Występowanie zaburzeń w obrębie stawów skroniowo-żuchwowych podczas zarażenia COVID-19

Bernadeta Piwowar-Kuczyńska, Małgorzata Kulesa-Mrowiecka, Michał Zabojszcz, Mateusz Curyło


Bernadeta Piwowar-Kuczyńska, Małgorzata Kulesa-Mrowiecka, Michał Zabojszcz, Mateusz Curyło – The occurrence of temporomandibular joint disorders during COVID-19 infection. Fizjoterapia Polska 2023; 23(3); 84-89

DOI: https://doi.org/10.56984/8ZG1431C4

Streszczenie
Wstęp. Pandemia SARS-CoV-2 spowodowała niekorzystne skutki dla zdrowia psychoemocjonalnego. Może to prowadzić do wystąpienia / nasilenia objawów ze strony stawów skroniowo-żuchwowych.
Cel pracy. Celem pracy było wykazanie, czy istnieje zależność pomiędzy zachorowaniem na COVID-19 a zaburzeniami występującymi w obrębie stawów skroniowo-żuchwowych i napięciowymi bólami głowy.
Materiał i metody. W badaniu wzięło udział 368 osób (wykluczono 168 niespełniających kryteriów włączenia) w wieku od 25 do 55 r. ż. (średnia 38 lat ± 9,45), kobiety stanowiły 59,5%, a mężczyźni 40,5% badanej grupy. Wykorzystano autorski kwestionariusz ankiety zamieszczony na portalu ankieteo.pl. W celu przeprowadzenia analizy statystycznej posłużono się programem SPSS Statistics. Za poziom istotności statystycznej przyjęto p < 0,05.
Wyniki. Bruksizm występował u 66,1% osób zarażonych COVID-19, a napięciowe bóle głowy były powiązane z zarażeniem w 67,9%. Dodatkowo napięcie w obrębie mięśni twarzy występowało u 53,5% osób chorujących na COVID-19, a występowanie krepitacji w stawach u 48,6% zarażonych.
Wnioski. Wykazano, że zachorowanie na COVID-19 ma wpływ na zaburzenia skroniowo-żuchwowe oraz występowanie napięciowych bólów głowy.
Słowa kluczowe:
COVID-19, pandemia SARS-CoV-2, zaburzenia skroniowo-żuchwowe, bruksizm, napięciowe bóle głowy
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The SARS-CoV-2 virus contributes to disorders of the sense of smell, taste and vision by attacking many important structures in human body

Bernadeta Piwowar-Kuczyńska, Małgorzata Kulesa-Mrowiecka, Michał Zabojszcz, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Małgorzata Kulesa-Mrowiecka, Michał Zabojszcz, Mateusz Curyło – The SARS-CoV-2 virus contributes to disorders of the sense of smell, taste and vision by attacking many important structures in human body. Fizjoterapia Polska 2023; 23(2); 76-82

DOI: https://doi.org/10.56984/8ZG0DF486

Abstract
Aim of the study The aim of this study was to investigate whether there is a relationship between COVID-19 infection and disorders of the sense of smell, taste and vision.
Material and methods The study included 368 subjects (168 who did not meet the inclusion criteria were excluded) ranging in age between 25-55 years. (mean age 38 +/-9.45), women represented 59.5% and men 40.5% of the study group. An author’s survey questionnaire posted on ankieteo.pl was used. SPSS Statistics program was used for statistical analysis. The level of statistical significance was taken as p<0.05.
Results The collected data showed that loss of taste in the course of COVID-19 infection affected 66.1%, and loss of smell affected 58.9% of the study group. Symptoms lasted from 3-5 days and involved 31% loss of taste and 58.9% loss of smell. Respondents reported experiencing visual disturbances in 64%.
Conclusions COVID-19 infection has been shown to be significantly associated with loss of smell and taste. In addition, there are visual disturbances, the most common of which are decreased visual acuity and blurred vision.

Key words: COVID-19, SARS-CoV-2 pandemic, sensory disorders

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Monitoring of functional ability, mobility and quality of life in seniors during the COVID-19 pandemic

Pavol Nechvátal, Lucia Demjanovič Kendrová, Tomáš Uher, Michal Macej, Gabriela Škrečková

 

Pavol Nechvátal, Lucia Demjanovič Kendrová, Tomáš Uher, Michal Macej, Gabriela Škrečková – Monitoring of functional ability, mobility and quality of life in seniors during the COVID-19 pandemic. Fizjoterapia Polska 2023; 23(2); 92-95

DOI: https://doi.org/10.56984/8ZG0DFB8A

 

Abstract
Aim. The aim of the work is to map the functional fitness, level of mobility and quality of life of seniors at the time of the COVID-19 pandemic.
Methods. The study group consisted of 130 seniors from the Prešov Region, with an average age of 74.1 (max. 94, min. 65) years and an average Body Mass Index (BMI) of 27.13 (max. 41.09, min 16.00). There were 54 men (41.5%), with an average age of 74.3 years and an average BMI of 26.78, women with an average age of 74.0 years and an average BMI of 27.37. In all seniors we assessed physical fitness by Senior Fitness Test, level of mobility by the Up & go test and quality of life and mental health by the WHOQOL-BREF test during the lockdown in COVID-19 pandemic.
Results. Seniors living in rural areas (t = -2,341; p = 0.020) and living alone (t = -2.05; p = 0.042) had slightly higher rate of mild obesity (according to BMI). Seniors living alone had a lower quality of life compared with seniors living partner or family member (t = 3.728; p < 0.001). Finally, seniors living in rurar areas had worse physical (t = 3.113; p = 0.002) and mental health status (t = 2.601; p = 0.010). Women had slightly worse mental health status than men (t = 2.308; p = 0.022).
Conclusions. Restrictions on movement due to the COVID-19 pandemic put seniors who live alone, at risk, especially women. Men show higher resistance to these measures, mostly in physical and psychological health area.
Key words:
COVID-19, movement activity, physical fitness, quality of life, seniors
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Post-COVID-19 rehabilitation in the post-hospitalization period – case study

Michał Polawski, Wiktor Obręcki, Magdalena Kościelniak, Rafał Trąbka


Michał Polawski, Wiktor Obręcki, Magdalena Kościelniak, Rafał Trąbka – Post-COVID-19 rehabilitation in the post-hospitalization period – case study. Fizjoterapia Polska 2022; 22(3); 102-115

DOI: https://doi.org/10.56984/8ZG142HN3

Abstract
Aim of the research work. The main goal of the research work was to show an author’s plan of physiotherapeutic intervention for people suffering of COVID-19 in the post-acute stage. The therapeutic procedure highlighted pulmonary rehabilitation, aerobic and resistance training and patient’s education.
Case study. The research work was performed on a 62-year old woman, who was diagnosed with infection by SARS-CoV-2 virus. The patient was admitted to ICU with acute ARDS in a heavily severe condition. The medical history showed obesity, chronic ischemic heart disease, arterial hypertension and cardiac arrest (2011). The patient was admitted to the rehabilitation unit in the post-acute stage of infection, and was using passive oxygen therapy with oxygen flow set to 4 l/min. During the qualification for therapy the patient was tested using a questionnaire which consisted of clinical tests such as 6MWT, MRC, 30CST and FIM scale. Furthermore, the lungs were examined using spirometry. Identical measurements were being used every 2 weeks of the therapy process. After 8 weeks of physiotherapeutic procedure there was a significant increase of score in 6-MWT which upgraded by 750%. Systematic improvement was also visible in dyspnoea and fatigue, which completely surceased after finishing the therapeutic process. Functional state of the patient improved considerably which is shown by 30CST score, improved by 380%. Spirometry score analysis shows FVC, FEV1 and Tiffeneau-Pinelli index improve respectively by 40%, 53% and 9.6%.
Summary. The therapeutic program based on pulmonary rehabilitation, aerobic and resistance training and patient’s education looks very promising. Implemented procedure contributed to the patient’s relatively quick recovery to a pre-COVID-19 state. Patient’s physical and pulmonary efficiency were noticed, exertional tolerance increased, dyspnoea and fatigue gave way which all combined led to improved functional efficiency. Pulmonary system function was also enhanced which was demonstrated by spirometry.

Key words:
SARS-CoV-2, COVID-19, physiotherapy, rehabilitation

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Academic cognitive stress of undergraduate medical students during COVID-19 pandemic

Lamiaa K. Elsayyad, Hashma S. Aljaad, Shahad M. Aburas, Raghad I. Almatani, Haneen A. Al­Shehri, Amjad G. Al­Thagafy, Sara S. Alshehri, Hatem H. Allam


Lamiaa K. Elsayyad, Hashma S. Aljaad, Shahad M. Aburas, Raghad I. Almatani, Haneen A. Al­Shehri, Amjad G. Al­Thagafy, Sara S. Alshehri, Hatem H. Allam – Academic cognitive stress of undergraduate medical students during COVID-19 pandemic. Fizjoterapia Polska 2022; 22(3); 94-100

Abstract
Purpose of the study. To investigate the level of academic stress among Taif University medical students during the COVID-19 pandemic and to determine its sources. Also, to declare the difference between male and female students in this concern.
Methods. The current study was conducted at Taif University, from January 15 to March 1, 2021. The target population was undergraduate medical students. The Perception of Academic Stress Scale (PAS) was the used tool to evaluate academic stress and its sources. Four-hundred thirty-three students participated in the study, 177 (39.9%) males and 256 (60.1%) females.
Results. The total score of PAS indicated mild to moderate stress. Perceptions of workload were the highest significant source of stress (moderate to severe). Pressure to perform and time restraints were the second sources of stress with a non-significant difference between them, while they resulted in significantly higher stress than the academic self-perception which demonstrated the lowest level of stress. There were non-significant differences between males and females in all four domains and the total score.
Conclusion. Taif University medical students have mild to moderate academic stress. Perception of workload represents the main source of stress. There was no significant difference between the male and female sections.

Key words:
Academic stress, medical students, COVID-19

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Labour law for physiotherapists in Poland

Damian Durlak


Damian Durlak – Prawo pracy dla fizjoterapeutów w Polsce. Fizjoterapia Polska 2022; 22(3); 30-36

Abstract
Every employee is responsible for their basic knowledge of labour law. Getting acquainted with relevant laws and regulations may save an unaware employee from being sued by the employer or provide grounds for pursuing their claims when the employer violates the employee’s interest. This is particularly important in the case of medical professionals. Physiotherapists, as employees of one of the medical professions, are covered by different regulations regarding, for example, working hours or remuneration for work outside working hours. The prevailing COVID-19 pandemic additionally contributed to the introduction of new regulations that would change the way medical employees perform work. The objective of this study is to present the most important information about labour law from the point of view of a physiotherapist.

Key words:
physiotherapy, labour law, COVID-19, medical professions

Article only in Polish language

Physiotherapist’s role in physical activity of people working from home

Damian Durlak

Damian Durlak – Rola fizjoterapeuty w aktywności fizycznej u osób pracujących zdalnie. Fizjoterapia Polska 2021; 21(5); 226-232

Abstract
Introduction. COVID-19 pandemic introduced new restrictions and either forced or encouraged citizens to stay mostly in isolation, preferably at home. Many companies sent their employees to work from home. With fitness centers, gyms and other sport facilities closed by government, there were scarce chances and motivators to work out.
Objectives. This paper was dedicated to studying the possible outcomes of COVID-19 related isolation and decrease in citizen’s everyday activity. Proposed usage of telephysiotherapy is presented.
Methods. In this paper a literature review and a discussion is performed regarding the current work-from-home situation in Poland, drawbacks of prolonged isolation and areas where physiotherapists might help citizens.
Results. Reduction of physical activity has significant impact on individuals’ bodies and should not be ignored. Patients with specific diseases might use telephysiotherapy services and continue their treatment. However, there is a need to provide home office employees with a good source of motivation and properly prepared sets of exercises to remain healthy and fit. Physiotherapists have an occasion to provide such services and use their professional knowledge in this area.
Conclusions. Physiotherapistscan provide services like telephysiotherapy with sets of exercises provided for specific groups of users. This allows for a win-win situation: physiotherapists earn money on a slightly different type of tasks and patients have a professional source of profitable exercises.
Key words:
COVID-19, telephysiotherapy, physical activity, working from home

Influence of physiotherapy on exercise tolerance in patients after COVID-19

Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak

Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak – Influence of physiotherapy on exercise tolerance in patients after COVID-19. Fizjoterapia Polska 2021; 21(5); 182-189

Abstract
Patients after severe COVID-19 need effective treatment and full medical care. An important aspect of a successful recovery is the implementation of comprehensive rehabilitation. Rehabilitation for convalescents is primarily aimed at restoring or improving the proper functioning of the respiratory system, reducing the severity of the symptoms of the disease and disorders related to comorbidities, as well as increasing the physical efficiency of the body. Objective. The objective of the study was to assess the effect of endurance training on exercise tolerance using the 6-minute walk test in patients with a history of COVID-19.
Material and methods. Thirty patients after COVID-19 were examined, including 12 women (40%) and 18 men (60%) aged 35 to 75 years. The mean age in the study group was 55 years, SD = 10.9.
Before rehabilitation, all patients underwent a 6-minute walk test (6MWT) in order to qualify for the appropriate rehabilitation model. The following parameters were analysed: test time, distance travelled, systolic pressure, diastolic pressure, heart rate, and the reasons for the termination of the test. All COVID-19 patients are covered by the rehabilitation program for patients after COVID-19, which came into force on the basis of the Regulation of the Minister of Health of July 13, 2020 (Journal of Laws, item 1246) on a pilot program in the field of therapeutic rehabilitation for patients after COVID-19.
The distance in the 6-minute walk test in the entire group after rehabilitation increased by an average of 11.8% (from 531.7 ± 97 m to 601.2 ± 86.4 m). Analysing the presented results of studies describing the effect of endurance training on exercise tolerance in patients after COVID-19, no statistically significant differences were found between the age group <55 and the age group ≥ 55.
Conclusions. 1. A 3-week rehabilitation program after COVID-19, the basis of which was endurance training based on exercise on a cycle ergometer, has a positive effect on exercise tolerance in patients measured on the basis of the distance walked during the 6-minute walk (6MWT). 2. In the analysed study, a significant improvement was observed in patients aged ≥ 55 who achieved the shortest distance during the initial 6MWT test.
Key words:
COVID-19, physiotherapy, exercise tolerance
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Vibrotherapy in respiratory disorders, including COVID-19

Rafał Aleksander Guzik, Alicja Pasterczyk-Szczurek

R. A. Guzik, A. Pasterczyk-Szczurek – Vibrotherapy in respiratory disorders, including COVID-19. Fizjoterapia Polska 2021; 21(4); 174-182

Abstract
Successfully used for years in the rehabilitation of various diseases, the techniques of manual vibration massage and therapeutic vibrations generated by medical devices distinguish a new type of physical therapy – vibrotherapy. Therapeutic vibration stimulates blood and lymph circulation, the neuromuscular system, and, in the form of respiratory vibration therapy, helps clear airways of secretions and strengthens respiratory muscles, improving tissue oxygenation in patients with cystic fibrosis and, more recently, in patients with chronic obstructive pulmonary disease or coronavirus 2019 disease (COVID-19). Although the use of respiratory vibration therapy is well established in cystic fibrosis, it has yet to be sufficiently studied in other pulmonary disorders, and since the clinical potential of respiratory vibration therapy is broad, the authors of this literature review wish to point out that it should not be neglected. Particularly in automated form during pandemic times, as in the case of the COVID-19 pandemic – hindering rehabilitation services, quarantine isolations – respiratory vibration therapy can be crucial in rehabilitation, enriching both hospital and home physiotherapy offers.
Key words:
vibrotherapy, whole body vibration, COVID-19, rehabilitation, respiratory disorders
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Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection

Piotr Kęsicki, Igor Świerkowski, Ewa Jach, Krystyna Rasławska, Jacek Łuniewski, Katarzyna Bogacz, Jan Szczegielniak

P. Kęsicki, I. Świerkowski, E. Jach, K. Rasławska, J. Łuniewski, K. Bogacz, J. Szczegielniak – Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection. Fizjoterapia Polska 2021; 21(4); 6-17

Abstract
Objective. The objective of the study was to assess the effectiveness of Super Inductive Stimulation in respiratory therapy in patients after SARS-CoV2 infection.
Material and methods. The study was carried out in the specialist hospital of the Ministry of the Interior and Administration in Głuchołazy, in the pulmonary department. Fifteen men aged 35 to 63 and fifteen women aged 32 to 69 participated in the study. Each patient underwent ten sessions of Super Inductive Stimulation.
Results. The use of Super Inductive Stimulation resulted in the reduction of moderate cough, chest pain, shortness of breath, severe cough with phlegm/sputum, sweating, headache, nausea, diarrhoea, muscle pain, lack of appetite, problems with concentration, problems with thinking and sleeping, and fatigue.
Conclusions. Analysis of the results showed a positive effect of the applied therapy. Taking into account the answers given before and after rehabilitation, the condition of the respondents improved by 20.18%. The largest differences in the results were observed in the case of headache, diarrhoea, and sleeping problems, being 39.85%, 30.91% and 28.57%, respectively. The comparison of the study results showed that the patients’ quality of life improved.
Key words:
pulmonology, super inductive stimulation, COVID-19, physiotherapy
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