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Jarosz M, Pawlak K, Jarosz W, Wiernicka M, Barinow-Wojewódzki A, Stemplewski R. The effect of surgical repair of the chest on postural stability among patients with pectus excavatum. Sci Rep 2024; 14:45. [PMID: 38167457 PMCID: PMC10762140 DOI: 10.1038/s41598-023-50645-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 12/22/2023] [Indexed: 01/05/2024] Open
Abstract
Pectus excavatum is the most encountered of chest wall deformities. It may produce respiratory and cardiovascular symptoms, hence surgical repair of this defect is performed. The procedure involving the insertion of metal bars under the sternum (the Nuss procedure) usually brings significant improvement to patients. However, the effect of the repair on the postural stability of patients has not been studied so far. To investigate the problem of patients' stability in the postoperative period male patients with pectus excavatum (n = 21) and healthy controls (n = 22) were included in the study. Using posturography methods, we showed a negative impact of the pectus excavatum repair surgery on patients' postural stability in the first postoperative phase. The centre of pressure displacement parameters used to measure postural stability were lower after the repair for both, the frontal and sagittal plane as well as for the velocity of displacements in the sagittal plane in the double stance with eyes open. Poorer postural stability was also found in patients with pectus excavatum when compared to healthy controls. Our findings may be useful for functional monitoring in the evaluation and surgical management of pectus excavatum patients and also when designing the rehabilitation of patients undergoing the Nuss procedure.
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Affiliation(s)
- Maria Jarosz
- Doctoral School, Poznań University of Physical Education, 27/39 Królowej Jadwigi Street, 61-871, Poznan, Poland.
| | - Krystian Pawlak
- Wielkopolska Center of Pulmonology and Thoracic Surgery, 62 Szamarzewskiego Street, 60-569, Poznan, Poland
| | - Wojciech Jarosz
- Department of Medical Biology, Poznań University of Physical Education, 27/39 Królowej Jadwigi Street, 61-871, Poznan, Poland.
| | - Marzena Wiernicka
- Department of Musculoskeletal Rehabilitation, Poznań University of Physical Education, 27/39 Królowej Jadwigi Street, 61-871, Poznan, Poland
| | | | - Rafał Stemplewski
- Department of Digital Technologies in Physical Activity, Poznań University of Physical Education, 27/39 Królowej Jadwigi Street, 61-871, Poznan, Poland
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Grygorowicz M, Wiernicka M, Wiernicka M. Systematic Review of Cost-Effectiveness of Injury Prevention Interventions in Soccer-Evidence Why Health Agencies Should Address It. Int J Environ Res Public Health 2021; 18:11901. [PMID: 34831654 PMCID: PMC8624619 DOI: 10.3390/ijerph182211901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 11/08/2021] [Accepted: 11/09/2021] [Indexed: 11/16/2022]
Abstract
Soccer injuries are a recognized problem worldwide. Several injury prevention programs have been confirmed to reduce the number of injuries in female and male players. Unfortunately, there is a lack of data about their cost, burden, and benefit for the health care system. In this paper we aim to systematically review the literature and critically evaluate the economic quality of injury prevention interventions implemented across different populations of soccer players. Web of Science, Medline, SPORTDiscus, Ovid, and other databases were searched from January 2011 through July 2021. Research articles were only selected for analysis if they focused on the cost-effectiveness of injury prevention, were experimental papers written in English, and were published following the peer-review process. Three cluster RCT and one retrospective study met the criteria. Cost data on incremental cost-effectiveness ratios (ICERs) were extracted. The included studies had a good/average quality of economic evaluation. Based on ICERs, injury prevention interventions were cost-effective in three out of the three comparisons. One study did not report the ICER value. However, since economic analyses were reported with varying methodological approaches and results, more data are required to recognize the cost-effectiveness of soccer-specific injury prevention interventions and their benefit for the health care system.
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Affiliation(s)
- Monika Grygorowicz
- Department of Physiotherapy, Poznan University of Medical Sciences, 61-701 Poznan, Poland
- Rehasport Clinic FIFA Medical Centre of Excellence, Sports Science Research Group, 60-201 Poznan, Poland
| | | | - Marzena Wiernicka
- Department of Kinesiotherapy Developmental Physiotherapy, Faculty of Health Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland;
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3
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Kaminska E, Piontek T, Wiernicka M, Goliwas M, Lewandowski J, Adamczewska K. Postural Stability in Men with Anterior Cruciate and Bicruciate Ligament Knee Injury. Muscles Ligaments Tendons J 2021. [DOI: 10.32098/mltj.03.2021.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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4
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Lewandowski J, Kocur P, Wendt M, Wiernicka M, Ogurkowska M, Straburzyńska-Lupa A, Goliwąs M, Cieślik K, Waszak M. Sexual dimorphism of lumbar lordosis and lumbar spine mobility during the period of progressive development. Anthropol Anz 2021; 78:331-346. [PMID: 34160544 DOI: 10.1127/anthranz/2021/1355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 04/18/2021] [Accepted: 04/19/2021] [Indexed: 11/05/2022]
Abstract
Objective: The objective of this paper is to present possible differences in spondylometric dimorphic characteristics of lumbar spine in the period of progressive development. Material and methods: The research material included 24,517 individuals of both sexes aged from 3 to 25. Individuals that showed abnormal structure of the motor system and individuals reporting pain in the joints of the spine were excluded. Spondylometric research was carried out using the Penny & Giles electrogoniometric measuring system. Significance tests concerning position measurements (Student's t-test, Welch's t-test) were used as well as biometric profiles formed on the basis of Mollison index for each characteristic in the studied period of ontogenesis. The progress of development of the examined spondylometric characteristics in both sex groups was calculated on the basis of expressing the size of the feature in successive age groups as a percentage of its final size. Using the linear and polynomial regression models, the developmental lines of the studied spondylometric parameters were obtained in males and females. Results: In the development process of the studied spondylometric parameters, dimorphic diversity can be observed essentially only in adolescence. In general, in the whole studied period of ontogenetic development, the greater range of lumbar spine mobility is found in females. Minor sexual dimorphism is also evident in the dynamics of development and in the stage of development of the majority of examined characteristics in individual age ranges in relation to the final values, for the benefit of the female sex.
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Affiliation(s)
- Jacek Lewandowski
- Department of Motor Organ Rehabilitation, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Piotr Kocur
- Department of Motor Organ Rehabilitation, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Michał Wendt
- Department of Biology and Anatomy, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Marzena Wiernicka
- Department of Motor Organ Rehabilitation, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Małgorzata Ogurkowska
- Department of Biomechanics, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Anna Straburzyńska-Lupa
- Department of Physical Therapy and Sports Recovery, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Magdalena Goliwąs
- Department of Motor Organ Rehabilitation, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
| | - Krystyna Cieślik
- Institute of Health and Physical Culture, State Higher Vocational School in Leszno, Adama Mickiewicza 5, 64-100 Leszno, Poland
| | - Małgorzata Waszak
- Department of Biology and Anatomy, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland
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Adamczewska K, Wiernicka M, Kamińska E, Małecka J, Dąbrowska A, Malchrowicz-Mośko E. Annual Observation of Changes in the Angle of Trunk Rotation. Trunk Asymmetry Predictors. A Study from a Scoliosis Screening in School Adolescents. Int J Environ Res Public Health 2020; 17:ijerph17061899. [PMID: 32183373 PMCID: PMC7143366 DOI: 10.3390/ijerph17061899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Revised: 03/05/2020] [Accepted: 03/13/2020] [Indexed: 01/09/2023]
Abstract
Adolescent forms of idiopathic scoliosis are commonly encountered deformities of the thoracic and lumbar spine. They affect a significant number of adolescents, yet their cause is still unknown. The presented research is a cross-sectional analysis of 3933 volunteers (2131 girls and 1802 boys). The participants were primary school students aged 9 to 13 years old. This study determined a relationship between predictors such as: body mass, body height and body mass index (BMI) (independent variables) and angle of trunk rotation (ATR) value (dependent variable). Moreover, a stepwise multiple regression with backward selection was conducted to determine to what extent the dependent variable is explained by body mass, body height and BMI. In the group of 11,12,13-year-old girls, the analyzed results of multiple stepwise regression were statistically significant. Among the all studied predictors, it has been shown that body mass in the 11-year-old girls and body height in 12- and 13-year-old girls are major correlates of a 1-year ATR increase in proximal and main thoracic spine levels.
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Affiliation(s)
- Katarzyna Adamczewska
- Faculty of Health Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland; (M.W.); (E.K.); (J.M.)
- Correspondence: ; Tel.: +48-(61)-835-5140, +48-(61)-835-5147
| | - Marzena Wiernicka
- Faculty of Health Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland; (M.W.); (E.K.); (J.M.)
| | - Ewa Kamińska
- Faculty of Health Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland; (M.W.); (E.K.); (J.M.)
| | - Joanna Małecka
- Faculty of Health Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland; (M.W.); (E.K.); (J.M.)
| | - Agata Dąbrowska
- Faculty of Sport Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland; (A.D.); (E.M.-M.)
| | - Ewa Malchrowicz-Mośko
- Faculty of Sport Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland; (A.D.); (E.M.-M.)
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Adamczewska K, Wiernicka M, Malchrowicz-Mośko E, Małecka J, Lewandowski J. The Angle of Trunk Rotation in School Children: A Study from an Idiopathic Scoliosis Screening. Prevalence and Optimal Age Screening Value. Int J Environ Res Public Health 2019; 16:ijerph16183426. [PMID: 31527403 PMCID: PMC6765789 DOI: 10.3390/ijerph16183426] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 09/12/2019] [Accepted: 09/14/2019] [Indexed: 11/16/2022]
Abstract
(1) Background: Idiopathic scoliosis is a deformity of the growing spine. It affects 2–3% of adolescents; yet its cause is still unknown. At the early stage of idiopathic scoliosis (IS), the signs are not very noticeable. That is why the primarily school-based screening for scoliosis is so important. (2) Methods: This was a cross-sectional analysis of 6850 respondents. Participants were elementary school students in the metropolitan area of Poland. The suspicion of IS was based on detection of three-dimensional deformity of the spine using scoliometer. (3) Results: Respondents were divided into two groups: Angle of trunk rotation (ATR) = 0–3º and ATR > 3º. Presented research using a referral criterion of 5º ATR showed that in the group of participants who had ATR > 3º the largest percentage of 5 degree values was recorded at the second and third measurement level of the spine (30.5%, 31.1%, respectively). Analyzing the differences between the two groups of girls (ATR = 0–3º, ATR > 3º), statistically significant differences were recorded between 9 and 11 years of age (p = 0.0388). Girls with ATR > 3º at all measuring levels are significantly slimmer than girls with ATR 0–3º; (4) Conclusions: Age; sex, and risk of developing angle of trunk rotation are very closely associated. The main thoracic (level 2) and thoraco-lumbar (level 3) level of measuring of the spine appears to be the most differentiating in the diagnosis of scoliosis. Girls with a lower degree of trunk deformity (4–6º trunk rotation), which can present mild scoliosis and those with a higher degree (7º trunk rotation) have lower body mass than girls within the norm.
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Affiliation(s)
- Katarzyna Adamczewska
- Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland.
| | - Marzena Wiernicka
- Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland
| | - Ewa Malchrowicz-Mośko
- Poznan University of Physical Education, Faculty of Sport Sciences, 61-871 Poznan, Poland
| | - Joanna Małecka
- Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland
| | - Jacek Lewandowski
- Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland
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7
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Flis-Masłowska M, Wiernicka M, Kocur P, Goliwąs M, Adamczewska K, Lewandowski J. The occurrence of low back pain and the change of lumbar lordosis angle in field hockey players with various training experience. MED SPORT 2018. [DOI: 10.23736/s0025-7826.18.03281-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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8
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Kocur P, Pospieszna B, Choszczewski D, Michalowski L, Wiernicka M, Lewandowski J. The effects of Nordic Walking training on selected upper-body muscle groups in female-office workers: A randomized trial. Work 2017; 56:277-283. [PMID: 28234265 DOI: 10.3233/wor-172497] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Regular Nordic Walking training could improve fitness and reduce tenderness in selected muscle groups in office workers. OBJECTIVE An assessment of the effects of a 12-week Nordic Walking training program on the perceived pain threshold (PPT) and the flexibility of selected upper-body muscle groups in postmenopausal female office workers. METHODS 39 office workers were selected at random for the treatment group (NWg, n = 20) and the control group (Cg, n = 19). The persons from the NW group completed a 12-week Nordic Walking training program (3 times a week/1 hour). PPTs measurements in selected muscles and functional tests evaluating upper-body flexibility (Back Scratch - BS) were carried out twice in every participant of the study: before and after the training program. RESULTS A significant increase in PPT (kg/cm2) was observed in the following muscles in the NW group only: upper trapezius (from 1,32 kg/cm2 to 1,99 kg/cm2), mid trapezius (from 2,92 kg/cm2 to 3,30 kg/cm2), latissimus dorsi (from 1,66 kg/cm2 to 2,21 kg/cm2) and infraspinatus (from 1,63 kg/cm2 to 2,93 kg/cm2). Moreover, a significant improvement in the BS test was noted in the NW group compared with the control group (from -1,16±5,7 cm to 2,18±5,1 cm in the NW group vs from -2,52±6,1 to -2,92±6,2 in the control group). CONCLUSIONS A 12-week Nordic Walking training routine improves shoulder mobility and reduces tenderness in the following muscles: trapezius pars descendens and middle trapezius, infraspinatus and latissimus dorsi, in female office workers.
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Affiliation(s)
- Piotr Kocur
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poznan, Poland
| | - Barbara Pospieszna
- Department of Physiology, Poznan University of Physical Education, Poznan, Poland
| | - Daniel Choszczewski
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poznan, Poland
| | - Lukasz Michalowski
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poznan, Poland
| | - Marzena Wiernicka
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poznan, Poland
| | - Jacek Lewandowski
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poznan, Poland
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9
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Kocur P, Grzeskowiak M, Wiernicka M, Goliwas M, Lewandowski J, Łochyński D. Effects of aging on mechanical properties of sternocleidomastoid and trapezius muscles during transition from lying to sitting position-A cross-sectional study. Arch Gerontol Geriatr 2016; 70:14-18. [PMID: 28012296 DOI: 10.1016/j.archger.2016.12.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Revised: 12/09/2016] [Accepted: 12/12/2016] [Indexed: 11/25/2022]
Abstract
AIM The aim of this study was to analyze the effects of aging on the viscoelastic properties of the upper trapezius (UT) and the sternocleidomastoid (SCM) muscle during transition from lying to sitting position. MATERIALS AND METHODS The study included 39 older (mean age 67±5.9years) and 36 younger (21.1±1.8years) women. Tone, stiffness and elasticity of the UT and the SCM were measured by means of myotonometry (MyotonPRO) in lying and then, in sitting position. The results were compared using two-way analysis of variance. RESULTS Irrespective of the position, older women presented with significantly higher muscle tone, stiffness and elasticity than younger subjects (P<0.05). In both groups, the transition from lying to sitting position resulted in a decrease (P<0.05) in the tone and stiffness, but not the elasticity (P>0.05) of the SCM, and stimulated an increase in the tone, stiffness and elasticity of the UT (P<0.05). The degree of changes in both study groups was similar, except from the absolute value of the UT elasticity, significantly higher increase in older women than in younger subjects (P<0.05). CONCLUSION Age contributes to an increase in the stiffness and tone of the UT and the SCM, as well as to a decrease in the elasticity of these muscles in female subjects. In contrast, age exerts only a slight effect on the mechanical properties of both muscles during transition from lying to sitting position.
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Affiliation(s)
- Piotr Kocur
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poland.
| | - Marcin Grzeskowiak
- Department of Pulmonological and Rheumatological Rehabilitation, Poznan University of Physical Education, Poland.
| | - Marzena Wiernicka
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poland.
| | - Magdalena Goliwas
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poland.
| | - Jacek Lewandowski
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poland.
| | - Dawid Łochyński
- Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poland.
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Kocur P, Wiernicka M, Wilski M, Kaminska E, Furmaniuk L, Maslowska MF, Lewandowski J. Does Nordic walking improves the postural control and gait parameters of women between the age 65 and 74: a randomized trial. J Phys Ther Sci 2015; 27:3733-7. [PMID: 26834341 PMCID: PMC4713780 DOI: 10.1589/jpts.27.3733] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Accepted: 09/17/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To assess the effect of 12-weeks Nordic walking training on gait parameters and some elements of postural control. [Subjects and Methods] Sixty-seven women aged 65 to 74 years were enrolled in this study. The subjects were divided into a Nordic Walking group (12 weeks of Nordic walking training, 3 times a week for 75 minutes) and a control group. In both study groups, a set of functional tests were conducted at the beginning and at the end of the study: the Forward Reach Test (FRT) and the Upward Reach Test (URT) on a stabilometric platform, and the analysis of gait parameters on a treadmill. [Results] The NW group showed improvements in: the range of reach in the FRT test and the URT test in compared to the control group. The length of the gait cycle and gait cycle frequency also showed changes in the NW group compared to the control group. [Conclusion] A 12-week NW training program had a positive impact on selected gait parameters and may improve the postural control of women aged over 65 according to the results selected functional tests.
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Affiliation(s)
- Piotr Kocur
- Department of Kinesiotherapy, University School of Physical Education: Poznan, Poland
| | - Marzena Wiernicka
- Department of Kinesiotherapy, University School of Physical Education: Poznan, Poland
| | - Maciej Wilski
- Department of Physical Culture of People with Disabilities, University School of Physical Education, Poland
| | - Ewa Kaminska
- Department of Kinesiotherapy, University School of Physical Education: Poznan, Poland
| | - Lech Furmaniuk
- Department of Kinesiotherapy, University School of Physical Education: Poznan, Poland
| | - Marta Flis Maslowska
- Department of Kinesiotherapy, University School of Physical Education: Poznan, Poland
| | - Jacek Lewandowski
- Department of Rehabilitation of the Locomotor System, University School of Physical Education, Poland
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11
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Goliwas M, Kocur P, Furmaniuk L, Majchrzycki M, Wiernicka M, Lewandowski J. Effects of sensorimotor foot training on the symmetry of weight distribution on the lower extremities of patients in the chronic phase after stroke. J Phys Ther Sci 2015; 27:2925-30. [PMID: 26504326 PMCID: PMC4616127 DOI: 10.1589/jpts.27.2925] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 06/17/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To assess the effects of sensorimotor foot stimulation on the symmetry of weight distribution on the feet of patients in the chronic post-stroke phase. [Subjects and Methods] This study was a prospective, single blind, randomized controlled trial. In the study we examined patients with chronic stroke (post-stroke duration > 1 year). They were randomly allocated to the study group (n=8) or to the control group (n=12). Both groups completed a standard six-week rehabilitation programme. In the study group, the standard rehabilitation programme was supplemented with sensorimotor foot stimulation training. Each patient underwent two assessments of symmetry of weight distribution on the lower extremities with and without visual control, on a treadmill, with stabilometry measurements, and under static conditions. [Results] Only the study group demonstrated a significant increase in the weight placed on the leg directly affected by stroke, and a reduction in asymmetry of weight-bearing on the lower extremities. [Conclusion] Sensorimotor stimulation of the feet enhanced of weight bearing on the foot on the side of the body directly affected by stroke, and a decreased asymmetry of weight distribution on the lower extremities of patients in the chronic post-stroke phase.
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Affiliation(s)
- Magdalena Goliwas
- Department of Rehabilitation of The Locomotor System,
University School of Physical Education in Poznan,
Poland
| | - Piotr Kocur
- Department of Rehabilitation of The Locomotor System,
University School of Physical Education in Poznan,
Poland
| | - Lech Furmaniuk
- Department of Rehabilitation of The Locomotor System,
University School of Physical Education in Poznan,
Poland
| | - Marian Majchrzycki
- Department of Kinesiotherapy, University School of Physical
Education in Poznan, Poland
| | - Marzena Wiernicka
- Department of Rehabilitation of The Locomotor System,
University School of Physical Education in Poznan,
Poland
| | - Jacek Lewandowski
- Department of Rheumatology and Rehabilitation, Poznan
University of Medical Sciences, Poland
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13
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Wiernicka M. [Possibilities and efficacy of treating perio-endodontic syndrome type III]. Ann Acad Med Stetin 2000; 45:239-52. [PMID: 10909493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
The aim of the investigation was to assess two methods of the treatment of III type perio-endo syndrome by Simon, Glick and Frank. In group I only periodontic treatment was performed including scaling, root planing and curettage. In group II periodontic treatment was supplemented by endodontic therapy. The results were registered by: Plaque Index, Sulcus Bleeding Index, Sulcus Fluid Rate, Bone Lost Index EMR, pocket depth and tooth mobility; before treatment, 7 days after treatment, 6 weeks and 6 months after treatment. In group II in selected cases (teeth with vital pulp and pocket depth more than 6 mm), microbiological examination of the dental pulp and dental plaque from the pocket was carried out. The results showed that the periodontal therapy was not effective. In first group, after 6 months the teeths mobility was extend, the pocket depth was reduced by 1 mm only, in gingiva there was registered still with chronic inflammation and the bone growth was not significant. In the second group the teeth mobility was less significant, the pocket depth was reduced more than 3.5 mm, in 21% persons the gingiva was in good health condition and the bone growth was significant (7.5%). The anaerobic bacteria were incubated in 9 probes of dental pulp for 10 examinations.
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Affiliation(s)
- M Wiernicka
- Zakładu Periodontologii Katedry Stomatologii Zachowawczej i Periodontologii, Pomorskiej Akademii Medycznej w Szczecinie
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