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    

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影响髋关节内置假体患者功能敏捷的因素

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

摘要
研究目的。研究目的在评估影响单侧髋关节成形术对患者功能状态的影响因素。
平衡和步态功能评估由下列测试进行:Tinetti、起立测试(Timed Up and Go, TUG)及以两种量表为基础计算的对称性指数(WS)。在平坦表面和楼梯行走时的疼痛感度及僵硬程度以李克特量表评估。进行简单和复杂日常活动能力评估时使用ADL Katz(Activities of Daily Living)和IADL Lawton(Instrumental Activities of Daily Living)量表,并以数值标示方式进行自我生活质量评估,此外也计算体重指数(BMI)。
材料和方法。共50名29至88岁间(平均年龄66.7 + 13岁)有单侧髋关节假体的患者(其中33名女性、17名男性)参与研究。
结果。患者年龄、疼痛及僵硬程度决定了大多数的测试结果和功能量表。疾病数量多的患者在Tinetti测试中的结果较差,只有上下楼梯时的强烈疼痛影响WS的结果。提出有较强烈疼痛和晨起僵硬的患者对其生活质量有较差评价。
结论。
年龄、晨起疼痛和僵硬对单侧髋关节假体患者的功能状态和生活质量有影响。BMI和手术后所经过的时间对患者状态无影响。

关键词:
髋关节成形术、生活质量、功能状态

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Improvement in the quality of life of persons with chronic lower extremity ischaemia after high-tone power therapy

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

Abstract

Introduction.The CLEI results in decreased walking ability, which is limiting physical activity due to pain. This is the main factor adversely influencing the quality of life observed in these patients. For these reasons, the most important target of physiotherapists is to reduce physical fitness loss caused by a very low level of physical activity over many years.
The aim of the study was to investigate whether the high-tone power therapy can improve functional abilities patients with CLEI in the gait, and thereby improve their self-assessed quality of life.
Material and methods The study involved 68 patients aged 40-70, who were assigned to one of two groups: the A – main, group and B – control group. Their functional abilities in gait were assessed with the use of the WIQ-Walking Impairment Questionnaire, which evaluated 4 domains: claudication distance, walking speed, claudication capacity, ability to walk steps. A group patients were subjected to a series of high-tone power therapy while in B group all the treatments were simulated.
Results Certain differences were noticed in each domain of the WIQ questionnaire, but significant ones were solely in A group. The most noticeable changes were in pain and cramps of the calf; smaller changes were related to walking distance and speed. The smallest changes were reported in the ability to walk steps. Some changes were also reported in the control group, but they were less conspicuous and only affected some domains of the WIQ questionnaire.
Conclusions The high-tone therapy results in subjective improvement in functional locomotion capacity in all domains of self-assessment of patients. Improving the function of lower extremities is conditioned by the presence of additional factors, which are kind of disorder risk factors.

Key words:
high-tone power (HiToP), quality of life, chronic lower extremity ischemia (CLEI), chronic lower limb ischemia

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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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Studying the impact of body weight and physical activity on quality of life of junior high school students

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

Abstract
Introduction. Overweight and obesity presently constitute a serious problem, both in Poland and worldwide. They affect not only adults. Every year, there is a growing number of children and youths, who struggle with overweight and obesity. The fact, that they are not accepting their body may contribute to the lower quality of living. An important issue becomes regular physical activity.
Research Goal. Evaluation of the impact of body weight and physical activity on the quality of living in junior high school students.
Materials and Methods. Examinations were performed in 57 persons (including 29 girls and 28 boys,) 12-15  years old (Mean: 13.75 years.) In the test group, there were conducted: survey regarding physical activity, Coopersmith Self-Esteem Inventory (CSEI) and four physical fitness tests.
Results. After collecting data and the results analysis, there has not been observed deterioration in the quality of living in persons, whose BMI exceed the upper limit of the standard.
Conclusions. Excessive body weight does not reduce the quality of living in teenagers.
Level of physical activity does not affect the quality of living in young people.
Frequency of physical activity has a significant impact on self-esteem and self-assessment.

Key words:
quality of living, BMI, obesity, physical activity

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Assessment of life quality of women after mastectomy with consideration to physiotherapy process

Mateusz Curyło, Katarzyna Cienkosz, Agata Curyło, Piotr Wróbel, Magdalena Wilk-Frańczuk, Jan W. Raczkowski

M. Curyło, K. Cienkosz, A. Curyło, P. Wróbel, M. Wilk-Frańczuk, J. W. Raczkowski – Assessment of life quality of women after mastectomy with consideration to physiotherapy process. FP 2016; 16(3); 80-87

Abstract
Purpose of this study. Evaluation of the patient’s life quality after operational treatment of the breast cancer – mastectomy, and determination of any correlation between made rehabilitation and participation in a support group.
Material and methods. The research was conducted using a questionnaire that included open and closed questions, it had 25 questions concerning patient’s condition before and after operation.
Results. Most women use physiotherapy (88%) and support offered by Amazon Clubs (88%). The most popular form of rehabilitation appeared to be kinesiotherapy (94%) and massage (70%). It was observed that the upper limb at operated side had reduced efficiency, after operation as good it was assumed only by 16% of total. Most women stated that their emotional condition had not changed after operation (32%) or slightly worsen (24%). None of the women declared lack of acceptance for their condition after amputation. As many as 48% did not seen any influence of the mastectomy on the quality of life, and for 36% the change was negative.
Conclusions. It may not be clearly stated if bigger influence on the self assessment of the quality of life has directly only physiotherapy or the Amazon Club that builds so important psychosocial relations, it proves complexity of the rehabilitation treatment. It is required to combine oncologic treatment with physiotherapeutic procedures and activity of social organizations, as all these aspects have beneficial influence on the women’s self-esteem after mastectomy.

Key words:
cancer, mastectomy, mammary gland, rehabilitation, life quality

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