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Działania wspierające zatrudnienie osób z chorobami przewlekłymi

Bugajska Joanna, Łastowiecka-Moras Elżbieta

Bezpieczeństwo Pracy : nauka i praktyka

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2021

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nr 10

12-16

PL

Choroby przewlekłe w postępujący sposób ograniczają funkcjonowanie człowieka w życiu codziennym, w tym zawodowym. Wywierają duży wpływ na zdolność do wykonywania pracy i tym samym do zarobkowania. Etiologia chorób przewlekłych jest wieloczynnikowa. Istotną rolę w ich powstawaniu pełnią czynniki zawodowe i styl życia. Oddziaływanie na te czynniki stanowi jedno z ważniejszych zadań wspierających zatrudnianie osób z chorobami przewlekłymi. W artykule omówiono główne działania w zakresie promocji zdrowego stylu życia i dostosowania warunków pracy do potrzeb osób z chorobą zwyrodnieniową stawów, z wybranymi chorobami układu sercowo-naczyniowego (chorobą wieńcową i nadciśnieniem tętniczym) oraz z cukrzycą.

EN

Chronic diseases are progressively limiting the functioning of persons suffering from them in everyday life, including work activity. They have a great impact on the ability to perform work, and thus the earnings. The etiology of chronic diseases is multifactorial. Occupational factors and lifestyle play an important role in their formation. Influencing these factors is one of the most important measures supporting the employment of people suffering from chronic diseases. The article discusses the main activities in promoting a healthy lifestyle and adjusting working conditions to the needs of people with osteoarthritis, selected diseases of the cardiovascular system (coronary artery disease and hypertension), and diabetes.

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The electromyographic activity characteristics of the gluteus medius muscle before and after total hip arthroplasty

Kopeć Konrad, Bereza Przemysław, Sobota Grzegorz, Hajduk Grzegorz, Kusz Damian

Acta of Bioengineering and Biomechanics

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2021

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Vol. 23, no. 1

187--195

EN

Purpose: The clinical outcomes of total hip arthroplasty are influenced by the correct muscle function that determines good, longterm and proper function of the artificial joint. The aim of the study was to analyze the electromyographic activity of the gluteus medius muscle in patients with hip osteoarthritis and after arthroplasty in various static weight bearing conditions, both on the affected and contralateral side. Methods: The prospective study involved 70 patients qualified for hip replacement. Patients underwent a surface electromyography of the gluteus medius muscle which involved the Trendelenburg test. The normalized results were obtained for both hips, preoperatively and 6 months after arthroplasty. Results: The only muscle activity differences were found at a full load condition of lower limb. In the preoperative assessment, the activity of the gluteus medius muscle was greater on the side qualified for surgery. After arthroplasty and the rehabilitation period, the muscle activity on the operated side decreased and significantly increased on the contralateral side. Detailed analysis of the contralateral side revealed relationship with osteoarthritis. Previous hip arthroplasty of that side resulted in lower muscle activity, similar to fully functional joints. Conclusion: The activity characteristics of the gluteus medius muscle vary depending on the condition of the joint, and the characteristics change as a result of the surgical procedure performed on both the operated and contralateral sides. These dependencies should be taken into account in the rehabilitation process, especially at the side opposite to the operated one.

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Hamstring weakness at 90° flexion of involved knee as an indicator of the function deficit in males after anterior cruciate ligament reconstruction (ACLR)

Balki Selvin, Eldemir Sefa

Acta of Bioengineering and Biomechanics

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2021

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Vol. 23, no. 3

147--153

EN

Purpose: The aim of this study was to elucidate predictors on knee function following anterior cruciate ligament reconstruction with hamstring tendon graft or allograft and to detect the differences between it and the healthy controls. Methods: This study comprised of 46 males, aged 18–45, being within 6–60 months following unilateral anterior cruciate ligament reconstruction and 50 healthy men. Measurements included the Tampa Scale for Kinesiophobia-17, the self-reported knee function with the Knee Injury and Osteoarthritis Outcome Score, Tegner activity scale and handheld dynamometry the hamstring/quadriceps femoris muscle testing at 90° of flexion. Regression analyses were performed to predict the knee function in the anterior cruciate ligament reconstruction group. Results: The anterior cruciate ligament reconstruction group showed significantly lower Tegner activity and hamstring/quadriceps femoris strength, higher kinesiophobia and worse Knee Injury and Osteoarthritis Outcome Score (p < 0.05). Their Knee Injury and Osteoarthritis Outcome Score-Sport/Recrection, Quality of Life and –Total values were modestly associated with the satisfaction with prior rehabilitation, activity level, graft type, kinesiophobia, time since the reconstruction and hamstring strength ( p < 0.05). The hamstring strength was the only important predictor of the Knee Injury and Osteoarthritis Outcome Score-Total (p < 0.01). The involved knee handheld dynamometrymass normalize-hamstring strength at 90° of flexion predicted 20.5% of the variance in the knee function. Conclusions: Presence of a decreased handheld dynamometry-mass normalized-hamstring strength result at hyper-flexion after anterior cruciate ligament reconstruction in men may indicate self-reported knee function disorder.