The symptoms of an overactive bladder in Polish students of physiotherapy

Aneta Dąbek

Aneta Dąbek – The symptoms of an overactive bladder in Polish students of physiotherapy. Fizjoterapia Polska 2021; 21(3); 120-126

Abstract
Introduction. Overactive bladder (OAB) is a condition that is diagnosed by at least one of three symptoms: pollakiuria, nocturia, and strong urinary urgency. Overactive bladder is a social disease. It is estimated that problems with OAB affect from 2% to 53% of the population.
Objective. The objective of the study was to assess the incidence of overactive bladder in a group of potentially healthy people and to assess the risk factors for OAB.
Material and methods. The study group consisted of 85 students (58 women and 27 men) of Warsaw Universities, mainly students of courses in the field of physiotherapy. The mean age was 26 (SD = 5.74). The research tools were: the author’s questionnaire, voiding diary, GPPAQ (The General Practice Physical Activity Questionnaire) and the strip test.
Results. The analysis of data obtained from voiding diaries showed that the most common symptom of OAB was strong urinary urgency (33 people – 39%), followed by pollakiuria (21 people – 25%) and nocturia (15 people – 18%). There was a significant correlation between strong urinary urgency and gender (p = 0.03) and between strong urinary urgency and physical activity (p = 0.04).
Conclusions. 1. The group of potentially healthy students experienced symptoms of overactive bladder, such as pollakiuria, strong urinary urgency and nocturia. 2. The most common symptom of overactive bladder was urinary urgency. 3. Strong urinary urgency was more common among women and physically inactive people.
Key words:
overactive bladder, risk factors, physical activity
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Prognostic efficacy of Berg Balance Test in assessing the risk of fall in patients after stroke

Waldemar Brola, Małgorzata Fudala, Jan Czernicki

Waldemar Brola, Małgorzata Fudala, Jan Czernicki – Prognostic efficacy of Berg Balance Test in assessing the risk of fall in patients after stroke. Fizjoterapia Polska 2009; 9(1); 31-38

Abstract
Background. The risk of fali within the first year after a cerebral stroke amounts to approximately 40%. Numerous attempts have been made to propose a simple, yet sensitive and specific test to facilitate effective identification of patients at a particularly high risk of fall. The present study therefore aimed to assess the risk of fall among post-stroke patients undergoing physical rehabilitation with the Berg Test (Berg Functional Balance Scale). Material and methods. A total of 312 patients treated initially at the Stroke Ward and later at the Department of Physical Rehabilitation and attending the Vascular Disease Outpatient Clinic of the Hospital in Końskie in 2004 were followed up over 12 months. Each patient was assessed during the initial rehabilitation period and then allocated to one of four risk groups depending on his/her score in the Berg Test. Every subsequent fali was recorded together with a brief description of any consequences. Results. 119 patients (35%) fell at least once during the 12-month period, with 36 (11.5%) sustaining serious injuries as a result. The majority of the falls (78 patients) occurred in Berg Group IV (highest risk) patients, who also sustained multiple falls and the most serious consequences. The respective number of incidents in the other groups was 24 falls in Group III, 15 falls in Group II, and only 2 falls in Group I. Conclusions. The Berg Test appears to be a simple, reliable and sensitive instrument for identifying patients most at risk of sustaining an accidental fali. Ensuring particular care for those patients may help them avoid serious consequences of falls and enhance overall rehabilitation outcomes.
Key words:
stroke, falls, risk factors, Berg Balance Scale
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Risk factors of neurodevolopmental disorders in preterm infant

Kamila Włodarczyk, Małgorzata Domagalska-Szopa, María Eugenia Serrano

K. Włodarczyk, M. Domagalska-Szopa, M. Eugenia Serrano – Risk factors of neurodevolopmental disorders in preterm infant. Fizjoterapia Polska 2020; 20(4); 190-197

Abstract

Introduction. Preterm infants are at a greater risk for developmental disorders than their term peers. The most cases, it is not possible to determine the specific cause of the cerebral motor disorders. Review of literature indicate that they have no only one cause. Instead, it usually occurs due to a sequence of events or circumstances, so- called risk factor. The risks factors can happen during pregnancy and delivery, so they are usually are divided into following categories: 1) prenatal, 2) natal and 3) postnatal risk factors.
The aim of this study is to recognize the relationship between prematurity and the presence of other risk factors for the development of CMD, related to the course of pregnancy, the course of delivery and the condition of the child after birth.
Participants & Methods. Thirty premature infants from 3 to 5 months, who were qualified to SYNAGIS program included to the study. The present study collected data of burdens and clinical symptoms associated with preterm birth, i.e. the gestational age, birth weight, Apgar score, maternal age, as well as the presence of prenatal, perinatal and postnatal factors of motor disorders in preterm infant.
Results & conclusion. The obtained results confirmed that preterm babies are at a higher risk of developing neurodevelopmental disorders. The obtained results additionally indicated a large share of postnatal factors related to the immaturity of the respiratory system, which is a directly result from preterm labor.

 

Key words:

prematurity, preterm infant, risk factors, developmental motor disorders

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Predictors of Frontal Plane Knee Excursion during Functional Weight Bearing Tasks in Young Athletes

Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah

Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah – Predictors of Frontal Plane Knee Excursion during Functional Weight Bearing Tasks in Young Athletes. Fizjoterapia Polska 2020; 20(1); 106-112

Abstract
Background. The knee joint complex is one of the most commonly injured areas of the body in athletes. Excessive frontal plane displacement of the knee joint is considered a risk factor for multiple knee pathologies such as meniscal, anterior cruciate ligament and patellofemoral joint injuries, however, the biomechanical factors that contribute to this loading pattern need further investigations. Objective. The purpose of this study was to investigate clinical predictors of frontal plane knee excursion during single leg landing tasks. Methods. One hundred and twenty eight (male) football players participated in this study. Their mean age was (14.6 ± 1.7) years, mean BMI was (21.3 ± 2.1)kg/m2. The knee frontal plane projection angle was measured by digital video camera using single leg landing tasks after that clinical predictors affecting knee joint frontal plane projection angle assessed (tibiofemoral angle measured using digital video camera, peak isometric strength of hip and knee muscles strength assessed using portable HHD, static postural balance assessed using biodex balance system, foot posture assessed using foot posture index, knee proprioception assessed through measuring weightbearing joint position sense). Results. Statistical analysis using stepwise multiple regression indicated that of the included variables, only static tibiofemoral alignment, hip external/internal rotators ratio and knee joint position sense absolute error predict the knee frontal plane projection angle during landing tasks (r2 = 0.15, p = 0.00; r2 = −0.089, p = 0.00 and r2 = 0.336, p = 0.00 respectively). Together these variables only explained 30% of the variance in knee frontal plane projection angle. Conclusion. Tibiofemoral angle, knee joint proprioception and hip external/internal rotators ratio were found to play great role in controlling knee frontal plane motion, therefore the design of knee rehabilitation programs should include improving these factors to enable targeted prevention strategies to reduce injury rates.

Key words:
knee injuries, risk factors, kinematics, 2-dimensional motion analysis

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