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EN
Introduction and aim. The whole-body vibration has become known for optimizing the production of muscle power due to mechanical oscillations that are dependent on vibration frequency. However, the effects of varying the vibration frequency on flexibility have still been little explored. Compare the effects of two frequencies of whole-body vibration on flexibility and extensibility of the lower limbs. Material and methods. Randomized clinical trial with a sample of 42 young adult volunteers of both sexes, who performed squatting sessions with individualized load on a platform and distributed into three groups of vibration frequency: control group (CG), with the platform off; low frequency group (LF), with a frequency of 30 Hz; high frequency group (HF), with a frequency of 45 Hz. In total, the intervention was carried out in 12 sessions and lasted 6 weeks, with 2 sessions per week. Flexibility, evaluated before and after the intervention by the sit and reach test (Wells bench) and by evaluating the extensibility of the ischiotibials by goniometry. Results. No statistical differences were observed for any of the outcomes evaluated. Conclusion. None of the proposed frequencies produced gains in flexibility and extensibility of the lower extremities and there was no superiority of one frequency over another.
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
Background: Manual examination is performed in isolated positions in order to pinpoint the exact location of the impaired structure. The established range of motion standards for particular joints constitute a key diagnostic element, which can be referred to when examining a patient. Aim of the study: The aim of this study was to assess the range of motion in extension in the glenohumeral joint, using the tele-information application Goniometr v.1.0. Material and methods: The study population consisted of 20 healthy subjects, 10 women and 10 men, aged between 18 and 31 years old (24.4±4.46). Their range of extension in the glenohumeral joint was measured using the Goniometer v.1.0 application. The measurements were performed by 3 independent researchers. Statistica v.10 program was used for data analysis. Results: The mean range of extension in the glenohumeral joint during palpation of the superior angle of the scapula was: for researcher A: 7.59±1.20; for researcher B: 8.12±1.11; and for researcher C: 7.05±1.08 degree; while the inferior angle of scapula palpation was: 7.19±1.23; 7.20±1.29 and 7.30±1.13 degree for researchers A, B and C, respectively. There were no statistically significant differences between the measurements from the three researchers (p > 0.05). Conclusions: The range of movement in extension in the glenohumeral joint measured with the Goniometer v.1.0 application in the study group was 7–8 degrees. Palpation of the inferior angle yielded higher scores of standard deviations that could indicate palpation makes it easier to feel the movement of the superior angle during the extension motion of the shoulder.
PL
Wstęp: Badanie manualne wykonuje się w pozycjach wyizolowanych w celu dokładnego zlokalizowania zaburzonej struktury. Normy zakresu ruchu dla poszczególnych stawów stanowią kluczowy element diagnozy, do którego można się odnieść podczas badania pacjenta. Materiał i metody: Zbadano 20 zdrowych osób: 10 kobiet i 10 mężczyzn w wieku 18–31 lat (24,4±4,46). Poddano analizie zakres ruchu wyprostu w stawie ramienno-łopatkowym, oceniając dwa punkty anatomiczne: kąt dolny i górny łopatki z użyciem aplikacji Goniometr v.1.0. Pomiarów dokonywało 3 badaczy. Dane poddano analizie statystycznej w programie Statistica v.10. Wyniki: Średni zakres ruchomości wyprostu stawu ramienno-łopatkowego podczas palpacji kąta górnego łopatki wyniósł dla badacza A: 7,59±1,20; B: 8,12±1,11; C: 7,05±1,08 stopnia, natomiast podczas palpacji kąta dolnego: 7,19±1,23; 7,20±1,29 i 7,30±1,13 stopnia odpowiednio dla badacza: A, B i C. Nie zaobserwowano istotnych różnic pomiędzy badaczami (p > 0,05). Wnioski: Zakres ruchomości wyprostu stawu ramienno-łopatkowego mierzonego z użyciem aplikacji teleinformatycznej Goniometr v.1.0 w badanej grupie wyniósł 7–8 stopni. W przypadku palpacji kąta dolnego zaobserwowano wyższe wyniki odchyleń standardowych, co może wskazywać, że łatwiej w czasie palpacji wyczuć ruch kąta górnego w ruchu wyprostu ramienia.
EN
Background Falls constitute an important health issue. They cause significant morbidity, mortality and have marked psychological effects on the individual, too. The aim of this study has been to determine parameters describing human movement strategies for balance and the reaction if balance is lost as a result of an unstable ground, and to attempt to describe the types of falls. Material and Methods The study group comprised 20 volunteers. Kinematic parameters of falling and dynamic stability were measured using the Vicon Motion System and the Biodex Balance System SD. During the test, subjects stood for 20 s on the tilting platform. The analysis was conducted based on the first recordings, when the participants were not prepared for the event and their reactions were natural. A cluster analysis tool was applied to divide the behavior of people during the test. Results Based on motion range for kinematic parameters, the cluster analysis revealed 2 types of human behavior: falling (stepping) and restoring balance. Two types of falls were also observed: side and back falls. Moreover, on the basis of angular values for tilting plate, 4 zones were determined. The frequency of access to these zones by each joint revealed 3 strategies to maintain balance: ankle, knee and hip strategy. Conclusions A set of initial conditions that may be used for future numerical simulations was also determined. Furthermore, the results presented in this study are likely to support the analysis of the effects and the falling patterns. Med Pr 2018;69(3):245–252
EN
Objectives The aim of this study is to evaluate 2-point discrimination sense (2PD), strength and kinesthetic differentiation of strength (KDS), range of motion (ROM) and kinesthetic differentiation of movement (KDM) dysfunctions in occupationally active women with mild and moderate forms of carpal tunnel syndrome (CTS) compared to a healthy group. Material and Methods The 2PD sense, muscle strength and KDS, as well as the ROM and KDM of the radiocarpal articulation were assessed. Results The results of the 2PD sense assessment showed significantly higher values in all the examined fingers in the CTS women group compared to healthy women (p < 0.01). There was a significant difference in the percentage value of error in the strength and KDS of pincer and cylindrical grips (p < 0.01) in the CTS women group compared to healthy women. There was no difference in the ROM of flexion and extension between studied groups (p > 0.05). There was a significant difference in the percentage value of error in the KDM of flexion and extension movement of the radiocarpal articulation (p < 0.01) between the studied groups. Conclusions There are significant differences in the 2PD sense, KDS and KDM in occupationally active women with mild and moderate forms of CTS compared to healthy women. There are no significant differences in ROM in professionally active women with mild and moderate forms of CTS compared to healthy women. Int J Occup Med Environ Health. 2019;32(2):185–96
PL
Ze względu na wydłużanie się średniej długości życia polskiego społeczeństwa zauważa się rosnącą podatność na choroby zwyrodnieniowe, zarówno pierwotne jak i wtórne, dużych stawów kończyn dolnych. Jedną z powszechnie stosowanych metod leczniczych jest rehabilitacja uzdrowiskowa uwzględniająca skojarzone działanie różnych metod fijoterapeutycznych. celem pracy była ocena wpływu rehabilitacji uzdrowiskowej na natężenie bólu i zmianę zakresów ruchomości w stawie biodrowym w zależności od wieku i płci badanych. Materiał badawczy stanowiła grupa 50 osób (34 kobiety i 16 mężczyzn) badanych przed rozpoczęciem rehabilitacji i 3 tygodnie po jej zakończeniu. W badaniach zastosowano kwestionariusz własnej konstrukcji zawierający: podmiotową ankietę, skalę VAS, kwestionariusz WOMAC i formularz pomiarów w systemie SFTR. Postępowanie fijoterapeutyczne podczas turnusu rehabilitacyjnego obejmowało skojarzone: kinezyterapię, fiykoterapię, balneoterapię oraz profiaktykę. Uzyskane dane poddano następnie analizie statystycznej z użyciem testów nieparametrycznych. Wyniki uzyskane w przeprowadzonych badaniach wykazały istotne statystycznie różnice w zakresie natężenia bólu, występujących ograniczeń ruchu w stawie biodrowym oraz trudności w funkcjonowaniu w życiu codziennym.
XX
introduction: Due to increase of the average lifespan of Polish society there is a high susceptibility to primary and secondary degenerative diseases of the large joints of the lower limbs. One of widely used therapeutic methods is health resort rehabilitation that includes various physiotherapeutic methods. aim: The aim of the study was to evaluate an effct of health resort rehabilitation on pain intensity and change the ranges of motion in the hip joint in coxarthrosis depending on age and sex of examined persons. Material and method: The research material consisted of a group of 50 patients (34 women and 16 men) examined before the start of rehabilitation and three weeks after its completion. The study used a questionnaire of our own design, comprising subjective questionnaire, VAS scale, WOMAC questionnaire and measurement form in SFTR system. Physiotherapy proceedings included: kinesitherapy, physiotherapy, balneotherapy and prophylaxis. Afterwards obtained results underwent statistical analysis using nonparametric tests. results: The results of the studies showed statistically signifiant diffrences in pain intensity, occurring restrictions of movement in the hip joint and the difficulties in the functioning of physical and mental health.
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