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4. Role of the Inspiratory Muscles on Functional Performance From Critical Care to Hospital Discharge and Beyond in Patients With COVID-19

Author

Formiga, Magno F., Dosbaba, Filip, Hartman, Martin, Batalik, Ladislav, Senkyr, Vojtech, Radkovcova, Ivana, Richter, Svatopluk, Brat, Kristian, and Cahalin, Lawrence P.

Subjects
Company business management, Hospitals -- Admission and discharge, Comorbidity -- Diagnosis -- Care and treatment, Critical care medicine -- Methods
Abstract

Objective. The role of inspiratory muscle performance in functional performance in patients with coronavirus disease 2019 (COVID-19) is poorly understood. The purpose of this study was to perform a longitudinal examination of inspiratory and functional performance from intensive care unit (ICU) discharge (ICUD) to hospital discharge (HD) and symptoms at HD and 1 month after HD in patients with COVID-19. Methods. Thirty patients (19 men, 11 women) with COVID-19 were included. Examination of inspiratory muscle performance at ICUD and HD was performed with an electronic manometer, which provided the maximal inspiratory pressure (MIP) and several other inspiratory measures. Examination of dyspnea and functional performance was performed at ICUD and HD with the Modified Borg Dyspnea Scale and the 1-minute sit-to-stand test (1MSST), respectively. Results. The mean age was 71 (SD = 11) years, the mean length of ICU stay was 9 (SD = 6) days, and the mean length of hospital stay was 26 (SD = 16) days. Most of the patients were diagnosed with severe COVID-19 (76.7%) and had a mean Charlson Comorbidity Index of 4.4 (SD = 1.9), reflecting high comorbidity. The mean MIP of the entire cohort increased minimally from ICUD to HD (from 36 [SD = 21] to 40 [SD = 20] cm [H.sub.2]O), reflecting predicted values for men and women at ICUD and HD of 46 (25%) to 51 (23%) and 37 (24%) to 37 (20%), respectively. The 1MSTS score increased significantly from ICUD to HD (9.9 [SD = 7.1] vs 17.7 [SD = 11.1]) for the entire cohort but remained far below population-based reference values (2.5th percentile) for the majority of patients at ICUD and HD. At ICUD, MIP was found to be a significant predictor of a favorable change in 1MSTS performance ([beta] = 0.308; odds ratio = 1.36) at HD. Conclusion. A significant reduction in inspiratory and functional performance exists in patients with COVID-19 at both ICUD and HD, with a greater MIP at ICUD being a significant predictor of a greater 1MSTS score at HD. Impact. This study shows that inspiratory muscle training may be an important adjunct after COVID-19. Keywords: 1 Minute Sit-to-Stand Test, COVID-19, Function, Functional Performance, Inspiratory Muscle Performance, Maximal Inspiratory Pressure, Introduction The role of inspiratory muscle performance (IMP) on functional performance in as with coronavirus disease 2019 (COVID-19) has received minimal investigation and is thus poorly understood. (1) This is [...]

Published
2023
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14. Effects of Home-Based Training with Internet Telehealth Guidance in COPD Patients Entering Pulmonary Rehabilitation: A Systematic Review

Author

Hartman,Martin, Mináriková,Jitka, Batalik,Ladislav, Pepera,Garyfallia, Su,Jing Jing, Formiga,Magno F, Cahalin,Lawrence, Dosbaba,Filip, Hartman,Martin, Mináriková,Jitka, Batalik,Ladislav, Pepera,Garyfallia, Su,Jing Jing, Formiga,Magno F, Cahalin,Lawrence, and Dosbaba,Filip

Abstract

Martin Hartman,1 Jitka Mináriková,1 Ladislav Batalik,2,3 Garyfallia Pepera,4 Jing Jing Su,5 Magno F Formiga,6 Lawrence Cahalin,7 Filip Dosbaba1,2 1Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic; 2Department of Rehabilitation, University Hospital Brno, Brno, 62500, Czech Republic; 3Department of Public Health, Faculty of Medicine, Masaryk University Brno, Brno, 62500, Czech Republic; 4Clinical Exercise Physiology and Rehabilitation Research Laboratory, Physiotherapy Department, School of Health Sciences, University of Thessaly, Lamia, Greece; 5School of Nursing, The Hong Kong Polytechnic University, Hong Kong, People’s Republic of China; 6Universidade Federal do Ceará, Faculdade de Medicina, Departamento de Fisioterapia, Fortaleza, Ceará, Brazil; 7Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, USACorrespondence: Martin Hartman, Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University, University Hospital Motol, V Úvalu 84, Prague, 150 06, Czech Republic, Tel +420 224439200, Fax +420 224439201, Email hartman.martin@fnbrno.czObjective: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. Telehealth rehabilitation may offer new opportunities in patient therapy. This systematic review aimed to evaluate the effects of internet-mediated telerehabilitation and compare them with the outcomes of conventional pulmonary rehabilitation in COPD patients.Methods: Electronic databases PubMed, Prospero, Scopus, and Cochrane were searched for randomized controlled trials from January 2005 to December 2021. Two investigators reviewed studies for relevance and extracted study population, methods, and results data.Results: Ten studies were eligible for systematic review from the initial selection (n = 1492). There was considerable heterogeneity in telerehabi

Published
2023

15. Comprehensive home-based telerehabilitation in a morbidly obese male patient with severe obstructive sleep apnea. A case report.

Author

Hnatiak, Jakub, Galkova, Lujza Zikmund, Winnige, Petr, Batalik, Ladislav, Dosbaba, Filip, Ludka, Ondrej, and Krejci, Jan

Abstract

Background. Rehabilitation may be an effective additional treatment method in patients with obstructive sleep apnea (OSA). Physical exercise, weight reduction, pulmonary rehabilitation, and myofunctional therapy (MT) represent beneficial components of rehabilitation recommended as a possible adjunct to standard OSA treatment. Methods and Results. A 54-year-old man with morbid obesity, long-lasting snoring, breathing pauses, frequent waking, as well as persistent drowsiness and fatigue during the day underwent polysomnography (PSG) to investigate suspected OSA. Severe OSA was confirmed by PSG and a 12-week comprehensive, home-based telerehabilitation program (tele-RHB program) along with continuous positive airway pressure (CPAP) therapy was implemented. The tele-RHB program included regular teleconsultations, aerobic-endurance training, MT, inspiratory and expiratory muscle training, as well as recommendations on proper nutrition, a healthy lifestyle, and behavioral changes. Following the treatment, the patient’s quality of life (QoL), exercise capacity, lung function, and OSA severity significantly improved. The patient achieved an overall 19.9 kg reduction in weight, of which 16.2 kg was body fat, and his apnea-hypopnea index decreased by 42.6 episodes/hour. Conclusion. Our case report suggests that the comprehensive home-based tele-RHB program adjunct to CPAP therapy may be a novel approach for improving OSA severity, a patient’s QoL, exercise capacity, lung function and body composition. It is important to note that such a program should be optional, however it may be needed to achieve the highest possible overall improvement in a patient’s life. Further clinical investigations are needed to determine the therapeutic efficacy and clinical potential of this tele-RHB program. [ABSTRACT FROM AUTHOR]

Published
2023
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22. Cardio-Oncology Rehabilitation and Telehealth: Rationale for Future Integration in Supportive Care of Cancer Survivors

Author

Batalik, Ladislav, primary, Filakova, Katerina, additional, Radkovcova, Ivana, additional, Dosbaba, Filip, additional, Winnige, Petr, additional, Vlazna, Daniela, additional, Batalikova, Katerina, additional, Felsoci, Marian, additional, Stefanakis, Marios, additional, Liska, David, additional, Papathanasiou, Jannis, additional, Pokorna, Andrea, additional, Janikova, Andrea, additional, Rutkowski, Sebastian, additional, and Pepera, Garyfallia, additional

Published
2022
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33. Novel versus Traditional Inspiratory Muscle Training Regimens as Home-Based, Stand-Alone Therapies in COPD: Protocol for a Randomized Controlled Trial

Author

Formiga,Magno F, Dosbaba,Filip, Hartman,Martin, Batalik,Ladislav, Plutinsky,Marek, Brat,Kristian, Ludka,Ondrej, Cahalin,Lawrence P, Formiga,Magno F, Dosbaba,Filip, Hartman,Martin, Batalik,Ladislav, Plutinsky,Marek, Brat,Kristian, Ludka,Ondrej, and Cahalin,Lawrence P

Abstract

Magno F Formiga,1 Filip Dosbaba,2 Martin Hartman,2 Ladislav Batalik,2 Marek Plutinsky,3,4 Kristian Brat,3,4 Ondrej Ludka,4 Lawrence P Cahalin5 1Departamento de Fisioterapia, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil; 2Department of Rehabilitation, University Hospital Brno, Brno, Czech Republic; 3Department of Respiratory Diseases, University Hospital Brno, Brno, Czech Republic; 4Faculty of Medicine, Masaryk University, Brno, Czech Republic; 5Department of Physical Therapy, University of Miami – Miller School of Medicine, Coral Gables, FL, USACorrespondence: Filip Dosbaba; Ladislav BatalikDepartment of Rehabilitation, University Hospital Brno, Jihlavska 20, Brno 62500, Czech RepublicEmail dosbaba.filip@fnbrno.cz; batalik.ladislav@fnbrno.czBackground: Subjects with COPD frequently develop considerable weakness and deconditioning of the inspiratory musculature, which can be corrected with inspiratory muscle training (IMT). While rehabilitation centers may be able to provide IMT as part of the rather complex management of COPD, there is currently a lack of rehabilitation services in the Czech Republic. Remote IMT may then benefit subjects with COPD who are unable to attend or do not have access to rehabilitation programs. We aim at evaluating the utility of the test of incremental respiratory endurance (TIRE) as an at-home IMT method in subjects with COPD, while comparing the effectiveness of this novel training approach to the outcomes of traditional, threshold loading IMT protocols.Methods/Design: This prospective, randomized controlled trial will comprise 8 weeks of at-home IMT sessions with remote supervision followed by 4 months of unsupervised, independent IMT. Eligible subjects will be randomly assigned to one of the following three distinct home-based IMT protocols: (1) TIRE, (2) Threshold loading, and (3) Sham training. Subjects allocated to the TIRE group will train once daily using an advanced IMT electronic system (PrO

Published
2020

36. Aerobic capacity in relation to risk factors ischemic heart disease

Author

Dosbaba, Filip, Bunc, Václav, and Daďová, Klára

Abstract

DOSBABA, Filip: Aerobic capacity in relation to risk factors ischemic heart disease. Aim: of this diploma thesis was to evaluate the physiological effectiveness and influence of 12 week long rehabilitation program on development of oxygen transport system parameters (VO2maxSL, VO2maxSL.kg-1, WmaxSL, WmaxSL.kg-1, METmaxSL) and anthropometric parametrs (m, BMI). Methods: The study included 102 patients (90 % men), mean age 59.3 ± 8.9 years, with a left ventricular ejection fraction 55.3 ± 6.0 % after an acute coronary event. All patients completed 3 months aerobic-resistance training program with a frequency of sessions 3 times a week in 70 - 80 % VO2maxSL. Training session lasted 105 minutes (including 60 minutes of own aerobic training on 1. ventilatory threshold). Results: Completion of the intervention training program lead to a significant increase in work tolerance (158.6 ± 31.3 vs. 190.5 ± 34.8 W; p < 0.01) and peak oxygen consumption (20.5 ± 4.0 vs. 24.6 ± 4.0 ml.min-1.kg-1, p < 0.01) and metabolic equivalent of used energy (5.9 ± 1.1 vs. 7 ± 1.4 J.min-1.kg-1, p < 0.01). There was also observed a nonsignificant decrease in resting values of body mass index (27.5 ± 3.2 vs. 27.0 ± 3.6 kg.m-2) and weight (89.8 ± 12.7 vs. 89 ± 12.3 kg). Conclusion: Intervention training program leads to...

Published
2017

37. Vliv ambulantního øízeného a individuálního domácího tréninku na toleranci zátìže pacientek po infarktu myokardu.

Author

Hnatiak, Jakub, Neumannová, Kateøina, Ba'alík, Ladislav, and Dosbaba, Filip

Subjects
EXERCISE tolerance, AEROBIC capacity, ANAEROBIC threshold, MYOCARDIAL infarction, EXERCISE tests
Abstract

Copyright of Medicina Sportiva Bohemica et Slovaca is the property of Ceska spolecnost telovychovneho lekarstvi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2019

43. Téměř čtvrt století Kardiovaskulární rehabilitace ve Fakultní nemocnici Brno, aneb 1500 pacientů v ambulantním programu.

Author

Dosbaba, Filip, Vysoký, Robert, Baťalík, Ladislav, Nehyba, Svatopluk, Chaloupka, Václav, and Špinar, Jindřich

Abstract

Copyright of Medicina Sportiva Bohemica et Slovaca is the property of Ceska spolecnost telovychovneho lekarstvi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2017

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