The study aimed to establish the short-term and long-term effects of whole-body vibration on postural stability. The sample consisted of 28 male subjects randomly allocated to four comparative groups, three of which exercised on a vibration platform with parameters set individually for the groups. The stabilographic signal was recorded before the test commenced, after a single session of whole-body vibration, immediately after the last set of exercises of the 4-week whole-body vibration training, and one week after the training ended. The subjects were exposed to vibrations 3 times a week for 4 weeks. Long-term vibration training significantly shortened the rambling and trembling paths in the frontal plane. The path lengths were significantly reduced in the frontal plane one week after the training end date. Most changes in the values of the center of pressure (COP) path lengths in the sagittal and frontal plane were statistically insignificant. We concluded that long-term vibration training improves the postural stability of young healthy individuals in the frontal plane.

Breast cancer-related lymphedema is one of the complications resulting from treatment. It is defined as arm oedema in the breast cancer patients caused by interruption of the flow of the axillary lymphatic system from surgery or radiation therapy, which results in the accumulation of fluid in the subcutaneous tissue of the arm, with a decrease in tissue distensibility around the joints and an increased weight of the extremity.Decongestive lymphatic therapy is common management for lymphedema. A program combining skin care, manual lymphatic drainage, exercise, and compression therapy (multilayer bandage or garment) is recognised as the best practice in lymphedema management.Kinesio taping (KT) for lymphatic drainage is a new choice in the field of physical therapy. The material and the original concept of the taping technique were introduced by Dr Kenso Kase in 1973. K-tape had been designed to allow 30-40% longitudinal stretch. It is composed of 100% cotton fibers and acrylic heat sensitive glue. Development of the technique for its administration is still ongoing.The paper discusses the case of a woman with breast cancer, in whom lymphedema occurred. The patient had three weeks of therapy. The treatment consisted of 12 manual lymphatic drainage, 12 pneumatic compressions and 3 applications of the KT method (due to the lack of standard multi-layer bandaging). During the measurement of oedema it was noted that KT had a significant effect on the reduction of lymphedema and accelerates healing effects compared to standard methods.

StreszczenieWspółczesne społeczeństwo boryka się z nietrzymaniem moczu, które stanowi ważny problem medyczny, psychologiczny i społeczny. O nietrzymaniu moczu w Polsce zaczęto mówić więcej na przestrzeniu ostatnich lat, choć problem nie jest nowy. Autorzy w niniejszej pracy podkreślają potrzebę sprecyzowania strategii profilaktyki i leczenia nietrzymania moczu. Przedstawiona praca to przegląd opublikowanych badań nad czynnikami predysponującymi do występowania nietrzymania moczu. Na podstawie dostępnego piśmiennictwa naukowego przeanalizowano również znaczenie profilaktyki u kobiet z zaburzeniami mikcji. Dotychczas przeprowadzono szereg badań dotyczących efektywności różnych form leczenia zachowawczego wysiłkowego nietrzymania moczu. Do najczęściej stosowanych metod fizjoterapeutycznych zalicza się m.in. ćwiczenia mięśni dna miednicy oraz metodę biofeedbacku. W opinii wielu autorów wymienione metody leczenia zachowawczego dają dobre efekty, lecz ze względu na różnorodność metodyczną prowadzonych form terapii nie można bezpośrednio porównać rezultatów tych obserwacji. Istnieje potrzeba sprecyzowania strategii leczenia nietrzymania moczu i zapobiegania temu schorzeniu.Słowa kluczowe: wysiłkowe nietrzymanie moczu, ćwiczenia mięśni dna miednicy, biofeedback, profilaktyka. SummaryModern society suffers from stress incontinence, which is an important medical, psychological and social problem. Stress incontinence has been discussed in Poland for the last years, but the problem is not new. The authors of this science paper emphasize the necessity for clarification of the strategy of prevention and treatment of urinary incontinence. This publication is a review of the published research concerning risk factors for the prevalence of stress incontinence. Based on the scientific literature, the importance of prevention of the urinary incontinence in women has also been analyzed. Until now, there have been numerous researches investigating the effectiveness of various forms of conservative treatment for stress urinary incontinence. The most common physiotherapy methods include exercises of the pelvic floor muscles and biofeedback. In the opinion of many authors, these methods of the conservative treatment have a beneficial effect but due to a variety of methodical approaches in the treatment you cannot directly compare the results of these observations. There is a necessity for clarification of the strategy of treatment and prevention of urinary incontinence.

Vibration training has become a popular method used in professional sports and recreation. In this study, we examined the effect of whole-body vibration training on the central nervous system and muscle excitability in a group of 28 active men. Subjects were assigned randomly to one of two experimental groups with different variables of vibrations. The chronaximetry method was used to evaluate the effect of a single session of whole-body vibration training on the excitability of the rectus femoris and brachioradialis muscles. The examination of the fusing and flickering frequencies of the light stimulus was performed. An increase in the excitability of the quadriceps femoris muscle due to low intensity vibrations (20 Hz frequency, 2 mm amplitude) was noted, and a return to the initial values was observed 30 min after the application of vibration. High intensity vibrations (60 Hz frequency, 4 mm amplitude) caused elongations of the chronaxy time; however, these differences were not statistically significant. Neither a low intensity vibration amplitude of 2 mm (frequency of 20 Hz) nor a high intensity vibration amplitude of 4 mm (frequency of 60 Hz) caused a change in the excitability of the central nervous system, as revealed by the average frequency of the fusing and flickering of the light stimulus. A single session of high intensity whole-body vibration did not significantly decrease the excitability of the peripheral nervous system while the central nervous system did not seem to be affected.

StreszczenieWstęp: Uciążliwe konsekwencje, obniżenie jakości życia, częstość występowania oraz uwarunkowania medyczne i społeczne związane z nietrzymaniem moczu znajdują się w kręgu zainteresowań wielu autorów. Nietrzymanie moczu ze względu na rozpowszechnienie w społeczeństwie ma charakter choroby społecznej.Cel pracy: W pracy przedstawiono wyniki badania ankietowego wśród kobiet polskich aglomeracji śląskiej, którego celem było określenie deklarowanego nasilenia czynników ryzyka i występowania objawów nietrzymania moczu.Materiał i metody: Kobiety podzielono na podgrupy ze względu na wiek. Grupę A1 stanowiły kobiety w wieku 41-50 lat, w grupie A2 znalazły się kobiety w wieku 51-60 lat, a w grupie A3 -w wieku 61-70 lat. Grupa A4 obejmowała kobiety w wieku 71 lat i starsze.Wyniki: Czynniki związane ze stylem życia, takie jak ilość wypijanej kawy, palenie papierosów czy obecność zaparć, występowały w grupach z średnim nasileniem. Objawy nietrzymania moczu deklarowały kobiety we wszystkich badanych grupach, lecz największe nasilenie występowało u kobiet powyżej 71. roku życia. Nasilenie czynników niepodlegających modyfikacji kształtowały się na niskim poziomie. Pomimo przewagi kobiet otyłych w grupie A3 nie wykazano korelacji pomiędzy otyłością a występowaniem objawów nietrzymania moczu w tej grupie.Wnioski: Porównanie międzygrupowe występowania objawów nietrzymania moczu wskazało najwyższe wartości średnie w grupie najstarszych kobiet, istotnie wyższe w porównaniu z grupą kobiet młodszych.Słowa kluczowe: nietrzymanie moczu, czynniki ryzyka. SummaryIntroduction: Inconvenient consequences, reduced quality of life, prevalence of urinary stress incontinence as well as medical and social determinants associated with urinary incontinence are an object of interest for many authors. Urinary incontinence is a social disease due to its high prevalence.Aim of the study: This paper presents the results of a questionnaire among Polish women from the Silesia region aimed to determine declared severity of risk factors and symptoms of urinary incontinence.Material and methods: Women were assigned to one of four comparison groups according to their age. Group A1 involved women aged between 41 and 50, group A2 -51-60, group A3 -61-70. Group A4 involved women at the age of 71 and more.Results: Factors related to lifestyle, such as the amount of coffee, smoking and the presence of constipation, occurred in the groups with medium intensity. The prevalence of symptoms of urinary stress incontinence was confirmed by women of all research groups; however, the symptoms were the most prevalent among women aged 71 and more. The intensity of non-modifiable factors occurrence was low. Although group A3 involved more obese women than others, there was no correlation between obesity and severity of symptoms of urinary incontinence in group A3. Przegl¥d menoPauzalny 5/2013 379 Nietrzymanie moczu ze względu na rozpowszechnienie w społeczeństwie ma charakter choroby społecz-nej i jako takie wymaga stworzenia systemu działań obejmującego profilakty...