Influence of physiotherapy on exercise tolerance in patients after COVID-19

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

Abstract
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.
Key words:
COVID-19, physiotherapy, exercise tolerance
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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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Assessment of training heart rate in patients with chronic obstructive pulmonary disease (COPD)

Ewa Jach, Igor Świerkowski, Piotr Kęsicki, Katarzyna Bogacz, Marcin Krajczy, Krystyna Rasławska, Jacek Łuniewski, Jan Szczegielniak

Ewa Jach, Igor Świerkowski, Piotr Kęsicki, Katarzyna Bogacz, Marcin Krajczy, Krystyna Rasławska, Jacek Łuniewski, Jan Szczegielniak – Assessment of training heart rate in patients with chronic obstructive pulmonary disease (COPD). Fizjoterapia Polska 2021; 21(5); 6-12

Abstract
Objective. The objective of the study was to evaluate the training heart rate in patients with chronic obstructive pulmonary disease.
Material and methods. The study was carried out at the John Paul II Specialist Hospital of the Ministry of Interior and Administration in Głuchołazy at the pulmonary rehabilitation department. Two hundred and five people participated in the study. Each patient included in the study was diagnosed with chronic obstructive pulmonary disease. The group consisted of 100 women and 105 men. Rehabilitation models A and B were used in the study. 155 people were included in model B, and 50 people in model A. The average age was 55. The patients underwent a 6-minute walk test before and after rehabilitation. The following data was included in the study: walk test maximum heart rate, the patient’s maximum heart rate and resting heart rate.
Results. Before rehabilitation, 121 patients achieved a result of over 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, which constitutes 60% of all patients. However, the mean value of this correlation among all patients was 74.69%. After rehabilitation, 143 patients achieved a result of more than 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, which is 70% of all patients. However, the mean value of this correlation among all patients was 79.19%. Before rehabilitation, 205 patients achieved a result of more than 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, which constitutes 99.51% of all patients. While, the mean value of this correlation among all patients was 92%. The number of patients who, before rehabilitation, achieved more than 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, was 100% of all patients. The mean value of this correlation among all patients was 90.15%.
Conclusions. 1. The maximum heart rate achieved by patients during the 6-minute walk test corresponds to the maximum heart rate before rehabilitation in 60% of patients, and after rehabilitation in 70% of patients.
2. The maximum heart rate achieved by patients during the 6-minute walk test corresponds to the training heart rate before rehabilitation in 95% of patients, and after rehabilitation in 100% of patients.
3. It seems the maximum heart rate achieved by patients during the 6-minute walk test can be used in determining the patient’s load during exercise.
Key words:
COPD, pulmonology, exercise heart rate, physiotherapy
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Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection

Piotr Kęsicki, Igor Świerkowski, Ewa Jach, Krystyna Rasławska, Jacek Łuniewski, Katarzyna Bogacz, Jan Szczegielniak

P. Kęsicki, I. Świerkowski, E. Jach, K. Rasławska, J. Łuniewski, K. Bogacz, J. Szczegielniak – Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection. Fizjoterapia Polska 2021; 21(4); 6-17

Abstract
Objective. The objective of the study was to assess the effectiveness of Super Inductive Stimulation in respiratory therapy in patients after SARS-CoV2 infection.
Material and methods. The study was carried out in the specialist hospital of the Ministry of the Interior and Administration in Głuchołazy, in the pulmonary department. Fifteen men aged 35 to 63 and fifteen women aged 32 to 69 participated in the study. Each patient underwent ten sessions of Super Inductive Stimulation.
Results. The use of Super Inductive Stimulation resulted in the reduction of moderate cough, chest pain, shortness of breath, severe cough with phlegm/sputum, sweating, headache, nausea, diarrhoea, muscle pain, lack of appetite, problems with concentration, problems with thinking and sleeping, and fatigue.
Conclusions. Analysis of the results showed a positive effect of the applied therapy. Taking into account the answers given before and after rehabilitation, the condition of the respondents improved by 20.18%. The largest differences in the results were observed in the case of headache, diarrhoea, and sleeping problems, being 39.85%, 30.91% and 28.57%, respectively. The comparison of the study results showed that the patients’ quality of life improved.
Key words:
pulmonology, super inductive stimulation, COVID-19, physiotherapy
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The influence of early, after – hospital physiotherapy on ventilatory lung function in patients after CABG

Jan Szczegielniak, Katarzyna Bogacz

Jan Szczegielniak, Katarzyna Bogacz – The influence of early, after – hospital physiotherapy on ventilatory lung function in patients after CABG. Fizjoterapia Polska 2002; 2(2); 108-111

Abstract
Background. The aim of this research paper is to describe the influence of early, post-hospitalization physiotherapy on ventilatory lung function in patients after CABG. Material and methods. The effectiveness of physiotherapy was assessed on the basis of examination of the respiratory system, in 36 patients. Results. The decrease of ventilatory indicators before post-hospitalization physiotherapy indicates the negative influence of CABG on ventilatory lung function of these patients. Conclusions. The improvement of ventilatory lung function, expressed by significant increases of indicators MEF50, MEF 25-75, PEF, FVC and FEV1 in our patients indicates that physiotherapy, including elements of breathing exercises, comprises the crucial element in the treatment patients after CABG.

Key words:
CABG, early post-hospitalization physiothearapy, ventilatory lung function

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The suitability of 6- and 12-minute brisk walking tests in qualifying for exercise patientss with chronic obstructive pulmonary disease

Jan Szczegielniak, Roman Szop, Katarzyna Bogacz

Jan Szczegielniak, Roman Szop, Katarzyna Bogacz – The suitability of 6- and 12-minute brisk walking tests in qualifying for exercise patientss with chronic obstructive pulmonary disease. Fizjoterapia Polska 2004; 4(3); 245-249

Abstract

Background. The purpose of this work was to evaluate the suitability of brisk walking tests in qualifying patients with chronic obstructive pulmonary disease for exercise. Material and methods. The article presents a description of the tests as a method for evaluating the exertion capacity necessary for proper loading of patients with physical exertion during exercises. Results. The dependence we found between the basic values of the tested indices specifying the ventilation capacity of the lungs and the energy expenditure measured in the 6- and 12-minute brisk walking tests indicates that these tests are suitable for qualifying patients with chronic obstructive pulmonary disease for exercise. Conclusions. Determining the energy expenditure in METS in the 6- and 12-minute brisk walking test enables proper dosing of physical exertion in the home-based rehabilitation of patients with chronic obstructive pulmonary disease after in-patient treatment, and developing indications for their motor activity.

Key words:
Exertion, Pulmonary Ventilation, pulmonary capacity testing
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Kinesiotaping application in children with scoliosis

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek – Kinesiotaping application in children with scoliosis. Fizjoterapia Polska 2007; 7(3); 370-375

Abstract
Background. Scoliosis is still a serious problem, despite numerous therapeutic methods. Kinesiotapping (KT) is one of the methods, which can prove helpful in scoliosis treatment. Using proper applications, we can affect alteration of stability line and achieve balance of the spine. Material and methods. The studies were conducted in Zgorzelec Rehabilitation Centre. The participants were 18 children, who stayed there for rehabilitation, including 16 girls and 2 boys. The mean age was 12 years in this group. Changes in the waist angle were evaluated before and after KT application. Results. The obtained results indicate that application of KT in the examined group results in waist angle change, on average by 4 degrees. For left waist angle this mean value is 5.27 degrees, while for the right waist angle it is 2.58 degrees. The highest value for correction was 11.2 degrees. Conclusions. Selected KT techniques result in changes in stability line course, which is also manifested by waist angle change. Due to muscular and fascial tone normalization, the posture of a child with scoliosis changes in the frontal and sagittal plane. KT as a new method, using multiple forms and techniques, seems helpful in carrying out rehabilitation programme for children with scoliosis.
Key words:
scoliosis, KT application, angle of waist
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Kinesiotaping after thoracosurgeries

Jan Szczegielniak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Zbigniew Śliwiński

Jan Szczegielniak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Zbigniew Śliwiński – Kinesiotaping after thoracosurgeries. Fizjoterapia Polska 2007; 7(3); 344-350

Abstract
In 2005 there were about 15 000 operations carried out in Thoracosurgery Units in Poland. The majority of these involved lobectomy due to structural changes resulting from cancer. It is worth mentioning that the majority of patients were operated on during their first or second stages of the disease, which shows improvement in methods used for diagnostic purposes qualifying for surgical operations. However, the patients treated in the third stage of their disease might reach even 40%. Application of physiotherapy in these patients is a complex problem due to the disease, their overall condition and post-operative complications. The treatment aims at improving the efficiency, strengthening the respiration mechanism, increasing thoracic flexibility and pain relief – which finally leads to improvement of the patient’s well-being. In case of possible lymphatic swelling, drainage and antiedema treatment are also very important. In case of the patients, who underwent surgery, not connected with cancer, physical treatment and massage are valuable complementation to kinesitherapy, which is the basis of physiotherapeutic treatment. They are mainly used in order to stabilize the muscle tone, decrease swelling and pain perception. However, because of the main disease, they could not be applied in most of patients. Under limited possibility of using physiotherapeutic treatment, kinesiotaping (KT) is a safe method stimulating post—operative scar healing, improving muscle activity and helping to decrease swelling and pain.
Key words:
kinesiotaping, physiotherapy, thoracosurgery
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The possibilities of using Kinesio Taping in patients after cardiac surgery

Jan Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Zbigniew Śliwiński

Jan Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Zbigniew Śliwiński – The possibilities of using Kinesio Taping in patients after cardiac surgery. Fizjoterapia Polska 2007; 7(4); 465-471

Abstract
Background. Kinesio Taping is used in physiotherapy to stimulate recovery and increase physical efficiency. Kinesio Taping offers new possibilities of using physiotherapy in patients who cannot fully benefit from kinesiotherapy or physiotherapy. Kinesio Taping is a method of treatment of pain syndromes reducing subjective pain perception. Appropriate applications, adjusted to patients’ needs and overall health, stimulate the activity of the lymphatic system and auxiliary respiratory muscles, regulate muscle tone, accelerate post-operative scar healing processes and provide additional scar stabilization.The aim. The article presents possibilities for using Kinesio Taping in patients after cardiac surgery. Kinesio Taping was used in the study in order to reduce pain, stabilize muscle tone, support respiratory muscles, prevent pectoralis muscle contracture, accelerate post-operative scar healing processes, increase post-operative scar elasticity and prevent the development of adhesions. Conclusions. The observed results of therapy were as follows: a decrease in subjective pain perception, a reduction of oedema, additional scar stabilization, and fully active participation of the patients in kinesiotherapy, which was limited before the KT treatment.
Key words:
Kinesio Taping, physiotherapy, cardio-surgery
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Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Marta Kopa, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Henryk Racheniuk, Magdalena Wilk, Marcin Krajczy, Jan Szczegielniak – Usefulness of Kinesiology Taping in post-stroke patients rehabilitated with the PNF method. Preliminary report. Fizjoterapia Polska 2008; 8(3); 325-334

Abstract
Background. Physiotherapy employs a number of kinesiotherapeutic methods based on understanding the course of the development- and movement-related neurophysiological processes, with PNF being one of the methods. Rehabilitation of stroke patients produces better results if different methods are combined, e. g. PNF and KT. Material and methods. The study involved 15 post-stroke patients, including 10 men and 5 women, aged 39-72. Each subject was examined once. Two muscle tone tests according to the Ashworth scale and three functional tests of the paralyzed upper extremity (prior to the therapy, on completion of PNF therapy and following functional KT application) were performed. The upper extremity function test consisted in the subject picking up an object. The distance [cm] between the object and the table surface was measured. Each patient underwent a 45-60 minute rehabilitation session using the PNF method. Additionally, KT was applied onto the radiocarpal joint extensor muscles.Results. Muscle tone according to the Ashworth scale did not change. The mean functional test results [cm] were as follows: 3.8 prior to the therapy, 6.6 post-PNF, and 7.8 post-KT. In two subjects the functional test results did not change, whereas the upper extremity function in the remaining 13 subjects improved after PNF therapy. A marked improvement was observed following the application of KT. In 10 patients, the additional KT application considerably facilitated PNF-based rehabilitation. Conclusions. A combined PNF and KT therapy contributes to improvement of function in the paralyzed extremity. Functional KT application proved to be useful and to facilitate PNF rehabilitation, and so the two modalities may and even should be combined. Although the patients were only subjected to a single PNF session, the function of the upper extremity improved. An even more marked improvement was observed following the functional application of KT. Muscle tone according to the Ashworth scale did not change significantly on completion of the therapy. However, it did not have a decisive influence on the positive results of the functional tests. We did not observe a correlation between the combined PNF and KT therapy and the duration of the post-stroke period was.
Key words:
Kinesiology Taping applications, PNF method, cerebral stroke
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