Papers by Krystyna Rozek-Piechura
Rehabilitation Nursing, Mar 1, 2016
Purpose: The aim of the study was to analyze the prevalence of depressive symptoms among older ad... more Purpose: The aim of the study was to analyze the prevalence of depressive symptoms among older adults after stroke in a nursing home (NH). Design: The study was conducted in a NH and included 50 patients after stroke with a mean age of 74.62 (AE8.2). Method: The Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Acceptance Illness Scale (AIS) and Barthel Index (BI) were used. Findings: Mean GDS was 7.60 (AE2.75); 74% of patients had depressive symptoms. The study showed a significant relationship between GDS and marital status (p = .043). A negative correlations between GDS and MMSE (p = .029), GDS and BI (p = .049), and GDS and AIS (p < .0001) were found. The occurrence of depressive symptoms in older adults after stroke depends on their mental and functional status, degree of acceptance of illness, and marital status. Clinical Relevance: Early detection of depressive symptoms in stroke patients allows rehabilitation nurses to optimize the therapeutic effects.
Przegląd Elektrotechniczny, 2014
Wykorzystanie termogramów do oceny wpływu bodźców fizycznych na procesy metaboliczne w tkankach S... more Wykorzystanie termogramów do oceny wpływu bodźców fizycznych na procesy metaboliczne w tkankach Streszczenie. Termiczne rozkłady temperatury wskazują na możliwość zastosowania tej techniki pomiarowej do oceny intensywności dopływu krwi do kończyn pacjenta, która może być ograniczona wskutek dysfunkcji części układu krwionośnego kończyny. Uzyskane podczas badań termogramy można poddać także analizie widmowej, wykorzystując w tym celu przekształcenia falkowe wykonane w oparciu o ciągłą transformatę falkową Continuous Wavelet Transform (CWT). W pracy przedstawiono ocenę możliwości wykorzystania dekompozycji badanych obrazów termograficznych za pomocą CWT, jako nowe jakościowo kryterium porównawcze.
International Journal of Environmental Research and Public Health, Nov 26, 2021
Regardless of the management regime for heart failure (HF), there is strong evidence supporting t... more Regardless of the management regime for heart failure (HF), there is strong evidence supporting the early implementation of exercise-based cardiac rehabilitation (CR). Respiratory therapy is considered to be an integral part of such secondary prevention protocols. The aim of the study was to evaluate the effect of inspiratory muscle training (IMT) on exercise tolerance and the functional parameters of the respiratory system in patients with heart failure involved in cardiac rehabilitation. The study included 90 patients with HF who took part in the second-stage 8-week cycle of cardiac rehabilitation (CR). They were randomly divided into three groups: Group I underwent CR and IMT; Group II only CR; and patients in Group III underwent only the IMT. Before and after the 8-week cycle, participants were assessed for exercise tolerance and the functional parameters of respiratory muscle strength. Significant statistical improvement concerned the majority of the hemodynamic parameters, lung function parameters, and respiratory muscle strength in the first group. Moreover, the enhancement in the exercise tolerance in the CR + IMT group was accompanied by a negligible change in the HR peak . The results confirm that the addition of IMT to the standard rehabilitation process of patients with heart failure can increase the therapeutic effect while influencing some of the parameters measured by exercise electrocardiography and respiratory function.
PubMed, Jun 30, 2006
Background. The aim of this study was to attempt the implementation of the method of mathematical... more Background. The aim of this study was to attempt the implementation of the method of mathematical modelling for motor properties estimation in children with idiopathic scoliosis on the process of keeping the balance in a standing position in the presence of mild disturbances. Material and methods. 42 children with idiopathic scoliosis (13-18 yr) and 40 healthy children were included into the study. Stabilography method was used to estimate body balance and the COP time series were recorded for subsequent analysis. Motor parameters of the evaluated individuals were determined based on the coefficient values of equation assessed through mathematics model. Results. The analysis of obtained calculated results showed that there are significant differences in meandered reaction induced by balance disturbation in a standing posture in evaluated patients. In scoliosis group there was a bigger loss of balance than in healthy children.The speed of loosing of balance after its deviation was slower and was dependent on the magnitude of the curvature angle. The bigger the angle values of the curvature the slower is the process of balance loss and at a lower speed and acceleration. And the time required for regaining the posture is prolonged. Conclusions. Standing posture of children with lateral curvature of the spine is more susceptible to balance disturbances and is characterised by worse stability. The reaction of nervous system to balance disturbances in scoliosis is visibly delayed and is characterised by lower impulsiveness.
Ortopedia, traumatologia, rehabilitacja, Oct 3, 2014
Wo je wódz ki Szpi tal Re ha bi li ta cyj ny dla Dzie ci w Ja strzę biu -Zdro ju, Pol ska 2 Aka d... more Wo je wódz ki Szpi tal Re ha bi li ta cyj ny dla Dzie ci w Ja strzę biu -Zdro ju, Pol ska 2 Aka de mia Wy cho wa nia Fi zycz ne go we Wro cła wiu, Pol ska
International Journal of Environmental Research and Public Health, Nov 20, 2022
Due to the worldwide spread of COVID-19, some restrictions were introduced which could lead to th... more Due to the worldwide spread of COVID-19, some restrictions were introduced which could lead to the development of distress and somatic symptoms. This survey aimed to study the mental and sexual health of men during the COVID-19 outbreak. An online questionnaire was conducted to collect data on contact with people suspected of infection/infected with the SARS-CoV-2 virus, use of stimulants, and perceived mental and sexual health during isolation among Polish men. They were also asked to answer the Beck Depression Inventory (BDI) and the International Index of Erectile Function (IIEF-15) questionnaire. In total, 606 men with a mean age of 28.46 ± 9.17 years took part in the survey. Fear of contracting the COVID-19 infection had a negative impact on the mental health of 132 men (21.8%). Fear of the health condition of loved ones caused stress and a depressed mood in 253 men (41.7%), and media reports worsened the mental health of 185 men (30.2%). In the BDI, 71.95% of the respondents did not suffer from depressive symptoms, 17.33% were diagnosed with mild depression, 6.11% with moderate depression, and 4.62% had severe depression. The mean score in the IIEF-15 questionnaire in the erectile function domain was 22.27, orgasm-7.63, desire-8.25, satisfaction-10.17, and general satisfaction-6.84. Depressive symptoms indicated more severe sexual functioning disorders (p < 0.001). Fear, following the media, and loneliness were associated with more severe depressive and sexual disorders (p < 0.001). The libido level (p = 0.002) and frequency of sexual activity (p < 0.001) were also lower during the pandemic than before the lockdown. These data showed that the COVID-19 pandemic had a significant impact on male mental and sexual health.
Research Square (Research Square), Feb 24, 2023
The number of people suffering from urinary incontinence increases every year. Along with it, the... more The number of people suffering from urinary incontinence increases every year. Along with it, the knowledge of the society increases that there are various methods of eliminating this ailment.. Both patients and researchers are constantly looking for new treatments for urinary incontinence. One of the new solutions is sonofeedback of the pelvic oor muscles, which may help to strengthen them and thus reduce the problem. The aim of this study was to evaluate the effectiveness of sonofeedback and transvaginal electrostimulation in increasing the bioelectrical activity of pelvic oor muscles in postmenopausal women with stress urinary incontinence. Sixty women with stress urinary incontinence were enrolled in the study. The patients were divided into two groups: A -where sonofeedback was used and B -where electrostimulation of the pelvic oor muscles was performed with biofeedback training. In patients, the resting bioelectrical activity of the pelvic oor muscles was assessed using an electromyograph. The assessment of the resting bioelectrical activity of the pelvic oor muscles was performed before the therapy, after the 5th training and after the therapy. It was observed that after the end of the therapy, the average bioeltrical potential increased by 1.1 µV compared with baseline in group A. It can be suggested that the sonofeedback method is comparatively effective in reducing symptoms that are associated with urinary incontinence as a electrostimulation method with biofeedback training.
International Journal of Environmental Research and Public Health, May 29, 2019
Background: The aim of the study was to assess lower limb function in response to two cardiac reh... more Background: The aim of the study was to assess lower limb function in response to two cardiac rehabilitation (CR) protocols after coronary artery bypass surgery with saphenous vein grafting. Methods: Clinically-stable male patients aged 50-70 years were recruited 4 weeks post-surgery in which to group. Group I (n = 47) receive standard CR in a hospital setting for 3 weeks and Group II (n = 14) receive CR with a resistance training component in an outpatient setting for 8 weeks. Measures included body mass and composition, lower limb temperature distribution, lower limb hemodynamics, and dorsal and plantar flexor muscle strength. Results: Average temperature of the operated limb decreased only in Group II after cardiac rehabilitation. Venous blood flow improved in both groups as evidenced by increased blood refilling time. Isokinetic strength was greater in Group I. Conclusions: The results suggest a 3-week intensive CR protocol to be most effective in restoring lower limb function in CABG patients after saphenectomy.
Journal of Clinical Medicine, Sep 7, 2021
Erectile dysfunction (ED) and coronary artery disease (CAD) share common risk factors, some of wh... more Erectile dysfunction (ED) and coronary artery disease (CAD) share common risk factors, some of which have genetic backgrounds, while others may be stimulated by family lifestyle. We investigated the impact of the familial occurrence of CAD on the presence of ED and the presence of classic risk factors for ED in men with CAD. This cross-sectional observational study involved 751 men with CAD who were subjected to cardiac rehabilitation. Overall, 75.63% of the men had ED. CAD was diagnosed in 39.28% of the studied men's relatives. ED was less frequent in the men with familial CAD than in those without (71.53% vs. 78.29%). Similar relations were observed for the presence of CAD in parents (70.43% vs. 78.34%) and the father (69.95% vs. 77.46%). The International Index of Erectile Function 5 score was significantly higher in patients with familial CAD (median (interquartile range); 17 (12-22) vs. 16 (10-21); p = 0.0118), in parents (18 (12-22) vs. 16 (10-20); p = 0.021), and in the father (18 (12-22) vs. 16 (10-21); p = 0.0499). Age and education minimized the effect of familial CAD. Familial CAD increased the incidence of hypertension, dyslipidemia, and smoking but not sedentary lifestyle. Despite the higher prevalence of selected risk factors for ED in men with familial CAD, a higher incidence of ED was not observed.
Medical Science Monitor, Jul 12, 2019
Respiratory therapy is an integral part of treatment of cardiac patients. The aim of this study w... more Respiratory therapy is an integral part of treatment of cardiac patients. The aim of this study was to evaluate the effect of addition of inspiratory muscle training (IMT) to second-stage cardiac rehabilitation on exercise tolerance and function of lower extremities in patients following myocardial infarction (MI). This study included 90 patients (mean age 65 years) with MI who took part in the second stage of an 8-week cycle of cardiac rehabilitation (CR). They were divided into 3 groups: group I underwent CR and IMT, group II only underwent CR, and group III only underwent IMT. Groups I and II were allocated randomly according sealed opaque envelopes. The third group consisted of patients who could not participate in standard rehabilitation for various reasons. Before and after the 8-week program, participants were assessed for maximal inspiratory and expiratory pressure (PImax and PEmax) values, exercise tolerance, and knee muscle strength. In groups I and II, a significant increase in the PImax parameters and exercise tolerance parameters (MET) were observed. Group I had increased PEmax parameters. In group III, the same changes in the parameter values that reflect respiratory muscle function were observed. All of the examined strength parameters of the knee joint muscles demonstrated improvement in all of the investigated groups, but the biggest differences were observed in group I. Use of IMT in the ambulatory rehabilitation program of MI patients resulted in improved rehabilitation efficacy, leading to a significant improvement in physical condition.
Advances in Experimental Medicine and Biology, 2015
Chronic obstructive pulmonary disease (COPD) adversely affects the quality of life and life expec... more Chronic obstructive pulmonary disease (COPD) adversely affects the quality of life and life expectancy of patients. Shortness of breath, cough, and fatigue in lower limbs are the main reasons limiting physical activities of patients. The lack of physical activity results in poorer muscle strength. The latest guidelines regarding breathing rehabilitation in COPD patients emphasize a significant role of inspiratory muscle exercises. The objective of the present study was to evaluate the effects of an 8-week long inspiratory muscle training, interval training on a cycle ergometer, and training combining both kinds of rehabilitation, on pulmonary function, health-related quality of life, and the tolerance to exercise in patients with COPD. The study was conducted in a group of 43 patients with diagnosed COPD stage II and III according to GOLD. They were randomly divided into four training groups: inspiratory muscle training (Group 1), cycle ergometer training (Group 2), cycle ergometer and inspiratory muscle training (Group 3), control group - patients who did not participate in any rehabilitation programs (Group 4 - control). Before the rehabilitation process and after its completion the patients were medically examined, they completed a health-related quality of life questionnaire, performed a 6-min walk test, spirometry, and a treadmill exercise test according to the modified Bruce protocol. The results demonstrate a significant improvement in the quality of life measured for Group 3 in comparison with the control group.
Advances in Clinical and Experimental Medicine, Feb 26, 2020
There are more than 200 different diseases classed as interstitial lung diseases (ILDs). For epid... more There are more than 200 different diseases classed as interstitial lung diseases (ILDs). For epidemiological and practical purposes, ILDs are classified into diseases of known and unknown etiology. The aim of this review is to evaluate our current knowledge about the efficacy and safety of pulmonary rehabilitation (PR) in patients with ILDs. Other issues, such as ILD pathogenesis, prevalence and comorbidity, are also elaborated in the review. Pulmonary rehabilitation is an important part of comprehensive care for patients with ILDs. In comparison to PR for patients with chronic pulmonary obstructive disease (COPD), the number of clinical studies concerning PR for patients with ILDs is small. The majority of trials have been performed in relatively small groups of patients. The principles of PR in this group of patients are the same as for patients with COPD. Exercise-induced desaturation is frequently observed during PR, which is the main source of complications in patients with ILDs. Major differences between ILD and COPD patients include poorer exercise tolerance and faster development of respiratory failure in patients with ILDs.
Przeglad Menopauzalny, 2019
Urinary incontinence (UI) is an important social problem that affects more than 50% of postmenopa... more Urinary incontinence (UI) is an important social problem that affects more than 50% of postmenopausal women. The number of patients increases from year to year. According to recent data, UI affects women twice as often as men. This condition occurs in about 20-30% of young women, 30-40% in middle age and up to 50% of women in old age. There are five types of urinary incontinence. The etiology of the problem of incontinence is not fully understood, because the problem can affect men and women of all ages and can be due to many changes in the human body. International Continence Society Guidelines indicate that treatment of urinary incontinence should begin with conservative treatment. Surgical treatment should be used when conservative treatment will not bring positive results. According to guidelines, conservative treatment should include pharmacotherapy, physiotherapy, and behavioral therapy. Numerous scientific reports indicate efficacy of physiotherapy in the treatment of urinary incontinence. Most recent reports indicate that physiotherapy gives a positive result in up to 80% of patients with stage I or stress urinary incontinence (SUI) and mixed form, and in 50% of patients with stage II SUI. Urinary incontinence is an interdisciplinary problem because in addition to the sphere directly related to medicine, it also concerns the economic and social spheres. The latest data show that incontinence in postmenopausal women occurs more often than other civilization diseases such as diabetes, hypertension or depression.
Healthcare, Apr 24, 2023
Evidence has grown recently on the correlation between lifestyle and physical activity, and their... more Evidence has grown recently on the correlation between lifestyle and physical activity, and their impact on the functioning of the entire organism. In addition, a decrease in physical efficiency may be an indicator of the early diagnosis of systemic diseases. The aim of this study was to determine whether there is a relationship between exercise tolerance and possible erectile dysfunction or mental disorders. A cross-sectional study was conducted among 254 men in 4 cardiac rehabilitation centers in Poland using the standardized International Index of Erectile Function 5 (IIEF-5) and Beck Depression Inventory (BDI) questionnaires. Erectile dysfunction was directly proportional to the metabolic equivalent of the task (MET) variable. An increase in exercise tolerance by 1 point was associated with an increase in the IIEF-5 score by 1.62 points, indicating a reduction in the severity of erectile dysfunction. The 1-point increase in MET was associated with a 1.8-point decrease in BDI, indicating that an increase in exercise tolerance is associated with a decrease in the severity of depressive disorders. Increasing the tolerance of physical effort has a beneficial effect not only on the general well-being, but also on the sexual and mental health of men. An increase in exercise tolerance is associated with a reduction in the incidence of erectile dysfunction. On the other hand, in patients with depressive disorders, the improvement of exercise tolerance reduces the intensity of depression symptoms. Exercise tolerance can be an early and simple marker at the onset of erectile dysfunction or mood disorders.
Advances in Rehabilitation, Dec 1, 2015
Wstęp: Celem pracy była ocena występowania związków między siłą mięśni oddechowych, parametrami c... more Wstęp: Celem pracy była ocena występowania związków między siłą mięśni oddechowych, parametrami czynnościowymi układu oddechowego, tolerancją wysiłku i wybranymi zdolnościami motorycznymi u dziewcząt ze skoliozą. Materiał i metody: Materiał badawczy stanowiła grupa 49 dziewcząt ze skoliozą idiopatyczną (30-40º) w wieku 14-15 lat, przebywających na turnusie rehabilitacyjnym w WSR dla Dzieci w Jastrzębiu-Zdroju (średnia wartość kąta Cobba dla odcinka piersiowego wyniosła 33,29±3,87, dla odcinka lędźwiowego 15,00±5,40). U badanych zastosowano metodę DoboMed. Na radiogramie jednokrotnie oceniono kąt Cobba, dojrzałość kostną (Risser) oraz współczynnik Raimondiego. Dwukrotnie przed i po zakończeniu turnusu zmierzono: podstawowe cechy somatyczne, PImax i PEmax, krzywą przepływ/objętość oraz MVV. Ponadto wykonano dwa wybrane testy sprawności fizycznej oraz test korytarzowy. Wyniki: Wykazano związki między parametrem VC oraz PEF z siłą mięśni wdechowych, parametr MVV i PEmax korelują z testem przejścia z leżenia tyłem do siadu. Zaobserwowano korelację między PImax i testami sprawnościowymi: z leżenia tyłem do siadu oraz tolerancją wysiłkową. Zanotowano istotną korelację między wartością kąta Cobba a rotacją kręgosłupa piersiowego oraz wysokością ciała a siłą eksplozywną kończyn górnych. Wnioski: Zanotowano istotne związki między PImax a pojemnością życiową płuc oraz szczytowym przepływem wydechowym wyrażonych w % wartości należnych. Odnotowano zależności między PEmax a wartością VC wyrażoną w litrach. Zaobserwowano związki między siłą mięśni oddechowych (PImax i PEmax), MVV wyrażoną w litrach i mięśni zginających tułów (m. biodrowo-lędźwiowy i m. brzucha). Dowiedziono także związków zachodzących między tolerancją wysiłkową a siłą mięśni wdechowych. Odnotowanie silnych zależności PImax, PEmax oraz MVV z siłą mięśni zginających tułów (szczególnie mięśni brzucha) u badanych dziewcząt świadczy o konieczności wykorzystywania w leczeniu skolioz metod terapeutycznych opartych na specjalistycznych technikach oddechowych, np. metody DoboMed.
International Journal of Environmental Research and Public Health, May 17, 2019
Background: According to the literature, inspiratory muscle fatigue may increase after swimming t... more Background: According to the literature, inspiratory muscle fatigue may increase after swimming training (ST). This study aimed to examine the efficacy of 8-week inspiratory muscular training (IMT) in disabled swimmers, combined with standard sports training, on selected parameters of lung ventilation and the function of respiratory muscles. Methods: A total of 16 disabled swimming division athletes from Wroclaw's 'Start' Regional Sports Association qualified for the study. The subjects were randomly divided into two groups (ST and IMT). Both groups participated in swimming training for 8 weeks (8 times a week). The IMT group additionally participated in inspiratory muscle training (8 weeks). In all respondents, a functional lung test and the respiratory muscle strength was measured. Results: After 8 weeks of training, a significant increase in ventilation parameters and respiratory muscle strength was observed only in the IMT group. In ST group 1, a 20% improvement in the strength of inspiratory muscles was achieved. Conclusions: The inclusion of IMT is an important element that complements swimming training, allowing for greater increases in lung ventilation parameters and the strength of respiratory muscles in disabled swimmers.
International Journal of Environmental Research and Public Health, 2021
Regardless of the management regime for heart failure (HF), there is strong evidence supporting t... more Regardless of the management regime for heart failure (HF), there is strong evidence supporting the early implementation of exercise-based cardiac rehabilitation (CR). Respiratory therapy is considered to be an integral part of such secondary prevention protocols. The aim of the study was to evaluate the effect of inspiratory muscle training (IMT) on exercise tolerance and the functional parameters of the respiratory system in patients with heart failure involved in cardiac rehabilitation. The study included 90 patients with HF who took part in the second-stage 8-week cycle of cardiac rehabilitation (CR). They were randomly divided into three groups: Group I underwent CR and IMT; Group II only CR; and patients in Group III underwent only the IMT. Before and after the 8-week cycle, participants were assessed for exercise tolerance and the functional parameters of respiratory muscle strength. Significant statistical improvement concerned the majority of the hemodynamic parameters, lun...
Anthropological Review, 2020
Anthropometric, functional and physical activity characteristics of contemporary adult descendant... more Anthropometric, functional and physical activity characteristics of contemporary adult descendants of Upper Silesian immigrants to Texas in the mid-19th century and current residents in Upper Silesia were compared. The sample included 45 residents in Central Texas, 25 women and 20 men, and 36 residents in rural Upper Silesia, 24 women and 12 men, 54-76 years of age. Variables included selected demographic characteristics, anthropometry, estimated body composition, several physiological indicators, strength and functional fitness, and physical activity. Sex-specific MANCOVA and Chi square were used for comparisons. Descendants of Silesian immigrants to Texas were taller, on average, while differences in other anthropometric variables were variable. All residents in Silesia and the majority of descendants of Silesian migrants to Texas were overweight or obese. Differences in hemodynamic and respiratory functions and responses to a 6-minute walk were inconsistent, while none of the fit...
Przegląd Elektrotechniczny, 2014
Thermal distributions of temperature indicate the possibility of application of this technique to... more Thermal distributions of temperature indicate the possibility of application of this technique to evaluate the intensity of the measurement of blood flow to the extremities of the patient, which may be limited due to dysfunctions of the circulatory system of the limb parts. Thermograms obtained during tests can be also spectral analysis, using the wavelet transform to performed on the basis of the continuous wavelet transform (CWT). The paper presents an assessment of the possibilities of using the decomposition of respondents thermographic images using CWT as a qualitatively new comparative criterion. (The use of thermal images to assess the impact of physical stimuli on metabolic processes in the tissues). Slowa kluczowe: termiczny rozklad temperatury, procesy metaboliczne w tkankach, analiza widmowa.
Journal of Clinical Medicine, 2021
Erectile dysfunction (ED) and coronary artery disease (CAD) share common risk factors, some of wh... more Erectile dysfunction (ED) and coronary artery disease (CAD) share common risk factors, some of which have genetic backgrounds, while others may be stimulated by family lifestyle. We investigated the impact of the familial occurrence of CAD on the presence of ED and the presence of classic risk factors for ED in men with CAD. This cross-sectional observational study involved 751 men with CAD who were subjected to cardiac rehabilitation. Overall, 75.63% of the men had ED. CAD was diagnosed in 39.28% of the studied men’s relatives. ED was less frequent in the men with familial CAD than in those without (71.53% vs. 78.29%). Similar relations were observed for the presence of CAD in parents (70.43% vs. 78.34%) and the father (69.95% vs. 77.46%). The International Index of Erectile Function 5 score was significantly higher in patients with familial CAD (median (interquartile range); 17 (12–22) vs. 16 (10–21); p = 0.0118), in parents (18 (12–22) vs. 16 (10–20); p = 0.021), and in the fathe...
Uploads
Papers by Krystyna Rozek-Piechura