Time filter

Source Type

Adamczyk W.,Academy of Physical Education in Katowice
Clinical Journal of Pain | Year: 2017

OBJECTIVE:: Diminished tactile acuity in chronic non-neuropathic pain syndromes has been attributed to central pain processing and cortical reorganization. The latter was recently targeted in clinical trials that demonstrated no clear advantages over traditional approaches for the reduction of nonspecific low back pain (LBP). The aim of this systematic review and meta-analysis was to summarize the current evidence on tactile acuity in LBP and pain-free controls. METHODS:: Six databases were independently searched by 2 researchers. Nineteen studies with either case-control, cross-sectional, or baseline lumbar tactile acuity data collected before an intervention were included in the qualitative and quantitative synthesis. All pooled analyses were based on random effects models. Risk of bias was assessed using the Downs and Black scale and selection criteria were verified independently by 2 assessors. RESULTS:: Data on patients (n=547) and controls (n=346) were summarized. Studies on patients included data on nonspecific chronic LBP only; no data on acute LBP were identified. There was a significant mean difference between patients and controls for lumbar tactile acuity including (11.74 mm; 95% confidence interval, 8.61-14.87) and excluding (9.49 mm; 95% confidence interval, 3.64-15.34) higher risk of bias studies. DISCUSSION:: A gap of knowledge regarding tactile acuity in populations with acute and chronic non-neuropathic LBP needs to be addressed in future research as this may significantly help the understanding of the causality of tactile acuity alterations. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.


Grant
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2007-3.1-6 | Award Amount: 2.75M | Year: 2009

Our comprehensive approach to clinical continuity by integrated care (IC) across the secondary-primary interface departs from a preliminary literature review selecting frequent chronic conditions (CC) as stroke, COPD and HF as our focus areas. However, within each of these areas IC is a small activity, still, requiring more basic research. As IC for these different CC are based on the same patient values (feeling safe, participation and primary feedback) the synergistic effect from cross-sectional relationships arising from this project should be significant. In all, our 11 deliverables may be important to trespass the critical mass required for an expansion of this kind of IC as far as justified by the empirical results. In general, moderately improved health at minimal costs might be expected from some point of their life to a large segment of the population in EU suffering from the CC in study. That would deliver goodwill to the EU! Special projects are going to investigate the relevance of the access to health improvements by these Low-Tech-IC-interventions in low- and middle-income MS with distinct problems of fragmented care systems. The project has several milestones: 1) A kick-off Symposium aiming to establish a common decision-making framework introducing the HTA method 2) A systematic literature review checking preliminary choices of focus areas after 6 months 3) After 18 months a comprehensive status of the progress of the different trials and surveys is scheduled with respect to both timeliness and scientific content 4) After 30 months the practical IC-guides for clinicians on stroke, heart failure and COPD, respectively, should be concluded after an extensive hearing in an international network related to the 2nd Annual meeting of the consortium. 5) After 36 months the final reporting and dissemination of an HTA of IC should provide the top level of clinical, administrative and political decision-makers with a solid base for progressive decision-making. In conclusion, a meso-strategy for dissemination of IC in EU with formation of a country-specific, multidisciplinary network of specialists in the involved fields as corner-stone for setting up new clinical implementations and recommendations for adaptation of financial and organisation conditions.


Opara J.A.,Academy of Physical Education in Katowice
Journal of medicine and life | Year: 2010

With improvements in health care, more people survive stroke but many have to cope with the physical, psychological, social and functional sequelae, resulting in increased personal and public costs. Cerebral stroke causes a significant deterioration of the patient's functioning and worsening of her/his quality of life. Long-term disability caused by stroke is a common problem in all countries and its incidence increases markedly with advancing age. The assessment of the Quality of Life could be as well the evaluator of sequelae of stroke as an indicator of the effectiveness of the post-stroke rehabilitation. In this review article, the contemporary state of art in assessment of the post-stroke Quality of Life has been presented. The emphasis was placed on participation in terms of personal factors and environmental factors of post-stroke persons and their caregivers.


Opara J.A.,Academy of Physical Education in Katowice
Journal of medicine and life | Year: 2010

An overall aim of treatment in multiple sclerosis is to lower the negative impact of the disease on functioning and quality of life of patients. Therefore, a measurement of functioning and quality of life should be included in the evaluation of the effectiveness of treatment. The most commonly used quality of life questionnaires, either generic or specific, were presented in this paper,. Information about clinical and functional status is useful in the interpretation of the quality of life assessment results. Because of that, instruments for the assessment of depression, cognitive functions, functional ability and fatigue in multiple sclerosis were also described.


Grabara M.,Academy of Physical Education in Katowice
Journal of Back and Musculoskeletal Rehabilitation | Year: 2014

Objectives: To evaluate and compare the posture in young female handball players and a group of non-training peers. Material and Methods: 125 handball players and 135 non-training individuals as a control group. All the subjects were aged 12-15. Measurements of basic somatic parameters (body height and mass, BMI, fat mass and total body water) were taken with an electronic balance 'Tanita'. The posture was evaluated using the moiré method. We analysed the shape of the spine in the sagittal plane and the position of the spine, pelvis and shoulder girdle in terms of symmetry. Results: In 13-year-old handball players there was a smaller inclination of the thoracolumbar segment and a greater forward tilt of the torso. Among the training 15-year-olds, the inclination of the lower back, the sum of angles of anteroposterior curvatures and the angle of lumbar lordosis were smaller than in their non-training peers. Moreover, a correct pelvic alignment in the frontal plane, and pelvis and scapulas asymmetries in the transverse plane were more common in handball players. Conclusion: The formation of anteroposterior curvatures of the spine diversified some of the age groups of training and non-training young females. Handball training can affect the quality of posture. © 2014 - IOS Press and the authors. All rights reserved.


Grabara M.,Academy of Physical Education in Katowice
Human Movement | Year: 2012

Purpose. The aim of this study was to analyze the body posture of young football players and their untrained peers. Methods. A group of 73 football players and 78 untrained boys, all aged between 11 and 14 years, were studied by measuring body posture indices with computer posturography (the MORIE technique). Spinal angles and curvatures in the sagittal plane and body posture asymmetry in the frontal and transversal plane were measured. Body height and mass and BMI were also determined. Results. Compared to the untrained boys, the group of football players had lower BMI. The position of pelvis in the frontal plane was more symmetrical (p < 0.001) in football players, but the alignment of the remaining measured parameters was similar between the two groups except for the horizontal symmetry of the waist triangles (a higher incidence of symmetry in some ages groups of football players) and the horizontal symmetry of the shoulder blades (a higher incidence of asymmetry in some ages groups of football players). A postural symmetry index that was created for this study did not find any differentiation among the studied groups. The spinal alignment of the football players featured a more flattened lumbar lordosis. Conclusion. Previously conducted studies on the body posture of young athletes are still not ample and complete, while the results do not clearly indicate the development of posture when subjected to sports training.


Opara J.A.,Academy of Physical Education in Katowice
Journal of medicine and life | Year: 2012

In this review report, current possibilities of evaluation of quality of life in Parkinson's disease have been critically presented. Health Related Quality of Life (-HRQoL) comprises a wide spectrum of consequences of the disease. Measurement of quality of life has become increasingly relevant as an outcome parameter, especially in long-term trials. Most of the available QoL instruments depend on patient self-reports. The data can be collected by written questionnaires. There are universal questionnaires of QoL--for many diseases and the specific ones--specially created for one disease. Among universal questionnaires, the Sickness Impact Profile (SIP) and the Short-Form Health Status Survey (SF-36) are the most popular in Parkinson's disease. As for specific questionnaires: the Parkinson`s Disease Questionnaire (PDQ-39) and the Parkinson's Disease Quality of Life Questionnaire (PDQL) have been described.


Opara J.A.,Academy of Physical Education in Katowice
Journal of medicine and life | Year: 2012

Alzheimer's disease is known for placing a significant burden on caregivers, which includes social, psychological, physical or economic aspects. The disease decreases patients' capacity for activities of daily living and quality of life. Information about functional status is useful in the interpretation of the quality of life assessment results. In this paper the most commonly used scales evaluating activities of daily living and quality of life in Alzheimer's disease, either generic or specific, is presented.


Grabara M.,Academy of Physical Education in Katowice
Journal of Back and Musculoskeletal Rehabilitation | Year: 2014

OBJECTIVE: To assess the shape of anteroposterior vertebral curvatures in adolescents who practice team sports.MATERIAL AND METHODS: 57 females and 104 males aged 14-17 years, playing volleyball, basketball or handball, and 63 females and 99 males as a control group. A Rippstein plurimeter was used to measure the angles of thoracic kyphosis and lumbar lordosis.RESULTS: The study has revealed significant differences in lumbar lordosis in male athletes compared to the control (p=0.01). Male volleyball players had greater thoracic kyphosis (p=0.002) than basketball players. Female athletes had lower thoracic kyphosis than the control group (p< 0.01). Normal values of thoracic kyphosis were more frequent in female athletes and male handball players whereas normal lumbar lordosis was more frequently seen in female volleyball players and male control group. Our investigations revealed significant (p< 0.05) correlations between the anteroposterior curvature of the spine and somatic parameters. CONCLUSION: Differences in thoracic kyphosis or lumbar lordosis among the athletes and the control group might be due to postural muscles strengthening as a result of regular engagement in intensive exercise. The variability of anteroposterior spine curvatures may not only be associated with directional physical activity; some contribution of the somatic structure is also possible. © 2014 IOS Press and the authors. All rights reserved.


Grabara M.,Academy of Physical Education in Katowice
Biology of Sport | Year: 2015

Due to high training loads and frequently repeated unilateral exercises, several types of sports training can have an impact on the process of posture development in young athletes. The objective of the study was to assess and compare the postures of adolescent male volleyball players and their non-training peers. The study group comprised 104 volleyball players while the control group consisted of 114 non-training individuals aged 14-16 years. Body posture was assessed by the Moiré method. The volleyball players were significantly taller, and had greater body weight and fat-free mass. The analysis of posture relative to symmetry in the frontal and transverse planes did not show any significant differences between the volleyball players and non-athletes. Postural asymmetries were observed in both the volleyball players and the control participants. Lumbar lordosis was significantly less defined in the volleyball players compared to non-training individuals while no difference was observed in thoracic kyphosis. All athletes demonstrated a loss of lumbar lordosis and an increase in thoracic kyphosis. Significant differences in anteroposterior curvature of the spine between the volleyball players and the non-athletes might be associated with both training and body height. Considering the asymmetric spine overloads which frequently occur in sports training, meticulous posture assessment in young athletes seems well justified.

Loading Academy of Physical Education in Katowice collaborators
Loading Academy of Physical Education in Katowice collaborators