatology of the University Teaching Hospital WAM – CSW in Łódź. The control group consisted of 15 patients with long-term osteoarthritis of the hip, treated conservatively. Medical data were obtained from the history of the disease and the author’s questionnaire, while the World Health Organization Quality OF Life (WHOQOL) – BREF questionnaire was used to assess the quality of life.
The obtained results were statistically analyzed with the use of MS Office and the Student’s T-test, considering the results below p <0.05 as statistically significant.
Results. The assessment of domains was similar in both groups, the greatest dissonance was observed in the assessments of the somatic and social domains. Based on WHOQOL-BREF questionnaire, the majority of patients in the study group rated the quality of life from 60% to 70% of the maximum value, the highest psychological sphere, the least somatic. In the control group, the social domain obtained 78% of the maximum value, other domains – 74% of the maximum value.
Conclusions. Patients treated conservatively assessed their quality of life higher in all domains than patients who underwent THR. In both studied groups, the “positive” variant of the answer was the most frequently chosen in the WHOQOL-BREF questionnaire.
Key words:
quality of life, osteoarthrotic hip disease, alloplasty
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Legal protection of the physiotherapist as a profession of public trust

Marcin Mikos, Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Tomasz Pęcherz, Ewa Kucharska, Jan. W. Raczkowski

Marcin Mikos, Mateusz Curyło, Marlena Rynkiewicz-Andryśkiewicz, Tomasz Pęcherz, Ewa Kucharska, Jan. W. Raczkowski – Legal protection of the physiotherapist as a profession of public trust. Fizjoterapia Polska 2021; 21(3); 194-196

Abstract
Physiotherapists are regarded as one of the medical professions of public trust. The Act on Physiotherapist Occupation establishes physiotherapists as a medical occupation of public trust. Medical professions of public trust, such as doctors, nurses, and paramedics, have special legal protection not available to physiotherapists. The Act on Physiotherapists has not defined the physiotherapist as a civil servant. It directly deprives physiotherapists of special legal protection that is assigned to civil servants.
Key words:
Physiotherapist – medical profession of public trust, legal protection of physiotherapist, civil servant, the danger of practising physiotherapy
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Deep cervical flexor pressure biofeedback exercise versus integrated neuromuscular inhibition technique in chronic mechanical neck pain: a randomized controlled trial

Eman Mohamed Fahmy, Ghada Ismail Mohamed, Ragia Mohamed Kamel, Amira Hussin Draz

Eman Mohamed Fahmy, Ghada Ismail Mohamed, Ragia Mohamed Kamel, Amira Hussin Draz – Deep cervical flexor pressure biofeedback exercise versus integrated neuromuscular inhibition technique in chronic mechanical neck pain: a randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 186-192

Abstract
Purpose. This study conducted to compare between the effect of deep cervical flexor pressure biofeedback exercise and Integrated neuromuscular inhibition technique on treatment of chronic mechanical neck pain. Materials and methods. Forty-five patients (34 females, 11 males), with age (27.47 ± 3.29) years with Chronic mechanical neck pain randomly assigned into three equal groups, Group (A): received Deep cervical flexor pressure biofeedback exercise plus traditional program, Group (B): Integrated neuromuscular inhibition technique plus traditional program and Group (C) only traditional program (Infrared, Ultrasonic, and massage) for three weeks, three sessions per week. The outcomes measured by inclinometer for cervical range of motion assessment in six directions, visual analogue scale for pain and neck pain disability index for functional disability, before and after treatment. Results. within group analysis revealed significant difference in range of motion, pain and neck pain disability index before and after the treatment in the three groups as p ˂ 0.05, and between group analysis revealed significant difference of range of motion, pain after treatment in favor to group A, as p ˂ 0.05 while no significant difference between group A, B in NDI as P > 0.05. Conclusions. Deep cervical flexor biofeedback exercise and Integrated neuromuscular inhibition technique are effective modalities for treating chronic mechanical neck pain with superior effect of Deep cervical flexor biofeedback exercise.
Key words:
Deep cervical flexor, pressure biofeedback exercise, Integrated neuromuscular inhibition technique, Mechanical neck pain, Neck pain disability index
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Effect of Kinesiology Taping on pain and load in the case of feet with bunionette deformity – a case report

Tobiasz Żłobiński, Anna Stolecka-Warzecha, Barbara Błońska-Fajfrowska

Tobiasz Żłobiński, Anna Stolecka-Warzecha, Barbara Błońska-Fajfrowska – Effect of Kinesiology Taping on pain and load in the case of feet with bunionette deformity – a case report. Fizjoterapia Polska 2021; 21(3); 178-185

Abstract
Objective. Assessment of the impact of Kinesiology Taping (KT) on the change of foot position and the way it functions in a standing position and while walking in the case of a patient with bunionette deformity.
Material and methods. The article is a report on the use of Kinesiology Taping in comprehensive conservative treatment in the case of bunionette deformity along with the assessment of the effectiveness of therapy through computer examination of the feet. The foot examination included three measurements made on a 3D scanner and on a baropodometric platform, assessing foot load while standing and walking. The first measurement was carried out before KT application, the second one immediately after the application, and the third measurement was made after the period of using KT for a month.
Results. The application of Kinesiology Taping influenced the anthropometric measurements of the foot, as well as the way of redistributing load on individual parts of the feet while standing and walking.
Conclusions. The use of Kinesiology Taping seems to have an impact on the way the foot is positioned, as well as the way the foot biomechanics are shaped in the event of bunionette deformity. In literature we have not found reports on a comprehensive method of conservative treatment of this defect using this method, which may be important in the treatment of patients who do not want or cannot undergo surgery.
Key words:
Kinesiology Taping, bunionette, little toes, foot
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Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy – Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 170-177

Abstract
Background. Dizziness is a common symptom following cervical spondylosis which is due to disturbed sensory input from the neck proprioceptors. Both manual therapy and deep neck flexors training improve cervical joint position sense but yet there is no evidence about the most effective method for improving cervical joint position sense and dizziness in patients with cervical spondylosis. Purpose. To investigate and compare the effect of Mulligan sustained natural apophyseal glides (SNAGs), Maitland mobilization and deep cervical flexors (DCFs) training on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Methods. 56 patients with cervical spondylosis of both sexes aging from 40 to 55 years contributed in this study. Patients were chosen from Out-Patient Clinic, Faculty of Physical Therapy, Cairo University. They were randomly assigned to four groups (one control group and three study groups). Study group I received Mulligan SNAGs mobilization plus conventional physical therapy (Moist hot pack, Transcutaneous nerve stimulation (TENS), deep neck flexors exercises), study group II received Maitland passive mobilization plus conventional physical therapy, study group III received DCFs training plus conventional physical therapy and control group IV received conventional physical therapy only. Primary outcome was cervical joint position sense assessed by Head Repositioning Accuracy (HRA) measurement and secondary measures include assessment of dizziness intensity by dizziness- visual analogue scale (VAS), disability caused by dizziness using dizziness handicap inventory (DHI) and neck pain intensity using Numeric Pain Rating Scale (NPRS), all outcomes measures were assessed for each patient pre and post 6 weeks of treatment program in the four groups (3 sessions ∕week). Results. There was no significant difference in all measured variables (RT HRA, LT HRA, NPRS, Dizziness-VAS and DHI) between group I and II post six weeks of the treatment (p > 0.05). While there was a significant decrease in all measured variables in both group I and II in comparison with that of group III and group IV post treatment (p < 0.05) and in group III in comparison with that of group IV post treatment (p < 0.05).Conclusions. The results showed that both Mulligan SNAGs and Maitland passive mobilization have similar effect on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Each of them was more effective than DCFs in improving these problems.
Key words:
Cervicogenic dizziness; Neck proprioception; Neck pain; Maitland mobilization, Mulligan mobilization; Deep cervical flexors training; Cervical spondylosis
Słowa kluczowe
Zawroty głowy pochodzenia szyjnego, propriocepcja szyi, Ból szyi, mobilizacja Maitlanda, mobilizacja Mulligana, Trening głębokich zginaczy szyjnych, Spondyloza szyjna
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Professional situation of physiotherapists during the COVID-19 pandemic

Damian Durlak

Damian Durlak – Professional situation of physiotherapists during the COVID-19 pandemic. Fizjoterapia Polska 2021; 21(3); 164-169

Abstract
Introduction. COVID-19 epidemy impacted the economic situation in Poland and most of the world’s countries. It caused vast changes in citizens’ professional situation and leaded to employees fears about the future. Significant professional changes were also prepared for physiotherapists.
Aim This research was focused on assessing physiotherapists’ opinions about their current professional situation. Existence of statistically significant correlation between respondents’ answers and sociodemographic characteristics was determined.
Methods Author’s custom survey form was used, consisting of questions about professional situation of respondents. The survey was conducted on a group of 101 physiotherapists.
Results The majority of physiotherapists questioned had not suffered from changes implemented during COVID-19 pandemic, but they would like to receive additional benefits like other medical professions. There was a statistically significant correlation between respondents’ answers and sociodemographic characteristics.
Summary Medical facilities should continue to care about their employees, by offering physiotherapists similar benefits like those available to other medical employees. Despite the epidemiology situation, physiotherapists’ salary and working hours should not be cut.
Key words:
physiotherapists, COVID-19, coronavirus pandemic, professional situation
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