Author: Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała

Use of the posturography platform as a tool for quantitative assessment of imbalance and postural control in post-stroke patients in chronic phase

Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała


Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała – Use of the posturography platform as a tool for quantitative assessment of imbalance and postural control in post-stroke patients in chronic phase. Fizjoterapia Polska 2023; 23(1); 142-163

DOI: https://doi.org/10.56984/8ZG07B4A3

Abstract
Background. Imbalance during standing, which is usually observed as an asymmetry in the weight shifting toward to the unaffected side of the body, is one of the most common factors affecting the independence and quality of life of post-stroke patients. Clinical assessment of imbalance in post-stroke patients is often conducted by visual observation using standardised tools (balance tests). However, quantitative analysis, using a posturographic platform, is more accurate and provides more information about the patient’s functional status. The TYMO® device, used in this study, is a portable posturography platform that measures tilts of the body’s center of mass and reports the results of the rehabilitation process. It enables an objective, direct and quantitative assessment of the patient’s functional status. Such an assessment can contribute to significant effectiveness of physiotherapy and consequently improve the patient’s quality of life and shorten the period of abstinence from work. Objective. Quantitative assessment of imbalance and postural control using a posturography platform (TYMO®) in patients after ischaemic stroke, in the chronic phase, as an important component of the functional diagnosis process and rehabilitation programme design. To emphasise the role of the posturography platform (TYMO®) as a tool for measuring static balance – symmetry of body weight distribution, and a tool for monitoring and reporting the results of physiotherapy treatment. Methods. In the current study, before and after two weeks of rehabilitation, quantitative measurements of balance on the TYMO® platform were made in a group of subjects (n = 60: adults, after ischemic stroke – first stroke episode, in chronic phase – up to 5 years after the stroke incident occurred) undergoing therapy using neurophysiological methods (PNF – Proprioceptive Neuromuscular Facilitation and NDT-Bobath – Neurodevelopmental Treatment according to the Bobath concept) and the SPIDER system (Strengthening Program for Intensive Developmental Exercises and activities for Reaching health capability). Measurements included: the distance marked by the patient’s center of mass while performing the test, the medial-lateral and anterior-posterior tilts of the subject’s body, the area of movement marked by the body’s center of mass, the average speed at which the patient performed the movement to maintain the required position, and the distribution of the subject’s weight. Based on the posturographic results obtained before therapy, it was possible to design a targeted rehabilitation programme. The magnitude of the difference in measurements before and after rehabilitation made it possible to assess the impact of the therapy on the patient’s balance. In addition, it was a specific indicator of the accuracy of the selection of physiotherapeutic treatment (a large difference in the mean results before and after therapy reflected an improvement in the parameters of postural control, hence the effectiveness of the therapy) and determined the direction of the future rehabilitation programme. Results and conclusions. The parameters measured by the TYMO® platform are crucial in assessing the functional status of post-stroke patients, especially with regard to postural control or balance disorders. The results described confirm the validity of using quantitative assessment, using the posturography platform, as an important component of the functional diagnostic process and designing an rehabilitation programme. The TYMO® platform itself is a useful tool for measuring, monitoring and reporting the effects of physiotherapeutic treatment in post-stroke patients.
Key words:
stroke, body weight distribution, balance, quantitative assessment, posturographic platform
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Hand grip strengthening exercises on fine motor skills in children with autism spectrum disorder

Mohandass G., Rajeswari Muthusamy, Sivakumar Ramachandran


Mohandass G., Rajeswari Muthusamy, Sivakumar Ramachandran – Hand grip strengthening exercises on fine motor skills in children with autism spectrum disorder. Fizjoterapia Polska 2023; 23(1); 134-140

DOI: https://doi.org/10.56984/8ZG07B63F

Abstract
Background. Movement impairments in autism spectrum disorder (ASD) are manifested as both delays and deficits, with delays found in gross motor, fine motor and speech domains and deficits found in coordination, postural control and gait. Functional fine motor task is dependent on hand grip strength (HGS) which is found to be decreased. Therapeutic strategies focus primarily on sensory integration issues but HGS is not comprehensively addressed in improving fine motor skills (FMS).
Objective. The aim of the study was to analyse the effect of hand grip strengthening exercises on improving FMS in children with ASD.
Materials and Methods. This interventional study was carried out in 27 children with ASD who were recruited from Vidya sudha – Centre for children with special needs. After including in the study, level of FMS was assessed by Peabody Developmental Motor Scale (PDMS-2) and HGS was quantified with Martin Vigorimeter. Control group received conventional therapy and Intervention group received hand grip strengthening exercises along with routine therapy for duration of 6 weeks and HGS and level of FMS were reassessed with same outcome measures.
Results. Paired t test showed statistically significant change of HGS in Intervention group and FMS of both the group with p < 0.05. Unpaired t test showed statistically significant change of HGS and FMS with p < 0.05 in Interventional group compared to control group.
Conclusion. Hand grip strengthening exercises improves the HGS and has positive effect on FMS which can be included in the standard plan of care in rehabilitating children with ASD.
Keywords
motor impairments, fine motor skills, hand grip strength, Peabody Developmental Motor Scales, Martin Vigorimeter
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Effect of radiofrequency in de Quervain’s tenosynovitis: A randomized control trial

Yomna F. Ahmed, Sara S. Abdelaziz, Marian M.Fayez, Hebatallah M.Zaghloul, Marwa T. Mohamed


Yomna F. Ahmed, Sara S. Abdelaziz, Marian M.Fayez, Hebatallah M.Zaghloul, Marwa T. Mohamed – Effect of radiofrequency in de Quervain’s tenosynovitis: A randomized control trial. Fizjoterapia Polska 2023; 23(1); 126-132

DOI: https://doi.org/10.56984/8ZG07B3B2

Abstract
Background. De Quervain’s tenosynovitis is mucoid degeneration of the tendon sheaths of the two tendons that regulate the mobility of the thumb. As a result, the wrist’s thumb side is painful and uncomfortable.
Objectives. To assess radiofrequency’s effectiveness in patients with de Quervain’s tenosynovitis.
Design. A prospective randomized controlled trial. Setting. physical therapy department, Rail Way Hospital.
Methods. 40 participants with de Quervain’s tenosynovitis. Participants were divided into two groups at random: group A (control group), which received an ultrasound, transverse friction massage, and strengthening exercises; and group B (study group), which received radiofrequency plus ultrasound, transverse friction massage, and strengthening exercises. Pain intensity, hand grip strength, and pinch strength were all measured at the baseline and after 4 weeks of treatment by using the visual analog scale, Jamar dynamometer, and pinch gauge, respectively.
Results. All outcome indicators in both groups improved statistically significantly (P < 0.05), according to within-group comparisons. The between-group comparisons showed significant improvement in all outcome measures for both groups (P < 0.05), with the study group showing superior improvement to the control group; the study group’s VAS improvement percentage was 28.7%, its grip strength improvement percentage was 6.71%, and its pinch strength improvement percentage was 28.6%.
Conclusion. In comparison to ultrasound, transverse friction massage, and strengthen exercise, radiofrequency plus ultrasound, transverse friction massage, and strengthen exercise resulted in greater improvements in de Quervain’s tenosynovitis patients’ pain intensity, hand grip strength, and pinch strength.
Keywords
de Quervain’s tenosynovitis, radiofrequency, pain severity, hand grip strength, and pinch strength
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Assessment of the body posture of junior high school students in the context of their physical activity

Marta Gołdyn-Pastuszka, Marzena Dorosz, Anna Szczegielniak, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak


Marta Gołdyn-Pastuszka, Marzena Dorosz, Anna Szczegielniak, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak – Assessment of the body posture of junior high school students in the context of their physical activity. Fizjoterapia Polska 2023; 23(1); 112-125

DOI: https://doi.org/10.56984/8ZG07B654

Abstract
Introduction. Posture defects constitute a social problem and can cause negative changes in many aspects of our lives – in both physical and mental health. Prophylaxis and an appropriate degree of physical activity, which affects harmonious development, are very important here. Objective. The objective of the study was to assess the body posture of junior high school students and to determine the degree of their physical activity, and then to check whether there is a correlation between them. The study group consisted of 53 people from a junior high school in Wrocław, aged 14 to 17. Material and methods. To assess physical activity, the International Physical Activity Questionnaire (IPAQ) was used, which contains 7 questions regarding activity in the last 7 days. Body posture in the sagittal plane was examined using photogrammetry, and typology classification was based on Wolański’s method modified according to Zeyland-Malawka. Results. The results of the study were subjected to a statistical analysis, which shows that the studied group of adolescents is mostly characterized by a kyphotic type of body posture, while the least common is the balanced type. The level of physical activity of the study group can be described as sufficient, but it is worth noting that only 6% of the respondents are characterized by an insufficient level of physical activity, and only 7.5% are characterized by a high level of physical activity. Conclusions. In further analyses, it was examined whether there is a correlation between body posture and physical activity. It was found that there are no statistically significant differences between these two features in the study group.
Key words:
posture defects, body posture, physical activity, junior high school students
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The effectiveness of swimming therapy methods on gross motor ability in autistic children

Ridwan Sudirman, Ira Arini, Mikkey Anggara Suganda


Ridwan Sudirman, Ira Arini, Mikkey Anggara Suganda – The effectiveness of swimming therapy methods on gross motor ability in autistic children. Fizjoterapia Polska 2023; 23(1); 104-110

DOI: https://doi.org/10.56984/8ZG07BAD3

Streszczenie

Abstract
This study aims to apply the swimming therapy method in improving gross motor skills of autistic children. Therapy basically needs to be given to build a better condition. Therapy must also be carried out routinely so that what is lacking in children can be fulfilled gradually. Data collection was carried out by observation and performance tests. In the swimming pool, therapy activities are held twice a week. Barriers experienced by children are the child’s gross motor skills that are lacking, so that the ability to balance and activities that require gross motor skills is not optimal. The reason for conducting this research is because children experience obstacles when carrying out activities that require gross motor skills, so a swimming therapy method is needed that suits the needs of autistic children. The research method used was an experiment with Single Subject Research (SSR) using an ABA design. The research findings showed that the application of the swimming therapy method had an effect on increasing gross motor skills in one of the autistic children. This increase was evident from the increase in the mean level from the baseline-1 phase (A1), which was 33%, to the intervention phase (B), which was 52.5% to the baseline-2 phase (A2) which is 81%. It is recommended to develop a swimming therapy program for improve gross motor skills can use the swimming therapy method.

Słowa kluczowe:
swimming therapy methods, gross motor skills, autistic children

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Strategies for organizing sports events safely and healthily during COVID-19 at the university level: perceptions of Indonesian and Hungarian coach

Imam Marsudi, Mochamad Ridwan, Kunjung Ashadi, Muhammad Kharis Fajar, Zsolt Németh, Martin Hofmeister, Edi Setiawan


Imam Marsudi, Mochamad Ridwan, Kunjung Ashadi, Muhammad Kharis Fajar, Zsolt Németh, Martin Hofmeister, Edi Setiawan – Strategies for organizing sports events safely and healthily during COVID-19 at the university level: perceptions of Indonesian and Hungarian coach. Fizjoterapia Polska 2023; 23(1); 98-103

DOI: https://doi.org/10.56984/8ZG07B6BD

Abstract
Purpose. The COVID-19 outbreak had led difficulties in carrying out sports events and limited research investigated the strategies in organizing sports events during COVID-19 generated a gap and novelty in this research. Therefore, this study aims to investigate the perceptions from coaches about strategies in organizing sport events at the university level.
Material and Methods. This research used a qualitative with phenomenological method. Participants involved in this study were coaches who had experience in organizing sports events, which came from the State University of Surabaya (Indonesia) (n = 5) and the University of Pecs (Hungary) (n = 5). This study used in-depth interviews with participants during 30 minutes. Data was analyzed using qualitative thematics statistical, namely copying, understanding the text and coding into three themes
Results. The results indicate that most of the coaches applied various strategies in organizing sports events, for example limiting the number of participants, implementation time, physical distancing, using masks and hand sanitizers. In addition, they argued that technology and funding were supporting factors to assist the success in organizing sports events. Apart from that, it was necessary to minimize the inhibiting factors in order to optimize the implementation.
Conclusions. Thus, this study confirms that to achieve the success in organizing sports events at the university level, it is necessary to consider the strategies and supporting factors. This research contributes to existing knowledge by providing information and scientific insight to coaches, athletes and stakeholders, to implement the appropriate strategy in organizing sports event during the COVID-19 pandemic crisis.

Słowa kluczowe:
coach’s perception, organizing sports strategy, phenomenological method

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The level of parents’ knowledge about body posture defects in early school age children

Katarzyna Weber-Nowakowska, Weronika Niewiarowska, Anita Kulik, Magdalena Gębska, Agata Chilman, Łukasz Kołodziej


Katarzyna Weber-Nowakowska, Weronika Niewiarowska, Anita Kulik, Magdalena Gębska, Agata Chilman, Łukasz Kołodziej – The level of parents’ knowledge about body posture defects in early school age children. Fizjoterapia Polska 2023; 23(1); 88-96

DOI: https://doi.org/10.56984/8ZG07B237

Abstract
Objective. The main objective of the study is to assess the knowledge of parents/guardians about body posture defects in children at early school age. During the study, additional objectives were set regarding the determination of the level of parents’ knowledge in selected topics. These topics concerned the type of body posture defects in children, factors influencing their formation, as well as determining the knowledge of parents in the use of preventive measures.
Material and methods. The study group consisted of 300 parents of children at early school age. The study was conducted on the basis of an original, anonymous questionnaire consisting of 24 questions. Respondents provided answers to questions concerning, among others, the source of obtaining information on posture defects, knowledge of individual posture defects and methods of prevention.
Results. The study showed that people living in larger towns/cities and having higher education have a wider range of knowledge in the field of body posture defects. In addition, respondents with higher education know and use posture defect prevention methods much more often than people with lower education. According to the respondents, wearing a backpack on one shoulder is one of the most common causes of posture defects. Parents who do not know whether their child has a posture defect relatively rarely use preventive methods.

Słowa kluczowe:
posture defect, physio prevention, education, student, body posture

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Effects of suryanamaskar on peak expiratory flow rate and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD)

Aayushi Palor, D. Anandhi


Aayushi Palor, D. Anandhi – Effects of suryanamaskar on peak expiratory flow rate and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD). Fizjoterapia Polska 2023; 23(1); 80-86

DOI: https://doi.org/10.56984/8ZG07B401

Abstract
Background. Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. Surya Namaskar is an ancient yogic method to worship the sun. This specific postural and breathing protocols were developed in Indian Subcontinent in the 17th century by Saint Samarth Ramdass. Aim. To find out the effects of Suryanamaskar on peak expiratory flow rate and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods. Experimental design, pre and post type. 14 COPD patients, aged 35–50 years, both men and women, grade I and II in GOLD classification was randomly allotted into two groups. The patients had to clear the flexibility tests – Sit and reach test and back scratch test. For the Experimental group (n = 7), Suryanamaskar, with conventional chest physiotherapy intervention, was given for 5 days per week for 6 weeks. For the control group (n = 7), conventional chest physiotherapy intervention was given for the same duration. Outcome measures: Peak expiratory flow rate (l/min), SF–36 questionnaire. Results: The study showed that the peak expiratory flow rate and SF–36 questionnaire showed non-significant result for both the groups as p > 0.05, though there was a clinically significant improvement. Conclusion: This study concluded that there is no statistically significant improvement in PEFR and QOL in COPD patients who performed Suryanamaskar along with chest physiotherapy.

Słowa kluczowe:
COPD, Peak expiratory flow rate, QOL, SF–36, Suryanamaskar

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Effects of mind exercises on physical fitness and sport performance in interval trained athletes

Tahir Masood, Hamid Mehmood


Tahir Masood, Hamid Mehmood – Effects of mind exercises on physical fitness and sport performance in interval trained athletes. Fizjoterapia Polska 2023; 23(1); 74-78

DOI: https://doi.org/10.56984/8ZG07B6AC

Abstract
Aim. To explore effects of additional mind exercises on physical fitness and sport performance in athletes undergoing interval training.
Material and Methods. Thirty athletes were assigned into two equal groups. They either received only interval training or a combination of interval training and mind exercises 6 days/week for 24 weeks. Data was collected at baseline and after 5, 10, 15, 20, and 24 weeks. Interval training comprised speed, endurance, strength, plyometrics, and flexibility components. Data collection comprised demographics, time required to complete 600-meter run, number of push-ups in 1 minute, Illinois agility run test time, Broad jump distance, and number of sit-ups in 1 minute.
Results. Interval training with (P < 0.001) or without (P < 0.01) mind exercises resulted in significant reduction in body mass. Body mass index and 600m runtime reduced while number of push-ups and sit-ups in 1 minute, and agility run time improved in both groups (P < 0.001). After 24 weeks, mind exercises group ran significantly faster (P < 0.001). Mind exercises resulted in longer Broad jump (P < 0.001) compared to interval training alone (P < 0.01).
Conclusions. Interval training caused significant reduction in body mass and lead to significantly improved physical fitness and sport performance. Addition of mind exercises resulted in significantly faster 600m run and longer Broad jump.

Słowa kluczowe:
athletics, mind exercises, interval training, agility, broad jump

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Relationships between the quality of life and the intensity of pain and functional efficiency in women and men with degenerative changes in the lumbar spine

Ewa Puszczałowska-Lizis, Dominik Szymański, Iwona Wawrzykowska, Sabina Lizis


Ewa Puszczałowska-Lizis, Dominik Szymański, Iwona Wawrzykowska, Sabina Lizis – Relationships between the quality of life and the intensity of pain and functional efficiency in women and men with degenerative changes in the lumbar spine. Fizjoterapia Polska 2023; 23(1); 68-73

DOI: https://doi.org/10.56984/8ZG07B93B

Abstract
Introduction. Back pain is a serious medical and social problem. The aim of this study was relationships between the quality of life and the intensity of pain and functional efficiency in women and men with degenerative changes in the lumbar spine.
Material and methods. The study involved 53 women and 52 men, who, due to chronic pain in the lumbar spine due to degenerative changes, were qualified for therapy at the Local Government Health Center in Miedziana Gora. The research tool was NRS scale, Oswestry Distability Index ODI and shortened version of the survey WHOQOL-BREF. The collected research results were analysed with the use of Mann-Whitney U test, Chi-square test and Spearman rank correlation.
Results. Statistically significant differences in the values of the ODI questionnaire relating to the category “care” (p = 0.046) were found. In men, statistically significant negative associations between body build and the WHOQOL-BREF survey values concerning the somatic (p = 0.012), psychological (p = 0.007) and social (p = 0.022) domains were found. Statistically significant positive associations between the intensity of pain and functional capacity according to the ODI were found in both sexes (p < 0.001). Statistically significant negative relationships between the NRS value and the psychological domain were noted in women (p = 0.023), and with the somatic (p < 0.001), psychological (p = 0.006), socjal (p = 0.013) and environmental (p < 0.001) domain in men.
Wnioski. In terms of functional efficiency, men with back pain caused by degenerative changes are characterized by greater limitations in terms of activities related to care. In men, the increase in BMI is accompanied by a decrease in the quality of life in the somatic, psychological and social domains. In both sexes, the increase in the intensity of back pain affects the deterioration of functional efficiency. In women, the increase in the intensity of pain was associated with a decrease in the quality of life in the psychological domain, and in men in the somatic, psychological, social and environmental domains.
Słowa kluczowe:
NRS, ODI, WHOQOL-BREF, spine, pain, functional efficiency
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