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Stymulacja taktylna w usprawnianiu ruchowym dzieci, młodzieży i dorosłych

100%
Zwierzchowska A.
Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu
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2015
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vol. 48
107-112
EN
Studies on the role of the senses and their integration have focused mainly on visual awareness, which is rather surprising if we consider that touch is the first sense to develop. The results of recent studies underlined the importance of awareness of tactile information in human development. Having this in mind, the present study addresses the role of awareness of tactile stimulation in physical exercises to improve a psychomotor development of children with various psychomotor disorders. The outcomes of studies devoted to this subject suggest that the tactile stimulation in conjunction with physical exercises creates positive environment for compensation of the children’s deficits. That is why there is a strong need for implementation of tactile stimulation in physical exercises.
2
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Ocena wpływu krzywizn kręgosłupa w płaszczyźnie strzałkowej na dolegliwości mięśniowo-szkieletowe u młodych osób

63%
Zwierzchowska A., Tuz J.
Medycyna Pracy
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2018
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vol. 69
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issue 1
29-36
EN
Background In Poland, about 85% of the population report low back pain (LBP) symptoms overall. Moreover, 70–80% of people aged below 20 have already experienced back pain. The primary cause of LBP is the loss of spinal lordosis, which initiates changes in geometry of the spine and has impact on limb arrangement. The aim of the study was to attempt to verify the relationship between the 2 main curvatures of the spine and its relation to symptoms in different parts of the musculoskeletal system, in a group of adults. It was assumed that hyperlordosis of the lumbar spine and misbalance of the thoraco-lumbar junction are risk factors for LBP. Material and Methods The study coverd 231 first-year students, (aged 19–21) of the University of Economics in Katowice. There were 103 men aged 19.5±0.8 years and 128 women aged 19.6±0.8 years. The students completed the Nordic Musculoskeletal Questionnaire (NMQ): 7 days (NMQ7) and 6 months (NMQ6). A Rippstein’s plurimeter, was used to measure the angles of thoracic kyphosis (KTH) and lumbar lordosis (KLL). Cut of points was set at 30±5. Results The results indicate strong and very strong correlation (r = 0.6 and r = 0.8, p < 0.05) between the concave of the back and LBP, which may suggest the relationship between these symptoms and the increased lordosis. Conclusions Postural defects in the sagittal plane may predict the occurrence of pain. The results of the study indicate a higher frequency of pain in people with a higher angle of lumbar lordosis. Med Pr 2018;69(1):29–36
PL
Wstęp W Polsce 85% ludności dorosłej zgłasza dolegliwości bólowe odcinka lędźwiowego kręgosłupa, a 70–80% osób do 20. roku życia doświadczyło takich dolegliwości. Najczęstszą pierwotną przyczyną zapalnego bólu krzyża (ZBK) jest utrata lordozy lędźwiowej, która zapoczątkowuje zmiany w geometrii innych odcinków kręgosłupa i wpływa na ustawienie kończyn. Celem badania jest zweryfikowanie związku między głównymi krzywiznami kręgosłupa w płaszczyźnie strzałkowej, tj. lordozą lędźwiową i kifozą piersiową, a dolegliwościami bólowymi w różnych częściach narządu ruchu w grupie 20-letnich osób u progu stabilizacji ontogenetycznej. Założono, że nadmierne wychylenie odcinka lędźwiowego i zwiększony dysbalans piersiowo-lędźwiowy jest czynnikiem sprzyjającym ZBK. Materiał i metody Badaniami objęto 231 studentów I roku Uniwersytetu Ekonomicznego w Katowicach w wieku 19–21 lat (103 mężczyzn w wieku 19,5±0,8 roku i 128 kobiet w wieku 19,6±0,8 roku). Studenci wypełnili Kwestionariusz Dolegliwości Mięśniowo-Szkieletowych (Nordic Musculoskeletal Questionnaire – NMQ) w 2 wersjach: 7 dni (NMQ7) i 6 miesięcy (NMQ6). Wykorzystano plurimetr Rippsteina do pomiarów kąta kifozy piersiowej (thoracic kyphosis – KTH) i kąta lordozy lędźwiowej (KLL), przyjmując punkty odcięcia 30±5°. Wyniki Zaobserwowano wysoką i bardzo wysoką korelację (r = 0,6 i r = 0,8, p < 0,05) między występowaniem dolegliwości bólowych odcinka lędźwiowego kręgosłupa a plecami wklęsłymi, co może sugerować powiązanie tych objawów z większą lordozą lędźwiową. Wnioski Wady postawy w płaszczyźnie strzałkowej mogą być predyktorem występowania dolegliwości bólowych. Wyniki badań wskazały na częstsze występowanie objawów bólowych u osób z większym kątem lordozy lędźwiowej. Med. Pr. 2018;69(1):29–36
3
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Aktywność fizyczna kobiet w ciąży z nadwagą

51%
Sass A., Mączka M., Zwierzchowska A.
Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu
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2015
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vol. 49
51-57
EN
Background. American College of Sports Medicine and the Center for Disease Control and Prevention recommends moderate intensity exercise for 7 days a week. The duration of exercise should be minimum 30 minutes per day. Despite proven benefits and numerous recommendations of exercise during pregnancy, most women reduce their physical activity at the beginning of pregnancy. The aim of the study was to assess the physical activity of pregnant women by using the Yamax SW700 pedometer. It was assumed that somatic factors such as BM, BMI and age will differentiate the pregnant women in their physical activity. Material and methods. The observation was conducted on a sample of 39 pregnant women in the 2nd and 3rd trimester of pregnancy. Results. The results show the low level of physical activity during pregnancy. In addition, the vast majority (97%) did not meet the requirements of the recommended number of steps per day. It was revealed that somatic factors (BM, BMI) and age did not determine pregnant women’s physical activity level. Conclusions. It can be assumed that the level of physical activity among pregnant women might be determined by a volitional factors.
4
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The efficacy of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction

39%
Smółka W., Smółka K., Markowski J., Pilch J., Piotrowska-Seweryn A., Zwierzchowska A.
International Journal of Occupational Medicine and Environmental Health
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2020
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vol. 33
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issue 3
273-282
EN
ObjectivesVestibular rehabilitation leads to a gradual diminution of the subjective and objective symptoms that accompany the vestibular disorders. The aim of the study was to compare the impact of 2 different types of vestibular rehabilitation on vestibular compensation in patients with chronic unilateral vestibular dysfunction.Material and MethodsThe study was conducted on a group of 58 subjects (43 females and 15 males) aged 40–64 years, who presented with chronic unilateral vestibular dysfunction and were hospitalized. The patients were randomly assigned to either of the 2 groups established. The study was conducted in a 6-week period. Group 1 consisted of patients who underwent customized group vestibular rehabilitation in an outpatient setting. The program was performed once a week for 1 h 30 min, under the supervision of a physiotherapist and a physiatrist. Group 2 was instructed to perform Cawthorne–Cooksey exercises and simple balance exercises twice a day for 15 min.ResultsAn improvement in the outcomes of the Dynamic Gait Index as well as the Berg Balance Scale was statistically significant for group 1. The time for fulfilling the task in the Timed Up and Go Test improved in both groups (p < 0.05). The subjective estimation of the symptoms evaluated with the use of the Dizziness Handicap Inventory and the Visual Analogue Scale revealed a statistically significant improvement in both groups, yet it was higher in group 1.ConclusionsThe compensation achieved after 6 weeks of the customized, supervised outpatient rehabilitation program in group 1 was superior to the results of the home-based unsupervised Cawthorne–Cooksey and balance exercises.
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