Circadian rhythms of blood pressure variability in ill people after cranio-brain trauma

Paulina Wyrzykowska, Jan Talar, Maria Wyrzykowska

Paulina Wyrzykowska, Jan Talar, Maria Wyrzykowska – Circadian rhythms of blood pressure variability in ill people after cranio-brain trauma. Fizjoterapia Polska 2006; 6(1); 32-36

Abstract

Βackground. The aim of this paper was to evaluate 24-hour changes in arterial blood pressure in patients after craniocerebral injuries hospitalized in Rehabilitation Clinic in Bydgoszcz. Material and methods. The investigation involved 30 patients after craniocerebral injuries with brain stem damages hospitalized in Rehabilitation Clinic in Bydgoszcz between August 2003 and April 2004. The 24-hour monitoring of arterial blood pressure was performed with Mobil-O-Graph equipment supplied by I. E. M. GmbH Deutshland Margot Medical Polska. The measurment was noninvasive and based on oscillometric method. Results. Twenty-four hour variablity of arterial blood pressure in patients after craniocerebral injuries was demonstrated. Morning increase was obserwed in 22 of 30 patients. Nocturnal decrease in comparison to day (up to 15% changeability was considered as normal) was observed in 3 patients. Arterial pressure load in people after injuries increased significantly during the night. Conclusions. In examined patients after craniocerebral injuries 24-hour changeability of arterial blood pressure is maintained, but not significant. Variation in measurements performed during day and night disappears. Increase of pressure exceeding arbitrally accepted boderline arterial pressure values is intensified during night. Morning increase and noctrurnal decrease of arterial pressure are blunted.

Key words:
blood pressure variability, circadian rhythm, cranio-brain trauma
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Rehabilitation of laryngectomized patients – evaluation of physical fitness and capacity

Urszula Kaźmierczak, Wojciech Hagner, Jan Talar

Urszula Kaźmierczak, Wojciech Hagner, Jan Talar – Rehabilitation of laryngectomized patients – evaluation of physical fitness and capacity. Fizjoterapia Polska 2007; 7(4); 431-437

Abstract
Background. Patients after total laryngectomy are usualy less physically active than other groups of patients treated for cancer. The limitation of physical activity after laryngectomy is the result of the inability to control the sensation of apparent dyspnoea and inability to communicate by means of articulate speech, fear of recurrence and of not being accepted by the family or other relations. Early rehabilitation is very important after surgery for cancer, especially when the treatment cripples the patient. Laryngectomy leads to severe disability, depriving the patients of their speech organ, and is associated with various functional postoperative complications. Material and methods. A total of 30 radical laryngectomy patients (4 women and 26 men) aged 48-74 years (mean 61 years) were enrolled for a rehabilitation programme. During the rehabilitation programme, patients were subjected to the Harvard Step Test modified by Szyszko-Wydra. Results. After the rehabilitation treatment, patients in all age groups demonstrated improvement in physical fitness (see figure in text). The level of physical capacity before the treatment was very low, improving to average or good as a result of rehabilitation. Conclusions. The results of the study show that the rehabilitation programme was instrumental in effecting a significant improvement of the patients’ overall physical capacity. Group rehabilitation of patients suffering from the same condition increases the likelihood of achieving a higher level of physical capacity. This is attributable to the positive effect of the daily exercises, especially respiratory exercises to strengthen the diaphragm, which are helpful in making sonorous burps and learning oesophageal speech. Exercise also helps to eliminate the feeling of embarrassment and promotes full acceptance and emotional support within the group.
Key words:
rehabilitation, laryngectomy, evaluation of physical fitness
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim
1 2 3 4