Tag: functional status

Assessment of the impact of physiotherapy on the perception of pain, fatigue levels and functional status in patients with multiple sclerosis

Anna Luba, Robert Irzmański, Małgorzata Kilon

Anna Luba, Robert Irzmański, Małgorzata Kilon – Assessment of the impact of physiotherapy on the perception of pain, fatigue levels and functional status in patients with multiple sclerosis –  Fizjoterapia Polska 2026; 26(1); 72-78

DOI: https://doi.org/10.56984/8ZG2EFA2SKU

Abstract
Aim. The aim of the study was to assess the effect of physiotherapy on the sensation of pain, the severity of fatigue and the functional status in patients with multiple sclerosis (MS).
Material and methods. Thirty-two people, of both sexes, aged 29 to 77 years (57.5 ± 14.0), members of the Polish Multiple Sclerosis Society in Łódź, participating in a 4-week rehabilitation stay were qualified for the study.
The study used an original questionnaire and the following tests and scales: Time Up and Go (TUG), Hand Grip Strength (HGS), Numerical Rating Scale (NRS), Fatigue Severity Scale (FSS) and Barthel. The study assessed the effects of physiotherapy by comparing the results before and after the interventions, within one study group.
Results. The treatments reduced pain (p < 0.001) and improved TUG (p = 0.002) and FSS (p < 0.001). Older patients had lower scores in HGS (rho = -0.67, p < 0.001) and TUG (rho = 0.54, p < 0.01). Longer disease duration translated into lower scores in HGS (rho = −0.61, p < 0.001), TUG (rho = 0.42, p < 0.01), and Barthel (rho = −0.39, p < 0.01).
Conclusions. Physiotherapy reduced the severity of fatigue and pain and improved functional status, but did not increase HGS. Patients’ functional status was influenced by age, disease duration, pain intensity, and the number of comorbidities.
Key words
multiple sclerosis, pain, fatigue, functional status
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The effect of local cryotherapy on temperature changes in the ankle joint in individuals with chronic ankle instability

Bartosz Pańczyszak, Katarzyna Bogacz, Łukasz Mączka, Danuta Lietz-Kijak, Jacek Łuniewski, Anna Szczegielniak, Jan Szczegielniak

 

Bartosz Pańczyszak et al. – The effect of local cryotherapy on temperature changes in the ankle joint in individuals with chronic ankle instability –  Fizjoterapia Polska 2025; 25(2); 172-177

DOI: https://doi.org/10.56984/8ZG00E1ON2V

Abstract
Objective. The aim of this study was to evaluate the impact of local cryotherapy on temperature changes in the ankle joint. Additionally, a subjective assessment of joint function was performed in individuals with chronic ankle instability and in healthy controls.
Materials and methods. The chronic ankle instability (CAI) group consisted of 10 participants, while the healthy control group included 22. In both groups, ankle joint temperature was measured at four time points: 10 minutes before testing, immediately before cryotherapy, immediately after the procedure, and 10 minutes post-treatment. Functional status of the ankle joint was assessed using the FADI-Q questionnaire.
Results. The lowest temperature was recorded at the Achilles tendon during the first measurement, and the CAI group showed a higher Achilles tendon temperature before testing began. The experimental group scored lower on the FADI-Q questionnaire than the control group.
Conclusions.
1. The CAI group exhibited higher temperature at the distal insertion of the Achilles tendon before the study began.
2. Ten minutes after the procedure, skin temperature had not returned to baseline values.
3. The FADI-Q questionnaire revealed that the group with chronic ankle instability rated their functional status lower.
Key words
functional status, quality of life, erderly people, institutional care
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Ocena stanu funkcjonalnego i jakości życia pacjentów po 60. roku życia

Tomasz Wiktorek, Robert Irzmański, Małgorzata Kilon

Tomasz Wiktorek, Robert Irzmański, Małgorzata Kilon – Assesment of the functional status and quality of life of patient over 60 years of age –  Fizjoterapia Polska 2025; 25(1); 71-77

DOI: https://doi.org/10.56984/8ZG007DZ3QF

Abstract
Aim. The aim of the study was to asses the functional status and quality of life of patients over 60 years of age living in the community and using institutional care.
Materials and Methods. The study included 60 people aged 66 to 98 (82.8 ± 8.4), residents of a long-term care facility (HCC) and patients of geriatric clinic. Both groups were equal in size. An original survey was used in the study. In order to assess the functional status, handgrip measurement (HGS), the Up and Go test (TUG), short Physical Performance Battery (SPPB) and the Barthel scale were performed and the WHOQOL-BREEF questionnaire was used to assess the quality of life. The obtained results were subjected to statistical analysis. The normality of the distributions was verified using the Shapiro-Wilk test. Student’s T-test and non-parametric Mann-Whitney U test were used to determine the statistical significance of differences between groups. The significance level was set to p < 0.05.
Results/ All tests assessing functional status and quality of life differed between groups at the level of statistical significance (p < 0.001).Physical fitness significantly influenced the quality of life (p < 0.001).
Conclusions/ People living in an institutional environment achieved poorer results in all functional and quality of life tests. The quality of life depended on the functional status and was higher in people living in an institutional environment.
Key words
functional status, quality of life, erderly people, institutional care
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Rehabilitation impact on the work ability and functional status of hospitalized COVID-19 survivors

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj – Rehabilitation impact on the work ability and functional status of hospitalized COVID-19 survivors – Fizjoterapia Polska 2024; 24(2); 298-302

DOI: https://doi.org/10.56984/8ZG56088XJ

Abstract
Aim. The aim of the work is to determine the rehabilitation impact on the work ability and functional status of the hospitalized COVID-19 survivors. Materials and methods. The study covered 163 probands (101 women; 62 men) from the Prešov Region (Slovakia) that were hospitalized with COVID-19 disease. Age of the subjects ranged from 32 to 62 years. The experimental group contained 87 patients (55 women; 32 men) and underwent inpatient rehabilitation treatment during their stay in the hospital. The control group consisted of 76 patients (46 women; 30 men), who were not provided with the rehabilitation treatment. In all probands we assessed the work ability index (WAI) and a Patient self-report methods for the Post-Covid-19 Functional Status Scale (PCFS). Results. The experimental group of patients after returning to work showed significantly higher work ability (p = 0.005) and functional status (p = 0.001) compared to the control group. Patients with psychologically demanding type of work that underwent rehabilitation treatment had also significantly higher work ability (p = 0.022) and functional status (p = 0.042) compared with the other group. Similar results were recorded among the probands with a combination of both types of work – physically and psychologically demanding (p < 0.001). In the physically demanding type of work the result was not statistically significant between the groups. Conclusions. The inpatient form of rehabilitation for the patients hospitalized with COVID-19 has a beneficial effect on the work ability and functional status after discharge from the hospital.
Keywords
COVID-19, functional status, rehabilitation, work ability
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The effect of early rehabilitation on locomotor function in post-stroke patients – preliminary report

Emil Domański, Magdalena Wilk, Wojciech Kiebzak, Zbigniew Śliwiński

Emil Domański, Magdalena Wilk, Wojciech Kiebzak, Zbigniew Śliwiński – The effect of early rehabilitation on locomotor function in post-stroke patients – preliminary report. Fizjoterapia Polska 2008; 8(1); 83-95

Abstract
Background. Cerebral stroke is defined by the WHO as sudden onset of rapidly developing clinical signs of focal disturbance of cerebral function, with symptoms lasting longer then 24h, or leading to death, caused by changes in the arterial or vascular system of the brain. The aim of this study was to assess the effect to early rehabilitation on the locomotor function in stroke patients. Material and method. A group of 30 patients with hemiparesis within 24h after the onset of stroke and after 14 days of rehabilitation. The locomotor assessment was carried out according to the PNF functional status of muscles and gait patterns. Activities of daily living were evaluated according to the Repty Functional Index (RFI) and the Simple Chart of Locomotor Activities (PKCM). The level of disability was graded to the Rankin scale. For logistic reasons, the study did not include a control group, so that the paper is treated as a preliminary report.Results. Locomotor improvement was achieved in 40% of patients, with reduction in disability in 50%. Improved locomotor function led to urinary function improvement in 50% of patients. Motor dysfunction of the upper limb was reduced thanks to physiotherapy in 40% of patients. Conclusions. Early rehabilitation leads to improved function as defined by the functional status of muscles and hait patterns. The adopted rehabilitation programme resulted in improved functional indepedence evaluated on the basis of the Repty Functional Index (WFR) and Simple Chart of Activities (PKCM). The locomotor improvement resulted in urinary improvement in 50% of patients. Early rehabilitation improved the locomotor function of the paretic upper limb. The conclusions need to be verified in further studies with control groups.
Key words:
cerebral stroke, hemiparesis, early rehabilitation, functional status
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Factors influencing functional performance of patients after hip joint arthroplasty

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

Abstract
Aim. The aim of the study was to assess factors affecting functional status of patients after total unilateral hip arthroplasty.
Material and methods. A total of 50 patients (33 women, 17 men), aged 29-88 years (mean 66,7 ± 13 years) with unilateral hip joint prosthesis were included in the study. The assessment of the balance and gait function was made on the basis of the following tests: Tinetti, Timed Up and Go (TUG) and the two scales test, on the basis of which the Symmetry Index (SI) was calculated. The degree of pain sensation while walking on a flat surface and on stairs and the level of stiffness were estimated using the Likert scale. To assess the ability to perform simple and complex daily activities, the Katz ADL (Activities of Daily Living) and the Lawton IADL (Instrumental Activities of Daily Living) scales were used. Self-assessment of the quality of life was also made on the basis of a numerical rating scale. Moreover, the body mass index (BMI) was calculated.
Results. Age of patients, pain and stiffness determined the majority of test results and functional scales. Patients suffering from more diseases achieved worse results in the Tinetti test. Only the severity of pain while climbing the stairs affected the SI result. Patients reporting more severe pain and morning stiffness were characterized by poorer self-assessment of their quality of life.
Conclusions. Age, pain and morning stiffness affect the functional status and the quality of life of patients with unilateral hip prosthesis. BMI and the time that elapsed since surgery did not affect the patients’ condition.

Key words:
hip joint arthroplasty, quality of life, functional status

 

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