Wyniki wyszukiwania - Biblioteka Nauki

1

Influence of the cardiac rehabilitation on regular physical activity after coronary artery bypass grafting

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Storch-Uczciwek A. , Bochenek A.

Physiotherapy

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2010

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tom 18

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nr 1

3-8

PL

Cel i założenie: celem pracy była ocena aktywności ruchowej (AR) oraz wpływu rehabilitacji kardiologicznej na systematyczny wysiłek fizyczny osób po chirurgicznej rewaskularyzacji serca. Materiał: badaniem objęto 120 mężczyzn w wieku 40-75 lat z chorobą niedokrwienną serca, którzy zostali poddani klasycznej operacji pomostowania wieńcowego z zastosowaniem krążenia pozaustrojowego. Metoda badawcza: oceny aktywności ruchowej badanych dokonano na podstawie kwestionariusza Paffenbarger (PPAQ - Paffenbarger Physical Activity Questionnaire). Badanie przeprowadzono dwukrotnie - bezpośrednio przed zabiegiem i 12 miesięcy po pomostowaniu. Podczas pierwszego i drugiego badania u każdego chorego przeprowadzono wywiad w celu pozyskania informacji dotyczących udziału w poszpitalnej rehabilitacji kardiologicznej. Wnioski: 1. W trakcie 12-miesięcznej obserwacji badanie kwestionariuszowe wykazało istotne zmniejszenie całkowitego wydatku energetycznego związanego z aktywnością ruchową. 2. Istotnym czynnikiem podejmowania aktywności ruchowej przez badanych w ciągu 12 miesięcy po rewaskularyzacji chirurgicznej był ich udział w poszpitalnej rehabilitacji kardiologicznej. 3. U chorych po CABG nie stwierdzono korelacji między ich udziałem w rehabilitacji kardiologicznej przed operacją a całkowitym tygodniowym wydatkiem energetycznym związanym z aktywnością ruchową.

EN

Aims: evaluation of physical activity and the influence of outpatient cardiac rehabilitation on regular physical activity after surgical revascularization. Material and method: the study group consisted of 120 male patients, aged between 40-75 years with ischemic heart disease, who had undergone standard coronary artery bypass grafting procedure with extracorporeal circulation. In order to evaluate physical activity of the patients the Paffenbarger Physical Activity Questionnaire was used. The questionnaire was conducted twice, directly prior to the CABG procedure and 12 months after. The information concerning participation of the patients in outpatient cardiac rehabilitation was gathered during the first and second interview. Conclusion: 1. PPAQ showed a significant decrease in total energy expenditure related to physical activity within 12 months following the procedure. 2. Participation in the outpatient cardiac rehabilitation was an essential factor for undertaking physical activity within 12 months after surgical revascularization. 3. There was no correlation between participation in outpatient cardiac rehabilitation before surgical revascularization and the total weekly energy expenditure related to physical activity.

2

Cardiac Rehabilitation in Heart Failure. Part I, Mechanism

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Kujawska A. , Husejko J. , Marszałek A. , Szczęśniak Ż. , Topka W. , Gajos M. , Androsiuk-Perkowska J. , Perkowski R. , Natalia S. , Kujawski S. , Kędziora-Kornatowska K.

Central European Journal of Sport Sciences and Medicine

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2018

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tom 21

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nr 1

13-21

EN

Diagnosis and treatment issues among heart failure (HF) patients are becoming one of the most important points in public health of developed countries, largely due to the aging of population and the fact that HF affects mainly the elderly. In this review we would like to focus on pathophysiology of exercise intolerance in patients with heart failure and potential benefits of cardiac rehabilitation (CR). Analysis of articles in the EBSCO database using keywords: heart failure, cardiac rehabilitation, exercise training, pathophysiology. HF can be described as a composite syndrome which results from structural or functional impairment of ventricular filling or blood ejection. Patients have variety of symptoms which usually are nonspecific. The most frequently occurring symptoms of HF are dyspnea and fatigue, which may restrict exercise capacity, and fluid retention. There are many possible pathophysiological factors involved in the development of exercise intolerance. Based on the available literature pathological changes in central hemodynamic function, pulmonary system, skeletal muscles, endothelial function and neurohumoral system can be distinguished. They play a crucial role in the pathogenesis of HF symptoms and represent a potential curative object. HF patients are characterized by diminished functional performance. Exercise training has many potential profits in patients with heart failure, including an increase in peak oxygen uptake, improvement in central hemodynamics, peripheral vascular and skeletal muscle function and has become part of evidence-based clinical therapy in these patients.

3

Evaluation of exercise tolerance and quality of life and their correlation in patients treated with cardiac resynchronization therapy (CRT)

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Smolis-Bąk E. , Chwyczko T. , Wójcicka M. , Kowalik I. , Kazimierska B. , Dąbrowski R. , Sterliński M. , Maciąg A. , Szwed H.

Physiotherapy

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2009

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tom 17

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nr 4

3-9

PL

Wprowadzenie: komorowa stymulacja resynchronizująca (CRT) ma zastosowanie w leczeniu chorych z ciężką niewydolnością serca. Cel: ocena wydolności fizycznej i jakości życia oraz zależności występujących pomiędzy badanymi parametrami u pacjentów po wszczepieniu CRT. Materiał i metody: do badań włączono 23 chorych (16 mężczyzn) w wieku 52-77 lat. Przed i po 6 miesiącach od wszczepienia wykonywano próbę spiroergometryczną 6-minutowy test korytarzowy oraz badano parametry jakości życia kwestionariuszem NHP. Analizowano korelacje pomiędzy wydolnością fizyczną a jakością życia. Wyniki: uzyskano istotne korelacje pomiędzy: VO2 a zaburzeniami snu r = 0,62 (p < 0,01) i ograniczeniami ruchowymi r = -0,54 (p < 0,05) przed zabiegiem, VO2 a bólem r = -0,82 (p < 0,02) i wyobcowaniem społecznym r = -0,90 (p < 0,005) po wszczepieniu CRT, dystansem marszu a poziomem energii r = -0,50 (p < 0,05) przed, a ból r = -0,87 (p < 0,05) po wszczepieniu CRT. Wnioski: 1. Zastosowanie komorowej stymulacji resynchronizującej poprawia istotnie wydolność fizyczną oraz niektóre aspekty jakości życia. 2. Pacjenci z wyższą wydolnością fizyczną lepiej oceniali niektóre aspekty jakości życia przed (poziom energii, ograniczenia ruchowe) i po (dolegliwości bólowe i wyobcowanie społeczne) implantacji CRT.

EN

Introduction: cardiac resynchronization therapy (CRT) is widely used in treatment of patients with congestive heart failure (CHF). Aim: evaluation of exercise tolerance and quality of life and their correlation in patients treated with cardiac resynchronization therapy (CRT). Materials and methods: 23 patients (16 men, mean age 63.0 ± 9.0 years) with CHF were included in the study. Cardiopulmonary exercise test, 6-minute corridor test were performed before CRT and after 6 months. All patients were examined by means of NHP QoL questionnaire. Results: statistically significant correlations between peak oxygen uptake (VO2) and sleep disorders (r = 0.62, p < 0.01) and physical exercise limitations before CRT (r = -0.54, p < 0.05) were observed. After CRT peak VO2 correlated negatively with pain (r = -0.82, p < 0.02) and social alienation (r = -0.90, p < 0.005). 6-minute walking test distance correlated significantly with energy level (r = -0.50, p < 0.05) before CRT and with pain after CRT (r = -0.87, p < 0.05). Conclusions: 1. CRT in CHF patients improves effort tolerance and some QoL aspects. 2. Patients with better physical exercise tolerance assessed some aspects of their QoL as better before CRT (energy level, physical limitations), and better after CRT (pain, social alienation).

4

The influence of physical exercise as a component of cardiac rehabilitation on endothelial dysfunction – review of the related research

100%

Elżbieta Domka-Jopek E. , Ewa Lenart-Domka E.

Medical Review

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2016

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nr 3

311 + 323

EN

Endothelial dysfunction means any disturbance in the vascular endothelial function. There are many data indicating that endothelial dysfunction is a source of numerous vascular diseases. Cardiac rehabilitation, especially connected with increasing physical activity, plays an important role in the prophylaxis of vascular diseases complications in patients. Physical activity causes favorable changes in the circulatory system and improves psychophysical status. It is the base of healthy life style and fundamental element of primary and secondary prevention of cardiovascular diseases. Cardiac rehabilitation after acute coronary incidents reduces total mortality and decreases the risk of next cardiac intervention. Similar beneficial effects may be observed in chronic heart failure. Some reports attempt to explain mechanisms responsible for favorable effect of rehabilitation in primary and secondary prevention of cardiovascular disease. Many authors suggest, that cardiac training improves disturbed function of endothelium in cardiac diseases (hypertension, ischemic heart disease, chronic heart failure). Improved prognosis in patients with cardiovascular diseases after cardiac rehabilitation seems to be dependent on improvement in endothelial function.

PL

Dysfunkcja śródbłonka oznacza ubytek jakiejkolwiek z jego funkcji. Istnieje wiele danych upatrujących źródła chorób sercowo-naczyniowych w upośledzonej funkcji śródbłonka. Wśród działań mających na celu zapobieganie następstwom chorób układu krążenia istotną rolę przypisuje się rehabilitacji kardiologicznej, a zwłaszcza zwiększeniu aktywności fizycznej pacjentów. Aktywność fizyczna, wywołując korzystne zmiany fizjologiczne w czynności układu krążenia, redukując czynniki ryzyka chorób serca, poprawiając stan psychofizyczny pacjentów stała się podstawą zdrowego stylu życia oraz fundamentalnym elementem prewencji pierwotnej i wtórnej chorób układu krążenia. Zastosowanie rehabilitacji kardiologicznej u chorych po przebyciu ostrych incydentów wieńcowych redukuje śmiertelność całkowitą oraz zmniejsza ryzyko kolejnych interwencji kardiologicznych. Podobnie korzystne efekty widoczne są w przewlekłej niewydolności serca. W ostatnich latach pojawiło się szereg doniesień próbujących wytłumaczyć mechanizmy odpowiedzialne za pozytywny efekt rehabilitacji pacjentów z chorobami sercowo-naczyniowymi. Wielu autorów potwierdza, że kompleksowa rehabilitacja kardiologiczna, trening fizyczny przywraca zaburzoną funkcję śródbłonka w chorobach układu krążenia. Efekt ten jest widoczny w nadciśnieniu tętniczym, chorobie niedokrwiennej serca, przewlekłej niewydolności serca. Wydaje się, że poprawa rokowania zauważalna po zastosowaniu rehabilitacji kardiologicznej może być zależna od poprawy funkcji śródbłonka.

5

Comparison of cardiac rehabilitation programmes including patients’ education in selected institutions in Portugal and Poland.

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Sarna I. , Smolis-Bąk E.

Advances in Rehabilitation

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2018

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tom 32

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nr 2

23-32

EN

Introduction Despite huge progress in the field of medicine and prevention, cardiovascular diseases remain the second most common cause of death in the European Union countries. One of the reasons for this not very optimistic (though decreasing) tendency seems to be ineffective education of patients. Material and methods The study sought to compare cardiac rehabilitation programmes in Poland and Portugal and to assess education of coronary patients who took part in the second phase of cardiac rehabilitation in institutions located in these two countries. A cardiac rehabilitation programme information card completed by a doctor or a physiotherapist as well as the authors’ own questionnaire that included questions regarding medical history and rehabilitation of patients, their knowledge about risk factor control and their opinions about education in the process of rehabilitation were employed in the study. Results Patients from both groups demonstrated the same low levels of knowledge about risk factor control. It was noted that cardiac rehabilitation programmes in the two countries under investigation were based on similar standards but differed in such aspects as specialists participating in these programmes, patients referred to them, particular risk factor control or methods of education. Conclusions 1. Cardiac rehabilitation programmes implemented in the examined institutions are based on the same standards but differ, inter alia, in terms of interventions applied to control particular risk factors. 2. The patients’ level of knowledge about modifiable risk factor control is the same in the Polish and Portuguese group and it differs considerably from the level described in the guidelines. 3. In both countries, doctors play the most significant role in educating patients.

6

Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation

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Kocjan J. , Knapik A.

Baltic Journal of Health and Physical Activity

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2014

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tom 6

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nr 4

291-297

EN

Background: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined. Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) - patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey. Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant. Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process

7

Impedance cardiography – Old method, new opportunities. Part I. Clinical applications

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Siedlecka J. , Siedlecki P. , Bortkiewicz A.

International Journal of Occupational Medicine and Environmental Health

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2015

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tom 28

|

nr 1

27-33

EN

Monitoring of cardiovascular hemodynamic changes requires a very expensive and highly specialized equipment and skilled medical personnel. Up to the present time, an inexpensive, non-invasive and easy-to-use method which, like Doppler echocardiography, magnetic resonance angiography or radionuclide imaging, would assess hemodynamics of the cardiovascular system was not available. A method known as impedance cardiography (ICG) or thoracic electrical bioimpedance cardiography (TEBC) meets those criteria. It is non-invasive, which is of a particular advantage over the conventional methods that require catheterization. As a result, the patient is not at risk of possible complications and the procedure is less expensive and easier. Impedance cardiography, despite its non-invasive character, has not been so far extensively used for monitoring of hemodynamic parameters in hospitalized patients. Various authors report that attempts have been continued to compare the results from ICG and those obtained by other diagnostic methods. This paper presents the use of impedance cardiography in diagnosis of hypertension, cardiac insufficiency, differentiating the causes of acute dyspnea, as well as in assessing the effects of cardiac rehabilitation in patients with heart failure.

8

Cardiac Rehabilitation in Heart Failure. Part II. Does Higher Intensity Means Better Outcome?

88%

Kujawska A. , Perkowski R. , Skierkowska N. , Topka W. , Gajos M. , Androsiuk-Perkowska J. , Cieślińska A. , Przybysz B. , Kwolik D. , Siekacz D. , Rybarczyk D. , Kujawski S.

Central European Journal of Sport Sciences and Medicine

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2018

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tom 22

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nr 2

23-32

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.

9

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

88%

Fiabane E. , Giorgi I. , Candura S. M. , Argentero P.

International Journal of Occupational Medicine and Environmental Health

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2015

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tom 28

|

nr 1

52-61

EN

Introduction Research into work reintegration following invasive cardiac procedures is limited. The aim of this prospective study was to explore predictors of job satisfaction among cardiac patients who have returned to work after cardiac rehabilitation (CR). Material and methods The study population consisted of 90 cardiac patients who have recently been treated with coronary angioplasty or heart surgery. They were evaluated during their CR and 12 months after the discharge using validated self-report questionnaires measuring job satisfaction, work stress-related factors, emotional distress and illness perception. Information on socio-demographic, medical and occupational factors has also been collected. Results After adjusting for demographic, occupational and medical variables, baseline job satisfaction (p < 0.001), depression (p < 0.01) and ambition (p < 0.05) turned out to be independent, significant predictors of job satisfaction following return to work (RTW). Patients who had a partial RTW were more satisfied with their job than those who had a full RTW, controlling for baseline job satisfaction. Conclusions These findings recommend an early assessment of patients’ psychosocial work environment and emotional distress, with particular emphasis on job satisfaction and depressive symptoms, in order to promote satisfying and healthy RTW after cardiac interventions.

10

Estimation of energy expenditure during various forms of exercise training in early cardiac rehabilitation

75%

Kocur P. , Deskur-Śmielecka E. , Wilk M. , Dylewicz P.

Physiotherapy

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2009

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tom 17

|

nr 2

3-11

PL

Celem niniejszej pracy było porównanie szacowania za pomocą trzech metod wydatku energetycznego (WE) podczas różnych form treningu stosowanego w rehabilitacji kardiologicznej. Materiał i metoda: badaniu poddanych zostało 40 kolejnych mężczyzn uczestniczących w programie wczesnej rehabilitacji po ostrym zespole wieńcowym. Program rehabilitacyjny składał się z 12-13 sesji treningowych obejmujących Nordic Walking (NW), ćwiczenia ogól-nousprawniające (Ćw) i trening na cyklergometrze (R). U każdego pacjenta 4-krotnie oszacowano WE za pomocą 3 prostych metod: z wykorzystaniem rejestratora częstotliwości rytmu serca z wbudowaną funkcją kalkulacji WE (CRS), akcelerometru i obliczanego na podstawie średniej treningowej CRS w odniesieniu do wartości CRS podczas kolejnych obciążeń w trakcie próby wysiłkowej. Wyniki: w przypadku wszystkich rodzajów treningu wartość WE oszacowanego za pomocą akcelerometru była istotnie mniejsza niż na podstawie obliczeń wykonywanych w odniesieniu do próby wysiłkowej, a w przypadku Ćw i R była także mniejsza niż oszacowana za pomocą rejestratora CRS. Szacowania WE za pomocą rejestratora CRS i obliczeń na podstawie średniej treningowej CRS różniły się istotnie jedynie w przypadku treningu na cykloergometrze. Niezależnie od zastosowanej metody, największy średni WE uzyskali pacjenci podczas NW. Wnioski: użycie rejestratora CRS wyposażonego w funkcję kalkulacji WE umożliwia wiarygodne porównanie WE związanego z różnymi formami aktywności fizycznej. Pomiar WE za pomocą akcelerometru jest przydatny wyłącznie do oceny niezłożonych czynności odbywających się z dużym przyspieszeniem liniowym ciała.

EN

Aim: to compare estimated energy expenditure by means of three simple methods during various forms of training used in cardiac rehabilitation. Material and methods: the examined group consisted of 40 men involved in early cardiac rehabilitation following acute coronary syndrome. The rehabilitation program consisted of 12-13 sessions comprising Nordic Walking (NW), calisthenics (Cal), and cycle ergometer training (Erg). In each subject, energy expenditure was measured four times using a heart rate monitor with inbuilt function for calculating energy expenditure (CRS), an accelerometer, and heart rate calculated from mean exercise heart rate value based on the data from the treadmill exercise test. Results: for all types of training, the energy expenditure value assessed with an accelerometer was lowerthan calculated based on data from the treadmill exercise test. For Cal and Erg, it was also lower than estimated with the heart rate monitor. The assessment of energy expenditure with the heart rate monitor and calculated based on the data from the exercise test differed exclusively in the case of ergometer training. For all methods of assessment, the energy expenditure was highest during NW. Conclusions: the use of the heart rate monitor enables reliable comparison of energy expenditure during various forms of physical activity. The accelerometer may be useful in assessment of energy expenditure only during simple activities with high linear acceleration.

11

Impact of the second stage of cardiac rehabilitation on BMI in patients after cardiac incidents

75%

Mroczkowski B. , Kurzaj M. , Jacyno K. , Rozek-Piechura K.

Health Problems of Civilization

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2019

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tom 13

|

nr 3

EN

Background. Cardiovascular disease is currently one of the leading causes of death in the world, and a major contributing factor is the increasing incidence of excessive body mass. On the other hand, reduction of body mass in patients who have experienced a myocardial infarction significantly reduces the risk of a second episode of cardiovascular disease. This in turn increases lifespan, improves quality of life, and reduces the number of premature deaths. Material and methods. The study included 41 people (14 women with an average age of 62.5 years and 27 men with an average age of 61.2 years) who experienced a cardiac incident between January 2015 and February 2016 and who were qualified for the second stage of cardiac rehabilitation conducted in accordance with applicable standards. Results. BMI did not correlate with the results of exercise tests. The training improved the fitness and endurance of the subjects and allowed reduction of body mass. Conclusions. After 8 weeks of the second stage of cardiac rehabilitation, there were significant changes in the BMI in patients undergoing the study. Exercise tolerance and physical capacity in all the groups was improved.

PL

Wprowadzenie. Choroba sercowo-naczyniowa jest obecnie jedną z głównych przyczyn zgonów na świecie. Narastającym problemem jest zbyt duża masa ciała, która jest jednym z głównych czynników powodujących stany sercowo-naczyniowe. U pacjentów po zawale mięśnia sercowego zmniejszenie BMI znacznie redukuje ryzyko drugiego zaostrzenia choroby sercowo-naczyniowej, co zwiększa długość i komfort życia oraz zmniejsza liczbę zgonów. Materiał i metody. Badaniem objęto 41 osób - 14 kobiet (62,5 roku) i 27 mężczyzn (61,2 lat), u których doszło do incydentu kardiologicznego między styczniem 2015 r. a lutym 2016 r., i które zakwalifikowano do drugiego etapu rehabilitacji kardiologicznej prowadzonego zgodnie z obowiązującymi standardami. Wyniki. BMI nie koreluje istotnie z wynikami badań wysiłkowych. Ukończony trening poprawił kondycję i wytrzymałość uczestników oraz pozwolił zmniejszyć masę ciała. Wnioski. Po 8 tygodniach drugiego etapu rehabilitacji kardiologicznej wystąpiły istotne zmiany w BMI u pacjentów poddanych badaniu. Poprawiono tolerancję wysiłkową i wydolność fizyczną we wszystkich badanych grupach.

12

The impact of professional status on the effects of and adherence to the outpatient followed by home-based telemonitored cardiac rehabilitation in patients referred by a social insurance institution

75%

Szalewska D. , Niedoszytko P. , Gierat-Haponiuk K.

International Journal of Occupational Medicine and Environmental Health

|

2015

|

tom 28

|

nr 4

761-770

EN

Objectives Legislators and policymakers have expressed strong interest in intervention programs to reduce dependence on social disability benefits. Hybrid: ambulatory followed by home-based cardiac telerehabilitation – hybrid cardiac rehabilitation (HCR) seems to be a novel alternative for standard cardiac rehabilitation for patients with cardiovascular diseases (CVD) as a form of pension prevention paid by the Social Insurance Institution (SII). The kind of professional status may bias the motivation to return to work after HCR. The aim of our study was to evaluate whether the professional status can affect the effects of HCR. Material and Methods One hundred fifty-two patients with CVD referred by the SII for a 5-week HCR were qualified for the study. Patients (87.7% males), aged 57.31±5.61 years, were divided into 2 subgroups: W) white-collar employees (N = 22) and B) blue-collar employees (N = 130). To evaluate functional capacity, an exercise test on a treadmill was used. Results The number of days of absence in the cardiac rehabilitation program did not differ between the groups (mean ± standard deviation – B: 1.09±3.10 days, W: 1.95±3.64 days). There were significant improvements (p < 0.05) in measured variables after HCR in both (W and B) groups (max workload: 8.21±2.88 METs (measured in metabolic equivalents) vs. 9.6±2.49 METs, 7.76±2.51 METs vs. 8.73±2.7 METs, resting heart rate (RHR): 77±16.22 bpm vs. 69.94±12.93 bpm, 79.59±14 bpm vs. 75.24±11.87 bpm; double product, i.e., product of heart rate and systolic BP (DP rest) 10 815.22±2968.24 vs. 9242.94±1923.08, 10 927.62±2508.47 vs. 9929.7±2304.94). In group B, a decrease in systolic blood pressure (BP syst. – 137.03±17.14 mm Hg vs. 131.82±21.13 mm Hg), heart rate recovery in the 1st minute after the end of peak exercise (HRR1) (99.38±19.25 vs. 93.9±19.48) and New York Heart Association (NYHA) class (1.22±0.53 vs. 1.11±0.36) was observed. In group W, a decrease in diastolic blood pressure (BP diast.) at rest was observed (88.28±9.79 mm Hg vs. 83.39±8.95 mm Hg). The decrease in resting HR was significantly greater in group W (69.94±12.93 vs. 75.24±11.87, p = 0.034). Conclusions Hybrid cardiac rehabilitation is feasible and safe with high adherence to the program regardless of the patient’s professional status. Professional status did not influence the beneficial effect of HCR on exercise tolerance.

13

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

75%

Babić Z. , Pavlov M. , Oštrić M. , Milošević M. , Misigoj Duraković M. , Pintarić H.

International Journal of Occupational Medicine and Environmental Health

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2015

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tom 28

|

nr 6

999-1010

EN

Objectives To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Material and Methods During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). Results Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. Conclusions Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.

14

Trening w wodzie u pacjentów z chorobami sercowo-naczyniowymi / Training in water in patients with cardiovascular disease

75%

Borgosz-Guźda A. , Bartczyszyn-Guzik M. , Rożek K.

Physiotherapy

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2011

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tom 19

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nr 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

15

Udział pacjentów w rehabilitacji kardiologicznej i formach aktywności fizycznej – przegląd piśmiennictwa

75%

Cieślik B.

Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna

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2017

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tom Vol. 23, nr 2

120--132

PL

W pracy przeanalizowano opublikowane wyniki badań naukowych na temat udziału w rehabilitacji i aktywności fizycznej pacjentów z chorobami kardiologicznymi. W tym celu dokonano przeglądu artykułów w wiodących czasopismach kardiologicznych zagranicznych (British Heart Journal Circulation, Hypertension, European Journal of Vascular & Endovascular Surgery, Journal of the American College of Cardiology) i polskich (Kardiologia Polska, Folia Cardiologica Excerpta) opublikowanych od stycznia 2005 do marca 2015 roku. Przeanalizowano 18 artykułów (14 z piśmiennictwa zagranicznego i 4 z piśmiennictwa polskiego), które zostały podzielone na następujące grupy: uczestnictwo pacjentów w rehabilitacji kardiologicznej i jej przebieg − 12 artykułów oraz zastosowanie różnych form treningu i aktywności fizycznej u pacjentów kardiologicznych − 6 artykułów.

EN

In this paper, published data concerning the rehabilitation and physical activity of patients suffering from cardiological diseases, were analyzed. The review is based on papers published in international journals British Heart Journal Circulation, Hypertension, European Jour-nal of Vascular & Endovascular Surgery, Journal of the American College of Cardiology and Polish ones: Kardiologia Polska, Folia Cardiologica Excerpta. The papers were published between January 2005 and March 2015. 18 articles were chosen for analysis (14 from international journals and 4 from Polish ones). The articles were divided into two groups: concerning participation of patients in cardiological rehabilitation and its course − 12 articles and the use of different forms of exercises and physical activities in cardiological patients − 6 papers.

16

Fizyczne i psychologiczne efekty rehabilitacji kardiologicznej − przegląd piśmiennictwa

75%

Cieślik B.

Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna

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2016

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tom Vol. 22, nr 2

71--97

PL

W pracy przeanalizowano opublikowane wyniki badań naukowych na temat rehabilitacji pacjentów z chorobami kardiologicznymi. W tym celu dokonano przeglądu artykułów w wiodących czasopismach kardiologicznych zagranicznych (British Heart Journal, Cardiology, Circulation, Journal of the American College of Cardiology) i polskich (Kardiologia Polska, Folia Cardiologica Excerpta, Nadciśnienie Tętnicze) opublikowanych od stycznia 2005 do marca 2015 roku. Przeanalizowano 35 artykułów (24 z piśmiennictwa zagranicznego i 11 z piśmiennictwa polskiego), które opisują fizyczne i psychologiczne aspekty rehabilitacji kardiologicznej.

EN

In this paper, the published data concerning the rehabilitation of patients suffering from cardiac diseases, were analyzed. The review is based on papers published in international journals: British Heart Journal, Cardiology, Circulation, Journal of the American College of Cardiology, as well as Polish ones: Kardiologia Polska, Folia Cardiologica Excerpta, Nadciśnienie Tętnicze. The analyzed papers were published between January 2005 and March 2015. Altogether 35 publications were chosen for the analysis (24 from international journals and 11 from Polish ones), concerning physical and psychological aspects of cardiac rehabilitation.

17

Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation

75%

Kocjan J. , Knapik A.

Baltic Journal of Health and Physical Activity. The Journal of Gdansk University of Physical Education and Sport

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2014

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tom 06

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nr 4

EN

Background: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined. Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) – patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey. Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant. Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process

18

Nordic Walking – a new form of exercise in rehabilitation

75%

Kocur P. , Wilk M.

Medical Rehabilitation

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2006

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tom 10(2)

9-14

PL

W niniejszej pracy przedstawiono dostępną wiedzę o historii, metodyce i technice, coraz bardziej popularnej formy ćwiczeń ruchowych, znanych jako Nordic Walking (NW). NW jest formą aktywności ruchowej w terenie, której głównym elementem jest marsz., przy wykorzystaniu kijków zaadaptowanych z narciarstwa biegowego. Głównym celem używania kijków jest zaangażowanie mięśni nieużywanych podczas zwykłego marszu, przy zachowaniu wysokiej intensywności ćwiczeń i niskiego, subiektywnie odczuwanego poziomu zmęczenia. Zwrócono uwagę na możliwość zastosowania tej formy aktywności w rehabilitacji ruchowej – w tym wczesnej rehabilitacji kardiologicznej. W pracy wykorzystano informacje zawarte w dostępnej literaturze, a także doświadczenie własne z badań prowadzonych w tej dziedzinie, u pacjentów we wczesnym okresie po zawale mięśnia sercowego. Badania te są wykonywane u pacjentów Ośrodka Rehabilitacji Kardiologicznej w Kiekrzu. NW jest włączany, jako dodatkowy trening, w standardowy program rehabilitacji obejmujący ćwiczenia ogólnousprawniające i trening wytrzymałościowy na cykloergometrze. W przeglądzie piśmiennictwa skupiono się głównie na zastosowaniu Nordic Walking w rehabilitacji. Badania dotyczyły osób starszych, a także pacjentów z zespołami bólowymi, chorobami układu nerwowego i układu krążenia. Wyniki wskazują, że Nordic Walking to naturalna, bezpieczna a jednocześnie intensywna forma ruchu. Może być stosowana w różnych obszarach rehabilitacji.

EN

Nordic Walking (NW) has become a popular form of physical activity. NW is a form of outdoor physical activity based on marching with use of poles adapted from cross–country skiing. The main goal of using the poles is to involve muscles, which are not used during normal walking. This enables performing high intensity exercises with a relatively low level of perceived exertion. The history, methodology and technique of Nordic Walking were presented in this paper. Moreover, possible role of Nordic Walking in physical rehabilitation, in particular in early cardiac rehabilitation, was discussed. This paper is based on the available data from the literature and on our own experience concerning the application of Nordic Walking in rehabilitation of patients early after a myocardial infarction. This study was performed in patients admitted to the Centre of Cardiac Rehabilitation in Kiekrz. NW is added as an additional training to standard rehabilitation program comprising ergometer endurance training and callisthenics. The literature review focused mainly on the usefulness of Nordic Walking in rehabilitation of various groups of patients, such as the elderly, patients with pain, and patients with neurological or cardiovascular disorders. The available evidence suggests that Nordic Walking is a natural and safe, yet intensive, form of physical activity that can be widely used in physical rehabilitation.

19

The influence of outpatient cardiac rehabilitation on physical efficiency of patients subjected to myocardial infarction

75%

Przemysław P.

Advances in Rehabilitation

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2013

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tom 27

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nr 3

17-22

EN

Introduction: The effort test is the most popular type of a test used for the verification of a heart disease. The main target of rehabilitation is to achieve the improvement of exercise tolerance. Material and methods: The examination group included 60 patients aged 34-76 (average 60±8,87) qualified for II period of rehabilitation. The effort test on a movable track has been carried out before and after the rehabilitation, according to the modified Bruce’s protocol. The following parameters were tested: a heart rate rest and maximum, blood pressure rest and maximum, test duration, costs of energy effort (METs), a reason for test interruption, subjective sense of tiredness, a number of breaths per minute and a maximum intake of oxygen (VO2max). For the A model, 14 patients have been qualified, B-31, C-15, D-0. In that case, the training on a cycloergometer was of a continuous type, while for the patients qualified for the B and C models, was of an interval type. Results and conclusions: The biggest part of work was done during the final 21st training. The increase in exercise tolerance was proven, due to the obtained results.

20

Examples of the use of wireless transmission systems in the monitoring of patients during cardiac rehabilitation at home

75%

Szczurek Z. , Gacek A. , Brandt J. , Curyło A. , Kowalski P. , Świda K. , Geodecki M. , Michnik A.

Journal of Medical Informatics & Technologies

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2011

|

tom Vol. 17

159--166

EN

ITAM completed work on developing a prototype of the system designed to monitor and conduct cardiac rehabilitation at home. In the course of project execution, a number of devices have been made or adapted to work within the system. The primary problem to be solved was to develop a way of communication for these devices, which would allow the transmission of necessary data in a way that would be convenient for the patient and provide the staff supervising the patient with easy access to this data. Ensuring correct operation the system required a variety of cooperating transmission systems to be used. Communication within the apartment utilizes a wireless network based on a Bluetooth link. The parent node of this network is the Base Station, which is also an intermediary for communication between devices within the apartment and the Centre for Monitoring and Communications. The main module carried by the patient is the ECG module that, in addition to its measurement function, serves as a personal area network node based on elements of the ANT standard supporting the Messenger carried by the patient. This module is also tasked with supervising the patient outside the apartment, making communication with the Centre possible via a GSM/GPRS network. The Base Station exchanges information with the Monitoring and Communication Centre located on a server via the Internet. Access for the patient's doctor or support worker to the Monitoring Centre is possible from any computer with access to the Internet by logging onto the Centre's server.