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Agnieszka Stępień

Streszczenie

Wstęp: Ruchomość kręgosłupa u osób z różnymi typami nie została dotychczas dokładnie opisana. Celem badań było określenie wpływu skrzywienia kręgosłupa na zakresy rotacji tułowia i miednicy u dziewcząt ze skoliozą idiopatyczną.

Materiał i metody: W badaniach uczestniczyło 59 dziewcząt ze skoliozą idiopatyczną w wieku 10-18 lat. Warunkiem włączającym do badania było stwierdzenie na zdjęciu rentgenowskim skrzywienia piersiowego prawostronnego lub skrzywienia lędźwiowego lewostronnego. Stworzono cztery grupy uwzględniające różne typy skrzywień kręgosłupa. Pomiarów dokonywano w pozycji stojącej. Do pomiarów zakresów rotacji tułowia i miednicy wykorzystano specjalnie zaprojektowane urządzenie prototypowe połączone z systemem komputerowym. W czasie testowanych ruchów rotacyjnych stabilizowano obręcz kończyn górnych z górną częścią tułowia lub miednicę. W metodyce badań precyzyjnie określono liczbę i kolejność ruchów. Grupą kontrolną stanowiło 30 dziewcząt bez skoliozy.

Do analizy statystycznej wykorzystano test ANOVA z opcją porównań wielokrotnych oraz test T-studenta.

Wyniki: Wyniki wykazały wiele istotnych różnic między dziewczętami ze skoliozą dwułukową z dominującym skrzywieniem piersiowym prawostronnym, dziewczętami ze skoliozą jednołukową lub dwułukową z dominującym skrzywieniem lędźwiowym lewostronnym i grupą kontrolną.

U dziewcząt ze skoliozą dwułukową z dominującym skrzywieniem piersiowym prawostronnym zaobserwowano znamienne ograniczenie zakresów rotacji tułowia i miednicy.

U dziewcząt ze skoliozą jednołukową lub dwułukową z dominującym skrzywieniem lędźwiowym lewostronnym stwierdzono zwiększone zakresy rotacji miednicy.

Wnioski: Zakresy rotacji tułowia i miednicy zależą od typu skrzywienia kręgosłupa, a w: szczególności od lokalizacji dominującego łuku skoliozy. Występowanie dominującego skrzywienia piersiowego prawostronnego sprzyja powstaniu ograniczenia zakresów' rotacji tułowia i miednicy oraz asymetrii między zakresami lewostronnej i prawostronnej rotacji tułowia i miednicy. Występowanie dominującego skrzywienia lędźwiowego lewostronnego prowadzi do zwiększenia zakresów rotacji miednicy oraz powstania asymetrii między zakresami lewostronnej i prawostronnej rotacji miednicy.

Open access

Agnieszka Stępień, Sylwia Chładzińska-Kiejna and Katarzyna Salamon-Krakowska

Abstract

Dissociative psychopathology is understood as an immature defence mechanism of personality, based on the techniques of reality distortion. The natural cause of a disorder reflects the lack of sense of coherence between identity, memory, awareness, perception and consequently - goal orientated action. Its symptoms manifest the separation of emotions, thoughts and behaviours bound with an event in order to maintain an illusory sense of control of demanding and unbearable experience.

We describe the case of a 57-year-old woman suffering from broad range of dissociative symptoms from early childhood. Decomposition of integrity between memories, a sense of self-identity and control of the body has become the cause of numerous suicide attempts, multiple psychiatric hospitalizations and not fully effective therapy attempts. Destructive influence of psychopathological symptoms negatively influenced patient’s life course, decisions made as well as family, work and social life.

Open access

Agnieszka Waśkiewicz and Łukasz Stępień

Abstract

There is little information on secondary metabolites produced by Fusaria infecting crop plants other than cereals. Many members of Fusarium genus have the ability to colonise perennial crops with only scarce infection or disease symptoms or with no symptoms at all while still being detectable. Even in case of such asymptomatic infection, significant mycotoxin contamination of the plant tissues is possible. The aim of this study was to characterise the spectrum of Fusarium species isolates obtained from different plant hosts (like asparagus, garlic, pineapple, banana, rhubarb, peppers, rice, maize, wheat, and oncidium) and evaluate their ability to biosynthesize the most common mycotoxins in vitro. Among the F. proliferatum isolates, up to 57 % of them biosynthesized fumonisins at very high mass fractions, amounting to above 1000 μg g-1, while other Fusarium species such as F. verticillioides, F. lactis, F. polyphialydicum, F. concentricum, F. temperatum, and F. fujikuroi formed fumonisins mostly at much lower level. Only F. ananatum and F. oxysporum did not produce these toxins. Co-occurrence of FBs with other mycotoxins [moniliformin (MON) and beauvericin (BEA)] was often observed and it was mainly F. proliferatum species that formed both mycotoxins (0.4 μg g-1 to 41.1 μg g-1 BEA and 0.1 μg g-1 to 158.5 μg g-1 MON).

Open access

Agnieszka Marek, Ewelina Pyzik, Dagmara Stępień-Pyśniak, Tomasz Hauschild and Tomasz Banach

Abstract

The aim of the study was to identify the affinity of 10 Staphylococcus strains isolated from table chicken eggs to specific species. Preliminary analysis performed by API ID32 Staph test identified these strains as S. aureus, but they exhibited a negative reaction in the tube coagulase test. Thus, the analysed strains were initially characterised as Staphylococcus aureus-like (SAL). Further characterisation was performed by genotypic methods, using restriction fragment length polymorphism (RFLP) of the coagulase gene (coa) and sequencing of the gene rpoB. An attempt was also made to identify the isolated Staphylococcus strains by MALDI-TOF mass spectrometry. The results indicated that none of the strains tested belonged to the species S. aureus. The rpoB sequences of five isolates showed the highest sequence similarity to S. haemolyticus, three isolates to S. chromogenes, and one isolate to S. epidermidis. One strain (SAL4) remained unidentified in this analysis. The results obtained using mass spectrometry were comparable to those based on gene sequence analysis. Strain SAL4, which could not be identified by sequencing, was identified by MALDI-TOF as Staphylococcus chromogenes.

Open access

Katarzyna Salamon-Krakowska, Ewa Ławreszuk and Agnieszka Stępień

Abstract

The advantages of the Bones for Life method (BFL) when working with the elderly cannot be overestimated. Bones for Life method may constitute an example of a modern practice of oneself, an example of empowerment which differs from the one offered by mass culture. Thanks to its philosophical underpinnings and consistency the BFL method is holistic in its approach i.e. it addresses the physical as well as the spiritual aspect of human nature thus avoiding treating instrumentally the psycho-physical unity of human beings. What is also significant in the BFL method is its ethical aspect as it combines therapeutic and educational qualities. Its constitutes an integral part of somatic education (a branch of knowledge still little known in Poland) and thus fosters personal development irrespective of the person’s age. Given the increase in demand for different forms of activity tailored for senior citizens perhaps we ought to take a closer look at methods well-known and practised elsewhere in the world.

Open access

Agnieszka Stępień, Katarzyna Guzek, Witold Rekowski, Iwona Radomska and Jolanta Stępowska

Abstract

Introduction: The Trunk-Pelvis-Hip Angle (TPHA) test is used for assessing the mobility of lumbo-pelvic-hip complex. The aim of the research was to assess the intraobserver reliability of the TPHA test in girls with and without idiopathic scoliosis and to compare the test values obtained by the girls in both groups.

Material and methods: The research included girls without scoliosis and girls with double idiopathic scoliosis aged 8-16. The trunk-pelvis-hip angle was measured three times on each body side within one session. Statistical analysis was performed with the use of ANOVA intraclass correlation coefficient for dependent groups, Kolmogorov-Smirnov test as well as non-parametric Wilcoxon signed-rank test for dependent groups and Mann-Whitney U test for independent groups.

Results: The research included 49 healthy girls (aged 11.8 ± SD 2.5 years) and 49 girls with double idiopathic scoliosis (aged 12.7 ± SD 2.6 years; Cobb angle Th 27.7° ± SD 13.4° and L Cobb 25.8° ± SD 10.5°). The intraobserver reliability for the TPHA measurements was very high (ICC>0.85). In both groups the left-side TPHA value was significantly higher than the right-side value (p=0.001). The TPHA range of motion on the right side of the body was more limited in the scoliotic girls than in the healthy ones (p=0.001).

Conclusions: The TPHA test is a reliable means of assessing mobility in the lumbo-pelvic-hip complex in girls by one observer. The asymmetry of movements in the lumbo-pelvic-hip complex in healthy girls needs to be observed since it may constitute one of the factors predisposing to scoliosis which limits spine rotation range of motion. The TPHA test needs further research.

Open access

Emilia Dadura, Piotr Stępień, Dagmara Iwańska and Agnieszka Wójcik

Abstract

Introduction: The problem of constipation in Poland concerns 13.4% of the healthy population. In the case of patients treated with opioids, this number increases to 70-90%, which constitutes a serious problem that lowers the patients’ quality of life. The aim of the study was to assess the effects of abdominal massage, which successfully reduces constipation in various diseases, on palliative care patients. Material and methods: The research included 18 patients of a palliative care facility (mean age 78.3 ± 10 years), 11 of whom completed the study. The study participants were randomly divided into two groups, i.e. a pilot group (abdominal massage and kinesiotherapy) and a control group (kinesiotherapy). The therapy lasted 8 weeks and blind evaluation was carried out once per week. The study involved evaluating constipation intensity (The Bowel Function Index), the frequency of defecation (medical documentation) and abdomen circumference (anthropometric tape). The collected data were analysed statistically with the use of Statistica software. Results: The observed differences between the studied groups undergoing different therapies in subsequent weeks were not statistically significant. However, in the group in which abdominal massage was implemented, a decrease in the intensity of constipation, an increase in the frequency of defecation and a reduction in abdomen circumference were noted compared to the control group. The patients also indicated additional positive effects of this form of therapy, i.e. an improvement in breathing, easier urination, release of excessive gas and abdominal pain reduction. Conclusions: The collected data led to the conclusion that abdominal massage may result in a decrease in disorders accompanying opioid-induced constipation. Therefore, it is worth considering the implementation of this form of therapy in the case of patients in an advanced stage of cancer. There is also a need for further research in this field which will include a larger number of patients.

Open access

Agnieszka Stępień, Katarzyna Guzek, Jarosław Czubak, Joanna Surowińska, Jolanta Stępowska and Wojciech Kiebzak

Abstract

Introduction: Improper hip joint development may lead to numerous unfavourable changes in the musculoskeletal system. The aim of this research was to determine how often adolescents with idiopathic scoliosis and their healthy counterparts experienced anomalies of the hip in their infancy period and to examine the correlation between the occurrence of hip anomalies and idiopathic scoliosis. Material and methods: The research was conducted in medical centres as well as in schools. The parents of adolescents with idiopathic scoliosis and parents of healthy adolescents completed a questionnaire on the basis of their child’s development history included in the medical records book and other medical documentation. Results: 533 questionnaires were taken into consideration, included 145 questionnaires completed by parents of adolescents with scoliosis (121 girls - 13.8 years, SD 1.9; 24 boys - 12.9 years, SD 2.5) and 388 questionnaires from the group of adolescents without scoliosis (194 girls - 13.5 years, SD 2.0; 194 boys - 13.4 years, SD 2.1). No significant differences were noted in the incidence of hip anomalies between the groups of girls and boys with and without scoliosis, no correlations between anomalies of the hip and scoliosis were found (girls χ2=0.840; Cramer V=0.052; p=0.36; boys χ2=1.205; Cramer V=0.074; p=0.27). Conclusions: Hip anomalies such as hip dysplasia, movement asymmetry or range of motion limitations diagnosed in the infancy period did not correlate with idiopathic scoliosis. Further research aimed at a separate analysis of the influence of hip dysplasia on the occurrence of idiopathic scoliosis should be carried out.

Open access

Agnieszka Stępień, Krzysztof Graff, Anna Kloze, Jolanta Stępowska and Jakub Marciński

Streszczenie

Wstęp: Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) jest międzynarodową organizacją wyznaczającą standardy leczenia osób ze skoliozami i prowadzenia badań naukowych w tej dziedzinie. Standardy leczenia uwzględniają konieczność stosowania fizjoterapii. Wytyczne SOSORT określają jakie warunki powinny spełniać metody fizjoterapii stosowane w procesie leczenia. Jedną z koncepcji stosowanych na świecie w procesie leczenia zachowawczego osób ze skoliozą jest metoda Proprioceptive Neuromuscular Facilitation (PNF). International PNF Association (IPNFA) tworzy standardy nauczania, stosowania metody PNF i prowadzenia badań naukowych związanych z koncepcją.

Cel: Celem pracy jest proba wykazania zgodności założeń metody PNF z wytycznymi SOSORT dotyczącymi leczenia zachowawczego skolioz.

Materiał i metody: Do analizy wykorzystano rekomendacje SOSORT stworzone w latach 2005 - 2012 oraz informacje i wiedzę zgodną z aktualnymi ustaleniami International PNF Association (IPNFA).

Wyniki: W pracy wykazano zgodność założeń metody PNF z wytycznymi SOSORT odnoszącymi się do fizjoterapii takimi jak: indywidualne planowanie leczenia, ukierunkowanie na główne cele leczenia (zatrzymanie progresji skrzywienia, poprawa funkcji układu oddechowego, zmniejszenie dolegliwości bólowych, względy estetyczne) oraz możliwość specjalistycznego oddziaływania na deformacje kręgosłupa (autokorekcja kręgosłupa i miednicy w trzech płaszczyznach, stabilizacja postawy, trening czynności codziennych, edukacja zdrowotna). Wstępne badania wykazują pozytywny wpływ wybranych wzorców metody PNF na parametry posturalne osób ze skoliozą.

Wnioski: Szczegółowo opisana struktura metody PNF może być wykorzystana przy planowaniu badań naukowych. Konieczne jest prowadzenie badań mających na celu wykazanie skuteczności metody PNF w procesie leczenia osób ze skoliozą.

Open access

Zbigniew Trzaskoma, Bartosz Molik, Natalia Morgulec-Adamowicz, Aleksandra Truszczyńska-Baszak, Anna Ogonowska-Słodownik, Jolanta Marszałek, Agnieszka Stępień, Maciej Krawczyk and Agnieszka Wójcik

Abstract

The aim of this study was to review the literature dealing with the force-time characteristics of different forms of physical activity performed with upper limbs by the elderly and the disabled (Nordic Walking and using a wheelchair, respectively) and of manual techniques used by physiotherapists. Values of work and power were analysed as well. Based on the analysis of the literature concerning the substantive areas included in this article, we believe that objective measurements will expand the present knowledge about values of force developed by upper limbs during different forms of human activity. It seems to be of particular significance in the application of manual therapy techniques, because currently values of force exerted upon the patient while applying these techniques are selected by a physiotherapist intuitively and are neither objective nor systematically controlled. The identification of the values of force developed with upper limbs by the elderly, the disabled and physiotherapists during the aforementioned forms of activity will make an original contribution to the broadly defined physical culture, especially rehabilitation and health promotion.