Monika Nowak

Dr. Monika Nowak

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Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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MNMonika Nowak
Monika Nowak
JGJoanna Golec
Joanna Golec
Aneta WieczorekAneta Wieczorek
Aneta Wieczorek
PGPiotr Golec
Piotr Golec
Background: There is still an ongoing debate about the role of the craniomandibular system, including occlusal conditions, on postural stability. This study aims to assess the role of antero-posterior malocclusion on postural control and plantar pressure distribution during standing and walking. Methods: 90 healthy volunteers (aged 19 to 35) were qualified for the study. The subjects were assigned to three groups, depending on the occlusion type. Each group (Angle Class I, II and III) consisted of 30 people. The research procedure included a clinical occlusal assessment performed by a dentist. Postural control measurements were carried out using a force platform by measuring plantar pressure distribution during standing (six trials with and without visual control) and walking test conditions. Results: The tendency to shift the CoP forward is demonstrated by Angle Class II subjects and backwards by Class I and III subjects (p < 0.001). Individuals with a malocclusion demonstrated significantly higher selected stabilographic parameters while standing on both feet (with eyes open and closed) and during the single-leg test with eyes open (p < 0.05). The analysis of the dynamic test results showed no significant correlations between Angle Classes and the selected gait parameters. Conclusions: Analyses conducted among individuals with malocclusions showed the impact of occlusion on static postural stability. In order to diagnose and effectively treat malocclusion, a multidisciplinary approach with the participation of dentists and physiotherapy specialists is necessary, with the use of stabilometric and kinematic posture assessments.

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MNMonika Nowak
Monika Nowak
JGJoanna Golec
Joanna Golec
PGPiotr Golec
Piotr Golec
Aneta WieczorekAneta Wieczorek
Aneta Wieczorek
Objectives: This study aimed to find if a relationship exists between antero-posterior malocclusions and the level of musculoskeletal disorders in adults, including body posture and static foot analysis. Methods: In all, 420 participants were recruited through convenience sampling (Kraków University students and patients of a local dentist’s practice). Following general medical interviews, dental examinations and consideration of inclusion and exclusion criteria, 90 healthy volunteers (ages 19–35) were enrolled and assigned to three groups (n = 30) based on occlusion type (Angle’s molar Class I, II or III). The research procedure involved occlusion and temporomandibular disorder assessment conducted by a dental specialist. Comprehensive morphological measurements of body asymmetry were performed using the Videography 2D package and FreeSTEP software, which calculated the parameters determined from anterior, posterior and lateral projection photos. Foot loading distribution was analyzed using the FreeMED baropodometric platform. Results: Significant differences were demonstrated in the positioning of the head, cervical and lumbar spine in the sagittal plane among individuals with the analyzed occlusal classes (p < 0.05). Individuals with Angle’s Class II exhibited significantly greater forward head positions and greater depths of cervical and lumbar lordosis compared with individuals with Class III or Class I. Those with overbites had higher forefoot loading. The Class III individuals exhibited greater L-R displacement, indicating a larger angle of displacement of the centers of the right and left feet relative to the lower edge of the measurement platform, suggesting pelvic rotation. Conclusions: An inclination for concurrent occurrences of malocclusions and posture deviations in the sagittal plane was observed. An interdisciplinary approach involving dentistry and physiotherapy specialists which utilizes tools for comprehensive posture assessment is crucial for diagnosing and treating such conditions.

4 December 2025 in Journal of Clinical Medicine
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MNMonika Nowak
Monika Nowak
JGJoanna Golec
Joanna Golec
JGJędrzej Golec
Jędrzej Golec
Aneta WieczorekAneta Wieczorek
Aneta Wieczorek
Background: The relationship between sagittal malocclusion, temporomandibular disorders (TMD), and musculoskeletal pain remains uncertain. Methods: Cross-sectional study (April 2020–August 2021) in Małopolska, Poland. Ninety participants (ages 19–35) were classified into Angle Classes I–III (n = 30 each) and examined using RDC/TMD (Axis I/II). A proprietary, nonvalidated, piloted whole-body pain-map questionnaire, presented in anterior and posterior views and subdividing the body into predefined craniofacial, spinal, and limb regions, was used to capture pain presence, Numerical Rating Scale (NRS, 0–10) scores by region, and the total number of painful sites. Group differences were analyzed using χ2 and Kruskal–Wallis tests with corresponding effect sizes (measures of association strength). For NRS outcomes, a minimal clinically important difference (MCID)—defined as the smallest difference in NRS considered clinically relevant—was prespecified as approximately 1 point. Results: Occlusal class was not associated with TMD Axis I prevalence. However, sagittal malocclusion—particularly Class III—was linked to a less favorable pain profile. Left temporal pain was more frequent in Class III than in Classes I–II (p = 0.024, Cramér’s V = 0.31, medium effect), and cervical spine pain occurred more often in malocclusion groups than in Class I (p = 0.043, Cramér’s V = 0.26, small effect), indicating statistically significant associations. Cervical pain intensity was higher in Classes II–III than in Class I, with a pooled mean difference—defined as the difference in mean NRS between the combined Classes II–III and Class I—of 1.23 NRS points (95% CI 0.38–2.08), exceeding the ≈1-point MCID and suggesting a clinically important burden. The total number of painful sites was also greater in Class III than in Class I (p = 0.023, η2 = 0.09; Δ = 1.40 sites, 95% CI 0.39–2.41), which indicates a statistically significant association with a medium effect size and a higher overall pain burden. Conclusions: Sagittal occlusal class was not associated with TMD diagnosis, but malocclusion—especially Class III—was associated with a more unfavorable craniofacial pain pattern and higher cervical pain burden (p ≤ 0.05), with effects of potential clinical relevance.

13 November 2025 in Applied Sciences
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JGJoanna Golec
Joanna Golec
SGSara Gamrot
Sara Gamrot
MMMonika Michalik
Monika Michalik
ISIwona Sulowska-Daszyk
Iwona Sulowska-Daszyk
MNMonika Nowak
Monika Nowak
JBJoanna Balicka-Bom
Joanna Balicka-Bom
Pelvic floor muscles (PFMs) in women play a key role, and their proper functioning depends on the coordinated interaction with other anatomical structures, particularly the diaphragm and deep abdominal muscles, which together constitute the so-called core stabilizing unit. The aim of this study was to evaluate the effects of diaphragmatic breathing therapy on pelvic floor muscle function and stress levels in healthy women. The randomized, controlled, parallel-group trial (allocation 1:1) included 42 women aged 21–30 years who met the inclusion and exclusion criteria. The experimental group received diaphragmatic breathing therapy. The following assessment tools were used: Surface Electromyography (sEMG), the Sexual Satisfaction Questionnaire in Close Relationships (KSS) by M. Plopa, and the Perception of Stress Questionnaire (KPS) by M. Plopa and R. Makarowski. In the experimental group, a significant reduction in resting PFM activity was observed in the final stage of the measurement protocol, along with a tendency toward decreased activity during relaxation phases. A trend toward increased amplitude during phasic and tonic contractions was also noted, more pronounced after therapy than in the control group, although not statistically significant. No significant associations between stress dimensions and sexual satisfaction were found in the control group, whereas in the experimental group, higher worry, reduced sense of meaning, low agency and pessimism correlated with lower sexual satisfaction and difficulties achieving orgasm. These findings suggest that diaphragmatic breathing therapy may reduce resting pelvic floor muscle activity and perceived emotional stress.

26 August 2026 in Journal of Clinical Medicine
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KKKrzysztof Kasicki
Krzysztof Kasicki
GBGrzegorz Błażejewski
Grzegorz Błażejewski
Łukasz RydzikŁukasz Rydzik
Łukasz Rydzik
PWPiotr Wróbel
Piotr Wróbel
MNMonika Nowak
Monika Nowak
Tadeusz AmbrożyTadeusz Ambroży
Tadeusz Ambroży
Background: Anterior cruciate ligament reconstruction (ACLR) is the standard of care for ACL injuries, and graft choice may influence the recovery of function assessed with vertical jump tests. Objective: To evaluate the effect of graft type on vertical jump performance in adults after ACLR and to synthesise the differences between grafts. Material and Methods: This systematic review was conducted in accordance with the PRISMA 2020 and SWiM guidelines. The following databases were searched: Scopus, Web of Science, PubMed, MEDLINE and SPORTDiscus (EBSCOhost), up to 31 January 2026. Studies with an unambiguously defined graft type and objective jump tests (CMJ, SL CMJ/SL VJ, DVJ/DJ, SJ) were included. Risk of bias was assessed using the RoB 2, ROBINS-I, JBI and MINORS tools, and the certainty of evidence using the GRADE approach. Because of substantial clinical and methodological heterogeneity, a structured narrative synthesis was performed in accordance with the SWiM guidelines; no pooled analysis was undertaken. Results: Forty-seven studies (>3400 participants) were included. BPTB was associated with greater eccentric-phase asymmetry in the bilateral CMJ in the early/intermediate phase compared with HT, with equalisation after 9–12 months. QT provided jump height comparable to HT but a more favourable dynamic valgus profile. Autograft and allograft did not differ in jump performance. Deficits followed a biphasic course: normalisation of symmetry after approximately 2 years, with reduced height/power for up to 5 years. Conclusions: Forty-two of the studies (89.4%) were non-randomised, and the certainty of evidence was low for one clinical question and very low for all others. Studies comparing BPTB with HT showed an association suggesting greater eccentric-phase asymmetry in the bilateral CMJ in the early and intermediate phase after BPTB, but findings were inconsistent and two studies reported no difference. Evidence suggesting that these differences equalise after 9–12 months derives from between-study comparisons. Jump height did not differ between QT and HT; a single study of 26 patients reported smaller dynamic valgus after QT. Autograft and allograft did not differ in vertical jump performance. Registration: This review was registered in the PROSPERO database and is available under the number CRD420261386307.

30 December 2024 in Folia Turistica
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Closed access
JGJoanna Golec
Joanna Golec
MNMonika Nowak
Monika Nowak
JBJoanna Balicka-Bom
Joanna Balicka-Bom
PGPiotr Golec
Piotr Golec
Purpose. The aim of the study was to examine the relationship between subjectively declared physical activity before the ankle sprain injury and the level of kinesiophobia after this injury among young adults actively participating in tourism and recreation.Method. The study included 115 participants with an ASI, who were divided into two groups: active (65 patients) and inactive (50 patients). FAAM, FABQ and TSK-17 were used to assess the level of fear and avoidance of physical activityFindings. The results did not show a statistically significant relationship between TSK-17 and the level of physical activity before ATC injury in both groups (p=0.271). There was a statistically significant correlation between TSK-17 and FAAM, as well as FABQ with FAAM-ADL and mean FAAM in both groups (p<0.05), stronger in the inactive group. Kinesiophobia after an ASI may affect both active and inactive people. A higher level of foot functionality significantly reduces the feeling of kinesiophobia, fear and avoidance of physical activity, especially in inactive patients who undertake less physical and tourist challenges.Research and conclusions limitations. Empirical research was conducted on a group of people one month to two years after ASI injury. The full medical history, imaging diagnostics and treatment are not described in this study.Practical implications. In the study, kinesiophobia after ankle sprains was assessed in active individuals, predicting their return to leisure activities and offering insights to aid those with ACI in resuming tourist and recreational pursuits.Originality. The use of standardised research questionnaires to assess the level of fear and avoidance of physical activity among people with different levels of recreation activity is rarely the subject of research in available scientific studies, which may be an inspiration for other researchers.Type of paper. This is an article presenting the results of empirical research.