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EN
Introduction. A technique used in physiotherapy, but still underinvestigated, is the use of the Russian current as an aid in the improvement of balance. Aim. To verify the influence of the Russian current applied to the rectus femoris on balance in healthy and sedentary individuals. Material and methods. A cross-sectional clinical trial was performed at the Universidade Estadual do Oeste do Paraná – Unioeste, in the city of Cascavel – PR. The sample consisted of 20 healthy female subjects aged between 18 and 25 years, equally divided into two groups where group 1 was placebo and group 2 treatment. Initially, the proprioceptive evaluation was performed by means of a functional test (the Star Excursion Balance Test (SEBT)) and stabilometry using a baropodometer. Russian current was then applied to the femoral rectum of both limbs simultaneously for 2 weeks, 5 days a week. Results. No significant differences were found analyzing the variables, but the elevated effect size points to clinical relevance of Russian Current in functional assessment. Conclusion. The use of the Russian current in the rectus femoris did not present significant alteration on balance.
EN
Objectives: Recently in Poland as a result of the high rate of aging population and high rates of morbidity, a growing demand for the physiotherapist profession is observed. The results of this study can be used to formulate principles for better organization of physiotherapist's workplace in order to prevent occurrence of burnout. The aim of this study is to investigate the effect of gender on satisfaction with life and burnout among active physiotherapists. Material and Methods: The survey was anonymous and voluntary, and involved a group of 200 active physiotherapists working in health care units and educational centers in Poland. The study group was selected randomly and incidentally. Each respondent received a demographic data sheet and a set of self-rating questionnaires (Life Satisfaction Questionnaire, Burnout Scale Inventory). Results: Burnout among men decreased along with increasing satisfaction with one's work and occupation, friends, relatives and acquaintances, sexuality, and increased due to greater satisfaction with one's housing status. Burnout among women decreased along with increasing satisfaction with one's health, free time and friends, relatives and acquaintances, and increased due to work at a setting other than a health care unit or educational center. Statistical analysis failed to reveal any significant differences with regard to the BSI domains and with regard to the overall burnout index as well as with regard to the assessment of satisfaction with life between female and male physiotherapists. Conclusions: Satisfaction with children, marriage and partnership, with one's work and occupation, interactions with friends, relatives and acquaintances and sexuality may contribute to reduction of burnout among men. Women who are satisfied with their children, family, health, free time and contacts with friends, relatives and acquaintances are less prone to burnout. Weak financial situation among women and deficiency of free time among men can induce burnout. Improving staff happiness may contribute to decreasing burnout.
EN
Introduction and aim. Rheumatoid arthritis is a chronic progressive systemic disease of the connective tissue affecting the joints, mainly small, of the erosive-destructive polyarthritis type, and frequent systemic inflammatory damage to internal organs. The purpose of the research is to evaluate the effectiveness of physical therapy on the muscles of upper limbs in patients with rheumatoid arthritis by the dynamics of muscle strength and strength index. Material and methods. To determine the strength of the muscles of the affected upper limbs were used dynamometry, calculated strength index as a percentage to assess the functional ability of the affected limb. All patients were divided into control (n=92) and main (n=96) groups, taking into account the functional insufficiency of the joints. Results. After 6 months of physical therapy, muscle strength indicators in the main group of patients with 1st degree of functional joints insufficiency (FJI) in the affected right limb increased by 3.1 kg, in the left by 3 kg; with 2nd degree FJI – in the right limb by 4.2 kg, in the left – by 3.7 kg, significantly exceeded the same indicators in patients of the control group (р<0.05). Similarly, there was an increase in the strength index in the patients of the main group. Conclusion. Physical therapy technology has been developed and implemented effectively influenced the increase in muscle strength and strength index of affected upper limbs of the main group of patients with rheumatoid arthritis.
EN
The article presents an analyses of professional training of physical therapy masters and rehabilitation masters in higher education institutions in Latvia and Lithuania. It was found out that in the system of rehabilitation of European countries is used the term «physical therapy», which is identical in content to adopted in Ukraine term «physical rehabilitation». It is reviewed the curriculum of training masters in physical therapy and rehabilitation in Riga and Vilnius Universities who are active members of the European Network of Physical Therapy in Higher Education (ENPHE), whose mission is to improve and provide transparency of physiotherapeutic education in Europe to create common requirements for the quality of education. It is determined that the professional training of masters in physiotherapy or rehabilitation in Latvia and Lithuania is held in two stages: the first one is four years of full-time study (240 credits ECTS) for obtaining professional bachelor degree in physiotherapy; second is two years full-time study (120 credits ECTS) for obtaining a professional master degree with a help of programs for individual «Physical Therapy» or «Rehabilitation». There is presented data about conditions of entry to master programs «Physical Therapy» and «Rehabilitation» and stated that the applicant must have a bachelor degree in health protect industry. The main competence and employment prospects of future physical therapy masters and rehabilitation masters in these countries are described. It is noted that rehabilitation masters can carry out professional activities in the direction of training “Physical Therapy” as researchers, university teachers, and also being the organizers, managers in physical therapy or engage therapeutic practice. It is emphasized that knowledge and skills of masters in the field of «Physical therapy» and «Rehabilitation» enable critical analysis of research literature, plan and manage the rehabilitation process; to carry out research in the field of physical therapy and rehabilitation; to orient in the latest theoretical trends in the development of rehabilitation and be able to apply them in practice, to educate themselves to improve professional skills and personal qualities.
EN
Wstęp: Pierwotny ból menstruacyjny dotyczy około 45–95% kobiet od 20. do 25. roku życia. Metodą nieinwazyjną w jego redukcji poprzez rozluźnienie mięśni jest masaż. Dzięki niemu dochodzi do normalizacji napięcia struktur oraz przywrócenia poprawnego ukrwienia w obrębie miednicy mniejszej. Cel pracy: Badanie miało na celu sprawdzenie przydatności automasażu w redukcji pierwotnego bólu menstruacyjnego. Materiał i metody: Spośród 180 studentek za pomocą ankiety wstępnej zakwalifikowano do badań 34 kobiety w wieku 19–30 lat. Do oceny przed terapią i po niej użyto kwestionariusza jakości snu Pittsburgh oraz wizualno- -analogową skalę bólu (VAS). Kobiety z grupy eksperymentalnej przez dwa cykle menstruacyjne wykonywały automasaż tensegracyjny kilka dni przed wystąpieniem krwawienia. Wyniki: Po zastosowaniu automasażu nastąpiło istotne zmniejszenie odczuwania bólu (p = 0,001) oraz liczby dni z bólem (p = 0,007) w grupie eksperymentalnej. Mediana w grupie eksperymentalnej przed terapią wynosiła w wizualno-analogowej skali bólu 6, a po terapii 2. W obrębie tej grupy różnicę zauważono u prawie wszystkich kobiet – z wyjątkiem jednej. Dodatkowo dokonano trzeciego pomiaru w celu sprawdzenia czasu trwania efektu automasażu. Średni ból i liczba dni z bólem po przedłużeniu były wyższe niż w drugiej ocenie, jednak istotnie niższe niż przed eksperymentem (p = 0,002 oraz liczby dni p = 0,03). Ocena jakości snu w grupie eksperymentalnej była znamiennie lepsza (p = 0,04) niż przed zastosowaniem terapii. Wnioski: Automasaż redukuje pierwotny ból menstruacyjny kobiet i może być stosowany jako forma autoterapii wspomaganej. Automasaż wpływa również korzystnie na jakość snu.
EN
The current spread of SARS-CoV-2 indicates a long-term fight against the widespread and exponential increase in morbidity and mortality across the globe. A variety of non-pharmacological strategies to mitigate and suppress virus transmission have been investigated and introduced. Currently, emerging studies focus mostly on the management of hospital-treated patients in the acute phase of the disease, including the legitimacy of using physiotherapeutic procedures. However, current literature lacks guidelines for rehabilitation related to maintaining continuity and universality of the therapy after the end of the acute phase of the disease and discharge from hospital. The authors suggest implementing an immediate rehabilitation program in post-infection patients as data from previous epidemics of respiratory-related viral diseases shows that COVID-19 survivors should be expected to have impaired lung ventilation function, and reduced exercise tolerance and muscular weakness, and prolonged return to work and participation. It should be assumed that only the introduction of immediate recommendations for the implementation of rehabilitation procedures based on simple and well-known tests, as well as their obligatory regime, can contribute to the reduction of respiratory disability leading, in a short time, to infections recurrence and, in the long run, to a lower quality of life and socioeconomic burden on the population. This article presents a respiratory rehabilitation program for COVID-19 survivors, recommended by the Polish Society of Physiotherapy. This program was approved by the Polish Minister of Health and implemented as a pilot program at the Hospital of the Ministry of the Interior and Administration in Głuchołazy, Poland. Med Pr. 2021;72(5):611–6
EN
BackgroundPhysical therapists are known to be susceptible to work-related musculoskeletal disorders (WMSDs), but the prevalence of WMSDs in Saudi Arabia has not been documented. This study aimed to establish the prevalence, characteristics, and risk factors of WMSDs among physical therapists in Saudi Arabia.Material and MethodsA cross-sectional study was conducted among 113 physical therapists in Saudi Arabia using a 6-component questionnaire. Descriptive statistics, incidence, percentages, and χ2 test were used for data analysis.ResultsThe response rate was 68.8%. The reported 12-month incidence of WMSDs was 83.8%. The low back (63.7%) was the most common site of these disorders, followed by the neck (59.2%), while the hip/thigh (4.4%) was the least involved body part. Incidence was related to gender: females were more affected than males (neck, shoulders, low back); age: younger therapists were more affected than older ones (shoulders, low back); working sector: government sector workers were more affected than those employed in other sectors (neck); and specialty: orthopedic specialists were the most frequently affected, followed by those specializing in neurology (thumbs, upper back, knees, ankle/foot). Most of the physical therapists had >5 periods of neck, shoulder, and low-back WMSDs. The most important risk factor for WMSDs was treating more patients in a day (47.7%). The most frequently adopted handling strategy identified to combat WMSDS was modifying the patient’s position (62.8%).ConclusionsOverall, WMSDs among physical therapists in Saudi Arabia are common, with the low back and the neck constituting the most frequently affected body regions. Professional experience and the awareness of ergonomics principles can help prevent the early development of WMSDs among physical therapists. Med Pr. 2021;72(4):363–73
EN
Modern research scientists are characterized by low domestic attention to the study of the European experience university training specialists in physical therapy. In the system of rehabilitation of European countries the term «physical therapy» is used, which is identical in content to Ukraine adopted the term «physical rehabilitation». The article presents the content of training bachelors and masters of physical therapy in higher educational institutions in Austria. As you know, the professional activity of physical therapists in Austria is under state protection, and Austrian university diplomas are recognized in most countries, especially in the medical sphere, topical study of the European experience of training bachelors and masters in physical rehabilitation (physical therapy), particularly in higher educational institutions of Austria. The list of Austrian universities that are preparing bachelors and/or masters’ physiotherapy is given. The curriculum for physiotherapy bachelors has been analyzed in universities of applied sciences FH Joanneum and St. Pölten, and also masters in universities FH Campus Wien and Danube University Krems. The conditions of entry to graduate in physiotherapy at Austrian universities and timing of studying for the degree of Bachelor of Science in physical therapy and «Master of Science physiotherapy» (MScPT) or «Master of Science (MSs) cardiovascular physical therapy» or «Master of Science (MSs) musculoskeletal physiotherapy» have been defined. The article covers the courses, the types of classes, the forms and teaching methods, evaluation methods and the number of credits (ECTS) for training bachelors and masters in physical therapy in Austrian universities. It is proved that the content of professional training bachelors and masters in physical therapy in Austrian universities involves the formation of future specialist able to work as part of a multidisciplinary team of doctors, nurses, work therapists, speech therapists, psychologists and other specialists, both in clinical practice and in research, management and teaching. The competence of the specialists in physical therapy and the prospects for their professional activities has been specified.
EN
In the article the system of professional training of bachelors and masters in physical rehabilitation (physical therapy) at the institution of higher learning in the Netherlands is analyzed. In the researching process a list of universities in the Netherlands which are preparing bachelors and/or masters in physical rehabilitation (physical therapy) has been established. The system of professional training of bachelors and masters in physical therapy at the Thim university was exposed in details. It is found that the curriculum of training of bachelors of Physical Therapy at Dutch universities is expected for 4 years and consists of 240 credits under the European Credit System (ECTS). The plan is divided into three phases –education (60 credits ECTS), basic (60 credits ECTS) and transitional (120 credits ECTS). The internship of future bachelors consists of two periods of twenty weeks, which can be taken abroad. Master Training lasts 18 months (90 credits) with assigning graduate qualification «The Master of Science in Physical Rehabilitation (Physical Therapy)» (MScPT). The Master program in the terms of quality standards of the European Union (EQF) has 7 levels of education. During the research professional competences of physical therapist that are put in this country by The Royal Society of Physiotherapy (KNGF) have been found. Most Dutch university teachers are actively using interactive learning environment where the students discuss scientific problems demonstrating practical skills, conduct interactive sessions and exercise control. The teachers Magistrate conduct master classes, publish books (including virtual), organize a discussion on the site, conducting seminars, webinars (including practical demonstration), Web conferences, and presentations, and organize study tours. Besides the representatives of universities actively communicate on pages of Facebook, Twitter and LinkedIn. Six days a week the teachers are willing to pay attention to the students. The control of the organization, the introduction of quality results and future masters of knowledge is made by the Examination Board. Thus, the students deepen their knowledge and skills through contact training, blended learning, learning in the workplace. The students also perform a research project under the guidance of an experienced supervisor.
EN
Nowadays, many research works are focused mainly on the study of ADHD in normally developed children and avoid children with different forms of pathologies, in particular, children with mental retardation. The purpose of this article is the theoretical substantiation of a complex of correctional-developing programs for children with mental retardation who have hyperactivity disorder. The author developed complexes of means of physical therapy and general advice on nutrition, aimed at the correction of psychophysical condition. It is stressed that over the past decade there have been significant changes in views concerning the deviations of mental development of children and adolescents. A number of positions in the psychology and psychopathology of children’s age was revised, which allowed a new approach to existing realities. Students with comorbidity disorder – mental retardation and ADHD – in the process of socialization causes many psychological difficulties that are not typical for children with mental retardation. As the result, they disturbed the formation of a personality. Such students constitute a group at high risk for school and social maladjustment. For the treatment and correction of hyperactive behavior the following means are used: drug therapy (psychostimulants); psychotherapy (meditation, autogenic training, family therapy, behavioral therapy); the dosed physical activity. However, in addition to medical effects, popular although not sufficiently justified means to a hyperactive child are psychological tools and means of physical culture. Taken together psycho-educational support along with medical, psychotherapeutic and rehabilitation are considered to be quite effective. Preliminary analysis of literature data showed that the complex correction of mentally retarded hyperactive children must include physical activity. We have developed a special program that included: physiotherapy with special exercises on the recovery of the behavioral reactions, improve coordination of movements, breathing exercises and relaxation of muscles; diet therapy and autogenic training.
EN
Kienböck’s disease is avascular necrosis of the lunate bone. It is a rare condition, affecting seven in 100,000 people. The etiology of the disease is a complex issue because the main cause cannot be identified. It is only possible to identify risk factors. Among them, age and sex are most often mentioned, but also disorders in the anatomical structure of the wrist, impaired blood supply to the lunate bone or repeated injuries of low force. Symptoms occur unilaterally. Most often it is pain and swelling, located on the dorsal side of the lunate bone. It is a very troublesome condition because it signifies impairment of palm function. The Lichtman classification is the most often frequently used one, to assess the advancement of lesions. On the basis of this, treatment methods are selected, which directly determine the choice of physiotherapeutic treatment.
PL
Choroba Kienböcka jest jałową martwicą kości księżycowatej. Jest to rzadkie schorzenie, występujące u 7 na 100 000 osób. Etiologia choroby należy do skomplikowanych zagadnień, ponieważ nie można wskazać głównej przyczyny jej występowania. Możliwe jest jedynie określenie czynników ryzyka, wśród których najczęściej wymienia się wiek i płeć, ale również zaburzenia w zakresie budowy anatomicznych struktur nadgarstka, upośledzenie ukrwienia kości księżycowatej, czy często powtarzające się urazy nadgarstka o małej sile. Objawy występują unilateralnie. Najczęściej są to ból oraz obrzęk, zlokalizowane po grzbietowej stronie kości księżycowatej. Jest to bardzo uciążliwe schorzenie, ponieważ w znacznym stopniu upośledza funkcję dłoni. Do oceny zaawansowania zmian chorobowych najczęściej wykorzystuje się klasyfikację Lichtmana. Na jej podstawie dobierana jest metoda leczenia, która bezpośrednio determinuje wybór postępowania fizjoterapeutycznego.
Logopedia
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2019
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vol. 48
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issue 2
375-402
PL
Celem pracy jest opis postępowania diagnostycznego oraz sprzężonego postępowania terapeutycznego będącego wynikiem połączenia emisji głosu, fizjoterapii oraz terapii logopedycznej w przypadku czynnościowej dysfonii hiperfunkcjonalnej. W pracy przedstawiono rolę fizjoterapeuty i logopedy w interdyscyplinarnej terapii zaburzeń głosu. Opisano wizualne i palpacyjne techniki diagnostyczne i terapeutyczne, które mogą być stosowane przez terapeutę głosu. Opisano zasady i elementy emisji głosu, które powinny być stosowane podczas terapii czynnościowej dysfonii hiperfunkcjonalnej.
EN
The aim of the work is a description of diagnostig management and coupled theraphy which is a result of conecting voice emission, physiotheraphy and speech theraphy in case of hyperfunctional dysphonia. The paper presents a role of physiotherapist and speech therapist in interdisciplinary theraphy of voice disorders. There is described visual and palpatory diagnostic and terapeutic techniques which can be used by voice therapist. There is described rules and elements of voice emision which should be used during therapy of hyperfunctional dysphonia.
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