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Dr. Sebastian Rutkowski
Opole University of Technology

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0 Pulmonary Rehabilitation
0 Rehabilitation
0 Virtual Reality
0 physiotherapy
0 Exercise Testing

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Virtual Reality
Rehabilitation
Pulmonary Rehabilitation
Exercise Testing

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Review
Published: 14 August 2021 in Complementary Therapies in Medicine
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The aim of this systematic review was to analyse the effectiveness of virtual reality intervention as an aid for treatment-related anxiety and fatigue in cancer patients undergoing chemotherapy. The term chemotherapy was assumed without distinction regarding type. The inclusion criteria were (1) randomised controlled trials or crossover studies, (2) adult cancer patients undergoing chemotherapy, (3) treatment with VR scenarios providing distraction during chemotherapy, and (4) with pain, anxiety, fatigue, fear, or symptom distress as the measured outcomes. Articles in English, Polish, and Italian were sought. For the methodological quality assessment of risk of bias, likewise statistical analysis and meta-analysis the RevMan version 5.4 software and the Cochrane Risk of Bias Tool were used. Two authors independently analysed the following databases for relevant research articles: PubMed, Scopus, Cochrane Library, Web of Science, and Embase. From a total of 2543 records, 6 studies met the inclusion criteria for qualitative analysis. At the end of the process, 3 studies remained for quantitative analysis. The systematic review includes three randomised, controlled studies and three crossover studies with an overall sample size of 453 patients. The analysis of the primary outcomes chosen for each study revealed no significant differences between the control and experimental conditions. Moreover, an important factor influencing the results of the review and meta-analysis was the poor quality of the publications available on the topic of distraction during chemotherapy. Due to the low research standards, the results do not provide an unambiguous answer to the research question. The most important limitations result from the small number of trials, the generally small sample sizes, and the differences in study design.

ACS Style

Sebastian Rutkowski; Oliver Czech; Adam Wrzeciono; Paweł Kiper; Joanna Szczepańska-Gieracha; Iwona Malicka. Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions. Complementary Therapies in Medicine 2021, 61, 102767 .

AMA Style

Sebastian Rutkowski, Oliver Czech, Adam Wrzeciono, Paweł Kiper, Joanna Szczepańska-Gieracha, Iwona Malicka. Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions. Complementary Therapies in Medicine. 2021; 61 ():102767.

Chicago/Turabian Style

Sebastian Rutkowski; Oliver Czech; Adam Wrzeciono; Paweł Kiper; Joanna Szczepańska-Gieracha; Iwona Malicka. 2021. "Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: A systematic review and meta-analysis and future research directions." Complementary Therapies in Medicine 61, no. : 102767.

Review
Published: 23 July 2021 in Journal of Clinical Medicine
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Needle-related procedures are often a source of pain, anxiety and fear in young patients. This systematic review aimed to investigate the effectiveness of virtual reality (VR) on reducing pain, fear and anxiety in pediatric patients undergoing needle-related procedures. Pain, anxiety, fear, changes in blood pressure and heart rate as well as satisfaction were evaluated as outcomes during needle-related procedures in VR compared with standard care conditions. A meta-analysis was performed, taking into account online databases. Two authors independently conducted literature searches in December 2020. The last search was conducted in March 2021 from a total of 106 records, 7 met our inclusion criteria. One study was excluded from the meta-analysis due to insufficient data. VR was applied as a distractor during venous access. Statistically significant benefits of using VR were shown in children’s pain scores, where VR significantly decreased symptoms (n = 3204 patients, MD = −2.85; 95% CI −3.57, −2.14, for the Wong–Baker Faces Pain Rating Scale and n = 2240 patients, MD = −0.19; 95% CI −0.58, 0.20, for the Faces Pain Scale—Revised). The analysis of fear, anxiety and satisfaction scores revealed no significant differences between the conditions, as the studies were too heterogeneous to be pooled. Distraction using virtual reality may be an effective intervention for reducing pain in children undergoing needle-related medical procedures. However, further research in the implementation of VR as a distractor for children and adolescents is required, due to the limited research into this field.

ACS Style

Oliver Czech; Adam Wrzeciono; Anna Rutkowska; Agnieszka Guzik; Paweł Kiper; Sebastian Rutkowski. Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine 2021, 10, 3248 .

AMA Style

Oliver Czech, Adam Wrzeciono, Anna Rutkowska, Agnieszka Guzik, Paweł Kiper, Sebastian Rutkowski. Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2021; 10 (15):3248.

Chicago/Turabian Style

Oliver Czech; Adam Wrzeciono; Anna Rutkowska; Agnieszka Guzik; Paweł Kiper; Sebastian Rutkowski. 2021. "Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety—A Systematic Review and Meta-Analysis." Journal of Clinical Medicine 10, no. 15: 3248.

Journal article
Published: 18 April 2021 in Journal of Clinical Medicine
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The aim of this study was to assess the impact of exercise training on the quality of life (QoL) of patients diagnosed with stage IIIB and stage IV non–small cell lung cancer (NSCLC) compared to a passive control group (CG). The exercise-trained group (ETG) consisted of 18 patients, and the CG consisted of 8 patients. The training program in the ETG consisted of two 2-week running cycles interspersed with consecutive rounds of chemotherapy with cytostatic drugs. A comparison of the changes in the Short Form (36) Health Survey (SF-36), St. George’s Respiratory Questionnaire (SGRQ), and the Functional Assessment of Cancer Therapy-Lung (FACT-L) was the primary outcome. Analysis of the results of the SGRQ and the SF-36 questionnaire did not reveal any statistically significant differences in the assessment of QoL between the examined groups. The analysis of FACT-L questionnaires showed statistically significant changes, indicating deterioration of QoL in domains describing physical well-being in the CG. Therefore, the analysis of the results of the QoL assessment did not show any significant improvements in the group of patients undergoing comprehensive exercise training, although deterioration of QoL was noted in the CG.

ACS Style

Anna Rutkowska; Sebastian Rutkowski; Adam Wrzeciono; Oliver Czech; Jan Szczegielniak; Dariusz Jastrzębski. Short-Term Changes in Quality of Life in Patients with Advanced Lung Cancer during In-Hospital Exercise Training and Chemotherapy Treatment: A Randomized Controlled Trial. Journal of Clinical Medicine 2021, 10, 1761 .

AMA Style

Anna Rutkowska, Sebastian Rutkowski, Adam Wrzeciono, Oliver Czech, Jan Szczegielniak, Dariusz Jastrzębski. Short-Term Changes in Quality of Life in Patients with Advanced Lung Cancer during In-Hospital Exercise Training and Chemotherapy Treatment: A Randomized Controlled Trial. Journal of Clinical Medicine. 2021; 10 (8):1761.

Chicago/Turabian Style

Anna Rutkowska; Sebastian Rutkowski; Adam Wrzeciono; Oliver Czech; Jan Szczegielniak; Dariusz Jastrzębski. 2021. "Short-Term Changes in Quality of Life in Patients with Advanced Lung Cancer during In-Hospital Exercise Training and Chemotherapy Treatment: A Randomized Controlled Trial." Journal of Clinical Medicine 10, no. 8: 1761.

Journal article
Published: 13 April 2021 in Sensors
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Accelerometers have become a standard method of monitoring physical activity in everyday life by measuring acceleration in one, two, or three axes. These devices provide reliable and objective measurements of the duration and intensity of physical activity. We aimed to investigate whether patients undertake physical activity during non-supervised days during stationary rehabilitation and whether patients adhere to the rigor of 24 h monitoring. The second objective was to analyze the strengths and weaknesses of such kinds of sensors. The research enrolled 13 randomly selected patients, qualified for in-patient, 3 week, high-intensity, 5 times a week pulmonary rehabilitation. The SenseWear armband was used for the assessment of physical activity. Participants wore the device 24 h a day for the next 4 days (Friday–Monday). The analysis of the number of steps per day, the time spent lying as well as undertaking moderate or vigorous physical activity (>3 metabolic equivalents of task (METs)), and the energy expenditure expressed in kcal showed no statistically significant difference between the training days and the days off. It seems beneficial to use available physical activity sensors in patients with chronic obstructive pulmonary disease (COPD); measurable parameters provide feedback that may increase the patient’s motivation to be active to achieve health benefits.

ACS Style

Sebastian Rutkowski; Joren Buekers; Anna Rutkowska; Błażej Cieślik; Jan Szczegielniak. Monitoring Physical Activity with a Wearable Sensor in Patients with COPD during In-Hospital Pulmonary Rehabilitation Program: A Pilot Study. Sensors 2021, 21, 2742 .

AMA Style

Sebastian Rutkowski, Joren Buekers, Anna Rutkowska, Błażej Cieślik, Jan Szczegielniak. Monitoring Physical Activity with a Wearable Sensor in Patients with COPD during In-Hospital Pulmonary Rehabilitation Program: A Pilot Study. Sensors. 2021; 21 (8):2742.

Chicago/Turabian Style

Sebastian Rutkowski; Joren Buekers; Anna Rutkowska; Błażej Cieślik; Jan Szczegielniak. 2021. "Monitoring Physical Activity with a Wearable Sensor in Patients with COPD during In-Hospital Pulmonary Rehabilitation Program: A Pilot Study." Sensors 21, no. 8: 2742.

Review
Published: 18 March 2021 in Journal of Clinical Medicine
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For the treatment of chronic obstructive pulmonary disease (COPD), early diagnosis and unconditionally correct management at the initial stage of the disease are very important when the symptoms are not yet too worrying. In this way, the progress of the disease can be slowed down, as can the occurrence of late, life-threatening symptoms. Pulmonary rehabilitation is an essential component of the management of COPD. The selection of appropriate exercises, which are determined during the classification of patients into a suitable improvement program, is of key importance in the process of rehabilitation. The coronavirus disease 2019 (COVID-19) pandemic has resulted in major limitations to public health care. Health systems were largely unprepared for an outbreak of this magnitude. Searching for new, attractive technologies that help patients with chronic diseases seems to be justified. This may be driven by telehealth platforms, likewise with the use of virtual reality (VR). Analysis of the available literature indicates promising effectiveness, high patient acceptance, and high motivations to undertake physical activity with the use of such a solution. Thus, the management of patients with COPD during the COVID-19 pandemic should include options for remote delivery of pulmonary rehabilitation, including home-based, telerehabilitation, and computer-based virtual programs.

ACS Style

Sebastian Rutkowski. Management Challenges in Chronic Obstructive Pulmonary Disease in the COVID-19 Pandemic: Telehealth and Virtual Reality. Journal of Clinical Medicine 2021, 10, 1261 .

AMA Style

Sebastian Rutkowski. Management Challenges in Chronic Obstructive Pulmonary Disease in the COVID-19 Pandemic: Telehealth and Virtual Reality. Journal of Clinical Medicine. 2021; 10 (6):1261.

Chicago/Turabian Style

Sebastian Rutkowski. 2021. "Management Challenges in Chronic Obstructive Pulmonary Disease in the COVID-19 Pandemic: Telehealth and Virtual Reality." Journal of Clinical Medicine 10, no. 6: 1261.

Journal article
Published: 01 February 2021 in International Journal of Environmental Research and Public Health
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The implementation of virtual reality (VR) opens up a wide range of possibilities for the development of dexterity, speed and precision of movements. The aim of this study was to investigate whether immersive VR training affected the hand–eye coordination and reaction time in students of the state music school. This study implemented a single-group pre-post study design. This study enrolled 14 individuals, submitted to a 15 min training session of the immersive music game “Beat Saber”, once a day for 5 consecutive days. The plate-tapping test (PTT) and the ruler-drop test (Ditrich’s test) were used to assess the reaction time. Trial-making test (TMT) A and TMT B were used to assess coordination and visual attention. Analysis of the results showed a statistically significant improvement in hand–eye coordination and reaction time of music school students using the TMT-A (p < 0.002), TMT-B (p < 0.001), Ditrich’s test for the non-dominant hand (0.025) and PTT (0.0001) after applying a week-long training period in immersive VR. The results obtained in the present study show that the VR system, along with the immersive music game, has the potential to improve hand–eye coordination and reaction time in young musicians, which may lead to the faster mastering of a musical instrument.

ACS Style

Sebastian Rutkowski; Mateusz Adamczyk; Agnieszka Pastuła; Edyta Gos; Carlos Luque-Moreno; Anna Rutkowska. Training Using a Commercial Immersive Virtual Reality System on Hand–Eye Coordination and Reaction Time in Young Musicians: A Pilot Study. International Journal of Environmental Research and Public Health 2021, 18, 1297 .

AMA Style

Sebastian Rutkowski, Mateusz Adamczyk, Agnieszka Pastuła, Edyta Gos, Carlos Luque-Moreno, Anna Rutkowska. Training Using a Commercial Immersive Virtual Reality System on Hand–Eye Coordination and Reaction Time in Young Musicians: A Pilot Study. International Journal of Environmental Research and Public Health. 2021; 18 (3):1297.

Chicago/Turabian Style

Sebastian Rutkowski; Mateusz Adamczyk; Agnieszka Pastuła; Edyta Gos; Carlos Luque-Moreno; Anna Rutkowska. 2021. "Training Using a Commercial Immersive Virtual Reality System on Hand–Eye Coordination and Reaction Time in Young Musicians: A Pilot Study." International Journal of Environmental Research and Public Health 18, no. 3: 1297.

Journal article
Published: 18 January 2021 in Journal of Clinical Medicine
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Anxiety has been estimated to occur in 21–96% and depression in 27–79% of patients with chronic obstructive pulmonary disorder (COPD). We found a scarcity of literature providing evidence on how virtual reality (VR) therapy affects the intensity of depressive and anxiety symptoms and stress levels in COPD patients undergoing in-hospital pulmonary rehabilitation (PR). This study enrolled 50 COPD patients with symptoms of stress, depression, and anxiety, randomly assigned to one of two groups. The two groups participated in the traditional PR programme additionally: the VR-group performed 10 sessions of immersive VR-therapy and the control group performed 10 sessions of Schultz autogenic training. Comparison of the changes in stress levels and depressive and anxiety symptoms was the primary outcome. Analysis of the results showed a reduction in stress levels only in the VR-group (p < 0.0069), with a medium effect size (d = 0.353). The symptoms of depression (p < 000.1, d = 0.836) and anxiety (p < 0.0009, d = 0.631) were statistically significantly reduced only in the VR-group, with a strong effect size. The enrichment of pulmonary rehabilitation with immersive VR therapy brings benefits in terms of mood improvement and reduction in anxiety and stress in patients with COPD.

ACS Style

Sebastian Rutkowski; Jan Szczegielniak; Joanna Szczepańska-Gieracha. Evaluation of The Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. Journal of Clinical Medicine 2021, 10, 352 .

AMA Style

Sebastian Rutkowski, Jan Szczegielniak, Joanna Szczepańska-Gieracha. Evaluation of The Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. Journal of Clinical Medicine. 2021; 10 (2):352.

Chicago/Turabian Style

Sebastian Rutkowski; Jan Szczegielniak; Joanna Szczepańska-Gieracha. 2021. "Evaluation of The Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial." Journal of Clinical Medicine 10, no. 2: 352.

Journal article
Published: 06 January 2021 in Sustainability
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The lockdown with a prohibition of free mobility introduced in many countries has affected restrictions in physical activity (PA). The purpose of the study was to compare PA during restrictions and the “unfreezing” stage. The study group consisted of 89 healthy adult students. To assess the level of PA, a long version of the International Physical Activity Questionnaire (IPAQ) was used. The first evaluation was carried out in the period from 16 to 20 April 2020 at the time of the lockdown and the second in the period from 11 to 14 May 2020 during the so-called “unfreezing”. The average total PA rate during the first measurement was 8640 metabolic equivalent (MET)-min/week and in the second, 10,560 MET-min/week. The analysis of total energy expenditure showed a statistically significant difference (p < 0.029). The establishment of “unfreezing” laws for sport and recreation and the reduction of restrictions have significantly contributed to an increase in the overall level of PA. Based on our outcomes, we recommend students follow the scientific guidelines for undertaking PA (i.e., WHO) during the pandemic in order to maintain an appropriate pro-healthy dose of exercise.

ACS Style

Anna Rutkowska; Katarzyna Kacperak; Sebastian Rutkowski; Luisa Cacciante; Pawel Kiper; Jan Szczegielniak. The Impact of Isolation Due to COVID-19 on Physical Activity Levels in Adult Students. Sustainability 2021, 13, 446 .

AMA Style

Anna Rutkowska, Katarzyna Kacperak, Sebastian Rutkowski, Luisa Cacciante, Pawel Kiper, Jan Szczegielniak. The Impact of Isolation Due to COVID-19 on Physical Activity Levels in Adult Students. Sustainability. 2021; 13 (2):446.

Chicago/Turabian Style

Anna Rutkowska; Katarzyna Kacperak; Sebastian Rutkowski; Luisa Cacciante; Pawel Kiper; Jan Szczegielniak. 2021. "The Impact of Isolation Due to COVID-19 on Physical Activity Levels in Adult Students." Sustainability 13, no. 2: 446.

Journal article
Published: 24 September 2020 in NeuroRehabilitation
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ACS Style

Joanna Szczepańska-Gieracha; Błażej Cieślik; Sebastian Rutkowski; Paweł Kiper; Andrea Turolla. What can virtual reality offer to stroke patients? A narrative review of the literature. NeuroRehabilitation 2020, 47, 109 -120.

AMA Style

Joanna Szczepańska-Gieracha, Błażej Cieślik, Sebastian Rutkowski, Paweł Kiper, Andrea Turolla. What can virtual reality offer to stroke patients? A narrative review of the literature. NeuroRehabilitation. 2020; 47 (2):109-120.

Chicago/Turabian Style

Joanna Szczepańska-Gieracha; Błażej Cieślik; Sebastian Rutkowski; Paweł Kiper; Andrea Turolla. 2020. "What can virtual reality offer to stroke patients? A narrative review of the literature." NeuroRehabilitation 47, no. 2: 109-120.

Conference paper
Published: 07 September 2020 in Physiotherapists
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Background: Exercise tests can be used to assess functional limitations, to assess the ability to perform a rehabilitation program or determine the outcome of interventions. Cycle ergometers is a common exercise testing modes. However, stationary cycling exercise tolerance is highly dependent on patient motivation. Therefore, the test may end prematurely, before reaching a cardiopulmonary endpoint. A method of increasing patient motivation may be to perform exercise in a virtual reality (VR). VR may work as a distractor from exercise fatigue. Methods: This research was designed as a cross-sectional, randomly assigned study aimed to assess the influence of applying immersive virtual reality during an incremental exercise test on a cycle ergometer in healthy individuals. The study enrolled 70 healthy volunteers aged 22–24 years. The participants performed two types of tests: traditional and within virtual reality. Both tests consisted of incremental exercise, in which work rate was increased by 25 watts every three minutes. The VR research station consisted of a HTC Vive Pro Goggle starter kit along with VR health care (aerobic exercise) and VR cycling software. An ankle mounted HTC Vive Tracker device was used to link the pedal speed with the VR images. Heart rate (HR) was continuously recorded using a Polar H10 monitor. All tests were performed on a Lode Excalibur Sport PFM cycle ergometer. Results: Data analysis revealed significant differences between tests (p<0.00). Participants in the VR trial were able to exercise for a longer time (12.2 vs.10.1 minutes). Therefore, subjects exercising in a VR environment performed better than when tested by traditional methods.

ACS Style

Sebastian Rutkowski; Patryk Szary; Anna Rutkowska; Jerzy Sacha; Richard Casaburi. Implementation of immersive virtual reality influences outcomes of exercise test. Physiotherapists 2020, 56, 1 .

AMA Style

Sebastian Rutkowski, Patryk Szary, Anna Rutkowska, Jerzy Sacha, Richard Casaburi. Implementation of immersive virtual reality influences outcomes of exercise test. Physiotherapists. 2020; 56 ():1.

Chicago/Turabian Style

Sebastian Rutkowski; Patryk Szary; Anna Rutkowska; Jerzy Sacha; Richard Casaburi. 2020. "Implementation of immersive virtual reality influences outcomes of exercise test." Physiotherapists 56, no. : 1.

Review
Published: 09 June 2020 in Complementary Therapies in Medicine
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Virtual reality (VR) is being used more and more often as a therapeutic tool in psychology or psychiatry. In recent years, VR interventions appear more extensively also in disorders such as depression, anxiety and phobia. However, there has yet to be a comprehensive synthesis and critical review of the literature to identify future directions to advance the field in this area. To broadly characterize the literature to date on the application of VR in psychiatric disorders by conducting a systematic review of reviews, describe the limitations of existing research, suggest avenues for future research to address gaps in the current literature and provide practical recommendations for incorporating VR into various treatments for psychiatric disorders. PubMed and Web of Science databases were searched for reviews on VR use in psychiatric disorders (e.g. various pain perceptions, post-traumatic stress disorder, phobias, attention deficit hyperactivity disorder, psychosis, depression). The methodological quality of each literature review was assessed using AMSTAR. The original search identified 848 reviews, of which 70 were included in the systematic review of reviews. Broadly, the literature indicates that various VR interventions could be useful in different psychiatric disorders. This study provides evidence supporting the positive impact of VR therapy in psychiatric disorders. However, the impact is defined differently according to the studied area. Nevertheless, due to the continuous development of VR hardware and software, it is essential to conduct further research in the area of psychiatric disorders, especially as no review has concluded that VR does not work.

ACS Style

Błażej Cieślik; Justyna Mazurek; Sebastian Rutkowski; Paweł Kiper; Andrea Turolla; Joanna Szczepańska-Gieracha. Virtual reality in psychiatric disorders: A systematic review of reviews. Complementary Therapies in Medicine 2020, 52, 102480 .

AMA Style

Błażej Cieślik, Justyna Mazurek, Sebastian Rutkowski, Paweł Kiper, Andrea Turolla, Joanna Szczepańska-Gieracha. Virtual reality in psychiatric disorders: A systematic review of reviews. Complementary Therapies in Medicine. 2020; 52 ():102480.

Chicago/Turabian Style

Błażej Cieślik; Justyna Mazurek; Sebastian Rutkowski; Paweł Kiper; Andrea Turolla; Joanna Szczepańska-Gieracha. 2020. "Virtual reality in psychiatric disorders: A systematic review of reviews." Complementary Therapies in Medicine 52, no. : 102480.

Original research
Published: 01 January 2020 in International Journal of Chronic Obstructive Pulmonary Disease
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Purpose: This study compared the effects of inpatient-based rehabilitation program of patients with chronic obstructive pulmonary disease (COPD) using non-immersive virtual reality (VR) training with a traditional pulmonary rehabilitation program. The aims of this study were to determine 1) whether rehabilitation featuring both VR as well as exercise training provides benefits over exercise training (ET) alone and 2) whether rehabilitation featuring VR training instead of exercise training provides equivalent benefits. Patients and Methods: The study recruited 106 patients with COPD to a 2-week high-intensity, five times a week intervention. Randomized into three groups, 34 patients participated in a traditional pulmonary rehabilitation program including endurance exercise training (ET), 38 patients participated in traditional pulmonary rehabilitation, including both endurance exercise training and virtual reality training (ET+VR) and 34 patients participated in pulmonary rehabilitation program including virtual reality training but no endurance exercise training (VR). The traditional pulmonary rehabilitation program consisted of fitness exercises, resistance respiratory muscle and relaxation training. Xbox 360® and Kinect® Adventures software were used for the VR training of lower and upper body strength, endurance, trunk control and dynamic balance. Comparison of the changes in the Senior Fitness Test was the primary outcome. Analysis was performed using linear mixed-effects models. Results: The comparison between ET and ET+VR groups showed that ET+VR group was superior to ET group in Arm Curl (p< 0.003), Chair stand (p< 0.008), Back scratch (p< 0.002), Chair sit and reach (p< 0.001), Up and go (p< 0.000), 6-min walk test (p< 0.011). Whereas, the comparison between ET and VR groups showed that VR group was superior to ET group in Arm Curl (p< 0.000), Chair stand (p< 0.001), 6-min walk test (p< 0.031). Conclusion: Results suggest that pulmonary rehabilitation program supplemented with VR training is beneficial intervention to improve physical fitness in patients with COPD.

ACS Style

Sebastian Rutkowski; Anna Rutkowska; Pawel Kiper; Dariusz Jastrzebski; Henryk Racheniuk; Andrea Turolla; Jan Szczegielniak; Richard Casaburi. Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial. International Journal of Chronic Obstructive Pulmonary Disease 2020, ume 15, 117 -124.

AMA Style

Sebastian Rutkowski, Anna Rutkowska, Pawel Kiper, Dariusz Jastrzebski, Henryk Racheniuk, Andrea Turolla, Jan Szczegielniak, Richard Casaburi. Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial. International Journal of Chronic Obstructive Pulmonary Disease. 2020; ume 15 ():117-124.

Chicago/Turabian Style

Sebastian Rutkowski; Anna Rutkowska; Pawel Kiper; Dariusz Jastrzebski; Henryk Racheniuk; Andrea Turolla; Jan Szczegielniak; Richard Casaburi. 2020. "Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial." International Journal of Chronic Obstructive Pulmonary Disease ume 15, no. : 117-124.

Journal article
Published: 15 October 2019 in Journal of Human Kinetics
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The aim of the study was to evaluate the effects of rehabilitation in patients with chronic obstructive pulmonary disease (COPD) using the Kinect system during stationary rehabilitation. The study included 68 patients with COPD (35 men, 33 women, mean age 61.3 ± 3.7). The subjects were randomly assigned to one of the two experimental groups described below. Group I included 34 patients – non‐participants in Kinect training. Group II included 34 patients – participants in Kinect training. In all patients before and after rehabilitation physical fitness was assessed using the Senior Fitness Test (SFT). The Xbox 360 and Kinect motion sensor were used to carry out virtual reality training. In group I, statistically significant improvements in SFT performance were observed. Patients in group II also showed statistically significant improvement in physical fitness in all attempts of the SFT. Virtual rehabilitation training in patients with COPD seems to be a practical and beneficial intervention capable of enhancing mobility and physical fitness.

ACS Style

Sebastian Rutkowski; Anna Rutkowska; Dariusz Jastrzębski; Henryk Racheniuk; Witold Pawełczyk; Jan Szczegielniak. Effect of Virtual Reality‐Based Rehabilitation on Physical Fitness in Patients with Chronic Obstructive Pulmonary Disease. Journal of Human Kinetics 2019, 69, 149 -157.

AMA Style

Sebastian Rutkowski, Anna Rutkowska, Dariusz Jastrzębski, Henryk Racheniuk, Witold Pawełczyk, Jan Szczegielniak. Effect of Virtual Reality‐Based Rehabilitation on Physical Fitness in Patients with Chronic Obstructive Pulmonary Disease. Journal of Human Kinetics. 2019; 69 (1):149-157.

Chicago/Turabian Style

Sebastian Rutkowski; Anna Rutkowska; Dariusz Jastrzębski; Henryk Racheniuk; Witold Pawełczyk; Jan Szczegielniak. 2019. "Effect of Virtual Reality‐Based Rehabilitation on Physical Fitness in Patients with Chronic Obstructive Pulmonary Disease." Journal of Human Kinetics 69, no. 1: 149-157.

Conference paper
Published: 28 September 2019 in Physiotherapists
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To date, only few studies have reported the resuts of pulmonary rehabilitation programs incorporating virtual reality (VR) in patients with COPD. The aim of this study was to observe effects of VR training combined with traditional pulmonary rehabilitation (TPR) when compared to TPR combined with exercise capacity training in patients with COPD. The study recruited 68 patients with COPD to a two week, five times a week intervention. The TPR program consisted of fitness exercises, breathing exercises, postural drainage positions, inhalation and relaxation training. The Xbox 360® was used for the VR training, along with the Kinect® Adventures software. The exercise capacity training were performed on cycle ergometer. Comparison of the changes in the Senior Fitness Test (SFT) was the primary outcome. Analysis was performed using linear mixed-effects models. The in-group analysis of the data showed a significant improvement within results of the SFT in both groups. The comparison of the results of the Arm curl, Chair stand and 6MWT, showed statistically significant change between I vs. II group. Moreover, results revealed that patients in group II obtained greatest change. This study suggests that pulmonary rehabilitation program supplemented with VR training (instead of exercise capacity training) is a beneficial intervention for enhancing mobility and exercise tolerance.

ACS Style

Sebastian Rutkowski; Anna Rutkowska; Henryk Racheniuk; Joanna Szczepańska-Gieracha; Jan Szczegielniak. Short-term exercise training in virtual reality in patients with COPD, solution or white elephant ? Physiotherapists 2019, 54, 1 .

AMA Style

Sebastian Rutkowski, Anna Rutkowska, Henryk Racheniuk, Joanna Szczepańska-Gieracha, Jan Szczegielniak. Short-term exercise training in virtual reality in patients with COPD, solution or white elephant ? Physiotherapists. 2019; 54 ():1.

Chicago/Turabian Style

Sebastian Rutkowski; Anna Rutkowska; Henryk Racheniuk; Joanna Szczepańska-Gieracha; Jan Szczegielniak. 2019. "Short-term exercise training in virtual reality in patients with COPD, solution or white elephant ?" Physiotherapists 54, no. : 1.

Article
Published: 01 March 2019 in Journal of Cardiopulmonary Rehabilitation and Prevention
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The aim of this study was to perform a randomized trial to assess the impact of exercise training in patients with non–small cell lung cancer during chemotherapy on several outcomes in comparison to a control group (CG). The exercise training group (ETG) consisted of 20 patients and the CG consisted of 10 patients. In the ETG, a 4-wk in-hospital exercise training program was performed in 2-wk cycles interspersed with consecutive rounds of chemotherapy with cytostatic drugs. The exercise training program was individualized and included warm-up, respiratory muscle exercise, training on a cycle ergometer or treadmill, and Nordic walking. CG participants were assessed before and after 6 wk of chemotherapy alone. Comparing pre- and post-intervention values, the ETG demonstrated an increase in 6-min walk distance (486 ± 92 vs 531 ± 103 m, P = .01). In a battery of physical performance tests: Up and Go Test (6.3 ± 1.0 vs 6.0 ± 1.1 sec, P = .01); chair stand (13.3 ± 2.8 vs 14.3 ± 3.4 repetitions, P = .001); and arm curl (18.4 ± 3.1 vs 20.4 ± 3.5 repetitions, P = .001) all improved significantly. Spirometry values also improved: FEV1 % predicted (76 ± 16 vs 84 ± 15, P = .01), FVC % predicted (87 ± 14 vs 95 ± 13, P = .01), and FEV1/FVC (73 ± 13% vs 76 ± 12%, P = .04). The exercise training was well tolerated, without any adverse events due to exercise. There were no significant improvements in the CG. This study suggests that planned, individualized, and supervised exercise programs in patients with advanced lung cancer during chemotherapy are a practical and beneficial intervention for enhancing mobility and physical fitness.

ACS Style

Anna Rutkowska; Dariusz Jastrzebski; Sebastian Rutkowski; Aleksandra Żebrowska; Arkadiusz Stanula; Jan Szczegielniak; Dariusz Ziora; Richard Casaburi. Exercise Training in Patients With Non–Small Cell Lung Cancer During In-Hospital Chemotherapy Treatment. Journal of Cardiopulmonary Rehabilitation and Prevention 2019, 39, 127 -133.

AMA Style

Anna Rutkowska, Dariusz Jastrzebski, Sebastian Rutkowski, Aleksandra Żebrowska, Arkadiusz Stanula, Jan Szczegielniak, Dariusz Ziora, Richard Casaburi. Exercise Training in Patients With Non–Small Cell Lung Cancer During In-Hospital Chemotherapy Treatment. Journal of Cardiopulmonary Rehabilitation and Prevention. 2019; 39 (2):127-133.

Chicago/Turabian Style

Anna Rutkowska; Dariusz Jastrzebski; Sebastian Rutkowski; Aleksandra Żebrowska; Arkadiusz Stanula; Jan Szczegielniak; Dariusz Ziora; Richard Casaburi. 2019. "Exercise Training in Patients With Non–Small Cell Lung Cancer During In-Hospital Chemotherapy Treatment." Journal of Cardiopulmonary Rehabilitation and Prevention 39, no. 2: 127-133.

Journal article
Published: 01 January 2019 in Human Movement
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Virtual reality (VR), also called phantomatics, is an image of artificial reality created entirely in three-dimensional graphics with the use of information technology. VR makes it possible to experience the imaginary world as if it was real, where sensory data are delivered to the brain through...

ACS Style

Justyna Mazurek; Pawel Kiper; Błażej Cieślik; Sebastian Rutkowski; Krzysztof Mehlich; Andrea Turolla; Joanna Szczepańska-Gieracha. Virtual reality in medicine: a brief overview and future research directions. Human Movement 2019, 20, 16 -22.

AMA Style

Justyna Mazurek, Pawel Kiper, Błażej Cieślik, Sebastian Rutkowski, Krzysztof Mehlich, Andrea Turolla, Joanna Szczepańska-Gieracha. Virtual reality in medicine: a brief overview and future research directions. Human Movement. 2019; 20 (3):16-22.

Chicago/Turabian Style

Justyna Mazurek; Pawel Kiper; Błażej Cieślik; Sebastian Rutkowski; Krzysztof Mehlich; Andrea Turolla; Joanna Szczepańska-Gieracha. 2019. "Virtual reality in medicine: a brief overview and future research directions." Human Movement 20, no. 3: 16-22.

Journal article
Published: 01 December 2018 in Journal of Human Kinetics
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The aim of this study was to evaluate the influence of exercises on a stabilometric platform on the physical fitness and mobility of patients with lung cancer after thoracic surgery. The Experimental Group included 22, and the Control Group consisted of 21 patients. All included patients were enrolled after thoracic surgery due to lung cancer. The Experimental and Control Groups were enrolled in a 3-week in-hospital pulmonary rehabilitation program. The Experimental Group additionally performed daily 20-min training sessions on a stabilometric platform. Agility and flexibility were assessed with the Fullerton test before and after rehabilitation in both groups, and quality of life was assessed with the SF-36 questionnaire. Exercise performance stated as a distance in a 6 min walking test (6MWT) significantly improved in both groups with a medium effect size. The results of the Fullerton test indicated improvements in flexibility in both groups after the completion of the program without a significant difference between the groups and with a small effect size. In the Experimental Group, the best results were observed in the Arm curl (p = 0.0001), Chair stand (p = 0.04), Up and go (p = 0.001) and Chair sit and reach (p = 0.0001) tasks. No deterioration in the quality of life was observed in the Experimental or the Control Group after the completion of the program. Between-group analyses revealed significant differences in the Role-Physical (RP) (p = 0.020) and Mental-Health (MH) (p = 0.025) domains of the SF-36. The rehabilitation program with a stabilometric platform improved agility and flexibility of patients after thoracic surgery without an effect size or significant differences between the Experimental and Control Groups.

ACS Style

Dariusz Jastrzębski; Aleksandra Żebrowska; Sebastian Rutkowski; Anna Rutkowska; Joanna Warzecha; Bettina Ziaja; Aleksandra Pałka; Barbara Czyżewska; Damian Czyżewski; Dariusz Ziora. Pulmonary Rehabilitation with a Stabilometric Platform After Thoracic Surgery: A Preliminary Report. Journal of Human Kinetics 2018, 65, 79 -87.

AMA Style

Dariusz Jastrzębski, Aleksandra Żebrowska, Sebastian Rutkowski, Anna Rutkowska, Joanna Warzecha, Bettina Ziaja, Aleksandra Pałka, Barbara Czyżewska, Damian Czyżewski, Dariusz Ziora. Pulmonary Rehabilitation with a Stabilometric Platform After Thoracic Surgery: A Preliminary Report. Journal of Human Kinetics. 2018; 65 (1):79-87.

Chicago/Turabian Style

Dariusz Jastrzębski; Aleksandra Żebrowska; Sebastian Rutkowski; Anna Rutkowska; Joanna Warzecha; Bettina Ziaja; Aleksandra Pałka; Barbara Czyżewska; Damian Czyżewski; Dariusz Ziora. 2018. "Pulmonary Rehabilitation with a Stabilometric Platform After Thoracic Surgery: A Preliminary Report." Journal of Human Kinetics 65, no. 1: 79-87.

Conference paper
Published: 01 September 2017 in Rehabilitation and Chronic Care
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Background and objective: The aim of this study was to investigate the utility of a pulmonary rehabilitation programme on exercise performance, physical fitness, dyspnoea and spirometry in patients with non-small cell lung cancer during chemotherapy. Methods: The study included 30 patients (20 study group, 10 control group) with newly diagnosed advanced lung cancer at stages IIIB or IV. The data were analyzed before and after the intervention. The rehabilitation programme was individualized and was based on models of pulmonary rehabilitation in COPD including warm-up, respiratory muscle exercise, training on a cycle ergometer or treadmill and Nordic-walking. Results: The rehabilitation group demonstrated an increase in 6 minute walk distance (485.1±91.1 vs. 549.0±96.4 meters, p=0.004). The timed up and go test improved significantly (6.4±1.1 vs. 6.0±1.3, seconds, p=0.01). Spirometry improved: FEV1 %predicted (76±17 vs. 84±15, p=0.01, FVC %predicted (88±14 vs. 95±13, p=0.01) and FEV1%FVC (70±12 vs. 76±12, p=0.04). The rehabilitation program was well tolerated. In the control group, the only significant change was a worsening in Borg dyspnea scale. Conclusion: These results suggest that advanced lung cancer patients receiving chemotherapy demonstrate benefits from pulmonary rehabilitation including improved physical performance and lung function.

ACS Style

Dariusz Jastrzębski; Anna Rutkowska; Sebastian Rutkowski; Sabina Kostorz-Nosal; Aleksandra Zebrowska; Dariusz Ziora; Richard Casaburi. Short-time exercise-induced rehabilitation in non-small cell lung cancer patients during in-hospital chemotherapy treatment: a randomized controlled trial. Rehabilitation and Chronic Care 2017, 50, OA4671 .

AMA Style

Dariusz Jastrzębski, Anna Rutkowska, Sebastian Rutkowski, Sabina Kostorz-Nosal, Aleksandra Zebrowska, Dariusz Ziora, Richard Casaburi. Short-time exercise-induced rehabilitation in non-small cell lung cancer patients during in-hospital chemotherapy treatment: a randomized controlled trial. Rehabilitation and Chronic Care. 2017; 50 ():OA4671.

Chicago/Turabian Style

Dariusz Jastrzębski; Anna Rutkowska; Sebastian Rutkowski; Sabina Kostorz-Nosal; Aleksandra Zebrowska; Dariusz Ziora; Richard Casaburi. 2017. "Short-time exercise-induced rehabilitation in non-small cell lung cancer patients during in-hospital chemotherapy treatment: a randomized controlled trial." Rehabilitation and Chronic Care 50, no. : OA4671.