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Ambulatory pulmonary rehabilitation programme in patients suffering from chronic obstructive pulmonary disease (COPD): a preliminary study

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Majewski M., Rożek K., Alawale O.
Physiotherapy
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2010
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vol. 18
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issue 4
11-20
PL
Celem pracy było przedstawienie ambulatoryjnego programu rehabilitacji pulmonologicznej, opartego na formie stacyjnej oraz wstępna ocena jego skuteczności na wybrane parametry wydolności fizycznej i jakości życia chorych na POChP. Siedmiu pacjentów z ciężkim i bardzo ciężkim stadium POChP ukończyło program rehabilitacji pulmonologicznej. W programie pacjenci wykonywali 9 ćwiczeń w systemie stacyjnym i 10-minutowy marsz. Wykorzystano następujące metody pomiaru: Kwestionariusz Szpitala Św. Jerzego (SGRQ), Chronic Respiratory Questionnaire (CRQ), London Chest Activities of Daily Living Scale, skalę HADS, a także narastający i wytrzymałościowy wahadłowy test chodu (ISWT i ESWT). HR, SaO2 i stopień duszności (wg skali Borga) oceniono przed i po testach chodu. Zbyt mała liczba badanych i zbyt mała częstość zajęć nie pozwoliły na uzyskanie istotnej statystycznie poprawy badanych parametrów.
EN
The aim of the study was to present an ambulatory pulmonary rehabilitation programme, based on a circuit form and a preliminary evaluation in order to verify whether such a programme has an impact on exercise capacity and quality of life in patients suffering from COPD. Seven patients with severe and very severe COPD completed the rehabilitation programme. In each training session patients performed 9 circuit exercises and a 10-minute walk. In this study following assessments were used: St. George Respiratory Questionnaire (SGRQ), Chronic Respiratory Questionnaire (CRQ), London Chest Activities of Daily Living Scale, HAD scale, Incremental and Endurance Shuttle Walk Tests (ISWT & ESWT). HR, SaO2 and dyspnoea (Borg scale) were measured by means of pre- and post-exercise tests. A small number of patients who finished this programme and a little frequency of training sessions a week resulted in a lack of statistically significant outcomes.
2
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Local cryotherapy in patients with the painful shoulder syndrome

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Piechura J., Skrzek A., Rożek K., Wróbel E.
Physiotherapy
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2010
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vol. 18
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issue 1
19-25
PL
Celem pracy była ocena skuteczności zabiegów krioterapii miejscowej w leczeniu pacjentów z zespołem bolesnego barku wynikającego z patologii stożka rotatorów. Materiał i metody badań: 20 pacjentów z zespołem bolesnego barku poddano postępowaniu fizjoterapeutycznemu przez okres dwóch tygodni. Fizjoterapia obejmowała zabiegi krioterapii miejscowej oraz kinezyterapię. U wszystkich badanych przed i po fizjoterapii mierzono: czynny zakres ruchu w zespole stawów barku, siłę ścisku ręki, oceniano stopień natężenia bólu oraz wykonano wybrane testy czynnościowe. Wnioski: po zakończeniu postępowania fizjoterapeutycznego u pacjentów zanotowano zwiększenie siły mięśniowej i zmniejszenie dolegliwości bólowych. W badanej grupie płeć i wiek nie miały znaczenia w uzyskaniu lepszych efektów terapeutycznych.
EN
The aim of this study was to evaluate the efficacy of locally used cryotherapy in treatment of patients with the painful shoulder, resulting from rotator cuff pathology. Material and methods: 20 patients participated in the physiotherapy programme for two weeks. The programme consisted of daily applications on the local cryotherapy and exercises. In all patients before and after the therapy the following evaluations were carried out: active motion range in the shoulder joints, hand grip strength, pain intensity and chosen functional tests. Conclusions: after the physiotherapy patients reported an increase of muscle strength and pain reduction. In the examined group gender and age were irrelevant as far as obtaining better therapeutic results was concerned.
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The Relationship Between Physical Fitness and Quality of Life in Adults and the Elderly

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Sławińska T., Posłuszny P., Rożek K.
Human Movement
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2013
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vol. 14
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issue 3
200-204
EN
Purpose. The aim of this study was to determine the relationships between physical fitness and various aspects of quality of life in middle-aged adults and the elderly. Methods. The sample included 216 women and 43 men, living in a medium-sized city in Poland aged 50-84 years. Physical fitness was determined using a test battery specifically designed for the elderly (Senior Fitness Test); grip strength by the dominate hand was also measured. The short form of the WHOQOL-BR EF questionnaire was used to evaluate quality of life. Four domains (physical, psychological, social relationships, environment) of quality of life as well as overall quality of life and health were self-assessed. Results. Among the selected components of physical fitness measured in the study, the assessment of overall quality of life in women was related to upper limb strength and, depending on the quality of life domain, also with upper or lower body flexibility. In men, the only factor influencing their overall assessment was upper body flexibility, whereas cardiorespiratory efficiency was the only factor influencing their detailed self-assessment of the physical health domain. Additionally, the self-assessment of general health in men was significantly positively correlated with cardiopulmonary efficiency. In women, the general health assessment was correlated with upper limb strength and upper body flexibility. Conclusions. It was concluded that after the fifth decade of life, physical fitness plays a greater role in improving the self-assessment of quality of life in women than men. Physical activity undertaken by middle-aged and elderly adults should focus on first improving cardiorespiratory efficiency and then strength and flexibility.
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Trening w wodzie u pacjentów z chorobami sercowo-naczyniowymi / Training in water in patients with cardiovascular disease

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Borgosz-Guźda A., Bartczyszyn-Guzik M., Rożek K.
Physiotherapy
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2011
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vol. 19
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issue 2
16-20
EN
The water environment presents great opportunities for a comprehensive impact on functioning of the human body and special, very favourable conditions for kinesiotherapy. Regular exercises belong the key elements of rehabilitation, they are usually conducted in the form of walking on a treadmill or riding on an exercise bike. Exercises in water are usually offered to patients who have arthritis pain hindering them to exercise on land. There few studies evaluating the possibility of training in water for cardiac patients, although in recent years, this problem is arousing increasing interest throughout the world. Previous attempts to assess the efficiency and safety training in the water environment have been carried out in patients after myocardial infarction and surgical treatment of coronary artery disease in patients with coronary artery disease and chronic heart failure, and the in elderly. Choosing the water temperature accurately for exercising and the level of immersion of the patient determine the effects of the therapy. It is also necessary to monitor hemodynamic parameters in the class. The quality of collaboration with the patient and his subjective feelings during the course are vital
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Growth and Functional Characteristics of Male Athletes 11-15 Years of Age

76%
Malina R., Rożek K., Ignasiak Z., Sławińska T., Fugiel J., Kochan K., Domaradzki J.
Human Movement
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2011
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vol. 12
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issue 2
180-187
EN
Purpose. To evaluate the growth and functional characteristics of male athletes 11-15 years of age. Basic procedures. The sample included 190 boys, 10.5-15.4 years, undergoing training of sport schools for track and field (136) and other sports (54). Height, weight, three skinfolds and % Fat (NIR) were measured. Grip strength, standing long jump, 2 kg medicine ball throw and 20 m sprint were tested. Track and field athletes were compared by discipline and to athletes in other sports using MANCOVA (multivariate analysis of covariance). Multiple linear regression analysis was used to estimate the relative contributions of age, body size and adiposity to the four functional indicators in two age groups, those 11-13 years and 14-15 years. Main findings. All variables except the standing long jump and 20 m sprint differed significantly by track and field discipline. Only height and ball throw differed among athletes in other sports. Track and field athletes had a significantly lower BMI and % Fat and performed better in the jump and sprint than athletes in other sports. Variance explained in each of the functional indicators was greater in younger than in older athletes. The sum of skinfolds and % Fat exerted a negative influence on all functional indicators. Conclusions. Trends in body size of male athletes attending sport schools were consistent with observations for youth male athletes in several sports. Height, weight and adiposity accounted for significant portions of variation in the four functional indicators in each age group, but the explained variance was higher in younger athletes.
6
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Sex Differences in Growth and Performance of Track and Field Athletes 11-15 Years

76%
Malina R., Sławinska T., Ignasiak Z., Rożek K., Kochan K., Domaradzki J., Fugiel J.
Journal of Human Kinetics
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2010
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vol. 24
79-85
EN
Objective: To evaluate sex differences in functional performances of youth track and field athletes.Methods: Four tests of functional capacity were administered to 309 youth 11-15 years training for track and field at sport schools, 136 boys and 173 girls. Grip strength, standing long jump, 2 kg medicine ball throw and 20 m sprint were measured; height, weight and adiposity were also. Two age groups were compared, 11-13 and 14-15 years. ANCOVA was used to test sex differences by age group in the total sample (disciplines combined) and specific disciplines; age, height and weight were covariates.Results: For the total sample, males in both age groups performed better than females in the four tests but sex differences were greater among 14-15 year olds. Within disciplines, sex differences among sprinters and middle distance and distance runners were greater at 14-15 years. Results varied for general athletics; the magnitude of sex differences was similar for strength in both age groups, greater for the throw at 11-13 years and greater for the jump and sprint at 14-15 years.Conclusion: Although sex differences in performance were apparent among athletes 11-13 years, they were greater among athletes 14-15 years, reflecting to a large extent the male adolescent spurt in body size, muscle mass, strength and power. Sex differences were more established in sprinters and middle distance and distance runners, and more variable in participants in general athletics.
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Growth, Maturity and Functional Characteristics of Female Athletes 11 - 15 Years of Age

76%
Malina R., Ignasiak Z., Rożek K., Sławińska T., Domaradzki J., Fugiel J., Kochan K.
Human Movement
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2011
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vol. 12
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issue 1
31-40
EN
Objective. To evaluate the growth, maturity and functional characteristics of female sport school participants 11 - 15 years of age. Material and methods. The sample included 200 girls aged from 10.55 to 15.42 years. The majority (173) trained in track and field. Height, weight, three skinfolds and % Fat (NIR) were measured. Grip strength, standing long jump, 2 kg medicine ball throw and 20 m sprint were tested. Athletes were compared by menarcheal status and track and field discipline with MANCOVA. Multiple linear regression analysis was used to estimate the relative contributions of age, height, weight and adiposity to the four functional indicators in two age groups, 11 - 13 years and 14 - 15 years. Results. Median age at menarche was 12.99 ± 1.11 years. None of the functional tests differed between pre- and post-menarcheal athletes 13 years, while only grip strength differed between late and early maturing athletes 14 - 15 years. Height, weight and % Fat, but no performance items differed among track and field athletes by discipline. Team and individual sport athletes were heavier, fatter and stronger than track and field athletes but the latter performed better in the sprint and jump. Height, weight and adiposity accounted for significant portions of variation in the four functional indicators in each age group. Conclusions. Trends in body size of female athletes attending sport schools were generally consistent with observations for female athletes in several sports. Percentages of variance explained in functional indicators were greater in athletes 11 - 13 than 14 - 15 years of age.
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