Witam :D
Mam na angielski streścić artykuł a następnie przedstawić odo przed grupą.
Proszę o sprawdzenie tego co na razie ogarnęłam xD z góry thx :D
Mój początek
Good morning. It is my great pleasure to talk to you today. I would like to talk about assessment of the effects of Proprioceptive Neuromuscular Facilitation therapy on the improvement of motor function in a patient after total hip replacement – a case study. The authors of the article I used are Agnieszka G., Anna Sz. et al.
Fragment artykułu który mam streścić
Introduction
Osteoarthritis is one of the most common motor disorders in people over 40. According to the World Health
Organization, 10% of the world population aged 60 or over have symptoms of osteoarthritis, although only
25% complain of it. Deformities and degenerative changes of the hip joints are caused by congenital and
acquired defects, traumas, metabolic diseases, excessive joint overload, being overweight, too little or a lack
of physical activity, bad body posture and many others causes.
The condition is often accompanied with severe pain in the groin area, sometimes in the buttocks, and pain in the knee might also occur. Pain occurs during gait and on exertion, and when condition progresses,
the symptoms occur also at rest, sometimes at night. The aggravation of the disease limits active and passive
range of motion (ROM) in the joint, affects the strength of extensors and abductors. At later stages, muscle atrophy in the lower limb and limping may also appear. The consequence of pathological gait pattern in the elderly are falls, with most frequent complications being fractures in the upper femoral segment. The increasing number of these fractures in elderly people poses a significant medical and social problem and are a heavy
burden for institutions taking care of the sick.
An effective treatment for hip problems due to degenerative changes or fractures is endoprosthesis plasty (alloplasty), considered one of the greatest advances of medicine during the last century. This surgery allows patients to regain the ability to independently perform activities of daily living, gives independence and
significantly improves the quality of life. Endoprosthetic surgery is one of the most common operations
on the hip joint. According to National Health Fund (NHF) statistics in Poland, 46,685 hip joint endoplasties were performed in 2015, of which 37,126 were total hip endoprosthesis, 8,898 were partial endoprosthesis,
and the largest population of patients were people aged 60-69. This procedure is successful in 90-95% of cases and the patient returns to normal functioning after several months. The main aim of the surgery is to relieve pain and restore proper joint function, correct the disturbed joint axis and restore stability, which leads to an improved quality of life for patients. Endoprosthesis plasty is one of the most extensive orthopedic surgeries
in which permanent elements of the prosthesis are set to restore, as closely as possible, normal joint function.
Depending on the type of bone binding, cement and cement-free endoprosthesis can be distinguished. In cement-free endoprosthesis, an acetabular cup is inserted by pressing (Press-fit, Eco-fit) or screwed to the bone,
the stem is attached to the femur by means of a wedge. Both elements of the endoprosthesis are metal with a
porous surface, which causes the accretion of the prosthesis to the bone of the patient over time. In cemented endoprostheses there is a polyethylene pan, a metal stem and a metal or ceramic head, and the elements are
attached to the bone with a bone glue called cement.
The Proprioceptive Neuromuscular Facilitation (PNF) concept was used in this study which focuses on proprioception and joint mechanics to facilitate movement similar to natural movements in the activities of daily living. Proprioceptive Neuromuscular Facilitation therapy implies a multi-faceted therapeutic
approach, emphasizing the essence of motor control as a determinant of optimal function restoration. In
the PNF concept, it is important to develop appropriate motor strategies, a positive approach with minimal
pain, attainment of tasks, and use of a patient’s physical and mental resources and to maintain motivation
for further activity. Proprioceptive Neuromuscular Facilitation therapy, through optimal patient mobilization
and full use of body reserves, allows for faster and more efficient return of lost functions and thus achieves very
good therapeutic effects.
The aim of the study was to evaluate the influence of PNF therapy on the change in muscle strength, mobility and gait pattern in the patient after Total Hip Arthroplasty.
Moje streszczenie tego wyżej
First I would like to say a few words about hip Osteoarthritis, its treatment methods, symptoms and Proprioceptive Neuromuscular Facilitation concept. So.. Osteoarthritis is one of the most common motor disorders in people over 40.
Causes of the disease are congenital and acquired defects, traumas, metabolic diseases, excessive joint overload, being overweight, too little or a lack of physical activity, bad body posture and many others causes.
The symptoms of the disease are pain often occurs during gait and on exertion, and when condition progresses, the symptoms occur also at rest, sometimes at night. In addition, it occurs limits active and passive range of motion in the joint muscle atrophy in the lower limb and limping may also appear. An effective treatment for hip problems due to degenerative changes or fractures is alloplasty. This surgery allows patients to regain the ability to independently perform activities of daily living, gives independence and significantly improves the quality of life.
The Proprioceptive Neuromuscular Facilitation concept focuses on proprioception and joint mechanics to facilitate movement similar to natural movements in the activities of daily living. In the PNF concept, it is important to develop appropriate motor strategies, a positive approach with minimal pain, attainment of tasks, and use of a patient’s physical and mental resources and to maintain motivation for further activity.
The aim of the study was to evaluate the influence of PNF therapy on the change in muscle strength, mobility and gait pattern in the patient after Total Hip Arthroplasty.