Medical Review T. 14, z. 2 (2016)

URI dla tej Kolekcjihttp://repozytorium.ur.edu.pl/handle/item/2567

Przeglądaj

Aktualnie wyświetlane 1 - 2 z 2

Assessment of mobility, body balance and risk of fractures in the elderly
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna; Wiśniowska, Agnieszka; Guzik, Agnieszka; Drużbicki, Mariusz; Sozański, Bernard
Introduction. In recent years, we have seen significant changes in the highly dynamic process of ageing amongst the population of Europe, leading to increasing life expectancy. Prolonging the life of the elderly, in which full independence and functional performance are maintained, is a challenge facing modern medicine. It is necessary to take actions to improve health and quality of life during old age. Purpose. The aim of this research is to assess the differences in mobility level and static/dynamic balance, as well as the risk of bone fractures between people aged 50 and 65 years and the elderly aged between 66 and 80 years. An analysis of the suitability of selected clinical tests is conducted to assess the above mentioned parameters. Material and methods. The study included a group of 200 randomly selected people living in Rzeszow, a city in southeastern Poland, who were aged between 50 and 80 years. All the results of the research, which ultimately involved 138 people – 103 women and 35 men – have been analysed. To assess the mobility and static/dynamic balance, the following clinical tests were used: Timed Up and Go, Functional Reach, Tandem Stance, Tandem Walk and Tandem 180° Pivot. For the assessment of fracture risk, the Fracture Risk Assessment Tool (FRAX) calculator was used, while the data were collected on the basis of direct interviews. Results. It was found that, with age, the frequency of dynamic balance, mobility disorders and the risk of bone fractures significantly increase. In a group of people aged 66 to 80 years, a decrease in the efficiency level of mobility and balance was observed in 30% of respondents on average, depending on the kind of functional test used (20-60%), in relation to people whose age did not exceed 65 years. Conclusions. It is necessary to take preventive actions, especially amongst a group of people aged over 65 years, in order to improve functional efficiency and balance, thereby reducing the risk of fractures.
Gait velocity as a tool for evaluating the effects of gait training in patients with chronic stroke
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Guzik, Agnieszka; Drużbicki, Mariusz; Kwolek, Andrzej; Przysada, Grzegorz; Brzozowska-Magoń, Agnieszka
Background. Gait velocity is a simple but very essential parameter which may be applied as an indicator of functional efficiency. Gait of stroke patients is characterized by reduced speed. As a result, the patients have significantly limited functioning capabilities, including walking independently outside home. The study was designed to assess selected temporal gait parameters, including gait velocity, stride velocity and swing phase velocity in patients with chronic stroke following a rehabilitation program with the use treadmill. Material and method. The study was conducted in a group of 50 patients with hemiparesis in the late period after stroke. Temporal gait parameters such as: gait velocity, stride velocity and swing velocity were examined. Additionally, 10-metre walk test was measured. Results. While analyzing 10-metre walk test results it was shown that after rehabilitation gait velocity increased by an average of 0.15 m/s (p = 0.0000). Similar results were obtained in terms of gait velocity which had been assessed using a 3-dimensional gait analysis, the average gait velocity increased by 0,14m/s (p = 0.0000). Analyzing stride velocity, both the paretic and non-paretic side it was noted that after rehabilitation this particular parameter increased by an average of 0.05 m/s (p = 0.0019) and 0.06 m/s (p = 0.0052). Similar results were achieved in terms of swing velocity of the paretic side - p = 0.0017. Conclusions. It was demonstrated that rehabilitation program with the use of treadmill enabled significant improvement in gait velocity, stride velocity and swing phase velocity in patients with chronic stroke. Gait velocity is a practical and simple tool to be applied for monitoring of progress in rehabilitation and for assessing effects of gait re-education in patients with hemiplegia in a chronic stage after stroke.

Przeglądaj

Przeglądanie Medical Review T. 14, z. 2 (2016) według Autor "Drużbicki, Mariusz"