Tomasz Chomiuk | Medical University of Warsaw (original) (raw)

Papers by Tomasz Chomiuk

Frontiers in physiology, Feb 19, 2024

Przegląd Kardiodiabetologiczny/Cardio-Diabetological Review, Oct 20, 2008

Medycyna Faktów, Sep 30, 2020

Physical activity in the 21st century becomes an important remedy for the problems of civilizatio... more Physical activity in the 21st century becomes an important remedy for the problems of civilization diseases affecting the societies of developed countries. Even people burdened with heart failure should use activity as part of treatment and prevention of complications, but in this group of patients special restrictions should apply to its use.

Ortopedia, traumatologia, rehabilitacja, Oct 31, 2019

Background. Shoulder pain is among the most common musculoskeletal pain syndromes. This study aim... more Background. Shoulder pain is among the most common musculoskeletal pain syndromes. This study aimed to compare the effectiveness of the worldwide renowned Kaltenborn and Evjenth manual therapy and the innovative concept of Fascial Distortion Model (FDM) in the treatment of patients suffering from shoulder pain. Material and method. The study group consisted of 100 patients treated for shoulder pain (SP), who were randomly assigned to two groups: Group A, whose therapy involved FDM (51), and Group B, treated with Kaltenborn and Evjenth method (49). Exclusion criteria comprised age < 30 years, low threshold of sensitivity to pain, participation in another rehabilitation programme, uncontrolled arterial hypertension, neurological conditions associated with sensory impairment, connective tissue conditions and presence of ‘red flags’. The tools used in the study included a digital inclinometer to measure the range of joint mobility and a NeuroTrack device to assess neuromuscular conductivity. Statistical analysis used the non-parametric Mann-Whitney U test and non-parametric Wilcoxon signed rank test. The significance threshold was accepted as p ≤ 0.05. Results. Both groups showed significant improvement (p<0.05) in the range of motion in the upper limb in all directions (flexion, abduction and external rotation) and change in the function of the infraspinous muscle. The only significant difference between the groups was found for external rotation (p<0.05), with Group A displaying a superior range of motion. Conclusions. 1. A single session of the Kaltenborn and Evjenth method and FDM in patients suffering from shoulder pain may increase their range of motion in the shoulder as well as improve the function of the infraspinous muscle. 2. Currently there is insufficient evidence to warrant stronger recommendation of one of the study therapies over the other. 3. There is a need for further prospective randomised studies involving larger groups of patients and assessing long-term effectiveness of the therapies.

Medycyna Faktów

W praktyce fizjoterapeuty najczęstsze problemy, z którymi zgłaszają się pacjenci, to ból i ograni... more W praktyce fizjoterapeuty najczęstsze problemy, z którymi zgłaszają się pacjenci, to ból i ograniczenia z nim związane, wpływające na aktywności codzienne. Zwiększona długość życia, której towarzyszą postępujące procesy inwolucyjne, wraz z trendem do zwiększania aktywności fizycznej – a tej z kolei często towarzyszą urazy – nierzadko prowadzi do konieczności pracy z fizjoterapeutą nad powrotem do pełnej sprawności. W leczeniu pacjentów odczuwających ból często główne narzędzie fizjoterapii, jakim są ruch i ćwiczenia, nie może być w pełni zastosowane ze względu na świeżość urazu lub poziom sensytyzacji tkanek w bólu przewlekłym. W sytuacji, gdy konieczne jest włączenie leczenia przeciwzapalnego i przeciwbólowego równolegle z fizjoterapią, dobre rozwiązanie stanowi wykorzystanie jednego z niesteroidowych leków przeciwzapalnych – nimesulidu w żelu. Jako lek dużo silniej powinowaty do COX-2 ma on mniejszą liczbę działań niepożądanych niż klasyczne niesteroidowe leki przeciwzapalne. Lek ...

Kardiologia w Praktyce, Jun 30, 2014

AF-migotanie przedsionków (atrial fibrillation) AHA-Amerykańskie Towarzystwo Kardiologiczne (Amer... more AF-migotanie przedsionków (atrial fibrillation) AHA-Amerykańskie Towarzystwo Kardiologiczne (American Heart Association) BMI-wskaźnik masy ciała (body mass index) BSA-powierzchnia ciała (body surfice area) CAD-choroba niedokrwienna serca (coronary artery disease) CDC-Centrum Kontroli Chorób (Centers for Disease Control) CRP-białko C reaktywne (C Reactive Protein) CVD-choroby układu sercowo-naczyniowego (cardiovascular disease) GUS-Główny Urząd Statystyczny HDL-frakcja cholesterolu o wysokiej gęstości HR-czynność akcji serca (heart rate) HRQL-jakość życia uwarunkowana stanem zdrowia (Health-related Quality of Life) IACE-inhibitory enzymu konwertującego angiotensynę IL-6-interleukina-6 LDL-frakcja cholesterolu o niskiej gęstości MET-ekwiwalent metaboliczny (Metabolic Equivalent of the Task) NA-noradrenalina NW-Nordic Walking NYHA-klasa czynnościowa Nowojorskiego Towarzystwa Kardiologicznego (New York Heart Association) QoL-jakość życia (quality of life) p-poziom istotności statystycznej POChP-przewlekła obturacyjna choroba płuc RR-ciśnienie tętnicze TG-trójglicerydy UE-Unia Europejska WHO-Światowa Organizacja Zdrowia (World Health Organization) wsp.-współpracownicy

Physiotherapy Review, 2021

Background: The problem of urinary incontinence (UI) is present in the sports community, and wome... more Background: The problem of urinary incontinence (UI) is present in the sports community, and women in this group are more likely to experience it compared to those who are physically inactive. Aims: This study aimed to determine the extent of urinary incontinence among physically active women and to indicate the influence of participants' sociodemographic characteristics and variables describing their physical activity on the level of this problem. An additional objective was to assess subjects' awareness of the prevention and treatment methods of urinary incontinence and check whether they use them to protect and treat this dysfunction. Material and methods: The data was obtained from 736 women. The research used the method of a diagnostic survey, the technique of an Internet questionnaire for which the proprietary interview questionnaire was used. The obtained results were statistically analyzed using statistical measures and tests. Results: Urinary incontinence was reported by 18.2% of the participants. A statistically significant association between age, history of childbirth, education, and prevalence of urinary incontinence was found. There was no statistically significant relationship between training duration, number of systematic workouts per week, length and intensity of a single workout and urinary incontinence. Conclusion: The problem of urinary incontinence is present in the sports community, but further research should be conducted to analyze the prevalence of this issue in this population.

Kardiologia Polska, 2015

Recenzenci dokumentu: dr hab. n. med. Agata Bronisz (Collegium Medicum im. Ludwika Rydygiera w By... more Recenzenci dokumentu: dr hab. n. med. Agata Bronisz (Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu) dr hab. n. med. Leszek Czupryniak (Uniwersytet Medyczny w Łodzi) prof. dr hab. n. med. Dariusz Kozłowski (Gdański Uniwersytet Medyczny) A b s t r a c t Type 2 diabetes is responsible for approximately 90% of all diabetes worldwide and it is a global public health problem. This is a chronic, progressive, metabolic disease characterised by hyperglycaemia, which leads to microangiopathic and macroangiopathic complications. Subjects with type 2 diabetes have increased mortality and a reduced life expectancy compared with those without diabetes. Strong evidence supports the fact that identification of type 2 diabetes risk factors and early intervention influencing the modifiable ones can reduce incidence rate of diabetes and prevalence of its complications. There are many advantages of such interventions for patients (prolonged life expectancy, improvement of life quality) and for the whole society (reduction of the costs). Therefore the guidelines for the prevention of type 2 diabetes are needed. Experts of the Polish Cardiac Society Working Group on Cardiovascular Pharmacotherapy reviewed recently published clinical studies regarding the prevention of type 2 diabetes and prepared their recommendations. The guidelines are designed to assist clinicians and other healthcare workers to make evidence based management decisions. The strategies are grouped broadly into interventions that aim to change lifestyle through physical activity and diet, interventions based on drug administration (pharmacotherapy) and surgical interventions.

Celem badania była ocena wpływu różnych modeli II etapu rehabilitacji kardiologicznej na obciążen... more Celem badania była ocena wpływu różnych modeli II etapu rehabilitacji kardiologicznej na obciążenie serca, czas trwania testu wysiłkowego i szybkość powrotu spoczynkowej czynności serca oraz porównanie tych wskaźników w grupie kobiet i grupie mężczyzn. ( Aim of this study was to assess the impact of different models of cardiac rehabilitation phase II of the load of the heart, exercise test duration and heart rate response and to compare these indices in different gender. )

Kardiologia

The fall in the elderly can cause very serious consequences such as fractures, cranial – cerebral... more The fall in the elderly can cause very serious consequences such as fractures, cranial – cerebral injuries, etc. A significant increase in life expectancy over the past few decades, has affected the need to increase efforts to reduce the risk of falling to a minimum, since ceased to be an issue of marginal sections of society. Until now, patients with chronic cardiac insufficiency circulatory derivative, were only part of the groups subjected to the above reduction in the risk of falling. It should create an exercise program for that particular group based on the latest methods of treatment and diagnosis for significant improvement in their quality of life.