scholarly journals The Influence of Respiratory Component on Satisfaction with Physical Therapy after Cardiosurgical Interventions

2021 ◽  
Vol 6 (4) ◽  
pp. 142-148
Author(s):  
V. V. Vitomskyi ◽  
◽  
Keyword(s):  
Physical Therapy ◽  
Physical Therapist ◽  
Control Group ◽  
Surgical Interventions ◽  
Level Of Satisfaction ◽  
Number Of Cycles ◽  
High Level ◽  
Previous Group ◽  
Incentive Spirometry ◽  
Positive Expiratory Pressure

The purpose of the study was to investigate the effect of additional respiratory physical therapy on the level of satisfaction with physical therapy among patients after cardiac surgery. Materials and methods. The study involved 150 patients. The patients were randomly divided into three groups: control (respiratory physical therapy was limited to cough), group of incentive spirometry (in classes with a physical therapist patients performed additional 3 approaches of 10 breaths through the simulator; they received recommendations for hourly performance of a similar number of cycles of exercise), a group of patients who received additional respiratory physical therapy with positive expiratory pressure in the form of exhalation into a bottle of water through a tube (number of repetitions and recommendations are similar to those received by the previous group). All groups underwent the same protocol of mobilization and use of therapeutic physical exercises in the procedure of therapeutic gymnastics. Performing exercises with breathing simulators began on the first postoperative day. Results and discussion. A questionnaire (17 questions) was used to assess the satisfaction with physical therapy. The survey was conducted on the seventh postoperative day. The answers were distributed on a 5-point Likert scale from 1 point to 5 points. The key preoperative indicators and time indicators of surgical interventions of the examined groups did not differ significantly. Analysis of satisfaction with physical therapy revealed a high level in all items of the questionnaire. Statistical differences between the groups were found in only three items of the questionnaire, but they were not related to either the use of equipment or diligence in treatment or the content of physical therapy. The overall score of the questionnaire did not differ in groups according to the Kraskel-Wallis criterion, and Me indicators (25%; 75%) were in the control group – 81 (77; 85) points, in the group of stimulating spirometry – 81 (72; 85) points in the group with positive expiratory pressure – 79 (73; 84) points (χ2 = 4.560; p = 0.102). Conclusion. Additional respiratory physical therapy did not affect the overall satisfaction rate and results of most items of the questionnaire. The differences found in the three items did not indicate any effect of the use of respiratory physical therapy on the level of satisfaction, as higher scores in these items were in the control group. All items in the questionnaire received high scores

scholarly journals The Effect of Respiratory Physical Therapy on the Lеvel of Free Fluid in Pleural Cavities after Cardiac Surgery

2021 ◽  
Vol 6 (2) ◽  
pp. 189-195
Author(s):  
V. V. Vitomskyi ◽  
◽  
Keyword(s):  
Cardiac Surgery ◽  
Physical Therapy ◽  
Physical Therapist ◽  
Pairwise Comparison ◽  
Free Fluid ◽  
Negative Effect ◽  
Number Of Cycles ◽  
The Right ◽  
Previous Group ◽  
Incentive Spirometry

The purpose of the study was to investigate the effect of respiratory physical therapy on the level of free fluid in the pleural cavities after cardiac surgery. Materials and methods. The study involved 138 patients. The patients were randomly divided into three groups: control (respiratory physical therapy was limited to cough), group of incentive spirometry (in classes with a physical therapist patients performed additional 3 approaches of 10 breaths through the simulator; they received recommendations for hourly performance of a similar number of cycles of exercise), a group of patients who received additional respiratory physical therapy with positive expiratory pressure in the form of exhalation into a bottle of water through a tube (number of repetitions and recommendations are similar to those received by the previous group). All groups underwent the same protocol of mobilization and use of therapeutic physical exercises in the procedure of therapeutic gymnastics. Performing exercises with breathing simulators began on the 1st postoperative day. Results and discussion. The results of ultrasound examinations of the level of free fluid in the left and right pleural cavities, which were performed according to the postoperative protocol, were studied. The first ultrasound examination, which was analyzed, was performed on the seventh postoperative day, and in the absence of the study on this day, the data of the next study were selected with the registration of the postoperative day number. In addition, the indicators of the final studies of the level of free fluid of the pleural cavities were compared. The position of the patient during the examinations was a sitting one. Analysis of the level of pleural effusion did not establish the benefits of using additional respiratory physical therapy in both groups. The results of studies of the right pleural cavities did not differ in groups of patients, but those of the left ones differed. Conclusion. Pairwise comparison of the groups confirmed the presence of statistically worse results of examinations of the left pleural cavities in the group of incentive spirometry, as well as the absence of statistical differences between the results of the other two groups. The negative effect of incentive spirometry should be confirmed by additional studies, as its effect differed for the results of the left (negative effect) and right (no advantage) pleural cavity

scholarly journals Analysis of the Influence of Demographic Indicators on Satisfaction with Stationary Physical Therapy among Cardiosurgical Patients

2020 ◽  
Vol 5 (5) ◽  
pp. 258-264
Author(s):  
V. V. Vitomskyi ◽  
◽  
Keyword(s):  
Cardiac Surgery ◽  
Physical Therapy ◽  
Normal Distribution ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Correct Diagnosis ◽  
Mean Value ◽  
Level Of Satisfaction ◽  
The Law ◽  
High Level

The purpose of the study was to assess satisfaction with physical therapy received during a stay in a cardiac surgery hospital, and to investigate the influence of gender and age of patients on its level. Material and methods. The study involved 87 patients (men n = 56; women n = 31; age 61.59±11.41 years) who underwent cardiac surgery. An adapted version of the Physical Therapy Satisfaction Questionnaire was used to assess satisfaction, which consisted of 17 statements. The obtained results were processed by methods of mathematical statistics. As the results of the vast majority of indicators did not comply with the law of normal distribution, the median (Me) and upper and lower quartiles (25%; 75%) were calculated. For the results of indicators that corresponded to the law of normal distribution, the mean value and the standard deviation (±S) were additionally calculated. To assess the significance of the difference, in the presence of a normal distribution of research results, Student's t-test (for independent groups) was used, and for indicators with a different distribution than normal, Mann-Whitney U-test (for independent groups) and χ2 test were used. Spearman's correlation rank criterion was used to study the effect of age on satisfaction with physical therapy. Results and discussion. Comparison of the results of men and women did not reveal significant differences in the results of the survey. Only two items (explaining the reasons for physical therapy; waiting after the appointment) out of seventeen had a significant inverse relationship with age, but its strength was weak. The results of all points of satisfaction with physical therapy were high. Most patients agreed or completely agreed with the statement of the questionnaire. The answer "uncertain" was observed much less often. In the analysis of the obtained indicators of satisfaction in the general sample of patients, the best results were obtained in the seventh item of the questionnaire (friendliness and politeness), the thirteenth (respect for the physical therapist) and the first (explanation of the reasons for physical therapy). The lowest scores were obtained in the third (the feeling the correct diagnosis of physical therapists), fifth (access to the necessary physical therapists for feedback on physical therapy procedures), sixteenth (matching the patient's ability to physical therapy). The reasons which could influence decrease in estimates in indicators with the lowest results are considered. The total score of all items was 81 (77; 85) points. Taking into account that the theoretical maximum is 85 points and a minimum of 17 points (with the answers "strongly disagree" in all points), the median was 94% of the maximum result, which further confirms the high level of patient satisfaction. Conclusion. The age and sex of cardiac surgery patients did not affect the level of satisfaction with physical therapy. The survey of patients confirmed a high level of satisfaction

scholarly journals Changes in the mobility of obese people under the influence of a physical therapy program

2019 ◽  
Vol 5 (3) ◽  
pp. 9 ◽  
Author(s):  
M.G. Aravitska
Keyword(s):  
Physical Therapy ◽  
Rehabilitation Program ◽  
Control Group ◽  
Functional Movement Screen ◽  
Obese Patients ◽  
Functional Movement ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
One Year ◽  
High Level

<p><strong>Objective:</strong> to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.</p><p><strong>Materials and methods</strong>. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.</p><p><strong>Results.</strong> During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p &lt;0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p&gt; 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p &lt;0.05).</p><p><strong>Conclusions: </strong>Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.</p>

scholarly journals Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
I. Dimbwadyo-Terrer ◽  
A. Gil-Agudo ◽  
A. Segura-Fragoso ◽  
A. de los Reyes-Guzmán ◽  
F. Trincado-Alonso ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Conventional Therapy ◽  
Control Group ◽  
Virtual Reality System ◽  
Limb Function ◽  
Upper Limb Function ◽  
Level Of Satisfaction ◽  
High Level

The aim of this study was to investigate the effects of a virtual reality program combined with conventional therapy in upper limb function in people with tetraplegia and to provide data about patients’ satisfaction with the virtual reality system. Thirty-one people with subacute complete cervical tetraplegia participated in the study. Experimental group received 15 sessions with Toyra®virtual reality system for 5 weeks, 30 minutes/day, 3 days/week in addition to conventional therapy, while control group only received conventional therapy. All patients were assessed at baseline, after intervention, and at three-month follow-up with a battery of clinical, functional, and satisfaction scales. Control group showed significant improvements in the manual muscle test (p= 0,043, partialη2= 0,22) in the follow-up evaluation. Both groups demonstrated clinical, but nonsignificant, changes to their arm function in 4 of the 5 scales used. All patients showed a high level of satisfaction with the virtual reality system. This study showed that virtual reality added to conventional therapy produces similar results in upper limb function compared to only conventional therapy. Moreover, the gaming aspects incorporated in conventional rehabilitation appear to produce high motivation during execution of the assigned tasks. This trial is registered with EudraCT number2015-002157-35.

scholarly journals Comparison of three respiratory physical therapy techniques and their impact on pulmonary function restoration among cardiac surgery patients in hospital settings

2021 ◽  
Vol 23 (4) ◽  
pp. 531-535
Author(s):  
V. V. Vitomskyi
Keyword(s):  
Cardiac Surgery ◽  
Physical Therapy ◽  
Pulmonary Function ◽  
Vital Capacity ◽  
Physical Therapist ◽  
Forced Expiratory Volume ◽  
Control Group ◽  
Therapeutic Exercises ◽  
Significant Difference ◽  
Respiratory Exercises

The aim. To compare three respiratory physical therapy techniques and their impact on pulmonary function restoration among cardiac surgery patients in hospital settings. Materials and methods. The study involved 126 patients of both sexes who were admitted for cardiac surgery. All the procedures were performed by sternotomy with cardiopulmonary bypass and cardioplegic arrest. The patients were randomly divided (with a ratio of 1:1:1 by envelope method) into the control group (CG, n = 42), incentive spirometry group (ISG, n = 42) and іnspiratory muscle training group (IMTG, n = 42). The examined patients underwent standardized physical therapy (early mobilization; therapeutic exercises; coughing). The groups varied in respiratory therapy. Patients of the ISG group performed additional respiratory exercises using a Tri-Ball respiratory exerciser (three repetitions of 10 forced, full and rapid inspirations through the respiratory exerciser under the supervision of a physical therapist; besides, they were recommended to perform 3 repetitions with 10 inspirations each hour). Patients of the IMTG group performed additional respiratory exercises using Respironics Threshold IMT breathing exerciser, received explanations and recommendations like patients of the ISG group. The pulmonary function test (PFT) was performed for the patients of all groups before the surgery and on the 7 postoperative day. Results. PFT scores did not differ statistically between the groups of patients before the surgery. The three groups of patients had a negative dynamic of all test indicators, except Tiffeneau index. The analysis of PFT final scores did not confirm a significant difference in the studied indicators among the groups: vital capacity (P = 0.599), forced vital capacity (P = 0.393), forced expiratory volume in one second (P = 0.589), peak expiratory flow (P = 0.326), forced inspiratory vital capacity (P = 0.258), peak inspiratory flow (P = 0.569). Conclusions. Statistical analysis of PFT indicators did not reveal any significant differences among the groups of cardiac surgery patients at the preoperative examination and on the 7 postoperative day, despite the differences in postoperative respiratory physical therapy.

scholarly journals CLINICAL FEATURES OF GASTROINTESTINAL ULCERATIVE BLEEDING IN ELDERLY PATIENTS COMPLICATED BY CARDIO-VASCULAR PATHOLOGY

2021 ◽  
Vol 74 (2) ◽  
pp. 202-206
Author(s):  
Mykola V. Trofimov ◽  
Valerii P. Kryshen ◽  
Valentyna Y. Kudryavtseva ◽  
Alla V. Chukhriienko ◽  
Pavlo V. Lyashchenko ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Standard Therapy ◽  
Vascular System ◽  
Palliative Surgery ◽  
Vascular Pathology ◽  
Control Group ◽  
Surgical Interventions ◽  
Active Hemorrhage ◽  
Cardio Vascular ◽  
High Level

The aim: To determine clinical and endoscopical features of gastroduodenal hemorrhages in elderly patients with concomitant cardio-vascular pathology in a way by studying, main indicators of the immune system for drawing up further tactics. Material and methods: The study included 609 patients with ulcerative gastroduodenal bleeding, complicated by cardio-vascular system pathology in 2017-2019 years. The observed patients were distributed into the groups: I – patients, who received treatment according to the standard system of cardiovascular pathology treatment (n=541), II – “double” therapy (n=68). Control group consists of 20 relatively healthy patients were similar to the research group. Results: Blood lost of a big amount and massive blood lost were noticed in 113 (18.56%±1.58) and 121 (19.87%±1.62) patients respectively. Active bleeding (F I) was revealed in 38 patients (6.24%±0.98), a high risk of hemorrhage relapse was determined in 486 patients (79.80%±1.63). Signs of recent hemorrhage were absent in 85 patients (13.96%±1.40). A high level of pro-inflammatory cytokines IL-6, TNF-α and a low activity of the anti-inflammatory mediator IL-10 define the process activity, their long-term circulation in patients with ulcerative hemorrhages of the gastro-intestinal tract are associated with unfavorable prognosis. In 5 cases conditionally-radical surgical interventions were performed. Palliative surgery – 3 patients (р>0.05). Conclusions: The patients of second group (“double therapy”) with big and massive blood loss was 2.7 times higher than similar indices in patients of the first group (standard therapy). The patients who received “double therapy” had 3.3 times more active hemorrhage percentage than the patients who received standard therapy (р<0.05).

scholarly journals Effects of a 12-week workplace counseling program on physical activity and low back pain: A pilot randomized controlled study

2021 ◽  
pp. 1-8
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapist ◽  
Intervention Group ◽  
Controlled Study ◽  
Control Group ◽  
Low Back ◽  
Face To Face ◽  
High Level

BACKGROUND: Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear that PA interventions in the workplace can improve LBP. OBJECTIVE: This study aimed to investigate the effects of workplace counseling on PA and LBP among workers. METHODS: We recruited 37 people with 12 weeks of LBP who worked in a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention (n= 20) or control group (n= 17). All participants of both groups were affixed with waist-worn accelerometers to monitor PA. The intervention group also received a program of face-to-face counseling with a physical therapist or nurse once a week for 12 weeks to reassure and encourage participants to maintain a high level of PA. PA and LBP severity were assessed at baseline, 3 and 6 months. RESULTS: PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, PA significantly increased at 3 and 6 months from baseline, and LBP severity at 6 months improved significantly from baseline. CONCLUSIONS: Our data suggest that workplace PA intervention can increase PA and improve LBP among workers.

scholarly journals Hemophilia Patient Experience in a Physical Therapy-Guided Health Education Intervention: A Mixed-Method Design

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1728
Author(s):  
Alicia López-Casaus ◽  
Carolina Jiménez-Sánchez ◽  
Paula Cordova-Alegre ◽  
Fani Alfaro-Gervon ◽  
Laura Esteban-Repiso ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Mixed Method ◽  
Therapeutic Education ◽  
Level Of Satisfaction ◽  
Patient’S Experience ◽  
Degree Of Satisfaction ◽  
Group A ◽  
Healthcare Interventions ◽  
High Level ◽  
The Impact

People with hemophilia usually have negative joint consequences due to their illness. Evidence suggests that exercise and therapeutic education bring some benefits. An important factor that affects health interventions was the experience and degree of satisfaction. Thus, it is relevant to analyze qualitative and quantitative data to obtain a complete view of the patient’s experience. As a result, a concurrent nested mixed method with quantitative predominance study design was carried out. Nine people with hemophilia of Hemoaralar with a homogeneous environment participated in this study. The items evaluated were the level of satisfaction through the GCPC-UN-ESU survey and the experience with healthcare interventions through a focus group. A high level of satisfaction was obtained, but some divergences between quantitative and qualitative data were found. Further research about physical therapy and this type of intervention in people with hemophilia should be considered to better address the impact of living with the disease.

scholarly journals Comparison of the Therapeutic Alliance Indicators according to the Results of the Survey of Cardiosurgical Patients and their Physical Therapists

2020 ◽  
Vol 5 (6) ◽  
pp. 275-281
Author(s):  
V. V. Vitomskyi ◽  
◽  
K. M. Al-Hawamdeh ◽  
M. V. Vitomska ◽  
S. V. Gavreliuk
Keyword(s):  
Cardiac Surgery ◽  
Physical Therapy ◽  
Therapeutic Alliance ◽  
Questionnaire Survey ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Early Mobilization ◽  
Therapeutic Exercises ◽  
Postoperative Physical Therapy ◽  
High Level

The purpose of the study was to determine and compare the indicators of the therapeutic alliance based on the results of a survey of cardiac surgery patients and their physical therapists. Material and methods. The survey involved 100 patients (over 18 years old, without cognitive impairment) who underwent cardiac surgery. The Working Alliance Inventory questionnaire was used to assess the level of therapeutic alliance formation. The SF Hatcher Client form (which consists of 12 questions) was used for the patient. These questions were divided into three groups / domains: "goal items", "task items" and "bond items". The questionnaire was filled in on the seventh postoperative day. The SF Hatcher Client form, which consisted of 12 questions, was used for the patient. Intervention: before surgery, patients received a short consultation with a physical therapist regarding the goals and content of physical therapy, the algorithm for activation after surgery; the postoperative physical therapy protocol included early mobilization, therapeutic gymnastics, the use of respiratory physical therapy techniques, and therapeutic walking under the supervision of a physical therapist. Patients were provided with information and tasks on therapeutic walking, a small set of therapeutic exercises and breathing physical therapy for independent implementation. Results and discussion. The indicators of the therapeutic alliance between physical therapists and cardiac surgery patients confirmed its high level, both according to the results of the questionnaire survey of patients and the results of the survey of specialists. The "goal items" domain had the highest score in the patient's assessment of therapeutic alliance. Since the patient and specialist questionnaires had a different number of questions and a different maximum score, it was decided to make comparisons of the overall estimates of the level of therapeutic alliance after converting them to a percentage of the maximum. A significantly better overall score for the therapeutic alliance was established according to the results of the questionnaire survey of physical therapists: 87.5 (82.5; 95) % of the maximum versus 81.25 (66.67; 89.58) % of the maximum (p = 0.000). Conclusion. Physical therapists rated the therapeutic alliance for a higher score

scholarly journals Effects of a 12-week workplace counseling program on physical activity and low back pain: a pilot randomized controlled study

2020 ◽  
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Physical Therapist ◽  
Intervention Group ◽  
Controlled Study ◽  
Control Group ◽  
Low Back ◽  
High Level

Abstract Background: Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear that PA interventions in the workplace can improve LBP. This study aimed to investigate the effects of workplace counseling on PA levels, and LBP and physical function among workers.Methods: We recruited 37 people with 12 weeks of LBP who worked as office staff or machinery mechanic in a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention group (n = 20) or control group (n = 17). All participants of both groups were affixed with waist-worn accelerometers to monitor PA. The intervention group also received a program of face-to-face counseling with a physical therapist or nurse once a week for 12 weeks to reassure and encourage participants to maintain a high level of PA. PA, LBP severity and physical function were assessed at baseline, 3 and 6 months.Results: Baseline characteristics were similar in both groups. PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, PA and physical function significantly increased at 3 and 6 months from baseline, and LBP severity at 6 months improved significantly from baseline. We calculated the effect size of the PA workplace counseling and found that it had a medium-to-large effect on PA, LBP severity and physical function.Conclusions: Our data suggest that workplace PA intervention can increase PA and improve LBP among workers.Trial registration: UMIN-CTR Clinical Trial UMIN000038864 (https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044321). Registered 12 December 2019, retrospectively registered.

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