Tag: Zbigniew Kopański

Effect of systemic cryotherapy on serum antioxidant status in patients with rheumatoid arthritis

Zbigniew Kopański, Mariola Grabowska, Jan Tabak, Bożena Witkowska

Zbigniew Kopański, Mariola Grabowska, Jan Tabak, Bożena Witkowska – Effect of systemic cryotherapy on serum antioxidant status in patients with rheumatoid arthritis. Fizjoterapia Polska 2006; 6(4); 334-338

Abstract
Background. Determination of total serum antioxidant status (TSAS) in patients with rheumatoid arthritis (RA) and determination of the effect of systemic cryotherapy on the systemic serum antioxidant pool in these patients. Material and methods. The prospective study included 130 patients (35 men and 95 women) aged 31 to 68 years, receiving treatment for RA. All patients underwent systemic cryotherapy. TSAS was determined at baseline and after completion of the cryogenic therapy (within one hour after the end of the last of a series of 10 cryogenic procedures — C1 follow-up, and 14 days after the end of the treatment — C2 follow-up). Results. There was wide variation in TSAS in the study population at baseline, from values well below reference values to values within the reference range. The patients were accordingly divided into two arms: one including patients (13.8% of the total) with TSAS values within the reference range (GB1), and one comprising patients (86.2% of the total) with TSAS values below the lower reference limit (GB2). The cryogenic therapy did not effect statistically significant changes in average TSAS values in GB1, whereas a statistically significant increase in average TSAS was seen in GB2 at C1 (immediately following completion of 10 cryotherapy procedures). 14 days later the average pool of serum antioxidants still remained at a high level, comparable with the values determined at C1. Conclusions. The cryogenic therapy increased TSAS in the vast majority of the patients. Substantial changes was characteristically observed in the patients with baseline TSAS below the lower reference limit.

Słowa kluczowe:
systemic cryotherapy, serum antioxidants, rheumatoid arthritis

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Influence of selected anthropometric features on outcomes of motor rehabilitation of women following radical mastectomy – evaluation of changes in muscle strength

Zbigniew Kopański, Joanna Zyznawska, Robert Suszko, Renata Pięta, Magdalena Michalin

Zbigniew Kopański, Joanna Zyznawska, Robert Suszko, Renata Pięta, Magdalena Michalin – Influence of selected anthropometric features on outcomes of motor rehabilitation of women following radical mastectomy – evaluation of changes in muscle strength. Fizjoterapia Polska 2007; 7(1); 29-37

Abstract

Background. The aim of the study was to determine the usefulness of selected anthropometric features in predicting the development of impairment of the strength of thumb & finger flexors after radical mastectomy. Material and methods. The analysis included 126 women who had undergone a radical operation for breast cancer. The strength of flexors of the fingers & thumb was evaluated before surgery and during 12-month follow-up. The results of muscle strength tests were referred to 15 anthropometric traits. Results. 23.8% of the women did not regain pre-surgery muscle strength, as attested by the results of all muscle strength measurements. There were statistically significant differences in mean body mass and the BM and Quetelet’s indices between women with persistent post-operative impairment of muscle strength and those who regained muscle strength following a radical mastectomy. Conclusions. Impairment of muscle strength below reference values in the finger & thumb flexors was seen in 23.8% of the mastectomy patients. Grasp strength decreases were most strongly correlated with body mass (correlation index 0.67). Post-operative weakening of the hand was significantly correlated with high body mass (>71.1 kg) and high values of the following indices: BMI (>29.8) and Quetelet’s index (>412).

Key words:
radical mastectomy, anthropometric features, muscle strength, rehabilitation
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