Tag: czynności życia codziennego

An evaluation of familiarity with the principles of preventing cervical spinal pain and their application in the daily living activities of women

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik – An evaluation of familiarity with the principles of preventing cervical spinal pain and their application in the daily living activities of women. Fizjoterapia Polska 2002; 2(1); 6-10

Abstract
Background. The cervical spine is expose to overload resulting from lifestyle, work-related strain, and unawareness of the principles governing the ergonomics of exertion. In our research we examined the manner of performing activities of daily living that are particularly burdensome for the cervical spine and ascertained how often exercises were performed to compensate for incorrect behavior.Material and methods. The research involved 166 women who were not complaining of pain in the cervical spine, either during the research or in the past. Among the subject 84 persons were performing physical labor, while 82 were office workers. The research questionnaire contained questions pertaining to those aspects of their behavior that were essential from the point of view of preventive spinal pain symptoms.Results. In the great majority of subjects the results indicate a lack of proper performance of daily living activities that have an impact on the prevention of cervical spinal pain.Conclusions. In a distinct majority of the young women we studied, the cervical spine is exposed in daily life to various kinds of overload, especially incorrect unilateral spinal load resulting from improper carrying of object, especially in women engaged in manual labor. Regular exercising to relieve spinal overload is performed by only a small percentage of women engaged in manual labor, the results obtained by women engaged in white-collar occupation were somewhat better.

Key words:
Neck Pain, Activities of Daily Living, ergonomics

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Kinesitherapy in rheumatoid arthritis

Aneta Hak, Marcin Oryniak, Jagoda Szner-Dobrowolska, Rafał Kaczmarzyk, Małgorzata Jegier

Aneta Hak, Marcin Oryniak, Jagoda Szner-Dobrowolska, Rafał Kaczmarzyk, Małgorzata Jegier – Kinesitherapy in rheumatoid arthritis. Fizjoterapia Polska 2004; 4(3); 284-287

Abstract

Kinesitherapy constitutes the basic method of rehabilitation for patients with rheumatoid arthritis. The rehabilitation process consists in improving the patients’ functional capacity to such an extent that they will be able to realize their fullest potential in the physical, mental, social, professional, avocational, and educational spheres. The present study discusses the basic techniques and exercises used in patients with rheumatoid arthritis.

Key words:
therapeutic exercises, compensatory stereotypes, activities of daily living (ADL)
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Assessing the risk of accidental falls in the elderly: an analysis of a medium-sized population

Marek Żak, Tomasz Grodzicki

Marek Żak, Tomasz Grodzicki – Assessing the risk of accidental falls in the elderly: an analysis of a medium-sized population. Fizjoterapia Polska 2004; 4(4); 391-395

Abstract

Background. The incidence of falls among the elderly has not yet been the subject of a major, in-depth study. This significant social issue is still greatly underrated by clinicians and physiotherapists. As accidental falls are widely recognized to carry potentially grave consequences for frail elderly victims, the present study aimed to assess in some detail the attendant circumstances and identify the key risk factors, with a view to contributing to the establishment of a nationwide plan for multi-tiered, preventive action. Materials and methods. The study group was comprised of 178 female patients, 66-91 years of age, recruited from the Geriatric Department of the Municipal Medical and Nursing Facility in Cracow, treated for hypertension in the period 1999-2001. Each was reported to have sustained at least one fall within 3 months prior to hospitalization. We examined the patients’ nursing and medical records, as well as individual risk assessment profiles, in search of patterns. Comprehensive information was obtained on the attendant circumstances, i. e. specific location, timing, and prevailing circumstances. Results. The majority of accidental falls (68%) occurred within the patient’s own room, toilet, or hallway. The patients proved to be most at risk when attempting to change posture. As many as 46% of the falls occurred between 6 and 10 AM, which may have been due to environmental factors combined with individually impaired mobility.Conclusions. Paradoxically, the highest risk of fall was correlated with performing ostensibly simple tasks of daily living, particularly during night and early morning hours.

Key words:
Geriatrics, Hypertension, Activities of Daily Living
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Efficacy of the PNF method in rehabilitation for activities of daily living in late post-stroke patients

Tomasz Wolny, Edward Saulicz, Rafał Gnat

Tomasz Wolny, Edward Saulicz, Rafał Gnat – Efficacy of the PNF method in rehabilitation for activities of daily living in late post-stroke patients. Fizjoterapia Polska 2009; 9(1); 51-60

Abstract
Background. Our increasing knowledge on the complexity of CNS injuries and mechanisms of neuronal plasticity indicates that the traditional approach to rehabilitation of stroke patients is no longer adequate. Appropriate stimulation of the central nerv-ous system to promote neuromuscular plasticity is crucial for the restoration of normal function. Rehabilitation based on PNF (Pro-prioceptive Neuromuscular Facilitation) significantly improves ADL functional performance of post-stroke patients. Materiał and methods. A total of 64 stroke patients were randomly divided into two groups. ActMties of daily living were eval-uated by means of the ‘Repty’ Functional lndex, which includes: self-service, sphincter control, mobility locomotion and communi-cation. Throughout the study period (their stay at the Neurological Rehabilitation Ward for a mean of 21 days), all patients received comprehensive rehabilitation, with Group A receiving conventional rehabilitation and Group B receMng also indMdual kinesiother-apy based on the PNF method. Results. Analysis of yariance showed significant differences in the following domains of the ‘Repty’ Functional lndex: self-service (p=0.0015), locomotion (p=0.0279), and total score (p=0.0032). No significant differences were found in the remaining domains (sphincter control, mobility and communication). Conclusions. PNF-based rehabilitation of late post-stroke patients significantly improved their ADL functional performance with respect to self-service and locomotion.
Key words:
PNF, physiotherapy, activities of daily-living
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