BACKGROUND:Physiotherapy is an essential for the treatment of patients with chronic respiratory non-inflammatory diseases especially for chronic obstructive pulmonary disease (COPD).AIM:To assess the effect of six months physiotherapy (PT) program on functional status in patients with COPD.MATERIAL AND METHODS:The patients were divided into two groups according to the severity of the disease. Group A included 33 patients (mean age 68.6 ± 7.3; GOLD II – III stages). Group B included 32 patients (mean age 71.7 ± 6.9; GOLD I –II). They were referred to supervised PT program performed three times weekly for a half a year. All the patients were on standard medical care. At entry and after PT, six minutes walking test (6 MWT), Borg scale and modified Medical Research Council (mMRC) scale were assessed.RESULTS:Significant changes in 6 MWT (p < 0.001) and mMRC scale (p < 0.001) were found after applied physical therapy program in patients of group A. Exertional dyspnoea decreased significantly in patients with group A (p < 0.001). Positive changes were found in physical tolerance in the patients of group B (p < 0.001).CONCLUSIONS:The present study revealed the positive effect of six months physiotherapy in physical tolerance and dyspnoea in patients with COPD at different stages of the disease.
AIM:The research aims to determine the influence of early goal-oriented physical therapy program in combination with educational booklet and standard physical therapy without written instructions on functional mobility outcomes in patients after low back surgery.MATERIAL AND METHODS:Thirty patients with similar functional impairments were randomly divided into two groups, a control group (CG n = 10) and an experimental group (EG n = 20). The outcome measures include time to move from lying to sitting position, the TUG test and the 6-meter walk test. Rehabilitation program includes daily physical therapy with mild to moderate intensity, achieving sitting position and education sessions how to perform activities of daily living (ADL) from the first day after surgery.RESULTS:There was a significant improvement from baseline in two groups for all performed tests (p < 0.001). Statistical significant differences between two groups for transfers in bed on discharge (p < 0.05), in one month (p < 0.01) and for TUG in one month (p < 0.05) were found.CONCLUSION:The study revealed that early rehabilitation program consists of therapeutic exercises and written educational booklet after low back surgery improves transfer abilities and basic activities in one month.
AIM:The aim of the study is to evaluate the changes of the kinetic parameters of gait in patients with supratentorial unilateral stroke in the chronic period (SUSChP).MATERIAL AND METHODS:The study was conducted with 67 patients with SUSChP (56 patients included in the experimental group - 32 men and 24 women, with duration of disease 7.8 ± 2.0 months, and 11 patients in the control group - 9 men and 2 women, with duration of disease 7.3 ± 1.5 months). To evaluate the changes in the gait were followed cadence of 6 m and 10 m and the speed of movement which are the most informative kinetic parameters. Patients in the experimental group were treated with a specialised 10-day KT, which later continued to be performed as an adapted exercise program at home for one month.RESULTS:After applying specialised kinesitherapeutic methodology (SKTM), the highest trend towards improvement in the kinetic parameters of gait was established after the 1st month with a level of significance during treatment p < 0.001.CONCLUSION:The enclosed SKTM in the experimental group continued later as an adapted exercise program at home, significantly improving the kinetic parameters of gait in patients with SUSChP, compared with the usual kinesi-therapeutic methodology applied in the control group.
Introduction: Guillain-Barré syndrome (GBS) is an autoimmune disease with sudden onset and progressive impairment of the peripheral nerves. Aim: To study the influence of applied physical therapy (PT) on functional recovery in patient with a prolonged complicated course of GBS, Landry ascending paralysis and assisted breathing and 4 months in-hospital stay. Case report: The study was conducted with a 34-year-old woman in subacute stage of GBS, over the course of 2 months in the patient's home, after discharge. PT sessions were performed 3-4 times per week for 1-hour duration, moderate intensity, without reaching fatigue. Correct positioning in bed, passive-active exercises, analytical exercises, exercises for strength of abdominal muscles, breathing exercises, training balance and coordination of sitting and standing, and massage were applied. PT included correct positioning in bed, passive-active exercises, analytical exercises, exercises for strength of abdominal muscles, breathing exercises, training balance and coordination of sitting and standing, and massage. Tests for bed mobility and European Scientific Journal November 2017 edition Vol.13, No.33 ISSN: 1857 -7881 (Print)
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