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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Profesor Andrzej Zembaty

Sławomir Jandziś, Marek Woszczak, Marek Kiljański, Renata Szczepaniak

FP 2013; 13(4); 57-59

Streszczenie
Rocznica 50-lecia zorganizowanej działalności fizjoterapeutów w Polsce to okazja do przedstawienia sylwetki jednego z wybitnych przedstawicieli naszego zawodu prof. dra hab. Andrzeja Zembatego. Urodził się on 21 kwietnia 1935 roku w Jaśle w rodzinie inteligenckiej. Matka był nauczycielką, ojciec ukończył wydział prawa UJ i pracował jako sędzia w Jaśle a następnie Sanoku. Andrzej Zembaty po zdaniu matury w liceum sanockim rozpoczął studia w warszawskiej AWF, które ukończył w 1958 roku. W 1960 roku rozpoczął pracę fizjoterapeuty w Stołecznym Centrum Rehabilitacji Schorzeń Narządu Ruchu w Konstancinie oraz w 1964 roku jako nauczyciel zawodu w Medycznym Studium Zawodowym w Konstancinie. W 1972 roku, na wniosek prof. Mariana Weissa, dyrektora STOCER i kuratora Zakładu Rehabilitacji w warszawskim AWF-e został zatrudniony na stanowisku starszego asystenta w tymże zakładzie. Powrócił więc na uczelnię, z którą związał większość swojego życia zawodowego. Pełnił w niej następujące funkcję: 1979 – kierownik Zakładu Rehabilitacji Ruchowej, 1982 – pełnomocnik Rektora ds. Powołania Wydziału Rehabilitacji, 1983 – z-ca dyr. Instytutu Nauk Biologicznych, 1984 – 1987- prodziekan ds. studenckich i organizacyjnych w nowo powołanym Wydziale, 1987 – 1990- prodziekan ds. dydaktyki. Ostatnim miejscem działalności zawodowo-dydaktycznej przed przejściem na emeryturę w 1999 roku była AWF w Katowicach, gdzie Profesor kierował Zakładem Kinezyterapii

Słowa kluczowe:
rehabilitacja lecznicza, fizjoterapeuci, historia rehabilitacji


Abstract

The 50th anniversary of the organized activity of physiotherapists in Poland is an opportunity to present the figure of one of the eminent representatives of our profession, prof. Andrzej Zembaty, PhD. He was born on April 21, 1935 in Jasło to an intelligentsia family. The mother was a teacher, my father graduated from the Jagiellonian University law department and worked as a judge in Jasło and then Sanok. Andrzej Zembaty, after passing the final exams at the high school in Sanok, he began studies at the University of Physical Education in Warsaw, which he graduated in 1958. In 1960, he started working as a physiotherapist at the Metropolitan Rehabilitation Center for Motion Disorders in Konstancin and in 1964 as a teacher of the profession at the Medical Vocational College in Konstancin. In 1972, at the request of prof. Marian Weiss, director of STOCER and curator of the Rehabilitation Department at the University of Physical Education in Warsaw, was employed as a senior assistant at the same facility. He returned to the university, with whom he associated most of his professional life. He held the following function: 1979 – head of the Department of Movement Rehabilitation, 1982 – Rector’s representative for the appointment of the Rehabilitation Department, 1983 – deputy director. Institute of Biological Sciences, 1984 – 1987 – vice-dean for student and organizational affairs at the newly appointed Faculty, 1987 – 1990 – vice-dean for didactics. The last place of professional and didactic activity before retiring in 1999 was the University of Physical Education in Katowice, where the Professor headed the Kinesitherapy Unit.

Key words:
Therapeutic rehabilitation, physiotherapists, rehabilitation history

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Kwalifikacja do fizjoterapii chorych na POChP na podstawie testu 6-minutowego marszu i testu na bieżni ruchomej

Katarzyna Bogacz, Marek Woszczak, Jacek Łuniewski, Marcin Krajczy, Bartosz Pańczyszak, Jan Szczegielniak, Marek Kiljański

K. Bogacz, M. Woszczak, J. Łuniewski, M. Krajczy, B. Pańczyszak, J. Szczegielniak, M. Kiljański – Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test; Fizjoterapia Polska 2018; 18(1); 96-106

Abstract

Objective. The aim of the paper was to assess the results of physiotherapy of COPD patients whose elgibility for the relevant rehabilitation model was assessed with the help of the 6-MWT test and the treadmill test according to the modified Bruce protocol.
Materials and methods. 80 individuals suffering from COPD treated as in-patients at the MSWiA Specialist Hospital in Głuchołazy between May 2017 and September 2017 were examined. After a 3-week comprehensive physiotherapy, the exercise stress test, spirometry test and dyspnoea assessment on the modified 10-point Borg scale were repeated in both groups of COPD patients.
Results. Calculations were performed using the IBM SPSS software. In order to assess consistency between the distribution of the results with the normal distribution, the Kolmogorov-Smirnov test was used. As the distribution differed from the normal distribution, nonparametric methods were used for further analysis. In order to assess the significance of differences between the two groups in terms of quantitative variables, Mann-Whitney tests were used, while Wilcoxon tests were used for dependent samples to assess the significance of changes over time in the same patients (bound pairs). The statistical significance threshold was set at p < 0.001. Conclusions 1. A significant improvement was noticed in the level of exercise stress tolerance after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test. 2. A significant improvement was shown in the values of spirometric indicators after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test. 3. A significant decrease was shown in the level of dyspnoea after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test. Key words: COPD, modified Bruce protocol, 6-MWT test, physiotherapy

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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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The assessment of primary rehabilitation effects for patients with brain stroke and the evading effect

Marek Woszczak, Katarzyna Bogacz, Katarzyna Syrewicz, Magdalena Józefowicz-Korczyńska, Jan Szczegielniak

M. Woszczak, K. Bogacz, K. Syrewicz, M. Józefowicz-Korczyńska, J. Szczegielniak – The assessment of primary rehabilitation effects for patients with brain stroke and the evading effect. FP 2017; 17(3); 16-27

Abstract

Purpose. The purpose of this study was to assess the prevalence of hemispatial neglect in stroke patients and to determine whether this condition can affect the results of early rehabilitation and hospitalization duration.
Materials and methods. 63 randomly selected stroke patients were examined. The participants were divided into two groups: group A – participants without hemispatial neglect; and group B – participants diagnosed with hemispatial neglect. Physical functionality of participants, assessed at admission to the rehabilitation ward and at discharge, was compared. The results were organized into tables and graphs. The collected data were analyzed with the chi-square test of goodness of fit.
Results. The results show an increase in physical functionality of all participants. Participants without hemispatial neglect have considerably improved in their functional independence, needing little help with most activities assessed as part of the study. On the other hand, participants diagnosed with hemispatial neglect showed much less improvement, despite the same amount of therapy, and remained on a lower mobility level. Hence, hemispatial neglect affected their hospitalization duration.
Conclusion. Participants with hemispatial neglect exhibited slower functional recovery. Hemispatial neglect affects hospitalization duration (R=0.0082).

Key words:
Stroke, hemispatial neglect, early rehabilitation

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The assessment of effect of early post-hospital rehabilitation on the lung ventilation function in patients with cardiovascular disease

Katarzyna Bogacz, Marek Woszczak, Jan Szczegielniak

K. Bogacz, M. Woszczak, J. Szczegielniak – The assessment of effect of early post-hospital rehabilitation on the lung ventilation function in patients with cardiovascular disease. FP 2017; 17(2); 132-139

Abstract

Objective. An assumption as made that tests performed before and after a 3-week cardiovascular rehabilitation would allow the assessment of its effect on the lung ventilation function in patients post MI and CABG.
Material and methods. The analysis involved determination of mean values of all spirometric values and comparing them with expected values before and after the rehabilitation program. In order to check if mean values of both tests were significantly different, they were compared using the t Student test for paired samples, and mean increases of all indexes were calculated.
Test results. Lung function tests performed in study subjects gave results allowing precise analysis of lung ventilation function in patients post MI and CABG, and an assessment o the effect of comprehensive cardiovascular rehabilitation, including respiratory exercises, on ventilation function of those patients. t-Student test was applied for the assessment of differences with the significance level of p < 0.01. Conclusions. The program of cardovascular rehabilitation involving respiratory exercises, accounts for improved lung ventilation function in patients post MI and CABG, and should be used at each stage of rehabilitation of those patients. Key words: Cardiovascular disease, rehabilitation

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The effect of qualification method on effect of physiotherapy of COPD patients

Katarzyna Bogacz, Marek Woszczak, Jan Szczegielniak

K. Bogacz, M. Woszczak, J. Szczegielniak – The effect of qualification method on effect of physiotherapy of COPD patients. FP 2017; 17(2); 112-120

Abstract

Objective. The study was aimed at the assessment of qualification of COPD patients participating in the pulmonary rehabilitation program covering models A, B, C, D and E.
Materials and methods. 174 COPD patients treated  were included in the study. Exercise tolerance was assessed in all patients, based on a treadmill test or 6-minute walk test. The physiotherapy program was based on efficiency trainings of intensity determined individually for each patient. A result of the exercise test constituted a basis for qualification for an appropriate rehabilitation model and for individual selection of intensity level. The exercise test was repeated three weeks later, after the end of the physiotherapy program.
Results. Results of pre- and post-rehabilitation tests in both groups were statistically analysed. Intra-group assessments used t-Student test for dependent samples. Mean values of individual indexes, standard deviations and mean growth of all indexes were calculated. A chart frame area plot of all variables was used for the analysis of test results.
Conclusions. 1. A significant improvement of exercise tolerance was observed after a physiotherapy program both in patients assessed using the modified Brice’s protocol and in those assessed using the 6-minute walk test
2. The study demonstrated that the assessment of exercise tolerance is a basis for selection of exercise intensity level.
3. Efficacy of physiotherapy of COPD patients participating in pulmonary rehabilitation programs was demonstrated.

Key words:
Chronic obstructive pulmonary disease, modified Bruce’s protocol test, 6-minute walk test, qualification for physiotherapy, effects of physiotherapy

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Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease

Marek Woszczak, Katarzyna Bogacz, Magdalena Józefowicz-Korczyńska, Joanna Kałuża-Pawłowska, Jan Szczegielniak

M. Woszczak, K. Bogacz, M. Józefowicz-Korczyńska, J. Kałuża-Pawłowska, J. Szczegielniak – Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease. FP 2017; 17(2); 48-59

Abstract

Introduction. Pain, swelling and deformities of joints are the typical symptoms of a degenerative disease. The disease affects more than 60% of persons over 60 years of age. Due to this condition, every thirteenth person takes painkillers on a daily basis. Etiology of the degenerative knee joint disease comprises most often of micro traumas, injuries, overstrain, previous inflammatory conditions, improper weight distribution and congenital anomalies in the joint structure.
Research Goal. The aim of our study has been to evaluate the efficacy of local cryotherapy in patients with the degenerative knee joint disease.
Materials and Methods. The study has been carried out on a group of 86 persons, 20 to 45 years old, treated in the Rehabilitation Unit of the University Clinical Hospital No. 1 of the Medical University in Łódź. The patients have been randomly assigned to group A (40 persons) and B (46 persons.) In all the patients, there have been diagnosed degenerative changes in knee joints. In the study participated persons professionally active, able to walk.
Prior to application of treatment, all the patients were interviewed, had undergone physical and clinical examinations and were asked to fill out the WOMAC (Western Ontario and McMaster) questionnaire. An important purpose of the interview was to gather information about the patients’ lifestyle, their diet, addictions, physical activity and the potential epidemiological threats arising from the type of work they do.
Before and after completing the cycle of 10 treatment sessions, the patients were also examined physically by visual inspection, palpation, percussion, auscultation, measurements of lengths and perimeters, testing of muscle strength and functional tests. The patients were asked to anonymously fill out a questionnaire.
For all the patients were applied same treatments: ultrasounds, magnetic field, self-assisted exercises, knee joint load relief exercises. The differentiating factor in the study were the knee joint local cryotherapy treatments applied additionally for patients in group B. The evaluation was made on the basis of examinations before and after the physiotherapy treatments.
Results. Based on the examinations it can be concluded, that there has been achieved statistically significant reduction in pain according to VAS in both, group A and group B. There has also been a reduction in exudate and temperature of the joint.. There has also been registered an increase in the mobility ranges. Based on results of the test of Western Ontario and McMaster Universities Osteoarthritis Index, we have also observed an improvement in functional capacities in executing daily activities, i.e. for example climbing/descending stairs or putting on/taking off socks.
Conclusions. While interpreting the results, it has been observed that the degree of improvement in the above listed factors in group B, in which the additional local cryotherapy was applied, was statistically significantly higher than in group A, in which the treatment was not used.

Key words:
cryotherapy, degenerative knee joint disease, physiotherapy

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Wpływ mobilizacji stawu promieniowo-łokciowego bliższego na funkcję ręki po złamaniu przedramienia / Mobilisation of proximal radioulnar joint and functioning of the arm after forearm fracture

Marek Woszczak, Katarzyna Syrewicz, Marcel Kotkowski, Marek Kiljański

FP 2015; 15(1); 58-73

Streszczenie
Cel badania. Celem badania była ocena wpływu mobilizacji stawu promieniowo-łokciowego bliższego na funkcję ręki u leczonych zachowawczo po złamaniu w obrębie przedramienia.
Materiał i metodyka. Badaniem objęto 60 chorych w wieku powyżej 50 lat leczonych z powodu ograniczenia funkcji ręki na skutek złamania kości przedramienia. Pacjentów podzielono losowo na dwie równe grupy: badaną i kontrolną. U wszystkich chorych wykonano serię dziesięciu zabiegów fizjoterapeutycznych, na które składały się: aplikacja pola elektromagnetycznego niskiej częstotliwości oraz naświetlania lampą Sollux z niebieskim filtrem i kinezyterapię w postaci ćwiczeń czynnych wolnych w obrębie stawów: łokciowego, nadgarstkowego i palców. W grupie badanej wykonano dodatkowo mobilizację stawu promieniowo-łokciowego bliższego metodą Kaltenborna-Evjentha.
Wyniki. Analiza przeprowadzonych badań wykazała, że mobilizacja stawu promieniowo-łokciowego przyniosła poprawę stanu klinicznego i funkcjonalnego pacjentów po złamaniu przedramienia.
Wnioski. Osoby u których w programie rehabilitacji zastosowano mobilizację stawu promieniowo-łokciowego bliższego oceniały swoje dolegliwości bólowe jako łagodniejsze, odznaczały się lepszym zakresem ruchu zgięcia grzbietowego, zgięcia dłoniowego, odchylenia dołokciowego i dopromieniowego w stawie nadgarstkowym oraz ruchu supinacji i pronacji w stawie promieniowo-łokciowym. Ponadto terapia z zastosowaniem mobilizacji skutkowała poprawą siły chwytu cylindrycznego.

Słowa kluczowe:
uraz, złamanie przedramienia, mobilizacja, skala VAS, skala Laitinena


Abstract

Research objective. The research aims to evaluate the effect of mobilisation of proximal radioulnar articulation on the hand function after a forearm fracture.
Material and methods. The research involved 60 patients over the age of 50 who were subject to treatment for limitation of hand function resulting from a forearm fracture. The respondents were randomly divided into equal research and control groups and subjected to a series of ten physiotherapy treatments, including low-frequency electromagnetic field therapy, blue filter Sollux lamp and physiotherapy in the form of free active exercises of the elbow, wrist and fingers. The research group also underwent the mobilisation of proximal radioulnar articulation using the Kaltenborn-Evjenth method.
Results. The analysis of the data obtained showed that mobilisation of proximal radioulnar articulation improved the clinical and functional condition of patients after a forearm fracture.
Conclusions. The respondents who went through a rehabilitation program which included mobilisation of proximal radioulnar articulation, assessed their pain level as being lower. They also achieved a wider range of dorsiflexion, palmar flexion, ulnar and radial deviation as well as supination and pronation motion in the radioulnar joint. Additionally, therapy that included the mobilisation resulted in improved strength of cylindrical grip.

Key words:
injury, forearm fracture, mobilisation, VAS scale, Laitinen scale

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