Tag: Ilona Kowalik

Usefulness of three-stage walking test for evaluation of physical capacity on the basis of correlation with exercise treadmill test results in patients after CABG surgery

Edyta Smolis-Bąk, Barbara Kazimierska, Rafał Dąbrowski, Ilona Kowalik, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Rafał Dąbrowski, Ilona Kowalik, Hanna Szwed – Usefulness of three-stage walking test for evaluation of physical capacity on the basis of correlation with exercise treadmill test results in patients after CABG surgery. Fizjoterapia Polska 2008; 8(1); 43-50

Abstract
Background. Reducing the duration of hospital stay of coronary surgery patients makes it necessary to develop reliable methods for the evaluation of their physical capacity. The aims of this study were as follows: 1. to assess the physical capacity of CABG patients. 2. to correlate the results of the treadmill test and the three-stage walking test. Material and methods. The study group consisted of 71 men aged 35-74 years qualified to undergo CABG with EF>40% and with no arrhythmias or cardias conduction defects. All patients received comprehensive rehabilitation care. The following tests were performed before (examination 1) and 3 months after CABG (examination 2): modified 3-stage walking test according to Bassey and treadmill exercise test to the Bruce protocol. Parameters evaluated comprised energy expenditure (E, kJ/ml), maximum workload (METs), oxygen consumption (VO2, ml/min/kg), and oxygen pulse (HRO2, ml/systole). Results. Significant improvements across all parameters examined were observed three months after CABG. Treadmill exercise test results were significantly better than the results of the walking test (p<0.001). There were correlations for oxygen pulse (r=0.63) and energy expenditure (r=0.51) between the treadmill test and self-paced walking test results at 3 months after CABG. Conclusions. The three-stage walking test may be useful in the evaluation of physical capacity. It may supplement clinical evaluation in post-CABG patients.
Key words:
cardiac rehabilitation, walking test, exercise test, VO2, CABG
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Does duration ofintubation influence ventilation parameters following CABG?

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed – Does duration ofintubation influence ventilation parameters following CABG? Fizjoterapia Polska 2010; 10(1); 78-83

Abstract
Background. Contemporary cardiac surgery is increasingly relying on less invasive techniques to minimise hospital stay. We asses-sed the influence ofartificial ventilation time in CABG patients on ventilation parameters.Materiał and methods. The study enrolled 92 men aged 35-75 years following CABG undergoing rehabilitation. Patients were divi-ded into two groups based on duration of intubation: Group I included patients with artificial ventilation time (AVT) <17 hours and Group II those with AVT > 17h The correlation between AVT and respiratory capacity was assessed by spirometry before CABG, on fifth po-stoperative day, and at three months post-CABG.Results. The parameters decreased significantly in both groups on 5th post-operative day, except ERV (ns) in Group II. At 90 days post-surgery, all parameters had increased significantly compared to the 5th post-operative day readings in both groups, but FEV1 had not reached the preoperative level in either group. FVC EX was higher than pre-CABG value in Group I (ns) but not in Group II (p<0.05). VC failed to reach preoperative levels in both groups (Gr I ns, Gr II p<0.005).Conclusions. Most spirometric parameters tended to behave in the same manner irrespective of the duration ofAVT. Shorter AVThad a significant effect only on VC and FVC EX at 90 days after the surgery. The decrease in respiratory capacity was apparently related to the sternotomy associated with cardiac surgery.
Key words:
CABG, spirometry, cardiac rehabilitation
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The assessment of the attitude towards physical activity among the Physiotherapy students of Warsaw Medical University (WMU) and the students of Physical Education Academy (PEA)

Edyta Smolis-Bąk, Agnieszka Szymańczuk, Hanna Rymuza,
Ilona Kowalik, Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka

E. Smolis-Bąk, A. Szymańczuk, H. Rymuza, I. Kowalik, M. Kłoda, G. Brzuszkiewicz-Kuźmicka – The assessment of the attitude towards physical activity among the Physiotherapy students of Warsaw Medical University (WMU) and the students of Physical Education Academy (PEA). FP 2016;16(4);30-39

Abstract

Physical activity is a key integrating element of a healthy lifestyle. Physical Fitness determines the resourcefulness in various life situations, its high level may facilitate work, broaden the capabilities and contribute to a healthy lifestyle. Studies show that physical therapists are particularly predisposed to promote a healthy lifestyle among the medical patients. On the other hand, due to the nature of their work, they are at risk of muscular and skeletal injuries.
The objective was to assess the Warsaw Medical University (WMU) and the Academy of Physical Education (APE) Physiotherapy Students’ attitude toward physical activity and physical fitness.
Methodology. Examined was a group of 90 students (37 females, 9 males from WMU and 22 females, 22 males from PEA) of the age 22.7 on average ±2.0 years. Prepared questionnaire designed to assess attitudes toward physical activity was used. The level of physical fitness of the investigated students was examined with International Physical Fitness Test.
Results. The number of physical activity hours is significantly lower at the Medical University (1.6 ±1.5) than PE Academy (3.6 ±1.7), p<0,001. Very high (80%) interest in physical activity during leisure time has been demonstrated, with higher tendency among Physiotherapy PEA students than the WMU students (p = 0.07). A significantly lower level of physical fitness among WMU students, as compared to PEA students, was also found.
Conclusions. 1. Very high interest in physical activity during leisure time, in both groups, should be taken advantage of and developed in educational process. 2. Medical University students presented a much lower fitness level than PEA students, which may have resulted from fewer hours of physical activities at the Medical University of Warsaw (WMU). 3. Due to higher expectations in case of physiotherapists, it seems that physical fitness should be one of the recruitment process criteria at Medical University of Warsaw.

Keywords:

physical activity, assessment of physical fitness, physiotherapy students

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