Tag: Zbigniew Nowak

Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure

Dorota Fudalej, Zbigniew Nowak, Michał Plewa

Dorota Fudalej, Zbigniew Nowak, Michał Plewa – Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure. Fizjoterapia Polska 2002; 2(4); 285-289

Abstract
Background. The objective of this study was to assess the influence of complex treatment on functional capacity in patients with chronic coronary artery disease (CAD). Treatment consisted of CABG procedure and subsequent inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation programs.Material and methods. The study group consisted of 46 male patients aged from 36-68 (x = 51 ± 9.4), whose phase 1 rehabilitation program was initiated in 1st day after CABG procedure and lasted for consecutive 7 days. Phase 2 of rehabilitation consisted of group exercise sessions performed at outpatient exercise centre and 16 cycles of interval training performed on cycle ergometer. Results and conclusions. The results of stress test obtained before CABG procedure and 6 and 12 months later were compared. It was found that patients’ functional capacity improved considerably. The adequate tolerance of exercises performed according to proposed program was noted as well.

Key words:
coronary artery bypass graft, cardiac rehabilitation, functional capacity

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Sleep apnea syndrome

Grażyna Osiadło, Zbigniew Nowak, Michał Plewa

Grażyna Osiadło, Zbigniew Nowak, Michał Plewa – Sleep apnea syndrome. Fizjoterapia Polska 2006; 6(1); 81-85

Abstract

Breathing is one of the automatic human body functions. There are various causes of functional disorders leading to respiratory insufficiency and threrefore to frequent apnoeic episodes. Disorders of pulmonary system may result in OSAS. Typical symptoms of this syndrome include loud and irregular snoring accompanied by episodes of apnoea lasting at least 10 seconds, caused by collapse of upper airway. Obesity, anomalies of facial skeleton and smoking are considered as basic risk factors. One of the essential element of examination allowing for precise assessment of breathing, especially during sleep, is a polysomnographic study (PSG). Some patients require application of CPAP mask in order to limit or prevent the collapsing of bronchial tree. Therapeutic approach to OSAS consists of aerobic (weight reducing) exercises and of breathing exercises aiming at improvement of respiratory function.

Key words:
sleep apnea syndrome, polysomnography, breathing exercises
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Physiotherapy in patients with implanted cardiac pacemakers

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak

Joanna Pająk, Rafał Młynarski, Jacek Durmała, Włodzimierz Kargul, Michał Plewa, Zbigniew Nowak – Physiotherapy in patients with implanted cardiac pacemakers. Fizjoterapia Polska 2006; 6(3); 245-250

Abstract
Since the implantation of the first cardiac pacemaker in 1958 by Ake Sening and Rune Elmqvista, there has been gigantic progress in this field of medicine including both the range the equipment and the techniques of implantation. Today electrotherapy is a rapidly developing field of invasive cardiology. Cardiac pacemaker implantation is a very common procedure. Its popularity has increased year by year because the number of indicators is higher. This operation is often the only chance for patients suffering from heart rhythm disorders. In spite of the propagation this treatment method, rehabilitation of these patients is still underestimated. Meanwhile the role of the rehabilitation, as shown in some research, can be as crucial as properly programming the pacemaker. Special attention should paid to patients with implanted rate response devices. Our research shows that patients who are actively rehabilitated after the implantation procedure can get back to normal life more easily and that the number of complications which are connected with patients’ inability to understand of this method is lower. Cooperation between doctors and physiotherepeutists should be a standard. Unfortunately in the most cases it is only a theory. Meanwhile our experiences bring us in creation of standard procedures which are, in spite of patients’ opinion, very useful. There are many questions and queries connected both equipment and rehabilitation process of these patients. It must us to write this publication, where in complex form, implantation of cardiac pacemaker, characteristic of implanted patients and rehabilitation procedures were presented according to our and other authors opinion.

Key words:
physiotherapy, cardiac pacemaker, activity sensor

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