Introduction: Women with breast cancer have an increasing chance of survival for many years. Multimodal, extremely effective but also aggressive treatment, often leads to disorders of neuromuscular excitability and physical fitness of the patients. Therefore, when planning the physiotherapy process of women treated for breast cancer, one should look for the most effective methods of improvement with broad neurostimulatory and neuromodulatory effects. In recent years, more and more attention has been paid to the possibilities of using virtual reality exercises in therapy. Aim: The study was to understand the impact of medical resort treatment extended with modern feedback exercises using virtual reality to improve postural control in breast cancer survivors. M aterial and Methods: A clinical, pilot, non-controlled study was conducted at the Solanki Medical Resort in Inowroclaw. 46 women aged 36 to 63 completed the study (mean 51.67 ± 6.62 years). The patients participated in spa therapy for 3 weeks. For basic medical treatment, to improve postural control, physical exercises using feedback based on virtual reality were introduced. Postural control tests performed on the stabilometric platform were used to assess the progress of therapy. Results: In the assessment of dynamic postural control, the length of the center of foot pressure (COP) movement path before the treatment was on average 278.28 cm (± 147.13) and after treatment shortened to 209.60 cm (± 86.49) which was statistically significant (p = 0.0083). In the assessment of static postural control, no statistically significant differences were found between the length of the COP pathway before treatment compared to the condition before treatment (p> 0.05). Conclusions: Medical treatment enriched with physical exercises using feedback based on virtual reality did not affect static postural control but contributed to the improvement of dynamic postural control. The results of the study should be confirmed in high-quality therapeutic experiments, including control groups.

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Mechanical traction of the lumbar spine remains a procedure very willingly used by therapists in many countries of the world, despite at least equivocal scientific evidence. One of the problems reducing its effectiveness is the problem with the selection of patients for therapy as well as selecting the therapeutic goals and treatment parameters for the patient in an individualized and, at the same time, repeatable manner. In this work, the authors presented such a model developed as part of Research and Development works carried out at the Leśny Dom Seniora in Piastów. Streszczenie: Trakcja mechaniczna kręgosłupa lędźwiowego pozostaje zabiegiem bardzo chętnie stosowanym przez terapeutów w wielu krajach świata, pomimo co najmniej niejednoznacznych dowodów naukowych. Jednym z problemów zmniejszających jej skuteczność jest problem zarówno z doborem pacjentów do terapii, jak i celu terapeutycznego i parametrów zabiegowych do pacjenta w sposób zindywidualizowany, a jednocześnie powtarzalny. W niniejszej pracy autorzy przedstawili taki model wypracowany w ramach prac Badawczo-Rozwojowych prowadzonych w Leśnym Domu Seniora w Piastowie.

Incroduction: Falls are a very serious problem for people over 65 years of age. The frequency of falls increases with age. Studies show that 18% of people under the age of 45 fall down every year, 25% of those aged 45-65 and 35% of those over 65. Material and Methods: 18 people from the participants of the project “Comprehensive diagnosis and rehabilitation of patients with back pain syndromes and those at risk of falling using innovative therapy” were qualified for the analysis. Patients, before and after therapy, were tested using a stabilometric platform. The test was conducted in a free standing position with eyes open (30 seconds) and then with eyes closed (30 seconds). Results: Comparison of patient results before and after therapy showed a statistically significant (p <0.05) improvement in posture stability expressed in the mean X-axis displacement rate (movement to the sides) and Y (antero-posterior movement) both in the study with eyes open and closed. A shortening of the mean length of the center of gravity projection path was also observed. Conclusions: The proposed therapeutic program had a positive effect on improving stability in the studied patients. This improvement was mainly expressed by reducing the speed of center of gravity displacement and shortening the path that the center of gravity travels in both the open and closed eyes test.

Introduction: The aim of the study was to learn the influence of treatment resort extended with modern exercises with feedback using virtual reality for postural control and reducing the risk of falls in people aged 65+. Material and Methods: Seventy four people (46 women, 28 men; aged 65-84) participated for three weeks in spa therapy, which was extended with physical exercises using feedback based on virtual reality to improve postural control and reduce the risk of falls. Postural control tests, “get up and go” test (TUG) and test standing up from the chair for 30 seconds were performed to assess the progress of the therapy. Results: After treatment in the Romberg trial performed on the stabilometric platform with open and closed eyes, a statistically significant improvement in most parameters indicating improved postural control was noted, including reduction of path length and surface area of center of foot pressure (COP), reduction of the length and speed of bowel movements COP in the frontal and sagittal planes. A statistically significant reduction in the time of the TUG test and increase the number of repetitions of standing up from the chair in 30 seconds were also noted. Statistical significance was assumed at the level of p≤0.05. Conclusions: Treatment resort enriched with exercises using virtual reality and feedback contributes to improving postural control and reducing the risk of falls in people aged 65+. The results of the study should be confirmed in high-quality therapeutic experiments, including control groups.