scholarly journals Physical Factors in the Medical Rehabilitation of Children with Spinal Osteochondropathies

2021 ◽  
Vol 20 (4) ◽  
pp. 82-89
Author(s):  
Evgeny M. Talkovsky ◽  
Dmitry Y. Vybornov ◽  
Nikolay I. Tarasov ◽  
Vladimir V. Koroteev ◽  
Vladislav F. Prikuls
Keyword(s):  
Children And Adolescents ◽  
Modern Medicine ◽  
Medical Rehabilitation ◽  
Economic Losses ◽  
Steady Increase ◽  
Physical Factors ◽  
Pain Syndromes ◽  
Motor Mode ◽  
Electrical Muscle

Aim. To conduct a targeted search for scientific literature sources aimed at compiling a review of data on the use of physical factors inthe medical rehabilitation of children suffering from spinal osteochondropathies.One of the most urgent and socially significant problems of modern medicine is the wide prevalence of orthopedic pathology, amongwhich the leading positions are occupied by diseases of the spine. In the population of children and adolescents, there has been arecent steady increase in pain syndromes of a vertebrogenic nature, leading to a violation of physical functioning. According to variouspopulation studies, the prevalence of this nosological form among the child population ranges from 0.42 to 37%. The prevalenceof Sheyerman-Mau disease in the general population of children and adolescents ranges from 0.4-8.3%. This pathology is the mostcommon among all osteochondropathies of childhood. To date, the etiology of spinal osteochondropathy is still unclear. Due to theasymptomatic course, the disease is not always diagnosed at the early stages of development which creates certain difficulties indiagnosing and prescribing effective treatment of the disease. Medical rehabilitation of children with spinal osteochondropathies isaimed at preventing further progression of deformity, improving posture, respiratory function and cardiovascular system and includes:rational motor mode and nutrition, general strengthening and hardening procedures, conservative orthopedic measures (wearing acorset, staying in a plaster bed), active correction of deformity (kinesotherapy), hydrokinesotherapy, massage, passive correction ofdeformity (treatment with position), physiotherapy (electrical muscle stimulation), sports (skiing, swimming). A special place in thereview is given to the presentation of the stages of medical rehabilitation of children with dorsalgia and adolescents who have undergonesurgical treatment for spinal osteochondropathies. Conclusion. When prescribing a personalized program of medical rehabilitation for children suffering from spinal osteochondropathies,the maximum positive dynamics of the course of the disease is achieved, which leads to an improvement in the quality of lifeand a decrease in disability among the children’s population. The developed programs of medical rehabilitation of children will reducethe socio-economic losses from vertebrogenic pathology and will contribute to strengthening the health of the younger generationsof Russia.

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 Pharmacological potential strengthening of drug therapy in treating patients with chronic pancreatitis by using therapeutic physical factors

2021 ◽  
Vol 19 (5) ◽  
pp. 293-298
Author(s):  
Raziyat M. Mallaeva ◽  
Anna N. Makhinko ◽  
Marat B. Uzdenov
Keyword(s):  
Quality Of Life ◽  
Chronic Pancreatitis ◽  
Drug Therapy ◽  
Clinical Manifestations ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Physical Factors ◽  
Standard Drug ◽  
Pharmacological Potential

Background. The steady increase in the incidence of chronic pancreatitis, its aggressive course in recent years, as well as the insufficient therapeutic effect of standard techniques determine the relevance of the search for new approaches to the treatment and medical rehabilitation of this category of patients. Aims. 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; n=39) received standard drug therapy; 1st comparison group (GC1; n=38) additionally received TPF; (GC2, n=40) in addition to treatment in GC1 had drinking mineral water "Slavyanovskaya"; in main group (n=42) 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% (р 0.01), in GC1 by 71.5% (р 0.01), GC2 by 62.3% (р 0.01), CG by 57.2% (р 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% (р 0.01), after 12 months by 24.0% (р 0.05); mental by 32.3% (р 0.01) and 22.5% (р 0.05), respectively. In both comparison groups, positive dynamics was 1012% 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.

STAGES OF REHABILITATION OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT

2021 ◽  
pp. 56-62
Author(s):  
I. V. Kas ◽  
I. S. Petukhova ◽  
T. P. Ustymenko
Keyword(s):  
Neurological Deficit ◽  
Cerebrovascular Accident ◽  
Modern Medicine ◽  
Rehabilitation Program ◽  
The Body ◽  
Medical Rehabilitation ◽  
Multidisciplinary Teams ◽  
Physical Factors ◽  
Acute Cerebrovascular Accident ◽  
Number Of Factors

One of the urgent tasks of modern medicine is organizing the rehabilitation for patients who have suffered a stroke at different stages of rehabilitation. Restoration of impaired functions in such patients occurs in the first 3−5 months from the onset of the disease, that is influenced by a number of factors: duration of the stroke, size of the lesion and pool of lesions, active participation in the process of a patient him−/herself. The main principles of rehabilitation include its early onset in an acute period of stroke; regularity and duration; complexity and multidisciplinarity (formation of multidisciplinary teams); adequacy of rehabilitation measures, i.e. creation of individual programs taking into account the severity of neurological deficit and dysfunction; stages. Different methods of recovery are applied to each patient individually or in combination, or sequentially according to the rehabilitation program, which is based on the analysis of the patient's condition by all members of the multidisciplinary team, taking into account the results of functional testing and objective examination. Medical support, postural correction, kinesitherapy, mechanotherapy (including robotic), field therapy, hardware physiotherapy, massage, acupuncture according to the indications, functional neurotraining and cardiotraining, neuropsychological training are used. The results of research confirm that the integrated use of kinesitherapy, physical factors, balneotherapy, the methods of psychological rehabilitation of patients after stroke provides a faster recovery of neurological deficit, activates non−specific brain systems, restores mental and somatic functions of the body. Therefore, in addition to health, the patient needs to renew his ability to work and social status. Key words: acute cerebrovascular accident, medical rehabilitation, stages of rehabilitation.

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.

Particularities of tinnitus in children and adolescents

ORL ro ◽  
2016 ◽  
Vol 4 (1) ◽  
pp. 40-42
Author(s):  
Alexandra Boloș ◽  
Sebastian Cozma ◽  
Andreea Silvana Szalontay
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Children And Adolescents ◽  
Psychological Factors ◽  
Ambient Noise ◽  
Psychological Consequences ◽  
Therapeutic Approaches

Tinnitus is a common otologic symptom and probably the most troublesome. Tinnitus causes a number of physical and psychological consequences, that interfere with the quality of life of the patient. Many authors believe that the presence of tinnitus in children is a matter of lesser importance than in adults because it is met less frequently and would be a fleeting symptom, inoffensive for them (Graham, 1981). In addition, the prevalence of tinnitus during adolescence and even in young adults is increasing, possibly as a consequence of the increased ambient noise (Bulbul SF, Shargorodsky J). Various therapeutic approaches have generated different results, which led us to consider the role of psychological factors, hence the need to underline the particularities of this symptom in childhood.  

Menopausal hormone therapy and uterine cancer: the acceptability of the tandem

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 42-47
Author(s):  
O V Yakushevskaya ◽  
S V Yureneva ◽  
A E Protasova ◽  
G N Khabas ◽  
M R Dumanovskaya
Keyword(s):  
Hormone Therapy ◽  
Uterine Cancer ◽  
Menopausal Hormone Therapy ◽  
Medical Rehabilitation ◽  
Cytostatic Treatment ◽  
Systematic Analysis ◽  
Strict Adherence ◽  
Patient Profile ◽  
The Past

The aim of the work is to conduct a systematic analysis of the available research results on the possibility of using menopausal hormone therapy (MHT) in patients who successfully completed the treatment of endometrial cancer (EC). Materials and methods. The review includes data from foreign articles published in PubMed and Medline, and domestic works published on elibrary.ru over the past 40 years. Results. The results obtained allow us to consider MHT as an independent method of medical rehabilitation for women who have undergone EC. A clear patient profile should be established, allowing the use of this method, with strict adherence to health monitoring. Conclusion Patients who have successfully completed the treatment of EC require the creation of special rehabilitation conditions in the interests of maintaining health and quality of life and should be under the close attention of the doctor. Argumented approaches to the appointment of MHT in such patients will avoid complications associated with estrogen deficiency after surgery, radiation with or without systemic (cytostatic) treatment methods.

Possibilities and prospects of conservative therapy for endometriosis, as a chronical progressing disease (review of literature)

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Tatyana Yu. Pestrikova ◽  
Elena A. Yurasova ◽  
Igor V. Yurasov
Keyword(s):  
Quality Of Life ◽  
Abnormal Uterine Bleeding ◽  
Modern Medicine ◽  
Reproductive Age ◽  
Aim Analysis ◽  
Scientific Publications ◽  
Terra Incognita ◽  
Positive Effect

Relevance. Endometriosis is a common gynecological disease that affects up to 10% of women of reproductive age worldwide and is the main cause of pain and infertility. Endometriosis is a disease, although it has been known for a long time, nevertheless, in many ways it represents terra incognita for modern medicine. Aim. Analysis of literature on the feasibility of long-term and the use of the drug dienogest 2 mg (Vizanne), which has a positive effect on the quality of life of patients with endometriosis. Materials and methods. To write this review, a search was made for domestic and foreign publications in Russian and international search engines (PubMed, eLibrary, etc.) over the past 13 years. The review included articles from peer-reviewed literature. Results. The review presents data on the difficulties of verifying the diagnosis of endometriosis due to a combination of this pathology with pain, infertility, abnormal uterine bleeding. The pathogenesis of the origin of endometriosis-associated pain is presented. The efficacy of the use of the drug dienogest (Vizanne), which has a powerful antiproliferative effect that reduces the main symptoms of endometriosis (pain, bleeding), is substantiated. The expediency of long-term and safe use of the drug dienogest (Vizanne), which has a positive effect on the quality of life of patients with endometriosis, has been proved. Conclusions. Numerous scientific publications confirm the feasibility of prolonged use of the drug dienogest (Vizanne), to achieve remission during endometriosis.

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