慢性阻塞肺病患者的康复模型

Jan Szczegielniak, Jacek Łuniewski, Marcin Krajczy, Katarzyna Bogacz

J.Szczegielniak, J. Łuniewski, M. Krajczy, K. Bogacz – Rehabilitation models for patients with COPD. Fizjoterapia Polska 2019; 19(3); 126-137

摘要
康复计划包括A、B、C、D、E等模式,特定类型分级的基本标准为运动耐力、肺通气受损(FEV1指数)、呼吸困难程度及体适能等方面的评估。
患者评估时考虑的其他标准还包括年龄、呼吸困难程度及体适能等。对运动测试有禁忌症或出现循环或呼吸功能衰竭者将被分类为E型,其他类型测试涵盖自行车测功计、呼吸和一般运动训练、阻力训练或站立训练、步行、吸入、引流和有效咳嗽、胸部轻拍、物理治疗和按摩等。

关键词:
康复计划、慢性阻塞肺病、康复模式

 

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用於慢性阻塞性肺病患者物理治療的運動耐量試驗

Jan Szczegielniak, Katarzyna Bogacz, Marcin Krajczy, Jacek Łuniewski

Jan Szczegielniak, Katarzyna Bogacz, Marcin Krajczy, Jacek Łuniewski – Exercise tolerance tests used in physiotherapy for COPD patients. Fizjoterapia Polska 2019; 19(3); 24-30

摘要
慢性阻塞肺病的物理治疗计划基础为耐力训练,然而要准确确定每位患者的负荷值就必须进行运动测试,经过运动测试可正确规划能力训练并评估其有效性,同时它们也是评估康复益处的可靠工具。运动测试可用于物理治疗分级、训练计划制定、检测限制运动的症候、物理治疗程序控制及物理治疗效果评估等方面。

关键词:
运动测试、慢性阻塞肺病

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按摩对肠蠕动的影响

Dagmara Gąbka, Sandra Grzesik, Aleksandra Skomudek, Katarzyna Bogacz, Jan Szczegielniak

D. Gąbka, S. Grzesik, A. Skomudek, K. Bogacz, J. Szczegielniak – The influence of the massage on a bowel movement. Fizjoterapia Polska 2019; 19(2); 6-17

摘要
研究目的。便秘为最严重的文明病之一,便秘为排便次数过低的说法,即每星期不到两次或粪便硬且即使用力后仍有未排空的感觉。研究目的在评估一次性的传统腹部按摩对减少便秘的影响。另外也研究在按摩影响下,便秘所伴随的症状是否减轻、施行后等待效果的时间有多长及效果持续时间为何等。
研究材料及方法。共20名有痉挛性习惯性便秘问题的女性参与试验,所有参与试验者接受问卷调查后确认有便秘现象,患者接受一次性维持一小时的疗程。
结果。实验显示一次性按摩带来正面的效果,困扰的症状减缓、排便次数增加且降低了排便困难。治疗有效且结果显而易见,然而持续时间短暂。
结论
1. 腹痛且紧张、错误的排便下坠感、口渴增加、食欲不振、腹胀和肠痉挛 – 腹绞痛和饱胀感降低,而无力感和沮丧感完全消退。
2. 一次性腹部按摩过后,85%的病患的排便次数有显著改善。
3. 作为按摩效果的排便次数增加的维持时间为一星期。
4. 按摩后排便困难明显减少。

关键词:
便秘、腹部传统按摩、理疗

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扁平足对儿童膝关节和脊椎姿势缺陷发生的影响

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

摘要
研究目的。研究目的为评估小学生的身体姿势,并评估扁平足对下肢和脊椎姿势缺陷发生的影响。
材料及研究方法。研究材料包括306名克卢奇堡市小学四年级的学生,该研究于2017及2018年间进行,针对所获得的研究结果进行统计分析,以调查特定身体姿势缺陷间的依赖性,相关分析用于确定评估变量之间的关系。
结果。对受试人群的姿势错误发生的分析显示脊椎侧弯、扁平足及膝外翻上的统计学显著变量。此外,有一名儿童膝关节弯曲挛缩。
结论
1. 下肢及脊椎的姿势缺陷在四年级学生中为普遍现象。
2. 扁平足和膝盖及脊椎姿势缺陷间有重要关系。

关键词:
扁平足、姿势缺陷、儿童、健康

 

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Przegląd piśmiennictwa na temat możliwości zastosowania plastrowania dynamicznego Kinesiology Taping (KT) w chorobach wewnętrznych: w chirurgii, kardiologii i pulmonologii

Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Zbigniew Śliwiński, Dagmara Gąbka, Jan Szczegielniak

M. Krajczy, K. Bogacz, J. Łuniewski, Z. Śliwiński, D. Gąbka, J. Szczegielniak – Review of literature on the application of Kinesio Taping (KT) in internal diseases: in surgery, cardiology and pulmonology . Fizjoterapia Polska 2018; 18(2); 32-42

Abstract

Introduction. So far, there have been few materials on Kinesio Taping (KT), in particular those meeting the criteria of scientific fact-based materials. The available literature includes articles on the possibility of using KT, but the results presented are not unequivocal. Some hypotheses and theories are contradictory, and many of them are not supported with any study results, and the conclusions presented seem questionable.
Objective. The objective of this study is to present the current state of knowledge of the possibility to apply the KT method in internal diseases: in cardiology and pulmonology.
Material and methods. The first stage was conducted from October to November 2017. It included preliminary selection aimed at identifying the works on the possibility of applying dynamic taping. The second stage of the research was conducted from December 2017 to January 2018, and consisted in a detailed analysis of the selected works on application and assessment of effects of dynamic taping in surgery, pulmonology and cardiology.
Results. When assessing the effects of KT in internal diseases in cardiology and pulmonology, the effects were classified as poor effects (PE), effects (E) and anti-effects (AE), when the results of the trial do not confirm the therapeutic activities. 2 E were discovered in assessing the effects of KT in surgery (2 articles). 3 E were discovered in the study of application in pulmonology (3rd article). No articles of the A reference level, concerning application of KT in cardiology.
Conclusions. Three conclusions were formulated on the basis of analysis of the source materials:
1. There has been a recent progress in the research into the possibility of applying dynamic taping in physical therapy, including in internal diseases: pulmonology and cardiology.
2. There are few prospective, randomized trials associated with application of dynamic taping, conducted on a large enough group of patients.
3. Few articles in the literature that explain the principles of DT, meet the criteria of research based on scientific facts.

Key words:
review of literature, kinesiology taping, surgery, cardiology, pulmonology

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The loss of body weight during cyclo-ergometer training in cardiac patients

Witold Pawełczyk, Iwona Kulik-Parobczy, Tomasz Sirek, Jacek Łuniewski, Katarzyna Bogacz, Jan Szczegielniak

W. Pawełczyk, I. Kulik-Parobczy, T. Sirek, J. Łuniewski, K. Bogacz, J. Szczegielniak – Spadek masy ciała u chorych kardiologicznych po treningu na cykloergometrze rowerowym. FP 2013; 13(3); 22-27

Abstract

Introduction. The problem of weight loss associated with the loss of wafer in athletes has been the subject of numerous studies. Until now, the average values of weight loss due to sweating at rest and while participating in some sports were calculated. However, no comprehensive studies have not been conducted info water loss in patients undergoing intensive physical exertion, including in patients after myocardial infarction, in the course of intensive rehabilitation.
Aim. the aim of this study was to assess weight loss in patients after myocardial infarction during intensive rehabilitation including training on cycle ergometer.
Material and methods. A total of 47 randomly selected patients (72 women, 35 men) treated in Rehabilitation Department of MSW Hospital in Glucholazy participated in the research. Before and after exercise, measurements were taken with the use of body mass weight Tanita SC 330S in all patients. In addition, for all patients at the end of rehabilitation program, 10-point questionnaire was used to examine fluid intake during the day, during and after physical exercises.
Results. There was a statistically significant difference (p <0.05) between body weight values before and after exercise. Based on the questionnaire, it was found that a large number of patients did not fake additional supplementary fluids, unless they experienced the feeling of thirst; the information about the quantity and type of fluid they should take was not given to patients during rehabilitation
Conclusions. The study showed a significant decrease in body weight after training conducted in patients undergoing cardiac rehabilitation. Lack of adequate hydration for patients in the course of their rehabilitation was found.
Complex cardiac rehabilitation program should take into account the need to maintain proper water balance.

Key words:
cardiac rehabilitation, water loss

Analysis of the cost of courses for physiotherapists in selected countries in Europe

Jan Szczegielniak, Barbara Szaro, Marek Kiljański

J. Szczegielniak, B. Szaro, M. Kiljański – Analiza kosztów kursów prowadzonych dla fizjoterapeutów w wybranych krajach Europy. FP 2013; 13(4); 24-30

Abstract

Background. Physiotherapist who graduated is adequately prepared to work with the patient. However still new treatment options forcing therapist to continuous professional development.
Material and methods. Analysis includes 11 courses of special methods of physiotherapy. These courses are organized in most European countries taught by international instructors. Gained certificate entitles you to use a particular method in Europe.
Results. The highest courses prices are in Poland and the Czech Republic and are respectively 259% and 172,12% of average earnings. In all countries the highest price concerns the Bobath therapy method. The lowest price concerns Kinesio Taping course and Trigger Point therapy.

Key words:
specialized courses, the cost of courses, professional development

Risk assessment of falls by selected parameters of Berg balance scale in patients with acute coronary syndrome and after coronary angiography

Grzegorz Biliński, M. Wójtowicz, Małgorzta Fuchs, Jacek Soboń, Henryk Racheniuk, Jan Szczegielniak

G. Biliński, M. Wójtowicz, M. Fuchs, J. Soboń, H. Racheniuk, J. Szczegielniak – Ocena ryzyka upadków wybranymi parametrami skali Berg u chorych po ostrych zespołach wieńcowych i po koronarografii. FP 2013; 13(4); 19-23

Abstract

The treatment and selected diagnostic tests performed inpatient cardiac patients often require immobilization. The procedures used in the treatment of these patients may have an impact on the control of postural and balance after immobilization and involve disturbances at the level of activities of daily living, preventing or hindering the maintenance of upright posture.
The aim of the study was to evaluate body balance control in patients with acute coronary syndromes and after coronary angiography
Examined 70 patients, including 35 after acute coronary syndrome treated with interventional cardiology ward of the Regional Medical Center. The study was conducted using a modified scale Berg showing deterioration in the balance in the group of patients who underwent angiography.

Key words:
Body balance, myocardial infarction, coronary angiography, BBS- Berg Balance scale, physiotherapy

Kwalifikacja do fizjoterapii chorych na POChP na podstawie testu 6-minutowego marszu i testu na bieżni ruchomej

Katarzyna Bogacz, Marek Woszczak, Jacek Łuniewski, Marcin Krajczy, Bartosz Pańczyszak, Jan Szczegielniak, Marek Kiljański

K. Bogacz, M. Woszczak, J. Łuniewski, M. Krajczy, B. Pańczyszak, J. Szczegielniak, M. Kiljański – Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test; Fizjoterapia Polska 2018; 18(1); 96-106

Abstract

Objective. The aim of the paper was to assess the results of physiotherapy of COPD patients whose elgibility for the relevant rehabilitation model was assessed with the help of the 6-MWT test and the treadmill test according to the modified Bruce protocol.
Materials and methods. 80 individuals suffering from COPD treated as in-patients at the MSWiA Specialist Hospital in Głuchołazy between May 2017 and September 2017 were examined. After a 3-week comprehensive physiotherapy, the exercise stress test, spirometry test and dyspnoea assessment on the modified 10-point Borg scale were repeated in both groups of COPD patients.
Results. Calculations were performed using the IBM SPSS software. In order to assess consistency between the distribution of the results with the normal distribution, the Kolmogorov-Smirnov test was used. As the distribution differed from the normal distribution, nonparametric methods were used for further analysis. In order to assess the significance of differences between the two groups in terms of quantitative variables, Mann-Whitney tests were used, while Wilcoxon tests were used for dependent samples to assess the significance of changes over time in the same patients (bound pairs). The statistical significance threshold was set at p < 0.001.
Conclusions
1. A significant improvement was noticed in the level of exercise stress tolerance after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
2. A significant improvement was shown in the values of spirometric indicators after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
3. A significant decrease was shown in the level of dyspnoea after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.

Key words:

COPD, modified Bruce protocol, 6-MWT test, physiotherapy

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Ocena funkcjonalna kompleksu barkowego u zawodników uprawiających siatkówkę w różnych kategoriach wiekowych

Bartosz Pańczyszak, Katarzyna Bogacz, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

B. Pańczyszak, K. Bogacz, J. Łuniewski, M. Krajczy, J. Szczegielniak – Functional assessment of the shoulder joint in volleyball players from different age groups; Fizjoterapia Polska 2018; 18(1); 50-60

Abstract

Objective. The aim of the paper was to perform functional analysis and assessment of the range of movement of the joints of the pectoral girdle in the dominant and non-dominant limb in volleyball players. Materials and methods. The study involved 40 competitive volleyball players divided into 2 groups. The shoulder joint movement range assessment involved active performance of specific movements by the participants while lying down. The tool used to take the measurements was a standard goniometer, while the movements were performed in different planes in a specified and systematic way in accordance with the SFTR method. The second stage involved the performance of 3 proposed functional tests to assess the complex range of movements of the shoulder girdle. The tools used to assess the tests performed were a standard goniometer and a flexible tape measure. Results. The results of the tests were subjected to statistical analysis with the use of the Statistica 10 software. Statistical significance was set at p < 0.05. In addition, the average motion ranges and functional test results were compared. Conclusions 1. Both the Youth group and the Senior group showed a significant decrease in the range of internal rotation of the dominant limb as compared to the non-dominant limb. In addition, a deficit was found in the Youth group in horizontal flexion of the dominant limb. 2. The results of the functional tests show worse results of the “safety pin” test for the dominant limb in both groups. In the Youth group, the difference amounted to 7.4 cm and in the Senior group – 10.1 cm as compared to the non-dominant limb. 3. The Seniors achieved higher ranges of flexion in the sagittal plane and the Youth in extension and horizontal extension. 4. Athletes with a higher internal rotation range of the shoulder joint of the dominant limb achieved higher results in the “safety pin” test.

Key words:

Volleyball players, shoulder joint, functional assessment

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