[Horse riding as a form of recreation and professional sport taking into account the spine mobility of riders - a preliminary results]. / Jezdziectwo konne forma sportu wyczynowego i rekreacji z uwzglednieniem zakresu ruchomosci kregoslupa osób trenujacych - wyniki wstepne.

UNLABELLED: Horse riding becoming increasingly common and popular form of recreation and leisure activities. However, enforced, proper posture while riding a horse, may contribute to decrease mobility of spine and lead to occurrence back pain. AIM: The aim of this study was to assess the impact of the systematic training of horse riding on the global mobility of the spine and back pain prevalence in-training horse riders professionally and recreational. MATERIALS AND METHODS: The study included 70 horse riders. The subjects were divided into two groups: 1) professional horse riders (n=50; 71.43%) or 2) a group of subjects who train for recreation (n=20; 28.57%). Performed functional tests to assess the range of motion of the spine. The study used an original survey about exercise intensity and occurrence pain complaints. RESULTS: It has been shown statistically significant difference in the measurement range of the global spine mobility between professional horse riders and recreational horse riders (p<0.007). Professional horse riders have often limited range of motion of the spine. It was also observed that every fifth (20%) professional horse rider and one in four (25%) subject which training recreational experience back pain during training and it is dependent upon the mobility of the spine (p <0.04). CONCLUSIONS: In professional horse riders more often seen limitation of global mobility of the spine compared with subjects who training recreational while the occurrence of back pain was related in both group - in professional and recreational horse riders.

[Is a single application soft tissues techniques of spine area may cause increase trunk mobility?]. / Czy jednorazowe zastosowanie terapii manualnej tkane miekkich grzbietu moze wplynac na ruchomosc tulowia?

UNLABELLED: The primary goal of application soft tissue techniques is to restore the proper mobility of fascia. Disturbance of soft tissue mobility can cause disorder in deep tissues and lead to musculoskeletal dysfunction. AIM: The aim of the study was to evaluate the effectiveness of soft tissues techniques of spine area to thoracic and spine mobility. MATERIALS AND METHODS: Examined 30 subjects (15 women and 15 men) aged: x=19.9±1.2. Were performed measurements: mobility of the thorax, flexibility of the trunk in planes: sagittal and frontal. Then applied selected soft tissue techniques of spine area. Immediately after the therapy measurements were repeated. RESULTS: Occurred increase mobility and flexibility among women statistically significant. Among men, the increase in mobility occurred in all measurements in addition to the finger-floor test and horizontal range of arms. CONCLUSIONS: The application of soft tissue techniques may favorably influence on increasing mobility of thoracic and trunk flexibility. Confirmation results of the observations in other studies may be part of the improvement in the rehabilitation proceedings.

Expression of the Endothelin-1 Gene and Its Type a Receptor including Physical Activity among Patients with Acute Myocardial Infarction.

Cardiovascular diseases are the most common causes of death, in both Poland and the world. Their development and progression are largely influenced by the lifestyle with the presence/occurrence of classic, modifiable risk factors. Among them, low physical activity plays a significant role. The aim of the study was to evaluate the expression of the endothelin-1 gene and its type A receptor, taking into account physical activity (International Physical Activity Questionnaire-IPAQ) among patients with acute myocardial infarction. A total of 234 patients with acute myocardial infarction were examined, including 167 patients undergoing early post-hospital cardiac rehabilitation and 67 not participating in it. All of them were assessed with the IPAQ questionnaire and the quantitative real-time polymerase reaction method (QRT-PCR). Physical activity in the group of patients after early post-hospital cardiac rehabilitation increased after rehabilitation. Transcriptional activity of the endothelin-1 (ET-1) gene in both studied group of patients increased significantly, but in a group of patients not participating in early post-hospital cardiac rehabilitation more than in a group of patients participating in it. In our study, the expression of ET-1 was also significantly higher in the group of patients with acute myocardial infarction with ST-segment elevation, without diabetes, with lipid disorders, smoking, with normal body weight. Expression of the ENDRA (Endothelin receptor A) gene increased with age. These results prove the beneficial effect of rehabilitation and may indicate another pathomechanism of pro-atherogenic activity of above-mentioned factors.

Fear of movement (kinesiophobia) - an underestimated problem in Polish patients at various stages of coronary artery disease.

INTRODUCTION: The importance of the problem of reduced motor activity in the prophylaxis and treatment of many diseases has resulted in numerous adaptations of a diagnostic tool, both for the disease and for linguistic and cultural versions. This also applies to cardiovascular diseases. The significance of the problem, and encouraging results of several studies, have led to a wider use of this tool. This also applies to people suffering cardiologically in Poland, where this problem is poorly understood. This was the inspiration to undertake research on the explanation of the reasons for the limitation in the activation of cardiac patients. OBJECTIVE: The aim of the study was to determine the level of kinesiophobia in patients with CAD, and to assess its possible association with physical activity (PA), socio-demographic determinants and morbidity. MATERIAL AND METHODS: The study was cross-sectional and included 217 hospitalized patients with CAD: 94 women and 123 men; aged 67.39 years. PA was assessed using the short version of IPAQ, and kinesiophobia was assessed using TSK Heart in Polish adaptation. TSK HeartIPAQ correlations were found. RESULTS: More than 70% of the patients revealed high levels of kinesiophobia (TSK>37 points). There were no TSK associations with gender, BMI, socio-demographic variables, other conditions and duration of cardiovascular disease. The disease is the main cause of kinesiophobia and regardless of its nature, negatively affects the level of PA. CONCLUSIONS: The quality of life of patients with CAD at various stages and the effectiveness of cardiolog-ical rehabilitation are conditioned by PA.

Impact of post-hospital cardiac rehabilitation on the quality of life of patients after surgical treatment for coronary artery disease.

INTRODUCTION: The quality of life of cardiovascular patients is worse than that of healthy individuals. Pain, dyspnea, and fatigue impair daily activities, which in turn leads to decreased life satisfaction and emotional deterioration. The objective of comprehensive treatment, including early rehabilitation, is to reduce the risk of complications, progression, and recurrence of the disease, as well as to restore, maintain, or improve all aspects of the patient's quality of life to the greatest extent possible. AIM: To assess the quality of life of patients who underwent surgical treatment for coronary artery disease and completed the second phase of cardiac rehabilitation. MATERIAL AND METHODS: The study enrolled 100 patients undergoing early cardiac rehabilitation in stationary conditions after coronary artery bypass grafting. The group included 21 women and 79 men; their age ranged from 40 to 75 years. The study employed a questionnaire of our own design. RESULTS: Post-hospital cardiac rehabilitation resulted in quality of life improvements, especially with regard to psychological aspects, reducing the occurrence of anxiety from 44% to 21%. In addition, the rehabilitation program reduced the occurrence of subjective ailments such as chest pain (from 68% to 10%), fatigue (from 40% to 33%), and dyspnea (from 50% to 12%). CONCLUSIONS: Despite the achievement of quality of life improvements among patients after surgery coronary artery by-pass grafting and early cardiac rehabilitation, the result is not fully satisfactory. Systematic treatment and education should be continued to further improve the health of patients.