Tag: czynniki ryzyka

Assessment of general movements and its relation to gestational age in preterm infants

Aneta Skworc


Aneta Skworc – Assessment of general movements and its relation to gestational age in preterm infants. Fizjoterapia Polska 2022; 22(2); 88-95

Abstract
Introduction. The task of contemporary neonatology is not only to save the lives of children born prematurely, but also to provide them with the highest possible quality of life. One of the methods of assessing the quality of general movement patterns is the Prechtl method, which enables early identification of immaturity or damage to the central nervous system. Aim. Dynamic assessment of the type and quality of GMs (General Movements) in preterm infants to determine the indications for early neurodevelopmental support and to determine the relationship between the occurrence of maternal and neonatal perinatal risk factors, and the type and quality of general movements. Material and method. Assessment was conducted in 90 infantsborn between 28 and 36 weeks gestational age. Dominant cases (57 cases) were infants brn between32 and 36 weeks GE. Most cases (48) received low Apgar score at 1 minute (≤ 7), including two born in very severe condition. The study included three GM assessments: I –up to 14 day post-natally, II at term and III between12 and 15 weeks corrected age. The analysis included gestational age, general condition of the newborn in Apgar score. Results. There is a close correlation with the gestational age of a preterm newborn, and the occurrence of damage to the nerve centers and the finding of abnormal global movements.It was confirmed that gestational age is important variables affecting the occurrence of abnormal general movements.
Key words:
general movements, preterm infants, perinatal risk factors, neurodevelopmental physiotherapy
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The symptoms of an overactive bladder in Polish students of physiotherapy

Aneta Dąbek

Aneta Dąbek – The symptoms of an overactive bladder in Polish students of physiotherapy. Fizjoterapia Polska 2021; 21(3); 120-126

Abstract
Introduction. Overactive bladder (OAB) is a condition that is diagnosed by at least one of three symptoms: pollakiuria, nocturia, and strong urinary urgency. Overactive bladder is a social disease. It is estimated that problems with OAB affect from 2% to 53% of the population.
Objective. The objective of the study was to assess the incidence of overactive bladder in a group of potentially healthy people and to assess the risk factors for OAB.
Material and methods. The study group consisted of 85 students (58 women and 27 men) of Warsaw Universities, mainly students of courses in the field of physiotherapy. The mean age was 26 (SD = 5.74). The research tools were: the author’s questionnaire, voiding diary, GPPAQ (The General Practice Physical Activity Questionnaire) and the strip test.
Results. The analysis of data obtained from voiding diaries showed that the most common symptom of OAB was strong urinary urgency (33 people – 39%), followed by pollakiuria (21 people – 25%) and nocturia (15 people – 18%). There was a significant correlation between strong urinary urgency and gender (p = 0.03) and between strong urinary urgency and physical activity (p = 0.04).
Conclusions. 1. The group of potentially healthy students experienced symptoms of overactive bladder, such as pollakiuria, strong urinary urgency and nocturia. 2. The most common symptom of overactive bladder was urinary urgency. 3. Strong urinary urgency was more common among women and physically inactive people.
Key words:
overactive bladder, risk factors, physical activity
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Evaluating the motor development of infants using Vojta’s method, with particular attention to risk factors, in clinical material from a Rehabilitation Center for Children with Cerebral Palsy

Aleksandra Deljewska-Starykow, Zbigniew Śliwiński, Wanda Różyło

Aleksandra Deljewska-Starykow, Zbigniew Śliwiński, Wanda Różyło – Evaluating the motor development of infants using Vojta’s method, with particular attention to risk factors, in clinical material from a Rehabilitation Center for Children with Cerebral Palsy. Fizjoterapia Polska 2002; 2(3); 216-228

Abstract
Background. The author described child’s physical and mental development in the first year his live in Theodor Hellbrige’s opinion. They presented new definitions how „high-risk pregnancy, „high-risk birth, „high-risk child” They talked over risk factors and among of them there is of great importence famillie’s relations connected with the Rh factor, main blood groups, famillie’s enzynopathy and chromosome aberration also mather’s ilnneses during the her pregnancy. They payed special attention to the gestosis, diabetes, tyroid’s ilnneses, obesity, anemia, passed infectius and bleeding. The authors rated negative factors among low height of mather, low weigth of mather befor her pregnancy and no hygienic live. The period shorter than 6 months between the pregnancies is health risk also, and like how the inflammatory proceeses of the Central Nervous System, generalized cyanosis, low evaluation in the Apgar Scale, acidosis, hiperbilirubinamy, infantile convulsions, neonatal asphyxia, the children born after different complications related to labour.The aim of examine.• The neurophysiology analysis of the development newborn from the group high-risk pregnancy, high-risk birth, especially children which was born before 37 weeks lasting pregnancy – premature baby- and children which was born in normal labor but the size those newborn was too small to fetal age- dystrophy child• The paying attention to early diagnosis of the neurodeveloping disturbances and starting the treatment quickly.Material and methods. 32 premature baby was examine , it was the children were born between 28-37 weeks of the pregnancy and 13 dystrophy child which weight were 2 500 g. and 1 child was born after 37 weeks pregnancy. The examine was done in the Rehabilitation Center in Zgorzelec. Results and conclusions. On the basis of examine the authors drown following conclusions: 1. The Vojty’s development neurokinesiology diagnostic is good screening for children from risk groups, is simply to do and let to evaluate early child’s disturbances in psychomotorial development. 2. The bigger worth of the Vojtys diagnostic and therapy is possible right development of children from high-risk birth groups. The results which are presented prove to early start to diagnos and treat give children chance to right development. 3. The age of the child is of great importance for results and time of therapy. 4. The low weigth of labor and relative shorter time of live the child during the pregnancy have the influence for efficiency CNS and the level of disturbances central neurvous coordination. The low weigth and shorter pregnancy live the higher level disturbances central neurvous coordination is presented. 5. The risk factor has influence for time therapy to moment reached the normalization. The intermural dystrophy is worst than premature baby. The premature baby quicklier and large number reache the normal psychomotorial development.

Key words:
infantum Cerebral Palsy, Vojta, child physical and mental development

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Prognostic efficacy of Berg Balance Test in assessing the risk of fall in patients after stroke

Waldemar Brola, Małgorzata Fudala, Jan Czernicki

Waldemar Brola, Małgorzata Fudala, Jan Czernicki – Prognostic efficacy of Berg Balance Test in assessing the risk of fall in patients after stroke. Fizjoterapia Polska 2009; 9(1); 31-38

Abstract
Background. The risk of fali within the first year after a cerebral stroke amounts to approximately 40%. Numerous attempts have been made to propose a simple, yet sensitive and specific test to facilitate effective identification of patients at a particularly high risk of fall. The present study therefore aimed to assess the risk of fall among post-stroke patients undergoing physical rehabilitation with the Berg Test (Berg Functional Balance Scale). Material and methods. A total of 312 patients treated initially at the Stroke Ward and later at the Department of Physical Rehabilitation and attending the Vascular Disease Outpatient Clinic of the Hospital in Końskie in 2004 were followed up over 12 months. Each patient was assessed during the initial rehabilitation period and then allocated to one of four risk groups depending on his/her score in the Berg Test. Every subsequent fali was recorded together with a brief description of any consequences. Results. 119 patients (35%) fell at least once during the 12-month period, with 36 (11.5%) sustaining serious injuries as a result. The majority of the falls (78 patients) occurred in Berg Group IV (highest risk) patients, who also sustained multiple falls and the most serious consequences. The respective number of incidents in the other groups was 24 falls in Group III, 15 falls in Group II, and only 2 falls in Group I. Conclusions. The Berg Test appears to be a simple, reliable and sensitive instrument for identifying patients most at risk of sustaining an accidental fali. Ensuring particular care for those patients may help them avoid serious consequences of falls and enhance overall rehabilitation outcomes.
Key words:
stroke, falls, risk factors, Berg Balance Scale
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Risk factors of neurodevolopmental disorders in preterm infant

Kamila Włodarczyk, Małgorzata Domagalska-Szopa, María Eugenia Serrano

K. Włodarczyk, M. Domagalska-Szopa, M. Eugenia Serrano – Risk factors of neurodevolopmental disorders in preterm infant. Fizjoterapia Polska 2020; 20(4); 190-197

Abstract

Introduction. Preterm infants are at a greater risk for developmental disorders than their term peers. The most cases, it is not possible to determine the specific cause of the cerebral motor disorders. Review of literature indicate that they have no only one cause. Instead, it usually occurs due to a sequence of events or circumstances, so- called risk factor. The risks factors can happen during pregnancy and delivery, so they are usually are divided into following categories: 1) prenatal, 2) natal and 3) postnatal risk factors.
The aim of this study is to recognize the relationship between prematurity and the presence of other risk factors for the development of CMD, related to the course of pregnancy, the course of delivery and the condition of the child after birth.
Participants & Methods. Thirty premature infants from 3 to 5 months, who were qualified to SYNAGIS program included to the study. The present study collected data of burdens and clinical symptoms associated with preterm birth, i.e. the gestational age, birth weight, Apgar score, maternal age, as well as the presence of prenatal, perinatal and postnatal factors of motor disorders in preterm infant.
Results & conclusion. The obtained results confirmed that preterm babies are at a higher risk of developing neurodevelopmental disorders. The obtained results additionally indicated a large share of postnatal factors related to the immaturity of the respiratory system, which is a directly result from preterm labor.

 

Key words:

prematurity, preterm infant, risk factors, developmental motor disorders

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Predictors of Frontal Plane Knee Excursion during Functional Weight Bearing Tasks in Young Athletes

Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah

Ahmed F Elhalawaty, Salwa F Abdelmagid, Ebtessam F Gomaa, Walid R Awadallah – APredictors of Frontal Plane Knee Excursion during Functional Weight Bearing Tasks in Young Athletes. Fizjoterapia Polska 2020; 20(1); 106-112

Abstract
Background. The knee joint complex is one of the most commonly injured areas of the body in athletes. Excessive frontal plane displacement of the knee joint is considered a risk factor for multiple knee pathologies such as meniscal, anterior cruciate ligament and patellofemoral joint injuries, however, the biomechanical factors that contribute to this loading pattern need further investigations. Objective. The purpose of this study was to investigate clinical predictors of frontal plane knee excursion during single leg landing tasks. Methods. One hundred and twenty eight (male) football players participated in this study. Their mean age was (14.6 ± 1.7) years, mean BMI was (21.3 ± 2.1)kg/m2. The knee frontal plane projection angle was measured by digital video camera using single leg landing tasks after that clinical predictors affecting knee joint frontal plane projection angle assessed (tibiofemoral angle measured using digital video camera, peak isometric strength of hip and knee muscles strength assessed using portable HHD, static postural balance assessed using biodex balance system, foot posture assessed using foot posture index, knee proprioception assessed through measuring weightbearing joint position sense). Results. Statistical analysis using stepwise multiple regression indicated that of the included variables, only static tibiofemoral alignment, hip external/internal rotators ratio and knee joint position sense absolute error predict the knee frontal plane projection angle during landing tasks (r2 = 0.15, p = 0.00; r2 = −0.089, p = 0.00 and r2 = 0.336, p = 0.00 respectively). Together these variables only explained 30% of the variance in knee frontal plane projection angle. Conclusion. Tibiofemoral angle, knee joint proprioception and hip external/internal rotators ratio were found to play great role in controlling knee frontal plane motion, therefore the design of knee rehabilitation programs should include improving these factors to enable targeted prevention strategies to reduce injury rates.

Key words:
knee injuries, risk factors, kinematics, 2-dimensional motion analysis

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