Changes in body balance due to exposure to trauma – multi-center studies

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Anna Walińska, Kinga Gonta, Elżbieta Szkiler, Milena Kraft, Alina Kirpichnikova, Karolina Trąbska, Anna Parus, Tomasz Kupc, Malwina Waleryn-Sagun, Anna Szadkowska, Rafał Mosur, Kamila Mosur, Damian Szyguła, Nicola Książek, Małgorzata Barszczewska, Patrycja Janta, Aneta Mandrosa, Joanna Jarosławska, Klaudia Smolińska, Marta Szewczyk, Agnieszka Byszewska, Anna Morzyńska, Marzena Tuszkowska, Barbara Wrocławska-Tuszkowska, Marek Gapiński, Tomasz Kowalik, Karolina Adamska, Katarzyna Pawliwiec, Jan Głodowski, Konrad Kijak, Małgorzata Kowacka, Danuta Lietz-Kijak

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Danuta Lietz-Kijak et al – Changes in body balance due to exposure to trauma – multi-center studies. Fizjoterapia Polska 2023; 23(5); 313-326

DOI: https://doi.org/10.56984/8ZG20Bb3T

Abstract
Aim. The purpose of the study was to assess the impact of a traumatic event experienced by the subject on postural balance and biomechanical parameters of gait.
Research methodology. The study involved 31 people (n = 100%), including 22 women (nk% = 70.97%), 9 men (nm% = 29.03), aged 29-60. People with diseases and dysfunctions affecting body balance and gait pattern were excluded from the study.
Balance and gait tests were performed using pedobarography (pedobarograph mod. EPS R2, Biomech Studio v2 software). The balance test was performed while standing, for 20 seconds, with sampling every 1 ms (millisecond) – the number of samples during one test is 20,000. The balance and gait assessment tests were performed twice. Test I included testing in neutral conditions, Test II included testing in conditions in which the subject was exposed
to a traumatic event he or she had experienced in the past (so-called exposure to “experienced trauma”).
Results. The obtained results of studies on the impact of exposure to experienced trauma on body balance while standing showed significant differences in body fluctuations in the most important parameters of stabilometric assessment.
The obtained results of research on the impact of exposure to trauma on the subject’s gait showed no significant differences between the test in neutral conditions and the test during exposure.
Conclusions. (1) Exposure to the trauma experienced by the subject significantly affects the body’s balance in a standing position. (2) The research showed no influence of exposure to the experienced trauma on the subject’s gait in the area of the time of contact of the feet with the ground and on the values of maximum and average pressure; The area of the plane where the feet are placed on the ground changes significantly before and after exposure to the trauma experienced by the subject. (3) In research on the impact of trauma on body posture, detailed results of studies on the range of COP fluctuations in each plane should be taken into account – the study showed that the analysis of only average results may significantly indicate an incorrect result in the assessment of body balance.

Keywords
stress, trauma, PTSD, body balance, gait, stabilometry, pedobarography

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Work related musculoskeletal disorders in school teachers: risk factors, prevalence, and association with health-related quality of life in Emirate of Sharjah, United Arab Emirates

Alyazia Obaid Hassan Khudoum Almarashda, Kalyana Chakravarthy Bairapareddy, Meeyoung Kim

Inas Gita Amalia, Suharjana, Ahmad Nasrulloh, Enggista Hendriko Delano, Abiyyu Amajida
– Work related musculoskeletal disorders in school teachers: risk factors, prevalence, and association with health-related quality of life in Emirate of Sharjah, United Arab Emirates.
Fizjoterapia Polska 2023; 23(5); 217-226

DOI: https://doi.org/10.56984/8ZG20A65A

Abstract
Introduction. This study aimed to determine the prevalence of work-related musculoskeletal pain (MSP) and correlations between associated risk factors, physical activity levels, stress, and quality of life among schoolteachers in Sharjah, United Arab Emirates.
Materials and methods. A cross-sectional study using SPSS version 23.0 for the statistical analysis, was conducted using the Shapiro–Wilk test, independent t-test and one-way ANOVA test to compare the quality of life scores and stress level scores based on variables.
Results. In total, 342 teachers working in private and public schools were recruited. Our results showed a high prevalence of MSP among teachers. The most reported areas were the lower back, shoulder, and neck, followed by the upper back. The suggested causes are long hours spent on devices, as the average hours spent on devices range from 6 to 9 hours, heavy load of teaching from 16 to 30 classes per week, old age in most participants (35 years and above), and low physical activity. Moreover, quality of life is low among teachers with known chronic medical conditions and teachers working in private schools. Stress was moderate when all variables were tested.
Conclusion. Work-related MSP are highly prevalent among schoolteachers in the UAE. A high prevalence is associated with older age, longer teaching hours, higher teaching load, poor quality of life, and moderate stress.

Keywords
musculoskeletal pain, stress, quality of life, teachers

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Prevelence of temporomandibular joint dysfunctions (TMDs) and depressive symptoms and feelings of stress in physiotherapy students with type D personality

Magdalena Gębska, Sylwia Mielcarska, Bartosz Dalewski, Łukasz Pałka, Katarzyna Weber-Nowakowska, Łukasz Kołodziej

Magdalena Gębska, Sylwia Mielcarska, Bartosz Dalewski, Łukasz Pałka, Katarzyna Weber-Nowakowska, Łukasz Kołodziej – Prevelence of temporomandibular joint dysfunctions (TMDs) and depressive symptoms and feelings of stress in physiotherapy students with type D personality. Fizjoterapia Polska 2023; 23(5); 145-156

DOI: https://doi.org/10.56984/8ZG20BZsV

Abstract
Background. Recent scientific reports in dentistry and psychology tend to emphasize the role of various personality traits in temporomandibular joint dysfunction (TMD) multimodal etiology. Since type D personality is a new construct, there has not been much research published regarding this subject. It encompasses both the tendency to experience negative emotions and the tendency to refrain from expressing them. The impact of this combined effect on the increase in stress intensity and the development of somatic and psychiatric illnesses is clearly highlighted. The data presented in the scientific report complement previous insights during ongoing research on Type D personality in people with TMD predisposing factors.
Aim. The aim of this article was to assess the influence of type D personality and its two dimensions on the prevalence of symptoms located in TMJ and adjacent tissues, predisposing factors, depression, and levels of perceived stress.
Material and methods. The study was conducted on a group of 240 physiotherapy students. The study group (G1) comprised of 120 students with DS. 14 type D personality. The control group (G2) consisted of the same number of people without Type D personality. Data obtained included symptoms of TMJ symptoms, and predisposing factors according to original questionnaire form developed for the study; PSS10 stress severity questionnaire and the Beck Depression Inventory (BDI) were also used.
Results. In the study group, TMD symptoms significantly positively correlate with type D personality (with NE a stronger correlation than with SI), PSS10 and BDI, and negatively correlate with age. Students with type D personality had significantly more frequent and higher TMD symptoms than those without stress personality (p = 0.000). The exception was the symptom of increased muscle tension which showed no statistical difference (p = 0.222). People with Type D personality are more than 6 times more likely to clench their teeth (OR = 6.76) and 3 times more likely to have TMJ acoustic symptoms (OR = 3.35) and teeth grinding (OR = 3.27). In the study group, as the level of perceived stress and degree of depression increased, the number of TMJ and preauricular area complaints reported were also on the rise. In the group of students with type D personality, depression was significantly more frequent than in the group without stress personality (p = 0.000).
Conclusion. Students with Type D personality risk experiencing more TMJ and preauricular area issues, while coping with more stress and depressed mood.

Key words:
D personality, stress, depression, temporomandibular joint dysfunction, students

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Collaboration of specialists in the rehabilitation of spine pathology

Oleg Panchenko, Zbigniew Śliwiński, Anastasiia Kabantseva, Nataliia Tsapro

O. Panchenko, Z. Śliwiński, A. Kabantseva, N. Tsapro – Collaboration of specialists in the rehabilitation of spine pathology. Fizjoterapia Polska 2021; 21(4); 96-102

Abstract
To study the influence of the negative psychological state of children and adolescents living on the territory of hostilities, on the formation and course of spinal pathology. The sample consisted of 1467 people aged 5–18-year-old, whose parents had no complaints of the child’s spinal pathology, i.e. “relatively healthy children in respect of spinal pathology.” The growth of pathology of the spine during periods of intensive growth of the child was confirmed: in the 5–7-year-old age group for 3.49% of children, in the 8-10-year-old age group for 13.78%, in the 10-14-year-old age group for 17.89%, in the 15–17-year-old age group for 25.15% respectively. An increase in the prevalence of scoliosis in the Donetsk oblast (excluding the temporarily occupied territories) at the level of 28.26 cases per 1,000 schoolchildren, which is more than in other regions of Ukraine. The similarity of the pathogenesis of scoliosis, stress, and hypercalciuria was determined, which explains the data obtained by us on the prevalence of scoliosis in the ATO area, actually 95.89 cases per 1000 children, and 251.53 cases per 1000 adolescents aged 15-18-year-old. The manifestations of autonomic disturbances (rs = 0.34, p ≤ 0.01), sleep disturbances (rs = 0.43, p ≤ 0.01), anxiety (rs = 0.43, p ≤ 0.01) is increased among children with significant fear of war. There is a need to consider scoliosis as a stressor, and therefore children with scoliosis should get psychological rehabilitation and expert advice.
Key words:
scoliosis, stress, hypercalciuria, children, adolescents, rehabilitation
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Occupational burnout and satisfaction with life in female physiotherapists

Marta Makara-Studzińska, Karolina Kryś-Noszczyk, Małgorzata Starczyńska, Wojciech Kiebzak, Zbigniew Śliwiński

Marta Makara-Studzińska, Karolina Kryś-Noszczyk, Małgorzata Starczyńska, Wojciech Kiebzak, Zbigniew Śliwiński – Occupational burnout and satisfaction with life in female physiotherapists. Fizjoterapia Polska 2012; 12(4); 327-339

Abstract
The term „occupational burnout” is used to define mental an emotional exhaustion, especially due to a long term exposure to stress. Studies show that occupational burnout is typically found in such professions as: physicians, physiotherapists, nurses, psychologists and social workers. In women, occupational burnout is manifested by emotional exhaustion. The objective of the study was to assess the level of life and job satisfaction among female physiotherapists, with particular reference to occupational burnout phenomenon. The sample included 30 female physiotherapists and the control group was composed of 30 female pharmacists. The research tools included Life Satisfaction Questionnaire (LSQ) and Burnout Scale Inventory (BSI). Statistical analysis was based on arithmetic means, standard deviations (SD) and the significance of differences between the mean values obtained from each occupational group. Significance level was established using Student’s-t test. The results indicate differences in the global life satisfaction score between the study and control groups. The studied female physiotherapists were diagnosed with chronic fatigue, requiring prompt preventive measures.
Key words:
burnout, satisfaction, stress, loos of energy
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Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient

Agata Gajos, Marek Kiljański

A. Gajos, M. Kiljański – Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient. Fizjoterapia Polska 2018; 18(4); 38-49

Abstract
The objective of this study is comparison of the impacts of classic massage and Lomi Lomi Nui massage in treating stress-induced mental and physical tiredness. Another objective is to compare the impact of massage on body hydration and on the level of extracellular water.
Materials and methods. The study covered 30 persons aged 25 – 65.
The patients were divided into 2 groups. Group I included 15 people (7 women and 8 men) who underwent a classic massage. Group II included 15 people (7 women and 8 men) who underwent a Lomi Lomi massage.
Before the massage, the body mass and height were measured in both groups, and then the patients underwent bioelectrical impedance analysis for the purpose of measuring body hydration and the level of extracellular water.
After the massage, impedance was measured again for the purpose of determining the difference in results after the massage. The patients were then asked to fill in a questionnaire including a question about the effectiveness of massages in decreasing mental and physical tiredness and about the impressions during and right after the massage.
Results. Both massages are effective in alleviating the symptoms of stress-induced mental and physical tiredness. The results were not statistically relevant.
The classic massage resulted in reduction in pain and muscle stiff muscles, while the Lomi Lomi massage affected the emotional aspects – the patients were relaxed, the harmony between spirit
and body was recovered, which was statistically relevant. The results of bioelectrical impedance analysis indicate that the massages affected body hydration
and the level of extracellular water. The comparison of arithmetic means of results indicated that the classic massage demonstrated a greater relationship than the Lomi Lomi massage, which was statistically relevant.

Key words:
Stress, medical massage, bioelectrical impedance

 

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How to Help Persons with Disabilities to Improve Their Everyday Life? – Report from Study with the Rational Behavior Therapy Application

Aleksandra Sierant, Monika Łętocha, Paweł Grzybek, Kamila Pytowska, Anna Wiśniewska-Małek, Marek Kiljański, Wojciech Kiebzak

A. Sierant, M. Łętocha, P. Grzybek, K. Pytowska, A. Wiśniewska-Małek, M. Kiljański, W. Kiebzak – How to Help Persons with Disabilities to Improve Their Everyday Life? – Report from Study with the Rational Behavior Therapy Application. FP 2016;16(4);40-46

Abstract

Introduction. People with disabilities face in their everyday life many challenges / difficult experiences / incidents of stress. Disability status is often accompanied by the lack of employment and by social isolation, moreover, the architectural barriers significantly hamper the lives of the people with disabilities, and reduce the life’s quality. Disabled persons are particularly vulnerable to depression and to suicidal thoughts, and therefore a_special care should be devoted to them. Thus, there is the need to establish methods and support system, which would be effective in the therapeutic work with this group of persons. Proven effectiveness in the treatment of critical situations, including the mental disorders, as well as coping with the everyday life stress, have the cognitive-behavioral methods.  The Rational Behavior Therapy is a_cognitive-behavioral method of therapy developed by Professor Maxie Maulsby  for patients with mental disorders and those, who have experienced crisis situations.  The aim of this method is to reformulate a_person’s thinking to more adaptive model, which should result in reduction in severity of the negative emotions and the undesirable behavior.
Aim. The aim of this study is to evaluate the RBT method, while working with disabled persons.
Materials and Methods. In the study participated 13 persons with disabilities, belonging to professionally active age group – 30 to 52 years old, with mean age of 41 years, and standard deviation of 6.13. Using a_distress thermometer, we measured stress level and the dispositional optimism, before and after two days of the RBT workshops. During workshops, the persons received useful information about mechanism in which emotions function, and about methods for coping with stress, and then, they performed exercises under the supervision of experienced therapists, and the whole session has been complemented by the presentation of films, illustrating the introduced materials.
Results. A_significant reduction in the average level of stress has been determined, from 7.54 before the RBT workshops, to 2.62 after the workshops. The average incidence rate of all tested problems (practical, family, emotional, physical) has been reduced. After application of the therapy, a_significant increase in the level of optimism has been noted.
Conclusion. The obtained results confirm the initial usefulness of the RBT method, in assisting the people with disabilities. There are, however, further multicenter longitudinal studies required, which would confirm the effectiveness of such intervention.

Keywords:

Stress, cognitive-behavioral therapy, RBT, disability, emotional problems, cognitive restructuring

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