Tag: Robert Irzmański

Assessment of the impact of sport shooting on the functional status of the upper limbs

Adam Stręciwilk, Robert Irzmański, Małgorzata Kilon

Adam Stręciwilk, Robert Irzmański, Małgorzata Kilon – Assessment of the impact of sport shooting on the functional status of the upper limbs –  Fizjoterapia Polska 2025; 25(1); 289-295

DOI: https://doi.org/10.56984/8ZG007DBCZ8

Abstract
Aim of the study. The objective of this study was to evaluate the impact of sport shooting training on hand-grip-strength (HGS) and the range of motion (ROM) in the upper limb joints.
Material and Methods. A total of 55 individuals aged 16–70 years (mean age 38.23 ± 13.51) who actively practise sport shooting were included. Based on their experience, they were assigned to two groups. The study group (SG) consisted of 23 athletes with ≥4 years of training experience, and the control group (CG) included 32 athletes with < 4 years of training experience. A custom-designed questionnaire was used, and the functional status of the upper limbs was assessed using measurements of HGS and ROM in the shoulder joints. The Shapiro–Wilk test was used to verify the normal distribution of variables, while the Mann–Whitney U test was applied for between-group comparisons. A p-value < 0.05 was considered statistically significant.
Results. In the SG, the mean HGS for both hands was 53.65 ± 11.17, whereas in the CG it was 53.33 ± 8.89 (p > 0.05). No statistically significant differences in shoulder joint ROM were found between the two groups (p > 0.05). In both groups, sex had a statistically significant effect on HGS (p < 0.001). No correlation was observed between age and HGS in the SG (r = 0.183) or CG (r = 0.355), with r = 0.245 for both groups combined (p > 0.05).
Conclusions. The duration of sport shooting training did not affect HGS or shoulder joint ROM. Women achieved lower HGS values compared to men. Age did not influence HGS.
Key words
sport shooting, hand grip strength, range of motion, functional status of the upper limbs
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Evaluation of the impact of treadmill training on gait parameters in patients after hip joint arthroplasty

Joanna Kuchciak, Agnieszka Przedborska, Robert Irzmański

Joanna Kuchciak, Agnieszka Przedborska, Robert Irzmański – Evaluation of the impact of treadmill training on gait parameters in patients after hip joint arthroplasty –  Fizjoterapia Polska 2025; 25(1); 222-230

DOI: https://doi.org/10.56984/8ZG007DSVNP

Abstract
Introduction. Hip joint arthroplasty is an effective treatment method for advanced osteoarthritis. An essential element of post-surgical rehabilitation is gait re-education.
The aim of this study was to evaluate the impact of treadmill-based therapy on gait parameters in patients after hip joint arthroplasty.
Material and methods. The study included 30 patients (16 female, 14 male) after hip joint arthroplasty, with a mean age of 67.57 ± 8.97 years, who underwent treadmill gait training using the Biodex Gait Trainer 3 for three weeks. Pain intensity, range of motion of the operated hip joints, and patients’ motor efficiency were assessed. Gait parameters were measured using the Biodex Gait Trainer 3 treadmill.
Results. After the applied therapy, a statistically significant reduction in pain was observed according to the VAS scale, along with an improvement in the flexion range of the operated joint and a decrease in fall risk. Gait parameter analysis on the treadmill revealed increased walking distance, gait speed, step count, and an increase in average step length.
Conclusions. Gait training using the Biodex Gait Trainer 3 treadmill is a useful method for gait re-education in patients with hip joint endoprosthesis. The applied therapy reduced pain symptoms and improved the range of motion of the operated joint. The conducted training decreased the risk of falls and positively influenced all gait parameters.
Key words
hip joint endoprosthesis, gait training, treadmill, gait parameters, gait re-education
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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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Assessment of factors influencing the effectiveness of sensory integration therapy in preschool and early school-aged children

Oliwia Karpińska, Robert Irzmański, Małgorzata Kilon

Oliwia Karpińska, Robert Irzmański, Małgorzata Kilon – Assessment of factors influencing the effectiveness of sensory integration therapy in preschool and early school-aged children –  Fizjoterapia Polska 2024; 24(1); 160-166

DOI: https://doi.org/10.56984/8ZG2EF8xlA

Abstract
Objective. The aim of the study was to assess the factors influencing the effectiveness of sensory integration (SI) therapy in children with sensory processing disorders (SPD).
Materials and Methods. The research involved 49 children, aged 3 to 10 years, diagnosed with SPD. The study was conducted at the “Plastuś” Sensory Integration Clinics in Lodz. The research tools included acustomized questionnaire and the Sensory-Motor Questionnaire according to Z. Przyrowski.
Results. The therapy showed the most significant improvement in the areas of smell (93%) and vision (69%). Progress in treatment related to muscle tension, function of the vestibular system with hyposensitivity, and coordination was affected by the examined children’s age. Upon termination of SI therapy, 16% of patients showed no risk of SPD.
Conclusions. SI therapy proved to be most successful in the areas of smell, vision, touch, and the hyposensitivity of the vestibular system, with the most significant correlations in progress observed between hearing, attention, and behavioral patterns. Therapy resulted in reduction in the number of areas at risk of SPD, and progress in treatment was influenced by age, the onset of walking, chronic illnesses, and the week of childbirth.
Key words:
sensory processing disorders, sensory integration therapy, Sensory-Motor Questionnaire according to Z. Przyrowski
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Efficacy of selected physiotherapeutic procedures in the treatment of lumbar spine pain

Tomasz Miśkiewicz, Zbigniew Dudkiewicz, Robert Irzmański, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

Tomasz Miśkiewicz, Zbigniew Dudkiewicz, Robert Irzmański, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska – Efficacy of selected physiotherapeutic procedures in the treatment of lumbar spine pain. Fizjoterapia Polska 2018; 18(3); 12-28

Abstract
Aim of the study. The aim of the study was to evaluate the effectiveness of selected sets of physiotherapeutic procedures for pain in the lumbosacral segment caused by degenerative disease.
Materials and Methods. The study involved 45 patients with pain syndromes within the lumbosacral spine, who underwent a series of physiotherapy treatments. The subjects were divided into four groups. Three groups were divided depending on the applied sets of physiotherapy treatments, while the fourth group (comparative) were those taking only non-steroidal anti-inflammatory drugs (NSAIDs) for the duration of a series of treatments in the remaining groups. The patients were examined using the questionnaire of their own questionnaire, the SF-36 questionnaire (vol.2) of the short questionnaire version (Poland version), Lovett test, Laitinen scale and diagnostic tests (Laseque, Bragard, Thomayer). The tests were carried out immediately before the treatment series and two weeks after its completion.
Results. The subjects were aged 45-65. 71.1% were women and 28.9% were men. 13.3% of people were physically active. Spinal osteoarthritis was the cause of pain in all patients participating in the study. In the research group, a statistically significant difference was found between the results of the severity of pain, the level of muscle strength and the quality of life measured before physiotherapy and 2 weeks after its completion. In 90% of people participating in the procedures, an increase in muscle strength was obtained, whereas in the control group only in 6%. The improvement of the ranges of mobility in the discussed section of the spine concerned 46.6% of the subjects participating in the treatment series. In the comparison group, none of the patients improved their range of motion.
Conclusions. Physiotherapeutic treatments have a positive effect on the reduction of pathological symptoms of the lumbosacral spine. They have a positive effect on improving the quality of life, muscle strength, ranges of mobility and reducing or completely removing pain. Regardless of the applied set of physiotherapeutic treatments, they worked better than the intake of non-steroidal anti-inflammatory drugs by patients.

Key words:
physiotherapy, degenerative disease, lumbosacral segment, non-steroidal anti-inflammatory drugs

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Impact of controlled physical exercise on NT-proBNP level and ejection fraction in patients with acute coronary disease – original paper

Ireneusz Jurczak, Katarzyna Dudek, Ksenia Jurczak, Robert Irzmański

I. Jurczak, K. Dudek, K. Jurczak, R. Irzmański – Impact of controlled physical exercise on NT-proBNP level and ejection fraction in patients with acute coronary disease – original paper. FP 2016; 16(3); 58-66

Abstract
Purpose. Assess the effect of a controlled physical training on the level of NT-pro BNP and left ventricular ejection fraction depending on the time and type of physical exercise.
Methods. Eighty-three patients were included in the study. Two groups participated in interval training on a cycle ergometer and exercise improving general physical. Control Group participated in exercise improving general physical only. The immunoenzymatic test for qualitative determination of the NT – proBNP level and echocardiographic examination was performed in all groups.
Results. The authors observed changes in NT-proBNP level testing and echocardiographic examination. In the group I, after a 2-week training, the NT-proBNP value decreased by 13.2%. In the same group, mean EF values were significantly increased, from 51.23% to 51.95%. In the group II a 29% reduction of the NT-pro BNP level was observed. EF values were significantly increased, from 50.62% to 51.69%. As for final NT-proBNP values in the control group, a decrease of the peptide level by 3.9% was observed, compared to initial values. In the same group, a non-significant increase of the EF value was observed, from 47.06% to 47.13%
Conclusions. Findings of the studies confirm that cardiac rehabilitation decrease of the NT-proBNP level and improves LVEF in patients with acute coronary disease.

Key words:
cardiac rehabilitation, natriuretic peptide, ejection fraction, acute coronary disease

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