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Respiratory system stimulation in children with infantile cerebral palsy

100%
Osiadło G., Matyja M., Nowak Z., Plewa M.
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2008
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vol. 16
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issue 1
73-84
PL
W pracy przedstawiono możliwości stymulacji układu oddechowego w mózgowym porażeniu dziecięcym (m.p.dz.). Ukazano odrębności anatomiczne, a także fizjologiczne układu oddechowego dzieci w porównaniu z osobami dorosłymi oraz ich wpływ na wentylację płuc, zwłaszcza u niemowląt. Opisano zalety oddychania nosem w stosunku do oddychania przez usta, a także podjęto temat nieprawidłowości wentylacyjnych występujących u dzieci z m.p.dz. W mózgowym porażeniu z racji zaburzeń wielkości i rozkładu napięcia mięśniowego blokady funkcjonalne pojawiające się w obrębie kluczowych punktów ciała (głowy i szyi, obręczy barkowej i biodrowej) zaburzają rozwój różnorodnych funkcji organizmu, w tym także pracę układu oddechowego. Mając na uwadze konsekwencje oddechowe, wynikające z występującej u omawianych dzieci hipotonii posturalnej, poświęcono uwagę takim zagadnieniom, jak: efektywne odkrztuszanie, techniki wspomagające oddychanie, kinezyterapia oddechowa, a także możliwość stymulacji prawidłowego wzorca oddychania w trakcie usprawniania neurorozwojowego (metody rehabilitacji dzieci: NDT-Bobath, Vojta, Doman-Delacato). Opisano też elementy terapii logopedycznej bardzo istotnej w usprawnianiu funkcji układu oddechowego ze względu na wspomaganie czynności mięśni gardła, jamy ustnej i twarzy, a tym samym ograniczanie oddechu przez otwarte usta.
EN
This study shows possibilities of stimulation of the respiratory system in children with infantile cerebral palsy (ICP). Initially, it presents distinctive anatomic and physiological characteristics of the respiratory system of children comparing them to adult respiratory system and their impact on lungs ventilation, especially in infants. It describes the advantages of nasal versus mouth respiration and the issue ventilatory disorders occurring in children with ICP. ICP due to disorders of value and distribution of muscular tension causes functional blockages of the key points of the body (head and neck, shoulder and pelvic girdles), which disturb development of various functions of the body, including the functioning of the respiratory system. Taking into consideration the respiratory consequences that arise from the postural hypotonia, this study concentrates on the following issues: effective coughing techniques, assistive respiratory techniques, respiratory kinesitherapy as well as a possibility of stimulation of a proper respiratory pattern as a part of neuro-developmental therapy (infants' rehabilitation methods: NDT-Bobath, Vojta, Doman-Delacato). Elements of speech therapy have been presented as well. This type of therapy is highly important for improving function of the respiratory system as it stimulates throat, oral cavity and facial muscles, thus reducing the pattern of mouth ventilation.
2
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Comparison of early inpatient rehabilitation in patients after coronary artery bypass grafting without cardiopulmonary bypass by means of the so-called minithoracotomy with patients after conventional cardiac surgery – authors’ experience

88%
Storch-Uczciwek A., Bochenek-Klimczyk K., Nowak Z., Bochenek A., Cisowski M.
Medical Rehabilitation
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2007
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vol. 11(1)
17-22
EN
There is some evidence that focused and intense rehabilitation improve clinical outcome following conventional open-heart surgery. Recent developments in surgical techniques, which focused on the improvement in patient comfort, reduction in hospital stay and costs, has resulted in minimally invasive techniques, including Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) and Endoscopic Atraumatic Coronary Artery Bypass (EACAB). EACAB is safer than on-pump coronary artery bypass graft (CABG), especially in high risk patients. Its use, however, is limited to a small subgroup of patients: those with suitable anatomy of coronary pathology, younger patients with rapidly progressing coronary artery disease or elderly patients with substantial co-morbidities, whom sternotomy and cardiopulmonary bypass pose significant risks to. In this latter group of patients, effective rehabilitation is, therefore, even more important. Prevention of disturbances in homeostasis resulting from reduced physical activity, and thus rate of recovery and effectiveness of cardiac surgery, are not dependent on early physical activity and the intensiveness of the inpatient rehabilitation only but also on psychological therapy, dietary advice and health-promoting education. In this study, we explore differences in inpatient rehabilitation methods and outcomes between the groups of patients who underwent on-pump CABG and MIDCAB operations. Our data show that inpatient rehabilitation following MIDCAB operations may be shorter than after on-pump CABG by 2 days on average.
3
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Obesity in 18-25-year-olds in relation to their physical activity, and lifestyle

88%
Gabrys T., Nowak Z., Michalski C., Szmatlan -Gabrys U., Stanula A.
Physical Activity Review
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2018
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vol. 6
64-72
EN
The quality of life is a multidimensional notion. When studying it, one should take the physical, the psychological, the social, and the professional aspects into consid eration. Among them, the notion of the influence of obesity, understood as a modern -age disease, relates the quality of life to the notion of health, in the aspect of physical activity. The aim of the study carried out, was to determine the relationship be tween obesity in 18 -25 year - olds, and their physical activity, as well as the quality of their lives. The study was carried out by means a WHOQOL - BREF, and IPAQ survey questionnaires carried out on a group of 100 participants. The control group included pe ople whose BMI was within the norm, whereas the study group comprised people whose BMI was over 25. The results of the study have shown obesity to have a statistically significant negative impact on the quality of life in the physical, and mental domains, and as far as the general perception of health was concerned. In the study group, the mean weekly energy expenditure, was lower than in the control group. The physical activity of the obese, includes, mainly, activities based on light effort, and to a less er extent, those based on moderate effort. A comparative analysis has shown the level of physical activity to be significantly lower in obese women, in each type of physical effort, except light effort. This difference does not exist between the study, and control groups of men.
4
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Minnesota Leisure Time Physical Activity Questionnaire as an additional Tool in Clinical Assessment of Patients undergoing Percutaneous Coronary Interventions

76%
Nowak Z., Plewa M., Skowron M., Osiadlo G., Markiewicz A., Kucio C.
Journal of Human Kinetics
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2010
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vol. 23
79-87
EN
The aim was to analyze the usability of Minnesota Leisure Time Physical Activity Questionnaire (MLTPAQ) in assessment of physical activity in patients before and 6 months after percutaneous coronary intervention (PCI). The study group consisted of 211 patients aged between 34-79 years (x = 59,5±7,89 yeras), with history of ischemic heart disease (IHD) with or without previous incidence of myocardial infarction (MI). The MLTPAQ was administered to all patients at the time of PCI and then 6 months later, as was the treadmill stress test (TST) and echocardiography (ECHO). Total energy expenditure calculated with the MLTPAQ remained at the same level and was of low intensity (<4 MET, <2000kcal/week) 6 months after the PCI. There was an increased physical capacity noted 6 months after initial PCI: increased metabolic cost (MET); maximal oxygen uptake (VO2max); maximal heart rate (HRmax) obtained during the TST and decreased resting heart rate (HRrest). ECHO examination showed improved LVEF%. Despite increased physical capacity and improved heart hemodynamics, resulting most likely from PCI procedure, the patients showed a similar level of leisure time physical activity 6 months after the PCI.
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