评估COPD患者在项目“PulmoRehab – 通过针对COPD患者的个性化护理系统提供医疗服务获取途径,包括基于人工智能方法的远程监控和远程康复”中的康复效果

Katarzyna Bogacz, Anna Szczegielniak, Łukasz Czekaj, Andrzej Jarynowski, Robert Kitłowski, Stanisław Maksymowicz, Danuta Lietz-Kijak, Bartosz Pańczyszak, Jacek Łuniewski, Edyta Krajczy, Mirosław Lenczuk, Jacek Sahajdak, Krzysztof Kassolik, Szymon Kaliciński, Jan Szczegielniak

 

Katarzyna Bogacz, Anna Szczegielniak, Łukasz Czekaj et al – Assessment of rehabilitation effectiveness in patients with COPD as part of the project “PulmoRehab – Access to healthcare services through a personalized care system for patients with COPD, including remote monitoring and tele-rehabilitation based on Artificial Intelligence methods” –  Fizjoterapia Polska 2024; 24(1); 6-11

DOI: https://doi.org/10.56984/8ZG2EF8D9D

摘要
引言。在项目“PulmoRehab – 通过针对COPD患者的个性化病人护理系统提供医疗服务获取途径,包括基于人工智能方法的远程监控和远程康复”的框架下,SP ZOZ专科医院内政部和行政管理部在Głuchołazy及其10个合作伙伴进行了针对慢性阻塞性肺病(COPD)患者的远程康复研究。该远程康复计划基于个性化方法和技术,允许患者在家中或方便的地点使用治疗。该项目旨在通过为COPD患者提供远程健康服务获取途径,减少医疗保健中的社会不平等。
材料与方法。研究涉及80名年龄在50至76岁之间,在内政部和行政管理部的圣约翰保罗二世专科医院住院,符合特定标准的患者。对远程康复计划的资格认定考虑了运动耐受性、呼吸困难、疲劳、肺通气功能和饱和度的评估。该计划包括适应患者个别需求的练习。
结果。使用XLSTAT软件2021.2.2进行结果分析显示,在康复前后肺功能测量值之间存在统计学显著差异。同样,在6分钟步行测试和血氧饱和度的结果中也观察到显著改善。远程康复计划在改善COPD患者的呼吸健康参数方面被证明是有效的。
结论:
远程康复计划改善了COPD患者的肺通气功能。它减少了呼吸困难的感觉,减少了疲劳,改善了SpO2,并增加了运动耐受性,证明了所应用的康复的有益效果。
所获得的结果鼓励对具有随机化使用的代表性群体进行进一步研究。
关键词:
远程康复,慢性阻塞性肺病
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扁平足对儿童膝关节和脊椎姿势缺陷发生的影响

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

DOI: https://doi.org/10.56984/8ZG0178mY

摘要
研究目的。研究目的为评估小学生的身体姿势,并评估扁平足对下肢和脊椎姿势缺陷发生的影响。
材料及研究方法。研究材料包括306名克卢奇堡市小学四年级的学生,该研究于2017及2018年间进行,针对所获得的研究结果进行统计分析,以调查特定身体姿势缺陷间的依赖性,相关分析用于确定评估变量之间的关系。
结果。对受试人群的姿势错误发生的分析显示脊椎侧弯、扁平足及膝外翻上的统计学显著变量。此外,有一名儿童膝关节弯曲挛缩。
结论
1. 下肢及脊椎的姿势缺陷在四年级学生中为普遍现象。
2. 扁平足和膝盖及脊椎姿势缺陷间有重要关系。

关键词:
扁平足、姿势缺陷、儿童、健康

 

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Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test

Katarzyna Bogacz, Marek Woszczak, Jacek Łuniewski, Marcin Krajczy, Bartosz Pańczyszak, Jan Szczegielniak, Marek Kiljański

K. Bogacz, M. Woszczak, J. Łuniewski, M. Krajczy, B. Pańczyszak, J. Szczegielniak, M. Kiljański – Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test; Fizjoterapia Polska 2018; 18(1); 96-106

DOI: https://doi.org/10.56984/8ZG0768F5

Abstract

Objective. The aim of the paper was to assess the results of physiotherapy of COPD patients whose elgibility for the relevant rehabilitation model was assessed with the help of the 6-MWT test and the treadmill test according to the modified Bruce protocol.
Materials and methods. 80 individuals suffering from COPD treated as in-patients at the MSWiA Specialist Hospital in Głuchołazy between May 2017 and September 2017 were examined. After a 3-week comprehensive physiotherapy, the exercise stress test, spirometry test and dyspnoea assessment on the modified 10-point Borg scale were repeated in both groups of COPD patients.
Results. Calculations were performed using the IBM SPSS software. In order to assess consistency between the distribution of the results with the normal distribution, the Kolmogorov-Smirnov test was used. As the distribution differed from the normal distribution, nonparametric methods were used for further analysis. In order to assess the significance of differences between the two groups in terms of quantitative variables, Mann-Whitney tests were used, while Wilcoxon tests were used for dependent samples to assess the significance of changes over time in the same patients (bound pairs). The statistical significance threshold was set at p < 0.001.
Conclusions
1. A significant improvement was noticed in the level of exercise stress tolerance after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
2. A significant improvement was shown in the values of spirometric indicators after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
3. A significant decrease was shown in the level of dyspnoea after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.

Key words:

COPD, modified Bruce protocol, 6-MWT test, physiotherapy

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Ocena funkcjonalna kompleksu barkowego u zawodników uprawiających siatkówkę w różnych kategoriach wiekowych

Bartosz Pańczyszak, Katarzyna Bogacz, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

B. Pańczyszak, K. Bogacz, J. Łuniewski, M. Krajczy, J. Szczegielniak – Functional assessment of the shoulder joint in volleyball players from different age groups; Fizjoterapia Polska 2018; 18(1); 50-60

Abstract

Objective. The aim of the paper was to perform functional analysis and assessment of the range of movement of the joints of the pectoral girdle in the dominant and non-dominant limb in volleyball players. Materials and methods. The study involved 40 competitive volleyball players divided into 2 groups. The shoulder joint movement range assessment involved active performance of specific movements by the participants while lying down. The tool used to take the measurements was a standard goniometer, while the movements were performed in different planes in a specified and systematic way in accordance with the SFTR method. The second stage involved the performance of 3 proposed functional tests to assess the complex range of movements of the shoulder girdle. The tools used to assess the tests performed were a standard goniometer and a flexible tape measure. Results. The results of the tests were subjected to statistical analysis with the use of the Statistica 10 software. Statistical significance was set at p < 0.05. In addition, the average motion ranges and functional test results were compared. Conclusions 1. Both the Youth group and the Senior group showed a significant decrease in the range of internal rotation of the dominant limb as compared to the non-dominant limb. In addition, a deficit was found in the Youth group in horizontal flexion of the dominant limb. 2. The results of the functional tests show worse results of the “safety pin” test for the dominant limb in both groups. In the Youth group, the difference amounted to 7.4 cm and in the Senior group – 10.1 cm as compared to the non-dominant limb. 3. The Seniors achieved higher ranges of flexion in the sagittal plane and the Youth in extension and horizontal extension. 4. Athletes with a higher internal rotation range of the shoulder joint of the dominant limb achieved higher results in the “safety pin” test.

Key words:

Volleyball players, shoulder joint, functional assessment

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