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The impact of exercises during the quarantine on the respiratory system functioning of people infected by SARS-CoV-2 隔离期间运动对SARS-CoV-2感染者呼吸系统功能的影响
Pub Date : 2021-01-01 DOI: 10.5114/phr.2021.111813
K. Grabowska
Background: COVID-19 is a multi-organ disease caused by the SARS-CoV-2 coronavirus. It is characterized by acute respiratory distress syndrome and disturbances in the functioning of the heart and kidneys. In March 2020, COVID-19 was declared a pandemic by the World Health Organization (WHO). Aims: This study aimed to determine the validity of using breathing exercises in patients with positive results of the SARS-CoV-2 test and those undergoing home quarantine due to contact with an infected person. Material and methods: The study group consisted of 61 people (29 people with a positive SARS-CoV-2 test, mean age 34 ± 78 years old, and 31 people not infected with SARS-CoV-2 virus, mean age 27 ± 77 years, undergoing home quarantine). The complete assessment consisted of 3 breathing tests (tasks) and a subjective 10-point scale modelled on the VAS scale. In addition, the assessment of the respiratory system functionality of the test group was examined twice, before and after 14 days of an exercise program consisting of 4 breathing exercises. Results: The use of breathing exercises significantly influenced the functioning of the respiratory system in patients infected with SARS-CoV-2 by increasing the respiratory efficiency after 14 days. Uninfected people did not obtain significantly better results, and men achieved better results than women in breathing tests before and after two weeks of exercise. Smoking was not associated with the results obtained. Conclusion: Physiotherapy is essential for patients infected with COVID-19.
背景:COVID-19是由SARS-CoV-2冠状病毒引起的多器官疾病。它的特点是急性呼吸窘迫综合征和心脏和肾脏功能紊乱。2020年3月,世界卫生组织宣布COVID-19为大流行。目的:本研究旨在确定在SARS-CoV-2检测结果呈阳性的患者和因接触感染者而进行家庭隔离的患者中使用呼吸练习的有效性。材料与方法:研究组共61人,其中SARS-CoV-2检测阳性29人,平均年龄34±78岁;未感染SARS-CoV-2的31人,平均年龄27±77岁,居家隔离。完整的评估包括3个呼吸测试(任务)和一个以VAS量表为模型的主观10分制。此外,测试组的呼吸系统功能评估在14天的运动计划之前和之后进行了两次检查,包括4次呼吸练习。结果:呼吸练习对SARS-CoV-2感染患者的呼吸系统功能有显著影响,可提高14天后的呼吸效率。未受感染的人没有获得明显更好的结果,在两周运动前后的呼吸测试中,男性比女性取得了更好的结果。吸烟与获得的结果无关。结论:新冠肺炎患者需要物理治疗。
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引用次数: 0
Territorial differentiation in the physiotherapy profession in Poland 波兰物理治疗专业的地域差异
Pub Date : 2021-01-01 DOI: 10.5114/phr.2021.104603
Dalia Woźnica, W. Śmigielski, Artur Koper, Maciej Krawczyk, Tomasz Niewiadomski, Paweł Adamkiewicz, Ernest Wiśniewski, Jacek Koszela
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引用次数: 2
The usefulness of assessing single-leg jumps in children aged 7–13 years in a postural-motor control test 在姿势-运动控制测试中评估7-13岁儿童单腿跳跃的有效性
Pub Date : 2021-01-01 DOI: 10.5114/FOR.2021.106947
M. Matyja, Aleksandra Bartela, Justyna Friedrich, M. Smyk
Background: The quality of motor patterns during single-leg jumping can be a valuable adjunct to the diag-nosis of body stabilisation in school-age children. Aims: The purpose of this study was to qualitatively and quantitatively analyse single-leg jumps in children aged 7–13 years. Materials and methods: A total of 148 children (72 girls and 76 boys) aged 7 to 13 years participated in the study. The inclusion criterion was the lack of contraindications to jumping. The test station consisted of a circle with a diameter of 75 cm and two cameras placed on the side and in front of the sub-ject. The test consisted of eight jumping trials, with 30-second breaks between them. We evaluated the time the subjects needed to perform 15 jumps on one leg and the number of jumps on one leg within a given time unit (i.e. 30 seconds). The jumps were analysed qualita-tively and quantitatively. Results: The predominant activity type of the supporting limb in most examined children was the in-termediate position. Internal rotation was observed in most children aged 7 years and external rotation in one-third of the children aged 13 years. The anterior type of positioning of the un-loaded lower limb occurred least frequently, and the posterior type occurred most frequently. The mixed type was noted in most 9-year-old children. Upper limb synkinesis was the most common compensatory behaviour (synkinesis) in the study group. The best average time was achieved by Original article, Physiotherapy Review, 2021, 25(2), 32-40
背景:在单腿跳跃运动模式的质量可以是一个有价值的辅助诊断在学龄儿童的身体稳定。目的:本研究的目的是定性和定量分析7-13岁儿童的单腿跳跃。材料与方法:共有148名7 ~ 13岁的儿童参与研究,其中女孩72名,男孩76名。纳入标准为无跳跃禁忌症。测试站由一个直径为75厘米的圆圈和两个摄像机组成,分别放置在受试者的侧面和前方。该测试包括8个跳跃试验,每组之间有30秒的休息时间。我们评估了受试者在给定的时间单位(即30秒)内单腿跳15次所需的时间和单腿跳的次数。对这些跳跃进行了定性和定量分析。结果:多数患儿支撑肢活动类型以中位为主。在大多数7岁儿童中观察到内旋转,在13岁儿童中观察到三分之一的外旋转。无负荷下肢前位最少,后位最多。大多数9岁儿童出现混合型。上肢联动是研究组中最常见的代偿行为(联动)。最佳平均时间由原文达到,物理治疗评论,2021,25(2),32-40
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引用次数: 0
Evaluation of the Effect of Training on Unstable Ground on Dynamic Stability in Soccer Players Using the Y-Balance Test 用y -平衡试验评价不稳定场地训练对足球运动员运动稳定性的影响
Pub Date : 2021-01-01 DOI: 10.5114/phr.2021.104601
P. Kaczmarczyk, Paweł Ryngier
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引用次数: 0
Investigation of body weight distribution and ocular convergence in children practising table tennis 练习乒乓球儿童体重分布与眼会聚的调查
Pub Date : 2021-01-01 DOI: 10.5114/phr.2021.111810
Gabriela Juraszek
Background: Table tennis can be classified as a low-injury sport; however, it is associated with the frequent adoption of a forced playing position. Players are at significant risk of developing lateral spinal curvatures and asymmetries. A review of the scientific literature showed a variety of findings on the relationship between temporomandibular joints and posture. Aims: This study aimed to investigate the relationship between temporomandibular joint (TMJ) dysfunction, lower limb loading and ocular convergence in table tennis players between 8 and 15 years old. Material and methods: The study material consisted of the results obtained from 45 children between 8 and 15 years old. Players attending table tennis sports clubs were included in the study. The research group consisted of 18 girls (40%) and 27 boys (60%). A two-weights test was used to assess lower limb loading. In addition, visual system abnormalities were examined by measuring the near point of convergence. Two trials were used for each athlete before and after transient repositioning of the temporomandibular joints. Results: Statistical analysis showed a significant association between temporomandibular joint position change and ocular convergence. There was no statistically significant association between lower limb loading and change in TMJ position. The relationship between lower limb loading and ocular convergence, athlete's training seniority, and received orthodontic treatment was also not supported. Conclusion: A transient repositioning of the TMJ affected the trial of ocular convergence in the studied group. There was no correlation between TMJ changes and other measured parameters among examined tennis players.
背景:乒乓球可归类为低伤害运动;然而,它与经常采用强迫的比赛位置有关。运动员发生脊柱侧弯和不对称的风险很大。对科学文献的回顾显示了关于颞下颌关节和姿势之间关系的各种发现。目的:探讨8 ~ 15岁乒乓球运动员颞下颌关节(TMJ)功能障碍、下肢负荷与眼球会聚的关系。材料和方法:研究材料包括45名8 - 15岁儿童的结果。参加乒乓球运动俱乐部的运动员也被纳入研究。研究小组由18名女孩(40%)和27名男孩(60%)组成。采用双重量试验评估下肢负荷。此外,通过测量近收敛点来检查视觉系统异常。每个运动员在短暂的颞下颌关节复位前后分别进行了两项试验。结果:统计分析显示,颞下颌关节位置改变与眼会聚有显著相关性。下肢负荷与颞下颌关节位置变化之间无统计学意义。下肢负荷与眼会聚、运动员训练年限、接受正畸治疗的关系也不支持。结论:一过性颞下颌关节移位影响了实验组的眼会聚功能。在被调查的网球运动员中,颞下颌关节的变化与其他测量参数之间没有相关性。
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引用次数: 0
The Influence of Selected PNF Patterns on Kinaesthetic Force Differentiation Ability in Young Football Players 选定PNF模式对青少年足球运动员动觉力分化能力的影响
Pub Date : 2021-01-01 DOI: 10.5114/phr.2021.104598
Paweł Ryngier
Background: The proprioceptive neuromuscular facilitation (PNF) method provides a full range of therapeutic patterns which thoroughly reproduce individual, football-related motions. Objective: To verify the hypothesis concerning the PNF method exerting a favorable influence on selected motor abilities in young football players Materials and methods: A group of 14- to 15-year-old football players from the SA Zagłębie Sosnowiec Sports Club was involved. Initial measurements were taken after the final stage of the league ga -mes. The experimental group had its training programme enriched by selected PNF method techniques. After the completion of the 6-month training programme, the players were subjected to the final series of measurements. By that time, each person in the experimental group had taken part in 30 15-min-long PNF training sessions, which were conducted 2 times a week in the following or-der: pelvic patterns, trunk patterns, unilateral lower limb patterns, and symmetric reciprocal lower limb patterns. The sequences were executed bilaterally with 6 repetitions each. The total duration of a single PNF session was around 15 min. Results: The maximal isometric torque produced by the flexor and extensor muscles was enhanced in both groups for both lower extremities; however, a greater in the experimental group. For extension, the difference between the initial and final outcomes accounted for 17.2% on the right and 16% on the left side of the body. For flexion, we provement of the kinaesthetic force differentiation ability was noticed in the experimental group. The absolute error for extension was lessened by 75.8% on the right side and 74.9% on the left side. Similarly, the absolute error for flexion was decreased: 61.1% on the right and 57.3% on the left side. The corresponding values were signifi cantly smaller in the control group. The ability of explosive force differentiation proved to be better in the experimental group after the six-month training regimen. The absolute error decreased by 52.3%, while in the control group, its reduction was only half as significant (26.5%). Conclusions: The kinaesthetic force differentiation ability was improved in the case of the laboratory tests but not in the specific tests. The PNF techniques influenced the level of conditional motor abilities as well.
背景:本体感觉神经肌肉促进(PNF)方法提供了全方位的治疗模式,彻底再现个人,足球相关的运动。目的:验证PNF方法对青少年足球运动员选择运动能力有积极影响的假设。材料和方法:以中国足球协会Zagłębie Sosnowiec体育俱乐部14 ~ 15岁的足球运动员为研究对象。最初的测量是在联赛的最后阶段之后进行的。实验组通过选定的PNF方法技术丰富了其训练计划。在完成6个月的训练计划后,球员们接受了最后一系列的测量。到那时,实验组的每个人都参加了30次15分钟的PNF训练,这些训练每周进行2次,按以下顺序进行:骨盆模式、躯干模式、单侧下肢模式和对称互惠下肢模式。实验采用双侧实验,每组重复6次。单次PNF疗程的总持续时间约为15分钟。结果:两组下肢屈肌和伸肌产生的最大等距扭矩均得到增强;然而,实验组的比例更高。对于伸展,右侧和左侧的初始和最终结果的差异分别为17.2%和16%。对于屈曲,实验组的动觉力分化能力明显提高。右侧伸展绝对误差减小75.8%,左侧伸展绝对误差减小74.9%。同样,屈曲的绝对误差也降低了:右侧为61.1%,左侧为57.3%。对照组相应数值明显小于对照组。经过6个月的训练后,实验组的爆发力分化能力明显提高。绝对误差降低了52.3%,而对照组的绝对误差降低幅度仅为对照组的一半(26.5%)。结论:动觉力分化能力在实验室试验中有提高,而在特异性试验中无提高。PNF技术对条件运动能力水平也有影响。
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引用次数: 1
Evaluation of Functional Status in Patients after Total Knee Arthroplasty: A Comparison of the Journey II Bi-Cruciate Stabilized Total Knee System and Genesis II Cruciate-Retaining Implant 全膝关节置换术后患者功能状态的评估:Journey II双十字稳定全膝关节系统与Genesis II十字保留植入物的比较
Pub Date : 2021-01-01 DOI: 10.5114/PHR.2021.109028
Maciej Biały, R. Corte, J. Dec, Adam Pierzchała, R. Gnat
Background: Total knee arthroplasty (TKA) is an effective treatment for degenerative knee osteoarthritis. The development of new implant designs not only focuses on pain relief but also aims to improve knee function after TKA. Aims: The aim of this study was to evaluate and compare early functional outcomes after TKA using two different types of prosthesis. Material and methods: Patients who underwent TKA with the Journey II Bi-cruciate Stabilized (JII BCS) Total Knee System (n = 9) and Genesis II Cruciate-Retaining (GII CR) implant (n = 9) were included in the functional evaluation. Active range of motion (AROM) was measured. Anterior tibial translation was measured using an electromechanical arthrometer, while single-leg stance performance was assessed using a balance platform. The Western Ontario and McMaster Universities Osteoarthritis (WOMAC) questionnaire was used for the assessment of subjective functional outcomes. Results: The arthrometry result showed a significant difference of (−)0.2mm between the operated and non-operated extremities in the JII BCS group and 2.3 mm in the GII CR group. The single-leg balance test result showed a significant difference in overall stability index of 2.7° for the JII BCS group and 4.6° for the GII CR group. Both the AROM and WOMAC scores were higher in the JII BCS group. Conclusions: Compared with the GII CR implant, the JII BCS implant provided better functional outcomes of the anterior and posterior cruciate ligaments in patients in the early phase after TKA.
背景:全膝关节置换术(TKA)是治疗退行性膝骨关节炎的有效方法。新型假体设计的发展不仅着眼于缓解疼痛,而且旨在改善膝关节置换术后的功能。目的:本研究的目的是评估和比较使用两种不同类型的假体进行TKA后的早期功能结果。材料和方法:采用Journey II双十字稳定(JII BCS)全膝关节系统(n = 9)和Genesis II十字保留(GII CR)假体(n = 9)进行全膝关节置换术的患者纳入功能评估。测量主动活动范围(AROM)。使用机电关节计测量胫骨前移位,使用平衡平台评估单腿站立表现。使用西安大略和麦克马斯特大学骨关节炎(WOMAC)问卷来评估主观功能结果。结果:关节测量结果显示,JII BCS组手术与非手术两肢之间差异(−)0.2mm, GII CR组差异2.3 mm。单腿平衡测试结果显示,JII BCS组整体稳定指数为2.7°,GII CR组为4.6°,差异有统计学意义。JII BCS组的AROM和WOMAC评分均较高。结论:与GII CR种植体相比,JII BCS种植体在TKA术后早期提供了更好的前后交叉韧带功能结局。
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引用次数: 3
Comparative analysis of the influence of dry sauna bathing and whole-body cryostimulation on motor nerve excitability 干桑拿浴与全身冷冻刺激对运动神经兴奋性影响的比较分析
Pub Date : 2021-01-01 DOI: 10.5114/FOR.2021.106949
Dawid Janczarzyk, P. Kurowski
Aims: The aim of this study was to determine and compare the effects of dry sauna bathing and whole-body cryostimulation on the motor excitability of the median nerve. Material and methods: A group of 24 students from the State Higher Vocational School in Nowy Sacz, Poland were studied. The participants were divided into two groups: the first group underwent whole-body cryostimulation, while the second dry sauna therapy. Motor nerve excitability was tested by means of chronaximetry. The rheobase and chronaxie parameters were determined before and immediately after the procedures to check their influence on the examined parameters. Results: Before the thermal stimuli were applied, there were no significant differences between the studied groups. The mean value of the median nerve rheobase after cryostimulation was significantly higher than after the dry sauna procedure. The changes in the chronaxie parameter, both before and after the treatments, were not statistically significant. Conclusions: It has been proven that whole-body cryostimulation increases the threshold of motor nerve excitability in the case of the median nerve. The dry sauna showed the opposite tendency, causing a decrease in the excitability threshold. The results of the tested groups after the procedure were found to be significantly different.
目的:本研究的目的是确定和比较干桑拿浴和全身冷冻刺激对正中神经运动兴奋性的影响。材料与方法:对来自波兰noy Sacz国家高等职业学校的24名学生进行了研究。参与者被分为两组:第一组接受全身冷冻刺激,而第二组接受干桑拿治疗。运动神经兴奋性采用计时法测定。在操作前和操作后立即测定了流变酶和时间参数,以检查它们对检查参数的影响。结果:热刺激前,两组间无显著性差异。冷冻刺激后的正中神经流变基平均值明显高于干桑拿后的平均值。治疗前后的chronaxie参数变化无统计学意义。结论:已证实全身冷冻刺激可提高正中神经的运动神经兴奋性阈值。干桑拿表现出相反的趋势,导致兴奋性阈值降低。手术后,被试组的结果有显著差异。
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引用次数: 0
Body Composition and Temperature Analysis Depending on Level of Physical Activity in People Training CrossFit 混合健身训练中身体成分和体温与运动水平的关系分析
Pub Date : 2021-01-01 DOI: 10.5114/PHR.2021.109031
Marta Kuczkowska
Aims: The study aimed to analyze body composition and body surface temperature in people training CrossFit. Relationships between the analyzed parameters and the level of CrossFit advancement and sex of the subjects were also studied. Material and methods: The study was carried out at CrossFit Eternia club in Wroclaw, Poland, on a group of 40 volunteers who were divided according to their level of advancement in the CrossFit program. Body composition was tested using the bioelectrical impedance assessment (BIA) method and body surface temperature was examined with the FLIR T335 thermal imaging camera. In groups with a high level of physical activity, a lower level of body fat (FAT) content was shown (%). Results: Surface temperature most often and strongly correlated with total body water TBW [%] in the group of advanced men. Gender and level of advancement differentiated individual body composition parameters and body surface temperatures in people training CrossFit. In the group of people with an advanced level, a greater content of lean body mass was shown, and at the same time, a lower content of adipose tissue. Also, higher body temperatures were found in men than in women, and higher temperatures were found in people with higher levels of advancement than in groups with lower levels. Conclusions: Gender has a significant influence on the average temperature of the measured body areas. Advanced groups showed higher mean body temperatures than intermediate groups.
目的:分析混合健身人群的身体组成和体表温度。研究了所分析的参数与混合健身水平和性别之间的关系。材料和方法:这项研究是在波兰弗罗茨瓦夫的Eternia CrossFit俱乐部进行的,研究对象是40名志愿者,他们根据在CrossFit项目中的进步程度进行了分组。采用生物电阻抗评估(BIA)法检测体表成分,采用FLIR T335热像仪检测体表温度。在体力活动水平高的组中,显示出较低水平的体脂(fat)含量(%)。结果:体表温度与晚期男性患者全身水分TBW[%]的相关性最强,且最常见。性别和进步程度对混合健身训练个体的身体组成参数和体表温度有差异。在高水平的人群中,瘦体重的含量更高,同时脂肪组织的含量更低。此外,男性的体温高于女性,地位较高的人的体温高于地位较低的人。结论:性别对被测体区平均温度有显著影响。高级组的平均体温高于中级组。
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引用次数: 0
Influence of the ground surface texture on the body balance of young people during natural position 地表纹理对青少年自然体位时身体平衡的影响
Pub Date : 2021-01-01 DOI: 10.5114/phr.2021.111811
Paulina Zofia Balińska, M. Kuczynski
Background: One of the factors ensuring proper human functioning is the efficiency and control of the postural balance. The proper functioning of the vagus, the visual and vestibular systems, and proprioceptive receptors is achieved by appropriate and precise coordination of their work by the cerebellum. Constant contact with a surface while standing leads to information for the body orientation in space. Textured ground surfaces can be used as a very good tool for functional training and stimulation of the balance system. Aims: This study aimed to evaluate the effect of different ground surface textures on the body balance of young subjects during natural position with eyes closed. Material and methods: A total of 12 college students between the ages of 20 and 25 participated in the study. The subject was standing on a posturographic platform, compatible with a computer and suitable software. Four closed-eye trials were conducted on four different grounds: hard, fine mesh, coarse mesh, and tabbed pad. The duration of each measurement was 20 seconds. Results: There was a ground-plane interaction for three COP parameters: fractal dimension, entropy, and frequency. Their values increased only in the frontal plane on mesh ground, with the greater increase for coarse mesh. Conclusion: The nature of the contact surface between the foot and the shoe insert influences the stability of the standing posture and depends on the shape, number and size of the contact points.
背景:确保人体正常功能的因素之一是姿势平衡的效率和控制。迷走神经、视觉和前庭系统以及本体感觉受体的正常功能是通过小脑对它们的工作进行适当和精确的协调来实现的。站立时与表面的持续接触会产生关于身体在空间中的方向的信息。有纹理的地面表面可以作为一个很好的工具,用于功能训练和刺激平衡系统。目的:探讨不同地面纹理对青少年闭眼自然体位身体平衡的影响。材料与方法:共有12名年龄在20 - 25岁的大学生参与研究。受试者站在一个姿势照相平台上,该平台与计算机和合适的软件兼容。在四种不同的场地上进行了四次闭眼试验:硬网、细网、粗网和标签垫。每次测量的持续时间为20秒。结果:分形维数、熵和频率三个COP参数存在地平面相互作用。在网格地面上,它们的值仅在正面增加,在粗网格地面上增加更大。结论:足部与鞋垫接触面的性质影响着站立姿势的稳定性,并取决于接触点的形状、数量和大小。
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引用次数: 0
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The Physiotherapy review
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