Fizjoterapia Polska znajduje się na najnowszej liście Ministerstwa Edukacji i Nauki z dotychczasowymi 20 punktami. Natomiast niewielki wzrost uzyskaliśmy na Index Copernicus Master List (za 2020 rok) uzyskując 115,68 punkta.
Damian Durlak – Rola fizjoterapeuty w aktywności fizycznej u osób pracujących zdalnie. Fizjoterapia Polska 2021; 21(5); 226-232
Introduction. COVID-19 pandemic introduced new restrictions and either forced or encouraged citizens to stay mostly in isolation, preferably at home. Many companies sent their employees to work from home. With fitness centers, gyms and other sport facilities closed by government, there were scarce chances and motivators to work out.
Objectives. This paper was dedicated to studying the possible outcomes of COVID-19 related isolation and decrease in citizen’s everyday activity. Proposed usage of telephysiotherapy is presented.
Methods. In this paper a literature review and a discussion is performed regarding the current work-from-home situation in Poland, drawbacks of prolonged isolation and areas where physiotherapists might help citizens.
Results. Reduction of physical activity has significant impact on individuals’ bodies and should not be ignored. Patients with specific diseases might use telephysiotherapy services and continue their treatment. However, there is a need to provide home office employees with a good source of motivation and properly prepared sets of exercises to remain healthy and fit. Physiotherapists have an occasion to provide such services and use their professional knowledge in this area.
Conclusions. Physiotherapistscan provide services like telephysiotherapy with sets of exercises provided for specific groups of users. This allows for a win-win situation: physiotherapists earn money on a slightly different type of tasks and patients have a professional source of profitable exercises.
COVID-19, telephysiotherapy, physical activity, working from home
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Lamiaa Said Tolb, Amal Mohammed Abd El Baky, Hany Mohamed Elgohary, Yasser Mostafa El Kerm
Lamiaa Said Tolb, Amal Mohammed Abd El Baky, Hany Mohamed Elgohary, Yasser Mostafa El Kerm – Resistance versus aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled study. Fizjoterapia Polska 2021; 21(5); 220-225
Purpose. To compare the effects of resistance and aerobic exercises on cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy.
Methods. sixty female patients with ages ranged from 30 to 60 years, diagnosed as breast cancer undergoing adjuvant chemotherapy, complaining of cancer related fatigue and decreased immunity, were recruited from oncology department at Medical Research Institute in Alexandria and divided randomly into two equal groups in number; Group (A), received resistance exercises for 3 months, Group (B), received aerobic exercises for 3 months. Pretreatment, after 6 weeks and after 3 months of treatment assessment was done using Fatigue assessment scale (FAS), Hemoglobin (Hb) level test for fatigue and White blood cells count (WBCS)for immunity were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in FAS, as well as improvement in Hb and WBCS count (p = 0.0001) in favor of group (B).
Conclusion. Aerobic exercise is more effective than resistance exercises in cancer related fatigue and immunity in breast cancer patients undergoing adjuvant chemotherapy.
cancer-related fatigue, immunity, aerobic exercise, resistance exercises, adjuvant chemotherapy
Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M.
Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M. – Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis. Fizjoterapia Polska 2021; 21(5); 212-218
Background. In patients with bronchiectasis, the elastic and muscular tissue is lost, obstructing the normal drainage of bronchial secretions, which can become chronically compromised, resulting in mild to moderate airway obstruction, which affects blood oxygenation and, as a consequence, the patients’ quality of life. Purpose: The aim of the study was to evaluate the potential effect of Aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity, and quality of life in patients with bronchiectasis. Materials and Methods. The study recruited the participation of sixty bronchiectasis patients of both genders (24 males and 36 females). They were divided into two major categories, each with 30 patients: study and control. Both groups continued to take their medications during the study period, and the study group received twice-daily training with the Aerobika positive expiratory pressure device. Before and after the study, both groups had their arterial PaO2 and PaCO2 measured, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD). Results. The study group at the end of the study showed improvement (P < 0.05) in arterial PaO2 and PaCO2, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD with no change in the control group (P > 0.05). The mean value of 6MWT showed a strong positive correlation with PaO2 (r = 0.86, P = 0.001) and at the same time showed a strong negative correlation with the SGRQ score (r = −0.64, P = 0.001). Conclusions. Aerobika positive expiratory pressure therapy provided an appropriate physiotherapy procedure for patients with bronchiectasis; it maximizes airflow, improves expiratory time and alveolar ventilation, and promotes gas exchange; overall, Aerobika demonstrated great efficacy in draining sputum and improving oxygenation.
bronchiectasis, aerobika pep device, blood gases, functional capacity, quality of life
Radosław Kocent, Marek Kiljański, Joanna Kałuża-Pawłowska
Radosław Kocent, Marek Kiljański, Joanna Kałuża-Pawłowska – Physiotherapeutic procedure in goose foot inflammation – case study. Fizjoterapia Polska 2021; 21(5); 204-210
Objective. The article presents a comprehensive rehabilitation procedure in goose foot bursitis. At the beginning, the causes of inflammation and its symptoms were presented.
Material and methods. The study was conducted on a specific case. The article describes the patient’s evaluation and physiotherapy recommendations for the treatment of the disease. In the field of kinesiotherapy, recommendations were made in the form of exercises stretching the shortened muscles that cause the goose foot, as well as strengthening the group of muscles activated to stabilize the knee. An important aspect of working with myofascial techniques is presented. Cryotherapy, laser therapy and sonotherapy procedures are described among the physiotherapy treatments in the rehabilitation of goose foot inflammation. The article also highlights the effectiveness of treatment thanks to the combination of physical therapy, kinesiotherapy, functional massage and re-education of gait and running. The subject of patient education to prevent the recurrence of injuries was also discussed.
Results. Therapy was administered for a period of four weeks. Positions during rest and sleep at home, exercise, walking in a newly learned, correct pattern and avoiding training errors were recommended. After the treatment was completed, pain was completely gone and the patient was fully active again.
Conclusions. Physical therapy, kinesiotherapy, massage and the patient’s compliance with the therapist’s recommendations result in the relief of ailments and a full return to various types of activity.
goose foot inflammation, physiotherapy
Walaa Mohammed Mohammed Mohammed, Ehab Fawzy Abd EL Aziz, Heba Ali Abd ELgafar
Walaa Mohammed Mohammed Mohammed, Ehab Fawzy Abd EL Aziz, Heba Ali Abd ELgafar – Effect of aerobic versus resisted exercise on blood coagulation in chronic kidney disease patient. Fizjoterapia Polska 2021; 21(5); 196-202
Purpose. To compare the effects of aerobic and resistive activity on blood coagulation in chronic kidney disease (CKD). Methods. Randomized controlled trial. Sixty male patients with CKD (stages 2 & 3) participated in study; their age ranged from 40 to 50 years old. They were randomly assigned into equal two groups (A & B). Group A received aerobic exercise for 16 weeks (n = 30), while group B received resisted exercise for 16 weeks (n = 30). Pre- and post-treatment measurements included body weight, blood coagulation parameters (platelet count and fibrinogen concentration) and 6- minute walk test (6 MWT). Results. There were significant improvements in weight, blood coagulation parameters and 6 MWT within both groups (p < 0.05), while there were no significant differences (p > 0.05) between the two groups after treatment. Conclusion. Aerobic and resisted conditioning exercises both increase blood coagulation parameters and efficiency in CKD patients. Following therapy, there was little disparity between the two classes.
chronic kidney disease, aerobic exercise, resisted exercise, blood coagulation
Mai Abd El Naby Mohamed, Zeinab Mohamed Helmy, Bassant Hamdy Elrefaey, Iman Hassan Abdusalam, Abd Elghany M. Abd Elghany
Mai Abd El Naby Mohamed, Zeinab Mohamed Helmy, Bassant Hamdy Elrefaey, Iman Hassan Abdusalam, Abd Elghany M. Abd Elghany – Long term effect of physical therapy program in refractory anginal patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 190-194
Background. Despite number of effective pharmacological treatments and the success of interventional cardiology, many patients still experience resistive symptoms, or what is called Refractory Angina (RA), that markedly impairs quality of life (QoL). Aim. to investigate the effect of exercise training (ET) program in addition to TENS on endothelial function, QoL and physical work capacity (PWC) in patients with RA. Methods. forty male patients, suffering from chronic RA were randomly assigned into two equal groups. Group (A) received conventional TENS program in addition to ET program for five months, while group (B) subjected to only TENS for five months. Assessment was performed before treatment (pre), after 8 weeks (post I), after treatment (post II), and after more 4 weeks for both groups (post III). Outcome assessment included: endothelial function using flow-mediated dilation (FMD), QoL using The Seattle Angina Questionnaire (SAQ) and PWC using the 6-minute walk test (6MWT). Results. there was a significant improvement of the FMD in group (A) with no significant difference in group (B). Comparing between both groups showed that SAQ scores and 6MWT improved significantly in both groups with greater improvements in group (A) than group (B). Conclusion. The addition of ET program to TENS resulted in more improvement in endothelial function, PWC, and QoL in patients with RA.
refractory angina, exercise training, TENS, endothelial function, quality of life
Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak
Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak – Influence of physiotherapy on exercise tolerance in patients after COVID-19. Fizjoterapia Polska 2021; 21(5); 182-189
Patients after severe COVID-19 need effective treatment and full medical care. An important aspect of a successful recovery is the implementation of comprehensive rehabilitation. Rehabilitation for convalescents is primarily aimed at restoring or improving the proper functioning of the respiratory system, reducing the severity of the symptoms of the disease and disorders related to comorbidities, as well as increasing the physical efficiency of the body. Objective. The objective of the study was to assess the effect of endurance training on exercise tolerance using the 6-minute walk test in patients with a history of COVID-19.
Material and methods. Thirty patients after COVID-19 were examined, including 12 women (40%) and 18 men (60%) aged 35 to 75 years. The mean age in the study group was 55 years, SD = 10.9.
Before rehabilitation, all patients underwent a 6-minute walk test (6MWT) in order to qualify for the appropriate rehabilitation model. The following parameters were analysed: test time, distance travelled, systolic pressure, diastolic pressure, heart rate, and the reasons for the termination of the test. All COVID-19 patients are covered by the rehabilitation program for patients after COVID-19, which came into force on the basis of the Regulation of the Minister of Health of July 13, 2020 (Journal of Laws, item 1246) on a pilot program in the field of therapeutic rehabilitation for patients after COVID-19.
The distance in the 6-minute walk test in the entire group after rehabilitation increased by an average of 11.8% (from 531.7 ± 97 m to 601.2 ± 86.4 m). Analysing the presented results of studies describing the effect of endurance training on exercise tolerance in patients after COVID-19, no statistically significant differences were found between the age group <55 and the age group ≥ 55.
Conclusions. 1. A 3-week rehabilitation program after COVID-19, the basis of which was endurance training based on exercise on a cycle ergometer, has a positive effect on exercise tolerance in patients measured on the basis of the distance walked during the 6-minute walk (6MWT). 2. In the analysed study, a significant improvement was observed in patients aged ≥ 55 who achieved the shortest distance during the initial 6MWT test.
COVID-19, physiotherapy, exercise tolerance
Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas
Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas – Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 172-181
Background. Postural stability after anterior circulation stroke is considered a major cause of falling and functional dependence. Recently, special attention regarding mechanisms about standing balance recovery following stroke has been grown. Evidence supports the effectiveness of vestibular rehabilitation therapy for patients with central vestibular disorders. Objective. A randomized controlled trial was designed to investigate the effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients. Methods. Thirty-six patients (27 males, 9 females) their age range from (44 to 72 years) diagnosed with anterior circulation stroke were enrolled and assigned randomly into two similar groups: experimental group (A) received vestibular rehabilitation therapy in addition to conventional treatment 3 sessions per week for six consecutive weeks, but the conventional group received only conventional treatment. All patients were assessed for postural stability using sensory organization test and berg balance scale and for gait performance using time up and go test at baseline and after 6 weeks at end of the rehabilitation process. Results. Statistical analyses using mixed design MANOVA showed that there was statistical significant difference (p < 0.05) in all outcome variables for both groups in favor to VR group especially in SOT5, SOT6 while there were non-significant differences between groups in SOT1 variable. Conclusion. Vestibular rehabilitation may be a promising approach if it is integrated as standard in the rehabilitation program for improving postural control after anterior circulation stroke affecting parieto insular region.
vestibular rehabilitation, postural stability, anterior circulation stroke, parieto insular cortex
Heba A. Bahey El- Deen, Radwa S. Abdul-Rahman, Magda Ramadan Zahran, Shaimaa Abdalaleem Abdelgeleel
Heba A. Bahey El- Deen, Radwa S. Abdul-Rahman, Magda Ramadan Zahran, Shaimaa Abdalaleem Abdelgeleel – Influence of biofeedback training time on muscle torque and knee excursion following semitendinosus release in spastic quadriplegic children with cerebral palsy: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 166-171
Background. Medial hamstring shortening represents a serious common complication in children suffering from spastic quadriplegic cerebral palsy. Objective. The purpose of the study was to examine the efficacy of biofeedback training timing following tendon release in spastic quadriplegic cerebral palsied children. Design. a prospective, single-blind, randomized controlled trial. Setting: several hospitals across Giza and Cairo, where children were operated. Methods. Thirty spastic quadriplegic cerebral palsied children of both genders, with their ages ranged from 7 to 9 years (x ̅ = 8.2 ± 0.86 yr.) were randomly assigned into two equal groups (A and B). The control group (A) was trained using electromyographic biofeedback daily for two weeks after removal of plaster cast, in addition to an hour/ day of a designed physical therapy program, while the study group (B) was trained by electromyographic biofeedback during the immobilization period and for two weeks after removal of the cast along with the same physical therapy program as the group (A). The knee extensors’ peak torque and knee excursion angle were measured immediately and two weeks following cast removal by MERAC isokinetic system and electro-goniometer, respectively. Results. The findings exhibited a significant increase (P < 0.05) in the peak torque of knee extensors and an increase in knee excursion in the group (B) immediately and after two weeks of the cast removal when compared with the results of the group (A) after the same period. Conclusion. Applying electromyographic biofeedback training at the two-week immobilization period resulted in a strengthening of the quadriceps and maintaining the obtained range of knee extension following semitendinosus muscle release in spastic quadriplegic children with cerebral palsy.
cerebral palsy, spastic quadriplegia, biofeedback, dynamometer