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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The review of literature on the possibility of the use of Kinesiology Tape in musculoskeletal diseases. Meta-analysis

Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Edyta Krajczy, Igor Świerkowski, Aleksandra Skomudek, Ewa Jach, Danuta Lietz-Kijak, Zbigniew Śliwiński, Jan Szczegielniak

Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Edyta Krajczy, Igor Świerkowski, Aleksandra Skomudek, Ewa Jach, Danuta Lietz-Kijak, Zbigniew Śliwiński, Jan Szczegielniak – The review of literature on the possibility of the use of Kinesiology Tape in musculoskeletal diseases. Meta-analysis. Fizjoterapia Polska 2021; 21(5); 90-103

Abstract
Background. Kinesilogy Tape (KT) is widely used in patients with muscular disorders and pain. Objectives. To present the current body of knowledge on KT as a treatment method in patients with muscular disorders and pain. Design. Systematic review. Population. Patients with musculoskeletal disorders and pain. in whom KT was used.
Methods The papers were identified on the basis of term searches in digital research databases (PubMed, Medline, Cochrane Central Register of Controlled Trials (CCTR), EMBASE Excerpta Medica, and Google Scholar). On the basis of the review of the available 152 research articles, 27 papers on muscular disorders and pain disorders were selected. Two of the authors of this review, working independently, selected the papers to be included in the analyzed sample, isolated the data, performed an assessment of the risk of bias, and assessed the quality of the evidence for the main effects using the IVS internal validity score (PEDro) approach. A simplified version of the Oxford Centre for Evidence-Based Medicine (OCEBM) system was used to evaluate the evidence. Results. There are too few prospective, controlled randomized trials on KT that include a sufficiently large cohort. Only few of the reviewed papers that discuss the principles of KT meet the criteria of scientifically rigorous research. Conclusions. There is a need for further clinical trials on the effectiveness of the use of KT method.
Clinical rehabilitation impact. We found significant quality evidence to support the use of KT in clinical practice in patients with disorders of the musculoskeletal system (and in sports therapy).
Key words:
kinesiotaping, kinesiology taping, kinesiology tape, k/active tape AND medicine, musculoskeletal disorders AND pain
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Ocena efektów plastrowania dynamicznego (PD) z wykorzystaniem inteligentnego robota neurologicznego Fourier M2 u chorych po udarze mózgu z niedowładem połowiczym

Marcin Krajczy, Edyta Krajczy, Ewa Gajda-Krajczy, Bartosz Frydrych, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak

M. Krajczy, E. Krajczy, E. Gajda-Krajczy, B. Frydrych, K. Bogacz, J. Łuniewski, J. Szczegielniak – Evaluation of effects of kinesiotaping with use of the intelligent fourier M2 neurological robot in patients with hemiparesis; Fizjoterapia Polska 2018; 18(1); 32-48

Abstract

Purpose. The purpose of the study is to assess the effects of dynamic taping (DT) using a smart neurological robot Fourier M2 in patients after cerebral stroke with hemiparesis.
Materials and methods. The study included 28 patients (10 women and 17 men, average age: 63, 48) after ischemic cerebral stroke with hemiparesis (14 left-sided, 13 right-sided) who expressed their informed consent for participation in the study. The patients were divided into groups using the ALEA software, with its own randomization algorithm, into group TG and CG – 14 participants in each. In order to conduct the study, there was used the Fourier M2 smart rehabilitation robot designed for diagnostics and therapy of upper limbs.
Results and conclusions. The study demonstrated statistically relevant effects on the 1st, 3rd and 4th day of the study in the form of a percentage improvement in active movement in the TG group as a result of application of dynamic taping.
The assessment of the remaining study results demonstrated both the effects of dynamic taping and the effects of the therapy with the use of a neurological robot in patients after cerebral stroke with hemiparesis. The assessment of those effects showed the therapy effects were comparable in both groups.
The Fourier M2 smart robot is s useful and objective tool for diagnostics, therapy and assessment of the effects of physical therapy in patients after cerebral stroke with upper limb dysfunction.

Key words:
kinesiotaping, neurological robot, fourier M2, cerebral stroke, hemiparesis

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Impact of elastic therapeutic tape on final effects of physiotherapy in patients with Colles’ fracture

Marcin Krajczy, Jacek Łuniewski, Katarzyna Bogacz, Tomasz Dybek, Piotr Kiczyński, Edyta Krajczy, Anna Szczegielniak, Jan Szczegielniak

M. Krajczy, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, E. Krajczy, A. Szczegielniak, J. Szczegielniak – Impact of elastic therapeutic tape on final effects of physiotherapy in patients with Colles’ fracture. FP 2014; 14(1); 42-49

Abstract

Background. Fractures of the distal radius constitute a serious clinical problem. It seems that appliance of elastic therapeutic tape may be an effective method of physiotherapy among patients suffering from the forearm’s fracture.Aim of the study. The aim of the study is to assess the impact of selected elastic therapeutic tape applications on physiotherapy’s effects among patients treated conservatively after Colles’ fracture. Material and methods. The study included 38 patients treated in the Rehabilitation Department of Health Care Centre in Nysa in the period from January 2012 until November 2013. Participants were randomly divided into 2 groups. A study group (SG) consisted of 20 patients (16 women and 4 men), while a control group (CG) was composed of 18 patients (15 women and 3 men). Therapy for all of the participants was based on usage of the Hand Tutor device. Additionally, after a preliminary examination, patients from the  study group received selected applications of elastic therapeutic tape as follows: muscular – toning for the wrist’s flexors and ligamentous or corrective for the wrist area. Applications were replaced every 4 days. Physiotherapy lasted 10 days. According to the established protocol, during and after completion of physiotherapy regular checkups were conducted. Results. Elastic therapeutic tape’s applications used in the process of physiotherapy in SG’s patients increased range of motion for both active and passive movements and improved quality of them compared to the patients from CG. It was also observed that deficit of movements (difference between range of passive and active motions) decreased more in the SG’s patients.
Conclusions: 1. In the final study no significant differences has been showed in the studied parameters between the groups. Research has presented wrist’s functions improvement in the frequency of active movements and range of motion in both groups. 2. Significantly higher results in the final examination of the frequency and wrist’s mobility in general were shown in comparison to the initial results.

Key words:
Colles’ fracture, physiotherapy, elastic therapeutic tape, biofeedback, Hand Tutor

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Physiotherapy after a hand surgery performed with a diagnostic and functioerformed with a diagnostic and functional therapy device. Case study

Marcin Krajczy, Edyta Krajczy, Anna Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Tomasz Dybek, Piotr Kiczyński, Jan Szczegielniak

M. Krajczy, E. Krajczy, A. Szczegielniak, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, J. Szczegielniak: Physiotherapy after a_hand surgery pm przypadku / Physiotherapy after a hand surgery performed with a diagnostic and functioerformed with a diagnostic and functional therapy device. Case study. Fizjoterapia Polska 2015;15(3);46-54

Abstract

Background. Surgical treatment after fingers flexor tendons’ injury requires a consequent physiotherapy of the handthat is basedonwell-establishedessential procedures. There are no reports on comprehensive hand physiotherapy treatment aftertraumatic injuries of the tendons, blood vessels and nerveswith an application of theHand Tutorsystem in the therapeutic process.
Aim of the study. The aim of the study is to present a comprehensive hand physiotherapy after surgery and revision of the tendonswith a rehabilitation system with biofeedback- Hand Tutor TM, which is a modern system designed for the therapy of sensory, motor and cognitive disorders of the hand.
Materials and methods. The study presents a case of a 42 year-old man. The patient suffered from the injury of a right hand with a significant damage of tendons, artery and ulnar nerve,  operatet on 2012. Complications after the performed surgery were observed during the recovery (inflammation, swelling and tissue adhesions). In the therapy early comprehensive hand physiotherapy was introduced (with an application of the system for hand physiotherapy with biofeedback – Hand Tutor TM).
Results. The study shows that introduction of an early, comprehensive physiotherapy together with the Hand Tutor device was successful in terms of the wound healing process and significant improvement in hand function after surgery. It appears that appropriately selected physiotherapy procedures may positively influence the effectiveness of the general therapy. Final results showed significant improvement in passive and active range of motion of the injured hand as well as in the speed of the movements. The study also showed a reduction of the subjective levelof the pain and the return of the ulnar nerve function.

Key words:
early comprehensive physiotherapy, Hand Tutor, traumatic tendon injury

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