Marwan M Aljohani,Abdulmohsen M Alroumi, Ayman M Alawamer, Osama Ahmed Khalid
Marwan M Aljohani,Abdulmohsen M Alroumi, Ayman M Alawamer, Osama Ahmed Khalid – The interlimb and between gender differences in the performance of Y-balance test in healthy athletic students. Fizjoterapia Polska 2022; 22(5); 154-158
Objectives. To investigate the gender effect on the performance of Y-balance test (YBT) and the interlimb differences in males and females.
Methods. Thirty-six healthy athletic students aged 22 ± 2 years voluntarily participated in this study. YBT scores in_cm for anterior, posteromedial, posterolateral, and composite scores for dominant and non-dominant limbs were measured. YBT scores were used for the analysis. Independent_t-test was used to investigate the gender differences in YBT scores. Paired_t-test was used to examine the interlimb differences of YBT for males and females.
Results. Males athletic student demonstrate greater reach scores in all direction for the non-dominant and dominant leg except the posteromedial reach direction for the dominant leg. In addition, male athletic students demonstrated significant interlimb differences in the posteromedial reach direction.
Conclusions. Male athletic students demonstr`ated better dynamic balance compared to females. However, there was a_significant interlimb differences in the posteromedial reach direction which is known to be risk factor for non-contact injury for who participate in soccer.
Y-balance test, dynamic balance, interlimb, gender differences
Daniela Kajda, Jan Szczegielniak, Marzena Dorosz, Marta Gołdyn-Pastuszka, Jacek Łuniewski, Katarzyna Bogacz
Daniela Kajda, Jan Szczegielniak, Marzena Dorosz, Marta Gołdyn-Pastuszka, Jacek Łuniewski, Katarzyna Bogacz – Impact of the pandemic on the quality of life in the Polish and German population. Fizjoterapia Polska 2022; 22(5); 140-153
Introduction. Quality of life during the pandemic has taken on a completely different dimension. As a result of the restrictions, it was necessary to reorganize life in every sphere. This could lead to a number of negative consequences, including the deterioration of physical and mental health, as well as disturbances in the ability to establish proper social relationships.
Objective. The objective of the study was to assess the impact of the pandemic on the quality of life in the Polish and German population.
Material and methods. The study was conducted on a group of 200 people, of which 100 people are respondents living in Poland, while the remaining 100 live in Germany. The research tool used in this study was a questionnaire. The questionnaire was created in two language versions: Polish and German. The obtained results are presented in the form of pie charts and bar graphs. Pie charts present the results in percentages, obtained in individual questions included in the questionnaire.
Results and discussion. The results indicate a change in the frequency of undertaking physical activity. The number of respondents undertaking physical activity has significantly decreased, while the respondents who do not undertake physical activity during the pandemic constitute almost half of the respondents from Poland. The situation in Germany is completely different, as the number of people undertaking and not undertaking physical activity has not changed significantly. As a result of the pandemic caused by the SARS-CoV-2 virus, almost half of the respondents from Poland began to feel a little fatigued while performing everyday activities, while the level of fatigue of the German respondents did not change significantly and oscillates around the same limits as before the pandemic. The quality of sleep in Polish respondents definitely decreased from good to moderate as a result of the COVID-19 pandemic, while in German respondents there is no significant decrease in sleep quality.
Conclusions. 1. The COVID-19 pandemic had a negative impact on the mental health of the Polish population to a large extent, while the negative impact of the SARS-CoV-2 virus pandemic on the German population is observed to a much lesser extent.
2. The pandemic situation contributed to a significant deterioration in the quality of life in the case of the Polish population, while in the case of the German population, no significant deterioration in the overall quality of life caused by the COVID-19 pandemic was documented.
3. The COVID-19 pandemic caused a significant decrease in the level of physical fitness and the frequency of undertaking physical activity in the Polish population, while in the case of the German population, the level of physical fitness slightly deteriorated, but no significant decrease in the frequency of undertaking physical activity was observed during the pandemic caused by the SARS-CoV-2 virus.
4. Among the Polish population, the general well-being has clearly deteriorated, however, in the case of the German population, there is no significant decrease in well-being caused by the ongoing COVID-19 pandemic.
pandemic, quaility of life, Polish population, German population
Haya Mohammed AlMaawy, Gehan A. Abdelsamea, Yassmin Essam Mohamed, Doaa Tammam Atia, Olfat Ibrahim Ali, Amira Mohamed El-Gendy
Haya Mohammed AlMaawy, Gehan A. Abdelsamea, Yassmin Essam Mohamed, Doaa Tammam Atia, Olfat Ibrahim Ali, Amira Mohamed El-Gendy – Effect of high-intensity interval exercise on pain, disability, and autonomic balance in female patients with nonspecific chronic low back pain. Fizjoterapia Polska 2022; 22(5); 130-138
Aim. to assess the impact of a 6-weeks high-intensity interval exercise (HIIE) regimen on pain, disability, as well as autonomic balance in women with nonspecific chronic low back pain (NSCLBP). Materials and methods. Eighty females with mild to moderate NSCLBP, with ages of 18-65 years, were recruited from the physiotherapy department at King Fahd University Hospital, AlKhobar. They were assigned randomly into the control group (n = 40), which received standard regular physiotherapy, or the experimental group (n = 40), which received HIIE as well as conventional regular physiotherapy. Pre- and post-intervention (after 6 weeks) assessments included pain intensity via Numerical Rating Scale (NRS), disability via Oswestry Disability Index (ODI), as well as autonomic balance via heart rate variability (HRV) parameters & baroreceptor sensitivity (BRS) Both at rest and in reaction to an orthostatic challenge. Results. Both groups experienced significant improvements in pain and disability, with the HIIE group experiencing a higher improvement in both variables. For the HRV parameters after 6 weeks of intervention, the control group had a statistically significant reduction in high frequency (HF), and in response to the orthostatic challenge, a significantly higher rise in the normalized low frequency (LFnu) compared to the baseline. BRS showed a significant reduction and heart rate recovery was significantly faster post-intervention in the HIIE group in the 2nd and 3rd minutes, compared to the baseline values. Conclusions. HIIE can be a valuable addition to NSCLBP patients’ exercise routines in practice, since adding HIIE to standard physiotherapy resulted in more reduction in pain, disability compared to conventional physiotherapy alone, with enhanced autonomic regulation after six weeks of treatment.
chronic low back pain, Oswestry disability index, autonomic balance, heart rate variability
Loganathan D., Malavika D., D. Anandhi, Shirly M., Pugazhendhi S., N. Nalini Jayanthi
Loganathan D., Malavika D., D. Anandhi, Shirly M., Pugazhendhi S., N. Nalini JayanthiLoganathan D., Malavika D., D. Anandhi, Shirly M., Pugazhendhi S., N. Nalini Jayanthi – Effect of incentive spirometry on pulmonary function test in post COVID-19 pneumonia patients. Fizjoterapia Polska 2022; 22(5); 122-128
Background. COVID-19 caused by SARS-CoV-2 virus was assigned as a pandemic by WHO. Fever, breathlessness, cough and expectoration indicates lung involvement in the form of pneumonia and its most common complications are pulmonary fibrosis, chronic respiratory failure and reduced quality of life. Incentive spirometry is the relevant therapy to enhance the normal lung function and improve quality of life. Aim. To find the effect of incentive spirometry on pulmonary function test in post COVID-19 pneumonia patients. Methodology. An experimental study with simple random sampling (lottery method) of 24 patients in age group (18-68 years). The participants were randomly divided into 2 groups. Group A received pharmacotherapy and incentive spirometry and Group B received only pharmacotherapy. Computerized spirometry and Diffusion lung capacity for carbon monoxide (DLCO) was used as diagnostic tool to measure pre & post test values for both groups. Intervention was given for 4 weeks and after 4 weeks, to analyze the spirometry values post-test was taken for both groups. Outcome measures. Forced expiratory volume in the first second (FEV1), Forced vital capacity (FVC), FEV1/FVC &DLCO. Results. Statistical analysis shows significant improvement (p < 0.05) between pretest and post test values on Pulmonary Function Tests (PFT) in both Group A&B whereas there was increase in the improvement in intervention group than control group. Conclusion. Incentive spirometry improved the lung volume and capacities on PFT in post COVID-19 pneumonia patients and also these patients have mainly restrictive lung pattern by the use of DLCO.
FEV1, FVC, FEV1/FVC, DLCO, post COVID-19 pneumonia patients, incentive spirometry
Eva Lukáčová, Gabriela Škrečková, Lucia Demjanovič Kendrová
Eva Lukáčová, Gabriela Škrečková, Lucia Demjanovič Kendrová – The occurence of postural disorders and muscular imbalance in children from urban and rural environment. Fizjoterapia Polska 2022; 22(5); 116-120
Background. Postural examination is considered to be one of the most important parts of the general examination and is therefore the basis for correct diagnosis and determining preventive measures or appropriate treatment procedures.
Objective. The aim of the study was to evaluate the functional status of school-aged children.
Methods: The study was carried out at selected primary schools in Slovakia, we examined 453 children. We assessed the quality of the postural system according to Thomas Klein´s evaluation, modified by Mayer, the presence of shortened and weakened muscles according to Janda. The following measurements were used to assess the range of motion of the spine: Otto’s inclination and reclination distance, Schober’s distance, Stibor’s distance and Thomayer’s distance.
Results. A statistically significant difference was found in the examination of gluteal muscles strength l.dx. (p = 0.03), gluteal muscles l.sin. (p ≤ 0.001), with the children from urban environment having, on average, lower muscle strength. Statistically significant differences were found in the evaluation of m. trapesiusl.dx. at significance level p = 0.04, m. trapesiusl.sin. at the level of significance p ≤ 0,001, with higher average values found in children from the urban environment.
Conclusion. Children from countryside show better postural outcomes and exhibit fewer postural disturbances than children from city backgrounds.
school age, postural disorders, muscular imbalance
Karolina Sandecka, Zbigniew Śliwiński
Karolina Sandecka, Zbigniew Śliwiński – Application of non-invasive brain stimulation with the use of repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) in the treatment of dysphagia following an ischemic stroke – analysis of research reports. Fizjoterapia Polska 2022; 22(5); 108-114
Stroke is one of the significant problems and causes of death, in particular in highly developed countries. It is also the most common cause of dysphagia.
This study is devoted to the analysis of publications from the last decade concerning research on the use of non-invasive brain stimulation (TMS, tDCS) in the treatment of dysphagia following an ischemic stroke. The following databases were searched for publications: PUBMED, Polish Scientific Journals Database, EBSCO, ScienceDirect. Out of 358 articles found, only two met all the inclusion conditions.
The studies discussed in this article included patients who had their first unilateral ischemic stroke, followed by dysphagia.
Findings from pilot studies on the effectiveness of the use of tDCS in the treatment of dysphagia following an ischemic stroke were analysed. Fourteen patients aged 50-92 were randomly assigned to two groups. The study group was treated with anodic stimulation, and the control group with sham brain stimulation. The results showed that patients in the study group obtained a statistically significant result, indicating an improvement in the swallowing function as measured by the Dysphagia Score and Severity Scale. The above data may indicate the effectiveness of the use of tDCS in the treatment of dysphagia.
Fifty patients were qualified for the research on the effectiveness of rTMS in the treatment of dysphagia. Three groups were created: the first group treated with high frequency rTMS, where patients received rTMS stimulation – 3Hz; the second group with low frequency rTMS – 1Hz; and the control group. The effectiveness of the therapy used was assessed on the fifth day and after 1, 2 and 3 months. After 5 days the groups where active rTMS stimulation was used showed greater improvement in the swallowing function compared to the sham stimulation group. Improved results in the Standardized Swallowing Assessment were also recorded after 3 months in the 1Hz and 3Hz groups, but this did not apply to the control group. In three groups, the results of the water swallow test and the degree of dysphagia improved after 3 months.
This analysis shows that non-invasive brain stimulation using tDCS and rTMS in the treatment of dysphagia is associated with improved swallowing function. However, the small number of studies conducted in this area does not allow for extrapolation of their results.
dysphagia, transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS)
Abirami E., Malarvizhi D., P. Sekar
Abirami E., Malarvizhi D., P. Sekar – Two-dimensional analysis of gait parameters on normal and overweight children – an observational study. Fizjoterapia Polska 2022; 22(5); 100-106
Background. Gait analysis is a systematic study of human locomotion that involves evaluating body motions, body mechanics, and muscle activity. Objective. To analyze spatiotemporal and kinematics variables among overweight children and normal children. Methodology. Non-Experimental study, convenient sampling, sample size was 30. Both boys and girls with 12 to 14 years of age were included in the study. Procedure. Participant were selected according to BMI for analyzing the normal and overweight children, based on these two groups were divided. GROUP A – Normal children and GROUP B – Overweight children. Outcome measures. Spatiotemporal and kinematics variables were assessed by using 2D gait analysis with software from Auptimo technologies. Results. Gait analysis of normal children shows significant difference in ankle plantar flexion, knee flexion and hip flexion in lateral view and in anterior view shows knee adduction, in posterior view shows ipsilateral pelvic drop and rear foot eversion at p < 0.05. In overweight children shows that ankle dorsiflexion, knee hyperextension, hip extension in lateral view, and in anterior view shows knee adduction and in posterior view shows that contralateral pelvic drop and rear foot eversion. In spatiotemporal parameters of overweight children shows reduced cadence and gait cycle compare to normal children at p < 0.05. Conclusion: This study concludes the normal and overweight children shows marked changes in ankle, knee and hip joint, knee abduction/adduction, pelvic drop, rear foot angle and spatiotemporal parameters.
lower limb, pelvic drop, rear foot angle, knee adduction/adduction, spatiotemporal, gait analysis, 2-dimensional
Gehan A. Abdelsamea, Mostafa Amr, Ahmed M. N. Tolba, Haitham O. Elboraie, Amir Soliman, Shereen Hamed Elsayed, Doaa A. Osman
Gehan A. Abdelsamea, Mostafa Amr, Ahmed M. N. Tolba, Haitham O. Elboraie, Amir Soliman, Shereen Hamed Elsayed, Doaa A. Osman – Premenstrual syndrome and its biopsychosocial symptoms among physiotherapy students in Eastern Delta: An exploratory study. Fizjoterapia Polska 2022; 22(5); 88-99
Background. During the luteal phase of the menstrual cycle, a set of clinically significant physical and psychological symptoms known as premenstrual syndrome (PMS) emerge. This condition can be extremely distressing and hinder females’ ability to work.
Purpose. To calculate the prevalence and severity of PMS and its biopsychosocial symptoms in female physiotherapy students in Eastern Delta and to investigate the relationship between various socio-demographic and reproductive factors.
Methods. At Delta University for Science and Technology in Gamasa, Egypt, 396 female physiotherapy students participated in an exploratory cross-sectional survey with a mean age of 20.23±1.07 years and BMI with a mean of 28.86 ± 5.05 kg/m2. The premenstrual syndrome scale (PMSS) was adopted to assess the prevalence of PMS and related symptoms, and a self-administered questionnaire was used to gauge sociodemographic and reproductive data.
Results: Three hundred ninety-six females of 438 females completed the study. In 85% of cases, PMS predominated research calculations. The PMS group displayed symptoms of fatigue, cramping in the abdomen, tension, mood fluctuations, and decreased productivity more overtly. According to a multiple linear regression analysis, living in a rural area, hitting menarche earlier, having a higher BMI, and having a family history were all significantly linked to PMS (p < 0.05). Conclusion. Female students have a high prevalence of PMS and its biopsychosocial symptoms. Therefore, adoption of preventive reproductive health and counseling services should be implemented as a standard component of routine clinical treatment for university students.
premenstrual syndrome, Egypt, premenstrual syndrome scale, biopsychosocial symptoms, physiotherapy students
Damian Durlak – Zmiany podatkowe a prowadzenie własnej działalności gospodarczej przez fizjoterapeutów. Fizjoterapia Polska 2022; 22(5); 84-87
A physiotherapist running or thinking of starting his/her own business must take into account many factors affecting business profitability. All predictable costs, as well as sudden crises and geopolitical changes should be considered due to their significant impact on the ability to continue running the business. Recent changes in tax policy and geopolitical turmoil make the analysis even more difficult, and its results not always optimistic.
physiotherapists, tax changes, inflation, self-employment
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Ezzat El Sayed Moubarak, Reem Dawood, Asmaa Abdelmonem, Mohamed K Seyam, Radwa S Abdulrahman
Ezzat El Sayed Moubarak, Reem Dawood, Asmaa Abdelmonem, Mohamed K Seyam, Radwa S Abdulrahman – Effects of both hip and traditional strengthening exercises on early outcomes post anterior cruciate ligament reconstruction. Fizjoterapia Polska 2022; 22(5); 76-83
Background. Lower extremity muscles weakness occur after the reconstruction of the anterior cruciate ligament (ACLR), specifically the hip muscles. The literature suggests that decreased hip strength which results from ACLR can lead to biomechanical changes in lower extremity. Objective. The aim of the current study was to assess effects of adding hip strengthening exercises with traditional strengthening exercises on early outcomes after ACLR. Materials and methods. Randomized controlled study was conducted on 50 male participants with primary unilateral ACLR, they were tested pre-operative and after 12 weeks postoperative; for pain intensity by visual analog scale (VAS), side to side difference knee extension limitation range of motion (ROM) by goniometer, and lower extremity function tests by side-to-side single-leg hop test and 10-yards test. They were assigned into two groups; group A (hip strengthening exercises with traditional strengthening exercises) and group B (traditional strengthening exercises only). Both groups received the treatment 3 sessions/week for 12 weeks. Results. The results of independent t-test showed that there were significant improvements (p < 0.05) in all variables (pain intensity, side to side difference knee extension limitation ROM, side-to-side single-leg hop test and 10-yards test) in both groups with superiority of group A. Conclusion. Adding of hip strengthening exercises to traditional strengthening exercises were effective on early outcomes post ACLR.
ACLR, hip strengthening exercises, traditional strengthening exercises, single leg hop test, 10-yards test