Tag: Six-minute walk test

Wpływ treningu na ergometrze rowerowym na wydolność funkcjonalną w fazie I u pacjentów po operacji zastawkowej serca – randomizowane badanie kontrolowane

Deepa, Senthil kumar T, Yogeshwari R, Sridevi S, Venkatesh N

 

Deepa, Senthil kumar T, Yogeshwari R, Sridevi S, Venkatesh N – Effects of bicycle ergometer training on functional capacity in phase I among heart valve surgery patients – a randomized controlled trial –  Fizjoterapia Polska 2025; 25(3); 89-94

DOI: https://doi.org/10.56984/8ZG7D1979F3

Streszczenie
Wprowadzenie. Choroby zastawek serca oraz ich leczenie chirurgiczne, w tym naprawa lub wymiana, stanowią coraz większy odsetek schorzeń układu sercowo-naczyniowego na świecie. Pacjenci po operacji zastawkowej w fazie I często doświadczają bólu, zmęczenia, obniżonego łaknienia, lęku oraz zaburzeń snu, co ogranicza ich aktywność fizyczną. Trening na ergometrze rowerowym w pozycji siedzącej stanowi skuteczną alternatywę w wczesnej rehabilitacji pooperacyjnej.
Cel. Porównanie skuteczności programu ćwiczeń na ergometrze rowerowym z rutynowym protokołem ćwiczeń w zakresie poprawy wydolności funkcjonalnej w fazie I rehabilitacji kardiologicznej.
Metodyka. Do badania włączono 23 pacjentów w wieku 30–60 lat po operacji zastawki serca, z saturacją spoczynkową powyżej 90% i niskim profilem ryzyka (frakcja wyrzutowa lewej komory > 50%). Pacjentów losowo przydzielono do grupy kontrolnej (n = 12) i badawczej (n = 11). Grupa kontrolna otrzymała standardową opiekę, natomiast grupa badawcza – standardową opiekę oraz trening na ergometrze rowerowym przez 20 minut dwa razy dziennie, począwszy od trzeciej doby pooperacyjnej aż do wypisu. Obie grupy poddano testowi sześciominutowego marszu przed i po interwencji. W trakcie treningu monitorowano odpowiedzi fizjologiczne: tętno (HR), ciśnienie tętnicze (BP) i saturację tlenu (SpO2).
Wyniki. Charakterystyka wyjściowa obu grup była podobna. W obu grupach odnotowano wzrost dystansu pokonanego w teście sześciominutowego marszu po zakończeniu treningu, przy czym średnia różnica była istotnie większa w grupie badawczej (365,5 ± 46,3) w porównaniu do grupy kontrolnej (266,7 ± 40,1), p ≤ 0,05. W grupie badawczej odnotowano również istotne zmniejszenie spoczynkowej częstości akcji serca (p = 0,048), szczytowej częstości akcji serca (p = 0,010) oraz subiektywnego odczucia wysiłku (p = 0,04).
Wnioski. Trening na ergometrze rowerowym istotnie poprawia wydolność funkcjonalną w porównaniu ze standardową opieką i jest wykonalny oraz korzystny w fazie I rehabilitacji kardiologicznej u pacjentów po operacji zastawkowej serca.
Słowa kluczowe
rehabilitacja kardiologiczna, wymiana zastawki, ergometr rowerowy, test sześciominutowego marszu, wydolność funkcjonalna
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Viso kūno vibracijos ir gravitacinės jėgos stimuliacijos poveikis laikysenos stabilumui vaikams, sergantiems Dauno sindromu: atsitiktinių imčių kontroliuojamas tyrimas

Eman Wagdy, Marwa Taher Mohamed, Marian Mamdouh Fayez, Mona Ahmed Abdulmohsen, Wesam Ali Al-kholy

 

Eman Wagdy, Marwa Taher Mohamed, Marian Mamdouh Fayez, Mona Ahmed Abdulmohsen, Wesam Ali Al-kholy – Whole-body vibration versus gravity force stimulation on postural stability in children with Down syndrome: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(3); 114-120

DOI: https://doi.org/10.56984/8ZG020A29H

Santrauka:
Tikslas. Palyginti, kaip viso kūno vibracija ir gravitacinės jėgos stimuliacija veikia funkcinius vaikščiojimo gebėjimus ir laikysenos stabilumą vaikams, sergantiems Dauno sindromu. Metodai. Šiame tyrime buvo atsitiktinai atrinkti šešiasdešimt Dauno sindromu sergančių vaikų, suskirstyti į tris grupes. Kontrolinė ir abi tiriamosios grupės buvo įtrauktos į struktūruotą kineziterapijos planą. Tyrimo grupės (I) ir (II) atitinkamai buvo veikiamos viso kūno vibracija (WBV) ir gravitacinės jėgos stimuliacija (GFS). Laikysenos stabilumo indeksai (bendras, mediolateralinis ir anteroposteriorinis) bei funkciniai vaikščiojimo gebėjimai buvo vertinami naudojant Biodex balansavimo sistemą (BBS) ir šešių minučių vaikščiojimo testą (6MWT). Intervencijos sesijos vyko tris kartus per savaitę 12 savaičių iš eilės. Rezultatai. Visi stabilumo indeksai esant 8 ir 5 lygmenims po intervencijos reikšmingai sumažėjo, palyginti su prieš intervenciją, tačiau 6MWT reikšmingai padidėjo visose trijose grupėse. Stabilumo indeksai esant 8 ir 5 lygmenims po intervencijos reikšmingai sumažėjo, o 6MWT reikšmingai padidėjo tiriamųjų grupių naudai (WBV ir GFS). Tačiau tarp tyrimo grupių (WBV ir GFS) po intervencijos stabilumo indeksų ir 6MWT reikšmingų skirtumų nebuvo. Išvada. Viso kūno vibracija ir gravitacinės jėgos stimuliacija turi panašų poveikį laikysenos stabilumui ir funkciniams vaikščiojimo gebėjimams vaikams, sergantiems Dauno sindromu.

Raktiniai žodžiai:
viso kūno vibracija, gravitacinės jėgos stimuliacija, Dauno sindromas, Biodex stabilumo sistema, šešių minučių vaikščiojimo testas

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Effect of moderate continuous aerobic training versus cryolipolysis on stress hormone and aerobic capacity in central obesity

Samy Kamal Mohamed Elgendy, Zahra Mohamed Hassan Serry, Mervat Gaber Elnany, Rana Hesham Mohamed Elbanna

 


Samy Kamal Mohamed Elgendy, Zahra Mohamed Hassan Serry, Mervat Gaber Elnany, Rana Hesham Mohamed Elbanna – Effect of moderate continuous aerobic training versus cryolipolysis on stress hormone and aerobic capacity in central obesity. Fizjoterapia Polska 2022; 22(4); 32-37

DOI: https://doi.org/10.56984/8ZG1A67jJ

Abstract
Purpose. This is the first comparative study aimed to find out the effect of moderate continuous aerobic exercise versus the widely popular body reshaping intervention, cryolipolysis, on cortisol (stress hormone), aerobic capacity (VO2max), 6-minute walking test (6MWT) in central-obesity (CO) patients.
Methods. Sixty CO patients (30 men and 30 women) were recruited from El Zawia El Hamra One Day Surgery Egyptian Hospital with a body mass index (BMI) ranged from 35–39.9 kg/m2 to be randomly assigned to the aerobic continuous moderate-intensity exercise group (thirty patients who received 30 minutes of treadmill walking, 3 sessions per week) and cryolipolysis group (thirty patients received on-abdomen one session for 60 minutes weekly). Both groups were ordered to reduce their daily diets to 1500–1800 Kcal/day (the diet was revised by a diet specialist every 14 days to consider the inclusion of fat (20–25%), carbohydrate (high complex, 50–60%), and protein components (25–30%). Anthropometry (weight, BMI, and waist circumference), plasma cortisol, VO2max, and 6MWD were assessed before and after 12-week cryolipolysis and exercise.
Results. A significantly improved difference was extracted using paired tests either within-exercise or with-cryolipolysis groups regarding the patients’ weight, BMI, cortisol, VO2max, and 6MWT. In favor of the exercise group, the post-treatment comparison between exercise and cryolipolysis groups showed a more marked significant statistical difference (p < 0.05) regarding the patients’ weight, BMI, VO2max, and 6MWD. In favor of the cryolipolysis group, post-treatment waist circumference showed a more marked significant decrease when compared to its post-treatment level of the exercise group. Regarding post cortisol levels between exercise and cryolipolysis groups, a non-significant difference was reported.
Conclusion: After the addition of aerobic exercise or cryolipolysis to a 12-week supervised DR plan, both therapeutic interventions can improve central fat deposition, weight, cortisol, VO2max, and 6MWT in CO patients.

Keywords
aerobic exercise, cryolipolysis, cortisol, aerobic capacity, six minute walk test, central obesity

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Effect of aerobic exercise on functional capacity and interleukin-6 level post allogeneic hematopoietic stem cell transplantation: A randomized controlled trial

Mohamed Rafat Borham, Azza Abdelaziz Abdelhady, Gamaleldin Mohamed Fathy, Emad Mohamed Ibrahim

Mohamed Rafat Borham, Azza Abdelaziz Abdelhady, Gamaleldin Mohamed Fathy, Emad Mohamed Ibrahim – Effect of aerobic exercise on functional capacity and interleukin-6 level post allogeneic hematopoietic stem cell transplantation: A randomized controlled trial. Fizjoterapia Polska 2022; 22(1); 100-107

Abstract
Background. Transplantation of hemopoietic stem cells has been extensively used as a curative modality to treat blood malignancies and cases of bone marrow failure. Objective. To examine the effect of aerobic exercises on functional capacity and interleukin-6 levels on patients post allogeneic hematopoietic stem cell transplantation (HSCT). Design. A quasi-experimental, randomized, single-blind design. Setting. Nasser Institute’s out-patient clinic for bone marrow transplant and Belqas central hospital. Methods. Forty women having chronic Graft versus Host Disease post hemopoietic stem cell allotransplant, with an age range of 20 to 30 years and body mass index between 18.5 and 24.9 kg/m2, were randomly designated into two equal groups (n = 20) (A and B). The study group (A) participated in a supervised aerobic exercise program of moderate intensity, with a score of 12-14 on the Borg scale for ‎perceived exertion, together with a specific medication routine, whereas the control group (B) was only given their medication routine. The exercise program consisted of 40 minutes on the stationary bicycle, with a warm-up and a cool-down period of 5 minutes each and 30 minutes as an active phase, 3 times per week for 3 months Both functional capacity, measured by a 6-minute walk test (6 MWT), and interleukin-6 blood level were assessed before starting the aerobic training and medical routine and after 3 months of the intervention. Results. The analysis showed a significant increase (P < .001) in the distance walked and assessed by 6 MWT in the group (A) compared to the control group (B), while there is a decrease in interleukin- 6 levels in the group (A) than in the group (B) without a statistical significance (P = 0.52). Conclusion: Aerobic training can be beneficial in increasing functional capacity.
Key words:
stem cell transplantation, graft vs host disease, aerobic exercise, interleukin-6, six-minute walk test
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Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada – Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?. Fizjoterapia Polska 2020; 20(5); 226-232

Abstract
Laser acupuncture has produced promising results in the management of many medical conditions; it has been used as a non-invasive therapy with no puncture pain which represents a major advantage over traditional acupuncture or electroacupuncture. The research question of this study is: Does the Aluminum Gallium Arsenide (AlGaAs) LASER acupuncture affect the lower limb blood supply and functional walking ability in patients with peripheral arterial disease (PAD)?. Thirty male patients’ diagnosis with PAD were recruited from Kasr El-ainy Hospital, and were randomly divided into two equal groups: study group and control group. Both groups received the routine medical treatment whereas study group received laser acupuncture therapy twice weekly for five weeks. Ankle brachial pressure index (ABPI), six-minute walk test (6MWT), and rating of perceived exertion using modified Borg scale were measured. The 2×2 mixed design MANOVA showed that laser acupuncture has induced highly statistically significant improvements in all the measured outcomes (p < 0.05). However, results revealed no significant difference between the two groups except for modified Borg scale. It was concluded that, AlGaAs Laser acupuncture could be an effective non-pharmacological intervention for improving circulation and functional walking performance in PAD patients and may be recommended as a complementary therapy in the management protocols of PAD.
Key words:
Laser acupuncture, peripheral arterial disease, Ankle brachial pressure index, six-minute walk test
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Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada – Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease? Fizjoterapia Polska 2020; 20(3); 184-190

Abstract
Laser acupuncture has produced promising results in the management of many medical conditions; it has been used as a non-invasive therapy with no puncture pain which represents a major advantage over traditional acupuncture or electroacupuncture. The research question of this study is: Does the Aluminum Gallium Arsenide (AlGaAs) LASER acupuncture affect the lower limb blood supply and functional walking ability in patients with peripheral arterial disease (PAD)? Thirty male patients’ diagnosis with PAD were recruited from Kasr El-ainy Hospital, and were randomly divided into two equal groups: study group and control group. Both groups received the routine medical treatment whereas study group received laser acupuncture therapy twice weekly for five weeks. Ankle brachial pressure index (ABPI), six-minute walk test (6MWT), and rating of perceived exertion using modified Borg scale were measured. The 2×2 mixed design MANOVA showed that laser acupuncture has induced highly statistically significant improvements in all the measured outcomes (p < 0.05). However, results revealed no significant difference between the two groups except for modified Borg scale. It was concluded that, AlGaAs Laser acupuncture could be an effective non-pharmacological intervention for improving circulation and functional walking performance in PAD patients and may be recommended as a complementary therapy in the management protocols of PAD.
Key words:
Laser acupuncture, peripheral arterial disease, Ankle brachial pressure index, six-minute walk test
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Kvėpavimo raumenų treniruotės poveikis diafragminiam mobilumui ir funkciniam pajėgumui pagyvenusiems žmonėms: atsitiktinių imčių klinikinis tyrimas

Fatma Aboelmagd M., Hamada Ahmed Hamada, Ibtissam M. Saab

Fatma Aboelmagd M., Hamada Ahmed Hamada, Ibtissam M. Saab – Effect of Inspiratory Muscle Training on Diaphragm Mobility and Functional Capacity in Elderly: A randomized clinical trial. Fizjoterapia Polska 2019; 19(2); 28-32

Abstract
Aim. Aging resulted in decrease in respiratory muscle strength which limits the exercise performance and quality of life. The purpose of this study was to evaluate the clinical and the functional outcomes of inspiratory muscle training in elderly.
Material and methods. 48 nonsmoker’s elderly from both genders aging 60 to 70 years were recruited. They were assigned randomly into two groups of equal number. The study group received training with threshold inspiratory muscle trainer (IMT) at 40% of the PImax measured during the initial evaluation which was readjusted weekly by evaluating the PImax while the control group received training with threshold IMT at the lowest pressure offered by the device, 3 times/week for 10 weeks. Diaphragmatic mobility was measured by ultrasonography, Maximal inspiratory pressure measurement and the functional capacity was measured by 6MWT before and after the end of the training program for both groups.
Results. The diaphragmatic mobility, Maximal inspiratory pressure measurement and the distance walked during 6MWT increased significantly within the study group at the end of the study (p < 0.05) with non-significant change in the control group (p > 0.05). Comparison between both groups at the end of the study revealed significant increase in diaphragmatic mobility and Maximal inspiratory pressure measurement in study group compared with control group (p <0.05) with non-significant difference between both groups regarding the distance walked during 6MWT (p > 0.05).
Conclusion. Inspiratory muscle trainer should be a part in elderly daily routine as it has a positive effect on the clinical outcome measure and there is a tendency to improve the functional outcome.

Key words:
Elderly, Inspiratory muscle training, diaphragmatic ultrasonography, Six-minute walk test

 

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