Tag: Marcin Krajczy

The impact of body composition disorders on the quality of life of patients with chronic obstructive pulmonary disease

Marzena Dorosz, Katarzyna Bogacz, Marta Gołdyn-Pastuszka, Marcin Krajczy, Anna Szczegielniak, Jacek Łuniewski, Jan Szczegielniak


Marzena Dorosz, Katarzyna Bogacz, Marta Gołdyn-Pastuszka, Marcin Krajczy, Anna Szczegielniak, Jacek Łuniewski, Jan Szczegielniak – The impact of body composition disorders on the quality of life of patients with chronic obstructive pulmonary disease. Fizjoterapia Polska 2022; 22(5); 56-69

DOI: https://doi.org/10.56984/8ZG20AXT7

Abstract

Introduction. COPD is a chronic inflammatory disease that constitutes a significant public health problem. It is characterized by not fully reversible, progressive limitation of airflow through the airways. In addition to the harmful pulmonary effects, COPD manifests itself with complications in other body systems, including body composition disorders, which adversely affects patients’ quality of life and prognosis. The objective of this study was to assess the quality of life of patients with COPD and to assess the factors that will affect its deterioration.
Material and methods. The study included 37 patients of the University Hospital at the Jagiellonian University Medical College in Kraków at 8 Skawińska Street, who were diagnosed with COPD according to the GOLD guidelines. In the study group, a personal questionnaire was conducted, anthropometric data was collected, i.e. the Quetelet index was calculated, thigh circumference and skin folds were measured, and the subjective assessment of the quality of life was examined using the SGRQ-C questionnaire and the CAT Test.
Results. Based on the analysis of the collected materials, it was shown that the average assessment of the quality of life in the study population was at a low level of 61.8 points on the SGRQ-C scale. There was a large variation in the assessment of HRQoL depending on the stage of the disease. The best result, amounting to 23.0 points, was achieved by patients in stage 1, and the worst – 81.6 points. – patients in stage 4 according to GOLD guidelines. Among the main determinants of the quality of life in the study group, in addition to the degree of airway obstruction, there were: high intensity of clinical symptoms, such as cough, shortness of breath or expectoration of secretions, low body weight and the number of comorbidities. Conclusions. It has been shown that the loss of fat-free body mass and systemic complications are factors that significantly reduce the quality of life, and patients with fewer comorbidities and with increased BMI score better on the SGRQ-C scale. It has been proven that the progression of the disease contributes to the exclusion of patients from active social life and causes many mental problems. It was established that patients with COPD should be covered by multidisciplinary care and a special training program in order to prevent or delay the onset of systemic complications, which significantly worsen the patients’ quality of life

Keywords:
COPD, body composition, quality of life

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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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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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Vojta Screening Tests in children with CNS damage and functional applications of Kinesiology Taping

Zbigniew Śliwiński, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Jan Szczegielniak

Zbigniew Śliwiński, Bartłomiej Halat, Beata Michalak, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Marcin Krajczy, Jan Szczegielniak – Vojta Screening Tests in children with CNS damage and functional applications of Kinesiology Taping. Fizjoterapia Polska 2008; 8(3); 317-324

Abstract
Background. The manifestations of CNS disorders, whether it is spasticity, athetosis, ataxia, or any other, are not visible shortly after birth. They usually develop during the first 4 months of life. They can only be elicited in challenge tests, including kinesiological diagnostic work- up according to V. Vojta.Aim – to define the effect of Kinesiology Taping functional application in children with central coordination disorders. Material and Methods. The study involved 28 patients from the Inpatient Rehabilitation Centre of the Multi-speciality Independent Public Health Care Facility in Zgorzelec (10 boys and 18 girls aged 6-10 months). The mean age of the group was 8 months.Results. Changes in the subjects’ postural reactivity were produced in the course of Vojta kinesiological tests. The difference between the number of pre- and post-Kinesiology Taping abnormal reactions [%] was statistically significant for 3 out of the 7 reactions tested. The mean number of abnormal reactions was 3.12 out of 7 reactions tested. The post-KT results improved inasmuch as the number of abnormal reactions decreased on average by 1 to 2.14 abnormal reactions out of the 7 reactions tested.Conclusions. Children tolerate the therapy of Kinesiology Taping very well. KT produces changes in the spatial arrangement of body parts and improves spatial reactivity, as was observed in the Vojta tests. The Traction Response test showed body axis correction in asymmetric children. The suspension test according to Collis revealed that the application of KT on the hand exerted an effect on muscle tone.
Key words:
Vojta screening tests, Kinesiology Taping
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The effectiveness of Kinesio Taping applications in physiotherapy of post-cholecystectomy patients. Preliminary report

Marcin Krajczy, Jan Szczegielniak, Zbigniew Śliwiński, Krzysztof Kamiński

Marcin Krajczy, Jan Szczegielniak, Zbigniew Śliwiński, Krzysztof Kamiński – The effectiveness of Kinesio Taping applications in physiotherapy of post-cholecystectomy patients. Preliminary report. Fizjoterapia Polska 2008; 8(3); 279-289

Abstract
Background. Abdominal surgery is always associated with a variety of dysfunctions, including post-operative paralysis of the alimentary tract, water-electrolyte imbalance and other, related to the underlying disease, anaesthesia and any co-existing diseases. Post-operative pain, respiratory complications as well as impaired exercise tolerance remain a serious problem for postabdominal surgery patients. Material and methods. In order to confirm the clinical effects of Kinesio Taping, a study was performed on a group of 17 patients (8 men, 9 women) following recent open cholecystectomy in the General Surgery Unit of Nysa Municipal Hospital, between March 2007 and February 2008. The patients were randomized to a treatment group (5 women, 3 men), which received Kinesio Taping, and a control group (3 women, 6 men), which received standard treatment. The following parameters were evaluated during the study: subjective pain, abdominal circumferences, ventilatory function, exercise tolerance, duration of intestinal atony to the return of peristalsis and first post-operative defecation.Results and Conclusions. 1. Kinesio Taping applied to patients after cholecystectomy reduced pain, accelerated reduction of abdomen circumference and was associated with much lower consumption of analgesics compared to the control group. 2. Kinesio Taping considerably shortened post-operative intestinal atony, accelerating the return of peristalsis and first defecation after the operation. 3. Increased exercise tolerance and ventilatory function observed in the study indicates that Kinesio Taping is an effective physiotherapy technique in patients following a conventional cholecystectomy.
Key words:
general surgery, physiotherapy, Kinesio Taping
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Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński

Beata Michalak, Bartłomiej Halat, Wojciech Kufel, Marta Kopa, Jacek Łuniewski, Katarzyna Bogacz, Magdalena Wilk, Marcin Krajczy, Anna Lipińska, Jan Szczegielniak, Zbigniew Śliwiński – Assessment of gait patiem following Kinesiology Taping application in patients after cerebral stroke. Fizjoterapia Polska 2009; 9(2); 133-142

Abstract
Background. The authors present an assessment of gait pattern in stroke patients subjected to comprehensive physiotherapy inclu-ding Kinesiology Taping applications. Material and methods. The KT group included 20 patients (13 men and 7 women) who were subjected to Kinesiology Taping. KT applications were not used in the control group, which consisted of 5 women and 15 men. Ali patients underwent physical, neurological and functional examinations, which constituted the basis for designing a rehabilitation program. Results. The analysis of the results indicates that functional KT application to the anterior tibial muscie, ligamentous KT application to the Achilles tendon and muscular KT application to the soleus muscie significantly contributed to improving ankle joint function. Patients treated with KT applications demonstrated improved gait patterns, visible as balanced step length and an extended support phase main-taining the body weight. When learning and analyzing the gait pattern, the midstance phase (fuli loading) is a significant element prece-ding the propulsion phase. This assessment of gait patterns following KT application in stroke patient is an innovative study. Conclusions. Muscular and ligamentous Kinesiology Taping applications reduce the spastic tension of the lower limb muscles para-lyzed as a result of cerebral stroke, The beneficial effect of Kinesiology Taping described by the founders ofthis method reduces the congestive edema of the limbs paralyzed as a result of a cerebral stroke and improve the gait pattern. The rehabilitation program applied in this study increased the gait speed of the stroke patients.
Key words:
Kinesiology Taping, muscular applications, ligamentous applications, corrective applications, cerebral stroke
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慢性阻塞肺病患者的康复模型

Jan Szczegielniak, Jacek Łuniewski, Marcin Krajczy, Katarzyna Bogacz

J.Szczegielniak, J. Łuniewski, M. Krajczy, K. Bogacz – Rehabilitation models for patients with COPD. Fizjoterapia Polska 2019; 19(3); 126-137

摘要
康复计划包括A、B、C、D、E等模式，特定类型分级的基本标准为运动耐力、肺通气受损（FEV1指数）、呼吸困难程度及体适能等方面的评估。
患者评估时考虑的其他标准还包括年龄、呼吸困难程度及体适能等。对运动测试有禁忌症或出现循环或呼吸功能衰竭者将被分类为E型，其他类型测试涵盖自行车测功计、呼吸和一般运动训练、阻力训练或站立训练、步行、吸入、引流和有效咳嗽、胸部轻拍、物理治疗和按摩等。

关键词：
康复计划、慢性阻塞肺病、康复模式

 

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