Training programs play a crucial role in enhancing physical activity and quality of life for COPD patients during pulmonary rehabilitation. These programs can improve cardiovascular condition, fitness, metabolism, lung mechanics, and respiratory and peripheral muscle function. They focus on both upper and lower limbs as well as respiratory muscles, incorporating exercises that increase endurance or strength of the respiratory muscles. Endurance training can be categorized into continuous, interval (alternating periods of different intensity), and sinusoidal training (intensity following a sine wave during higher and lower intensity phases). Strength-building training targets peripheral muscles, respiratory accessory muscles, and the main respiratory muscle (diaphragm). The beneficial effects of training can be enhanced with nutritional therapy.
Overall, these programs lead to improvements in performance, shortness of breath, and quality of life. Combining different types of training can result in additive positive effects.

Introduction: In 2021, we reorganized the evaluation of lung transplant candidates and their rehabilitation before lung transplantation in case of adult patients with severe lung disease wth connection to National Program for Lung Transplantation. Our aim was to revive transplant activity, which had fallen significantly during the COVID pandemic, by centrally initiating patient selection, examination, and pulmonary rehabilitation before transplantation identifying patients, conducting examinations and their pulmonary rehabilitation before transplantation.
Purpose: To present what kind of complex pulmonary rehabilitation program the patients participated in, and what changes occur in functional parameters as a result of the pulmonary rehabilitation.
Materials and methods: Forty lung transplantation candidates (22 men, 18 women, age 49.8+11.2 years), participated in this study, we illustrate the effectiveness of the complex rehabilitation program. Distribution according to diagnoses: 25 COPD, 10 Interstitial lung disease, 4 pulmonary dystrophy, 1 bronchiectasis. The patients received a complex respiratory rehabilitation program
(breathing exercises, chest wall stretching, strengthening of lower and upper limb muscles, endurance training on a gym bike and treadmill, inspiratory muscle training) 5 times a week. At the beginning and end of the program, we performed functional tests and also education were involved.
Results: As a result of the complex program, we saw a significant improvement in chest expansion – chest deflection (MK): 3.1±1.2 vs. 4.4±1.2 cm; breath holding time: 19.3±10.8 vs. 25.7±14.5 sec; 30-second Sit-to-Stand Test: 7.5±2.4 vs. 10.5±3.0 pcs/30 sec; 6 MWD: 256±123 vs. 307±122 m; maximal inspiratory
pressure: 54.1±22.9 vs. 63.7±27.4 water cm; COPD assessement test: 20.3±5.5 vs. 15.3±5.9; mMRC dyspnea test: 3,0±0,8 vs. 2,6±0,9. Conclusion: As a result of the complex pulmonary rehabilitation, the all functional parameters improved significantly, so the transplant can take place with the best possible chance, thus giving a chance for a more complete and better quality of life.

As a former elite athlete, the first author recognized the crucial role of proper breathing techniques in enhancing performance and endurance during training and competitions. His research applied free diving training methods to elite sports, demonstrating potential improvements in breathing efficiency. Building on these successes and personal experimental results, the research group explored extending this method to healthcare, particularly in rehabilitating patients with chronic obstructive pulmonary disease (COPD). The development and implementation of a breathing monitoring device enabled real-time tracking of breathing exercises and precise measurement of adaptive processes. Our research aimed to investigate how breathing techniques from sports and healthcare contribute to improving breathing efficiency, thereby enhancing performance and quality of life

Occupational therapy centers on activity and the individual, with action at its core. The therapy's content is as unique as the clients' needs, based on activities they wish to master or gain confidence in. Besides developing sensorimotor, cognitive, and psychosocial functions, occupational therapy aims to help patients "resume" their most important actions, facilitating participation in everyday life. A key strength of this therapy lies in its diverse treatment methods
and tools, evident even during functional development. Why is this diversity so important? With each "brush stroke" or therapeutic exercise, occupational therapists and their patients move closer to achieving goals and performing desired actions. Just as artists need various brushes to paint on canvas, occupational therapists require a range of approaches and techniques to help patients learn essential skills for performing actions. One method, drawing from the artistic analogy, is the application of craft or artistic activities.

The aim of this study is to present a long-term investigation of communicative behavior and language development following cochlear implantation in a child diagnosed with Warsaw syndrome. Recent literature has primarily focused on the genetic characteristics and developmental course of the syndrome, documenting only a few occurrences. Given the limited data available in international literature regarding the study and treatment of this disease, we consider this case description to be particularly relevant in the Hungarian conditions. Examining the hearing and language development of children with rare genetic disorders may be crucial for both diagnostics and rehabilitation. Based on the data presented, it appears that the individualized
cochlear implantation procedure was essential in creating an opportunity for the patient's language and communicative development to rely on acoustic stimuli.

Spasticity is a very common consequence of many central nervous system disorders, so its prevalence is relatively high. Over the past decades, our knowledge of spasticity has increased, leading to a better understanding of the underlying central nervous system processes, their time course and the viscoelastic changes in the affected muscles and connective tissues. Therefore, we can use our various therapeutic options more and more consciously and obviously have to modify the therapeutic principles we have followed in the past. The aim of this summary is to make colleagues in rehabilitation departments aware of this change. The therapy of spasticity is complex and requires the collaboration of many professionals. Therapeutic options sometimes build on each other, sometimes complement each other, but it is important that they are applied at the right time for the right duration. We should remember that many of the therapeutic options are available in Hungary, but much more organised care is needed. Due to the funding framework in Hungary, it would be essential to concentrate resources in spasticity centres, which provide care according to standard principles and have an overview of the whole therapeutic spectrum.

Introduction: The progression of chronic obstructive pulmonary disease (COPD) and lung function decline can be significantly influenced by diet. International studies have demonstrated that a Western diet, characterized by low antioxidant and vitamin content and a high intake of processed foods, accelerates the progression of COPD. Conversely, diets rich in vitamins, antioxidants, and polyphenols improve lung function and reduce disease severity.
Objective: This research aims to examine how dietary factors influence the progression of COPD and the improvement of lung function, with a particular focus on the effects of fruit- and vegetable-rich diets.
Methods: A literature review was conducted on nutritional interventions in COPD patients using the PubMed and Web of Science databases. Key search terms included COPD, protein, carbohydrate, fiber, vegetables, fruits, omega-3, probiotics, nuts, legumes, whole grains, olive oil, fish, nutritional intervention, nutritional therapy, and macronutrient supplementation.
Results: Higher intake of fruits, vegetables, dietary fiber, vitamins C and E, polyphenols, and ß-carotene is associated with a lower risk of COPD, while consumption of processed meats increases disease risk. Vitamin D supplementation positively influences lung function, particularly in individuals with vitamin D deficiency. Promoting the Mediterranean diet during lifestyle
counseling may help mitigate lung function decline and reduce the risk of comorbidities.
Conclusion: Proper nutrition plays a significant role in managing COPD and maintaining lung function. Diets rich in antioxidants and vitamins can slow disease progression, while avoiding processed foods may reduce lung damage.

Dynamic peroneus orthoses play a crucial role in neurological and orthopaedic-traumatological rehabilitation, with their use being widely accepted. Proper application enables patients to achieve a more natural gait, enhances mobility, and reduces the risk of falls during walking. These orthoses are designed to meet diverse needs, considering both the patient's condition and specific rehabilitation goals. The unique feature of dynamic peroneus orthoses is their ability to stabilize the foot while flexibly adapting to the phases of walking, resulting in a more comfortable fit and a more natural walking pattern compared to rigid orthoses.
In this article, we will detail how dynamic orthoses improve patient mobility, their advantages over rigid devices, and how to select the most suitable model during rehabilitation. We will illustrate these differences using our WalkOn product line, but the principles discussed can be applied to other similar devices as well

Since September 2024, advanced technological robotic therapy devices that supplement complex rehabilitation have been available at Bethesda Children's Hospital. On January 16, 2024, we presented the operation of our robotic therapy center during a professional open day, where both upper (Amadeo, Pablo, Myro) and lower limb (Omego, Lokomat) devices are available. At the start
of the center, we supplemented the rehabilitation of our hemiparetic patients with 10 sessions during a 2-week intensive therapy period as part of an upper limb preliminary study. Although the results of this preliminary study have not yet been analyzed, we received numerous positive parental feedback on the functional gains. In the future, we plan to compare the effectiveness of 2-3 sessions of therapy per week, adjusted to the school schedule, with block therapy linked to intensive rehabilitation.