Physical Activity, Psychological and Functional Outcomes in Non-Ambulatory Stroke Patients during Rehabilitation-A Pilot Study.

Despite the extensive literature on stroke rehabilitation, there are few studies that comprehensively show non-ambulatory stroke patients. The aim of the study was to explore the dynamics of the change in physical activity (PA), psychological and functional outcomes, and the correlation between them in non-ambulatory patients during early in-patient post-stroke rehabilitation. Measurements were taken on 21 participants at the beginning of and 6 weeks post-conventional rehabilitation with the Barthel Index (BI), Berg Balance Scale (BBS), Trunk Control Test (TCT), Stroke Impact Scale (SIS), General Self-Efficacy Scale, Stroke Self-Efficacy Questionnaire (SSEQ), the original scale of belief in own impact on recovery (BiOIoR), Hospital Anxiety and Depression Scale, Acceptance of Illness Scale and when the patient could walk­Time Up & Go and 6 Minute Walk Test. Daily PA was assessed over 6 weeks using a Caltrac accelerometer. Only outcomes for BI, BBS, TCT, SIS, and SSEQ significantly improved 6 weeks post-rehabilitation. PA energy expenditure per day significantly increased over time (p < 0.001; effect size = 0.494), but PA only increased significantly up to the third week. PA change was correlated with BiOIoR post-treatment. Self-efficacy in self-management mediated improvement in SIS. The BiOIoR and confidence in self-management could be important factors in the rehabilitation process.

Cognitive Factors in Elite Handball: Do Players' Positions Determine Their Cognitive Processes?

For an athlete to be successful at the professional level, he or she should be characterized by extraordinary preparation in four areas: physical, technical, cognitive (related to game strategy, perception, and decision-making), and emotional (coping, emotional control). This study aimed to determine the level of selected cognitive traits in handball players while considering their sports level and assigned position on the court. Fifty handball players participated in the study. Participants consisted of 35 national team players, six first-division players, and nine second-division players. There were no significant differences between players from the elite (national team) and the sub-elite (I and II divisions) group. The results identified major differences in selective attention and short-term memory between handball players assigned to different positions (goalkeepers, compared to players in other positions, had lower attention and short-term memory). Thus, it is possible to develop a more effective psychological training program. However, it must be remembered that the results showed great variability among handball players. With this in mind, individual differences should be taken into account when planning psychological interventions.

Services and Amenities Offered by City Hotels within Family Tourism as One of the Factors Guaranteeing Satisfactory Leisure Time.

Travelling families are interested in urban tourism due to its cognitive and entertainment aspects. Some expectations of parents travelling with children are the same independent of the accommodation location. The purpose of this article is to examine at what level city hotels offer services and amenities within family tourism, how they meet parents' expectations and whether they adapt offers to children of different ages. Two measurement tools were used for this study. The first one was the authors' questionnaire addressed to hotel managers. A total of 88 hotels located in Krakow were selected for the study. The survey contained questions on the offers of hotels related to various services and amenities for families with children, which were assigned to one of three groups (24 items): general child-friendly hotel services and amenities, in-room amenities and restaurant amenities. In the second phase of the study, parents of children aged 0-10 years were asked to assess the degree to which the amenities offered by hotels were important for them during the selection of a hotel. In total, 90 surveys were taken into consideration. The tool was designed to examine the needs of parents who have children of different ages, in regard to selected hotel services and amenities (24 items). As in the case of the surveys for hoteliers, the same three groups were created. The research demonstrates that children's age is the key factor that should lead to the differentiation of the accommodation offer. However, hoteliers largely perceive children as a homogeneous group. In all studied age categories (6) and amenities groups (3), parents' expectations were higher than the services and amenities offered. No significant differences regarding the category of the hotel or hotel chain membership have been found. The results of the study may provide valuable guidance to hoteliers who wish to attract families with children to urban tourism and adapt their offer to them, thus realising the principle of inclusiveness. They may be also a significant contribution to the literature on the subject, as most published work concerns holiday hotels rather than city hotels.

The Effects of Pain Expectancy and Desire for Pain Relief on the Memory of Pain in Half Trail Marathon Runners.

PURPOSE: It has been shown that the memory of pain induced by running might be underestimated. Our previous study showed the contribution of emotional factors to this process. This study aimed to investigate the cognitive factors that might influence the memory of this type of pain, ie expectancy of pain intensity, expectancy of pain unpleasantness, and desire for pain relief. PARTICIPANTS AND METHODS: A total of 49 half-marathon runners rated the intensity and unpleasantness of pain immediately after completing a run and one month later. Participants rated the expected intensity and unpleasantness of the upcoming pain before starting the run, as well as the desire for pain relief after its completion. Those who also participated in the previous edition of the half marathon were asked to recall the pain experienced due to that run. RESULTS: Participants underestimated remembered pain intensity and unpleasantness. The desire for pain relief mediated the memory of pain intensity (p < 0.05), while expectancy of pain intensity influenced memory of pain intensity (a × b) through its effect on the experienced pain (bootstrapped point estimate = 0.08; 95% CI: 0.02-0.32). The remembered intensity of pain experienced during the previous half marathon affected the current pain experience directly (p < 0.05) or indirectly (a × b) by generating pain-related expectancy (bootstrapped point estimate = 0.11; 95% CI: 0.01-0.46). The cognitive variables did not influence the memory of pain unpleasantness. CONCLUSION: The memory of pain induced by sports activity may change due to cognitive factors; however, further research is needed to investigate their role in shaping the memory of the sensory and affective dimensions of pain.

Postural stability at different heights as well as in natural standing position and during tandem stance in female athletes who practice artistic gymnastics.

PURPOSE: The aim of this work was the assessment of postural stability at different heights as well as in natural standing position and during tandem stance in female athletes who practice artistic gymnastics. METHODS: The study comprised 34 athletes aged 8-12, practicing artistic gymnastics at a sports club "Korona Kraków". The research tool was CQ-Stab 2P two-platform posturograph. The elevation was achieved using the Light SPL platform. The data were analyzed based on Wilcoxon signed-rank test and Spearman's rank correlation. RESULTS: The height at which the posturograph was set differentiated the path length of the statokinesiogram, both in the natural stance ( p = 0.035) and tandem stance ( p = 0.012). When the posturograph was placed on the floor, statistically significantly higher sway area delimited by the COP point ( p < 0.001), statokinesiogram path length ( p < 0.001), mean amplitude of COP displacement ( p < 0.001) and mean frequency of COP displacement ( p = 0.048) values were recorded in the tandem stance position. On the other hand, when the posturograph was placed on a landing, statistically significantly higher sway area delimited by the COP point ( p < 0.001), statokinesiogram path length ( p < 0.001) and mean frequency of COP displacement ( p < 0.001) values were recorded in the tandem stance position. CONCLUSIONS: Increasing height was accompanied by deterioration of stability indices. Postural stability improves with training experience.