Možnosti dechové rehabilitace u hematoonkologických pacientů - kazuistická studie

Title in English Possibilities of respiratory rehabilitation in hemato-oncologic patients - a case report


Year of publication 2018
Type Article in Periodical
Magazine / Source Rehabilitácia
Keywords oncology; hemato-oncology; tumour; methods of therapy; physical therapy; respiratory therapy; inspiration resistance training
Description Basis: Hemato-oncologic malignances are heterogenous group of illnesses that brings the appearance of various acute lung complications. Patients with hemato-oncologic disease encounter after successfully finished treatment decondition that is manifested mainly by tiredness, inefficiency, weakness and dyspnoea. Inclusion of respiratory training (RT) with physiotherapy elements seems to be a suitable variant to decrease the feelings of tiredness, to optimize the mechanics of breathing, strenghten the respiratory muscles, decrease the post load dyspnoea, to increase the tolerance of load and the adherence to motion activities. Group and methods: In this case report we monitored the changes of our proband J.Z. (age: 72 years old, height: 162 cm, weight: 54 kg, dominant upper limb: right). The study was performed sine the half of September to the end od December 2017. MIP and MEP value to assess the strenght of respiratory muscles were measured via Micro RPM, MS comp., Spiro, Lewinston, USA before and after the 12 week training of respiratory pathways. Thorax elasticity was assessed via thorax antropometry, breath quality via videorecord of breathing stereotype at stand in combination with kinesiologic analysis during the arm test in supine position. Results: Observing the standing position from front we noticed the decreased tonus of m. trapezius - pars descendens on the left side and therefore improvement of arm girdles position was observed. Increased activity in the neck area, especially m. SCM, mm. scaleni bilaterally persists in their postural function. Upper type of breathing in the patient still persists, but lower elevation of arm girdles can be observed, connected with lower migration of thorax in cranial direction comparing to the entrance examination. Conclusion: Use of respiratory rehabilitation elements, with combination of RF and RT is safe in patients with hemato-oncologic diseases supposing abinding all criteria for setting the entrance values of RT and in combination with continuous quality control by a physiotherapist. It seems that this therapy has more significant importance in patients who did not perform any sport regularly before the disease. It can therefore serve as a preparation for following cardio-training, for its easier process and subsequently better adherence to physical activity.

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