Assessment of the efficacy of local cryotherapy in children with cerebral palsy

Marek Woszczak, Zbigniew Śliwiński, Marek Kiljański, Wojciech Kiebzak, Marcin Szczepanik, Wiesław Tomaszewski

Marek Woszczak, Zbigniew Śliwiński, Marek Kiljański, Wojciech Kiebzak, Marcin Szczepanik, Wiesław Tomaszewski – Assessment of the efficacy of local cryotherapy in children with cerebral palsy. Fizjoterapia Polska 2007; 7(3); 275-285

Abstract
Background. The author presents the results of a study of 60 children with infantile cerebral palsy carried out at a rehabilitation centre in the town of Zgorzelec. The study aimed to demonstrate that a 4-week programme of customised kinesiotherapy with cryostimulation of the lower limbs with liquid nitrogen vapour could have a beneficial effect on motor status as well as muscle tone and skin surface temperature in children with infantile cerebral palsy. Material and methods. A group of children of both sexes aged 3-14 with infantile cerebral palsy underwent 4 weeks of customised kinesiotherapy combined with cryostimulation of both lower limbs. Muscle tone was determined with a Szirmai myotonometer using special methodology. The level of spasticity was estimated with the Ashworth test, and motor activity assessment was made before and after the treatment according to a score table designed by the authors. Thermovisual recordings of skin surface temperature in the lower limbs were made immediately before and 5 and 15 minutes after cryostimulation procedures at the beginning and end of the 4-week programme. Results and Conclusions. A comparison of the results of the motor activity assessment, Ashworth test and myotonometry before and after the rehabilitation programme shows that the use of cryostimulation in the rehabilitation of children with infantile cerebral palsy results in a reduction of spasticity in the lower limbs and improvement in motor activity. Thermovisual analysis of skin surface temperature demonstrates full adaptation of the children’s vascular system, i.e. excellent safety of topical cryostimulation.
Key words:
infantile cerebral palsy, spastic muscle tone, local cryostimulation, Ashworth test, motor activity assessment, Szirmai myotonometer, thermovision
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Ocena poziomu wydolności fizycznej u licealistów klas I i II

Marek Woszczak, Katarzyna Bogacz, Marcin Szczepanik, Sławomir Jandziś,Karolina Kossakowska, Magdalena Józefowicz-Korczyńska

M. Woszczak, K. Bogacz, M. Szczepanik, S. Jandziś,K. Kossakowska, M. Józefowicz-Korczyńska – Assessment of physical endurance in students of the 1st and 2nd grade of secondary school. Fizjoterapia Polska 2018; 18(2); 70-82

Abstract

Introduction. Physical endurance is a very important element of everyone’s health. It is a health aspect comprising the factors which may affect the level of physical endurance. That is why it is important to know what allows to keep it as high as possible.
Objective. The purpose of this study was to demonstrate the differences in the levels of physical endurance of students of 1st and 2nd grade of secondary school.
Materials and methods. The studies were conducted on secondary school students. It covered 70 students, including 37 women and 33 men. The physical endurance level was examined using the Harvard Step-Up Test. The study included analysis of the effects of sex, age, place of residence and BMI on the level of physical endurance.
Results and conclusions. The research results allowed to draw the conclusions that sex, place of residence or BMI are not statistically significant for the level of physical endurance of the persons studied. As for age, the research results may indicate that at 5% significance level, age is statistically relevant for the level of physical endurance – older students demonstrate more good and very good fitness results, while the number of average and poor physical endurance results decreases.

Key words:
physical endurance, Harvard Step-up Test, physical endurance index

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Assessment of differences in body fat of the persons playing handball in grades 1, 2 and 3 of junior secondary school, depending on the level of training and physical fitness

Marek Woszczak, Katarzyna Bogacz, Katarzyna Syrewicz, Marcin Szczepanik, Jan Szczegielniak

M. Woszczak, K. Bogacz, K. Syrewicz, M. Szczepanik, J. Szczegielniak – Assessment of differences in body fat of the persons playing handball in grades 1, 2 and 3 of junior secondary school, depending on the level of training and physical fitness. FP 2017; 17(4); 84-105

Abstract

The physiology of physical effort is based on diagnosing how physical activity, effort or sports affect the proportions or activity of a human body. A training programme or effort of the given group, e.g. boys training handball while studying in a lower secondary school, may consist in improving the health and functioning of a body and increasing the level of sports fitness.
The objective of the study was to assess the level of body fat of people training handball, depending on their level of training, physical fitness and age.
The study covered a group of 83 boys studying in the 1st, 2nd and 3rd grades of lower secondary school. The study applied the International Physical Fitness Test. It was also necessary to take body measurements necessary for calculating such indices as: Body Mass Index (BMI), Slenderness Index (SI), Rohrer’s Index (RI) and the Waist Hip Ratio (WHR). The assessment of body fat of the students was based on the measurements of skinfolds.
The best results in terms of BMI were demonstrated by 3rd grade students – 85.71% had correct body weight. In the measurement of waist size of the eldest students, the standard deviation was lowest, which demonstrates lower diversity of results among the boys from the 1st and 2nd grade. When measuring the skin folds, it was noted that the results were higher over age. The International Physical Fitness Test demonstrated that the eldest boys had better general results than the younger ones.
All the tested boys demonstrated a higher than average level of fitness. The level of physical fitness improves with age. However, for the purpose of obtaining more authoritative research results, more people should be tested.

Key words:
body fat, handball, junior secondary school, physical fitness

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