http://www.fizjoterapiapolska.plTable of contents Volume 11, 2011 Number 4.en-usCopyright 2012 by the Fizjoterapia Polskahttp://www.fizjoterapiapolska.pl/rssIndexCopernicus Journal Management System RSS GENERATORwebmaster@www.fizjoterapiapolska.pl (ADM)Fri, 02 Dec 2011 00:00:00 ESThttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979895Alternative and complimentary modes of treatment gain popularity and compete with evidence based therapies. Deve­lopment of alternative methods is enhanced by the demands of the market of medical devices designed for home treatment without need of a physician’s consultation. Application of devices with static magnets is advertised as a safe and effective pain therapy. The purpose of the paper is to analyze scientific evidence of efficacy and safety of static magnetic fields (SMF) applied as therapeutic modality for pain. Survey of peer-reviewed scientific publications resulted in identification of 45 papers including 40 primary publications and 5 meta-analyses. 4 original studies were excludes as uncontrolled trials or case studies. One paper was disqualified because of simultaneous application of alternating magnetic field. Among randomized controlled trials on clinical applications of SMF against pain 10 support hypothesis of analgesic effect of SMF, 9 neither confirm nor exclude therapeutic efficacy of SMF, and 16 give the evidence against SMF superiority over placebo. Frequent failure to blind the study, small sample sizes, short follow-up period limit evidence value of the analyzed results. Expectations resulting from frequent sponsorship of studies by manufacturers of SMF equipment appear to influence the objectivity of several conclusions. SMF of inductances within the range of those used in analyzed devices are not classifiable due to their potential risk of chronic exposure by inconclusive evidence. According to theoretical deliberations, pregnancy, infancy, pacemakers, ferromagnetic implants and application of electronic devices regulating life functions are considered contraindi­cations for the use of therapeutic devices emitting SMF. The current state of knowledge does not allow for unambiguous confirmation of SMF therapeutic efficacy. Devices for therapy with SMF should not be sold as analgesic modalities before evidence of efficacy and safety in each particular indication is confirmed. Piotr Tederko, Marek Krasuski Review articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979895http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979898[b]Background. [/b]MDS is a device which gathers information about the physical, functional and psychosocial condition of a ge­riatric patient. It is applied in all nursing care institutions in the USA. Clinically MDS is the basis for the structuring of the patient’s care-plan, whereas practically it is the basis for assessment of the quality of service provided. Information acquired by the use of MDS (so-called Quality Parameters – QP) prove to be an important criterion which determines patient’s choice of a nursing home. The aim of this paper is to present the practical application of MDS on the basis of data gathered among patients who require short- and long-term care. [b]Material and methods. [/b]3209 residents of 16 centers of rehabilitation and nursing care in the USA in the states of Washington, Tennessee, Wisconsin and Alabama were put under observation. The QP which influenced the planning of care provided for a patient and as a result the assessment of the quality of service provided were analyzed on the basis of MDS. [b]Results.[/b] The obtained data indicate that in the nursery homes described the QP are usually more favorable than national average. It appears that out of the QP which show worse than average standard of services provided, those connected to main­taining activity of institution’s resident are especially noteworthy. [b]Conclusion. [/b]The analysis of QP obtained provides: information which facilitate the choice of a nursery home, and the know­ledge of the quality of service provided there. Considering the amount of information MDS can be the basis for discussion with the institution’s management about specific aspects of care; it also facilitates preparing the program of enhancing the quality of care. Maciej Mocek, Grzegorz Żurek, Alina Żurek Original articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979898http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979900[b]Background. [/b]Maintenance of correct body posture requires, among other factors, efficient functioning of the mecha­nism regulating equilibrium of the body, whereas incorrect structure of the body, e.g. in patients with scoliosis, changes conditions of balancing the body thus affecting the function of postural control mechanisms. This study was undertaken to find out when and in what way the regulation of posture begins to be less effective and whether a low degree scoliosis is a cause of negative changes in this area. [b]Material and methods.[/b] 138 children, aged from 7 to 15 years were selected for the study. The main group consisted of 88 subjects – children with low degree scoliosis. 50 children without any postural problems constituted the control group. Photogram­metry and stabilometric measurements were carried out simultaneously with the subjects’ eyes open and closed in order to evaluate posture parameters and the projection and pathway of the center of gravity (COG) of the human body. [b]Results.[/b] Such factors as scoliosis and gender do not affect COG projection on the X axis. Evaluation of the differences in COG behavior revealed that the subjects’ age and visual control were significant factors. [b]Conclusions. [/b]In children and teenagers with scoliosis, the behavior and the position of the COG projection does not change significantly compared to children and teenagers without scoliosis. Effectiveness of the mechanisms regulating body posture improve with age and in children and teenagers with low degree scoliosis these processes are not significantly disturbed. Wojciech Cieśla, Tomasz Cieśla, Janusz Nowotny Original articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979900http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979902[b]Background. [/b]The aim of this study was to identify the loads that occur when landing from different heights, achieved through analysis of selected kinetic and dynamic parameters in men without injuries of the musculoskeletal system. Understanding the characteristics of this type of transportation can play an important role in assessing the progress of rehabilitation after lower limb injuries. [b]Material and methods.[/b] The sample comprised 26 men aged 20 to 26 years without lower limb injuries, who performed landing at three heights: 0.1, 0.2 and 0.3 m. For quantitative and qualitative assessment biomechanical studies were performed using motion measurement system, a dynamometric platform for ground reaction force measurement for the vertical component and a module for electromyography. [b]Results.[/b] The maximum value of the ground reaction forces for the vertical component during the jump down on both lower limbs from 0.3 m increased to about 2.2 weight. The most active muscles during landing were: m. vastus medialis of the thigh (both limbs) and gastrocnemius, as demonstrated in the study of surface electromyography. [b]Conclusions. [/b]1. No statistically significant (up to 4%) differences were found in the values of maximum ground reaction forces for the vertical component between the left and right lower limb. 2. A positive correlation was found between the ground reaction force, and the height from which the subjects jumped and between the ground reaction force and muscle tension. 3. Muscle tone apparently increased during free standing before landing compared to the jump phase. Aleksandra Melińska, Andrzej Czamara, Łukasz Szuba, Romuald Będziński Original articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979902http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979907[b]Background.[/b] The aim of this study was to investigate the changes of physical fitness level in drug addicts participating in an 18-month rehabilitation program organized by “Monar” Association Centre in Dębowiec. [b]Materials and methods. [/b]The sample comprised 40 drug addicts participating in the rehabilitation program. Depending on the length of the therapy all patients were divided into 4 groups: 1) 0-3 months; 2) 4-6 months; 3) 7-9 months and 4) 16-18 months. Physical fitness of the patients was evaluated by the Harvard test, Ruffier test, Crampton test and volitional breath holding time. [b]Results.[/b] the study outcome revealed a clear progress in the results obtained using the Harvard test and the volitional breath holding time. No significant between group differences were found in the Ruffier’s as well as in Crampton’s index. [b]Conclusions.[/b] Physical fitness estimated by means of Harvard test and especially exercise tolerance of this test in drug-addicts who start treatment are low; however, they improve up to control level during the 18 month rehabilitation program. Exercise tests applied in the process of rehabilitation of drug addicts, based only on HR measurements in post-exercise recovery period may not properly reflect the real level of physical fitness. Ryszard Zarzeczny, Rafał Rzońca, Dorota Zarzeczna, Anna Polak, Piotr Król Original articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979907http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979909[b]Background.[/b] Diagnosis of lumbar sciatica is based on classical neurological examination and radiographic imaging. In literature, McKenzie described detailed functional tests concerning pain response during mechanical procedures. Centralisation of pain confirmed during examination informs the examiner that conservative treatment is indicated. Contrary to that peripheralisation of symptoms, it confirms that derangement is irreducible. The aim of the study was to show that the method of functional exa­mination enables diagnosis of centralisation or peripheralisation of pain among chronic patients with sciatica. The additional aim was to determine the factors identified from objective evaluation which determine further treatment of these patients. [b]Material and methods. [/b]200 patients with low back pain and sciatica were precisely analysed. There were 84 men (42%) and 116 women (58%), age between 13-79 years (43.0±13,65). Peripheralisation of pain was found in 65 patients (group A), and centralisation – in 135 persons (67.5%). Statistical analysis showed that significant differences between groups included: lateral shift, SLR test, sensory and motor deficits. [b]Conclusions.[/b] 1. Precise analysis showed that among chronic patients with disc disease clinical tests lead to centralisation or peripheralisation of pain. 2. Peripheralisation was statistically more often accompanied with lateral shift, neurological deficits and low results of straight leg raise (SLR) test. Aleksandra Truszczyńska Original articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979909http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979911[b]Background. [/b]The goal of the study was to determine the degree and specificity of disability based on the Roland - Morris Disability Questionnaire (RMDQ) in the sample of women with chronic low back pain. The degree of disability due to low back pain may be associated with age and the number of concomitant diseases. [b]Material and methods.[/b] The study was carried out from February to July 2010 and the Rehabilitation Clinic of the Zamość University of Management and Administration in the sample of women with low back pain. The subjects experienced pain episodes two or more times and the duration of each episode was minimum 3 months. The sample comprised 236 women aged 18-65 lat (the mean age was 42 years ±16 years SD). [b]Results. [/b]The average score according guestionnaire for the whole sample was 5.25 (SD ± 5.67). Three degrees of disability were noted: low in 31.6 %, average in 18.8 % and high in 3.4 % of the subjects. [b]Conclusions. [/b]Disability due to low back pain depends on age and the number of concomitant diseases. Marta Topolska, Rafał Sapuła, Adam Topolski, Krzysztof Marczewski Original articlehttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979911http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979913[b]Background. [/b]The goal of the article is to present the guidelines of paediatrics occupational therapy based on ICF CY. Paediatrics models and methods, used all over the world will be presented. Also, as the results of the research conducted in therapeutic-educational centres in Krakow, the models applied in paediatrics occupational therapy will be described. [b]Material and methods.[/b] The research was conducted in Krakow in medical and care providing institutions. The research tools were the original questionnaire and interview survey. [b]Results.[/b] Among the 38 surveyed centres, 21 were found to carry out occupational therapy or its components. Most people conducting occupational therapy or its components are pedagogy graduates (about 50 %). Only 7% of respondents worked as occupational therapists. The most popular therapeutic methods applied were Veronica Sherborne’s and Knills` approaches and Sensory Integration Method. [b]Conclusions.[/b] It seems necessary to promote knowledge of the occupational therapy in Poland among workers in therapeutic centres and to implement therapeutic methods in these institutions. It will allow the therapists to satisfy the needs of children and teenagers with various disabilities. Anna Gumułka, Anna Bukowska, Marta Curyło, Dominika Zawadzka Short communicationhttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979913http://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979915[b]Background.[/b] HRV is the measure of circulatory system adaptation in aerobic training. The goal of the study was to evaluate the effect of aerobic training on sinus rhythm variability. [b]Material and methods.[/b] 60 minute long exercise was applied twice a week within 12 weeks. The mean heart rate (HR) value during exercise oscillated around 130 beats per minute (bpm). The subjects performed work at the level of aerobic metabolism mode to improve their aerobic fitness and decrease their BMIs. The studied group comprised 11 non smoker females aged 40-58 years. The subjects were either overweight or obese and they were not affected by any diseases. HRV analysis was based on HR, LF% and LF/HF ratio. All the results were based on the analysis using Power Spectrum program. The subjects had their HR recorded using Polar RS 800 Sport Tester with signal record option. BMI was measured before and after the training cycle. The results were statistically analysed. [b]Results.[/b] Analysis of the obtained results indicates lack of significant differences in changes pertaining to the autonomic nervous system and resting HR values on application of the training cycle in the study subjects. A significant decrease in the BMI index was noted. [b]Conclusions.[/b] HRV may be used as a measure of circulatory system adaptation during physical training. A three months long training cycle with 60-minute exercise performed twice a week did not result in adaptive changes within the autonomic nervous system or resting HR values in the studied sample. The training resulted in BMI index decrease. Małgorzata Fortuna, Jacek Szczurowski, Anna Kołcz-Trzęsicka Short communicationhttp://www.fizjoterapiapolska.pl/abstracted.php?level=5&ICID=979915