Author: Aneta Dąbek

Physical activity and risk factors in subjects with overactive bladder

Aneta Dąbek


Aneta Dąbek – Physical activity and risk factors in subjects with overactive bladder. Fizjoterapia Polska 2022; 22(5); 32-39

DOI: https://doi.org/10.56984/8ZG20AIT9

Abstract

The aim of the study was to assess physical activity in subjects with overactive bladder OAB. The additional aim was to assess the relationships between physical activity and OAB risk factors.
Material and methods. We studied a total of 109 subjects (101 women and 8 men). The mean age was 33.30 years (SD = 11.15). The study was conducted with the use of a comprehensive online questionnaire. The research tools were: our proprietary questionnaire and the following questionnaires: OABSS, PSS-10, IPAQ-SF. The study population consisted of 51 subjects with OAB who scored ≥ 2 points for Q3-urgency and ≥ 3 points for the total score in the OABSS questionnaire. The clinical control group consisted of 58 healthy subjects.
Results. Physical activity in the study population was significantly lower (p = 0.039, t = 2.09) than in the clinical control group. Moreover, there was correlation between physical activity and hip size (r = -0.31, p < 0.05) In the clinical control group there was correlation between physical activity and stress (r = 0.36, p < 0.001) and between physical activity and WHR (r = 0.26, p < 0.05).
Conclusions. 1. Subjects with overactive bladder reduced their physical activity. 2. The poorest physical activity was found in patients with large hip size. 3. In subjects with overactive bladder, stress, age, BMI, waist size and intensity of condition were not related to physical activity. 4. Physical activity may be one of the efficient form of treatment for people with OAB.

Keywords:
exercises, urinary bladder, strong urge to urinate

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Effect of pilates training on cognitive functions in patients with stroke: A randomized controlled trial

Raghda Nasr Nassar, Nawal Abou Shady, Mohamed Nabil El-Bahrawy, Ahmed Abdelalim


Raghda Nasr Nassar, Nawal Abou Shady, Mohamed Nabil El-Bahrawy, Ahmed Abdelalim – Effect of pilates training on cognitive functions in patients with stroke: A randomized controlled trial. Fizjoterapia Polska 2022; 22(5); 26-30

DOI: https://doi.org/10.56984/8ZG20ASbq

Streszczenie

Purpose. To investigate the effect of pilates training on cognitive functions in patients with stroke. Materials and Methods. Forty Right stroke patients (Left hemiparesis) of both genders with age ranged from 50–65 years old were recruited randomly and divided into two equal groups; Study group (I) received pilates training therapy and selected physical therapy program for 6 weeks, Control group (II) received the same selected physical therapy program only for 6 weeks. Pre- and post-treatment assessment using RehaCom System, Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) were done for all patients. Results. Cognitive disorders (Attention, Memory, Reaction behavior and logical reasoning) were significantly improved in study group (pilates training therapy) more than control group (selected physical therapy program). cognitive disorders were improved in both groups with the best improvement results of group (I) more than group (II). Conclusion. Pilates Training program considered an effective physical therapy method for improving cognitive disorders in patients with stroke.

Słowa kluczowe:
stroke, pilates training, cognitive disorders

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Effect of respiratory muscle training using Ultrabreathe device on pulmonary function in Duchenne Muscular Dystrophy through telephysiotherapy

Divya S., Malarvizhi D.


Divya S., Malarvizhi D. – Effect of respiratory muscle training using Ultrabreathe device on pulmonary function in Duchenne muscular dystrophy through telephysiotherapy. Fizjoterapia Polska 2022; 22(5); 20-24

DOI: https://doi.org/10.56984/8ZG20AR1m

Streszczenie

Background. Duchenne Muscular Dystrophy (DMD), an X linked disorder resulting in respiratory insufficiency, caused by progressive respiratory muscle weakness particularly in diaphragm. During this pandemic, Telerehabilitation played a major role among patients, especially disabled children. OBJECTIVE: To find out the effect on the pulmonary function in DMD children by training the respiratory muscles by telephysiotherapy. Methodology. Non Experimental design, Case series- pre and post test type. Convenient sampling, sample size was 5. Boys and girls between 9 and 16 years of age were included in the study. Procedure. 5 subjects were selected based on the inclusion and exclusion criteria and were trained for one minute with minimum resistance using ultrabreathe through Telephysiotherapy which is repeated for 3 times in a session with a rest period of 20–30 seconds for six weeks. Outcome measure. Pulmonary Function test. Results. The results of this study shows increased mean value of post test Tidal volume, Forced Vital Capacity, Inspiratory time/Respiration time and Tidal Volume / Inspiration time compared with pre test, whereas other parameters like Duration of Inspiration, Total Lung Volume, Inspiratory Capacity, Forced Expiratory Volume1 does not increased. Conclusion This study concluded that the Duchenne Muscular Dystrophy children improved in Tidal Volume, Forced Vital Capacity, Tidal Volume/Inspiration Time, and Inspiration Time/Respiration Time whereas all other parameters such as Duration of Inspiration, Total lung volume, Inspiratory capacity and Forced Expiratory volume1 maintained after 6 weeks of respiratory muscles training with ultrabreathe device.

Słowa kluczowe:
Duchenne Muscular Dystrophy, telephysiotherapy, pulmonary function test, Ultrabreathe device

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Psychophysical condition of a child during the COVID-19 pandemic

Miłosz Opuchlik, Anna Opuchlik, Arkadiusz Żurawski, Marek Wiecheć, Małgorzata Biskup, Kamil Markowski, Zbigniew Śliwiński


Miłosz Opuchlik, Anna Opuchlik, Arkadiusz Żurawski, Marek Wiecheć, Małgorzata Biskup, Kamil Markowski, Zbigniew Śliwiński – Psychophysical condition of a child during the COVID-19 pandemic. Fizjoterapia Polska 2022; 22(5); 6-19

DOI: https://doi.org/10.56984/8ZG20A7jJ

Streszczenie

The aim of this article is to present the effects of the COVID-19 pandemic on the psychophysical state of a child. The diagnostic survey method and questionnaire technique were used for the study. The survey was conducted online among elementary school students. The empirical material collected shows the evaluation of remote education and its impact on the changes that occurred in children during the pandemic. The changes that occurred during remote learning include increased stress, isolation, lack of contacts with peers, exhaustion, long hours of work in front of a screen and decreased physical activity.

Słowa kluczowe:
COVID-19, remote education, mental development of children, psysical development, social development

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Efficacy of instrument assisted soft tissue mobilization on chronic ankle instability

Marwa Mostafa Ahmed, Fatma Sedeek Amin, Magda Gaid Sedhom


Marwa Mostafa Ahmed, Fatma Sedeek Amin, Magda Gaid Sedhom – Efficacy of instrument assisted soft tissue mobilization on chronic ankle instability. Fizjoterapia Polska 2022; 22(4); 162-170

DOI: https://doi.org/10.56984/8ZG1A6m5D

Abstract
Purpose. To investigate the effect of instrument assisted soft tissue mobilization (IASTM) on ankle pain, range of motion, balance, and Ankle and Foot Outcome Score (FAAOS) in patients with chronic ankle instability.
Methods. Randomized controlled trial. Overall, 50 patients of both genders with age ranged from 16–30 years with chronic ankle instability were recruited and divided randomly into two equal groups; Group (A) (control group), received traditional physical therapy treatment (dynamic balance training) for 4 weeks, Group (B) (experimental group), received the same traditional PT treatment in addition to IASTM for 4 weeks. Pre- and post-treatment assessment using Visual analogue scale (VAS), Plastic goniometer, Biodex balance system and FAAOS were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in VAS, as well as overall stability index in favour of experimental group (B) (p < 0.001) and a significant increase in FAAOS, dorsiflexion, planter flexion, inversion and eversion range of motion in favour of experimental group (B) (p < 0.001).
Conclusion. Instrument assisted soft tissue mobilization has a significant effect on reducing pain, increasing range of motion and improving balance and function in patients with chronic ankle instability.

Keywords
chronic ankle instability, instrument assisted soft tissue mobilization, foot and ankle outcome score

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Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic

Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz


Katarzyna Placek, Beata Skolik, Renata Szczepaniak, Artur Polczyk, Katarzyna Walicka-Cupryś, Małgorzata Wójcik, Roksana Malak, Ewa Rakowicz, Agnieszka Dąbek-Szwajlik, Tomasz Maicki, Anna Lipińska, Anna Boguniecka, Michał Przybylski, Piotr Chyliński, Janusz Doś, Sebastian Niżnik, Dominik Starski, Mirella Kozakiewicz – Study on the level of professional satisfaction of students of physiotherapy after one year of studying remotely in connection with the COVID-19 pandemic. Fizjoterapia Polska 2022; 22(4); 154-161

DOI: https://doi.org/10.56984/8ZG1A62sK

Abstract
The COVID-19 pandemic resulted in an almost immediate need to limit social contact, including access to full-time education.
Teaching in the 2020/2021 academic year relied almost entirely on remote education. Medical students felt the problem of the lack of student-patient contact in particular. Internships and apprenticeships were kept to a minimum, and in many universities there were no apprenticeships, which also translated into the lack of acquisition of practical knowledge, which is very important in the work of a future medic.
The study covered students from all voivodeships. The nationwide character of the study made it possible to obtain objective results.
The objective of the study was to examine the level of satisfaction and acquired skills of students of the medical faculty, i.e. physiotherapy within remote education.
The results of the study and the literature review show that the preferred form of education in medical faculties is a mixed form of education, and student satisfaction with the remote form is rather low. It has been shown that this method of education does not lower the level of satisfaction, and at the same time has a positive effect on the economic aspect of studying.

Key words:
student satisfaction, physiotherapy, remote learning, COVID-19 disease

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Immediate effect of shock wave versus muscle energy technique in cases of quadratus lumborum myofascial pain

Hessa Al Shehhi, Mouza Lootah, Ibrahim Moustafa, Tamer Shousha


Hessa Al Shehhi, Mouza Lootah, Ibrahim Moustafa, Tamer Shousha – Immediate effect of shock wave versus muscle energy technique in cases of quadratus lumborum myofascial pain. Fizjoterapia Polska 2022; 22(4); 148-152

DOI: https://doi.org/10.56984/8ZG1A60Yj

Abstract
Objective. To compare the effects of applying Extra-Corporal Shockwave treatment (ESWT) and Muscle Energy Technique (MET) to the Quadratus lumborum (QL) with regards to pain and function. Methods. 77 participants were included in this study. Patients were included if they were diagnosed as Myofascial pain syndrome, pain localized on the QL muscle; surrounding tightness; QL tenderness; and painful trigger points, causing referred pain around the QL. Outcome measures. Pain was measured by the Visual analogue scale (VAS), Pain pressure threshold (PPT) by the algometer and functional disability by the Oswestry pain disability index (ODI). Intervention. Patients were randomly divided into two groups. For the first group, ESWT was delivered by the Dornier AR2; smart focus technology on the tender point of the QL muscle. Three sessions were delivered with 2 days of rest following each session. The second group received the MET for 3 sessions as well. Results. The pre-treatment assessment revealed no significant differences between groups with regards to the pain (measured by the VAS & PPT) and Functional disability (measured by ODI). Following treatment, within group comparisons for the ECSW and Met groups respectively revealed significant differences with regards to pain (P = 0.0001), PPT (P = 0.0001) and ODI (P = 0.024 and 0.004 respectively) Between group comparisons revealed significant differences in favor of the ECSW group with regards to pain and PPT (P = 0.0001) with no significant difference with regards to ODI. Conclusion. ESWT showed better outcomes in improving QL myofascial pain and PPT than MET in the short term. Both treatment techniques improved the functional disability but with no significant difference between them.

Keywords
shock wave, myofascial, pain, quadratus lumborum, trigger point

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Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis

Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif


Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif – Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis. Fizjoterapia Polska 2022; 22(4); 142-147

DOI: https://doi.org/10.56984/8ZG1A66hK

Abstract
Purpose. To compare between the effect of torso based balance weighting and tailored physical therapy program on balance and postural control in ataxic MS patients. Methods. Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control were selected from outpatient clinic of two hospitals. The patients randomly assigned into two groups, group (A: n = 30) received torso-based balance weighting and selected physical therapy program and group (B; n = 60) received tailored physiotherapy program and the same selected physical therapy program. Treatment lasted eight weeks, three times per week. Pre- and post-treatment assessment using berg balance scale and overall stability index were done for all patients. Results. Post-treatment comparisons between the two groups showed a statistically significant improvement in Berg balance (p < 0.05) in favor of group (B) and both groups showed clinical improvement. Conclusion. The tailored physical therapy program was more statistically effective in improving balance disorders than torso based balance weighting in ataxic MS patients, and there was clinical effect on improving postural control of both groups.

Keywords
multiple sclerosis, postural control, torso based balance weighting, tailored physical therapy

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The assessment of the early rehabilitation’s impact on the level of disorders occurring and the process of reinnervation, on the example of facial twigs of the motor nerve in patients with craniofacial injuries

Szymon Tyszkiewicz, Patrycja Ujma, Dominik Szczeciński, Klaudia Szczygieł, Marcin Kozakiewicz


Szymon Tyszkiewicz, Patrycja Ujma, Dominik Szczeciński, Klaudia Szczygieł, Marcin Kozakiewicz – The assessment of the early rehabilitation’s impact on the level of disorders occurring and the process of reinnervation, on the example of facial twigs of the motor nerve in patients with craniofacial injuries. Fizjoterapia Polska 2022; 22(4); 128-141

DOI: https://doi.org/10.56984/8ZG1A6t5I

Abstract
Introduction. Lymphoedema of the skull’s facial part is one of the main complications observed in a patient after surgical treatment of disorders of this area. Another noticeable and frequently reported complication by the patient is irregularities in facial expression muscles’ work. A relationship between them and reducing edema performed in patients in the first days after surgery will reduce the noted disturbances in motor branches’ function.
Aim. To investigate the impact of early swelling reduction on the extent of nervous system disorders and its reinnervation rate.
Materials and methods. Patients of the Maxillofacial Surgery Clinic of the University Clinical Hospital of the Military Medical Academy in Łódź were enrolled in the study. The study was conducted on 60 people who underwent maxillofacial surgery procedures from February to December 2019. Lymphatic drainage and dynamic taping were used to reduce patients’ edema. Forty-five people were divided into three equal groups. Fifteen patients constituted the comparative group. The research tools were a survey created following the author’s idea, linear measurements for measuring edema, and the Pietruski scale for assessing the state of reinnervation imaged by mimic muscle motility. On the first day after surgery, patients were examined four times, then on the third and seventh day after surgery, and finally four months after surgery.
Results. The use of anti-edema therapy noticeably (from 2-5 points on the Pietruski scale) reduces the disturbances in facial expression muscles’ function. The difference has been visible already on the third day after surgery. Regarding the patient’s pain, the lack of manual lymphatic system development resulted in pain sensations remaining in each of the three tests performed. The occurrence of edema, pain level, and level of facial expression muscle disorders were similar between groups and made the following research objective in terms of observed relationships.
Conclusions. The level of disturbances in the area of the mobility of expressive facial muscles (based on Pietruski scale) indicates that the implementation of anti edematous therapy, and thus the reduction of excess lymph, already in the first days after surgery provides a reduction of disorders of conduction of efferent impulses of motor fibers, appearing already in the first days after surgery. Increased drainage rate also accelerates the reinnervation process, shortens it by several weeks, and reduces pain symptoms.

Key words:
reinnervation, facial nerve, lymphatic oedema, dental physiotherapy

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