Vaikų su plokščiais kojų tyrimas ir vertinimas iki mokyklinio amžiaus

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Cyril Grus

 

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Cyril Grus – Monitoring and evaluation of flat-feet in children of pre-school age and younger school age. Fizjoterapia Polska 2023; 23(4); 144-148

DOI: https://doi.org/10.56984/8ZG20AF33

Santrauka
Įžanga. Plokščių kojų problema vaikams iki mokyklinio amžiaus pastaruoju metu yra dažnai aptariama problema. Ši problema ypač sprendžiama atsižvelgiant į vaikų blogėjančią fizinę būklę ir bendrą sveikatą. Pėdos jutimo stimulių stoka lemia plokščios kojos lanko neteisingą vystymąsi, kuris vėliau tampa pastebimas kitose atramos-judėjimo sistemos dalyse.
Tikslas. Tyrimo tikslas buvo stebėti vaikų plokščių kojų dabartinę būklę.
Metodas. Mūsų tyrimo metu stebėjome plokščių kojų atsiradimą vaikams iki mokyklinio (n:37; amžius ø: 5,22) ir mokyklinio amžiaus (n:52; amžius ø: 7,45). Tyrimui buvo įtraukti vaikai, amžiaus nuo penkių iki devynių metų. Naudojome tyrimo prietaisą “Podoscope” kojos lanko būklei tirti. Naudojome subjektyvųjį metodą “Chipaux – Šmířák” (CSI) pirštų atvaizdams vertinti. Kiekvienam vaikui visada buvo lyginami abu kojų. Rezultatai buvo vertinami aprašomaisiais statistikos metodais.
Rezultatai. Nustatėme, kad 70,79% visų vaikų abiejose kojose turi normaliai formuojamą ilgį kojos lanką. Darželio metais normalaus lanko kojos procentas abiejose kojose rodo, kad visų vaikų 64,86%. Mokykliniame amžiuje šis skaičius yra 73,08%. Tarp vaikų iki mokyklinio amžiaus buvo ir aukštakojis, kuris buvo nustatytas abiejose kojose 8 iš 89 vaikams. Plokščiakoja buvo nustatyta abiejose kojose 6,74% dalyvių. Darželio vaikų 8,11% turėjo plokščiąją koją abiejose kojose. Mokykliniame amžiuje 5,77% mokinių turėjo plokščiąją koją.
Išvados. Koja su amžiumi keičiasi. Tačiau negalima teigti, kad ji visada formuojasi fiziologiškai teisinga forma kiekvienu atveju. Darželio vaikai dažniausiai turi plokščiąją koją, nes šios įstaigos vaikai dar neturėjo laiko visiškai suformuoti kojos lanko. Būtina atsižvelgti į tai, kuriame metai vaikai lanko mokyklą. Mokyklinio amžiaus mokiniams, tai yra nuo pirmojo iki ketvirtojo būvio, yra visos trijų kojos lanko rūšys.
Raktažodžiai
plokščios kojos, darželinis amžius, mokyklinio amžiaus vaikai
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Monitoring of physical activity of patients with essential hypertension by the Actigraph accelerator – the influence of the environment

Gabriela Škrečková, Eva Lukáčová

 

Gabriela Škrečková, Eva Lukáčová – Monitoring of physical activity of patients with essential hypertension by the Actigraph accelerator – the influence of the environment. Fizjoterapia Polska 2023; 23(2); 162-167

DOI: https://doi.org/10.56984/8ZG0DF153

Abstract
Background. The environment is an important determinant of physical behaviour and also affects the quality of life. A healthy lifestyle is considered to be the simplest form of hypertension prevention and therapy.
Objective. The aim of our study was to find the correlation of physical behaviour of patients with essential hypertension depending on the environment.
Method: We monitored the physical activity (PA) of 60 hypertensive patients from urban (n: 30) and rural (n: 30) environments with Actigraph accelerator. The average blood pressure values of the respondents were SBP 147 mmHg (± 8.24) and DBP 92.08 mmHg (± 8.08). Actigraph evaluated physical behaviour in the form of: sitting during the day, light, moderate and high physical activity (min/week) and steps (steps/week). The quality of life of the respondents was assessed by the Quality-of-Life SF36 – short version questionnaire.
Results. We confirm the statistically significant difference between hypertensive patients from urban and rural environments in the following categories: sitting during the day (p = 0.000052), light PA (p = 0.022009), medium PA (p = 0.0012 steps (p = 0.006993). Comparing the Quality-of-Life SF 36 questionnaire data, we find a worse quality of life in hypertensive patients living in rural areas (ø 74.40) than in hypertensive patients living in urban areas (ø 78.57).
Conclusion. Hypertensive patients living in rural areas have better physical behaviour than hypertensive patients living in urban areas, but larger population studies are needed to confirm the influence of the environment on physical activity and quality of life.
Key words: hypertension, Actigraph, environment
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Monitoring of functional ability, mobility and quality of life in seniors during the COVID-19 pandemic

Pavol Nechvátal, Lucia Demjanovič Kendrová, Tomáš Uher, Michal Macej, Gabriela Škrečková

 

Pavol Nechvátal, Lucia Demjanovič Kendrová, Tomáš Uher, Michal Macej, Gabriela Škrečková – Monitoring of functional ability, mobility and quality of life in seniors during the COVID-19 pandemic. Fizjoterapia Polska 2023; 23(2); 92-95

DOI: https://doi.org/10.56984/8ZG0DFB8A

 

Abstract
Aim. The aim of the work is to map the functional fitness, level of mobility and quality of life of seniors at the time of the COVID-19 pandemic.
Methods. The study group consisted of 130 seniors from the Prešov Region, with an average age of 74.1 (max. 94, min. 65) years and an average Body Mass Index (BMI) of 27.13 (max. 41.09, min 16.00). There were 54 men (41.5%), with an average age of 74.3 years and an average BMI of 26.78, women with an average age of 74.0 years and an average BMI of 27.37. In all seniors we assessed physical fitness by Senior Fitness Test, level of mobility by the Up & go test and quality of life and mental health by the WHOQOL-BREF test during the lockdown in COVID-19 pandemic.
Results. Seniors living in rural areas (t = -2,341; p = 0.020) and living alone (t = -2.05; p = 0.042) had slightly higher rate of mild obesity (according to BMI). Seniors living alone had a lower quality of life compared with seniors living partner or family member (t = 3.728; p < 0.001). Finally, seniors living in rurar areas had worse physical (t = 3.113; p = 0.002) and mental health status (t = 2.601; p = 0.010). Women had slightly worse mental health status than men (t = 2.308; p = 0.022).
Conclusions. Restrictions on movement due to the COVID-19 pandemic put seniors who live alone, at risk, especially women. Men show higher resistance to these measures, mostly in physical and psychological health area.
Key words:
COVID-19, movement activity, physical fitness, quality of life, seniors
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The occurence of postural disorders and muscular imbalance in children from urban and rural environment

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

DOI: https://doi.org/10.56984/8ZG20Az2j

Abstract

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.

Keywords:
school age, postural disorders, muscular imbalance

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Physical activity of people representing various age groups, with particular emphasis on the inhabitants of Poland and Slovakia

Sabina Lizis, Gabriela Škrečková


Sabina Lizis, Gabriela Škrečková – Physical activity of people representing various age groups, with particular emphasis on the inhabitants of Poland and Slovakia. Fizjoterapia Polska 2022; 22(3); 24-28

Abstract
The development of civilization and technical progress on the one hand provides many amenities, and on the other hand limits the natural need for movement. Awareness of the importance of physical activity in human life can be a factor in preventing sedenteric lifestyle. The paper reviews literature on physical activity and the frequency with which it is undertaken by people representing different age groups, with particular emphasis on the inhabitants of Poland and Slovakia. A review of scientific publications indicates that physical activity is one of the most important factors conditioning health, so you should take care of it at every stage of life. It is worth remembering the need to individually adjust the type and intensity of physical activity so that it is safe and gives the most health benefits. Physical activity undertaken from an early age and the positive experiences related to it, shape the habits that favor maintaining a healthy lifestyle in the later stages of life. There is a need to take actions aimed at popularizing physical activity as one of the elements of a healthy lifestyle.

Key words:
recreation, psychophysical health, health education

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