scholarly journals Modern technologies of medical rehabilitation of children with chronic constipation

2021 ◽  
Vol 20 (2) ◽  
pp. 175-182
Author(s):  
Maya A. Khan ◽  
Evgeny M. Talkovsky ◽  
Maria S. Petrova
Keyword(s):  
Physical Therapy ◽  
Chronic Constipation ◽  
Mineral Waters ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Daily Routine ◽  
External Application ◽  
Intestinal Motility Disorders ◽  
Peloid Therapy ◽  
Magnetic Therapy

Medical rehabilitation of children with chronic constipation is a complex system of measures, including: rational nutrition, drug therapy, physiotherapy, physical therapy, massage, et. The main tasks of medical rehabilitation are: normalization of the passage of fecal masses, tone of the sphincter apparatus of the rectum and pelvic floor muscles, restoration of the defecation reflex and reduction of astheno-vegetative disorders. The article describes the methods of physiotherapy used in the treatment of chronic constipation in combination with diet, daily routine, medication, physical therapy and massage: amplipulstherapy, interference therapy, percutaneous electroneurostimulation, high-intensity magnetic therapy, transcranial electrostimulation. Balneotherapy methods are widely used: internal and external application of mineral waters, as well as heat treatment and peloid therapy. Natural and artificial physical factors are assigned differentially, taking into account the type of intestinal motility disorders. One of the promising areas of modern physiotherapy is the study of the combined and combined use of two physical factors that increase the effectiveness of the program of medical rehabilitation of children with chronic constipation. Methods of medical and psychological correction are of great importance in the medical rehabilitation of children with chronic constipation.

Modern Opportunities of Medical Rehabilitation of Children with Chronic Constipation

2020 ◽  
Vol 98 (4) ◽  
pp. 35-41
Author(s):  
M.A. Rassulova ◽  
E.M. Talkovsky ◽  
O.Yu. Alexandrova ◽  
A.N. Smirnov
Keyword(s):  
Chronic Constipation ◽  
Rehabilitation Program ◽  
Mineral Waters ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Medication Therapy ◽  
Combined Use ◽  
Individual Program ◽  
Magnetic Therapy ◽  
The Individual

This article reviews the methods of medical rehabilitation used in the complex treatment of children with chronic constipation. Medical rehabilitation of children with chronic constipation is a complex system of measures that include rational nutrition, medication therapy, physiotherapy, kinesotherapy, massage, etc. The main objectives of the medical rehabilitation of children with chronic constipation are normalization of the passage through the intestines, improvement of tone of the pelvic floor muscles, restoration of the defecation reflex. The article describes the methods of physiotherapy used in the treatment of chronic constipation in children in combination with diet, daily regimen, drug treatment, physiotherapy exercises and massage: amplipulse therapy, interference therapy, ultrasound therapy, percutaneous electroneurostimulation, fluctotuorization, high-intensity magnetic therapy, transient transduction. The methods of balneotherapy are widely used: the internal and external use of mineral waters, as well as heat therapy and peloidotherapy. Natural and artificial physical factors are assigned differentially, taking into account the type of intestinal motility disorder. One of the promising directions of modern physiotherapy is to study the combined and combined use of two physical factors that increase the effectiveness of the medical rehabilitation program for children with chronic constipation. Methods of medical and psychological correction are of great importance in the medical rehabilitation of children with chronic constipation. The medical rehabilitation of children with chronic constipation is carried out taking into account the individual program of medical rehabilitation of the child, which makes it possible to increase the efficiency of medical rehabilitation and the patient’s quality of life.

scholarly journals Medical Rehabilitation of Children after a New Coronavirus Infection COVID-19

2021 ◽  
Vol 20 (4) ◽  
pp. 4-12
Author(s):  
Maria S. Petrova ◽  
Maya A. Khan
Keyword(s):  
The Body ◽  
Mineral Waters ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Therapeutic Effects ◽  
Rehabilitation Team ◽  
Therapeutic Exercises ◽  
Wide Range ◽  
Coronavirus Infection ◽  
Rehabilitation Measures

The article is about medical rehabilitation of children who have suffered from the coronavirus infection COVID-19, which is an acute infectious disease caused by a new strain of the coronavirus SARS CoV-2. The authors present current information about epidemiology and clinical course of this disease in children. It is known that complications and adverse outcomes of COVID-19 in children are observed much less frequently than in adults. At the same time, the clinical experience of monitoring children who have had a new coronavirus infection showed that all patients need medical rehabilitation, including those who had the disease in asymptomatic or mild form. Data on the possibility of functional disorders not only in the respiratory organs but also in other systems of the body determines the necessity of stage-by-stage medical rehabilitation of these children. The article defines the main principles and stages of their rehabilitation, proves the necessity of indications for different stages. Medical rehabilitation of children after a new coronavirus infection at all stages is provided by specialists of a multidisciplinary rehabilitation team which includes a pediatrician, a physiotherapist, an exercise therapist, a medical rehabilitation doctor, a reflexologist, a medical psychologist, a speech therapist, an instructor-methodologist, etc. This article presents a wide range of modern techniques of apparatus physiotherapy and kinesotherapy indicated for children who have undergone COVID-19, with the description of the main therapeutic effects and the mechanism of therapeutic action of physical factors. Psychological rehabilitation is of great importance in the complex of rehabilitation measures for children with COVID-19. Special attention is paid to the issues of sanatorium-resort treatment of children after a new coronavirus infection. The spectrum of nonmedicamentous technologies for inclusion in the individual program of sanatorium-resort treatment of such patients with the use of natural healing resources (mineral waters, therapeutic mud, therapeutic climate, other natural conditions used for treatment and prevention of diseases); nonmedicamentous therapy, therapeutic exercises, massage, physiotherapy, hydrotherapy, reflexotherapy, psychotherapy is determined. The article presents criteria for evaluating the effectiveness of rehabilitation measures.

scholarly journals The role and place of preformed physical factors in the complex treatment of patients with corneal ulcer

2021 ◽  
Vol 20 (1) ◽  
pp. 79-84
Author(s):  
Olga V. Yurova ◽  
Yaroslav A. Solovyov ◽  
Tatiana V. Konchugova
Keyword(s):  
Vision Loss ◽  
Corneal Ulcer ◽  
Anterior Segment ◽  
Corneal Opacity ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Actual Problem ◽  
Corneal Ulcers ◽  
Pathogenetic Therapy ◽  
Magnetic Therapy

Corneal ulcer is a severe pathology of the anterior segment of the eye, the outcome of which can be the loss of the eye as an organ, the formation of gross corneal opacity and irreversible vision loss. Currently, there is evidence of the successful use of preformed physical factors in the treatment of patients with corneal ulcers. The article presents information about the effectiveness of magnetic therapy, pulsed electrotherapy, ultrasound and laser therapy, hyperbaric oxygenation and a number of other physiotherapy methods in this pathology. Standard pathogenetic therapy is an integral part of the treatment process of corneal ulcers, but the use of physiotherapy techniques in addition to standard therapy allows you to achieve a better clinical effect, which makes it possible to consider the actual problem of medical rehabilitation of patients with corneal ulcers.

Correction of functional constipation in patients with limited mobility after stroke

2019 ◽  
Vol 1 (6) ◽  
pp. 53-55
Author(s):  
M. S. Turchina ◽  
M. V. Bukreeva ◽  
L. Yu. Korolyova ◽  
Zh. E. Annenkova ◽  
L. G. Polyakov
Keyword(s):  
Quality Of Life ◽  
Chronic Constipation ◽  
Functional Constipation ◽  
Cerebrovascular Diseases ◽  
Medical Rehabilitation ◽  
Stroke Patients ◽  
Limited Mobility ◽  
Complete Restoration ◽  
The World

Currently, the problem of early rehabilitation of stroke patients is important, since in terms of the prevalence of cerebrovascular diseases and disability after suffering a stroke, Russia is one of the first places in the world. The complex of medical rehabilitation of such patients should provide for the early and most complete restoration of all body functions, patient education for lost skills, re-socialization of the patient and improvement of the quality of life. One of the factors contributing to a significant reduction in the quality of life after a stroke is the development of chronic constipation. The article reflects the modern methods of correction of chronic constipation in patients with limited mobility.

Benefit of Pelvic Floor Physical Therapy in Pediatric Patients with Dyssynergic Defecation Constipation

2019 ◽  
Vol 37 (6) ◽  
pp. 478-485 ◽  
Author(s):  
Claire Zar-Kessler ◽  
Braden Kuo ◽  
Elizabeth Cole ◽  
Anna Benedix ◽  
Jaime Belkind-Gerson
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Chronic Constipation ◽  
Muscle Tone ◽  
Colonic Surgery ◽  
Tertiary Referral Center ◽  
Dyssynergic Defecation ◽  
Pelvic Floor Physical Therapy ◽  
Novel Treatment ◽  
Balloon Expulsion

Objectives: Chronic constipation is a common childhood problem and often caused or worsened by abnormal dynamics of defecation. The aim of this study was to assess the benefit of pelvic floor physical therapy (PFPT), a novel treatment in pediatrics for the treatment of chronic constipation with dyssynergic defecation. Methods: This was a retrospective study of 69 children seen at a pediatric neurogastroenterology program of a large tertiary referral center for chronic constipation and dyssynergic defecation, determined by anorectal manometry and balloon expulsion testing. We compared the clinical outcome of patients who underwent PFPT (n = 49) to control patients (n = 20) whom received only medical treatment (laxatives/stool softeners). Additionally, characteristics of the treatment group were analyzed in relation to therapeutic response. Results: Thirty-seven (76%) of the patients who received physical therapy had improvement in constipation symptoms, compared to 5 (25%) of the patients on conservative treatment (p < 0.01). Additionally, patients who received pelvic physical therapy had fewer hospitalizations for cleanouts (4 vs. 25%, p = 0.01) and ­colonic surgery than those that were treated with medical therapy exclusively (0 vs. 10%, p = 0.03). Among the patients who received physical therapy, those that suffered from anxiety and/or low muscle tone had a higher response rate (100%). There were no adverse effects from the intervention. Conclusion: The new field of pediatric PFPT is a safe and effective intervention for children with dyssynergic defecation causing or contributing to chronic constipation, particularly in children whose comorbidities include anxiety and low ­muscle tone.

Physical factors in medical rehabilitation of children with spinal osteochondropathies

2021 ◽  
pp. 28-36
Author(s):  
Irena Vladimirovna Pogonchenkova ◽  
Maya Alekseevna Khan ◽  
Alina Vyacheslavovna Chervinskaya ◽  
Evgeniy Maksimovich Talkovskiy ◽  
Dmitriy Yurievich Vybornov ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Scientific Literature ◽  
Cold Water ◽  
Modern Medicine ◽  
Medical Rehabilitation ◽  
Steady Increase ◽  
Physical Factors ◽  
Pain Syndromes ◽  
Treatment Procedures ◽  
Electrical Muscle

The article is devoted to a targeted search of scientific literature sources aimed at compiling a review of data on the use of physiotherapy methods in the medical rehabilitation of children with spinal osteochondropathy. One of the most urgent and socially significant issues of modern medicine is the widespread prevalence of orthopedic pathology, among which the leading positions are taken by diseases of the spine. Recently, in the population of children and adolescents, there has been a steady increase in pain syndromes of a vertebrogenic nature, leading to impaired physical functioning. According to various population studies, the prevalence of this nosological form ranges from 0.42 to 37% among the child population. The prevalence of Scheuermann — Mau disease in the general population of children and adolescents ranges from 0.4–8.3%. This pathology is the most common among all children osteochondropathies. To date, the etiology of spinal osteochondropathy is still unclear. Due to the asymptomatic course, the disease is not always diagnosed in the early stages of development, which creates certain difficulties in diagnosing and prescribing an effective treatment for the disease. Medical rehabilitation of children with osteochondropathy of the spine is aimed at preventing further progression of deformity, improving posture, respiratory function and cardiovascular system and includes: a rational exercise regime and nutrition, bracing and cold water treatment procedures, conservative orthopedic measures (wearing a corset, staying in a plaster bed), active correction of deformity (kinesiotherapy), hydrokinetic therapy, massage, passive correction of deformity (treatment by position), physiotherapy (electrical muscle stimulation), sports (skiing, swimming).

Strengthening the pharmacological potential of drug therapy in treatment of patients with chronic pancreatitis by using therapeutic physical factors

2020 ◽  
pp. 8-14
Author(s):  
R. M. Mallaeva ◽  
A. N. Makhinko ◽  
M. B. Uzdenov
Keyword(s):  
Quality Of Life ◽  
Chronic Pancreatitis ◽  
Drug Therapy ◽  
Clinical Manifestations ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Physical Factors ◽  
Standard Drug ◽  
Pharmacological Potential

The purpose of the study is to improve rehabilitation treatment of patients with chronic pancreatitis (CP) at inpatient stage by strengthening pharmacological potential of drug therapy due to inclusion of therapeutic physical factors (TPF) in therapeutic programs. Materials and methods. 159 patients with acute CP were observed. By simple randomization, 4 groups were formed: the control group (MG, 39 people) received standard drug therapy; 1st comparison group (GC1; 38 people) additionally received TPF; GC2 (40 people) in addition to treatment in GC1 had drinking mineral water «Slavyanovskaya»; in main group (42 people) in addition to the treatment in GC2 got preformed peloidotherapy on the cervical-collar zone. All the patients underwent the evaluation of clinical score and quality of life before and after medical rehabilitation. Results. In MG, clinical symptomatology leveling was by 78,2% (p<0,01), in GC1 — by 71,5% (p<0,01), GC2 — by 62,3% (p<0,01), CG — by 57,2% (p<0,01) on average immediately after the treatment, which was in a clear correlation with indicators of quality of life. In the long term (in 6 and 12 months), the advantage of combination therapy was noted with the same validity, the preservation of the achieved positive result was mostly noted in the MG: after 6 months the improvement in physical health compared to the initial values was noted by 34,4% (p<0,01), after 12 months — by 24,0% (p<0,05); mental — by 32,3% (p<0,01) and 22,5% (p<0,05), respectively. In both comparison groups, positive dynamics was 10–12% lower, and in the control group, after 6 months, there was only a tendency to improve quality of life indicators. Conclusion. The inclusion of TPF in the programs of the inpatient stage of medical rehabilitation of patients with chronic pancreatitis by strengthening the pharmacological potential of drug therapy contributes to the leveling of clinical manifestations (abdominal pain, dyspepsia and diarrhea), the result of which is an improvement in the quality of life of this category of patients.

scholarly journals Medical rehabilitation of children with hydronephrosis with concomitant neurogenic bladder dysfunction

2020 ◽  
Vol 19 (1) ◽  
pp. 20-24
Author(s):  
Elena V. Novikova ◽  
Maya A. Khan ◽  
Irina I. Ivanova ◽  
Olga V. Trunova
Keyword(s):  
Urinary Tract ◽  
Neurogenic Bladder ◽  
High Intensity ◽  
Bladder Dysfunction ◽  
Medical Rehabilitation ◽  
Neurogenic Bladder Dysfunction ◽  
Clinical Observations ◽  
Magnetic Therapy ◽  
Special Studies ◽  
Positive Effect

Background. After operations on the ureter, it is important to use medical rehabilitation technologies aimed at preventing urodynamic disorders of the upper and lower urinary tract, stimulating reparative processes. In recent years, special attention has been drawn to high-intensity pulsed magnetotherapy, which has a more pronounced and long-lasting stimulating effect compared to other types of electrical stimulation. Aim: to substantiate the feasibility of including high-intensity pulsed magnetic therapy in the comprehensive medical rehabilitation of children with hydronephrosis and concomitant neurogenic bladder dysfunction. Methods. Clinical observations and special studies with the inclusion of high-intensity pulse magnetic therapy in the course of therapy were conducted in 100 children aged 4 to 15 years with hydronephrosis, a condition after surgery. Results. Medical rehabilitation with the inclusion of high-intensity pulsed magnetic therapy had a positive effect on the urodynamics of the urinary tract, renal blood flow, helped to stop inflammation in the renal parenchyma and restore the rhythm of urination in children with hydronephrosis and concomitant neurogenic bladder dysfunction. Conclusion. According to the research results, the feasibility of including high-intensity pulsed magnetic therapy in the complex of medical rehabilitation of children with hydronephrosis, concomitant neurogenic bladder dysfunction, is scientifically justified.

scholarly journals PHYSICAL FACTORS AND THEIR ROLE IN ONCOLOGY

2019 ◽  
Vol 1 (3) ◽  
pp. 12-17 ◽  
Author(s):  
T Ya Kucherova ◽  
M V Vusik ◽  
O V Cheremisina
Keyword(s):  
Physical Therapy ◽  
Tumor Growth ◽  
Light Therapy ◽  
Physical Factors ◽  
Historical Aspect ◽  
Scientific Results ◽  
Effective Adjunct ◽  
Stimulate Tumor Growth

The analysis of the effect of various physical therapy methods on tumor growth in the historical aspect and comparison with our own scientific results were carried out. The role of physical therapy methods such as galvanization (electrophoresis), light therapy (ultraviolet irradiation, lasers of different light wave spectra), alternating currents (UHF, microwave, inductothermia), mechanical vibrations (ultrasound, vibration), magnetic field, pulse currents (DDT, SMT), high voltage currents (darsonvalization), and thermal factors (mud and heat treatment) in stimulation of tumor growth was studied. The results of our own studies confirm the statement that the physiotherapeutic factors used do not stimulate tumor growth, and can have a beneficial influence on the improvement of the quality of life of cancer patients. Thus, there is a growing evidence that physiotherapy is a safe and effective adjunct to cancer treatment.

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