The frequency and severity of urinary incontinence symptoms in the group of adult physically active women

Maja Warzecha, Weronika Milka, Katarzyna Paluch, Anna Pępek, Jarosław Amarowicz

 

Maja Warzecha, Weronika Milka, Katarzyna Paluch, Anna Pępek, Jarosław Amarowicz – The frequency and severity of urinary incontinence symptoms in the group of adult physically active women –  Fizjoterapia Polska 2024; 24(5); 6-16

DOI: https://doi.org/10.56984/8ZG020CH32F

Abstract
Aim of the study. The aim of the study was to assess the epidemiology and severity of urinary incontinence (UI) in adult physically active women.
Material and methods. In order to conduct the study, a total of 171 questionnaires have been collected from physically active women aged 18+. In order to follow UI diagnostic purposes the study was based on International Consultation on Incontinence Questionnaire– Urinary Incontinence Short Form. The gathered data was analysed with the use of Microsoft Excel and IBM SPSS Statistics 29 programs. Values of p < 0.05 were considered statistically significant.
Results. After analysing the study group (n = 171, av. age 33 years) authors found a total of 42.1% women reporting UI incidents during their physical activity. Highest UI occurrence was observed by the patients during their anaerobic strength training with additional loads (14.1%), running (11%) and general fitness training (8.9%). In the study we did not find a significant relation between the UI occurrence, type of activity as well as the specificity of the training. Group of women with a UI in the questionnaire was however older (av. 5 years) than those without such incident being reported (p < 0.001). At the same time those with a higher number of labours were more likely to sustain a UI compared with those who have not experienced childbirth at all (p < 0.001).
Conclusions. A high UI incidence in physically active women shows the need for proper education on the matter with the emphasis on those who train specific UI susceptible disciplines.
Key words
urinary incontinence, stress urinary incontinence, athletes, ICIQ-SF
Słowa kluczowe
ostroga piętowa, fala uderzeniowa, rehabilitacja
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Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness

Paweł Zieliński, Rafał Trąbka, Jarosław Amarowicz, Mateusz Curyło, Paweł Kamiński, Magdalena Wilk-Frańczuk, Tomasz Maicki

P. Zieliński, R. Trąbka, J. Amarowicz, M. Curyło, P. Kamiński, M. Wilk-Frańczuk, T. Maicki – Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness. Fizjoterapia Polska 2021; 21(4); 190-203

Abstract
Osteoarthritis is the most common form of human joint pathology. It is estimated that it affects about 6% of the world’s population. In addition to the hand and knee joints, the hip joint is one of the most common joints affected by OA.
The study included 59 randomly selected patients (from a group of over 600 people operated in a similar period) of the Orthopaedics and Rehabilitation Department of the Centre for Rehabilitation and Orthopaedics in Krakow, who underwent THA due to advanced degenerative changes using a cementless prosthesis.
The objective of the study was to compare the early and late outcomes of the procedure (patient’s fitness level and subjective assessment) using the anterolateral (according to Watson-Jones) and lateral (McFarland and Osborne as modified by Hardinge) approach.
The obtained results confirm better outcomes in terms of the abduction strength scale (SO%), HHS, VAS, frequency of the Trendelenburg sign and partially mobility (external rotation) in relation to short-term follow-up (especially after 6 and 12 weeks), but not long-term follow-up (after 24 weeks and 11-12 years).
It was found that people who underwent surgery using the lateral approach (according to Hardinge) recover faster than people who underwent surgery with the use of the anterolateral approach (according to Watson-Jones).
Key words:
arthroplasty, osteoarthritis, hip joint
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