Tag: Krystyna Rasławska

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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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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