Long-term evaluation of treatment of traumatic injuries and motor organ overuse syndromes in archers

Aneta Bac, Urszula Niemiec, Edward Golec

Aneta Bac, Urszula Niemiec, Edward Golec – Long-term evaluation of treatment of traumatic injuries and motor organ overuse syndromes in archers. Fizjoterapia Polska 2011; 11(2); 155-168

Abstract
The purpose of this study was to characterize most common injuries and overuse syndromes observed in archery, to evaluate their influence on further sports careers and to determine what treatment methods are most commonly applied in these conditions. The sample comprised 48 top Polish archers, representing the champion class and the international champion class. Selection of the subjects was based on the survey carried out during the Polish Senior Championship held in August 2009 in Krakow. The survey was performed using the tailored questionnaire comprising 31 closed questions, divided into two parts. The first part of the questionnaire included the questions concerning the frequency and volume of training sessions, time devoted to warm up exercises, etc. while the second part pertained to fatigue and its causes as well as to injuries and their treatment.Pain and fatigue symptoms were most frequently noted in the shoulder area (38 subjects = 79.1%). The body areas where pain was least frequently observed included the elbow (4 subjects = 8.3%) and forearm (3 subjects = 6.2%). The prevailing part of injuries (26 cases = 60.5%) involved muscles and ligaments. In 16 archers (37.2%) such injuries were noted in joints and periarticular tissues and in only in 1 subject (2.3%) the nerves were involved. The most frequent method of treatment was rehabilitation (30%) and the rarest procedure was application of steroid drugs (5%). The most frequent method of rehabilitation applied in the research group was magnetotherapy (44% of the research group) while acupuncture was the rarest approach applied in this study (1%). In 6 archers (18.7%) the injuy did not have any significant effect on their sport performance. Deterioration in athletic performance was initially observed in 20 archers (62.6%), but after some time their performance reached normal levels. However, 6 archers (18.7%) failed to regain their baseline performance levels.The study subjects most frequently sustained soft tissue injuries in the area of shoulder joint. Physiotherapy was the most frequently applied approach in this study. The more frequently the examined subjects experienced injury consequences, the more commonly surgical treatment was applied. In the studied sample the women trained less frequently than the men.
Key words:
Injuries, archery, Shoulder
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Long-term evaluation of selected parameters of shoulder girdle and quality of life in post-mastectomy women

Aneta Bac, Anna Jędrzejewska, Renata Woźniacka, Edward Golec

Aneta Bac, Anna Jędrzejewska, Renata Woźniacka, Edward Golec – Long-term evaluation of selected parameters of shoulder girdle and quality of life in post-mastectomy women. Fizjoterapia Polska 2011; 11(3); 261-272

Abstract
The purpose of the above study was to evaluate the quality of life and the type of late postoperative complications in women after breast cancer surgery. The research group consisted of 30 women who underwent treatment for breast cancer. The women were members of the “Amazons” Post-Mastectomy Women’s Club in Tarnów (50%) and in Kraków (50%). The questionnaire dealt with the quality of life and health and was based on the EORTC QLQ-30 questionnaire. The examination chart determined the range of active movement in the joints of the shoulder girdle, limb circumference, potential contracture of the pectoral muscles, measurement of muscle strength and hand strength. The quality of life in the examined women who underwent mastectomy did not change dramatically. In the research group, the range of movement in the shoulder joint on the side of the operated breast became limited in all directions and similarly, the strength of the analyzed muscles decreased. The upper limb lymphoedema was registered in half of the examined women. Pain and sleep disorders were the two postoperative complications that most strongly affected the quality of life in post-mastectomy women.
Key words:
breast cancer, Mastectomy, Quality of Life, shoulder girdle
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