Tag: sprawność funkcjonalna

Impairement of functional ability in patients with Parkinson’s disease, a qualitative study

Mabel Manoj Mathew, Suresh J.


Mabel Manoj Mathew, Suresh J. – Impairement of functional ability in patients with Parkinson’s disease, a qualitative study. Fizjoterapia Polska 2022; 22(5); 48-54

DOI: https://doi.org/10.56984/8ZG20Ak5q

Abstract

Background. Population studies on the incidence of Parkinson’s are important to scientists’ understanding of the history of the disease, its progression, and the risk factors associated with it. Information about the incidence in different age groups and genders can help healthcare experts design strategies to meet patients’ needs. Objective. To understand the subjective functional Impairment in patients with Parkinson’s disease. Methodology. It is a qualitative study with a sample size of 10, including Parkinson’s disease patients between the age group of 40 to 70 years. The interviews of the patients were conducted either through phone calls or zoom calls depending on their convenience. Results. The most mentioned complaints by the patients included in the study are, tremor, masked face, a fixed expression, difficulty in talking, slowness of movement, unsteadiness while walking, fear of fall, short-stepped gait, forward bent or stooped posture, and freezing episodes. Patients require only minimal assistance from caregivers or family members to do their daily activities (n = 4) and are majorly dependent on others for their day-to-day requirements (n = 3), completely dependent, and bedridden (n = 1). Conclusion: According to the data collected from the patients, it can be concluded that patients with Parkinson’s disease develop difficulties in their functional activities and end up with activity limitations as the disease progresses and the symptoms worsen.

Keywords:
Parkinson’s disease, quality of life, motor symptoms, activity limitations, functional ability

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Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski – Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint. Fizjoterapia Polska 2021; 21(3); 134-142

Abstract
Objective. The objective of the study was to compare the level of functional efficiency and factors influencing it in women after the age of 50 with advanced osteoarthritis of the hip (coxarthrosis) or knee (gonarthrosis) joint.
Material and methods. The study included 70 women aged 50–90 years with coxarthrosis (n = 35) or gonarthrosis (n = 35), stage 3 according to the Kellegren-Lawrence scale.
The functional status was assessed based on the Tinetti test and the Two-scales test. The Likert scale rated pain, stiffness, and the difficulty of getting up and putting on socks. The quality of life was assessed using a 100-point scale.
Results. Women with coxarthrosis achieved worse results in the Tinetti test in the part concerning gait (p < 0.01) and balance (p < 0.05). Pain and stiffness determined the results of most tests. Patients with gonarthrosis had greater problems with walking on flat surfaces and with getting up from a chair (p < 0.001). Pain determined difficulties when walking and putting on socks, and stiffness influenced difficulties in walking, standing up, putting on socks, and the results of the Tinetti test.
Conclusions.
1. Stiffness and pain deteriorate functional efficiency in women with coxarthrosis and gonarthrosis.
2. Greater problems with gait and balance occur in women with coxarthrosis, while women with gonarthrosis have greater difficulties with walking on flat surfaces and getting up from a chair.
Key words:
osteoarthritis, hip joints, knee joints, functional efficiency, Tinetti test
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Influence of classical massage on pain and functional state of people with lumbar discopathy

Ewa Puszczałowska-Lizis, Paweł Rychter, Sławomir Jandziś, Patryk Zygmunt

Ewa Puszczałowska-Lizis, Paweł Rychter, Sławomir Jandziś, Patryk Zygmunt – Influence of classical massage on pain and functional state of people with lumbar discopathy. Fizjoterapia Polska 2021; 21(3); 8-18

Abstract
Introduction. Pain in the lumbar spine is a medical and social problem in highly developed countries. In Europe, about 25-43% of people suffer from them. Approximately 25-60% of patients suffer from chronic, progressive ailments, which lead to both incapacity for work and limitation of activities of daily living. The aim of the study was to assess the impact of classic massage on pain and functional state of people with lumbar discopathy.
Material and methods. The study included 61 people aged 45–50, attending therapy at the Independent Public Health Care Facility in Leżajsk due to pain in the lumbar spine. Patients were classified into 2 groups, depending on the applied rehabilitation program. The research tool was the NRS scale and questionnaires: ODI i RMDQ. The Chi-square test, Mann-Whitney U test, Wilcoxon test, Pearson linear correlation and Spearman rank correlation were used for analyses.
Results. After treatment statistically significant reduction of pain and improvement of functional efficiency were noted in both groups. A statistically significant positive relationship was found between the amount of improvement in functional capacity assessed by the ODI questionnaire and the age of patients (R = 0.43; p = 0.026).
Conclusions. Classical massage has an effect on relieving pain and improving functional performance in people with lumbar discopathy. There are relationships between functional performance and age in people with lumbar discopathy. The improvement in functional performance is smaller with age. Body build is not a factor affecting the severity of pain and functional performance of people with lumbar discopathy.
Key words:
lumbar spine, pain, functional efficiency
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Transcutaneous electrical nerve stimulation in low back pain treatment

Barbara Ratajczak, Ewa Boerner, Arletta Hawrylak, Aneta Demidaś

Barbara Ratajczak, Ewa Boerner, Arletta Hawrylak, Aneta Demidaś – Transcutaneous electrical nerve stimulation in low back pain treatment. Fizjoterapia Polska 2008; 8(2); 179-188

Abstract
Background. The aim of this study was to assess the effectiveness of TENS and its impact on pain intensity, mobility range and functional capacity of the spine in subjects with a diagnosed lumbar discopathy. Material and methods. The study group consisted of 40 patients with a diagnosed lumbar discopathy. This group was subjected to TENS therapy. The intensity of pain, functional status and mobility range of the lumbar spine in the sagittal, frontal and transverse planes were assessed in all patients before and after the therapy.Results. The results indicate that functional capacity correlates significantly with pain level. The sensation of pain is the main determinant of patients’ physical and mental well-being. It is reflected both in differences in pain level owing to TENS (the patients’ physical and mental state was getting better along with decreasing pain level) and in the values of this parameter before and after the TENS therapy. The observed differences were statistically significant, allowing the conclusion that functional capacity correlates significantly with pain intensity.Conclusion. Pain intensity decreased considerably under the influence of TENS, which also had a marked effect on increasing lumbar flexion range in the sagittal plane. The patient’s functional capacity improved significantly with TENS and, consequently, so did their general physical and mental well-being.
Key words:
discopathy, transcutaneus electrical nerve stimulation, pain, functional fitness test
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Effect of an inpatient Active Rehabilitation programme on functional performance of patients following a cervical spinal cord injury

Piotr Józefowski, Rafał Szafraniec, Jan Szczegielniak

Piotr Józefowski, Rafał Szafraniec, Jan Szczegielniak – Effect of an inpatient Active Rehabilitation programme on functional performance of patients following a cervical spinal cord injury. Fizjoterapia Polska 2011; 11(1); 21-29

Abstract
The study aimed to evaluate the effectiveness of a single administration of an inpatient programme of Active Rehabilitation on the functional performance of people with high spinal cord injury. The study involved 23 men between the ages of 17 and 30 years with tetraplegia due to spinal cord injury in the cervical segment. Group 1 was composed of patients with damage at the level of C6 (n = 22), and Group II consisted of patients with damage at the level of C7 (n = 11). Patients were evaluated immediately before the beginning of the programme (TEST I) and on its completion (TEST II) using the Spinal Cord Independence Measure (SCIM) scale.Mean SCIM increased from 32.8 to 43.5 in the C6 group, and from 43.7 to 53.9 in the C7 group. Improved SCIM scores were noted in both groups in all of the domains surveyed: self-care, respiration and sphincter management, and indoor and outdoor mobility.A fourteen-day inpatient programme of Active Rehabilitation appeared to have a significant impact on improving functional performance in the patients after spinal cord injury at the C6 and C7 level in all aspects examined, even when the damage had occurred 14-17 months before the treatment began.
Key words:
spinal cord injury, Active Rehabilitation, functional performance, SCIM
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对因退行性变化过程中产生颈椎疼痛的上班族所进行的两种水疗法的疗效比较

Ewa Puszczałowska-Lizis, Kamila Dobrucka, Izabela Zbrońska

E. Puszczałowska-Lizis, K. Dobrucka, I. Zbrońska – Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes. Fizjoterapia Polska 2019; 19(4); 126-135

摘要
简介。在现代文明时代，腰椎病痛成为医学和社会问题，在慢性病中的多种疼痛综合症、复发性质和疼痛持续性促使人们去寻求有效的诊断和治疗方法。研究目的在比较两种水疗法对减轻上班族颈椎退行性疾病的疼痛和消除功能限制方面的有效性。
材料和方法。共144名年龄在45-55岁间的女性上班族参与研究，她们参与退行性变化过程中所产生颈椎疼痛的康复治疗。根据所应用的康复计划不同，这些女患者被分成两组。实验工具包括颈椎功能测试（Valsalva、Kernig、压缩测试及牵引测试）、颈椎活动范围的线性测量、NRS量表及NDI指数等。分析时所采取的测试包括：卡方检验、学生 t检定、曼-怀-威三氏检验等。
结果。两组康复治疗结束后，在功能测试、颈椎活动范围、NRS标度值及NDI指数方面均观察到具统计学意义的显著改善。第二组患者所取得的研究结果差异比第一组更大。
结论。两种治疗计划的使用均有助于减轻疼痛并改善功能效率，然而接受包含泥疗法在内计划的患者所获得的改善程度更大。

关键词：
颈椎、疼痛、功能效率、浴疗法

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工作疗法的功能面

Jerzy Rottermund, Joanna Szymańska, Aneta Warmuz-Wancisiewicz, Renata Szczepaniak

Jerzy Rottermund, Joanna Szymańska, Aneta Warmuz-Wancisiewicz, Renata Szczepaniak – The functional aspects of occupational therapy. Fizjoterapia Polska 2018; 18(3); 78-85

 

摘要
工作疗法的基本目的在减低或完全除去功能限制，并依照所具的身心能力努力达到自立、自给自足和独立。研究目的在将工作疗法作为提高日常活动所需功能健全性的措施。

医学中的功能性意味的是生理的活动或众多过程，对整个身体的运作至关重要。工作疗法中“功能”一词是指治疗参与者所能够进行的一连串活动。本文介绍并谈论工作治疗师在其专业工作中应列入考虑的恢复运动功能的条件。

关键词：
工作疗法、功能健全、功能障碍

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Physiotherapist – occupational predispositions. Level of flexibility

Weronika Gallert-Kopyto, Andrzej Knapik, Dagmara Wasiuk-Zowada, Anna Brzęk, Małgorzata Domagalska-Szopa, Andrzej Szopa

W. Gallert-Kopyto, A. Knapik, D. Wasiuk-Zowada, A. Brzęk, M. Domagalska-Szopa, A. Szopa – Physiotherapist – occupational predispositions. Level of flexibility. FP 2016;16(4);130-140

Abstract

Background. Possibly high level of functional efficiency is not only the foundation of human welfare, but it also plays an important role in fulfilling social functions, including professional functions. Among professions in which physical fitness is an important element of the quality of work stands out the profession of physiotherapist. Flexibility is one of the components of physical fitness. In those professions, which are characterized by volatility of positions and different effort load, the appropriate level of flexibility seems to be of particular importance.
Aim of the study. The aim of the study was to determine the level of mobility (flexibility) of the trunk among physiotherapy students. It was also decided to investigate how such variables as gender, age, morphological parameters, past and current physical activity are related to the present level of flexibility.
Material and methods. 341 people have been examined: 289 women (84.25% of the total) and 52 men (15.25%). The average age of the study group was: 20.26 years (SD = 1.69) for women; 19.85 years (SD = 1.73) for men. All of these persons were physiotherapy students.
Following data have been collected: age, past sports and physical activity – according to the Baecke questionnaire. Anthropometric measurements and three – plane measurement of the flexibility of the spine have been also made.
Results. There have been weak relationships between morphological parameters and flexibility – only in women. Physical activity strongly differentiated the level of flexibility among women in a sagittal plane (p <.05) and a transverse plane (p <.001; p <.002), a similar situation is with past sports: a sagittal plane: (p <.001) and a lateral plane on the left side (p <.05). In men, only past sports differentiated flexibility in a transverse plane on the right side (p <.05).
Conclusions. The level of flexibility varies individually, especially in a sagittal plane. Gender, age and morphological parameters in young adults are poorly associated with the flexibility. Past and current physical activity have a positive influence on the trunk functional efficiency.

Keywords:

functional efficiency, trunk flexibility, physical fitness, three – plane measurement of the flexibility, physiotherapy profession

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