Tag: Małgorzata Mraz

Postoperative complications in patients after thoracic surgery

Maciej Mraz, Agnieszka Stasiak, Małgorzata Mraz

Maciej Mraz, Agnieszka Stasiak, Małgorzata Mraz – Postoperative complications in patients after thoracic surgery. Fizjoterapia Polska 2001; 1(4); 366-368

Abstract
Thoracic surgery is a serious intervention- which- together with anaesthesia – disturbs the physiological functions of the patient’s organism. In the postoperative period there is a risk that the patient will develop complications. Postoperative complications include any disorder appearing within the first thirty days following surgical intervention. They may be developed by the patient in the circulatory system (thrombophlebitis of legs, pulmonary oedema) and in the digestive system (intenstinal peristalsis disorder). In postoperative patients disorder is also observed in the immunological system. All of these postoperative complications can be prevented by intensive physiotherapy.Our study included 41 postoperative patients. They were all subject to physiotherapy but had not been prepared physiotherapeutically before thoracic surgery because of a very short period between admission and operation (1 to 3 days). Postoperative complications were found in 16 out of 41 patients. Dominant were respiratory complications – atelectasis and pneumatosis. Patients who underwent thoracic surgery on Thursday or Friday more readily developed postoperative complications because of the lack of physiotherapeutic attention during the weekend. Pre- and postoperative physiotherapy was found to influence the frequency of postoperative complications. The frequency of complications developed by postoperative patients depended on the intensity of physiotherapy in the first three days following surgery.

Key words:
Thoracic Surgery, Postoperative Complications, postoperative physiotherapy

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Use of isokinetic tests and bmd in musculoskeletal system evaluation

Anna Skrzek, Małgorzata Mraz, Marek Woźniewski

Anna Skrzek, Małgorzata Mraz, Marek Woźniewski – Use of isokinetic tests and bmd in musculoskeletal system evaluation. Fizjoterapia Polska 2008; 8(2); 128-138

Abstract
Background. All elements of the locomotor system from an interconnected and interacting, biological and mechanical whole. The development, functioning and involution are mutually dependent. Studies of problems connected with the involution of the organs of locomotion help to explain and understand the most important determinants of these processes. The purpose of the present study was to demonstrate the utility of densitometric and isokinetic examinations for the assessment of changes in the organs of locomotion brought about by a pro-health exercise programme in women over 60 years old.Material and methods. The study group was composed of 46 women sged 60 or more who were subjected to a 4-monthpro-health exercise programme. Bone mineral density was measured in the proximal femur by DEXA. The densitometric studies were carried out in the Densitometry Unit of the Departament of Endocrinology, Diabetology and Isotope Therapy of Wroclaw Medical University. Strength measurements were performed using a Biodex System 3 Multi Joint isokinetic study unit (Biodex Medical System, New York, USA) located at the laboratory of the Physiotherapy Faculty of the University School of PHysical Education, Wroclaw. Concentric isokinetic tests for the trunk flexors and extensors and for the flexors and extenors of the knee were conducted in the sitting position.Results and Conclusions. The findings confirm a beneficial effect of this form of physical activity on the health of the components of the locomotor system examined in the study. There was a statistically significant improvement in most strength-velocity parameters examined in the muscles of the trunk and lower limbs. There was also a noticeable tendecy whereby the age-associated decrease in bone mineral density was slowed down.
Key words:
ageing, densitometry, isokinetic test
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