接受手球训练的儿童的身体姿势

Katarzyna Michalak, Natalia Dobrowolska, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska

Katarzyna Michalak, Natalia Dobrowolska, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska – Body posture in children practicing handball. Fizjoterapia Polska 2018; 18(3); 30-35

摘要
研究目的:研究目的在评估接受手球训练的儿童的身体姿势,并分析锻炼该体育项目可能产生的身体不对称性。
材料及方法:该研究针对在阿尼拉纳(Anilana)体育俱乐部接受手球培训的40名12岁儿童进行(其中15名女孩及25名男孩),该俱乐部地址:ul. Sobolowej 1,Łódź,研究时间至少三年。儿童身体姿势评估依照卡斯佩尔茨克评分法实施。
结果:针对练手球儿童所进行的研究显示其头部、肩部、胸膛、腹部、腹部肌肉、脊柱或膝盖的位置与正确姿势相较,并无统计上的显著偏差。其中只有一名儿童的胸膛位置有显著变化,另三名儿童则足部位置不正确。
结论:1. 手球培训三年以上可以使12岁的儿童维持并加强身体姿势的正确。2. 接受手球培训三年以上并不会导致姿势的不对称。

关键词:
身体姿势、体育训练、年轻人

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腰椎骶椎间疼痛进行选择性理疗疗程的有效性

摘要
研究目的:研究目的在评估因骨关节炎所引起的腰锥骶椎间疼痛的选择性理疗疗程的有效性。
材料及方法:共45名腰锥骶椎间疼痛的患者参与研究,他们将接受一系列的理疗疗程。受试者将分成四组,其中三组将根据其施用的理疗疗程分组,而第四组(对照组)受试者将只服用非类固醇消炎药,时间为其他组别的疗程延续时间。病患将通过自己的简单版问卷表SF-36(第二卷)接受研究,共计11个问题,此外也使用洛维特测试及莱蒂宁量表及诊断测试(Laseque、Bragard、Thomayer)。研究于系列疗程开始前及疗程结束两星期后进行。
结果:受试者年龄在45-65岁之间,其中71.1%为女性,28.9%为男性,13.3%为体能活跃者。脊柱骨关节炎是所有受试患者产生疼痛的原因,在研究组中,其物理治疗前和结束两周后所测量的疼痛严重程度、肌肉力量水平和生活质量的结果在统计上有着显著差异。90%参与疗程者的肌肉力量增加,而对照组中只有6%的人士增加。46.6% 接受疗程者在所提到的脊柱部分活动范围获得改善,而对照组中无患者在活动范围上获得改善。
结论:理疗疗程对腰椎骶椎的病状控制具正面作用,在改善生活质量、肌肉力量、活动范围以并减少或完全消除疼痛上能有效作用。无论采用哪一种理疗疗程,其作用都比单单服用非类固醇消炎药要好。

关键词:
理疗、骨关节炎、腰椎骶椎段、非类固醇消炎药

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Analiza urazów układu mięśniowo-więzadłowo-szkieletowego występujących u piłkarek ręcznych i postępowanie fizjoterapeutyczne

Sławomir Motylewski, Walenty Trandasir, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

S. Motylewski, W. Trandasir, K. Michalak, E. Poziomska-Piątkowska – Analysis of injuries of musculo-ligamentous-skeletal system occurring among handball players and physiotherapy treatment. Fizjoterapia Polska 2018; 18(2); 24-30

Abstract

Introduction. Injuries in team games are an inseparable part of today’s sport. For every athlete it is connected with a decrease in exercise capacity, need for medical help and economic consequences. Professional rehabilitation of athletes, after a traumatic event, requires work with a physiotherapist with high skills and extensive experience and the use of modern physical therapy equipment. The lack of one of those factors can lead to further loss of health by the player, prolonged rehabilitation and thus delayed return to the game
Aim. The aim of the study was to assess the type and frequency of injuries occurring among professional female handball players and the type and methods of treatment used after the injury.
Material and methods. The studied group consisted of 19 women aged 18-31 years, playing handball for at least 5 years. All of the subjects played in the first team of Korona Handball Club in Kielce. In the study a diagnostic survey method was used.
Results. The study showed that 100% of players suffered from at least one injury connected to their professional sports activity. Most often the injury occurred while landing – 33.9%, fouls – 21.4% and throws – 19.6%. 12.5% (7) of the occurred traumas required surgery and the remaining 87.5% ended in conservative treatment. In spite of the fully recovery from the injury, a large proportion of the players – 68.4% were feeling discomfort after the resumption of training and during the matches.
Conclusions. The most common injuries of professional handball female players are sprains and dislocations of the lower limbs. Most athletes undergone conservative physiotherapy treatment including kinesiotherapy and wide range of physical therapy modalities.

Key words:
handball, sports injuries, physiotherapy

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The use of Rehabilitative Ultrasound Imaging (RUSI) and sonofeedback in the assessment of the activity of transversus abdominis muscle

Katarzyna Michalak, Beata Czechowska, Tomasz Wolny, Sławomir Motylewski, Elżbieta Poziomska-Piątkowska

K. Michalak, B. Czechowska, T. Wolny, S. Motylewski, E. Poziomska-Piątkowska – The use of Rehabilitative Ultrasound Imaging (RUSI) and sonofeedback in the assessment of the activity of transversus abdominis muscle. FP 2017; 17(4); 50-61

Abstract

Purpose. The purpose of the study was to evaluate thickness and symmetry of Transversus Abdominis muscle (TrA) during rest and activation with the use of Rehabilitative Ultrasound Imaging (RUSI) and the assessment of sonofeedback effectivness in learning and control of TrA activity.
Material and methods. The study was conducted on 28 healthy subjects (17 women and i 11 men) aged 19-22 years (mean 21±1,08 years). The subjects undergone RUSI assessment considering thickness of TrA in rest and during contraction. Basing on results the Activation Ration and Percent of Muscle Change were calculated.
Results. Mean thickness of TrA in rest was 3,19 mm among women and 4,37 mm among men. During controlled activity thickness of TrA increased by 69% on right side and by 64% on left side and respectively by 70% and 64% among men. The results showed a significant difference in TrA thickness between right and left side at rest and during contraction among men. During sonofeedback recorded thickness of TrA was significantly higher comparing to results without control of sonofeedback. TrA activity was lower in the group with low back pain and it was 64%, while in pain-free group the activity was 72%.
Conclusions.
1. RUSI is an effective method to evaluate the morphology and activity of the Transversus Abdominis muscle at rest and during controlled activation;
2. The decrease in thickness and activity impairment of TrA is related to the occurrence of low back pain;
3. The use of sonofeedback enables significant improvement in activation and equalization of TrA asymmetry.

Key words:
Rehabilitative Ultrasound Imaging, RUSI, functional diagnostic, transversus abdominis, muscle activity

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Ocena skuteczności aktywności fizycznej w łagodzeniu bólu lędźwiowego odcinka kręgosłupa u kobiet w ciąży

Sławomir Motylewski, Dominika Terka, Elżbieta Poziomska-Piątkowska

S. Motylewski, D. Terka, E. Poziomska-Piątkowska – Assessment of physical activity effectiveness in pain alleviating of the lumbar spine pain during pregnancy. FP 2017; 17(4); 34-40

Abstract

Spine pain is common affliction during pregnancy. It is caused by body mass increase, which creates additional burden for structures of lumbar-sacral spine section and pelvis. Centre of gravity and body position are changed, which causes balance disorder of motor system. Asymmetry in mobility of sacroiliac joints appears, as well as irritation of sacroiliac ligaments.
The treatment of this problem includes pharmacological methods, physiotherapy and most important, variety of physical exercises.
The main goal of this study was assessment of different therapies effectiveness on lumbar spine pain during pregnancy.
Material and methods. The study group consisted of 41 women, who gave birth at least once. To gather information a survey method was used.
Results. Physical activity was pointed as one of the most efficient method of preventing spinal pain – 47,4. Hydrotherapy was chosen by 21% respondents, while massage and kinesiotaping only 15,8% both. According to 15,2% of questioned pain was gone as a result of systematical exercises.
Conclusions. Systematical physical activity before pregnancy was declared by the vast majority of respondents, while during pregnancy by half of questioned.
According to respondents, physical activity before and during pregnancy does not affect lumbar spine pain.

Key words:
physical activity, spin pain, pregnancy, physiotherapy

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Occurrence of work-related pain syndromes and injuries due to overload of the musculoskeletal system in physiotherapists

Katarzyna Michalak, Anna Szwaczko, Agnieszka Cieślak, Katarzyna Krekora, Tomasz Miśkiewicz, Elżbieta Poziomska-Piątkowska

K. Michalak, A. Szwaczko, A. Cieślak, K. Krekora, T. Miśkiewicz, E. Poziomska-Piątkowska – Occurrence of work-related pain syndromes and injuries due to overload of the musculoskeletal system in physiotherapists. FP 2017; 17(2); 72-81

Abstract

Introduction. The aim of this study was to analyze the prevalence of musculoskeletal pain and injuries associated with the physiotherapy profession, as well as to analyze work activities related to professional practice predisposing to injury.
Material and methods. The study was conducted among 150 randomly selected physiotherapists. The questionnaire designed by the authors, included questions about sociodemographic data, work characteristics, the incidence of pain and injury which occurred while performing professional activities, location of the injury and the type of activity during which the injury occurred.
Results. 99% of physiotherapists reported to feel pain associated with performing job activities and 61% had suffered an injury of the musculoskeletal system that was clearly caused by their work. Injuries were most often located in the lumbosacral spine, wrist and hand as well as in the cervical spine.
Conclusions. 1. Musculoskeletal pain and injuries are an important issue among physiotherapists. 2. They are most often located in the lumbosacral spine, wrist and hand as well as in the cervical spine 3.Lifting and moving patients or equipment, performing massage and passive exercises are the most common activities related to pain development and the occurrence of injury. 4. High incidence of work-related pain and injuries results from the insufficient application of ergonomics by physiotherapists, as well as from the inadequate adaptation of the workplace. 5. To maintain and prolong the ability to work in a physiotherapy profession it is necessary to provide an appropriate ergonomics training among physiotherapists and consistent monitoring of compliance with the principles of ergonomics by superiors.

Key words:
Physiotherapy Specialty, Physiotherapist, injuries, pain, ergonomics, workplace

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