Tag: Michał Stachnik

Sport training as an alternative form of rehabilitation for heart transplant patients

Dominika Batycka, Grzegorz Mańko, Michał Stachnik

Dominika Batycka, Grzegorz Mańko, Michał Stachnik – Sport training as an alternative form of rehabilitation for heart transplant patients. Fizjoterapia Polska 2001; 1(2); 111-116

Abstract
Background. The goal of this study was to evaluate „sports training” as an alternative to the traditional forms of cardiac rehabilitation for patients in advanced recovery from heart transplant surgery. Sports training is a good, diversified form of therapy, and at the same time plays an additional role in social integration and relief of psychological stress. Material and method. The effectiveness of “sports training” was evaluated in a natural clinical experiment involving 34 patients undergoing rehabilitation in the Cardiovascular Surgery and Transplantation Clinic at the Jagiellonian University’s Collegium Medicum in Cracow. The patients were divided into a control group (K), including 17 patients (15 men and 2 women) who underwent rehabilitation before the implementation of “sports training”, using the traditional form of rehabilitation, and an experimental group (E), also including 17 patients matched by age and sex, who received “sports training”. Results. An analysis of the results obtained demonstrated no statistically significant difference between the outcome under traditional rehabilitation and in “sports training”, including respiratory parameters. Nothing in the results pointed to increased risks associated with sports training. Conclusion. Sports’ training is a good alternative to traditional forms of exercises for patients who are well advanced in recovery from heart transplant surgery.

Key words:
Heart Transplant, sport training, rehabilitation

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Long-term respirotherapy, dishabituation from the respirator, and the rehabilitation process in a patient with marfan syndrome subsequent to surgery on an aortal aneurysm

Dominika Batycka, Grzegorz Mańko, Michał Stachnik, Donata Kołacz

Dominika Batycka, Grzegorz Mańko, Michał Stachnik, Donata Kołacz – Long-term respirotherapy, dishabituation from the respirator, and the rehabilitation process in a patient with marfan syndrome subsequent to surgery on an aortal aneurysm. Fizjoterapia Polska 2001; 1(3); 292-296

Abstract

The purpose of this article is to present the case of a patient with the Marfan syndrome who underwent surgery to repair an aortal aneurysm and his early rehabilitation, with particular emphasis on respiratory therapy. A 32-year-old patient with the Marfan syndrome was admitten to the Cardiovascular Surgery and Transplantology Clinic at the Jagiellonian University’s Collegium Medicum in Cracow, Poland, with suspected delamination of an aneurysm in the ascending aorta. Computer tomography revealed supravalvular dilatation of the ascending aorta along a 5-6 cm segment. Emergency surgery was performed using the Bental de Bono Composite Graft St. Jude Medical 25A method and ingrafting a venous bypass to the RCA. After surgery the patient was “suppressed” for 7 days in a drug-induced coma (low arterial blood pressure must be maintained initially in a patient with a surgically implanted prosthesis to prevent damage to the graft site). On the 8th day an attempt was made to extubate the patient. After ca. 14 hours of spontaneous respirator the patient was reintubed due to respiratory and circulatory insufficiency. On the 13th day when it proved impossible to terminate mechanical ventilation of the patient, a tracheotomy was performed. On the 19th day a successful effort was made to disconnect the patient from the respirator. At present the patient is breathing independently and is undergoing rehabilitation in the Department of Surgery. The article describes the program of early rehabilitation for this patient. The significance of the case for physiotherapy practice will be discussed.

Key words:
mechanical ventilation, Rehabilitation, Marfan Syndrome
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