Agnieszka Radzimińska

The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review

Purpose The purpose of this review was to assess the effectiveness of pelvic floor muscle training (PFMT) in the treatment of urinary incontinence (UI) in women, with a particular focus on the impact of this form of therapy on the patients’ quality of life (QoL). Methods The following electronic databases were searched: PubMed, Embase, and Cochrane Library (articles only in English, 1990–2017). Search terms were as follows: urinary incontinence, pelvic floor muscle training, pelvic floor exercises, quality of life. Systematic review methods were based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Results The assessment of the impact of PFMT on the QoL of women with UI was conducted among 2,394 women in 24 selected studies. After the end of treatment, the majority of patients in the experimental groups noted a statistically significant improvement in QoL. Conclusion The results of this literature review demonstrate that PFMT is an effective treatment for UI in women. PFMT significantly improves the QoL of women with UI, which is an important determinant of their physical, mental, and social functioning.

The impact of pelvic floor muscle training on the myostatin concentration and severity of urinary incontinence in elderly women with stress urinary incontinence – a pilot study

Objective The aim of the study was to assess the myostatin concentration and an improvement in the severity of urinary incontinence (UI) after pelvic floor muscle training (PFMT) in a group of elderly women with stress UI. Methods A total of 74 participants were included in the analysis: 40 participants in the experimental group (EG) and 34 participants in the control group (CG). The EG underwent PFMT, whereas no therapeutic intervention was applied to the CG. Myostatin concentration and UI severity (Revised Urinary Incontinence Scale [RUIS]) were assessed in all women before and after the treatment. Results By comparing the results before and after the treatment, we have been able to demonstrate a statistically significant decrease in myostatin concentration (P<0.0001) and an improvement in the severity of UI (RUIS) (P<0.0001) in the EG. No statistically significant differences in all measured variables were reported before and after the treatment in the CG. A lower myostatin concentration (P=0.0084) and an improvement in the severity of UI (RUIS) (P=0.0008) were observed after the treatment in the EG compared to that in the CG. Conclusion Effective PFMT causes downregulation of myostatin concentration and an improvement in the severity of UI in elderly women with stress UI. Further trials on a larger EG and an assessment of long-term treatment outcomes are required.

Craniosacral therapy as a relaxation method for hyperreactivity in a child with sensory integration disorder – a case report

Katarzyna Strojek, Magdalena Weber-Rajek, Agnieszka Radzimińska

THE IMPACT OF CLASSICAL MASSAGE ON SPINE MOBILITY

Введение: Нарушения подвижности позвоночника влияют на большую часть общества и проблема затрагивает людей во все более раннем возрасте. Классический массаж является одной из форм механотерапии, что влияет на регулирование работы мышц, суставов, сухожилий и связок. Цель : Цель данного исследования состояла в том, чтобы оценить эффективность классического массажа секции грудопоясничного позвоночника, чтобы увеличить подвижность в этих сегментах. Материал : Исследование проводилось на 36 здоровых добровольцах (20 женщин и 16 мужчин) в возрасте от 21 до 27 лет (средний возраст - 23,8 года), которые были подвергнуты серии из пяти сеансов классических массажа (в соответствии со строго установленным протоколом). Для того, чтобы объективировать эффекты у всех испытуемых до и после серии процедур были сделаны следующие измерения: тест касание пальцами пола; тест Otto-Wurna; выпрямление позвоночника; боковое сгибание позвоночника; поворот позвоночника. Результаты: Статистически существенное различие было показано в результатах всех протестированных переменных перед первым и после последнего применения классического массажа. Выводы: Результаты собственных исследований применимы к молодых здоровым добровольцам. Следует продолжить исследование воздействия этого вида терапии в случае ограничений подвижности позвоночника при наличии спинальных болевых синдромов.

Kompleksowa fizjoterapia w astmie oskrzelowej - przegląd literatury = Comprehensive physical therapy in bronchial asthma - a literature review

The bronchial asthma is a chronic respiratory disease of an inflammation. Isolated in it’s the period between the attacks and the period in which you are experiencing severe symptoms, such as shortness of breath, persistent cough, wheezing, chest pain and difficult to breath. To the basic diagnostic methods include examination of symptoms and physical examination, where we try to get as much information as possible from the patient. In order to confirm the diagnosis in addition performs a skin test, blood test, radiograph and you try to stress. The basic method in the pulmonary rehabilitation is physiotherapy. Belonging to the exercise to improve general, breathing exercises and exercises to strengthen the overall strength of the respiratory muscles. A very important element is the science of effective cough, favoring the evacuation of secretions from the bronchial tree. At the time of the attack of breathlessness, in addition to immediate use drugs intervention, the patient requires the adoption of appropriate position. Complemented by comprehensive treatment is physiotherapy massage (classical, segmental, drainage), treatment with physiotherapy, spa treatment and patient education-reaching. The systematic and targeted rehabilitation brings satisfactory therapeutic effects, contributing to a better quality of life. Wstęp Astma oskrzelowa jest jedną z najczęściej występujących chorób przewlekłych. W ostatnich latach następił znaczący wzrost częstości zachorowań na astmę i inne choroby alergiczne. Na astmę obecnie choruje ponad 30% społeczeństwa. Choroba w dużym stopniu upośledza jakość życia pacjentów, jednocześnie znacząco wpływa na życie rodzinne, aktywność zawodową i społeczną. Objawy towarzyszące astmie oskrzelowej przyczyniają się do spadku wydajności chorego w pracy lub w szkole. U podłoża astmy oskrzelowej w większości przypadków, leży nadwrażliwość na alergeny występujące w środowisku. Za wzrost liczby alergenów odpowiedzialne są m.in zmiany w środowisku naturalnym, które zaszły w wyniku gwałtownej urbanizacji, liczne zanieczyszczenia powietrza, wzrost higieny osobistej i otoczenia oraz zmiany warunków i stylu życia społeczeństwa.

Ocena równowagi statycznej z wykorzystaniem platformy posturograficznej u osób słabowidzacych i niewidomych = Evaluation of static balance with the use of the posturographic platform in poorly visionaries and blind persons

Stability can be examined for many different ways. There are a number of stability tests – Attempt Romberg, test Unterberg, Babinski-Weill test Oran attempt to drift. Another method test the platform posturographic. On the platform, we can evaluate the balance on the basis of shifts the center of gravity of the body. Swing of the anteroposterior and lateral valuate stability and its disorders. During normal quiet standing platform receives the position of center of gravity of the quadrangle refers to its position and support what is should be. The study included 10 people who are blind and visually impaired 13. Among the respondents, the blind were 4 men and 6 women. The age range was 43-70 years old with an average age of 61.3. In the group of visually impaired were 5 men and 8 women. The subjects were aged 41-69 years, with an average age of 59.2. The inclusion criteria were vision problems. Exclusion criteria were problems with balance and dizziness. The control group consisted of 25 people with sight problems, with an average age of 63.9 years. The subjects that participants rehabilitation camps for the blind and visually impaired held at the Centre Intercor Street Powstańców Wielkopolskich 33 in Bydgoszcz. Blind people have a worse balance than the sighted correctly. Visually impaired people maintain the imbalance on a similar level to fully sighted people.