Tag: wydolność funkcjonalna

Effects of bicycle ergometer training on functional capacity in phase I among heart valve surgery patients – a randomized controlled trial

Deepa, Senthil kumar T, Yogeshwari R, Sridevi S, Venkatesh N

 

Deepa, Senthil kumar T, Yogeshwari R, Sridevi S, Venkatesh N – Effects of bicycle ergometer training on functional capacity in phase I among heart valve surgery patients – a randomized controlled trial –  Fizjoterapia Polska 2025; 25(3); 89-94

DOI: https://doi.org/10.56984/8ZG7D1979F3

Abstract
Background. Valvular diseases and their surgical repair or replacement are increasing globally among cardiovascular conditions. Phase I post-surgery patients often experience pain, fatigue, reduced appetite, fear, and sleep disturbances, impairing physical activity. Bicycle ergometer training, conducted in a seated position, provides an effective alternative for immediate post-operative rehabilitation.
Aim. To compare the efficacy of a bicycle ergometer-based exercise program to a routine exercise protocol on functional capacity in phase I cardiac rehabilitation.
Methodology. Twenty-three patients aged 30 to 60 years, who underwent valve surgery with resting oxygen saturation greater than 90% and    low-risk profiles (left ventricular ejection fraction greater than 50%), were randomized into control (n = 12) and study (n = 11) groups. The control group received routine care, while the study group received routine care plus cycle ergometer training for 20 minutes, twice a day, starting from the third post-operative day until discharge. Both groups underwent the Six-Minute Walk Test before and after the intervention. Physiological responses such as heart rate (HR), blood pressure (BP), and oxygen saturation (SpO2) were monitored during training.
Results. Baseline characteristics were similar in both groups. There was an increase in the six-minute walk distance after training in both groups, and the mean difference was significant in the study group (365.5 ± 46.3) compared to the control group (266.7 ± 40.1) with p ≤ 0.05. In the study group, there was a significant reduction in resting HR (p = 0.048), peak HR (p = 0.010), and rate of perceived exertion (p = 0.04).
Conclusion. Bicycle ergometer training significantly improved functional capacity compared to routine care. It is feasible and beneficial for phase I cardiac rehabilitation in valve replacement surgery patients.
Key words
cardiac rehabilitation, valve replacement, bicycle ergometer, six-minute walk test, functional capacity
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Effectiveness of jump training along with core neuromuscular training in football players on improving their anterior knee pain, functional performance, and knee valgus using Dartfish software

Praveenkumar R., Kamalakannan M., Hariharan J., Priyadarshini Babu Rajendra Prasad, Lalith Kumar R., Hajira Husna

 

Praveenkumar R. et al – Effectiveness of jump training along with core neuromuscular training in football players on improving their anterior knee pain, functional performance, and knee valgus using Dartfish software –  Fizjoterapia Polska 2025; 25(1); 19-26

DOI: https://doi.org/10.56984/8ZG007DMFP7

Abstract
Introduction. Football players of all ages frequently experience knee pain, which may result from unexpected injuries such as sprains, strains, or contusions. A primary risk factor for knee pain is knee injury. A progressive jump training and core neuromuscular training program with short session durations and program lengths can provide similar benefits for landing skills and functional performance as longer-term, mixed-content training programs.
Aim of the study. This study aimed to evaluate the effectiveness of jump training along with core neuromuscular training in football players in improving anterior knee pain, functional performance, and knee valgus using Dartfish software.
Materials and methods. A study was conducted among football players aged 18 to 25 years who reported anterior knee pain, increased knee valgus, and performance deficits. All participants underwent a jump training program combined with core neuromuscular training and hip posterolateral strengthening exercises for four weeks.
Results. The post-intervention Kujala scale values for the experimental and control groups were 89.36 and 67.60, respectively. The mean post-test values for the cross-over hop test for the experimental and control groups were as follows: for males, the right side measured 265.38 and 209.85, while the left side measured 255.42 and 197.62. For females, the right side measured 223.00 and 208.08, while the left side measured 226.18 and 202.15. The mean post-test values for knee valgus in the experimental and control groups were 8.38 and 7.46 for males and 11.08 and 8.83 for females.
Conclusion. This study concludes that jump training combined with core neuromuscular training significantly improves functional performance and reduces anterior knee pain and knee valgus in football players.
Key words
football, knee valgus, anterior knee pain, functional performance, jump training, core neuromuscular training
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Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis

Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M.

Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M. – Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis. Fizjoterapia Polska 2021; 21(5); 212-218

Abstract
Background. In patients with bronchiectasis, the elastic and muscular tissue is lost, obstructing the normal drainage of bronchial secretions, which can become chronically compromised, resulting in mild to moderate airway obstruction, which affects blood oxygenation and, as a consequence, the patients’ quality of life. Purpose: The aim of the study was to evaluate the potential effect of Aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity, and quality of life in patients with bronchiectasis. Materials and Methods. The study recruited the participation of sixty bronchiectasis patients of both genders (24 males and 36 females). They were divided into two major categories, each with 30 patients: study and control. Both groups continued to take their medications during the study period, and the study group received twice-daily training with the Aerobika positive expiratory pressure device. Before and after the study, both groups had their arterial PaO2 and PaCO2 measured, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD). Results. The study group at the end of the study showed improvement (P < 0.05) in arterial PaO2 and PaCO2, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD with no change in the control group (P > 0.05). The mean value of 6MWT showed a strong positive correlation with PaO2 (r = 0.86, P = 0.001) and at the same time showed a strong negative correlation with the SGRQ score (r = −0.64, P = 0.001). Conclusions. Aerobika positive expiratory pressure therapy provided an appropriate physiotherapy procedure for patients with bronchiectasis; it maximizes airflow, improves expiratory time and alveolar ventilation, and promotes gas exchange; overall, Aerobika demonstrated great efficacy in draining sputum and improving oxygenation.
Key words:
bronchiectasis, aerobika pep device, blood gases, functional capacity, quality of life
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Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail – Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease. Fizjoterapia Polska 2021; 21(3); 44-50

Abstract
Background. Patients undergoing maintenance hemodialysis (HD) suffer from respiratory symptoms, uremic myopathy and protein catabolism leading to reduction of functional capacity and respiratory muscle strength. Objective. To determine the efficacy of intradialytic respiratory training using concurrent flow resistance (CFR) on respiratory muscle strength and functional capacity. Subjects and methods. Forty patients with end stage renal disease on hemodialysis for at least 4 months, with their age ranged from 30 – 40 of both sexes (20 men and 20 women) participated in this study at hemodialysis center of Fayoum University Hospital, Fayoum, Egypt. A Single- interventional study group designed. The study period was 12 weeks. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), selected pulmonary function test, Functional capacity and fatigue severity scale (FSS) were evaluated before and after the study. Results. There was significant improvement in MIP, MEP, FEV1%, FVC%, 6MWT and FSS by 61.37%, 63.01%, 58.26%, 55.12%, 36.48% and 22.35% respectively, while no significant difference was recorded regarding to FEV1/FVC% ratio. Conclusion. It can be concluded that respiratory training using concurrent flow resistance (CFR) device for 12 weeks was effective therapeutic technique to improve respiratory muscle strength and functional capacity in patients with end stage renal disease on hemodialysis.
Key words:
Expand-a-Lung, Respiratory muscle strength, Functional capacity, Hemodialysis
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