Search

The aim of the following paper was to determine the influence of soft tissue therapy on respiratory efficiency and chest mobility of women suffering from breast cancer. This study was a controlled, randomized trial. Tests were carried out in a group of patients (n = 49) who were hospitalized in the Province Polyclinic Hospital, Konin, Poland. In the study group, irrespective of the standard physical therapy program, an additional therapy program was run. The program consisted of applying specific techniques of soft tissue treatment. All patients in each term were subject to pulmonary function tests, chest mobility, and pain assessment. Statistical analysis of the obtained results of spirometry and chest mobility assessment has revealed no differences in the analyzed parameters between the examined groups in the period of joint therapeutic treatment. In the period between the third examination and the end of the 11-month-rehabilitation treatment, statistically significant differences were observed in the analyzed spirometry parameters, however, there was no difference in the parameters describing airflow in small airways (maximal expiratory flow at 50% (MEF50), peak expiratory flow (PEF) between individual groups during consecutive examinations in the course of diversified therapeutic treatment. Chest mobility assessment of the patients, performed during diversified therapeutic treatment, revealed statistically significant differences between the groups. However, there was no difference between the examined groups as far as pain sensation is concerned. Enhancing the regular rehabilitation program by including additional therapeutic methods, which are based on myofascial release and post-isometric relaxation techniques, had beneficial effects regarding respiratory system efficiency.

The purpose of this study was to assess the effect of Nordic walking training on the indices of bone and carbohydrate metabolism in relation to 25(OH)D levels in postmenopausal women that were subjected to the outdoor systematic physical activity. The study was performed in 10 postmenopausal women, who participated in a 12-week Nordic walking exercise program, taking place during spring months (March to June). Anthropometric and biochemical parameters were measured before and after the training program. Serum concentrations of 25-hydroksycholekalciferol (25(OH)D), parathyroid hormone (PTH), insulin, glucose, osteocalcin (OC), C-terminal telopeptide of type I collagen (CTX), and calcium were determined. After the Nordic walking exercise program, a significant increase in the serum levels of 25(OH)D and CTX and a decrease in body mass, body mass index (BMI), fat mass, and PTH concentrations were observed. The findings of the present study suggest that 25(OH)D, as important metabolic regulator, plays a role in the modification of bone markers&rsquo, responses after the outdoor training program, independent of the physical activity effects.

BACKGROUND The aim of this study was to evaluate the effects of a 12-week Nordic Walking (NW) intervention on nitric oxide synthase activity (eNOS), levels of antibodies against oxidatively modified low-density lipoproteins (oLAb), plasma antioxidant capacity (TAC), thiobarbituric acid reactive substance (TBARS) concentration, carbohydrate and lipid metabolism, and atherosclerosis risk factors (AIP) in postmenopausal women. METHODS A sample of 39 women, divided into two comparable groups: training (N.=20) and control (N.=19), took part in the study. Participants in the training group performed a 12-week supervised NW training: 60-minute sessions of exercise, repeated three times per week. The biochemical and anthropometric data were obtained before and after the intervention. During the first and the last training sessions, the individual walking distance in trained group was measured. RESULTS After the intervention, significant differences in covered distance, body mass, BMI, fat mass, insulin level (P

Background: In recent years, lung cancer has been the cause of around 1.1 million deaths worldwide. The pathological changes occurring in the lungs lead to disorders of airflow in pulmonary alveoli with different levels of intensity. The disorders of ventilation and gas exchange cause respiratory acidosis and are directly responsible for the decrease of the physical capability of the body. The aim of the paper was to evaluate the influence of differ ent rehabilitation programs on the general physical fitness of patients under chemotherapy. Material and methods: The study involved 70 men of mean age 63. Before and after the rehabilitation, the physical fitness was evaluated using the Fullerton test. Three study groups were isolated, each of them involving a different level of intensity of rehabilitation. Results: In the first group there was in increase of muscle strength and of the flexibility of the upper limbs. The strength of the lower limbs did not change and in the test after the therapy the length of the covered distance got shorter. With the second group, the strength and flexibility of both upper and lower limbs increased, as did the covered distance. No significant changes in the values of the parameters noted before and after the therapy were noted. Conclusions: The program involving therapeutic exercises gave better results in the monitored parameters compared to

The influence of short-term high altitude training on inflammatory and prooxidative-antioxidative indices in alpine ski athletes Exposure of alpine skiing athletes, while training, at altitude hypoxia and low ambient temperature can modify the response of the immune system and increase reactive oxygen and nitrogen species (RONS) generation. The aim of this study was to evaluate the impact of six day training model "live low - train high" on selected indicators of immune and antioxidant-prooxidant balance of alpine skiing competitors. The study was performed in 7 men, alpine skiers, who underwent 6-day training at Kaunertal glacier (3160 m). Before departure to glacier training, and after returning to sea level participants underwent series of tests. Somatic characteristics, anaerobic exercise capacity, blood morphological parameters and concentrations of interleukin 6 (IL-6), C-reactive protein (hsCRP), thyroid stimulating hormone (TSH), thiobarbituric acid reactive substances (TBARS), total antioxidant status (TAS), total iron (Fe) and total iron binding capacity (TIBC) were assessed. High altitude training has led to a significant increase in anaerobic capacity (p

We aimed to explore the long-term outcomes of back and neck pain and functionality in adult females with adolescent idiopathic scoliosis (AIS), who had been treated with a Milwaukee brace, in a follow-up study a minimum of 23 years after the completion of the treatment, using radiological, clinical and socio-demographical data. Thirty AIS patients (scoliosis group–SG), were included in the study based on an extensive search of Pediatric Orthopedics and Traumatology Clinic charts. All treatments were successfully completed between 1974 and 1990. In all cases, scoliosis had not been detected before the age of 10 and was not combined with any major spinal deformities at the time when the brace treatment was implemented. In those patients, the Risser sign 4 and minimum two years post-menarche was defined as a maturity, after that time the brace treatment was completed. Patients were excluded from the study if they, at the time of the follow-up examinations, suffered from any other disease leading to trunk deformity. Forty patients met the criteria for inclusion, but due to change some personal details, not all of them were contacted. Finally, 30 women returned for a follow-up evaluation. Patients’ follow-up period was mean 27.77 yrs. ± SD 3.30 (range 23–35). Curvature change from the end of the treatment until the present day was mean 9.1 degrees ± SD 7.64 (range 0–27). A control group of 42 healthy females (healthy controls group—HG) matching the age profile of the patient group was randomly selected for comparative purposes.Both SG and HG completed the Polish versions of the Revised Oswestry Lower Back Pain Disability Index (RODI), the Rolland-Morris Questionnaire (RMQ), the Quebec Back Pain Disability Scale (QDS), the Neck Disability Index (NDI) and the Copenhagen Neck Functional Disability Scale (CNFDS). Descriptive statistics were calculated for demographics and baseline questionnaire scores. To determine if the investigated sample sizes are equivalent, the chi-square test was used. The chi-square test was used to compare qualitative features between persons with scoliosis and healthy controls. In addition, a Mann-Whitney test was utilized to compare differences between both groups in regard to quantitative characteristics. To establish relations between quantitative data such as e.g. age, duration of brace application, apical translation, Cobb angle, and questionnaire results, we used Spearman's rank correlation (marked as rS). To determine dependency between quantitative and qualitative characteristics, e.g. between questionnaire numerical data and marital status, place of residence or curve type, ANOVA Kruskal-Wallis test was used. A p

The aim of the study was to investigate whether appropriate rehabilitation program in the postoperative period can further improve pulmonary function and increase physical performance in patients with idiopathic scoliosis.The study group consisted of 16 adolescent girls in average 2.3 years after surgical treatment of scoliosis. Patients participated in a 4-week, intensive rehabilitation program. Before the rehabilitation program (Term I) and directly after completing it (Term II) patients performed a spiroergometry with intensity increasing up to the ventilatory threshold and a resting spirometry to assess their physical performance. Additionally, patients’ maximal oxygen uptake (VO2max) was determined indirectly. The results of the exercise test performed at the beginning of the study were used to select individual loads for the endurance training. The workload at which the ventilatory threshold was reached and the value of VO2max were significantly higher during the ergometry at Term II, which indicates that patients’ physical performance improved during the rehabilitation program. Ventilatory and circulatory parameters did not differ between exercise tests at Term I and II. Similar response of the cardiopulmonary system to submaximal exercise at greater work load proves increased physical performance. Vital capacity was similar at Term I and II. Maximal voluntary ventilation increased significantly following the rehabilitation program, but was still lower than the predicted value. Rehabilitation training in girls after surgical treatment of scoliosis caused an important increase in the physical performance capacity, which most probably was the result of the endurance training of individually selected intensity.

The aim of the study was to assess pulmonary function in patients after spinal fusion combined with thoracoplasty in comparison with subjects in whom thoracoplasty was not performed, but who underwent intensive rehabilitation. MATERIAL NA DMETHODS: The study population consisted of two groups of adolescent girls about two years after surgical correction of scoliosis by Cotrel-Dubousset method. The subjects in the first group (thoracoplasty group) underwent spinal fusion in combination with thoracoplasty, which consisted in subperiosteal resection of deformed segments of six ribs on top of the rib hump. Patients in the second group (rehabilitation group) had no thoracoplasty, but participated in a 4-week rehabilitation programme based on endurance training. Pulmonary function was assessed in all subjects with resting spirometry. Additionally, maximal oxygen uptake was determined using an indirect method.Spirometric parameters at rest were significantly higher in subjects participating in the rehabilitation program compared to the thoracoplasty patients. VO2max values were similar in both groups, indicating relatively good exercise capacity.Comprehensive motor rehabilitation based on endurance training has a favorable influence on pulmonary function in patients after surgical correction of scoliosis. A rehabilitation program should be included in the management of patients after spinal fusion combined with thoracoplasty.

Study design Polish adaptation of the original version of Scoliosis Research Society (SRS) instrument. Objective The transcultural adaptation of SRS-22 and evaluation of its internal consistency. Summary of background data High psychometric value of the SRS-22 Questionnaire has made it an effective evaluation instrument in clinically assessing the functional status of patients with adolescent idiopathic scoliosis. Methods First, 2 translators translated the original version into Polish. Afterwards, the translators identified differences between the translations and produced a consensus version. In the third stage, 2 native English speakers produced back translations. Finally, a team of 2 orthopedic surgeons, translators, a statistician and a psychologist reviewed all the translations to produce a prefinal version. The questionnaire was administered to 60 girls at the age of 16.6, SD 2.0 with adolescent idiopathic scoliosis treated with the Cotrel-Dubousset method in Pediatric Orthopaedics and Traumatology Clinic in Poznan. Results The internal consistency in the Polish version equaled 0.89 for the overall result and 0.81 for function, 0.81 for pain, 0.80 for mental health, 0.77 for self-image, and 0.69 for treatment satisfaction domains, respectively. Conclusion The Polish version of SRS-22 is characterized by high internal consistency for all domains and for the overall score, which makes it an evaluation tool after surgical treatment compatible with the original SRS-22.

The purpose of the study was to characterize the changes in purine metabolism in long-distance runners in the main phases of their 1-year training cycle. Nine male athletes competing in distances 5 and 10 km at national/regional level, mean age 22.9 +/- 0.6 years, practising sport for 8.6 +/- 0.3 years, participated in the study. The changes in plasma concentrations of hypoxanthine (Hx), xanthine (X) and uric acid (UA) and the activity of the enzyme HGPRT in red blood cells haemolysate were followed in four characteristic points of the annual training cycle: preparatory phase (specific subphase), competition period, transition period and preparatory phase (intermediate subphase). Resting and postexercise plasma concentrations of X and, Hx and HGPRT activity changed significantly during 1-year training cycle. Significant changes in postexercise Hx values between training phases were found, from 9.3 micromol l(-1) in competition period to 22.9 micromol l(-1) in transition period (Friedmann's ANOVA, P0.01). Postexercise UA values ranged from 371 to 399 micromol l(-1) and did not change significantly between training phases. An increase in resting (from 52.0 to 58.4 IMP mg(-1) Hb min(-1), P0.05) and postexercise (from 70.7 to 76.2 IMP mg(-1) Hb min(-1), not significant) HGPRT activity between the specific preparation and competition period was observed. In the transition period, Hx postexercise concentration increased (22.9 micromol l(-1), P0.01) and HGPRT postexercise activity decreased (58.8 IMP mg(-1) Hb min(-1), P0.01) significantly. The results indicate that the level of plasma Hx at rest and after standard exercise may be a useful tool for monitoring the adaptation of energetic processes in different training phases and support the overload/overtraining diagnosis.

The purpose of this study was to examine physical performance and exercise tolerance in patients with scoliosis in comparison with healthy girls of the similar age. Results of the study show the similar aerobic performance in both groups. However, exercise tolerance was significantly lower in patients with scoliosis than in the control group. Similarly, resting values of cardiac output and stroke volume were significantly lower in girls with scoliosis as compared with healthy girls.