Impact of the pandemic on the quality of life in the Polish and German population

Daniela Kajda, Jan Szczegielniak, Marzena Dorosz, Marta Gołdyn-Pastuszka, Jacek Łuniewski, Katarzyna Bogacz


Daniela Kajda, Jan Szczegielniak, Marzena Dorosz, Marta Gołdyn-Pastuszka, Jacek Łuniewski, Katarzyna Bogacz – Impact of the pandemic on the quality of life in the Polish and German population. Fizjoterapia Polska 2022; 22(5); 140-153

DOI: https://doi.org/10.56984/8ZG20A6hK

Streszczenie

Introduction. Quality of life during the pandemic has taken on a completely different dimension. As a result of the restrictions, it was necessary to reorganize life in every sphere. This could lead to a number of negative consequences, including the deterioration of physical and mental health, as well as disturbances in the ability to establish proper social relationships.
Objective. The objective of the study was to assess the impact of the pandemic on the quality of life in the Polish and German population.
Material and methods. The study was conducted on a group of 200 people, of which 100 people are respondents living in Poland, while the remaining 100 live in Germany. The research tool used in this study was a questionnaire. The questionnaire was created in two language versions: Polish and German. The obtained results are presented in the form of pie charts and bar graphs. Pie charts present the results in percentages, obtained in individual questions included in the questionnaire.
Results and discussion. The results indicate a change in the frequency of undertaking physical activity. The number of respondents undertaking physical activity has significantly decreased, while the respondents who do not undertake physical activity during the pandemic constitute almost half of the respondents from Poland. The situation in Germany is completely different, as the number of people undertaking and not undertaking physical activity has not changed significantly. As a result of the pandemic caused by the SARS-CoV-2 virus, almost half of the respondents from Poland began to feel a little fatigued while performing everyday activities, while the level of fatigue of the German respondents did not change significantly and oscillates around the same limits as before the pandemic. The quality of sleep in Polish respondents definitely decreased from good to moderate as a result of the COVID-19 pandemic, while in German respondents there is no significant decrease in sleep quality.
Conclusions. 1. The COVID-19 pandemic had a negative impact on the mental health of the Polish population to a large extent, while the negative impact of the SARS-CoV-2 virus pandemic on the German population is observed to a much lesser extent.
2. The pandemic situation contributed to a significant deterioration in the quality of life in the case of the Polish population, while in the case of the German population, no significant deterioration in the overall quality of life caused by the COVID-19 pandemic was documented.
3. The COVID-19 pandemic caused a significant decrease in the level of physical fitness and the frequency of undertaking physical activity in the Polish population, while in the case of the German population, the level of physical fitness slightly deteriorated, but no significant decrease in the frequency of undertaking physical activity was observed during the pandemic caused by the SARS-CoV-2 virus.
4. Among the Polish population, the general well-being has clearly deteriorated, however, in the case of the German population, there is no significant decrease in well-being caused by the ongoing COVID-19 pandemic.

Słowa kluczowe:
pandemic, quaility of life, Polish population, German population

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The impact of body composition disorders on the quality of life of patients with chronic obstructive pulmonary disease

Marzena Dorosz, Katarzyna Bogacz, Marta Gołdyn-Pastuszka, Marcin Krajczy, Anna Szczegielniak, Jacek Łuniewski, Jan Szczegielniak


Marzena Dorosz, Katarzyna Bogacz, Marta Gołdyn-Pastuszka, Marcin Krajczy, Anna Szczegielniak, Jacek Łuniewski, Jan Szczegielniak – The impact of body composition disorders on the quality of life of patients with chronic obstructive pulmonary disease. Fizjoterapia Polska 2022; 22(5); 56-69

DOI: https://doi.org/10.56984/8ZG20AXT7

Streszczenie

Introduction. COPD is a chronic inflammatory disease that constitutes a significant public health problem. It is characterized by not fully reversible, progressive limitation of airflow through the airways. In addition to the harmful pulmonary effects, COPD manifests itself with complications in other body systems, including body composition disorders, which adversely affects patients’ quality of life and prognosis. The objective of this study was to assess the quality of life of patients with COPD and to assess the factors that will affect its deterioration.
Material and methods. The study included 37 patients of the University Hospital at the Jagiellonian University Medical College in Kraków at 8 Skawińska Street, who were diagnosed with COPD according to the GOLD guidelines. In the study group, a personal questionnaire was conducted, anthropometric data was collected, i.e. the Quetelet index was calculated, thigh circumference and skin folds were measured, and the subjective assessment of the quality of life was examined using the SGRQ-C questionnaire and the CAT Test.
Results. Based on the analysis of the collected materials, it was shown that the average assessment of the quality of life in the study population was at a low level of 61.8 points on the SGRQ-C scale. There was a large variation in the assessment of HRQoL depending on the stage of the disease. The best result, amounting to 23.0 points, was achieved by patients in stage 1, and the worst – 81.6 points. – patients in stage 4 according to GOLD guidelines. Among the main determinants of the quality of life in the study group, in addition to the degree of airway obstruction, there were: high intensity of clinical symptoms, such as cough, shortness of breath or expectoration of secretions, low body weight and the number of comorbidities. Conclusions. It has been shown that the loss of fat-free body mass and systemic complications are factors that significantly reduce the quality of life, and patients with fewer comorbidities and with increased BMI score better on the SGRQ-C scale. It has been proven that the progression of the disease contributes to the exclusion of patients from active social life and causes many mental problems. It was established that patients with COPD should be covered by multidisciplinary care and a special training program in order to prevent or delay the onset of systemic complications, which significantly worsen the patients’ quality of life

Słowa kluczowe:
COPD, body composition, quality of life

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Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review

Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk


Dawid Lukoszek, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka, Karol Szyluk – Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review. Fizjoterapia Polska 2022; 22(4); 56-73

DOI: https://doi.org/10.56984/8ZG1A6k5q

Abstract
Objectives. The aim of this study was to provide an overview of the scientific evidence base on the use of ultrasonography in physiotherapy and rehabilitation of the shoulder.
Methods. The PubMed / Medline database was reviewed using the following keywords: shoulder ultrasonography AND rehabilitation; shoulder ultrasound imaging AND physiotherapy; shoulder ultrasound imaging AND rehabilitation; Rehabilitative Ultrasound Imaging AND Shoulder. Only full-text, open-access studies in English published before 15 May 2022 were included in the analysis.
Results. 51 articles (out of 748 identified) were included in the analysis. Of all the studies, 3 studies were randomized, 5 were not randomized, the rest were cross-sectional or case studies. The most common study group were patients with hemiplegia (in 13 out of 51 reviewed works). 12 papers out of 51 concerned orthopedic conditions of the shoulder with varying diagnoses. Ultrasound imaging was used mainly to assess echogenicity and measure structures of the shoulder.
Conclusion. There are many studies demonstrating the utility of ultrasound in various aspects of the physiotherapist’s practice, including but not limited to diagnostic purposes, assessment of treatment effectiveness, monitoring treatment progress, and referring the patient to another specialist.

Key words:
ultrasonography, ultrasound, imaging, ultrasonography, rehabilitation, physical therapy, physiotherapy, diagnosis, shoulder, pain, treatment

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Influence of physiotherapy on exercise tolerance in patients after COVID-19

Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak

Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak – Influence of physiotherapy on exercise tolerance in patients after COVID-19. Fizjoterapia Polska 2021; 21(5); 182-189

Abstract
Patients after severe COVID-19 need effective treatment and full medical care. An important aspect of a successful recovery is the implementation of comprehensive rehabilitation. Rehabilitation for convalescents is primarily aimed at restoring or improving the proper functioning of the respiratory system, reducing the severity of the symptoms of the disease and disorders related to comorbidities, as well as increasing the physical efficiency of the body. Objective. The objective of the study was to assess the effect of endurance training on exercise tolerance using the 6-minute walk test in patients with a history of COVID-19.
Material and methods. Thirty patients after COVID-19 were examined, including 12 women (40%) and 18 men (60%) aged 35 to 75 years. The mean age in the study group was 55 years, SD = 10.9.
Before rehabilitation, all patients underwent a 6-minute walk test (6MWT) in order to qualify for the appropriate rehabilitation model. The following parameters were analysed: test time, distance travelled, systolic pressure, diastolic pressure, heart rate, and the reasons for the termination of the test. All COVID-19 patients are covered by the rehabilitation program for patients after COVID-19, which came into force on the basis of the Regulation of the Minister of Health of July 13, 2020 (Journal of Laws, item 1246) on a pilot program in the field of therapeutic rehabilitation for patients after COVID-19.
The distance in the 6-minute walk test in the entire group after rehabilitation increased by an average of 11.8% (from 531.7 ± 97 m to 601.2 ± 86.4 m). Analysing the presented results of studies describing the effect of endurance training on exercise tolerance in patients after COVID-19, no statistically significant differences were found between the age group <55 and the age group ≥ 55.
Conclusions. 1. A 3-week rehabilitation program after COVID-19, the basis of which was endurance training based on exercise on a cycle ergometer, has a positive effect on exercise tolerance in patients measured on the basis of the distance walked during the 6-minute walk (6MWT). 2. In the analysed study, a significant improvement was observed in patients aged ≥ 55 who achieved the shortest distance during the initial 6MWT test.
Key words:
COVID-19, physiotherapy, exercise tolerance
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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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Assessment of training heart rate in patients with chronic obstructive pulmonary disease (COPD)

Ewa Jach, Igor Świerkowski, Piotr Kęsicki, Katarzyna Bogacz, Marcin Krajczy, Krystyna Rasławska, Jacek Łuniewski, Jan Szczegielniak

Ewa Jach, Igor Świerkowski, Piotr Kęsicki, Katarzyna Bogacz, Marcin Krajczy, Krystyna Rasławska, Jacek Łuniewski, Jan Szczegielniak – Assessment of training heart rate in patients with chronic obstructive pulmonary disease (COPD). Fizjoterapia Polska 2021; 21(5); 6-12

Abstract
Objective. The objective of the study was to evaluate the training heart rate in patients with chronic obstructive pulmonary disease.
Material and methods. The study was carried out at the John Paul II Specialist Hospital of the Ministry of Interior and Administration in Głuchołazy at the pulmonary rehabilitation department. Two hundred and five people participated in the study. Each patient included in the study was diagnosed with chronic obstructive pulmonary disease. The group consisted of 100 women and 105 men. Rehabilitation models A and B were used in the study. 155 people were included in model B, and 50 people in model A. The average age was 55. The patients underwent a 6-minute walk test before and after rehabilitation. The following data was included in the study: walk test maximum heart rate, the patient’s maximum heart rate and resting heart rate.
Results. Before rehabilitation, 121 patients achieved a result of over 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, which constitutes 60% of all patients. However, the mean value of this correlation among all patients was 74.69%. After rehabilitation, 143 patients achieved a result of more than 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, which is 70% of all patients. However, the mean value of this correlation among all patients was 79.19%. Before rehabilitation, 205 patients achieved a result of more than 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, which constitutes 99.51% of all patients. While, the mean value of this correlation among all patients was 92%. The number of patients who, before rehabilitation, achieved more than 70% of the values determining the correlation between the 6MWT test heart rate and the submaximal heart rate, was 100% of all patients. The mean value of this correlation among all patients was 90.15%.
Conclusions. 1. The maximum heart rate achieved by patients during the 6-minute walk test corresponds to the maximum heart rate before rehabilitation in 60% of patients, and after rehabilitation in 70% of patients.
2. The maximum heart rate achieved by patients during the 6-minute walk test corresponds to the training heart rate before rehabilitation in 95% of patients, and after rehabilitation in 100% of patients.
3. It seems the maximum heart rate achieved by patients during the 6-minute walk test can be used in determining the patient’s load during exercise.
Key words:
COPD, pulmonology, exercise heart rate, physiotherapy
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Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection

Piotr Kęsicki, Igor Świerkowski, Ewa Jach, Krystyna Rasławska, Jacek Łuniewski, Katarzyna Bogacz, Jan Szczegielniak

P. Kęsicki, I. Świerkowski, E. Jach, K. Rasławska, J. Łuniewski, K. Bogacz, J. Szczegielniak – Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection. Fizjoterapia Polska 2021; 21(4); 6-17

Abstract
Objective. The objective of the study was to assess the effectiveness of Super Inductive Stimulation in respiratory therapy in patients after SARS-CoV2 infection.
Material and methods. The study was carried out in the specialist hospital of the Ministry of the Interior and Administration in Głuchołazy, in the pulmonary department. Fifteen men aged 35 to 63 and fifteen women aged 32 to 69 participated in the study. Each patient underwent ten sessions of Super Inductive Stimulation.
Results. The use of Super Inductive Stimulation resulted in the reduction of moderate cough, chest pain, shortness of breath, severe cough with phlegm/sputum, sweating, headache, nausea, diarrhoea, muscle pain, lack of appetite, problems with concentration, problems with thinking and sleeping, and fatigue.
Conclusions. Analysis of the results showed a positive effect of the applied therapy. Taking into account the answers given before and after rehabilitation, the condition of the respondents improved by 20.18%. The largest differences in the results were observed in the case of headache, diarrhoea, and sleeping problems, being 39.85%, 30.91% and 28.57%, respectively. The comparison of the study results showed that the patients’ quality of life improved.
Key words:
pulmonology, super inductive stimulation, COVID-19, physiotherapy
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The influence of early, after – hospital physiotherapy on ventilatory lung function in patients after CABG

Jan Szczegielniak, Katarzyna Bogacz

Jan Szczegielniak, Katarzyna Bogacz – The influence of early, after – hospital physiotherapy on ventilatory lung function in patients after CABG. Fizjoterapia Polska 2002; 2(2); 108-111

Abstract
Background. The aim of this research paper is to describe the influence of early, post-hospitalization physiotherapy on ventilatory lung function in patients after CABG. Material and methods. The effectiveness of physiotherapy was assessed on the basis of examination of the respiratory system, in 36 patients. Results. The decrease of ventilatory indicators before post-hospitalization physiotherapy indicates the negative influence of CABG on ventilatory lung function of these patients. Conclusions. The improvement of ventilatory lung function, expressed by significant increases of indicators MEF50, MEF 25-75, PEF, FVC and FEV1 in our patients indicates that physiotherapy, including elements of breathing exercises, comprises the crucial element in the treatment patients after CABG.

Key words:
CABG, early post-hospitalization physiothearapy, ventilatory lung function

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The suitability of 6- and 12-minute brisk walking tests in qualifying for exercise patientss with chronic obstructive pulmonary disease

Jan Szczegielniak, Roman Szop, Katarzyna Bogacz

Jan Szczegielniak, Roman Szop, Katarzyna Bogacz – The suitability of 6- and 12-minute brisk walking tests in qualifying for exercise patientss with chronic obstructive pulmonary disease. Fizjoterapia Polska 2004; 4(3); 245-249

Abstract

Background. The purpose of this work was to evaluate the suitability of brisk walking tests in qualifying patients with chronic obstructive pulmonary disease for exercise. Material and methods. The article presents a description of the tests as a method for evaluating the exertion capacity necessary for proper loading of patients with physical exertion during exercises. Results. The dependence we found between the basic values of the tested indices specifying the ventilation capacity of the lungs and the energy expenditure measured in the 6- and 12-minute brisk walking tests indicates that these tests are suitable for qualifying patients with chronic obstructive pulmonary disease for exercise. Conclusions. Determining the energy expenditure in METS in the 6- and 12-minute brisk walking test enables proper dosing of physical exertion in the home-based rehabilitation of patients with chronic obstructive pulmonary disease after in-patient treatment, and developing indications for their motor activity.

Key words:
Exertion, Pulmonary Ventilation, pulmonary capacity testing
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Kinesiotaping application in children with scoliosis

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek

Zbigniew Śliwiński, Wojciech Kufel, Bartłomiej Halat, Beata Michalak, Jan Szczegielniak, Wojciech Kiebzak, Tomasz Senderek – Kinesiotaping application in children with scoliosis. Fizjoterapia Polska 2007; 7(3); 370-375

Abstract
Background. Scoliosis is still a serious problem, despite numerous therapeutic methods. Kinesiotapping (KT) is one of the methods, which can prove helpful in scoliosis treatment. Using proper applications, we can affect alteration of stability line and achieve balance of the spine. Material and methods. The studies were conducted in Zgorzelec Rehabilitation Centre. The participants were 18 children, who stayed there for rehabilitation, including 16 girls and 2 boys. The mean age was 12 years in this group. Changes in the waist angle were evaluated before and after KT application. Results. The obtained results indicate that application of KT in the examined group results in waist angle change, on average by 4 degrees. For left waist angle this mean value is 5.27 degrees, while for the right waist angle it is 2.58 degrees. The highest value for correction was 11.2 degrees. Conclusions. Selected KT techniques result in changes in stability line course, which is also manifested by waist angle change. Due to muscular and fascial tone normalization, the posture of a child with scoliosis changes in the frontal and sagittal plane. KT as a new method, using multiple forms and techniques, seems helpful in carrying out rehabilitation programme for children with scoliosis.
Key words:
scoliosis, KT application, angle of waist
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