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The Influence of Physical Activity on Physiotherapy Effects After Abdominal Surgery in Elderly People

100%

Czyżewski P., Domaniecki J., Dąbek A., Kopytiuk R.

Advances in Rehabilitation

2013

vol. 27

issue 3

1-8

Introduction: Elderly people are at the higher risk of colon cancer. Most of them request surgery. Main goal of physiotherapy after major abdominal surgery (MAS) is prevention postoperative complications and reduction of functional limitation. Physical activity level and functional status are close connected for 65+ patients. Daily activity independence, mental efficiency and well-being depend on physical activity level of elderly people. The aim of this study was to determine the correlations between physical activity level, functional status and lung function of elderly people in early postoperative physiotherapy period. Material and methods : Prospective randomized study involved 34 patients scheduled for elective MAS, aged 65+. Patients were randomly assigned to receive PNF or conventional physiotherapy. The study included forced spirometry (FVC, FEV1, PEF) and functional tests (gait speed, up&go). Measurements were performed before surgery and the fourth day after surgery. Also analyzed age, sex, BMI and the level of postoperative independence (postoperative independence scale SAP). Training intensity and capacity was the same in both groups. Kolmogorow-Smirnow test was used to check normal distribution, t-Student was used to check whether two sets of data differ significantly, and r- Pearsons for correlations testing. P values <0.05 were considered significant. Results: After surgery the time of gait speed test and up and go test was significant longer in comparison to preoperative value. FVC%, FEV1%, PEF% values decreased. Level of physical activity had influence on results in evaluated tests of walking and lung ventilation. There was no significant changes after surgery to preoperative value for these measurements in high physical activity group. High active group had better results on SAP scale than low and middle activity group. Conclusions: MAS decrees efficiency of lung ventilation and walking after 65 year old in early postoperative period. High physical activity level patients scheduled for major abdominal surgery had positive impact on postoperative lung ventilation, ability and independence in walking in hospital period.

Effect of Kinesiology Taping method on pain reduction after rib broken – initial report

88%

Czyżewski P., Hałas I., Kopytiuk R., Domaniecki J., Szczepkowski M.

Advances in Rehabilitation

2012

vol. 26

issue 1

29-35

Introduction: The rib broken are most frequent damages of chest. They cause strong pain, and make difficulties in breathing and changing position of body. Uncomplicated breakdowns are cured by analgesics drugs. One of physical methods for pain decreasing in musculoskeletal dysfunctions is kinesiotaping. The aim of this study was assessment of effectiveness Kinesiology Taping method after rib broken and their influence on pain reduction and breathing parameters. Material and methods : In this study take part 14 patients after broken one or few ribs from General and Colorectal Surgery Clinic Bielanski Hospital in Warsaw. Breathing parameters was controlled by forced vital capacity(FVC), forced expiratory voluntary in first second(FEV1) and peak expiratory flow (PEF). Pain was asses by visual analogue scale (VAS) separately for three situations: deep breathing, provoked coughing and changing body position from supine to seating. Next K-Active Tape® apply on skin over the broken rib. After 15 minutes breathing parameters and pain level assessing was repeated. Results: There were difference between pain level before and after K-Active Tape® apply in three different situations. It shown difference in value of average points VAS in changing body position from supine to seating (p= 0,015), provoked coughing (p= 0,022) and deep breathing (p= 0,023). It means that pain was significantly decrees. Analysis of average value breathing parameters indicate upward trend FVC, FEV1 and PEF after Kinesiology Taping application, but it wasn’t statistically significant. Conclusions: Kinesiology Taping is safety, supplementary method for heeling posttraumatic ribs condition. Apply lymphatic and ligament techniques using K-Active Tape® could be effectiveness method of reduction pain after ribs broken. It’s necessary to continue research on effectiveness Kinesiology Taping after ribs broken with extend methodology.

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2 Advances in Rehabilitation

1 2013

1 2012

2 Czyżewski P.

2 Domaniecki J.

2 Kopytiuk R.

1 Dąbek A.

1 Hałas I.

1 Szczepkowski M.

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The Influence of Physical Activity on Physiotherapy Effects After Abdominal Surgery in Elderly People

Effect of Kinesiology Taping method on pain reduction after rib broken – initial report