BACKGROUND: The study of physiotherapy is challenging and can affect the students' well-being and quality of life. The aim of this study was to describe and compare factors that could affect well-being among students across Europe. METHODS: In this descriptive cross-sectional study using an online questionnaire survey, students of bachelor's physiotherapy programs from 23 European faculties, from 8 countries, were interviewed on mental health and stress burden, sleep quality, dietary habits, and physical activity. RESULTS: Although 75% of students rated their quality of life positively and 47% were satisfied with their mental health, 65% showed higher levels of stress and 51% described impaired sleep quality. The minimum physical activity of 150 min weekly was described by 79% of students, within which 67% engaged in strengthening twice a week. Students with a higher stress load/worse psychological health also showed worse sleep quality and lower amount of physical activity, women were significantly worse off. In terms of physical activity and sleep quality, students from Finland and Kosovo achieved the best results, while students from Italy, Greece, and Portugal achieved the worst. Students from Italy indicated the greatest dissatisfaction with the organisation of the study system and communication with teachers, while in Kosovo students rated the communication and study organisation the highest. All students had a problem with adhering to nutritional habits. Students from Italy and Spain, with the lowest body mass indexes and weight averages, were closest to the nutrition recommendations. CONCLUSION: We demonstrated that physiotherapy students are burdened with stress, suffer from sleep disorders, and do not follow the recommendations regarding nutrition nor physical activity. There are significant differences between universities and countries in some aspects.
- Publikační typ
- časopisecké články MeSH
BACKGROUND: The COVID-19 pandemic was associated with limited physical activity (PA) of most of the world's population. This cross-sectional prospective study aimed to assess the levels of PA of university students in Poland, Czech Republic and Slovakia after COVID-19 using the International Physical Activity Questionnaire Short Form (IPAQ-SF). METHODS: A total of 2635 students completed questionnaires regarding their PA levels using the IPAQ-SF between September and December 2022. RESULTS: PA measured by metabolic equivalent of task (MET) scores, varied between the three countries: Slovakia median MET-minutes/week score 4459.9; Czech Republic 3838.8 Poland 3567.1. The results of the post hoc analysis revealed there were significant differences in MET-minutes/week values between the Czech Republic and Poland (p < 0.035) as well as between the Czech Republic and Slovakia (p < 0.037). The analysis of energetic expenditure during walking revealed that students from the Czech Republic and Slovakia had higher median MET-min/weeks values (Czech 2284.1; Slovak 2467.1) compared to their Polish (1536.1) peers (p < 0.001). Polish cohort presented with significantly higher body mass index (BMI) (p < 0.001) than Czech and Slovak groups (BMI Czech: 22.3; Slovak 22.8; Polish 23.8). CONCLUSIONS: Significant differences in PA levels between the Czech Republic, Poland, and Slovakia university students were identified. Slovakia showed the highest median PA measured as a MET score, and Poland showed the lowest. Compared to available pre-COVID studies it seems the total level of PA in the observed cohorts has not returned to the pre-COVID levels and students remain less active.
- Publikační typ
- časopisecké články MeSH
BACKGROUND: There is a continuing interest in finding effective methods for scar treatment. Dry needling is gaining popularity in physiotherapy and is defined by Western medicine as a type of acupuncture. The terms acupuncture and dry needling have been used interchangeably so we have focused on the efficacy of dry needling or acupuncture in scar treatment. OBJECTIVE: The aim of this systematic review was to determine the usefulness of dry needling or local acupuncture for scar treatment. In our search process, we used the terms 'acupuncture,' 'needling,' or 'dry needling' to identify all relevant scientific papers. We have focused on the practical aspects of local management of different scar types with dry needling or acupuncture. SEARCH STRATEGY: The search strategy included different combinations of the following keywords: 'scar', 'keloid', 'dry needling', 'needling', 'acupuncture', 'treatment', 'physical therapy'. This systematic review was conducted in accordance with PRISMA guidelines. MEDLINE (PubMed, EBSCOHost and Ovid), EMBASE (Elsevier), and Web of Science databases were searched for relevant publications from inception through October 2023. INCLUSION CRITERIA: The studies that investigated the effectiveness of dry needling or acupuncture for scar treatment were included. DATA EXTRACTION AND ANALYSIS: The main extraction data items were: the needling technique; needle: diameter, length; needling locations; manual needling manipulation; number of sessions; settings; outcomes and results. RESULTS: As a result of a comprehensive search, 11 manuscripts were included in the systematic review, of which eight were case reports, two were randomized trials and one study concerned case series. Two case reports scored 2-4 out of 8 points on the JBI checklist, five studies scored 5-7, and one study scored 8 points. The methodological quality of the two clinical trials was rated as good or fair on the PEDro scale. The case series study scored 7 of 10 points on the JBI checklist. A meta-analysis was not possible as only two randomized trials, eight case reports, and one case series were eligible for review; also, scar assessment scales and pain severity scales were highly heterogeneous. CONCLUSIONS: The studies differed regarding the delivery of dry needling or local acupuncture for scar treatment. Differences included treatment frequency, duration, number of treatments, selection of needle insertion sites, number of needles used, angle of needle placement, and use of manual needling manipulation. SYSTEMATIC REVIEW REGISTRATION: INPLASY no. 202310058.
Musculoskeletal ultrasound identifies a broad range of pathologies. Typical sonographic images of certain pathological/abnormal conditions can be rendered and "highlighted" for the daily practice/language of musculoskeletal sonographers. The following text and accompanying figures/videos represent a collection of findings pertaining to commonplace pathological conditions. This article is the second part of a series-after the characteristic/metaphoric descriptions of normal musculoskeletal structures.
- MeSH
- lidé MeSH
- muskuloskeletální systém * MeSH
- ultrasonografie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Cíl: Vysvětlit pojem kostrčový syndrom (KS), definovat jeho kineziologickou a neurofyziologickou podstatu a představit možnosti diagnostiky a terapie. Cílem praktické části je zhodnotit efekt fyzioterapie jak v akutním, tak chronickém stadiu primárního KS a zhodnotit korelaci mezi vyšetřením sonopalpací, rentgenem a palpačním vyšetřením kostrče per rectum. Soubor a metodika: Šest probandek s primárním KS absolvovalo pět individuálních fyzioterapií první 3 měsíce studie, další 3 měsíce probandky cvičily doma autoterapii. K subjektivnímu hodnocení efektu terapie byl použit dotazník kvality života Short Form-36 (SF-36), dotazník The Female Sexuale Function Index (FSFI) a Oswestry dotazník, verze 2.1a. Hodnocena byla gynekologická anamnéza (GA), pro objektivizaci aktivity břišní stěny byl využit přístroj Ohmbelt. Bolestivost kostrče byla hodnocena sonopalpací. Výsledky: V rámci GA došlo po 3 měsících od začátku studie (2. měření) ke statisticky nevýznamnému zkrácení délky trvání premenstruačního syndromu, délky menstruace a ke snížení intenzity dyspareunie na numerické škále bolesti. Po 6 měsících od začátku studie (3. měření) pozitivní změny přetrvávaly. V dotazníku FSFI byl zjištěn signifikantní pokles bolestivosti při pohlavním styku na konci studie (3. měření) v porovnání se vstupními daty (2,0 ± 2,1 vs. 3,3 ± 2,5; p = 0,042). V dotazníku SF-36 došlo k významnému zlepšení v doméně Vitalita ve 2. měření v porovnání se vstupními daty (41,7 ± 21,8 vs. 55,0 ± 25,3; p = 0,038). Výsledky sonopalpace korelovaly u všech probandek s vyšetřením per rectum. Závěr: Aplikace manuálních technik vč. ošetření kostrče a měkkých tkání pánevního dna per rectum hned na začátku terapie, doplněná o neurofyziologické metody a autoterapii, měla pozitivní efekt na obtíže a kvalitu života pacientek s primárním KS. Nálezy sonopalpace korelovaly s vyšetřením kostrče per rectum.
Aim: To explain the term coccygodynia, define its kinesiological and neurophysiological basis, and present the diagnostic and therapeutic options. The aim of the experimental part is to evaluate the effect of physiotherapy in both the acute and chronic stages of primary coccygodynia and to evaluate the correlation between sonopalpation, X-ray assessment and the palpation of the coccyx per rectum. Methods: Six female subjects with primary coccygodynia received five individual physiotherapy sessions during the first 3 months of the study, practicing self-treatment for the next 3 months. The Short Form-36 (SF-36) Quality of Life Questionnaire, The Female Sexual Function Index (FSFI) questionnaire and The Oswestry Questionnaire, Version 2.1a were used to subjectively assess the effect of therapy. Gynaecological history (GA) was assessed, and the Ohmbelt device was used to verify abdominal wall activity. Skeletal pain was assessed by sonopalpation. Results: The FSFI questionnaire showed a significant decrease in painful intercourse at the end of the study (3rd measurement) compared to baseline data (2.0 ± 2.1 vs 3.3 ± 2.5; P = 0.042). The SF-36 questionnaire showed a significant improvement in the Vitality domain when comparing the 1st and 2nd measurements (41.7 ± 21.8 vs 55.0 ± 25.3; P = 0.038). Sonopalpation results correlated with per rectum examination in all subjects. Conclusion: The application of manual techniques including per rectum mobilization of the coccyx and pelvic floor soft tissues treatment at the very beginning of therapy, supplemented with neurophysiological methods and self-treatment, had a positive effect on the quality of life of patients with primary coccygodynia. The findings of sonopalpation correlate with the per rectum examination.
- MeSH
- dospělí MeSH
- fyzioterapie (techniky) * MeSH
- kostrč * patologie MeSH
- kvalita života MeSH
- lidé MeSH
- mladý dospělý MeSH
- nemoci páteře diagnóza etiologie terapie MeSH
- průzkumy a dotazníky MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- klinická studie MeSH
- přehledy MeSH
BACKGROUND: Abdominal bracing is a maneuver widely used by rehabilitation specialists and sports trainers to improve spinal stability. This study aimed to investigate how lifting tasks with and without abdominal bracing affect the respiratory function of the diaphragm. METHODS: M-mode ultrasonographic assessment of diaphragmatic motion combined with spirometry was performed on 31 healthy adults. Participants were asked to breathe continuously whilst lifting a load with spontaneous abdominal muscle contraction (natural loaded breathing) and abdominal bracing (AB loaded breathing). RESULTS: Pearson's correlations revealed strong correlations between ultrasonography and spirometry measures (p < 0.001) for all types of breathing: tidal breathing (r = 0.709, r2 = 0.503), natural loaded breathing (r = 0.731, r2 = 0.534) and AB loaded breathing (r = 0.795, r2 = 0.632). Using paired-samples t-tests, the natural loaded breathing ultrasonography revealed more caudal diaphragm positions during inspiration (p < 0.001) but not during expiration (p = .101). Spirometry demonstrated lower lung volumes (L) at the end of inspiration and expiration (p < 0.001), with no changes in total lung volume (p = 0.06). The AB loaded breathing ultrasonography revealed more caudal diaphragm positions during inspiration (p = 0.002) but not during expiration (p = 0.05). Spirometry demonstrated lower lung volumes at the end of inspiration (p < 0.001), expiration (p = 0.002), and total lung volumes (p = 0.019). CONCLUSION: This study demonstrated that abdominal bracing performed during a lifting task reduces lung volume despite an increase in diaphragmatic motion. Diaphragm excursions strongly correlate with lung volumes even under postural loading. TRIAL REGISTRATION: The study was prospectively registered on 8 April 2021 at ClinicalTrials.gov with identification number NCT04841109.
- Publikační typ
- časopisecké články MeSH
Téma využití terapie Vojtovou reflexní lokomocí (VRL) u onkologických pacientů se v českém rehabilitačním prostředí objevuje opakovaně, zejména u pacientů s kombinací onkologického onemocnění a neurologického deficitu. Nikdy však nebylo podrobeno široké odborné diskuzi s jednoznačným závěrem. Od roku 2013 se tomuto tématu věnujeme intenzivně v rámci komplexní rehabilitace dětských pacientů s onkologickým onemocněním léčených na Klinice dětské hematologie a onkologie 2. LF UK a FN Motol. Zvláště u pacientů s polékovou neuropatií a s tumory centrálního nervového sytému vyvstala potřeba zařadit do fyzioterapeutických přístupů na neurofyziologickém podkladě i Vojtovu terapii (VT). V rehabilitačních kruzích byla však v té době onkologická diagnóza často považována za kontraindikaci aplikace VT. Hlavní argumenty zastánců kontraindikace VT je nežádoucí zvýšení buněčného metabolizmu a ovlivnění autonomního nervového systému. Ve světle moderních poznatků zátěžové fyziologie a v porovnání s jinými běžně užívanými rehabilitačními metodami v dětské onkologii se jeví tyto argumenty jako neopodstatněné. Z rešerše literatury je patrné, že ve světě se vedle manuální terapie, posilovacích, aerobních a balančních cvičení běžně metody na neurofyziologickém podkladě u onkologických pacientů využívají. Pediatricko-onkologická sekce České onkologické společnosti České lékařské společnosti Jana Evangelisty Purkyně vydala v roce 2019 oficiální stanovisko, ve kterém jednoznačně podporuje využití VRL v rehabilitaci dětí s nádorovým onemocněním u všech typů nádorů včetně leukemií, a to ve všech fázích onkologické léčby. Terapie VRL není kontraindikována u dětských hematoonkologických a onkologických pacientů a může být využívána s ohledem na aktuální stav dítěte a aktuální rehabilitační cíl.
The topic of using Vojta reflex locomotion (VRL) in oncology patients has been discussed repeatedly in the Czech rehabilitation community, especially in patients with a combination of oncological diseases and neurological deficits. However, it has never been a subject to evidence-based professional discussions with any ultimate conclusion. We have focused on this topic intensively since 2013, integrating Vojta therapy (VT) as part of a comprehensive rehabilitation approach for pediatric patients with oncological diseases treated in a Department of Pediatric Hematology and Oncology, 2nd Medical Faculty, Charles University, and Motol University Hospital. There was a need to combine VT with other physiotherapeutic approaches based on neurophysiological principles, especially in patients with drug-induced neuropathy and central nervous system tumours. However, an oncological diagnosis has often been considered to be a contraindication to the application of VRT. The main arguments of the proponents of VT contraindications are the undesirable increase in cellular metabolism and the influence of VRT on the autonomic nervous system. In the light of modern evidence-based literature dealing with exercise physiology and in comparison with other commonly used rehabilitation methods in pediatric oncology, these arguments appear to be unfounded. From the literature review, it is evident that, in addition to manual therapy, strengthening, aerobic and balance exercises as well as neurophysiological methods are commonly used in oncology patients. In 2019, the Pediatric Oncology Section of the Czech Society for Oncology, Czech Medical Association of J. E. Purkyně issued an official opinion paper which unequivocally supported the use of VRT in the rehabilitation of children with cancer of all types, including leukemia, and in all phases of oncological treatment. The copy of the opinion paper is attached at the end of this manuscript. VRT is not contraindicated in pediatric hemato-oncology and oncology patients and it can be used based on the present condition of the child and the rehabilitation goals.
Motorické čili pohybové schopnosti a dovednosti jsou součástí a hlavním předpokladem pohybu. Motorický vývoj dítěte je odrazem zrání centrální nervové soustavy a interakce mezi vyvíjejícím se organizmem, prostředím a motivací (bio-psycho-sociální vývoj). Jakékoli motorické postižení může mít negativní dopad na fungování jedince v rámci běžných denních aktivit, na jeho kognitivní výkon a na jeho zařazení do společnosti. Při vyšetřování motorických obtíží u dětí je nutné stanovit, kterou odchylku je třeba aktivně léčit a korigovat a kterou je možno považovat za takzvanou vývojovou variantu, jež mizí s věkem nezávisle na terapii. Vzhledem k neustálému a dynamickému rozvoji dětských pacientů nelze u všech věkových kategorií v rámci jejich vyšetření využívat stejné vyšetřovací postupy jako u dospělých. Výběr vhodného evaluačního nástroje pro hodnocení úrovně motoriky a případných motorických obtíží představuje rozsáhlou problematiku. Účelem tohoto článku je poskytnout stručný přehled a popis nejčastěji používaných motorických testů určených především pro děti mladšího školního věku. Díky objektivnímu testování hrubé motoriky je možné posoudit, které dítě je třeba indikovat k další odborné intervenci a kterému poskytnout pouze doporučení ohledně pohybového chování.
Motor skills are part of and a prerequisite of all movements. The development of a child reflects maturation of the central nervous system and the interaction between the maturing organism, environment and a task (bio-psycho-social development). Any motor impairment may have a negative impact on an individual‘s function within activities of daily living, on his or her cognitive behaviour and inclusion in the society. When testing motor skills in children, it must be determined which deviation needs to be actively treated and corrected and which can be classified as a developmental variation that disappears with age independently of therapy. Since a child‘s development is continuous and dynamic, paediatric testing methods must be different than those used in adults. Various assessment tools used to determine the level of motor skills and to identify abnormalities are available. The purpose of this article is to provide a brief overview and description of the most used motor tests in children of a younger school age. The described assessment tools allow one to decide which child requires therapy and which one only needs specific recommendations or monitoring.
Respirační fyzioterapie (RFT) je integrální součástí komprehensivní péče o pacienty nejen s primárně respiračním onemocněním. Z dostupné literatury je zřejmé, že poruchy dechu na různých úrovních velmi významně ovlivňují posturální a motorické funkce jedince a je tomu tak i opačně. Různé techniky RFT nemají za cíl ovlivnit pouze očistu dýchacích cest a respirační funkce jako takové, ovlivňují nemocného jedince komplexně. RFT lze v pediatrii využít u širokého spektra diagnóz od respiračních onemocnění přes kardiovaskulární, metabolické a neurologické diagnózy, které ovlivňují dýchání, až po vzácná genetická onemocnění, jako je například cystická fibróza a primární ciliární dyskineze. Péče o pacienty se vzácnými onemocněními je centralizována na velká pracoviště s letitými zkušenostmi, jako je i Fakultní nemocnice v Motole. Text se zaměřuje na komplexní fyzioterapeutickou péči u dětí zejména se vzácnými diagnózami a seznamuje čtenáře nejen s klinickými, ale i recentními vědeckými poznatky v této problematice.
Respiratory physiotherapy (RPT) is an integral part of the comprehensive care for patients with primary respiratory disease and other diagnoses that affect breathing. Scientific literature reports a significant impact of respiratory disorders on postural and motor functions and vice versa. The quality of life can be improved by using various RPT techniques that positively affect airway clearance, respiratory function, and other body functions. RPT can treat numerous pediatric diagnoses, such as respiratory, cardiovascular, metabolic, and neurological diagnoses affecting breathing, including rare genetic diseases such as cystic fibrosis and primary ciliary dyskinesia. The care for patients with rare diseases is centralized in large centres with extensive equipment and well-trained personnel available, such as University Hospital in Motol. This manuscript describes complex physiotherapeutic care for pediatric breathing disorders, including rare respiratory diagnoses and presents an overview of recent scientific research on this topic.
OBJECTIVES: The diaphragm changes position and respiratory excursions during postural loading. However, it is unclear how it reacts to lifting a load while breath-holding or breathing with simultaneous voluntary contraction of the abdominal muscles (VCAM). This study analyzed diaphragm motion in healthy individuals during various postural-respiratory situations. METHODS: 31 healthy participants underwent examination of the diaphragm using M-mode ultrasonography, spirometry, and abdominal wall tension (AWT) measurements. All recordings were performed simultaneously during three consecutive scenarios, i.e., 1. Lifting a load without breathing; 2. Lifting a load and breathing naturally; 3. Lifting a load and breathing with simultaneous VCAM. RESULTS: Using paired-samples t-tests, lifting a load without breathing displaced the diaphragm's expiratory position more caudally (P < .001), with no change noted in the inspiratory position (P = .373). During lifting a load breathing naturally, caudal displacement of the diaphragm's inspiratory position was presented (P < .001), with no change noted in the expiratory position (P = 0.20) compared to tidal breathing. Total diaphragm excursion was greater when loaded (P = .002). Lifting a load and breathing with VCAM demonstrated no significant changes in diaphragm position for inspiration, expiration, or total excursion compared to natural loaded breathing. For all scenarios, AWT measures were greater when lifting a load (P < .001). CONCLUSION: In healthy individuals, caudal displacement and greater excursions of the diaphragm occurred when lifting a load. The postural function of the diaphragm is independent of its respiratory activity and is not reduced by the increase in AWT.
- MeSH
- bránice * diagnostické zobrazování fyziologie MeSH
- dýchání * MeSH
- lidé MeSH
- svalová kontrakce MeSH
- ultrasonografie MeSH
- vydechnutí MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
