Tag: Anna Szczegielniak

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 effect of local cryotherapy on temperature changes in the ankle joint in individuals with chronic ankle instability

Bartosz Pańczyszak, Katarzyna Bogacz, Łukasz Mączka, Danuta Lietz-Kijak, Jacek Łuniewski, Anna Szczegielniak, Jan Szczegielniak

 

Bartosz Pańczyszak et al. – The effect of local cryotherapy on temperature changes in the ankle joint in individuals with chronic ankle instability –  Fizjoterapia Polska 2025; 25(2); 172-177

DOI: https://doi.org/10.56984/8ZG00E1ON2V

Abstract
Objective. The aim of this study was to evaluate the impact of local cryotherapy on temperature changes in the ankle joint. Additionally, a subjective assessment of joint function was performed in individuals with chronic ankle instability and in healthy controls.
Materials and methods. The chronic ankle instability (CAI) group consisted of 10 participants, while the healthy control group included 22. In both groups, ankle joint temperature was measured at four time points: 10 minutes before testing, immediately before cryotherapy, immediately after the procedure, and 10 minutes post-treatment. Functional status of the ankle joint was assessed using the FADI-Q questionnaire.
Results. The lowest temperature was recorded at the Achilles tendon during the first measurement, and the CAI group showed a higher Achilles tendon temperature before testing began. The experimental group scored lower on the FADI-Q questionnaire than the control group.
Conclusions.
1. The CAI group exhibited higher temperature at the distal insertion of the Achilles tendon before the study began.
2. Ten minutes after the procedure, skin temperature had not returned to baseline values.
3. The FADI-Q questionnaire revealed that the group with chronic ankle instability rated their functional status lower.
Key words
functional status, quality of life, erderly people, institutional care
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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”

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

Abstract
Introduction. In the project “PulmoRehab – Access to Healthcare Services through a Personalized Patient Care System for COPD including Remote Monitoring and Tele-rehabilitation Based on Artificial Intelligence Methods,” SP ZOZ Specialized Hospital Ministry of Internal Affairs and Administration in Głuchołazy and 10 partners conducted research on tele-rehabilitation for people suffering from Chronic Obstructive Pulmonary Disease (COPD). The tele-rehabilitation program, based on personalized approach and technology, allowed patients to use therapy at home or a convenient location. The project aimed to reduce social inequalities in healthcare by providing remote access to health services for COPD patients.
Materials and Methods. The study involved 80 patients aged 50 to 76 years, hospitalized at Ministry of Internal Affairs and Administration’s Specialist Hospital of St. John Paul II, meeting specific criteria. Qualification for the tele-rehabilitation program took into account the assessment of exercise tolerance, dyspnea, fatigue, lung ventilatory function, and saturation. The program included exercises adapted to the individual needs of the patients.
Results. Analysis of the results conducted using XLSTAT software 2021.2.2 showed statistically significant differences between spirometric values before and after rehabilitation. Similarly, significant improvement was observed in the results of the 6MWT test and blood saturation. The tele-rehabilitation program proved effective in improving respiratory health parameters in COPD patients.
Conclusions.
1. The tele-rehabilitation program improves lung ventilatory function in people with COPD. It reduces the feeling of dyspnea, decreases fatigue, improves SpO2, and increases exercise tolerance, demonstrating the beneficial effects of the rehabilitation applied.
2. The obtained results encourage further research on a representative group with the use of randomization.
Key words:
Tele-rehabilitation, COPD
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Assessment of the body posture of junior high school students in the context of their physical activity

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


Marta Gołdyn-Pastuszka, Marzena Dorosz, Anna Szczegielniak, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak – Assessment of the body posture of junior high school students in the context of their physical activity. Fizjoterapia Polska 2023; 23(1); 112-125

DOI: https://doi.org/10.56984/8ZG07B654

Abstract
Introduction. Posture defects constitute a social problem and can cause negative changes in many aspects of our lives – in both physical and mental health. Prophylaxis and an appropriate degree of physical activity, which affects harmonious development, are very important here. Objective. The objective of the study was to assess the body posture of junior high school students and to determine the degree of their physical activity, and then to check whether there is a correlation between them. The study group consisted of 53 people from a junior high school in Wrocław, aged 14 to 17. Material and methods. To assess physical activity, the International Physical Activity Questionnaire (IPAQ) was used, which contains 7 questions regarding activity in the last 7 days. Body posture in the sagittal plane was examined using photogrammetry, and typology classification was based on Wolański’s method modified according to Zeyland-Malawka. Results. The results of the study were subjected to a statistical analysis, which shows that the studied group of adolescents is mostly characterized by a kyphotic type of body posture, while the least common is the balanced type. The level of physical activity of the study group can be described as sufficient, but it is worth noting that only 6% of the respondents are characterized by an insufficient level of physical activity, and only 7.5% are characterized by a high level of physical activity. Conclusions. In further analyses, it was examined whether there is a correlation between body posture and physical activity. It was found that there are no statistically significant differences between these two features in the study group.
Key words:
posture defects, body posture, physical activity, junior high school students
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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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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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