Effects of 8 weeks of isometric training on cutaneous microcirculation

Renata Szyguła, Jan Szczegielniak

Renata Szyguła, Jan Szczegielniak – Effects of 8 weeks of isometric training on cutaneous microcirculation. Fizjoterapia Polska 2010; 10(4); 281-288

Abstract
The effect of resistance exercises on peripheral circulation is poorly documented. Reports about the impact of such exercises on the vascular endothelium are conflicting. Similar controversy surrounds the response of systemic and cutaneous microcirculation to resistance training. A study was therefore conducted to assess the impact of 8-week isometric training of forearm muscle on cutaneous microcirculation. Eight weeks of isometric training was applied to 34 healthy men. Cutaneous microcirculation was measured using a Perifluks 4001 (Perimed) laser Doppler flowmeter. Laser Doppler flowmeter signal frequency within the 0.01-2 Hz range was also analyzed during basal flow. After 8 weeks of isometric exercises to forearm and hand, forearm circumference increased from 27.6±1.23 to 28.31±1.33 cm (p=0.02). Resting flow improved from 10.29±2.36 PU before the training to 13.04±1.16 PU after the training (p=0.0000). The remaining cutaneous microcirculation parameters examined in the study did not change significantly after the resistance training period.8-week isometric exercises of the non-dominant forearm and hand improved the resting perfusion of cutaneous microcirculation. The resistance training did not influence the capacity and efficiency of the cutaneous vascular bed in the study group, which may indicate lack of a cardioprotective effect of local isometric exercises.
Key words:
isometric training, cutaneous microcirculation, laser Doppler flowmetry
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Effect of an inpatient Active Rehabilitation programme on functional performance of patients following a cervical spinal cord injury

Piotr Józefowski, Rafał Szafraniec, Jan Szczegielniak

Piotr Józefowski, Rafał Szafraniec, Jan Szczegielniak – Effect of an inpatient Active Rehabilitation programme on functional performance of patients following a cervical spinal cord injury. Fizjoterapia Polska 2011; 11(1); 21-29

Abstract
The study aimed to evaluate the effectiveness of a single administration of an inpatient programme of Active Rehabilitation on the functional performance of people with high spinal cord injury. The study involved 23 men between the ages of 17 and 30 years with tetraplegia due to spinal cord injury in the cervical segment. Group 1 was composed of patients with damage at the level of C6 (n = 22), and Group II consisted of patients with damage at the level of C7 (n = 11). Patients were evaluated immediately before the beginning of the programme (TEST I) and on its completion (TEST II) using the Spinal Cord Independence Measure (SCIM) scale.Mean SCIM increased from 32.8 to 43.5 in the C6 group, and from 43.7 to 53.9 in the C7 group. Improved SCIM scores were noted in both groups in all of the domains surveyed: self-care, respiration and sphincter management, and indoor and outdoor mobility.A fourteen-day inpatient programme of Active Rehabilitation appeared to have a significant impact on improving functional performance in the patients after spinal cord injury at the C6 and C7 level in all aspects examined, even when the damage had occurred 14-17 months before the treatment began.
Key words:
spinal cord injury, Active Rehabilitation, functional performance, SCIM
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The effect of Kinesiology Taping application on the result of 100 meter walking test in patients after cerebrovascular stroke

Jan Szczegielniak, Dariusz Banik, Jacek Łuniewski, Katarzyna Bogacz, Zbigniew Śliwiński

Jan Szczegielniak, Dariusz Banik, Jacek Łuniewski, Katarzyna Bogacz, Zbigniew Śliwiński – The effect of Kinesiology Taping application on the result of 100 meter walking test in patients after cerebrovascular stroke. Fizjoterapia Polska 2012; 12(1); 71-75

Abstract
Foot drop is one of the most serious problems, encountered during rehabilitation of patients with the history of cerebrovascular stroke, since it significantly contributes to gait quality deterioration. Traditional orthopaedic equip­ment may, to some degree, compensate this defect. Alternative rehabilitation forms for patients with foot drop include corrective application of Kinesiology Taping. The goal of this paper is to evaluate the effect of corrective positioning of the foot using Kinesiology Taping on the result of 100 metre walk test in patients with the history of cerebrovascular stroke. 30 randomly selected patients (15 males and 15 females) with the history of cerebrovascular stroke participated in the study. The subjects underwent treatment at the Medical Centre in Brzeg from January to December 2009. The subjects’ age ranged from 53 to 70 years (the mean age = 58.7 years). All the subjects underwent standard neurological physio­therapy. They performed a 100 metre walk test before the application, an hour after the application and 24 hours after the appli­cation of Kinesiology Tape, aimed at foot drop correction. A statistically significant (p<0.05) reduction in the results obtained from the test was observed in the subjects after Kinesiology Tape application.The results suggest the usefulness of corrective application of Kinesiology Taping, supporting neurological physiotherapy in patients after cerebrovascular stroke.
Key words:
Kinesiology Taping, Cerebrovascular stroke, foot drop
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Assessment of effectiveness of short-lived physiotherapy procedure on selected functional parameters of the respiratory system in patients with COPD Chronic Obstructive Lung Disease (COLD)

Krystyna Rożek, Jan Szczegielniak, Marta Majewska-Pulsakowska, Anna Dor, Monika Bartczyszyn

Krystyna Rożek, Jan Szczegielniak, Marta Majewska-Pulsakowska, Anna Dor, Monika Bartczyszyn – Assessment of effectiveness of short-lived physiotherapy procedure on selected functional parameters of the respiratory system in patients with COPD Chronic Obstructive Lung Disease (COLD). Fizjoterapia Polska 2012; 12(2); 119-128

Abstract
Background. The objective of the study of short-lived physiotherapy procedure on selected functional parameters of lungs, parameters of arterial blood gas (ABG) and of physical capacity patients with advanced COPD was to assess its effectiveness. Material and methods. examinations were carried out on 40 of the hospitalized men with COPD. Patients were divided in two research groups. Group I -23 men observed a week rehabilitation program based on physiotherapy aimed at raising physical fitness of the patients, group II-control was made of 17 patients in which only pharmacological curing was employed. Functional examinations of the lungs were made with the help of apparatus of German Erich Jaeger FLOWSCREEN equipment. All patients underwent the following examinations: ABG, 6MWT (Six Minutes Walking Test), measurement of BMI (Mass Index Body) and a range of chest mobility. Results. Subjects from Group I, after completion of improvement process, were able to overcome a longer walking distance in a 6-minute walking test, this distance became, however, even shorter, compared to exit results, in the control group patients. However, the average walking speed as well as MET values calculated from the formulae increased in both groups. Parameter FVC significantly increased in group I patients. A significant improvement was also observed amongst studied ABG parameters: pO2 and SaO2 in the experimental group, and a decrease, after the same number of days, in the control group.Conclusions. 1. As a result of the weekly special physiotherapy program the walking distance covered during a 6-minute walking test increased. 2. Among lung function parameters only forced vital capacity increased significantly. 3. After a week of exer­cise pO2 and SaO2 significantly increased in the experimental group.
Key words:
COPD, pulmonary rehabilitation, respiratory function, Exercise Tolerance, POChP
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Profile of patients undergoing therapy in the field of therapeutic rehabilitation on the basis of the Act of May 9, 2018 on special solutions supporting persons with severe disability

Karol Wojciechowski, Krzysztof Mirecki, Marek Kiljański, Jan Szczegielniak

K. Wojciechowski, K. Mirecki, M. Kiljański, J. Szczegielniak – Profil pacjentów usprawnianych w zakresie rehabilitacji leczniczej na podstawie ustawy z dnia 9 maja 2018 r. o szczególnych rozwiązaniach wspierających osoby o znacznym stopniu niepełnosprawności. Fizjoterapia Polska 2019; 19(3); 168-172

Abstract
The aim of the study was an attempt to analyze rehabilitation services provided to patients with a severe disability certificate.
The study material consisted of data reported by service providers who have concluded contracts in the field of therapeutic rehabilitation with the Lodz Voivodship Branch of the National Health Fund, providing services within the combined ranges, dedicated to people with a severe degree of disability. Reporting data was prepared by service providers in the period from July 1, 2018 to December 31, 2018.
Data analysis indicated that patients’ condition was most often improved in the field of outpatient physiotherapy for people with a severe degree of disability (45.13% of the total number of respondents); 29.63% of patients constituted the group of patients covered by medical outpatient rehabilitation care and 19.12% of patients underwent physiotherapy at home.
The evaluation of the study material indicated that patients most often undergoing rehabilitation were patients in the 51-84 age group (62.23% of all respondents).
The smallest group consisted of patients from the age group up to 16 years of age and the 85-101 age group (3.26% and 6.04% of all respondents, respectively).
The evaluation indicated that the most common main diagnosis reported by service providers was cerebral palsy (8.65% of all respondents) and hemiplegia (7.71% of all respondents).
The study showed that the most frequently reported billing product was individual work with patients, accounting for 17.06% of all procedures performed.

Key words:
therapeutic rehabilitation, significant degree of disability

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Clinico-hemodynamic and psycho-cognitive parallels of internal picture of health correction in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction

Roxolana Nesterak, Igor Vakalіuk, Jacek Łuniewski, Jan Szczegielniak

R. Nesterak, I. Vakalіuk, J. Łuniewski, J. Szczegielniak – Clinico-hemodynamic and psycho-cognitive parallels of internal picture of health correction in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction. Fizjoterapia Polska 2019; 19(3); 158-166

Abstract
Aim. The aim of this research was to determine the clinical-hemodynamic and psychologic-cognitive parallels of correction of internal picture of health in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction.
Materials and methods. The study included 141 patients with STEMI. They were divided into the following groups: 63 patients with the use of conservative treatment, and 78 patients with invasive treatment tactics – percutaneous coronary intervention (PCI). Depending on the applied methods of restorative treatment and rehabilitation, each group of patients was divided into subgroups. Patients of the first subgroup were given traditional treatment; in the second subgroup of patients, in addition to traditional treatment, the training with optimization of the IPH in the form of the “Program of clinical-psychological rehabilitation of cardiological patients by optimisation of the internal picture of health” was used.
Results. The use of the “Program of clinical-psychological rehabilitation of cardiologic patients by optimization of the internal picture of health” increases the clinical efficacy of post-infarction period management, increases tolerance to physical activity measured in 6MWT, reduces manifestations of myocardial ischemia, and in general, increases the quality of life in patients with ST-segment elevation myocardial infarction.
Conclusions. “Program of clinical-psychological rehabilitation of cardiologic patients by optimization of the internal picture of health” can be effectively used in clinical practice.

Key words:
myocardial infraction, rehabilitation, psychology

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Rehabilitation models for patients with COPD

Jan Szczegielniak, Jacek Łuniewski, Marcin Krajczy, Katarzyna Bogacz

J.Szczegielniak, J. Łuniewski, M. Krajczy, K. Bogacz – Rehabilitation models for patients with COPD. Fizjoterapia Polska 2019; 19(3); 126-137

Abstract
Rehabilitation program includes models A, B, C, D and E. Key criteria in qualifying patients for adequate rehabilitation models include assessment of exercise tolerance, degree of lung ventilation dysfunction (FEV1 index), dyspnea level and physical function level.
The other criteria considered in the qualification include age, dyspnea and physical function. Patients with contraindications for exercise test and patients with cardiopulmonary insufficiency are qualified for model E. Individual models include cycle ergometer training (up to training heart rate), breathing and general exercises, resistance training or station training, walking, inhalations, postural drainage and effective coughing exercises, as well as chest percussion, physical therapy and massage.

Key words:
rehabilitation program, COPD, rehabilitation models

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Exercise tolerance tests used in physiotherapy for COPD patients.

Jan Szczegielniak, Katarzyna Bogacz, Marcin Krajczy, Jacek Łuniewski

Jan Szczegielniak, Katarzyna Bogacz, Marcin Krajczy, Jacek Łuniewski – Exercise tolerance tests used in physiotherapy for COPD patients. Fizjoterapia Polska 2019; 19(3); 24-30

Abstract
Aerobic training constitutes the basis of COPD patients’ physiotherapy. To establish individualized exercise load for each patient it is necessary to conduct an exercise tolerance test. Exercise tolerance tests allow for adequate planning of endurance training and assessment of its outcomes. Additionally, they are considered a_reliable tool for the assessment of rehabilitation benefits. Exercise tolerance tests are frequently used for physiotherapy qualification, development of training programs, identification of symptoms which reduce exercise effort potential, monitoring of physiotherapy process and assessment of physiotherapy effects.

Key words:
exercise tolerance tests, COPD

 

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Utjecaj masaže na crijevnu peristaltiku

Dagmara Gąbka, Sandra Grzesik, Aleksandra Skomudek, Katarzyna Bogacz, Jan Szczegielniak

D. Gąbka, S. Grzesik, A. Skomudek, K. Bogacz, J. Szczegielniak – The influence of the massage on a bowel movement. Fizjoterapia Polska 2019; 19(2); 6-17

Abstract
Aim. One of the most serious civilisation diseases is constipation. Constipation is an infrequent defecation – lower than two times a week or solid stools extracted with the feeling of incomplete bowels with a large effort put in the process. The aim of the presented dissertation is the evaluation of the one – off abdominal massage influence on reduction of constipation. It was examined whether under the influence of massage the symptoms of constipation was reduced, how long it took to wait for the results and how long the effects lasted.
Materials and methods of survey. The study covered 20 women who suffered from a spastic type of habitual constipation. Among examined women constipation was diagnosed on the basis of the questionnaire that refers to occurrence of constipation. The patients were undergone the one – off massage lasting an hour.
Results. Conducted surveys have shown that the one – off massage has a positive effect in the form of reduced troublesome symptoms and the increase of defecation frequency. The treatment is effective, the results are visible but it is a short – term phenomenon lasting for two weeks.
Conclusions
1. The pain and tension of the abdominal muscles, false tenesmus, intensified thirst, the lack of appetite, bloating, bowel cramps – colic, the feeling of fullness in stomach have been reduced. General weakness and depression have subsided.
2. After a single abdominal massage the improvement of defecation amount has been observed among 85% of patients.
3. The effect of the massage in the form of increased defecation amount has lasted for a week.
4. The difficulties during defecation process after the massage have decreased considerably and systematically.

Key words:
constipation, classic belly massage, physiotherapy

 

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Utjecaj statičnih ravnih tabana na pojavljivanje defekata u držanju tijela u zoni koljena i kralježnice kod djece.

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

DOI: https://doi.org/10.56984/8ZG0178mY

Abstract
Aim of work. The aim of this work was to assess body postures of primary school pupils and to assess the influence of static splayfoot on bad posture within lower limbs and spine.
Material and Methods. Research sample included 306 grade four pupils attending primary schools in Kluczbork municipal district. The research test were conducted at the turn of 2017 and 2018. The results gathered in the test were subjected to statistical analysis to determine correlations between particular body posture deformities. Correlation analysis was used to determine correlations between the assessed variables.
Results. The analysis of posture fault occurrence in the research population showed variables of statistical significance for spine curvatures, flat foot and cross knees. Additionally, knee joints flexion contracture was reported in one child.
Conclusions.
1. Bad body posture within lower limbs and spine are common among grade four pupils.
2. There is a strong correlation between splayfoot and deformities within knees and spine.

Key words:
Splayfoot, body posture, children, health

 

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