Author: Ewa Puszczałowska-Lizis, Sabina Lizis, Dominik Szymański, Izabela Rutkowska

Self-assessment of back pain incidence in nursing staff and physicians

Ewa Puszczałowska-Lizis, Sabina Lizis, Dominik Szymański, Izabela Rutkowska

 

Ewa Puszczałowska-Lizis, Sabina Lizis, Dominik Szymański, Izabela Rutkowska – Self-assessment of back pain incidence in nursing staff and physicians. Fizjoterapia Polska 2023; 23(2); 48-54

DOI: https://doi.org/10.56984/8ZG0DF528

 
Abstract
Introduction. Musculoskeletal disorders and diseases related to the spine constitute a seri-ous medical, social and economic problem. The aim of this study was to self-assessment of back pain incidence in nursing staff and physicians.
Material and methods. The results of 100 professionally active people aged 40-50 were analyzed, including 50 representing the nursing staff  and 50 physicians who suffered from back pain in the two years preceding the study. The research tool was the author’s question-naire and the NDI and ODI indicies. The collected research results were analysed with the use of Mann-Whitney U test and Chi-square test.
Results. Among representatives of both medical professions, back pain occurred with a simi-lar frequency in the cervical and lumbar parts of the spine. We found that 48% of the nursing staff and 46% of physicians used medical care, and about 80% of the respondents used physiotherapy.
Conclusions. There is a need to disseminate spinal pain prevention programs among nursing staff and physicians, which will improve work efficiency.
Key words:
NRS, ODI, WHOQOL-BREF, spine, pain, functional efficiency
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Analysis of somatotype profile of Tarung Derajat arts: A comprative study between movement and combat arts categories

Ardo Okilanda, Didi Suryadi, Mikkey Angga Suganda, Nurul Ihsan, Novi Yanti, Rubiyatno, Riyan Jaya Sumantri, Suciati Rahayu Widyastuti

 

Ardo Okilanda, Didi Suryadi, Mikkey Angga Suganda, Nurul Ihsan, Novi Yanti, Rubiyatno, Riyan Jaya Sumantri, Suciati Rahayu Widyastuti – Analysis of somatotype profile of Tarung Derajat arts: A comprative study between movement and combat arts categories. Fizjoterapia Polska 2023; 23(2); 26-32

DOI: https://doi.org/10.56984/8ZG0DF869

 

Abstract
Study Purpose. Somatotype is a parameter used to determine criteria based on body type. However, not many have done somatotype measurements in selecting prospective athletes. This study aims to analyze the somatotype of athletes in the Tarung Derajat martial arts sport.
Material and Methods. This research uses descriptive research methods with survey research types and quantitative approaches, namely an anthropometric measurement test to identify the type of human body. Anthropometric measurement test is carried out by measuring bone width, body circumference, body fat thickness, weight and height. Perposive sampling technique was used in determining the sample. In this study, there were 30 Tarung Derajat martial arts athletes consisting of 15 categories of motion art and 15 categories of fighting that were sampled.
Results. The results of the study show that the central body type in athletes in the arts of motion with a percentage of 13% and 40% in combat athletes. Furthermore, the endomorph body type is 13% for motion art athletes and combat athletes with a percentage of 7%. For the endomorph-mesomorph body type as much as movement arts with a percentage of 67% and combat athletes by 47%, while for the Mesomorph, Mesomorph-Ectomorph body type there are no athletes and athletes in the arts of motion and fighting have an ectomorph endomorph body type with a percentage of 7%. The results of the study prove that in athletes in the movement arts category and fighters there are similarities in the body type they have which tend to have endomorph-mesomorph.
Conclusions.The conclusion is that the dominant body type in Tarung Derajat athletes shows an endomorph-mesomorph tendency with a percentage value of 67% in the movement arts category and 47% in the fighter category. The data of this study provide the characteristics of fighting somatotypes, which can be used to establish references for systematic research in sports health sciences. The results of this study are expected to influence coaching for training concentration, with more emphasis on somatotype.
Keywords
somatotype, anthropometry, martial arts, Tarung Derajat
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Evaluation of the effectiveness of the treatment of selected conservative methods of stiff and hallux limitus with consideration of orthopedic supplies – review of the literature

Bernadeta Piwowar-Kuczyńska, Michał Zabojszcz, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Michał Zabojszcz, Mateusz Curyło – Evaluation of the effectiveness of the treatment of selected conservative methods of stiff and hallux limitus with consideration of orthopedic supplies – review of the literature. Fizjoterapia Polska 2023; 23(2); 6-11

DOI: https://doi.org/10.56984/8ZG0DF7B

 

Abstract
Introduction. Hallux rigidus and hallux limitus are characterized by limited range of motion of the first metatarsophalangeal joint in the sagittal plane.
Aim of the study. The purpose of this study was to present the possibilities and evaluate the effectiveness of conservative treatment of hallux rigidus and limitus with consideration of orthopedic supplies based on the available literature.
Material and methods. The available literature was analyzed based on English-language databases PubMed, Scopus, ScienceDirect, Medline and others, using the Google Scholar search engine. Twenty-one articles were analyzed out of 51 retrieved by the above method. Publications no older than 21 years were used as search criteria using the following keywords: hallux rigidus, hallux limitus, orthopedic supplies, physiotherapy, orthopedic insoles, surgical treatment.
Results. After analyzing the papers, it was not possible to find a clear answer to determine which conservative treatment of hallux rigidus is the most effective, while each of the mentioned methods brings benefits to the patient.
Conclusions. Contemporary studies indicate that conservative treatment methods for hallux rigidus and limitus are effective. Both orthopedic insoles, drug treatment and physiotherapy provide relief from pain. When a patient is referred for surgery, the doctor has a choice of different treatment methods depending on the stage of the hallux rigidus.
Key words:
hallux rigidus, hallux limitus, conservative treatment, surgical treatment
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Short-term effects of milk (both unpasteurized and pasteurized) on active adolescence hemoglobin

Sumarjo, Sumaryanti, Rizki Mulyawan, Sigit Nugroho, Rini Syafriani, Sulistiyono, Roxana Dev Omar Dev, Dennis Dwi Kurniawan

 

Sumarjo, Sumaryanti, Rizki Mulyawan, Sigit Nugroho, Rini Syafriani, Sulistiyono, Roxana Dev Omar Dev, Dennis Dwi Kurniawan – Short-term effects of milk (both unpasteurized and pasteurized) on active adolescence hemoglobin. Fizjoterapia Polska 2023; 23(2); 12-18

DOI: https://doi.org/10.56984/8ZG0DF232

 

Abstract
Milk consumption is one of the beverages options for the recovery phase. On the basis of the manufacturing procedure, raw and pasteurized cow’s milk are distinguished, but no one has investigated the effect of milk consumption on the hemoglobin levels of active people; some studies only analyze the effect of milk consumption on fitness and recovery advantages. Objective: The aim of this study is to compare the hemoglobin levels of active adolescents who consumed fresh cow’s milk versus pasteurized milk for three consecutive weeks. It is intended that the three-week treatment will have a good effect on hemoglobin levels, hence enhancing physical performance. Methods: Using a quasi-experimental study with a Pretest-Posttest Randomized-Groups Design for three consecutive weeks of milk feeding twice daily per group. Twenty-four university football players were divided into three groups using the approach of purposive sampling: the fresh cow’s milk (SSS) group, the pasteurized milk (SP) group, and the mineral water control group (K). The tool utilized to measure body composition is the Karada Scan Body Fat Omron HBF-356, while the Easy Touch GCHb is used to collect data on hemoglobin. Subjects participated voluntarily and were willing to have blood tested through capillaries before, immediately after, and 30 minutes after exercise. The analysis data uses paired t-test and ANOVA calculations to find differences within and between groups. Results: Hemoglobin immediately after exercise (0) in the post-test (three weeks after treatment) increased significantly (0.020 < 0.05) compared to hemoglobin before exercise (-) in the pre-test (before three weeks of intervention) in all three groups (fresh milk, pasteurized milk, and mineral water). Upon further examination, it was determined that there was a highly significant difference in hemoglobin levels (0.010 < 0.05) between fresh cow’s milk and pasteurized milk immediately after exercise (0) in the post-test (after three weeks of treatment). In contrast, there were no significant differences (p-value > 0.05) for the remaining calculations, both within and between subgroups.Conclusions: After three consecutive weeks of milk consumption, there was no significant variation in the amount of hemoglobin in the blood. To optimize the different elements that can affect the acceleration of the increase in hemoglobin in the blood, it is recommended that further study be conducted to intervene with milk and additional meal intake alongside physical activity.
Keywords
fresh cow milk, pasteurization milk, physical activity, hemoglobin, active people
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Intellectual property law in physiotherapy

Damian Durlak

 

Damian Durlak – Prawo własności intelektualnej w fizjoterapii. Fizjoterapia Polska 2023; 23(2); 134-136

DOI: https://doi.org/10.56984/8ZG0DF83B

 

Abstract
Intellectual property law applies to many spheres of everyday work activity. In many moments we reach for someone else’s inventions, and sometimes we ourselves become the author of literary, photographic or audiovisual works. Also, physiotherapists, during their work, can become authors of non-material works, e.g. photos or recordings of treatments performed according to their original design. Appropriate knowledge of intellectual property law can help to avoid problems related to the use of other people’s inventions in one’s own work, as well as to prevent unauthorized access and dissemination of created works. The aim of this article was to present briefly the issues related to intellectual property law, which also apply to physiotherapists.
Key words:
physiotherapy, intellectual property law, intangible works
Only Polish version available

Effects of intense workout trials and milk intervention on decrease surrogate markers of metabolic syndrome

Rizki Mulyawan, Sumaryanti, Sigit Nugroho, Roxana Dev Omar Dev


Rizki Mulyawan, Sumaryanti, Sigit Nugroho, Roxana Dev Omar Dev – Effects of intense workout trials and milk intervention on decrease surrogate markers of metabolic syndrome. Fizjoterapia Polska 2023; 23(1); 203-211

DOI: https://doi.org/10.56984/8ZG07B425

Abstract
Surrogate markers of metabolic syndrome complications is high levels of glucose and/or cholesterol in the blood. The purpose of this research is to determine whether or not various intensity exercise has a beneficial impact on blood glucose and cholesterol levels in young adults. As a consequence, this study was investigated about how exercise’s influence on lowering the risk of metabolic diseases may be moderated by other factors, including by milk intake. Studies were conducted using a quasi-experimental, single-blind research design. Thirty-five participants were randomly assigned to one of four groups: control (C), moderate intensity (M), high intensity (H), or intermittent (I). The Sysmex XN-1000 is used for checking blood content, while the Cobas Pro is used to analyze blood chemistry in the lab. Using tools like the analysis of variance (ANOVA), the Mann-Whitney test, and the Pearson correlation coefficient, researchers may gauge the importance of inherent correlations and examine how group-level phenomena and interactions affect those coefficients. To sum up, we found that there was a statistically significant difference in glucose levels between the control group and the experimental group (p = 0.012 < 0.05), yet this difference was accompanied by a negative trend showing a rise in content. Also, there was a favorable tendency toward lower glucose and cholesterol levels across all compositions, while it was not statistically significant (p value > 0.05). To sum up, practically all of the variables point to a favorable tendency that that does not statistically significant – in the effect of exercise intensity combined with milk consumption. Exercise and milk intervention have been shown to have positive impacts, but further investigation or longer training sessions are needed to determine their true magnitude.Keywords
supervised workout, milk intervention, metabolic syndrome, glucose, cholesterol
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Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak, Zbigniew Śliwiński


Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak, Zbigniew Śliwiński – Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review. Fizjoterapia Polska 2023; 23(1); 188-202

DOI: https://doi.org/10.56984/8ZG07B914

Abstract
Myofascial pain syndrome (MPS) is one of the most common ailments associated with the human musculoskeletal system, characterised by the presence of the so-called trigger points (TrP – trigger point; MTrPs – myofascial trigger points). The International Association for the Study of Pain indicates that MPS may affect approximately one-third of people with chronic musculoskeletal pain, and that there is a lack of appropriate classification which can be attributed to a misunderstanding and/or misinterpretation of the pathophysiology. Given the diverse causes of pain syndromes in myofascial structures, it is vital to properly select and integrate therapeutic methods. The scientific literature indicates that treatment programmes should include a variety of manual therapy methods and rehabilitation exercises. Trigger point therapies, such as dry needling or dry cupping, are also widely used. At the heart of the success of rehabilitation programmes, in the opinion of the authors of this publication, is their multimodality, i.e. selection of therapeutic methods based on the cause of the pain, providing for measurable, reproducible diagnostic methods in therapy.
Aim of the study. The aim of this study is to analyse and infer conclusions on multimodal myofascial pain therapy programmes.
Material and methods. Given the complex research problem set as the aim, the study was carried out through a literature review in terms of two criteria:
Criterion I (C I): analysis of the literature on the etiology and pathogenesis of myofascial pain (i.e. causes and triggers, symptoms, social and environmental factors determining the onset of MPS), diagnostic procedures (initial diagnosis and ongoing monitoring of treatment outcomes), and therapeutic methods used in the course of MPS.
Criterion II (C II): a literature study of research publications addressing multimodal programmes for myofascial pain therapy, with their qualitative evaluation using the modified PEDro scale, and empirical testing of hypotheses based on the literature study and the analysis made in Part I.
Data sources: PubMed, SCOPUS, Science Direct, MEDLINE, PEDro, Cochrane, Embase, Web of Science Core Collection, Google Scholar electronic databases were searched systematically, restricting the languages to English and German only.
Results. The analysis of the literature showed that the causes, symptoms and associations of myofascial pain have been described in detail. There are also numerous reports on a variety of therapeutic methods, together with a precisely described methodology for their implementation. It is not uncommon to recommend combining methods into multimodal programmes, which unfortunately does not mean that there are many such programmes or that studies on MPS are consistent. The literature study on multimodal treatment programmes for MPS revealed that there is no correlation between its pathogenesis and a purposeful selection of specific therapeutic methods. In a small number of cases, a complex etiopathogenesis led to the formation of multidisciplinary teams. This may be associated with the absence of strict recommendations on the diagnostic methods applicable to the assessment of MPS.
Conclusions. 1. Multimodal programmes for the treatment of musculoskeletal pain, notably MPS and MTrPs, should include a detailed and comprehensive diagnosis (structural, biochemical, psycho-emotional) which should serve as the basis for the formation of interdisciplinary rehabilitation teams. 2. Musculoskeletal diagnosis, in addition to radiological assessment, should include measurable techniques of postural and functional assessment (such as pedobarography, wearable sensors, assisted anthropometry, i.e. photogrammetry, videogrammetry, etc.), aimed primarily at the ongoing assessment of posture. 3. The choice of therapeutic methods and patient education should be based on the causes of the patient’s pain, taking into account systemic diseases, postural defects, lifestyle and psycho-emotional state. 4. Scientific research in multimodal treatment programmes should be carried out in randomised groups, with due attention to the methodologies of diagnostic and therapeutic procedures and group selection.
Keywords
chronic pain, myofascial pain, manual therapy, exercise, multimodal programmes
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The impact of central stabilization exercises and classical massage on the quality of life of people suffering from cervical spine pain

Agnieszka Leszczyńska, Ada Sitek, Agnieszka Przedborska, Marcin Świątczak, Małgorzata Kilon, Katarzyna Glibov


Agnieszka Leszczyńska, Ada Sitek, Agnieszka Przedborska, Marcin Świątczak, Małgorzata Kilon, Katarzyna Glibov – The impact of central stabilization exercises and classical massage on the quality of life of people suffering from cervical spine pain. Fizjoterapia Polska 2023; 23(1); 178-185

DOI: https://doi.org/10.56984/8ZG07B3FB

Streszczenie
Introduction. Pain in the cervical spine affects about 22-70% of the population and the incidence of pain increases with age. Out of different types of therapies, most patients prefer a massage aimed at normalizing muscle tension and reducing pain. However, a comprehensive approach to a patient according to the Kinetic Control concept allows for the assessment of uncontrolled motion and enables the analysis of motion and its function. The assessment of motor errors as well as the re-education of muscle function is an important element in improving the range of motion and reducing pain in the cervical part of the spine.
Aim. Assessment of the impact of classical massage and central stabilization exercises on the quality of life of people with cervical spine pain.
Material and methods. The study covered 40 people (62,5% women, 37,5% men) aged 20 – 70 year who suffered from pain in the cervical spine. Two groups of 20 were formed. Group I was subjected to a series of classical massage, Group II performed exercises of central stabilization. The impact of both therapies was assessed by means of: the author’s own survey, the VAS scale, the NDI-PL form, and the measurement of the range of motion in the cervical spine. Quality of life was assessed using a 100-degree scale.
Results. VAS and NDI scores in both groups are significantly lower after treatment (p < 0,01), but it cannot be concluded that one form of therapy has had a better effect. The range of spine motion which was evaluated in the cervical segment significantly increased (p < 0,01) in both groups. It was noted that in terms of extension, central stabilization exercises proved to be more effective – the scope of extension increased on average by 1,3 units after exercises, whereas after massages only by 0,7 units (p = 0,045). Both therapies demonstrated effectiveness in the domain of general health (p = 0,54) – both massages and exercises (p = 0,01) brought patients a significant improvement.
Conclusions. Both therapies are effective in fighting cervical spine pain, however, better results were obtained in the group performing central stabilization exercises. The quality of life increased significantly in both groups of patients.
Key words:
Kinetic Control, Pressure Bio-Feedback Stabilizer, VAS and NDI scale
Słowa kluczowe:
Kinetic Control, Pressure Bio-Feedback Stabilizer, skala VAS i NDI
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Development of a training program in the special preparation period phase to improve (accuracy and speed) bowling skills in women criket athletes

Nur Indah Atifah Anwar, Sumaryanto, Yudik Prasetyo, Susanto


Nur Indah Atifah Anwar, Sumaryanto, Yudik Prasetyo, Susanto – Development of a training program in the special preparation period phase to improve (accuracy and speed) bowling skills in women criket athletes. Fizjoterapia Polska 2023; 23(1); 170-176

DOI: https://doi.org/10.56984/8ZG07B142

Abstract
Introduction. Good physical condition has many advantages, including athletes can and easily learn new skills that are relatively difficult, not get tired easily in participating in training and matches better. Purpose. This study was to intervene during the special preparation phase to improve the accuracy and speed of bowling skills in female cricket athletes. Materials and Methods. Preparation of a Special Preparation Stage Training Program to Improve Bowling Skills (Accuracy and Speed) for Female Cricket Athletes of South Sulawesi with a sample of 15 people. This type of research is a quantitative descriptive research. Data analysis used SPSS 21 software with descriptive tests, normality tests and hypothesis tests. Results. The results of the analysis of the effect of accuracy training variables on female cricket athletes obtained an average pretest accuracy value of 54.87 and a posttest accuracy value of 58.00 with a sig value of 0.000. The speed training program for female cricket athletes obtained an average pre-test speed value of 14.3373 and a post-test speed value of 13.2380, with a sig value of 0.000 and a difference of 1.0993 was obtained, so there was an increase in the speed training program, the average value -the average pre test bowling skill was 16.20 and the post test bowling skills score was 18.60, with a sig score of 0.000. and obtained a difference of 2,400. Conclusion. Based on the results of the data and discussion of this study, it can be concluded that the Development of a Special Preparatory Stage Training Program to Improve Bowling Skills (Accuracy and Speed) in Female Cricket Athletes.
Keywords
accuracy, speed and bowling skills
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Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals with knee osteoarthritis: A Randomized clinical trial

Yomna F. Ahmed, Marian M. Shafeek, Sarah S. Abdelaziz, Karim Ghuiba, Maha G. Ibrahim


Yomna F. Ahmed, Marian M. Shafeek, Sarah S. Abdelaziz, Karim Ghuiba, Maha G. Ibrahim – Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals with knee osteoarthritis: A Randomized clinical trial. Fizjoterapia Polska 2023; 23(1); 164-169

DOI: https://doi.org/10.56984/8ZG07B6E6

Abstract
Objective. To compare the impacts of Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals suffering from knee osteoarthritis. Methods. This randomized, double-blind, pre-post measurement study included forty patients aged 45 to 65 with knee osteoarthritis. They were classified into 2 groups at random: group A (n = 20), which received knee stability training plus strengthening exercise, and group B (n = 20), which received Biodex balance training plus strengthening exercise. The Biodex Balance System and Visual Analog Scale were utilized to quantify dynamic balance indices as well as pain intensity at baseline and four weeks following therapy. Results. Statistically significant differences were reported in the overall stability index (OASI), anterior-posterior stability index (APSI), medial-lateral stability indices (MLSI), and Visual Analogue Scale (VAS) values before and after treatment for group A (p < 0.05) as well as before and after treatment for group B (p < 0.05). Statistically significant differences were reported among the two groups (A & B) regarding the post-treatment values of the OASI, APSI, MLSI, and VAS (p < 0.05). Conclusion. Improvement in all dynamic balance indices and pain was reported after knee stability training exercises and after Biodex balance training, with greater improvement after Biodex balance training.
Keywords
knee osteoarthritis, Biodex Balance System, knee stability training, dynamic balance indices, pain intensity
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