REHABILITATION OF LARYNGECTOMIZED PATIENTS - EVALUATION OF PHYSICAL FITNESS AND CAPACITY
Journal Title: Fizjoterapia Polska - Year 2007, Vol 7, Issue 4
Abstract
[b]Background.[/b] Patients after total laryngectomy are usualy less physically active than other groups of patients treated for cancer. The limitation of physical activity after laryngectomy is the result of the inability to control the sensation of apparent dyspnoea and inability to communicate by means of articulate speech, fear of recurrence and of not being accepted by the family or other relations. Early rehabilitation is very important after surgery for cancer, especially when the treatment cripples the patient. Laryngectomy leads to severe disability, depriving the patients of their speech organ, and is associated with various functional postoperative complications.[b]Material and methods.[/b] A total of 30 radical laryngectomy patients (4 women and 26 men) aged 48-74 years (mean 61 years) were enrolled for a rehabilitation programme. During the rehabilitation programme, patients were subjected to the Harvard Step Test modified by Szyszko-Wydra.[b]Results.[/b] After the rehabilitation treatment, patients in all age groups demonstrated improvement in physical fitness (see figure in text). The level of physical capacity before the treatment was very low, improving to average or good as a result of rehabilitation.[b]Conclusions.[/b] The results of the study show that the rehabilitation programme was instrumental in effecting a significant improvement of the patients' overall physical capacity. Group rehabilitation of patients suffering from the same condition increases the likelihood of achieving a higher level of physical capacity. This is attributable to the positive effect of the daily exercises, especially respiratory exercises to strengthen the diaphragm, which are helpful in making sonorous burps and learning oesophageal speech. Exercise also helps to eliminate the feeling of embarrassment and promotes full acceptance and emotional support within the group.
Authors and Affiliations
Urszula Kaźmierczak, Wojciech Hagner, Jan Talar
Keywords
Related Articles
- EP ID EP65506
- DOI -
- Views 129
- Downloads 0
Outcomes following inhibiting casts treatment in a 5 years old child with spastic hemplegic cerebral palsy – a case report
In children with Cerebral palsy (CP), according to the definition, motor disorders occur. The primary aim of the rehabilitation in this group of children is to support the development of the best quality of motor and pos...
Long-term evaluation of treatment of traumatic injuries and motor organ overuse syndromes in archers
The purpose of this study was to characterize most common injuries and overuse syndromes observed in archery, to evaluate their influence on further sports careers and to determine what treatment methods are most commonl...
PORÓWNANIE EFEKTU TRANINGU NA BIEŻNI RUCHOMEJ Z TRENINGIEM NA CYKLOERGOMERZE ROWEROWYMU PACJENTÓW Z MIAŻDŻYCĄ KOŃCZYN DOLNYCH - DONIESIENIE WSTĘPNE
Wstęp. Celem pracy jest próba bezpośredniego porównania skuteczności treningu prowadzonego na bieżni z treningiem prowadzonym na cykloergometrze rowerowym u chorych z chromaniem przestankowym, przy zastosowaniu wysiłku o...
Cukrzyca: czy tylko insulina? Współczesny stan wiedzy na temat roli fizjoterapii w kompleksowej opiece nad pacjentem z cukrzycą T1 i T2
Cukrzyca jest narastającym problemem XXI wieku. Przewlekła hiperglikemia jest przyczyną wielu zmian patologicznych w postaci mikro i makroangiopatii, neuropatii oraz zespołu stopy cukrzycowej. Program leczenia powinien u...
Occurrence of work-related pain syndromes and injuries due to overload of the musculoskeletal system in physiotherapists
Introduction. The aim of this study was to analyze the prevalence of musculoskeletal pain and injuries associated with the physiotherapy profession, as well as to analyze work activities related to professional practice...