Tag: Edyta Krajczy

Reabilitacijos efektyvumo įvertinimas COPD pacientams projekte „PulmoRehab – Prieiga prie sveikatos priežiūros paslaugų per asmeninę priežiūros sistemą COPD pacientams, įtraukiant nuotolinę stebėseną ir tele-reabilitaciją, pagrįstą dirbtinio intelekto metodais“

Katarzyna Bogacz, Anna Szczegielniak, Łukasz Czekaj, Andrzej Jarynowski, Robert Kitłowski, Stanisław Maksymowicz, Danuta Lietz-Kijak, Bartosz Pańczyszak, Jacek Łuniewski, Edyta Krajczy, Mirosław Lenczuk, Jacek Sahajdak, Krzysztof Kassolik, Szymon Kaliciński, Jan Szczegielniak

 

Katarzyna Bogacz, Anna Szczegielniak, Łukasz Czekaj et al – Assessment of rehabilitation effectiveness in patients with COPD as part of the project “PulmoRehab – Access to healthcare services through a personalized care system for patients with COPD, including remote monitoring and tele-rehabilitation based on Artificial Intelligence methods” –  Fizjoterapia Polska 2024; 24(1); 6-11

DOI: https://doi.org/10.56984/8ZG2EF8D9D

Santrauka
Įvadas. Projekte „PulmoRehab – Prieiga prie sveikatos priežiūros paslaugų per asmeninę paciento priežiūros sistemą COPD, įtraukiant nuotolinę stebėseną ir tele-reabilitaciją, pagrįstą dirbtinio intelekto metodais“, SP ZOZ Specializuota Ligoninė Vidaus Reikalų Ministerijos ir Administracijos Głuchołazyje ir 10 partnerių atliko tyrimą apie tele-reabilitaciją žmonėms, kenčiantiems nuo Lėtinės obstrukcinės plaučių ligos (COPD). Tele-reabilitacijos programa, pagrįsta individualiu požiūriu ir technologija, leido pacientams naudotis terapija namuose ar patogioje vietoje. Projekto tikslas buvo sumažinti socialinę nelygybę sveikatos priežiūroje, suteikiant nuotolinę prieigą prie sveikatos paslaugų COPD pacientams.
Medžiaga ir metodai. Tyrimas apėmė 80 pacientų nuo 50 iki 76 metų amžiaus, hospitalizuotų Vidaus Reikalų Ministerijos ir Administracijos Šv. Jono Pauliaus II Specializuotoje Ligoninėje, atitinkančių tam tikrus kriterijus. Kvalifikacija dalyvauti tele-reabilitacijos programoje atsižvelgė į fizinio krūvio tolerancijos, dusulio, nuovargio, plaučių ventiliacijos funkcijos ir soties vertinimą. Programa apėmė pratybas, pritaikytas individualiems pacientų poreikiams.
Rezultatai. Rezultatų analizė, atlikta naudojant XLSTAT programinę įrangą 2021.2.2, parodė statistiškai reikšmingus skirtumus tarp spirometrinių verčių prieš ir po reabilitacijos. Panašiai, reikšmingas pagerėjimas buvo pastebėtas 6 minučių ėjimo testo rezultatuose ir kraujo soties. Tele-reabilitacijos programa įrodė efektyvumą gerinant kvėpavimo sveikatos parametrus COPD pacientams.
Išvados:
Tele-reabilitacijos programa pagerina plaučių ventiliacijos funkciją žmonėms, sergantiems COPD. Ji mažina dusulio jausmą, mažina nuovargį, pagerina SpO2 ir didina fizinio krūvio toleranciją, parodant naudingą taikytos reabilitacijos poveikį.
Gauti rezultatai skatina atlikti tolesnius tyrimus su atstovaujančia grupe, naudojant atsitiktinimą.
Raktiniai žodžiai:
Tele-reabilitacija, COPD
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The review of literature on the possibility of the use of Kinesiology Tape in musculoskeletal diseases. Meta-analysis

Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Edyta Krajczy, Igor Świerkowski, Aleksandra Skomudek, Ewa Jach, Danuta Lietz-Kijak, Zbigniew Śliwiński, Jan Szczegielniak

Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Edyta Krajczy, Igor Świerkowski, Aleksandra Skomudek, Ewa Jach, Danuta Lietz-Kijak, Zbigniew Śliwiński, Jan Szczegielniak – The review of literature on the possibility of the use of Kinesiology Tape in musculoskeletal diseases. Meta-analysis. Fizjoterapia Polska 2021; 21(5); 90-103

Abstract
Background. Kinesilogy Tape (KT) is widely used in patients with muscular disorders and pain. Objectives. To present the current body of knowledge on KT as a treatment method in patients with muscular disorders and pain. Design. Systematic review. Population. Patients with musculoskeletal disorders and pain. in whom KT was used.
Methods The papers were identified on the basis of term searches in digital research databases (PubMed, Medline, Cochrane Central Register of Controlled Trials (CCTR), EMBASE Excerpta Medica, and Google Scholar). On the basis of the review of the available 152 research articles, 27 papers on muscular disorders and pain disorders were selected. Two of the authors of this review, working independently, selected the papers to be included in the analyzed sample, isolated the data, performed an assessment of the risk of bias, and assessed the quality of the evidence for the main effects using the IVS internal validity score (PEDro) approach. A simplified version of the Oxford Centre for Evidence-Based Medicine (OCEBM) system was used to evaluate the evidence. Results. There are too few prospective, controlled randomized trials on KT that include a sufficiently large cohort. Only few of the reviewed papers that discuss the principles of KT meet the criteria of scientifically rigorous research. Conclusions. There is a need for further clinical trials on the effectiveness of the use of KT method.
Clinical rehabilitation impact. We found significant quality evidence to support the use of KT in clinical practice in patients with disorders of the musculoskeletal system (and in sports therapy).
Key words:
kinesiotaping, kinesiology taping, kinesiology tape, k/active tape AND medicine, musculoskeletal disorders AND pain
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Ocena efektów plastrowania dynamicznego (PD) z wykorzystaniem inteligentnego robota neurologicznego Fourier M2 u chorych po udarze mózgu z niedowładem połowiczym

Marcin Krajczy, Edyta Krajczy, Ewa Gajda-Krajczy, Bartosz Frydrych, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak

M. Krajczy, E. Krajczy, E. Gajda-Krajczy, B. Frydrych, K. Bogacz, J. Łuniewski, J. Szczegielniak – Evaluation of effects of kinesiotaping with use of the intelligent fourier M2 neurological robot in patients with hemiparesis; Fizjoterapia Polska 2018; 18(1); 32-48

Streszczenie

Cel. Celem badania jest ocena efektów plastrowania dynamicznego (PD) z wykorzystaniem inteligentnego robota neurologicznego Fourier M2 u chorych po udarze mózgu z niedowładem połowiczym.
Materiał i metody. W badaniu udział wzięło 28 pacjentów (10 kobiet i 17 mężczyzn, średnia: 63,48 lat) po udarze mózgu niedokrwiennym z niedowładem połowiczym (14 lewostronnych, 13 prawostronnych), którzy wyrazili świadoma zgodę na udział w badaniu. Pacjentów podzielono przy pomocy komputerowego programu ALEA, z własnym algorytmem randomizującym, na grupę BA – 14 oraz KO – 14 osób. W celu przeprowadzenia badania wykorzystano inteligentnego robota rehabilitacyjnego Fourier M2, służącego do diagnostyki i terapii kończyny górnej.
Wyniki i wnioski. W badaniu wykazano istotne statystycznie efekty w 1, 3, 4 dobie badania pod postacią procentowej poprawy aktywnego ruchu w grupie BA jako efekt działania aplikacji plastrowania dynamicznego.
W ocenie pozostałych wyników badania, wykazano efekty zarówno plastrowania dynamicznego jak i terapii z udziałem robota neurologicznego, u chorych po udarze mózgu z niedowładem połowiczym. W ocenie tych wyników efekty terapii były porównywalne w obu grupach.
Inteligentny robot Forier M2 jest przydatnym i obiektywnym urządzeniem do diagnostyki, terapii oraz oceny efektów fizjoterapii u chorych po udarze mózgu z dysfunkcją kończyny górnej.

Słowa kluczowe:
plastrowanie dynamiczne, robot neurologiczny, fourier M2, udar mózgu, niedowład połowiczy

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Impact of elastic therapeutic tape on final effects of physiotherapy in patients with Colles’ fracture

Marcin Krajczy, Jacek Łuniewski, Katarzyna Bogacz, Tomasz Dybek, Piotr Kiczyński, Edyta Krajczy, Anna Szczegielniak, Jan Szczegielniak

M. Krajczy, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, E. Krajczy, A. Szczegielniak, J. Szczegielniak – Impact of elastic therapeutic tape on final effects of physiotherapy in patients with Colles’ fracture. FP 2014; 14(1); 42-49

Abstract

Background. Fractures of the distal radius constitute a serious clinical problem. It seems that appliance of elastic therapeutic tape may be an effective method of physiotherapy among patients suffering from the forearm’s fracture.Aim of the study. The aim of the study is to assess the impact of selected elastic therapeutic tape applications on physiotherapy’s effects among patients treated conservatively after Colles’ fracture. Material and methods. The study included 38 patients treated in the Rehabilitation Department of Health Care Centre in Nysa in the period from January 2012 until November 2013. Participants were randomly divided into 2 groups. A study group (SG) consisted of 20 patients (16 women and 4 men), while a control group (CG) was composed of 18 patients (15 women and 3 men). Therapy for all of the participants was based on usage of the Hand Tutor device. Additionally, after a preliminary examination, patients from the  study group received selected applications of elastic therapeutic tape as follows: muscular – toning for the wrist’s flexors and ligamentous or corrective for the wrist area. Applications were replaced every 4 days. Physiotherapy lasted 10 days. According to the established protocol, during and after completion of physiotherapy regular checkups were conducted. Results. Elastic therapeutic tape’s applications used in the process of physiotherapy in SG’s patients increased range of motion for both active and passive movements and improved quality of them compared to the patients from CG. It was also observed that deficit of movements (difference between range of passive and active motions) decreased more in the SG’s patients.
Conclusions: 1. In the final study no significant differences has been showed in the studied parameters between the groups. Research has presented wrist’s functions improvement in the frequency of active movements and range of motion in both groups. 2. Significantly higher results in the final examination of the frequency and wrist’s mobility in general were shown in comparison to the initial results.

Key words:
Colles’ fracture, physiotherapy, elastic therapeutic tape, biofeedback, Hand Tutor

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Physiotherapy after a hand surgery performed with a diagnostic and functioerformed with a diagnostic and functional therapy device. Case study

Marcin Krajczy, Edyta Krajczy, Anna Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Tomasz Dybek, Piotr Kiczyński, Jan Szczegielniak

M. Krajczy, E. Krajczy, A. Szczegielniak, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, J. Szczegielniak: Physiotherapy after a_hand surgery pm przypadku / Physiotherapy after a hand surgery performed with a diagnostic and functioerformed with a diagnostic and functional therapy device. Case study. Fizjoterapia Polska 2015;15(3);46-54

Abstract

Background. Surgical treatment after fingers flexor tendons’ injury requires a consequent physiotherapy of the handthat is basedonwell-establishedessential procedures. There are no reports on comprehensive hand physiotherapy treatment aftertraumatic injuries of the tendons, blood vessels and nerveswith an application of theHand Tutorsystem in the therapeutic process.
Aim of the study. The aim of the study is to present a comprehensive hand physiotherapy after surgery and revision of the tendonswith a rehabilitation system with biofeedback- Hand Tutor TM, which is a modern system designed for the therapy of sensory, motor and cognitive disorders of the hand.
Materials and methods. The study presents a case of a 42 year-old man. The patient suffered from the injury of a right hand with a significant damage of tendons, artery and ulnar nerve,  operatet on 2012. Complications after the performed surgery were observed during the recovery (inflammation, swelling and tissue adhesions). In the therapy early comprehensive hand physiotherapy was introduced (with an application of the system for hand physiotherapy with biofeedback – Hand Tutor TM).
Results. The study shows that introduction of an early, comprehensive physiotherapy together with the Hand Tutor device was successful in terms of the wound healing process and significant improvement in hand function after surgery. It appears that appropriately selected physiotherapy procedures may positively influence the effectiveness of the general therapy. Final results showed significant improvement in passive and active range of motion of the injured hand as well as in the speed of the movements. The study also showed a reduction of the subjective levelof the pain and the return of the ulnar nerve function.

Key words:
early comprehensive physiotherapy, Hand Tutor, traumatic tendon injury

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