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EN
We investigated whether 6-week low-intensity aerobic training program used as a supplement to regular dance practice might improve both the aerobic capacity and psychomotor performance in female ballet dancers. To assess their maximal oxygen uptake (VO2max) and anaerobic threshold (AT), the dancers performed a standard graded bicycle ergometer exercise test until volitional exhaustion prior to and after the supplementary training. At both these occasions, the psychomotor performance (assessed as multiple choice reaction time) and number of correct responses to audio-visual stimuli was assessed at rest and immediately after cessation of maximal intensity exercise. The supplementary low-intensity exercise training increased VO2max and markedly shifted AT toward higher absolute workload. Immediately after completion of the graded exercise to volitional exhaustion, the ballerinas' psychomotor performance remained at the pre-exercise (resting) level. Neither the resting nor the maximal multiple choice reaction time and accuracy of responses were affected by the supplementary aerobic training. The results of this study indicate that addition of low-intensity aerobic training to regular dance practice increases aerobic capacity of ballerinas with no loss of speed and accuracy of their psychomotor reaction.
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EN
Objectives: The aim of this paper was to assess the effects of aerobic training on the quality of life and fatigue in patients with multiple sclerosis. Material and methods: A total of 53 patients with known multiple sclerosis (ICD G35.0) who began a standard 4-week rehabilitation programme were included in the study. Patients were divided into two groups: AT (aerobic training) patients (n = 21), who additionally underwent training on a lower limb cycle ergometer (three 10-minute sessions per day with an hour interval), and non-AT group of patients (n = 32). Life quality assessment based on the WHOQOL-BREF scale (World Health Organization Quality of Life), an assessment of motor impairment based on the Expanded Disability Status Scale by Kurtzke (EDSS) and an assessment of the severity of fatigue using the Fatigue Severity Scale (FSS) were performed at baseline and after four weeks. Results: After completing rehabilitation programmes, an improvement in the quality of life was observed both in AT and non-AT group. However, a more significant improvement in the two evaluated aspects, physical (p = 0.001 vs. 0.01) and psychological (p = 0.001 vs. 0.05), was observed in the AT group. However, no improvement in social terms was observed. There was also a reduction in the severity of fatigue (0.03 for AT group vs. 0.15 for non-AT group). There was no statistically significant improvement in the EDSS score in any of the groups. Conclusions: Aerobic training has beneficial effects on the quality of life and the severity of fatigue in patients with multiple sclerosis.
PL
Cel pracy: Celem pracy jest ocena wpływu treningu aerobowego na jakość życia i zmęczenie u chorych ze stwardnieniem rozsianym. Materiał i metody: Badaniu poddano 53 pacjentów z rozpoznaniem stwardnienia rozsianego (ICD G35.0) rozpoczynających 4-tygodniowy standardowy program kompleksowej rehabilitacji. Uczestników podzielono na dwie grupy: AT (aerobic training – trening aerobowy) (n = 21) – dodatkowo zastosowano trening aerobowy na cykloergometrze kończyn dolnych (3 razy dziennie po 10 minut z godzinną przerwą) – oraz non-AT (n = 32), czyli bez treningu aerobowego. W obu grupach w 1. dniu i po 4 tygodniach przeprowadzono badania oceny jakości życia na podstawie skali WHOQOL-BREF (World Health Organization Quality of Life), ocenę niewydolności ruchowej według Rozszerzonej Skali Niewydolności Ruchowej Kurtzkego (Expanded Disability Status Scale, EDSS) i ocenę ciężkości zmęczenia za pomocą Skali Ciężkości Stopnia Zmęczenia/Znużenia (Fatigue Severity Scale, FSS). Wyniki: Po zastosowanym treningu ocena jakości życia poprawiła się zarówno w grupie AT, jak i non-AT, jednak bardziej znaczącą poprawę jakości życia w dwóch badanych aspektach zaobserwowano w grupie AT – pod względem fizycznym (p = 0,001 vs 0,01) i psychologicznym (p = 0,001 vs 0,05). Nie odnotowano poprawy pod względem socjalnym. Wykazano spadek nasilenia zmęczenia/znużenia – 0,03 (AT) vs 0,15 (non-AT). W żadnej grupie nie wystąpiła istotna statystycznie poprawa w skali EDSS. Wnioski: Stwierdzono korzystny wpływ treningu aerobowego na jakość życia oraz nasilenie zmęczenia u chorych na stwardnienie rozsiane.
EN
The purpose of the study was to find out the effect of the proposed training program on some physiological and body composition variables of 24 volunteered youth male football players who under 20 years old (U20, age: 16–19 years, mean age: 17.3 ±1.0 years, playing for last 4–6 years). Those 24 players were divided into 2 groups, 12 players (experimental group), 12 players (control group). The training program consisted of aerobic training, anaerobic training, recreational game and practice football game. Data was collected at zero level (pre-test), in the mid of the program (mid-test) and at the end of program (post-test). For analysing data, repeated measures were used. In the experimental group a significant increase (P < 0.05) in number of shuttles, skeletal muscle, and resting metabolism and a significant decrease (P < 0.05) in body fat have been noted in (mid-test) and (post-test) when compared to (pre-test). However, a decrease was noted in body mass index, blood lactate, maximal heart rate, and visceral fat, but not to a significantly different level. In the control group negative significant increase (P < 0.05) in body fat and negative significant decrease (P < 0.05) in skeletal muscle and resting metabolism have been noted, no significant difference was observed in number of shuttle, body mass index, blood lactate, maximum heart rate and visceral fat. This study would provide useful information for training and exercise physiology and it may have a beneficial impact on health.
EN
The purpose of this study was to compare heart rate (HR) responses within and between small-sided games (SSG) training methods in elite young soccer players. Twenty-seven youth soccer players (age: 16.5 ± 0.5 years, height: 174.5 ± 5.5 cm, weight: 62.9 ± 8.3, velocity at maximal aerobic speed (MAS): 15.9 ± 0.9 km.h-1) performed 3 different SSG (2 vs. 2, 3 vs. 3, 4 vs. 4 without goalkeeper). In each SSG, HR was continuously measured and expressed as a mean percentage of HR reserve (%HRreserve). The mean %HRreserve calculated during the SSG was significantly lower during 4 vs. 4 (70.6 ± 5.9 %) compared to 2 vs. 2 (80.1 ± 3.6 %, p<0.001) and 3 vs. 3 (81.5 ± 4.3 %, p<0.001) SSG. Regardless of the time spent above 60, 65, 70, 75, 80, 85 and 90 % of HRreserve, 4 vs. 4 solicited lower percentage of time than 3 vs. 3 and 2 vs. 2. Intersubject coefficients of variation were significantly higher during 4 vs. 4 compared to 2 vs.2 and 3 vs. 3. The %HRreserve after 30s of recovery was significantly higher for 3 vs. 3 (70.6 ± 5.3 %) compared to 2 vs. 2 (65.2 ± 4.8 %, p<0.05) and 4 vs. 4 (61.6 ± 9.3 %, p<0.05). In conclusion, this study demonstrates that the physiological demands is higher during 2 vs. 2 and 3 vs. 3 compared to 4 vs. 4 in youth soccer players. This difference could be due to that young soccer players do not have the same technical ability and experience as adult players and thus, their activity during the 2 vs. 2 and 3 vs. 3 induces a greater physical demand due to their lack of experience. The age of the players could be linked with the physical demands within small-sided games.
EN
Heart failure (HF) due to its universality has become a huge challenge for modern medicine. Second part of the twentieth century brought significant changes in the rehabilitation, diagnostic and pharmacological procedures. There are no definitive guidelines for Cardiac Rehabilitation (CR) in HF. Based on previous studies, the article tried to describe and illustrate the mechanism of effective CR and its intensity in HF patients, which could be helpful in CR protocol development. Cardiac Rehabilitation has confirmed efficacy in increased physical level of participation in inter alia, home/work/recreational activities, improved psychosocial well-being, functional independence, prevention of disability, long-term adherence to maintaining physically active lifestyle, improved cardiopulmonary fitness, strength, muscle endurance, and flexibility, reduced cardiovascular events risk and risk of mortality. Before and after CR conduction, baseline and final aerobic capacity should be examined with an ergospirometry test to evaluate CR protocol intensity and check its effectiveness, respectively. Frequency of training-bouts in CR protocol in HF patients were from 3 to 7 days per week, intensity ranged from 40% to 80% VO2max or 9 to 14 on rating of the perceived exertion (RPE) scale or 6 to 20 on the Borg scale. Duration of single bout-exercise ranged from 20 to 60 minutes.
PL
Wstęp: Leczenie operacyjne jest podstawową metodą postępowania w przypadku niedrobnokomórkowego raka płuca (NSCLC) w I, II i częściowo w III stopniu zaawansowania. Niemniej resekcja miąższu płuca oraz możliwe powikłania pooperacyjne mogą pogorszyć wydolność układu oddechowego i powodować ograniczenia funkcjonalne w zakresie narządu ruchu. Pooperacyjna rehabilitacja chorych na raka płuca wymaga uwzględnienia skuteczności, bezpieczeństwa, ograniczeń i aspektów multidyscyplinarnego leczenia tej grupy pacjentów. Cel: Nadrzędnym celem tego przeglądu narracyjnego była analiza praktycznego aspektu opublikowanych badań, a zwłaszcza rodzaju i skuteczności interwencji rehabilitacyjnej oraz rokowniczego znaczenia obranych punktów końcowych. Metoda: Przeszukano elektroniczne bazy danych Medline, PubMed, CINAHL, Embase, Scopus oraz ScienceDirect do czerwca 2015. Do przeglądu włączono artykuły opisujące efekty rehabilitacji pooperacyjnej w NSCLC, a zwłaszcza kinezyterapii. Wyniki: Połączenie treningu wytrzymałościowego średniej i wysokiej intensywności z submaksymalnym treningiem ze wzrastającym oporem wykazało wymierną skuteczność w zwiększeniu VO2peak oraz 6MWT u operowanych z powodu raka płuca. Może się to wiązać z poprawą jakości i długości życia pacjentów. FEV1 nie wydaje się być wiarygodnym parametrem oceny skuteczności rehabilitacji pooperacyjnej w tej grupie chorych. W przypadku pacjentów poddawanych chemioterapii adjuwantowej wyniki rehabilitacji są gorsze. Ta grupa chorych może wymagać odrębnego programu ćwiczeń. Większą skuteczność rehabilitacji wykazują badania z zastosowaniem treningu nadzorowanego. Wnioski: Wyniki tego przeglądu narracyjnego sugerują dobrą tolerancję, bezpieczeństwo i skuteczność kinezyterapii u chorych na NCLSC. Niemniej istnieje pilna potrzeba potwierdzenia znaczącej roli tej formy rehabilitacji w dużych randomizowanych, kontrolowanych badaniach klinicznych.
EN
Surgery is the main modality for treatment of patients with stage I, II and, partly, III Non-Small Cell Lung Cancer (NSCLC). However, lung parenchyma resection and possible postoperative complications may impair respiratory and motor functions. Postoperative rehabilitation of patients with lung cancer requires the consideration of benefi t-risk assessment, specifi c limitations and all aspects of multidisciplinary treatment. The main aim of this narrative review was to analyze practical aspects of the published studies, especially the type and effi ciency of rehabilitation and prognostic value of the end-points used. Online literature databases: Medline, PubMed, CINAHL, Embase, Scopus and ScienceDirect were searched up to June 2015. Included papers consider postoperative rehabilitation in NSCLC, focused on kinesiotherapy. Combination of moderate to high-intensity aerobic training with submaximal progressive resistance training is reportedly associated with a measurable increase in VO2peak and 6MWT in patients operated on for lung cancer. This mixed method of training may improve quality of life and lengthen life expectancy. FEV1 seems to be an unreliable parameter in the assessment of rehabilitation efficiency of in lung cancer patients. Patients who underwent adjuvant chemotherapy have worse results of postoperative rehabilitation and may require special training program. Efficiency of supervised training is better. The findings of this narrative review suggest that postoperative exercise-based rehabilitation in patients with NSCLC appears to be well tolerated, safe and effective. Although there is an urgent need to confirm the great importance of this field of rehabilitation in larger randomized controlled clinical trials. Cite this article as: Bernacka M.L., Kużdżał J., Pieniążek M., Sarota M. Postoperative exercise-based rehabilitation in lung cancer – aspects of kinesiotherapy. Med Rehabil 2016; 20(1): 23-32.
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