Tag: Edyta Smolis-Bąk

掌机游戏在心脏康复中的应用：一项试点研究

Kamil Szcześniak, Iwona Sarna, Anna Mierzyńska, Rafał Dąbrowski, Edyta Smolis-Bąk

 

Kamil Szcześniak, Iwona Sarna, Anna Mierzyńska, Rafał Dąbrowski, Edyta Smolis-Bąk– The application of console games – exergames in cardiac rehabilitation: a pilot study. Fizjoterapia Polska 2023; 23(4); 182-191

DOI: https://doi.org/10.56984/8ZG20AR1N

摘要
引言。太多人避免进行定期的体育活动，因此采取各种策略来提高他们的动力。近年来，使用掌机游戏，即运动游戏，进行锻炼已经变得越来越受欢迎。
材料与方法。研究包括被转介接受早期住院康复的患者。所有受试者每周5次参加耐力训练，包括在健身操自行车上进行训练和健身操练习（动态，伸展，协调，平衡），其中包括抗阻力训练的元素。在测试组中，康复计划辅以ActivLife设备的训练。训练课程每天进行，每周5次。它们包括由7个练习组成的训练计划，这些练习发展了运动能力：协调，力量和平衡，形式类似于传统练习 – 深蹲，侧屈，上肢和躯干在矢状面的三平面运动以及体前屈。训练持续时间为15至20分钟。
结果。康复后，两组患者在以下测试中均观察到耐力明显改善：6分钟步行测试（6MWT）[米] – 测试组：369 vs 426，p <0.05，对照组：341 vs 434，p <0.001；下肢肌肉力量测试[30秒内的重复次数]为：测试组：11.4 vs 13.6，p <0.001，对照组：9.9 vs 13.1，p <0.001以及Up&Go测试[s]：测试组7.8 vs 6.7，p <0.01，对照组8.4 vs 7.3，p <0.01。
结论。心脏患者认为交互式掌机游戏是一种有吸引力、安全且有用的锻炼方法。使用ActivLife设备进行训练已被证明与传统锻炼一样有效。
关键词：
运动游戏，心脏康复，心脏病学，物理治疗，锻炼
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Usefulness of three-stage walking test for evaluation of physical capacity on the basis of correlation with exercise treadmill test results in patients after CABG surgery

Edyta Smolis-Bąk, Barbara Kazimierska, Rafał Dąbrowski, Ilona Kowalik, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Rafał Dąbrowski, Ilona Kowalik, Hanna Szwed – Usefulness of three-stage walking test for evaluation of physical capacity on the basis of correlation with exercise treadmill test results in patients after CABG surgery. Fizjoterapia Polska 2008; 8(1); 43-50

Abstract
Background. Reducing the duration of hospital stay of coronary surgery patients makes it necessary to develop reliable methods for the evaluation of their physical capacity. The aims of this study were as follows: 1. to assess the physical capacity of CABG patients. 2. to correlate the results of the treadmill test and the three-stage walking test. Material and methods. The study group consisted of 71 men aged 35-74 years qualified to undergo CABG with EF&gt;40% and with no arrhythmias or cardias conduction defects. All patients received comprehensive rehabilitation care. The following tests were performed before (examination 1) and 3 months after CABG (examination 2): modified 3-stage walking test according to Bassey and treadmill exercise test to the Bruce protocol. Parameters evaluated comprised energy expenditure (E, kJ/ml), maximum workload (METs), oxygen consumption (VO2, ml/min/kg), and oxygen pulse (HRO2, ml/systole). Results. Significant improvements across all parameters examined were observed three months after CABG. Treadmill exercise test results were significantly better than the results of the walking test (p&lt;0.001). There were correlations for oxygen pulse (r=0.63) and energy expenditure (r=0.51) between the treadmill test and self-paced walking test results at 3 months after CABG. Conclusions. The three-stage walking test may be useful in the evaluation of physical capacity. It may supplement clinical evaluation in post-CABG patients.
Key words:
cardiac rehabilitation, walking test, exercise test, VO2, CABG
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Does duration ofintubation influence ventilation parameters following CABG?

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Tomasz Kaszczyński, Ryszard Smolis, Rafał Dąbrowski, Ilona Kowalik, Dariusz Białoszewski, Anna Cabak, Hanna Szwed – Does duration ofintubation influence ventilation parameters following CABG? Fizjoterapia Polska 2010; 10(1); 78-83

Abstract
Background. Contemporary cardiac surgery is increasingly relying on less invasive techniques to minimise hospital stay. We asses-sed the influence ofartificial ventilation time in CABG patients on ventilation parameters.Materiał and methods. The study enrolled 92 men aged 35-75 years following CABG undergoing rehabilitation. Patients were divi-ded into two groups based on duration of intubation: Group I included patients with artificial ventilation time (AVT) &lt;17 hours and Group II those with AVT &gt; 17h The correlation between AVT and respiratory capacity was assessed by spirometry before CABG, on fifth po-stoperative day, and at three months post-CABG.Results. The parameters decreased significantly in both groups on 5th post-operative day, except ERV (ns) in Group II. At 90 days post-surgery, all parameters had increased significantly compared to the 5th post-operative day readings in both groups, but FEV1 had not reached the preoperative level in either group. FVC EX was higher than pre-CABG value in Group I (ns) but not in Group II (p&lt;0.05). VC failed to reach preoperative levels in both groups (Gr I ns, Gr II p&lt;0.005).Conclusions. Most spirometric parameters tended to behave in the same manner irrespective of the duration ofAVT. Shorter AVThad a significant effect only on VC and FVC EX at 90 days after the surgery. The decrease in respiratory capacity was apparently related to the sternotomy associated with cardiac surgery.
Key words:
CABG, spirometry, cardiac rehabilitation
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Diagnostics of Balance and Gait Disorders in Patients with Parkinson’s Disease

Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka, Edyta Smolis-Bąk, Izabela Korabiewska, Monika Lewandowska, Dariusz Białoszewski

M. Kłoda, G. Brzuszkiewicz-Kuźmicka, E. Smolis-Bąk, I. Korabiewska, M. Lewandowska, D. Białoszewski – Diagnostics of Balance and Gait Disorders in Patients with Parkinson’s Disease. FP 2017; 17(2); 122-131

Abstract

Parkinson’s disease is a chronic, progressing affliction of the human central nervous system. It is one of degenerative diseases and affects mainly the extrapyramidal system, and in particular the substantia nigra of the midbrain.  Along with the axial symptoms of Parkinson’s disease, the other most important ones would include abnormalities of posture and gait. The improper posture has an impact on future problems with locomotion and self-service functions.
Prior to introducing any physiotherapy, there should be carried out a number of tests, which will allow both, quantitative and qualitative assessment the patient’s gait and his or her posture. These tests include among others: gait analysis performed on a treadmill of the ”Zebris” FDM-TDM type, which uses the WinFDM-T data base system, Vicon 460 system for the three-dimensional assessment of gait, Timed Up & Go, 10 MWT or Tinetti tests.
Demographic data indicate the increasing incidence of the Parkinson’s disease, which seems to be due to the gradual lengthening of a human life span. This makes it very important to properly rehabilitate and care for the patients.
As the disease progresses, patients begin to experience discomfort during their daily activities, and in locomotion, and thus their quality of life is being reduced. Here comes the great importance of implemented physiotherapy treatments, which are supposed to maintain, for as long as possible, the patients’ mobility at the level sufficient to enable their independent functioning. Introduced early enough physiotherapy procedures significantly improve gait parameters in patients with the Parkinson’s disease, thus delaying progression of the disease.

Key words:
diagnostics, Parkinson’s disease, balance disorders, gait disorders

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The assessment of the attitude towards physical activity among the Physiotherapy students of Warsaw Medical University (WMU) and the students of Physical Education Academy (PEA)

Edyta Smolis-Bąk, Agnieszka Szymańczuk, Hanna Rymuza,
Ilona Kowalik, Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka

E. Smolis-Bąk, A. Szymańczuk, H. Rymuza, I. Kowalik, M. Kłoda, G. Brzuszkiewicz-Kuźmicka – The assessment of the attitude towards physical activity among the Physiotherapy students of Warsaw Medical University (WMU) and the students of Physical Education Academy (PEA). FP 2016;16(4);30-39

Abstract

Physical activity is a key integrating element of a healthy lifestyle. Physical Fitness determines the resourcefulness in various life situations, its high level may facilitate work, broaden the capabilities and contribute to a healthy lifestyle. Studies show that physical therapists are particularly predisposed to promote a healthy lifestyle among the medical patients. On the other hand, due to the nature of their work, they are at risk of muscular and skeletal injuries.
The objective was to assess the Warsaw Medical University (WMU) and the Academy of Physical Education (APE) Physiotherapy Students’ attitude toward physical activity and physical fitness.
Methodology. Examined was a group of 90 students (37 females, 9 males from WMU and 22 females, 22 males from PEA) of the age 22.7 on average ±2.0 years. Prepared questionnaire designed to assess attitudes toward physical activity was used. The level of physical fitness of the investigated students was examined with International Physical Fitness Test.
Results. The number of physical activity hours is significantly lower at the Medical University (1.6 ±1.5) than PE Academy (3.6 ±1.7), p<0,001. Very high (80%) interest in physical activity during leisure time has been demonstrated, with higher tendency among Physiotherapy PEA students than the WMU students (p = 0.07). A significantly lower level of physical fitness among WMU students, as compared to PEA students, was also found.
Conclusions. 1. Very high interest in physical activity during leisure time, in both groups, should be taken advantage of and developed in educational process. 2. Medical University students presented a much lower fitness level than PEA students, which may have resulted from fewer hours of physical activities at the Medical University of Warsaw (WMU). 3. Due to higher expectations in case of physiotherapists, it seems that physical fitness should be one of the recruitment process criteria at Medical University of Warsaw.

Keywords:

physical activity, assessment of physical fitness, physiotherapy students

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Prevalence of feet defects in preschool-aged children

Maria Kłoda, Grażyna Brzuszkiewicz-Kuźmicka, Maria Drajczyk, Piotr Drajczyk, Janina Grzegorzewska, Edyta Smolis-Bąk

M. Kłoda, G. Brzuszkiewicz-Kuźmicka, M. Drajczyk, P. Drajczyk, J. Grzegorzewska, E. Smolis-Bąk – Prevalence of feet defects in preschool-aged children. FP 2016;16(1);36-46

Abstract
Introduction and study aim. Childhood is known to be a very important period of life when the foot is gradually determining in order to become a strong support of the human body. The aim of the study is to assess the frequency of appearance of foot defects in preschool children.
Material and methods. The study group consisted of 143 preschool children, in which the following parts of examination were evaluated: orthopedic measurements, antropometric measurements, plantoconturographical examination and podoscopic examination. Parents were asked to fill out the questionnaire regarding to the development of their child’s feet, defects as well as their child’s habits and sports in which they participate.
Results. The analysis of Clarke’s angular indicator revealed that flat foot was the most frequent defect in the study group (146/286 feet, circa 50%), and diminished foot was the second frequent problem in the examined group of children (102/286). The normal foot was established to be present in 37 cases. There was also 1 elevated foot due to Clarke’s assessment. No statistical significance was observed between body sides and foot defects. Gender of patient was not statistically correlated to the examined children’s defects besides flat foot, which was observed to be more frequently present in males: 42 males (36%) vs 19 females (11%), p<0,05.
Conclusions. The flat foot was observed to be the most frequently present defect of foot in preschool children. On the other hand, cored foot has been demonstrated to be the most rarely present defect in the study group. Percentage of children who participate in sport activities and wear comfortable shoes in order to prevent foot defects, is unsatisfactory. Motor activity should be more efficiently promoted among parents and caregivers of preschool children.

Key words:
foot defect, angular indicator, plantoconturography

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