Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure

Dorota Fudalej, Zbigniew Nowak, Michał Plewa

Dorota Fudalej, Zbigniew Nowak, Michał Plewa – Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure. Fizjoterapia Polska 2002; 2(4); 285-289

Abstract
Background. The objective of this study was to assess the influence of complex treatment on functional capacity in patients with chronic coronary artery disease (CAD). Treatment consisted of CABG procedure and subsequent inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation programs.Material and methods. The study group consisted of 46 male patients aged from 36-68 (x = 51 ± 9.4), whose phase 1 rehabilitation program was initiated in 1st day after CABG procedure and lasted for consecutive 7 days. Phase 2 of rehabilitation consisted of group exercise sessions performed at outpatient exercise centre and 16 cycles of interval training performed on cycle ergometer. Results and conclusions. The results of stress test obtained before CABG procedure and 6 and 12 months later were compared. It was found that patients’ functional capacity improved considerably. The adequate tolerance of exercises performed according to proposed program was noted as well.

Key words:
coronary artery bypass graft, cardiac rehabilitation, functional capacity

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Sleep apnea syndrome

Grażyna Osiadło, Zbigniew Nowak, Michał Plewa

Grażyna Osiadło, Zbigniew Nowak, Michał Plewa – Sleep apnea syndrome. Fizjoterapia Polska 2006; 6(1); 81-85

Abstract

Breathing is one of the automatic human body functions. There are various causes of functional disorders leading to respiratory insufficiency and threrefore to frequent apnoeic episodes. Disorders of pulmonary system may result in OSAS. Typical symptoms of this syndrome include loud and irregular snoring accompanied by episodes of apnoea lasting at least 10 seconds, caused by collapse of upper airway. Obesity, anomalies of facial skeleton and smoking are considered as basic risk factors. One of the essential element of examination allowing for precise assessment of breathing, especially during sleep, is a polysomnographic study (PSG). Some patients require application of CPAP mask in order to limit or prevent the collapsing of bronchial tree. Therapeutic approach to OSAS consists of aerobic (weight reducing) exercises and of breathing exercises aiming at improvement of respiratory function.

Key words:
sleep apnea syndrome, polysomnography, breathing exercises
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Physiotherapy in patients with implanted cardiac pacemakers

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak – Physiotherapy in patients with implanted cardiac pacemakers. Fizjoterapia Polska 2006; 6(3); 245-250

Abstract
Since the implantation of the first cardiac pacemaker in 1958 by Ake Sening and Rune Elmqvista, there has been gigantic progress in this field of medicine including both the range the equipment and the techniques of implantation. Today electrotherapy is a rapidly developing field of invasive cardiology. Cardiac pacemaker implantation is a very common procedure. Its popularity has increased year by year because the number of indicators is higher. This operation is often the only chance for patients suffering from heart rhythm disorders. In spite of the propagation this treatment method, rehabilitation of these patients is still underestimated. Meanwhile the role of the rehabilitation, as shown in some research, can be as crucial as properly programming the pacemaker. Special attention should paid to patients with implanted rate response devices. Our research shows that patients who are actively rehabilitated after the implantation procedure can get back to normal life more easily and that the number of complications which are connected with patients’ inability to understand of this method is lower. Cooperation between doctors and physiotherepeutists should be a standard. Unfortunately in the most cases it is only a theory. Meanwhile our experiences bring us in creation of standard procedures which are, in spite of patients’ opinion, very useful. There are many questions and queries connected both equipment and rehabilitation process of these patients. It must us to write this publication, where in complex form, implantation of cardiac pacemaker, characteristic of implanted patients and rehabilitation procedures were presented according to our and other authors opinion.

Key words:
physiotherapy, cardiac pacemaker, activity sensor

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Motivation to Commence University Studies and Satisfaction with Studying Physiotherapy Among Master’s Degree Students of Polish University-level Schools of Different Educational Profiles

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski – Motivation to Commence University Studies and Satisfaction with Studying Physiotherapy Among Master’s Degree Students of Polish University-level Schools of Different Educational Profiles. Fizjoterapia Polska 2012; 12(3); 213-227

Abstract
The aim of the study was to analyse factors which motivate students to commence university studies as well as to analyse the level of satisfaction with studying among a group of Master’s degree students in their final semester. 1942 second year Master’s degree students. Voluntary and anonymous questionnaire studies. The approval of the Ethical Review Board of WUM was not necessary. The questionnaire was developed by the authors and comprised 74 questions. STATISTICA 10.0 (license WUM), tests: Chi-square, Kruskall-Wallis, and Mann-Whitney U (p<0.05). The students declared the level of satisfaction with studying at PM: 3.44, PWF: 3.54 and IP: 3.52 (H=17.167; p<.000). A half of the study group would choose a Physiotherapy course again, 30% would choose the same university. 36% got acquainted with the curriculum of a Master’s degree course (p=NS). 56% reported that the curriculum content concerning orthopaedics was repeated most often, manual therapy and massage was repeated least often (34%). The largest proportion of the students declared that a Master’s degree course improved their skills. 1. The modification of curricula seems to be necessary. It should consists in prolongation of the duration of a Bachelor’s degree course and in putting a greater emphasis on a strictly occupational training and more efficient use of hours devoted to the work with patients. 2. The modification may be performed with the use of the curricula which are consistent with the guidelines of European and National Qualification Frameworks. The emphasis there is put mainly on outcomes of education and e-learning. 3. The assessment of the level of satisfaction with learning at a Master’s degree Physiotherapy course among students who had changed the educational profile of a university, as well as a detailed analysis of the curricula of a Master’s degree course seem to be important in order to extend the study.
Key words:
physiotherapy, a Master’s degree course, educational profile of a university-level school, Quality of teaching, satisfaction with studying
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Development as a physiotherapist towards professionalization during a Master’s degree course among students of university-level schools of different educational profiles

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski

Joanna Gotlib, Anna Cabak, Katarzyna Barczyk, Andrzej Bugajski, Irena Bułatowicz, Ewa Gajewska, Rita Hansdorfer-Korzon, Wojciech Kułak, Michał Plewa, Jacek Lewandowski, Piotr Majcher, Olga Nowotny-Czupryna, Małgorzata Starczyńska, Dariusz Białoszewski – Development as a physiotherapist towards professionalization during a Master’s degree course among students of university-level schools of different educational profiles. Fizjoterapia Polska 2012; 12(4); 313-325

Abstract
The professionalization of the physiotherapist profession is a dynamic process in Poland, which can be seen in the number of academic organizational units, formation of PTF, and development of academic research. The study aimed to analyse the process of professionalization among a group of final semester Master’s degree students of Polish university-level schools of different educational profiles.1942 second year Master’s degree students took part in the study. 1600 students were qua­lified to the statistical analysis: 570 PM students, 464 PWF students, and 566 IP students. Voluntary and anonymous que­stionnaire studies. The questionnaire was developed by the authors and comprised 74 questions. STATISTICA 10.0 program (Warsaw Medical University license) and the following non-parametric statistical tests: Chi-square, Kruskall-Wallis, and Mann-Whitney U (p<0.05).Only 6% of students engaged themselves in the activity of a Student Research Society (SRS) (p<.000). Only 28% of students actively took part course in a scientific conference (p<0.834). As little as 18% of students actively parti­cipated in a research study/research project (p<.000). The vast majority of students declared that they did not publish any article. 40% of the students declared participation in additional occupational courses. The vast majority of students had found out about the courses from the Internet (H=7.896, p<0.019) and declared that they would like to get objective infor­mation on the courses during their university classes (H=0.247, p<0.883). 1. University-level should develop programmes to pick up outstandingly talented individuals in order to provide them with an individual path of scientific development and build closer tights between these graduates and the school in the future. 2. Physiotherapy students seem to have a practical attitude towards the post-graduation training, which is more oriented to the content and usefulness and less oriented to temporary trends in physiotherapy. 3. There is an urgent need that university-level schools educating prospective physiotherapists develop educational programmes which would deal to a greater extend than it is at present with modern methods used in physiotherapy and which would constitute specific guidebooks in which students would be able to find information on the best parallel and post-graduate directions of further studies.
Key words:
professionalization, certified occupational courses, scientific work, postgraduate education
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