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Background: Craniocerebral injuries are one of the most common causes of mortality and disability in Poland. The treatment of patients who are in an intensive care unit is based primarily on stabilizing the patient’s general condition as well as basic duties according to the patient’s functioning. Aim of the study: The aim of this study is to demonstrate the importance of early rehabilitation and the role of physiotherapy in recovery after craniocerebral trauma. Case report: The subject was an 18-year-old patient who suffered craniocerebral trauma as a result of a road accident. After losing consciousness, he was in the intensive care unit, where he was placed on a medical ventilator. A properly selected physiotherapeutic procedure was performed. Passive exercises, contracture correction and appropriate positioning were used. To prevent pressure sores, anti-bedsore prophylaxis was implemented. Respiratory therapy played a key role. The goal of respiratory physiotherapy was to improve respiratory function by maintaining proper lung ventilation, increasing chest and diaphragm mobility along with maintaining the efficiency of respiratory muscles, as well as stimulating effective coughing and evacuation of secretions. The NDT-Bobath concept was used as therapy for spastic tension. The goal of the therapy was to get rid of pathological movement patterns and replace them with physiological patterns. The PNF method, classical and lymphatic massage, polysensory stimulation and music therapy were also used. Conclusions: Early and comprehensive rehabilitation in a patient after craniocerebral trauma is extremely important and determines therapeutic effectiveness. Comprehensive therapy and care are able to prevent a number of complications that threaten the patient as a result of immobilization.
Background: The most common risk factors for running-related injuries are mistakes, such as insufficient warm-up and stretching exercises, during training. Good preparation and proper training reduces the risk of sport-related injuries. Aim of the study: To examine fundamental movement patterns and likelihood of injury in amateur runners. Material and methods: Twenty-four amateur long-distance runners from Opole region (Poland) were divided into two groups. The first group comprised 12 runners from the club “Kotwica Brzeg”, who did a proper warmup before training and stretching exercises after training. The second group comprised 12 runners from other clubs who did not undertake any warm-up or stretching exercises (control group). Fundamental movement patterns were tested by the Functional Movement Screen test (FMS). Results: The mean FMS test score was higher in “Kotwica Brzeg” runners (17.08 points) than in the control group (15.50 points), but this was not statistically significant. The “Kotwica Brzeg” runners performed better in five of the FMS tests, but this was only significant for the rotational stability test. Conclusions: Runners who did a proper warm-up and stretching exercises achieved better results in the FMS test, which may reduce the risk of running-related injuries.
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Background: This study analyzed generational differences in body build of woman. Aim of the study: The aim of the study was to examine the intergenerational differences in the body build of women. Material and methods: 90 women (30 female physiotherapy students, their mothers and grandmothers) were examined. Their heights, weights, waist circumferences, and waist and hip circumferences were measured. Their Body mass index (BMI) and Waist to Hip Ratio (WHR) were calculated. Their frequency of underweight, overweight and obesity were estimated. WHO criteria were applied. The results were subjected to statistical analysis. Descriptive statistics were calculated. The Shapiro-Wilk test for testing the normal distribution was used. The Kruskal-Wallis test and post-hoc test were used. A significance level alpha of 0.05 was assumed. Statistica 13.1 was used for calculations. Results: The median body height of the female students was 166.8 cm, their mothers 160.8 cm, and grandmothers 158.0 cm. Their median body masses were, respectively: 59.4 kg, 70.1 kg and 72.5 kg. Their median BMIs were 21.4 kg/m², 26.3 kg/m², and 29.2 kg/ m², and their WHRs were 0.80, 0.86, and 0.87, respectively. Underweight was only seen in students (13%). The prevalence of overweight female students (BMI ≥30) was 10%, their mothers 33% and their 13% grandmothers, whereas obesity was 7%, 30% and 50%, respectively. Conclusions: There were intergenerational differences in the body structure of women. In subsequent generations, the size of the body increased, and height of the body decreased. There were differences between mothers and offspring. From an early age, body growth should be monitored to prevent obesity development with age.
Background: Massage is a common treatment in physiotherapy, often used as a prophylaxis or during recovery following a musculoskeletal contusion. One form of therapeutic massage is deep tissue massage (DTM), which has become more popular in recent years as a way of performing targeted work with the myofascial system. Aim of the study: The aim of the study was to examine the effectiveness of deep tissue massage on superficial back line flexibility (hip flexion and knee extension range of motion – ROM). Material and methods: Elite volleyball players (n=15), age: 22.8 ± 4.41 years; mass: 82.67 ± 6.99 kg; height: 1.96 ± 0.08 m) were recruited for this study. Deep tissue massage of the myofascial superficial back line was performed from the plantar fascia through the gastrocnemius and soleus muscles, the hamstrings to the ischial tuberosity (based on Myers, 2014). Hip flexion and knee extension ROM were measured at rest both before and after DTM. The Wilcoxon signed-rank test was used to compare pre and post values during the intervention. Results: Following deep tissue massage, there was significant improvement in superficial back line flexibility, demonstrated by an increase in hip flexion angle compared to pre-DTM values in both lower limbs. Right lower limb pre-DTM 1.86±0.66; post 2.79±0.43 (p<0.005), left lower limb pre-DTM 2.36±0.74; post 2.79±0.43 (p<0.028). There was also significant improvement in superficial back line flexibility demonstrated by an increase in knee extension angle post-DTM in both lower limbs. Right lower limb pre-DTM 69.79°±10.8; post 81.43°±6.06, left lower limb pre-DTM 73.07°±11.45, post 82.50°±8.39). Conclusions: Deep tissue massage increases the flexibility of the superficial back line and can be used as a form of increasing range of motion in the hips and knees.
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