Sprawozdania, raporty (KNM) / Reports (CoMS)
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Przeglądanie Sprawozdania, raporty (KNM) / Reports (CoMS) według Autor "Kwolek, Andrzej"
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- PozycjaThe impact of physical exercises with elements of dance movement therapy on upper limb and functional fitness of elderly wheelchair users living in nursing homes – randomized control trial(2021-01-18) Wołoszyn, Natalia; Wiśniowska-Szurlej, Agnieszka; Grzegorczyk, Joanna; Kwolek, AndrzejIntroduction: Over the last decades the quality of care and the quality of life of NH home resi-dents has significantly improved but low physical activity and social involvement still represent a huge challenge in modern nursing facilities. The research aims at evaluating the impact of physical exercises with elements of dance movement therapy (DMT) on the indicators related to upper limb fitness and overall functional fitness of elderly wheelchair users, as compared to standard exercise program. Method: The study participants were persons aged 68-85 who live in nursing homes and use manual wheelchair as the primary means of mobility. Persons meeting the inclusion criteria were assigned to one of the three groups: Group 1 – Basic exercises/BE group (n=55), Group 2 – Physical exercises with elements of dance movement therapy/PED group (n=55); Group 3 – No Interven-tion/CO group (n=55): control, routine care. The data were collected at the beginning of the study as well as at the 12 week and 24 week mark. Results: Prior to the start of the exercise programmes, all the groups tested were homogeneous. The most positive changes after 12 weeks of intervention were shown in the PED group: handgrip strength, manual dexterity, joint mobility, lung capacity, body flexibility, functional fitness in everyday life. The positive change with regard to the parameters tested lasted beyond 24 weeks. Conclusion: The study demonstrated that DTM appear to be effective in improving upper ex-tremity fitness and physical fitness.
- PozycjaThe paediatric version of Wisconsin Gait Scale, adaptation for children with hemiplegic cerebral palsy: a prospective observational study(2017) Guzik, Agnieszka; Drużbicki, Mariusz; Kwolek, Andrzej; Przysada, Grzegorz; Bazarnik-Mucha, Katarzyna; Szczepanik, Magdalena; Wolan-Nieroda, Andżelina; Sobolewski, MarekIn clinical practice there is a need for a specific scale enabling detailed and multifactorial assessment of gait in children with spastic hemiplegic cerebral palsy. The objective of the study is to assess the Wisconsin Gait Scale (WGS) in terms of its inter- and intra-observer reliability in observational gait analysis of children with hemiplegic cerebral palsy. The study was conducted in a group of 34 patients with hemiplegic cerebral palsy. At the first stage the original version of WGS was used to assess gait. At the second stage a modified WGS was introduced and the same video recordings were rescored using the new, paediatric version of WGS. Three independent examiners performed the assessment twice (two weeks apart). Inter and intra-observer reliability of the modified WGS were determined. The findings show very high inter- and intra-observer reliability of the modified WGS. This was reflected by a lack of systematically oriented differences between the repeated measurements, very high value of Spearman's rank correlation coefficient 0.9 |R| < 1, very high value of ICC > 0.9, and low value of CV< 2.5% for the specific physical therapists. The new, paediatric version of WGS is a promising tool to be used in qualitative observational gait assessment of children with spastic hemiplegic cerebral palsy. The findings of the study have practical value as they show feasibility of the new, affordable, easy-to-use tool for gait assessment to be used in clinical practice specifically for children with spastic hemiplegic cerebral palsy.