scholarly journals Rehabilitation program for acute poisoning in a toxicological hospital

2021 ◽  
Vol 20 (2) ◽  
pp. 99-117
Author(s):  
Yuri S. Goldfarb ◽  
Amayak V. Badalyan ◽  
Marina Yu. Marina ◽  
Vladislav A. Shchetkin ◽  
Mikhail M. Potskhveriya
Keyword(s):  
Functional Performance ◽  
Acute Poisoning ◽  
Rehabilitation Program ◽  
The Body ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Duration Of Treatment ◽  
Severe Burns ◽  
Adaptive Capabilities ◽  
Snake Bites

BACKGROUND: Diagnostics and treatment of acute poisoning, as well as the rehabilitation measures carried out in relation to them, including the stationary stage, are aimed at the most complete restoration of the lost capabilities of the body. AIMS: Increasing the efficiency of medical rehabilitation of acute poisoning (AP) in a toxicological hospital through a combination of drug therapy and non-drug treatment with preformed physical factors. MATERIAL AND METHODS: Of 1,207 patients with AP psychopharmacological agents (pPFA), neurotoxicants (pNT), cauterizing agents (pCA) and snake bites (SB), who were in the toxicology department of the N.V. Sklifosovsky, 421 patients with an unfavorable course of AP were subjected to an in-depth examination. Intravenous laser hemotherapy (LGT), hyperbaric oxygenation (HBO), mesodiencephalic modulation (MDM), wave biomechanotherapy (WBMT) and ethylmethylhydroxypyridine succinate (EP) were used in cases of 291 patients of the main groups. RESULTS: The unfavorable course of AP was accompanied by an increase in the duration of treatment by 2.26.8 times due to the addition of pneumonia (pPFA), toxicohypoxic encephalopathy (pNT), severe burns of the gastrointestinal tract (pCA) and local edematous-inflammatory changes (SB). There was a syndrome of high blood viscosity and moderate endotoxicosis. The best clinical and laboratory results were obtained with a combination of LHT (90 minutes) with EP (pPFA), HBO and EP (pCA), HBO, MDM, EP (heavy pNT), HBO, EP (moderate pNT) and WBMT (SB). The adaptive capabilities of the organism, the state of the autonomic nervous system (pNT), neuropsychological indicators and electrical activity of the brain (pNT) improved. CONCLUSION: Programmed rehabilitation made it possible to achieve a noticeable reduction in the incidence of symptoms of the studied poisoning (by 54.693.4%), the time to resolve their manifestations (by 9.175%), as well as inpatient treatment (by 16.159.3%), improving functional performance.

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.

scholarly journals Information Technologies of Digital Adaptive Medicine

2021 ◽  
Vol 20 (5) ◽  
pp. 1154-1182
Author(s):  
Alexey Bogomolov
Keyword(s):  
Information Processing ◽  
Information Technologies ◽  
Life Support ◽  
The Body ◽  
Human Longevity ◽  
Professional Activity ◽  
Physical Factors ◽  
Processes And Reactions ◽  
Software Models ◽  
Adaptive Capabilities

The article provides a comprehensive description of information technologies of digital adaptive medicine. The emphasis is on the applicability to the development of specialized automated complexes, software models and systems for studying the adaptive capabilities of a person to environmental conditions. Requirements for information technologies to enhance these capabilities are formulated. The features of information technologies are reflected in relation to the implementation of applied systemic studies of life support, preservation of professional health and prolongation of human longevity. Six basic concepts of adaptive medicine with an emphasis on the features of the mathematical support for information processing are characterized, priorities for improving information technologies used in these concepts are determined. The information technologies used in the tasks of ensuring the professional performance of a person with an emphasis on the need to use adequate methods for diagnosing the state of a person at all stages of professional activity and the need to develop technologies for digital twins that adequately simulate the adaptation processes and reactions of the body in real conditions are considered. The characteristics of information technologies for personalized monitoring of health risks are given, which make it possible to objectify the effects of physical factors of the conditions of activity and to implement individual and collective informing of personnel about environmental hazards. The urgent need to standardize information processing methods in the development of information technologies for digital adaptive medicine in the interests of ensuring physiological adequacy and mathematical correctness of approaches to obtaining and processing information about a person's state is shown. It is concluded that the priorities for improving information technologies of digital adaptive medicine are associated with the implementation of the achievements of the fourth industrial revolution, including the concept of sociocyberphysical systems.

scholarly journals Experience medical rehabilitation of the patient after a comprehensive treatment of medulloblastoma of cerebellum with metastases in the shell and the substance of the spinal cord

2017 ◽  
Vol 8 (1) ◽  
pp. 106-111
Author(s):  
Larisa A Danilenko ◽  
Margarita B Belogurova ◽  
Alexander A Gayduk
Keyword(s):  
Spinal Cord ◽  
Functional Performance ◽  
Rehabilitation Program ◽  
Medical Rehabilitation ◽  
Comprehensive Treatment ◽  
Therapeutic Exercises ◽  
Cerebellar Medulloblastoma ◽  
Study Techniques ◽  
Interdisciplinary Interaction ◽  
And Function

The article describes the experience of medical rehabilitation of patients after a complex treatment of cerebellar medulloblastoma with metastases in the spinal cord membranes and substance. Substantiates the role of medical rehabilitation funds in correcting the effects of the disease, and cancer treatment, the essence of which is determined by the damage to the structure and function of various organs and systems. The most common effects of the three-treating medulloblastoma are postoperative deficits: ataxia and paresis; radiation myelopathy, polyneuropathy chemotherapy-induced, deformations of the skeletal system, reduced functional performance and adaptation. Actualized value of interdisciplinary interaction: oncologists, pediatricians, neurologists, orthopedists, medical rehabilitation specialists; phasing and integrated use of all available methods of rehabilitation. Presented personalized rehabilitation program to study techniques of individual lessons therapeutic exercises, therapeutic swimming, gidrokinezioterapii, procedures, motor praxis, training paretic muscles of the selected feedback, massage. It is shown that multimodal rehabilitation treatment of patients at high risk of being in remission, is effective in its action in assessing both subjective: improvement of health, emotional tone, sleep, increased appetite, and objective data: normalization of body weight, improving coordination and increasing the range of motion, increase muscle strength, strength endurance muscle corset. Currently, medical rehabilitation is an essential component of cancer patients routing.

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.

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.

Effi cacy and safety of carboxytherapy in patients with ischemic stroke

2022 ◽  
Vol 26 (6) ◽  
pp. 52-62
Author(s):  
G. R. Ramazanov ◽  
E. A. Chukina ◽  
E. V. Shevchenko ◽  
S. A. Abudeev ◽  
E. V. Klychnikova ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Clinical Laboratory ◽  
Integrated Approach ◽  
Neurological Status ◽  
The Body ◽  
Physical Factors ◽  
Negative Consequences ◽  
Duration Of Treatment ◽  
Duration Of Hospitalization ◽  
The Impact

The modern integrated approach to the treatment of ischemic stroke (IS), in addition to pharmacotherapy, provides for the impact of physical factors. Among them is injectable carboxytherapy (ICBT). Objective. The aim of the study was to evaluate the effi cacy and safety of using ICBT in combination with a standard treatment program in patients with acute ischemic stroke. Material and methods. The main group (MG) included 39 patients with acute IS, the comparison group (GC) — 31 patients. On the second day of hospitalization, patients with MG underwent ICBT on the background of standard therapy, and GC — procedures that mimic ICBT. Clinical, laboratory and instrumental data, IS outcomes, complications, timing were assessed.Results. There were no statistically signifi cant diff erences in physiological parameters (heart rate, blood pressure, SpO2) between MG and GC during and after the course of treatment. Positive dynamics of the neurological status was observed in both groups in the form of a decrease in the NIHSS score — in the MG from 6 to 4 (p = 0.047), in the GC — also from 6 to 4 (p = 0.25). In patients with MG, trophic disorders were less likely to develop in comparison with GC — 1 (2.6%) versus 6 (19.4%), p = 0.039. ICBT did not aff ect the duration of hospitalization of patients, the duration of treatment in the intensive care unit and carrying of resuscitation and also did not contribute to reducing mortality. Changes in the indicators of the acid-base state of the blood were compensatory in nature and did not lead to changes in the pH of the blood. The decrease in pH from 7.5 to 7.4 in 30–90 minutes after the procedures was a physiological reaction of the body to the introduction of CO2 and was not accompanied by negative consequences. Conclusions. ICBT is a safe method, does not aff ect the duration of hospital stay and mortality, help lower the likelihood of complications.

scholarly journals MODULAR REHABILITATION SYSTEM AT THE STATIONARY PHASE OF REHABILITATION OF MILITARY MEN AFTER ACUTE NONREVMATIC MYOCARDITIS

2019 ◽  
Vol 4 (4) ◽  
pp. 18-24
Author(s):  
S. A. Bondar ◽  
Yu. N. Zakrevskiy ◽  
D. O. Balahnov ◽  
V. P. Butikov ◽  
V. M. Pivkin
Keyword(s):  
Healthy Lifestyle ◽  
Acute Myocarditis ◽  
Physical Exertion ◽  
Diet Therapy ◽  
Rehabilitation Program ◽  
The Body ◽  
Medical Rehabilitation ◽  
Modular System ◽  
System A ◽  
The Cost

The paper presents the experience of rehabilitation treatment for servicemen who had suffered from acute nonrheumatic myocarditis. The treatment was conducted in the 1469 Naval Clinical Hospital of the Northern Fleet with using an 8-modular system of medical rehabilitation activities: a laboratory-diagnostic cluster with a patient’s rehabilitation and expert evaluation and a rehabilitation prognosis; drug therapy, diet therapy, psychosomatic diagnosis and correction of the emotional state; therapeutic exercise with restoration of physical performance and adaptive health parameters; information cluster — providing the patient with a complete and accessible understanding of information about a healthy lifestyle; physiotherapeutic non-pharmacological correction of physiological disorders, activation of endogenous protective systems of the body; functional diagnostics complex: a study of restoration of functioning parameters for cardiovascular and respiratory systems, the development of the body’s adaptation to physical exertion. As a result of using the modular system, a decrease in the average bed-day during the rehabilitation phase for patient after mild acute myocarditis was 16,6% (from 17,5±1,3 to 14,6±2,7 days); after moderate myocarditis — 8.1% (from 22,3±2 to 20.5±1,8 days); and after severe — 5,9% (from 27,2±3,5 to 25,6±1,2 days). The rehabilitation program, which has been developed basing on principles of the theory of modules, is a dynamic, easily simulated system with a combination of variable and permanent elements, that allows to reduce the cost of treatment and rehabilitation in mild myocarditis by 10,6±0,9%, in moderate myocarditis — by 7,2±0,8%, and in severe myocarditis — by 3,7±0,4%.

Medical Rehabilitation Program: 2. Effects on Basic Training Graduation Rates

1991 ◽  
Author(s):  
Linda K. Hervig ◽  
Ross R. Vickers ◽  
Bischoff Jr. ◽  
Craig
Keyword(s):  
Graduation Rates ◽  
Rehabilitation Program ◽  
Medical Rehabilitation ◽  
Basic Training

Effects of a motor imagery-based exercise protocol on chronic pain and emotional distress in patients with fibromyalgia syndrome: A pilot study

2021 ◽  
pp. 1-10
Author(s):  
Teresa Paolucci ◽  
Francesco Agostini ◽  
Massimiliano Mangone ◽  
Andrea Torquati ◽  
Simona Scienza ◽  
...  
Keyword(s):  
Motor Imagery ◽  
Fibromyalgia Syndrome ◽  
Coping Behavior ◽  
Exercise Program ◽  
Rehabilitation Program ◽  
The Body ◽  
Control Group ◽  
Exercise Protocol ◽  
And Coping

BACKGROUND: Fibromyalgia (FM) is a chronic condition characterized by widespread muscular or musculoskeletal pain of at least 3 months’ duration, occurring above and below the waist, on both sides of the body. OBJECTIVE: The aim of this study was to evaluate the effectiveness of a rehabilitation program based on motor imagery versus a conventional exercise program in FM in terms of pain, functional and psychological outcomes. METHODS: Twenty-nine female subjects were randomly assigned to a group receiving motor imagery-based rehabilitation (MIG) or to a control group (CG) performing conventional rehabilitation. Outcome assessments were performed before (T0) and after 10 sessions of treatment (T1) and at a 12-week follow-up (T2). Pain, function and psychological measurements were conducted by means of different questionnaires. RESULTS: Both treatments improved all outcomes at post-treatment (T1) and follow-up (T2). The MIG showed a significant improvement in anxiety disorder associated with FM with respect to the CG, as well as improvements in coping strategies. CONCLUSIONS: Rehabilitation treatment based on motor imagery showed a stronger effect on anxiety and coping behavior than traditional physiotherapy in patients with FM. Integrated psychological support would be desirable in this setting. Further research is needed to explore the aspects investigated in more depth.

scholarly journals Does Motor Training of the Nonparetic Side Influences Balance and Function in Chronic Stroke? A Pilot RCT

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Shanta Pandian ◽  
Kamal Narayan Arya ◽  
Dharmendra Kumar
Keyword(s):  
Functional Performance ◽  
Berg Balance Scale ◽  
Chronic Stroke ◽  
The Body ◽  
Control Group ◽  
Therapy Program ◽  
Functional Reach Test ◽  
Double Blinded ◽  
And Function ◽  
Experimental Group

Background. Balance and functional abilities are controlled by both sides of the body. The role of nonparetic side has never been explored for such skills.Objective. The objective of the present study was to examine the effect of a motor therapy program primarily involving the nonparetic side on balance and function in chronic stroke.Method. A randomized controlled, double blinded trial was conducted on 39 poststroke hemiparetic subjects (21, men; mean age, 42 years; mean poststroke duration, 13 months). They were randomly divided into the experimental group(n=20)and control group(n=19). The participants received either motor therapy focusing on the nonparetic side along with the conventional program or conventional program alone for 8 weeks (3 session/week, 60 minutes each). The balance ability was assessed using Berg Balance Scale (BBS) and Functional Reach Test (FRT) while the functional performance was measured by Barthel Index (BI).Result. After intervention, the experimental group exhibited significant(P<0.05)change on BBS (5.65 versus 2.52) and BI (12.75 versus 2.16) scores in comparison to the control group.Conclusion. The motor therapy program incorporating the nonparetic side along with the affected side was found to be effective in enhancing balance and function in stroke.

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