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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Effects of suryanamaskar on peak expiratory flow rate and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD)

Aayushi Palor, D. Anandhi


Aayushi Palor, D. Anandhi – Effects of suryanamaskar on peak expiratory flow rate and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD). Fizjoterapia Polska 2023; 23(1); 80-86

DOI: https://doi.org/10.56984/8ZG07B401

Abstract
Background. Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. Surya Namaskar is an ancient yogic method to worship the sun. This specific postural and breathing protocols were developed in Indian Subcontinent in the 17th century by Saint Samarth Ramdass. Aim. To find out the effects of Suryanamaskar on peak expiratory flow rate and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods. Experimental design, pre and post type. 14 COPD patients, aged 35–50 years, both men and women, grade I and II in GOLD classification was randomly allotted into two groups. The patients had to clear the flexibility tests – Sit and reach test and back scratch test. For the Experimental group (n = 7), Suryanamaskar, with conventional chest physiotherapy intervention, was given for 5 days per week for 6 weeks. For the control group (n = 7), conventional chest physiotherapy intervention was given for the same duration. Outcome measures: Peak expiratory flow rate (l/min), SF–36 questionnaire. Results: The study showed that the peak expiratory flow rate and SF–36 questionnaire showed non-significant result for both the groups as p > 0.05, though there was a clinically significant improvement. Conclusion: This study concluded that there is no statistically significant improvement in PEFR and QOL in COPD patients who performed Suryanamaskar along with chest physiotherapy.

Słowa kluczowe:
COPD, Peak expiratory flow rate, QOL, SF–36, Suryanamaskar

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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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Effect of new reflexology maneuver on lung function and functional ability of chronic obstructive pulmonary disease patients in pulmonary rehabilitation program: A randomized control trial

Laila A. Alsharaway, Tamer I. Abo Elyazed, Nesma A. Helmy

Laila A. Alsharaway, Tamer I. Abo Elyazed, Nesma A. Helmy – Effect of new reflexology maneuver on lung function and functional ability of chronic obstructive pulmonary disease patients in pulmonary rehabilitation program: A randomized control trial. Fizjoterapia Polska 2021; 21(5); 160-165

DOI: https://doi.org/10.56984/8ZG209F33

Abstract
Introduction. Chronic obstructive pulmonary disease (COPD) is a complex disease that requires multidisciplinary interventions provided by a team work of care providers working closely. Pulmonary rehabilitation should be considered a part of integrated patient management.
Aim. The main goal of this study was to search for the effectiveness of introducing new reflexology maneuver as main component in pulmonary rehabilitation program (PRP).
Material and Methods. Randomized control trial was done on 35 COPD patients of both genders their ages ranged from 50-70 with different degrees of functional severity. Patients were grouped into two groups; Reflexology Group (20 patients) including patients underwent classic PRP with addition of the new reflexology maneuver& control group(15 patients) who underwent classic PRP without reflexology maneuver.Outcomes were mentioned as refinement of pulmonary function,exercise tolerance and capacity measured by 6-min walk test,dyspnea score measured by the Modified British Medical Research Council (mMRC) Questionnaire, health status assigned by Combined Assessment test (CAT) score and parameters of blood gases.
Results. Comparison between different variables in both groups before PRP and reflexology revealed statistically significant differences as regards the mean values of forced vital capacity (FVC) only, although the same comparison after full course of PRP and reflexology assigned statistically significant differences as regards the mean values of partial pressure of O2 (PO2), partial pressure of CO2 (PCO2), oxygen saturation (SaO2),forced expiratory volume in 1sec (FEV1), dyspnea &CAT score considering (p < 0.05).
Conclusion. With addition of reflexology to PRP the comprehensive PR program outcomes in COPD patients resulted in significant improvement in dyspnea, blood gases, FEV1 and CAT score.
Key words:
COPD, Pulmonary rehabilitation program, reflexology
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Effects of the halotherapy versus Acapella device on the ventilatory functions in men patients with chronic obstructive pulmonary diseases: A randomized trial

Tarek Abo Elmaged Mohammed, Nesreen Ghareeb Elnahas, Akram Abdel-Aziz said, Alaa Eldin Omar Shelby

Tarek Abo Elmaged Mohammed, Nesreen Ghareeb Elnahas, Akram Abdel-Aziz said, Alaa Eldin Omar Shelby – Effects of the halotherapy versus Acapella device on the ventilatory functions in men patients with chronic obstructive pulmonary diseases: A randomized trial. Fizjoterapia Polska 2021; 21(5); 132-137

Abstract
Purpose. The aim of this study was to compare the effects of the halotherapy versus Acapella device as a method of airway clearance on the response of ventilatory functions in men patients with COPD. Materials and methods. Forty men patients participated in the study with moderate COPD on the basis of spirometric measures (Moderate 50% ≤ FEV1 < 80% of predicted). They were recruited from chest out-patient clinic of Police hospital. Their age ranged from 40 to 60 years and body mass index was 25–30 kg/m2. They were randomly assigned into two groups. Group (A) received treatment by the green Acapella device associated with routine chest physiotherapy including (diaphragmatic breathing, pursed lip breathing and active cycle breathing) for 8 successive weeks, for 24 sessions, 3 times per week, 50 minutes for each session. With 2 sets per each session. Group (B) received halotherapy with natural salt associated with routine chest physiotherapy including (diaphragmatic breathing, pursed lip breathing and active cycle breathing) for 8 successive weeks, for 24 sessions, 3 times per week, 50 minutes for each session. With 2 sets per each session. Ventilatory parameters (FEV1, FVC and FEV1/FVC), six-minute walk distance (6MWD) and the status of the disease by COPD assessment test (CAT) were measured before and after 8 weeks of training. Results. Statistical analysis using the paired t-test between pre and post training showed that group (A) and (B) revealed significant increase in Ventilatory parameters (FEV1%, FVC% and FEV1/FVC%) for group A (7.06%, 1.51%, 5.78%) and for group B (6.7%, 1.95%, 4.96%) respectively, and distance of 6-min walk test with (16.89%) for group A and with (14.5%) for group B and significant decrease in the status of the disease by CAT post-treatment with (22.8%,) for group A and with (20.28%) for group B. Comparing the results among the two tested groups, There was no significant difference in the post-testing mean values of all measured variables between the two groups (A) and (B). Conclusions. Both halotherapy and Acapellla device are similarly effective in ventilatory parameters, distance of 6 min-walk test and COPD assessment test (CAT).
Key words:
COPD, halotherapy, acapella device
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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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Selected aspects of pulmonary rehabilitation

Ryszard Rutkowski, Joanna Rutkowska, Krzysztof Rutkowski, Zenon Siergiejko

Ryszard Rutkowski, Joanna Rutkowska, Krzysztof Rutkowski, Zenon Siergiejko – Selected aspects of pulmonary rehabilitation. Fizjoterapia Polska 2009; 9(1); 21-30

Abstract
Our review article summarizes current knowledge on medical rehabilitation with special emphasis on rehabilitation in respiratory conditions. Medical rehabilitation entails a multidisciplinary approach to chronically ill and disabled patients sen/ing to restore the highest possible physical, mental and professional capacity allowing patients to function actively and independently within the limitations placed upon them by their disorder The beneficial effects of rehabilitation depend considerably on careful planning of action to be taken in the course of treatment of chronic functional disorders and the feasibility of its continuation in the community The American Thoracic Society (ATS) and the European Respiratory Society (ERS) recommend pulmonary rehabilitation in the therapy of chronic respiratory conditions. It has been defined as a multidisciplinary approach providing an indMdually designed multi-speciality programme incorporating the diagnosis, treatment, education and psychological techniąues to stabilise and/or re-vert the physiological and psychopathological symptoms of chronic respiratory conditions. A well designed pulmonary rehabilitation programme encompasses educating patients and their relatives, healthy life style and nutritional (weight correction) advice as well as appropriate psychological intentions. Patient education is the cornerstone of comprehensive pulmonary rehabilitation and remains the shared duty of patients, their families, GPs and all other members of the therapeutic team. Counselling and nutritional advice are important components of the educational programme as they influence patients’ general well-being and fitness.
Key words:
pulmonary rehabilitation, education, asthma, COPD, cystis fibrosis
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Assessment of effectiveness of short-lived physiotherapy procedure on selected functional parameters of the respiratory system in patients with COPD Chronic Obstructive Lung Disease (COLD)

Krystyna Rożek, Jan Szczegielniak, Marta Majewska-Pulsakowska, Anna Dor, Monika Bartczyszyn

Krystyna Rożek, Jan Szczegielniak, Marta Majewska-Pulsakowska, Anna Dor, Monika Bartczyszyn – Assessment of effectiveness of short-lived physiotherapy procedure on selected functional parameters of the respiratory system in patients with COPD Chronic Obstructive Lung Disease (COLD). Fizjoterapia Polska 2012; 12(2); 119-128

Abstract
Background. The objective of the study of short-lived physiotherapy procedure on selected functional parameters of lungs, parameters of arterial blood gas (ABG) and of physical capacity patients with advanced COPD was to assess its effectiveness. Material and methods. examinations were carried out on 40 of the hospitalized men with COPD. Patients were divided in two research groups. Group I -23 men observed a week rehabilitation program based on physiotherapy aimed at raising physical fitness of the patients, group II-control was made of 17 patients in which only pharmacological curing was employed. Functional examinations of the lungs were made with the help of apparatus of German Erich Jaeger FLOWSCREEN equipment. All patients underwent the following examinations: ABG, 6MWT (Six Minutes Walking Test), measurement of BMI (Mass Index Body) and a range of chest mobility. Results. Subjects from Group I, after completion of improvement process, were able to overcome a longer walking distance in a 6-minute walking test, this distance became, however, even shorter, compared to exit results, in the control group patients. However, the average walking speed as well as MET values calculated from the formulae increased in both groups. Parameter FVC significantly increased in group I patients. A significant improvement was also observed amongst studied ABG parameters: pO2 and SaO2 in the experimental group, and a decrease, after the same number of days, in the control group.Conclusions. 1. As a result of the weekly special physiotherapy program the walking distance covered during a 6-minute walking test increased. 2. Among lung function parameters only forced vital capacity increased significantly. 3. After a week of exer­cise pO2 and SaO2 significantly increased in the experimental group.
Key words:
COPD, pulmonary rehabilitation, respiratory function, Exercise Tolerance, POChP
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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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用於慢性阻塞性肺病患者物理治療的運動耐量試驗

Jan Szczegielniak, Katarzyna Bogacz, Marcin Krajczy, Jacek Łuniewski

Jan Szczegielniak, Katarzyna Bogacz, Marcin Krajczy, Jacek Łuniewski – Exercise tolerance tests used in physiotherapy for COPD patients. Fizjoterapia Polska 2019; 19(3); 24-30

摘要
慢性阻塞肺病的物理治疗计划基础为耐力训练,然而要准确确定每位患者的负荷值就必须进行运动测试,经过运动测试可正确规划能力训练并评估其有效性,同时它们也是评估康复益处的可靠工具。运动测试可用于物理治疗分级、训练计划制定、检测限制运动的症候、物理治疗程序控制及物理治疗效果评估等方面。

关键词:
运动测试、慢性阻塞肺病

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