Basic principles and approaches to medical rehabilitation of patients with atherosclerosis obliterans of lower limb arteries

Author(s):  
T.A. Knyazeva ◽  
V.A. Badtieva ◽  
N.V. Trukhacheva
2021 ◽  
pp. 91-97
Author(s):  
E. A. Kotov ◽  
◽  
A. D. Druk ◽  
D. N. Klypin ◽  
◽  
...  

The article deals with the solution of the problem of optimizing the characteristics of controlled motion of human lower limb exoskeleton robot for improving medical rehabilitation. The aim of the work is to develop a rehabilitation device capable of providing controlled motion in two planes, as well as maintaining balance without loss of mobility. The design and control system of a rehabilitation trainer designed for performing mechanotherapy of the lower limbs of patients with locomotive disorders are proposed and characterized. The developed system has a number of significant differences from analogues and can be recommended for experimental research on patients with impaired locomotive functions


2018 ◽  
Vol 20 (4) ◽  
pp. 131-137
Author(s):  
K K Scherbina ◽  
V G Suslyaev ◽  
Yu B Golubeva ◽  
A V Sokurov ◽  
T V Ermolenko ◽  
...  

The needs and possibilities of import substitution in the prosthetic and orthopedic industry for prosthetics and orthotics of lower limbs from local and imported component materials were determined. We analyzed the stock list of special equipment, materials, and modules used in the manufacture of prostheses and orthoses of the lower limbs, indicating local and foreign suppliers. The technical characteristics of equipment, materials, and modules of lower limb prostheses that are not manufactured in the Russian Federation were determined. We indicated the stock list, components, equipment, and materials, which production is more reasonable to be organized in Russia instead of using imported products of similar purpose. We carried out operational tests and clinical trials of prosthetic and orthopedic products that were made from new thermoplastic materials. These materials are developed by local manufacturers for the production of a bucket of the prosthesis for lower and upper limbs, orthoses and orthopedic devices, actively correcting braces, stop holders, etc. We indicated the ways of implementing the state policy to eliminate reliance of local prosthetic and orthopedic industry on import. Proposals for the optimization of reference documentation were developed. The role and position of research organizations that solve the problems of import substitution and that focus on the creation of new and improvement of existing technologies of physical medical rehabilitation of patients with muscle-skeleton disorders were defined. We determined the importance of institutions of advanced training for doctors and other specialists who work in prosthetic and orthopedic enterprises and rehabilitation centers.


Author(s):  
M. Yu Gerasimenko ◽  
M. A Eremushkin ◽  
M. V Arkhipov ◽  
Yu. I Kolyagin ◽  
I. V Antonovich

The ongoing active development of robotics in the framework of the new economic paradigm known as «the 4th technological revolution» opens up new possibilities for the progress in various disciplines including medicine. The further improvement and clinical application of robotic manipulation mechanotherapeutic complexes are among the major priorities for the Russian public healthcare system. The article represents the characteristics of the Russian robotic manipulator prototype designed to enhance the effectiveness of medical rehabilitation, develop various options of the robotic situational behavior, and specify the topical issues as regards the improvement of the manipulation robotic systems that require the effective solutions and actions. The prospects for the formation of the basic principles of new specialty «massage programmer» are outlined based on the above considerations.


2009 ◽  
Vol 8 (3) ◽  
pp. 137-142
Author(s):  
I. N. Smirnova ◽  
I. I. Sher ◽  
S. V. Alaitseva

A method is developed for the treatment of elderly hypertension patients. The method consists in the combined use of peaty mud applications on lower limb regions, magnetolaser therapy, and electrosleep. The investigation involved 88 patients with the verified hypertension diagnosis. It has been found that the combined medical rehabilitation exerts the positive effect of the main links of pathogenesis, improves the adaptation abilities of an organism, and thus increase the efficiency of treatment and the patients’ life quality.


2016 ◽  
Vol 21 (01) ◽  
pp. 13-17 ◽  
Author(s):  
A. Pozzi ◽  
G. Pivato ◽  
L. Pegoli

With the amazing increasing in number of participants, rock climbing has become a popular sport in the last decade. A growing number of participants, with different skill level, inevitably leads to an increased number of injuries related to this practice. The kind of lesions that can be observed in rock-climbers is very specific and often involves the hand. For this reason is very important for any hand surgeon that is exposed to sport injuries to know which and the most common injuries related to this sport and which are the basic principles for the treatment of those. The aim of this article is to review the literature that has been published in the last ten year in this topic. On the NCBI database 22 articles where found that where related to rock climbing lesion affecting the hand or the whole body. Differences where found according to kind of rock climbing activity that was analyzed, alpine climb leads to more serious injuries, often affecting the lower limb, while in sport and recreational rock climbing the upper limb and the hand are definitely the most affected parts. Flexor pulley lesions, followed by fractures and strains are the most common lesions affecting the hand that are related to this practice.


2018 ◽  
Vol 43 (2) ◽  
pp. 188-195 ◽  
Author(s):  
Kate Sherman ◽  
Andrew Roberts ◽  
Kevin Murray ◽  
Sarah Deans ◽  
Hannah Jarvis

Background: Reduced function and health in individuals with lower limb amputation is well documented. Step count measurement could facilitate rehabilitation and help monitor functional health outcomes. Objectives: To determine whether mean daily step count changed between in-patient rehabilitation and consecutive leave periods. Study Design: Observational study. Methods: Nine individuals with bilateral traumatic amputations attending rehabilitation at the Defence Medical Rehabilitation Centre during a 4-month period were invited to participate in the study (two bilateral transfemoral, two bilateral transfemoral/knee disarticulation, two transfemoral/transtibial, one bilateral transfemoral plus transradial, one bilateral transfemoral plus transhumeral and one transfemoral/transtibial/transradial). Prostheses worn by each participant were fitted with an activity monitor (LAM2TM; PAL Technologies Ltd, Glasgow). Mean daily step count was analysed for each participant following 2 weeks in-patient rehabilitation and consecutive 2 weeks away from rehabilitation. Results: Nine participants completed the study (time since injury: 19 ± 7 months, age: 26 ± 6 years). Mean daily step count significantly decreased from 2258 ± 192 during in-patient rehabilitation to 1387 ± 363 at home ( p < 0.01). Conclusion: The step count decreased when away from rehabilitation, confirming the hypothesis that the mean daily step count would change between in-patient rehabilitation and consecutive leave period. Clinical relevance These data provide an indication of the step count achievable by young, military male personnel with bilateral lower limb amputations and highlights differences between intensive in-patient rehabilitation and consecutive leave periods. It is suggested that further investigation and support of clinical monitoring could facilitate rehabilitation tailored to the individual.


2019 ◽  
Vol 16 (5) ◽  
pp. 172988141987590 ◽  
Author(s):  
Bin Ren ◽  
Jianwei Liu ◽  
Xurong Luo ◽  
Jiayu Chen

The lower limb exoskeleton is a wearable device for assisting medical rehabilitation. A classical lower limb exoskeleton structures cannot precisely match the kinematics of the wearer’s limbs and joints in movement, so a novel anthropomorphic lower limb exoskeleton based on series–parallel mechanism is proposed in this article. Then, the human lower limb movements are measured by an optical gait capture system. Comparing the simulation results of the series–parallel mechanism with the measured human data, the kinematics matching model at the hip joint is established. The results show that the kinematic matching errors in the X, Y, and Z directions are less than 2 mm. So, the proposed kinematics matching model is effective and the anthropomorphic series–parallel mechanism has a significant improvement in tracing the human positions at the hip joint.


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