Związek między funkcjami poznawczymi a stabilnością posturalną u studentów uniwersytetu

Sujarwo

Eva Lukáčová, Gabriela Škrečková, Cyril Grus, Matúš Kozel, Jakub Čuj, Rút Lenková – The relationship between cognitive functions and postural stability in university students –  Fizjoterapia Polska 2025; 25(4); 118-123

DOI: https://doi.org/10.56984/8ZGA431V3NN

Streszczenie
Wstęp: Celem badania było określenie związku między funkcjami poznawczymi a stabilnością posturalną u studentów uniwersytetu.
Materiał i metody: Próba badawcza obejmowała 40 studentów Wydziału Nauk o Zdrowiu Uniwersytetu w Preszowie (wiek: 21,08±2,04 roku; wzrost: 1,74±0,09 m; masa ciała: 69,93±11,83 kg; BMI: 23,10±2,50 kg/m²), podzielonych według płci na mężczyzn (n=20; wiek: 21,00 ±1,84 roku; wzrost: 1,74±0,09 m; masa: 78,20±10,18 kg) oraz kobiety (n=20; wiek: 21,15 ±2,22 roku; wzrost: 1,73±0,09 m; masa: 61,65±7,05 kg). Parametry posturograficzne, takie jak droga przemieszczenia środka nacisku i pole powierzchni elipsy, oceniano przy użyciu platformy baropodometrycznej FootScan® (Materialise Motion, Paal, Belgia), monitorując obciążenie stóp w płaszczyznach boczno-bocznej i przednio-tylnej.
Wyniki: Analiza wykazała istotnie większe obciążenie przedniej części stopy (p = 0,01) oraz zróżnicowane zmiany w kontroli postawy w zależności od płci podczas zadań poznawczych. Mężczyźni wykazywali zwiększone obciążenie lewej kończyny dolnej oraz przedniej/śródstopia we wszystkich zadaniach poznawczych (p < 0,05), natomiast u kobiet głównie odnotowano zwiększone obciążenie przedniej części stopy (p = 0,01) oraz istotny wpływ na długość drogi przemieszczenia środka nacisku (p = 0,001) podczas testu płynności słownej.
Wnioski: Wyniki badania wskazują na istotny związek między funkcjami poznawczymi a stabilnością posturalną u studentów uniwersytetu, szczególnie w odniesieniu do obciążenia w płaszczyznach boczno-bocznej i przednio-tylnej.
Słowa kluczowe
stabilność posturalna, FootScan®, funkcje poznawcze, podwójne zadanie, platforma baropodometryczna
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骑马者的疼痛治疗——物理治疗干预

Gabriela Škrečková, Matúš Kozel, Eva Lukáčová, Martina Čerevková, Alexander Kiško

Gabriela Škrečková, Matúš Kozel, Eva Lukáčová, Martina Čerevková, Alexander Kiško – Pain therapy in horseback riders – physiotherapeutic intervention –  Fizjoterapia Polska 2024; 24(4); 418-422

DOI: https://doi.org/10.56984/8ZG01A8H2J3

摘要
引言. 骑马是一项复杂的身体活动,对骑手的身体和心理健康有显著影响。姿势不足可能对骑手的身体健康以及骑术产生负面影响。
目的. 本研究的目的是评估为期三个月的物理治疗干预对下肢稳定性和灵活性、躯干和骨盆肌肉的激活以及身体特定部位疼痛减少的影响。
方法. 研究涉及15名平均年龄为25.26岁的非专业骑手,他们在过去三年中每周骑马至少两天。受试者在三个月期间完成了入组和结束的测量。评估内容包括物理治疗干预前后踝关节、膝关节和髋关节的稳定性和灵活性、腹内压的产生和维持能力以及下腰部疼痛的发生情况。
结果. 在三个月的干预后,髋关节测试(FABER)、内翻应力测试、时间和平衡测试以及SEBT测试均有所改善。在膝关节外翻应力测试中,尽管未见改善,但也未见情况恶化。通过时间和平衡测试(改善66.67%)和SEBT测试(改善32.67%),确认了踝关节稳定性的提高。在入组测量中,受试者在髋关节感到最大的疼痛(平均值1.53),而踝关节感到的疼痛最小(平均值0.33)。最显著的变化发生在腰椎干预后。
结论. 通过补偿性练习、矫正措施和正确技术改善姿势稳定性和体态,对于成功和安全的骑马至关重要。

关键词
骑马者, 物理治疗, 疼痛, 稳定性

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比较颈椎区域疼痛物理治疗效果的研究分析

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Eleonóra Klímová

 

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Eleonóra Klímová – Comparison of the researched analyses evaluating the physiotherapy of the pain with a cause in the region of the cervical spine –  Fizjoterapia Polska 2024; 24(3); 400-404

DOI: https://doi.org/10.56984/8ZG020AD5K

摘要:
颈部疼痛是一种常见的肌肉骨骼问题。该个人和社会经济的健康问题与日常活动减少、劳动生产率下降以及生活质量水平下降有关。
本研究的目的是评估非特异性颈部区域疼痛治疗的有效性,具体来说,探讨物理治疗方法的应用。2018-2023年发表在Web of Science、Science Direct和Scopus数据库中的40篇研究文章被纳入研究。
研究结果显示,最常见的目标是对患者进行关于人体工学、正确姿势和家庭锻炼的教育。治疗的准备阶段包括热疗和电疗的应用,如超声波或经皮电神经刺激(TENS)、经典按摩、使用非甾体类抗炎药。常用技术包括操作和/或动员,触发点和敏感点的治疗,如指压、针灸、干针技术。在治疗方法中,最常见的是普拉提、瑜伽、亚历山大技术、感觉运动训练、感觉运动神经促进和雅各布松渐进肌肉放松等形式的运动。通过局部固定和肌贴布的应用解决疼痛活动的减少问题。
结论:根据我们的分析结果,结合多种物理治疗技术和方法可以显著减少疼痛,提高生活质量。

关键词:
运动疗法, 颈椎, 疼痛

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住院COVID-19幸存者的工作能力和功能状态的康复影响

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj

Michal Macej, Gabriela Škrečková, Lucia Demjanovič Kendrová, Pavol Nechvátal, Jakub Čuj – Rehabilitation impact on the work ability and functional status of hospitalized COVID-19 survivors – Fizjoterapia Polska 2024; 24(2); 298-302

DOI: https://doi.org/10.56984/8ZG56088XJ

摘要
目的。本研究旨在确定康复对住院COVID-19幸存者工作能力和功能状态的影响。材料和方法。本研究覆盖了来自斯洛伐克普雷绍夫地区的163名受试者(101名女性;62名男性),他们因COVID-19住院。受试者年龄范围为32至62岁。实验组包含87名患者(55名女性;32名男性),在住院期间接受了住院康复治疗。对照组由76名患者(46名女性;30名男性)组成,未接受康复治疗。在所有受试者中,我们评估了工作能力指数(WAI)和患者自我报告的COVID-19后功能状态量表(PCFS)。结果。实验组患者在返回工作岗位后表现出显著更高的工作能力(p = 0.005)和功能状态(p = 0.001),与对照组相比。接受康复治疗的从事心理负担重工作类型的患者也表现出显著更高的工作能力(p = 0.022)和功能状态(p = 0.042),与另一组相比。对从事身体和心理负担重工作类型的受试者记录到了类似的结果(p < 0.001)。在身体负担重的工作类型中,组间结果无统计学意义。结论。住院COVID-19患者的住院康复形式对出院后的工作能力和功能状态具有有益影响。

关键词
COVID-19,功能状态,康复,工作能力

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体力活动对高年级学生某些体质特征的影响

Eva Lukáčová, Gabriela Škrečková, Matúš Kozel

Eva Lukáčová, Gabriela Škrečková, Matúš Kozel – The effect of physical activity on selected somatic characteristics of older school bound children –  Fizjoterapia Polska 2024; 24(2); 77-82

DOI: https://doi.org/10.56984/8ZG5608C8G

摘要

目的。本研究旨在调查高年级学生的体力活动水平及频率,并探讨其对姿势和肌肉失衡的影响。方法。研究对象为453名年龄在13至15岁的学生,调查在东斯洛伐克的部分小学进行。采用Jaroš和Lomnička的方法评估姿势系统质量,通过Janda教授的标准化手动测试评估肌肉失衡。统计显著性水平设定为p=0.05。结果。全组观察结果如下:59.8%的学生姿势松弛,22.1%的学生姿势不良。受影响最大的部分是下肢姿势,在体力活动水平组间差异上显示出显著性差异,显著性水平为p=0.030。在参与娱乐性体育活动的学生组中,平均值为2.77(±0.78),为最高。m. trapesius l.dx.肌肉群评分在显著性水平p=0.002时显示出显著性差异,mm. pectorales l.dx.在显著性水平p=0.002时显示出显著性差异,mm. pectorales l.sin.在显著性水平p=0.006时显示出显著性差异,缩短程度的平均值在无体力活动的学生组中最高。在考察体力活动对肌肉力量减弱程度的影响时,所有选定肌肉群的评分均显示出显著性差异,无体力活动的学生组平均值最低。结论。在临床实践中,我们建议定期筛查儿童的姿势,增加在校内外的自发和受控体力活动频率。

关键词
学龄,体力活动,姿势

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学前儿童和小学儿童扁平足的监测与评估

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

摘要
背景。学前儿童和小学儿童的扁平足问题近来经常被讨论。特别关注这个问题与儿童身体素质和总体健康的恶化有关。足部缺乏感觉刺激会导致足弓的不正确发育,这一问题随后会在支持运动系统的其他部分表现出来。
目的。研究的目标是监测儿童的扁平足状况。
方法。在我们的研究中,我们观察了学前儿童(n:37;平均年龄:5.22)和小学儿童(n:52;平均年龄:7.45)中扁平足的发生。研究对象包括年龄在五到九岁之间的学前儿童和小学儿童。我们使用足底镜检查足弓的状况。我们使用主观方法Chipaux – Šmířák(CSI)来评估足印。对于每个儿童,始终比较双脚。结果以描述性统计方法进行评估。
结果。我们发现,所有儿童中有70.79%的人双脚的纵弓形状正常。在学前年龄组,双脚的正常弓形状比例为64.86%。在小学儿童中,这个比例为73.08%。在学前和小学儿童中,也有一些高足,这在89名儿童中的8名中双脚都有。扁平足在参与者中双脚都有的比例为6.74%。托儿所儿童中,有8.11%的儿童双脚扁平足。小学生中,有5.77%的学生双脚扁平足。
结论。足弓随着年龄而变化。但不能说在任何情况下它总是形成生理正确的形状。在托儿所儿童中,扁平足占主导地位,因为这个设施的儿童还没有完全形成足弓的时间。必须考虑儿童上学的年份。在小学年龄段的学生,即一年级到四年级的学生中,有三种类型的足弓。
关键词
扁平足,学前儿童,小学儿童
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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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