Tag: 6MWT

The Impact of Thoracic Physiotherapy Procedures on Rehabilitation Outcomes in Patients after Coronary Artery Bypass Grafting

Katarzyna Bogacz, Anna Szczegielniak, Jacek Łuniewski, Bartosz Pańczyszak, Aleksandra Kucińska, Hanna Piekarska, Igor Świerkowski, Jan Szczegielniak

Katarzyna Bogacz et al. – The Impact of Thoracic Physiotherapy Procedures on Rehabilitation Outcomes in Patients after Coronary Artery Bypass Grafting –  Fizjoterapia Polska 2025; 25(5); 26-36

DOI: https://doi.org/10.56984/8ZGA4318Q2M

Abstract
Introduction. Coronary artery bypass grafting performed via median sternotomy frequently leads to postural disturbances, reduced thoracic mobility, and diaphragmatic dysfunction, which may adversely affect pulmonary ventilatory function and exercise tolerance. Supplementing standard cardiac rehabilitation with physiotherapeutic interventions targeted at the thorax and diaphragm may enhance the effectiveness of functional recovery in patients after CABG.
Aim of the Study. The aim of the study was to evaluate the effect of thoracic physiotherapy procedures on body posture, pulmonary ventilatory function, and exercise tolerance in patients after coronary artery bypass grafting.
Material and Methods. The study included 80 patients (28 women and 52 men) after OPCAB surgery, qualified for phase II cardiac rehabilitation. The patients were randomly assigned to an experimental group (I) and a control group (II). Both groups followed a 3-week standard cardiac rehabilitation program, while the experimental group additionally received exercises aimed at improving posture, thoracic mobility, and manual therapy techniques targeting the diaphragm. Before and after physiotherapy, body posture, breathing pattern, spirometric parameters, and exercise tolerance in the 6-minute walk test were assessed. Repeated-measures ANOVA was used for statistical analysis.
Results. After physiotherapy, both groups demonstrated a significant improvement in pulmonary ventilatory function and exercise tolerance (p < 0.05). The experimental group showed a significantly greater magnitude of changes in body posture, diaphragmatic function, spirometric parameters, and MET values in the 6-minute walk test compared with the control group.
Conclusions. Physiotherapeutic interventions targeted at the thorax and diaphragm constitute a valuable adjunct to standard cardiac rehabilitation in patients after coronary artery bypass grafting, contributing to improved respiratory function and exercise tolerance.
Key words
coronary artery bypass grafting, cardiac rehabilitation, respiratory physiotherapy, diaphragm, exercise tolerance, 6MWT
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The impact of high body weight on children’s aerobic capacity in the primary school age

Agata Dobrowolska, Małgorzata Domagalska-Szopa, Agnieszka Ostrowska, Andrzej Szopa


Agata Dobrowolska, Małgorzata Domagalska-Szopa, Agnieszka Ostrowska, Andrzej Szopa – The impact of high body weight on children’s aerobic capacity in the primary school age. Fizjoterapia Polska 2022; 22(1); 222-232

Abstract
Introduction. Overweight and obesity are among the greatest global challenges of the 21st century. In Poland, the number of overweight children has tripled in the last 20 years. In order to determine the level of aerobic capacity as well as the selection of forms and intensity of physical training in children with excess body weight, many methods are used, e.g. 6-minute walk test (6MWT) or spiroergometric test (CPET).
Aim od the study. The aim of the study was to evaluate the performance parameters of children with excess body weight in comparison to children with proper body weight. Additionally, an attempt was made to answer the question whether the results of the indirect method efficiency assessment are consistent with the results of the spiroergometric test.
Material and methodology. The research was carried out in a group of 25 children with excess body weight (study group; BMI 93.7 ± 4.11 percentile) and 25 children with normal body weight (control group; BMI 28 ± 19.62 percentile) aged 8-12 years. The tests consisted of 3 parts: 1) measurement of body weight, body height and body weight composition; 2) ergospirometric test (CPET) carried out on a cycloergometer using the Godfrey ramp type protocol; 3) assessment of aerobic capacity based on the result of the 6MWT test.
Results. There were significant differences in the VO2 / kg result in the studied children between the study group (26.2 ± 4.32 ml / kg / min) and the control group (36.2 ± 5.75 ml / kg / min) and the results of the 6MTW test in the study group was 486.5 ± 86.35 m, and in the control group 519.6 ± 85.40 m.
Conclusions. There were no differences in the value of the VO2peak parameter in children from the study and control groups; however, differences in the result of VO2 / kg were noticed. Children with hight BMI characterized by a greater difference between the observed and expected value of 6MWT than children with proper body weight.
Key words:
children’s aerobic capacity, CPET, 6MWT, excess body weight, high BMI
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Gait analysis of patients with chronic obstructive pulmonary disease

Sebastian Rutkowski, Anna Rutkowska, Jacek Łuniewski,
Jan Szczegielniak

S. Rutkowski, A. Rutkowska, J. Łuniewski, J. Szczegielniak – Gait analysis of patients with chronic obstructive pulmonary disease. FP 2014; 14(4); 24-33

Abstract

The aim of the study was the analysis of gait parameters of patients with COPD. It was decided to examine whether the diagnosed chronic obstructive pulmonary disease affects the gait parameters during a 6-minute walk test.
The research material consisted of 33 COPD in patients (27 males, 6 females) of MIAA Specialistic Hospital in Głuchołazy, who were treated there from February 2011 to May 2011. Control group consisted of 48 healthy (9 males, 35 females).
It was found that the average distance reached in the test group was 538,97m ±176,32m, while in the control group 546,7m ± 85,7m. Patients with COPD during the test were moving at a slower speed, achieved shorter steps during longer step time
Analysis of the results showed that COPD patients presented deteriorated the value of indicators describing the gait parameters during the 6-minute walk test

Key words:
gait analysis, COPD, 6MWT

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