| Abstract [eng] |
Effects of Repetetive Exercise in Water on Biopsychosocial Changes in Individuals with Musculoskeletal Diseases. Aim of the research: Examine the Adapted Physical Activity programs efficiency for people after knee replacement surgery. Objectives: 1. Assess functional physiotherapy procedures impact on biopsychosocial indices. 2. Evaluate adapted physical activity’s procedures influence biopsychosocial indicators. 3. Identify the biopsychosocial indicators of changes in different groups. 4. Compare biopsychosocial indicators between the groups after the intervention programs. Methods and organization of the research: The survey was conducted in 2016. October - 2017. March. The Vilnius Antakalnis Clinical Hospital branch of medical rehabilitation and physical medicine and rehabilitation departments. The study included persons older than 65 years of age. A total of 35 persons after knee replacement surgery, who were divided into two groups, the two groups of subjects performed 22 procedures in 30 minutes. Walking distance was assessed 6-minute walk test, quality of life, SF-36, and WHO-QoL short questionnaire, and anxiety and depression level HAD scale. Data analysis: Primary and secondary data are expressed as the arithmetic mean and arithmetic mean standard errors. Quantitative characteristics mean statistical significance measured by calculating the Mann - Whitney and Wilcoxon test. Data matching set to normal distribution as used Shapiro - Wilk test. Two-dependent data sampling, normal distribution substandard conditions, was used for comparison nonparametric Wilcoxon Signed Ranks test. Independent samples do not meet the conditions of normal distribution was used to compare nonparametric Mann - Whitney test. The data are considered statistically significant at p <0.05. Conclusion: 1. An evaluation of the second group of participants completed the individual basic and functional physiotherapy: walking distance; level of anxiety; physical activity, psychological health, satisfaction with the environment assessment of WHO-QoL short questionnaire and physical activity, activity limitations due to physical ailments, pain, general health assessment, vitality, social function and emotional status of the evaluation of the SF-36 questionnaire changed significantly at the end of the intervention program (p<0.05). Depression level of social relationships, quality of life, health assessment, role limitations due to emotional problems did not change significantly (p>0.05). 2. An evaluation of the first group of participants completed the individual basic physiotherapy gym and group classes in the pool: walking distance; levels of depression; physical activity, psychological health, the assessment of WHO-QoL short questionnaire and physical activity, activity limitations due to physical ailments, pain, general health assessment, social function and emotional status of the evaluation of the SF-36 questionnaire changed significantly at the end of the intervention program (p<0.05). Anxiety, satisfaction with social relations environment, quality of life, perceived health, vitality, role limitations due to emotional problems did not change significantly (p> 0.05). 3. In the first group a statistically significant change in the level of depression (p <0.05),there was no significal change in the level of anxiety. The second group had a statistically significant change in the level of anxiety (p <0.05) there was no significal change in the level of depression. The first group of satisfaction with the environment has not changed significantly (p >0.05), there wore changes in the second grout (p <0.05). Vitality levels in the first group did not change significantly (p> 0.05), there wore changes in the second grout (p <0.05). |
