Tag: Krzysztof Kassolik

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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Medical massage in the treatment of non-specific low back pain

Krzysztof Kassolik, Waldemar Andrzejewski, Dariusz Chołodecki, Andrzej Steciwko

Krzysztof Kassolik, Waldemar Andrzejewski, Dariusz Chołodecki, Andrzej Steciwko – Medical massage in the treatment of non-specific low back pain. Fizjoterapia Polska 2004; 4(2); 107-111

Abstract

Background. Non-specific low back pain is a serious social problem. Most patients are unable to specify the particular event that caused the pain to appear. The typical treatment methods, i.e. pharmacotherapy and surgery, seldom lead to the desired results. One effective method of treating non-specific low back pain is physiotherapy, in which medical massage plays an important role. This is a therapeutic procedure based on theoretical and clinical research in medicine and related scientific fields. Material and methods. We studied 40 ambulatory patients, 31 men and 9 men, average age 47. The patients were evaluated using a 7-point scale of pain intensity and a patient evaluation chart, containing a comprehensive assessment of the musculo-skeletal system, including the functional status of other systems directly involved in motor function. Results. Before treatment, the patients’ subjective reports of pain intensity averaged 3.57 ± 1.1 points (moderately intense pain). After massage treatment, 77% of the patients (31 persons) reported no pain at all (0 points), and 23% (9 persons) reported minimal pain (1 point). Conclusions. The application of medical massage in this pathology significantly reduced the reported intensity of pain in all the patients we studied. Medical massage can be applied as an effective therapeutic procedure in managing pain for persons with non-specific low back pain.

Key words:
umbar pain syndrome, pharmacotherapy, surgical treatment, conservative treatment
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The impact of massage on the leukocyte system in peripheral blood

Waldemar Andrzejewski, Krzysztof Kassolik

Waldemar Andrzejewski, Krzysztof Kassolik – The impact of massage on the leukocyte system in peripheral blood. Fizjoterapia Polska 2004; 4(4); 369-377

Abstract

Background. Our research was directed to the following questions: 1. Can muscle massage cause changes in the absolute number of leukocytes in peripheral blood? 2. Can massage cause changes in the proportions of neutrocytes, lymphocytes and monocytes? 3. Do these changes, if any, resemble the changes occurring during an inflammatory process? Material and methods. We studied 60 male Buffalo rats, 8 months old, procured from our own breeding facility. The rats were randomly divided into an experimental group and a control group (30 animals each). The experimental rats were subjected to daily massage of the hind limbs for 30 days. The control animals were not massaged, but were removed from the cage and held in the same way as the experimental animals. Three days before the experiment and again on days 1, 3, 5, 10, 20, and 30, blood samples were collected for analysis from all animals in both groups directly after massage. Results. Massage caused changes in the absolute number of leukocytes in peripheral blood. No statistically significant changes were noted in the percentages of neutrocytes and lymphocytes, but the monocyte value changed, achieving a significant increase on the 10th and 20th days in comparison to the control group. Conclusion. The changes we observed are similar in their dynamics to the leukocyte reaction during inflammation, and may indicate that massage as a mechanical factor of low intensity can function as a stimulant for the immune system.

Key words:
neutrocytes, Lymphocytes, Monocytes, Immune System
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Assessment of the effectiveness of medical massage in patients with low back pain

Waldemar Andrzejewski, Krzysztof Kassolik, Anna Karaś, Grzegorz Karaś, Ewa Trzęsicka

Waldemar Andrzejewski, Krzysztof Kassolik, Anna Karaś, Grzegorz Karaś, Ewa Trzęsicka – Assessment of the effectiveness of medical massage in patients with low back pain – research report. Fizjoterapia Polska 2006; 6(2); 150-156

Abstract

Background. Low back pain is a very often reported disorder in physiotherapist’s office. Medical massage is one of the most popular method to treat this kind of problem. The main difference between medical and classical massage depends on its methodology. In medical massage it is crucial to include the structural relationship between soft tissues. In order to find an effective treatment method therapist must treat patients as a whole, as a number of connected with each other structures. To assess the effectiveness of medical massage in people with low back pain problems. Material and methods. Twenty eight patients with low back pain have taken part in the research. Anamnesis was taken from all the patients, they also had a palpation examination to evaluate the intensity of pain in tissues. The evaluation was taken before the treatment, after the sixth and the last procedure of medical massage. Patients had one set consisting of 10 procedures. Time duration of each procedure was between 40-70 minutes. It was supposed that the painful area means disorder with an increased tension in this place. Structures which had bigger tenderness were massaged. Subjects were in prone or lying on their side position in order to maintain relaxed conditions. Classical techniques were used: stroking, petrissage, kneading, and vibration by the same therapist in all subjects. Results. There has been a significant decrease in both number of painful areas and pain intensity reported by patients. Conclusion. Medical massage is an effective therapeutic method to work on patients with low back pain. The effectiveness of massage was observed after six procedures, and after the sixth massage patients reported only slight pain.

Key words:
low back pain, medical massage, pain evaluation
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The evaluation of the efficacy of medical massage in degenerative changes of the lumbar spine

Waldemar Andrzejewski, Krzysztof Kassolik, Paweł Adam

Waldemar Andrzejewski, Krzysztof Kassolik, Paweł Adam – The evaluation of the efficacy of medical massage in degenerative changes of the lumbar spine. Fizjoterapia Polska 2006; 6(3); 198-205

Abstract
Background. Low back pain caused by degenerative changes is a common reason for long-term pharmacological treatment utilizing analgesic medications, anti-inflammatory medications and medication decreasing muscle tension. Also therapeutic methods from the realm of physiotherapy are used in the treatment: kinesitherapy, physiotherapy and massage. In the case of medical massage based on the principle of tensegrity, therapists have individual approach to the patient. They assess tonus of soft tissue of the motor apparatus, localize pain and the ways it spreads. Such approach increases the likelihood that the therapy will succeed and can improve its efficacy. The study is an attempt to evaluate the efficacy of medical massage performed in people with degenerative changes of the low back. Material and methods. The participants of the study were 30 people in the age range 42-65 (mean age 53.5): 19 women and 11 men, who reported to the physicians with low back pain. Medical examination and X-Ray images indicated degenerative changes in the lumbar spine. The procedures were performed 3 times a week for 2 weeks. Each procedure lasted 45-60 min. Health evaluation record was used to evaluate the efficacy of the therapy. Medical history of a patient was taken on the basis of the record and physical examination of pressure sensitivity of soft tissue of the motor apparatus was performed. Another tool of the research method was a survey checking the patient’s subjective assessment of the state of health as well as frequency and intensity of the lumbar spine pain and lower limbs pain. Results. Pressure sensitivity of the examined structures decreased or regressed in all patients as a result of the therapy. After a series of procedures, pain, overall feeling of well-being and current state of health improved to various degrees. In all cases, the incidence and intensity of pain in the lower limbs decreased after the therapy. Conclusions. Medical massage can be an effective method of physiotherapeutic treatment in cases of pain connected with degenerative changes of the lumbar spine.

Key words:
medical massage, degenerative changes of the lumbar spine, pain

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Medical massage in dysmenorrhoea

Krzysztof Kassolik , Waldemar Andrzejewski, Piotr Wojtoń, Klara Sadowska, Agnieszka Cichoszewska

Krzysztof Kassolik , Waldemar Andrzejewski, Piotr Wojtoń, Klara Sadowska, Agnieszka Cichoszewska – Medical massage in dysmenorrhoea. Fizjoterapia Polska 2006; 6(4); 339-343

Abstract
Background. From 40 to 60 % of women aged 20-40 are affected by dysmenorrhoea. Such patients are usually prescribed pain-relieving and spasmolytic drugs. Massage is a non-invasive therapeutic modality whose effects are believed to include reduction of muscle tone. Therefore, the authors attempted to determine the efficacy of medical massage in allevi-ating dysmenorrhoeic pain. Material and methods. The participants of the study were 48 students from the University School of Physical Education, aged 22-25. To evaluate efficacy of medical massage, the researchers elaborated questionnaires. The objectives of the questionnaire were to: 1) select those participants complaining of menstruation-associated pain, and 2) to determine the intensity of the pain at baseline and after a series of massages. A total of 26 women with dysmenorrhea were selected and subsequently subjected to medical massage. Four 10-minute medical massage sessions were performed over the lumbar, sacral and gluteal areas. At the end of each procedure a hot water bottle with 45 degrees Celsius water was applied to the massaged area in order to preserve the changes in blood distribution within the pelvis. Results. Medical massage applied a few days before menstruation reduced dysmenorrhoeic pain in 24 out of the 26 women. Pain was alleviated in 16 women and completely disappeared in a further 8 patients. In 2 patients, the intensity of pain remained the same after application of medical massage. Conclusions. The findings indicate that medical massage can be an easy-to-use adjunctive therapeutic modality for reducing pain in women with dysmenorrhea.

Key words:
massage, dysmenorrhoea, physical therapy

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Medical massage as a rational treatment following facial skeleton surgery

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka, Marek Kiljański

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka, Marek Kiljański – Medical massage as a rational treatment following facial skeleton surgery. Fizjoterapia Polska 2007; 7(1); 87-92

Abstract

The main aim of postoperative management following surgery of the facial skeleton is to prevent potential postoperative complications. As a result of disruption of the continuity of tissue, there is swelling within the operated area, as well as subcutaneous extravasation of blood and hyperaesthesia of facial skin. The authors have developed an approach to reduce or completely eliminate those inconveniences and thus shorten convalescence time using medical massage. Initially, normal superficial sensitivity of facial skin is restored by stroking from the medial line of the face towards the ear concha, starting from the lower jaw line and ending in the forehead. Next, the peristaltic movement in lymphatic vessels diverting lymph within the head and neck is stimulated by moving the skin over deeper lying tissues within the physiological range of skin mobility. Circular movements are made with a brush for 2-4 min., and slight pressure is applied to the skin over the haematoma area in order to accelerate the resorption of subcutaneous discoloration ensuing from extravasation of blood. The last stage of the treatment is aimed at reducing pain and tenderness in the operated area. We use vibration of < 1 mm amplitude and frequency of 50-100 Hz, which guarantees analgesia for 2-3 hours. The treatment reduces postoperative discomfort afflicting patients already during the first 24 hours after surgery.

Key words:
massage therapy, oedema, hypersensitivity
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Anatomical grounds for the use of the tensegrity principle in massage

Krzysztof Kassolik, Waldemar Andrzejewski, Ewa Trzęsicka, Gregory Charlton

Krzysztof Kassolik, Waldemar Andrzejewski, Ewa Trzęsicka, Gregory Charlton – Anatomical grounds for the use of the tensegrity principle in massage. Fizjoterapia Polska 2007; 7(3); 332-343

Abstract
On the level of cells, tissues and organs alike, the structure of the human body enables the maintenance of constant spatial arrangement. This is possible owing to collagen, the most prevalent protein of the system. It is the basic building block of connective tissue, including the musculo-fascio-ligamentous system. The maintenance of proper spatial structure of the body relies on the maintenance of a balanced tonus of collagen, and thereby, of connective tissue. This balance is generated mainly by the resting tonus of skeletal muscles, which also contain collagen. On this basis, anatomical analysis of structural dependence at the musculo-fascio-ligamentous level has been performed, in accordance with the principle of tensegrity, on four fundamental systems. Each of these systems comprises structurally linked muscles, fasciae and ligaments forming an extensive pathway for the transmission of tensions over a large area of the body. Vessels and nerves course through these structures at particular points. Disorders may ensue as a result of persistently elevated resting tone of muscles and fasciae. The most common conditions of the motor system which can be a consequence of disturbances in the distribution of tensions within those four pathways are also given in the paper. This attempt at analysis of the anatomical structure of the human body according to the tensegrity principle ensures a better understanding of abnormal functioning of the body. Other benefits can include increased effectiveness of massage therapy in some conditions and better insight into structural and functional connections between various elements of the kinetic system on the one hand and vessels or nerves on the other.
Key words:
massage, tensegrity, anatomy
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Efficacy of medical massage after facial skeleton surgery

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka

Krzysztof Kassolik, Henryk Kaczkowski, Hanna Wojtoń, Waldemar Andrzejewski, Piotr Zachariasiewicz, Ewa Trzęsicka – Efficacy of medical massage after facial skeleton surgery. Fizjoterapia Polska 2007; 7(4); 425-430

Abstract
Background. Appropriate physical therapy procedures, including medical massage, can be used as a therapeutic adjunct inpatients after facial skeleton surgery. Material and methods. 18 patients hospitalised for facial skeleton surgery participated in the study. The age range was 19-52 years. All patients had lymphoedema and dysaesthesia with hyperaesthesia. Blood extravasations were noted in two patients. The mean extent of oedema on the operated side was 120% compared to the healthy side and the mean intensity of pain was 5.6 degrees. Massage was performed every day (on average 4-5 procedures, 15 min. each), beginning during the first 24 hours after surgery and continuing until discharge. Changes in the size of oedema and haematoma were assessed together with any changes in the intensity of pain. The assessments were based on photographic documentation and an 11-degree scale of pain intensity. Changes in the size of swelling were measured with two scales: absolute (measured from the base of the nose to the point of maximum oedema, before and after the procedure) and relative (only the change in swelling was measured). Results. Mean oedema size after the rehabilitation programme was 103%, corresponding to an absolute reduction of 17.8%. The relative change in lymphatic swelling was 88.5%. Pain and tenderness were reduced by 4.9 degrees (87%) to 0.75 degrees. The haematomas were completely absorbed. Conclusions. Medical massage had a positive effect on the convalescence of facial skeleton surgery patients.
Key words:
massage therapy, oedema, hypersensitivity
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Assessment of quality of life of post-mastectomy women from ‘Amazons’ Post-Mastectomy Women’s Club

Waldemar Andrzejewski, Krzysztof Kassolik, Monika Ochrymowicz, Katarzyna Pawłowska

Waldemar Andrzejewski, Krzysztof Kassolik, Monika Ochrymowicz, Katarzyna Pawłowska – Assessment of quality of life of post-mastectomy women from ‘Amazons’ Post-Mastectomy Women’s Club. Fizjoterapia Polska 2008; 8(1); 51-64

Abstract
Background. Post-mastectomy women are pessimistic about their life owing to a number of adverse changes in the upper limb and shoulder girdle on the operated side and the possibility of mental disturbances caused by a fear of disability, cancer relapse or death. Following a radical mastectomy, women indeed lead a stressful life. The stress may by caused by uncertainty about the efficacy of the treatment, cancer relapse anxiety, physical disability (limitation of motor function, lymphedema, decrease in musclepower), breast loss (half-woman complex), personal, family =, professional, and postoperative sequelae-related problems. All the above-mentioned situations have a deleterious effect on the women’s psyche, which is dominated by fear of disability and death, anxiety, about their future life in society and family, meticulous analysis of their own medical case, distrust of medical staff, exaggerated sensitivity and reactions to the behaviour of those around them and everyday problems. The aim of this study was to assess the quality of life of post-mastectomy women.Material and method. The study group consisted of thirty women after mastectomy from the ‘Amazons’ Post-Mastectomy Women’s Club in Wroclaw. The patients filled in a sixty-question inquiry form. Conclusions. According to subjective evaluation, breast amputation was followed by different degrees of deterioration of the quality of life for the majority of the patients (82% of the study group). Mastectomy forced the women to give up active ways of spending their free time, which were replaced by passive pursuits, and to completely abandon some of their housework.
Key words:
mastectomy, quality of life, Post-Mastectomy Women’s Club – ‘Amazons’
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