The relationship between the shape of plantar surface of feet and body build features in females

Paweł Lizis

Paweł Lizis – The relationship between the shape of plantar surface of feet and body build features in females. Fizjoterapia Polska 2011; 11(1); 57-65

Abstract
The function and performance of the feet depends on their morphology, and particularly on the longitudinal and transverse arch, and the position of the hallux and 5th toe. A number of publications have been devoted to foot morphology, mostly concerned with the relation between the longitudinal arch and morphological features. However, there is a dearth of studies of correlations between the transverse foot arch, and position of the hallux and the 5th toe and body build features. The aim was to determine relationships between longitudinal and transverse arches, hallux and 5th toe positioning and body features in females.Sixty-seven female workers aged 30-40 years from the Railway Hospital in Wilkowice-Bystra, Rehabilitation Non-Public Health Care Institution, and Social Rehabilitation-Education-Rehabilitation Centre in Radzionków were evaluated. The mean age of the participants was 36.5 years. Body weight, height, BMI, and WHR were measured. Plantography was used to determine the Clarke angle, Wejsflog index, and α and β angle.The longitudinal arch correlated with BMI and WHR, p<0.05; p<0.01; p<0.001. The transverse arch, hallux, and 5th toe did not correlate with body build. Investigations of relationships between foot morphology and body build need to be continued. By selecting the most significant features, therapies to counteract foot deformities in adults can be enhanced.The longitudinal arch of the feet correlates with the BMI and WHR indices. Therefore, a pyknic body build promotes flat foot. The transverse arch, hallux and 5th toe do not correlated with body build; thus somatic features do not influence the quality of the front part of the feet.
Key words:
body features, females, correlation, foot arches
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The influence of systematic physiotherapy on upper limb function in post-mastectomy women

Ewa Puszczałowska-Lizis, Paweł Lizis

Ewa Puszczałowska-Lizis, Paweł Lizis – The influence of systematic physiotherapy on upper limb function in post-mastectomy women. Fizjoterapia Polska 2011; 11(1); 41-48

Abstract
The aim of this paper was to evaluate the effect of physiotherapy on upper limb function in post-mastectomy women. Thirty-three women attending the Amazons Post-Mastectomy Women’s Club at the Holy Cross Cancer Centre in Kielce were examined on two occasions at three months’ interval. The participants were divided into Group I of 15 patients regularly attending rehabilitation and Group II of 18 patients practicing rehabilitation occasionally. Bilateral measurement of the angular range of motion in the shoulder was the basic method of assessment. A shoulder range of motion of the upper limb on the operated side smaller by more than 10° in relation to the opposite limb was regarded as ROM limitation. Upper limb circumferences were also measured at 10 cm above and below the lateral humeral epicondyle and in the central metacarpus excluding the thumb to an accuracy of 1 mm. Circumferences of the upper limb on the operated side greater by more than 2 cm compared to the opposite limb were regarded as lymphoedema. Our evaluation of statistical significance of correlations between qualitative parameters (influence of rehabilitation on limitation of the shoulder range of motion and incidence of lymphoedema) relied on the non-parametric Chi-square test (χ²).There was a statistically significant correlation between regular rehabilitation practice and the shoulder range of motion and persistence of upper limb lymphoedema on the mastectomy side.Physiotherapy improves ROM and effectively prevents deterioration of upper limb lymphoedema in post-mastectomy women.
Key words:
breast cancer, mastectomy, shoulder joint, range of motion, lymphoedema
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