scholarly journals Chest cryomassage and sylvinite speleotherapy as a part of medical rehabilitation of patients with bronchial asthma

2011 ◽  
pp. 65-70
Author(s):  
M. A. Rasulova ◽  
I. V. Antonovich ◽  
N. S. Airapetova ◽  
E. M. Styazhkina ◽  
I. V. Ksenofontova ◽  
...  
Keyword(s):  
Bronchial Asthma ◽  
Medical Rehabilitation

New opportunities of halotherapy in the prevention and medical rehabilitation of children

2021 ◽  
pp. 37-47
Author(s):  
Alina Vyacheslavovna Chervinskaya ◽  
Irena Vladimirovna Pogonchenkova ◽  
Maya Alekseevna Khan ◽  
Natalya Anatolievna Mikitchenko ◽  
Natalya Anatolievna Lyan
Keyword(s):  
Sodium Chloride ◽  
Bronchial Asthma ◽  
Respiratory Diseases ◽  
High Efficiency ◽  
Medical Rehabilitation ◽  
Favorable Effect ◽  
Group Method ◽  
Biophysical Properties ◽  
Pediatric Practice ◽  
Highly Dispersed

The article is devoted to new possibilities of using halotherapy in the prevention, treatment and medical rehabilitation of children. In recent years, active work has been carried out to develop new effective methods of reproducing the aerodispersed medium in the form of haloingalation therapy or by group method — in the conditions of a halochamber. The therapeutic effect of halotherapy is determined by the biophysical properties of a dry highly dispersed aerosol of sodium chloride. The paper presents the biophysical properties of the main active factor of halotherapy, i.e. a dry highly dispersed aerosol of sodium chloride, and reveals some aspects of the formation of the mechanism of therapeutic action. The anti-inflammatory, draining, mucolytic, immunomodulatory, sanogenetic effect of haloaerosol is shown. In pediatric practice, haloaerosol therapy is used for medical rehabilitation of children with respiratory diseases (bronchial asthma, bronchitis), ENT pathology (rhinosinusitis, tonsillitis, pharyngitis), skin diseases. Halotherapy is the method of choice in the prevention of acute respiratory diseases and improving the health of children in general education institutions. The high efficiency of the complex application of halotherapy in various diseases in children has been established. A promising direction for the development of halotherapy is the development of combined exposure technologies. The high efficiency of the use of haloingalation therapy in combination with magnetic therapy in the treatment of acute rhinosinusitis in children has been proven. Based on the conducted studies, a favorable effect of the use of halotherapy and flutter therapy on clinical and functional parameters in children with bronchial asthma was revealed. The data on the possibility of combined use of halotherapy with a pulsed low-frequency electrostatic field in the medical rehabilitation of children suffering from bronchial asthma are presented. Simplicity, safety, the possibility of personalization of exposure and good tolerability by children expands the possibilities for using halotherapy in pediatric practice.

scholarly journals Paediatric rehabilitation treatment standards: a method for quality assurance in Germany

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Jutta Ahnert ◽  
Stefan Löffler ◽  
Jochen Müller ◽  
Matthias Lukasczik ◽  
Silke Brüggemann ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Atopic Dermatitis ◽  
Bronchial Asthma ◽  
Expert Knowledge ◽  
Inpatient Rehabilitation ◽  
Medical Rehabilitation ◽  
Evidence Based ◽  
Treatment Standards ◽  
Core Element ◽  
Rehabilitation Treatment

Over the last few years, the German Pension Insurance has implemented a new method of quality assurance for inpatient rehabilitation of children and adolescents diagnosed with bronchial asthma, obesity, or atopic dermatitis: the so-called rehabilitation treatment standards (RTS). They aim at promoting a comprehensive and evidence-based care in rehabilitation. Furthermore, they are intended to make the therapeutic processes in medical rehabilitation as well as potential deficits more transparent. The development of RTS was composed of five phases during which current scientific evidence, expert knowledge, and patient expectations were included. Their core element is the specification of evidence-based treatment modules that describe a good rehabilitation standard for children diagnosed with bronchial asthma, obesity, or atopic dermatitis. Opportunities and limitations of the RTS as a tool for quality assurance are discussed.

scholarly journals Assessment of effectiveness of sanatorium medical rehabilitation of patients with bronchial asthma by international classification of functioning, disability and health

2020 ◽  
Vol 17 (3) ◽  
pp. 133-140
Author(s):  
Leyla Shamilevna Dudchenko ◽  
V. I. Mizin ◽  
S. N. Belyaeva ◽  
G. G. Maslikova ◽  
E. N. Kozhemyachenko ◽  
...  
Keyword(s):  
Bronchial Asthma ◽  
Clinical Laboratory ◽  
Functional Condition ◽  
International Classification ◽  
Medical Rehabilitation ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Health Resort ◽  
The Crimea

The purpose of study was to elaborate methodology of assessment of effectiveness of a medical rehabilitation in patients with the bronchial asthma with use of the International Classification of Functioning, Disability and Health (ICF). Under observation there were 420 patients with bronchial asthma who received sanatorium treatment on the Southern coast of the Crimea. All patients received the clinical, laboratory and functional trial. For assessment of a condition of patients according to provisions of ICF, a set of domains was developed for patients with bronchial asthma. The health resort medical rehabilitation in the climatic resort leads to reliable increase of asthma control. Changes of continuants of the offered domains before carrying out sanatorium medical rehabilitation had reliable positive dynamics. A proposed methodology can be used for assessment of functional condition of patients with bronchial asthma under health resort medical rehabilitation.

scholarly journals MATHEMATICAL MODEL OF SELECTION OF PHENOTYPES OF BRONCHIAL ASTHMA AT THE RESORT STAGE OF MEDICAL REHABILITATION

2018 ◽  
Vol 1 (68) ◽  
pp. 17-22
Author(s):  
Лейла Дудченко ◽  
Leila Dudchenko ◽  
Валентин Савченко ◽  
Valentin Savchenko
Keyword(s):  
Mathematical Model ◽  
Discriminant Analysis ◽  
Bronchial Asthma ◽  
Medical Rehabilitation ◽  
Discriminant Functions ◽  
Linear Discriminant ◽  
Arterial Blood ◽  
6 Minute Walk Test ◽  
The Mathematical Model ◽  
Selection Of

The aim of the research is to develop a mathematical model of selection of phenotypes of bronchial asthma (BA) at a resort stage of medical rehabilitation. Materials and methods: 300 patients with BA who arrived at the climatic resort for medical rehabilitation; values of 64 indices of the research describing features of emergence and a course of a disease; the current clinic-functional state of patients; the discriminant analysis for the creation of a mathematical model. Results of the research: by the discriminant analysis there were created 7 statistically significant linear discriminant functions for the discernment of BA phenotypes; 23 indices of the research were under study: gender, asthma control, quantity of not allergic associated diseases, coughing during the day, character of the sputum, expressiveness of symptoms of asthma, use of rescue medication, the number of dry rattles in lungs, severity of hypostases, systolic and diastolic arterial blood pressure, shortness of breath, wheezing, reaction to the change of weather, allergic reactions, existence of symptoms of intoxication and feature of treatment of the last exacerbation, a dose of inhaled glucocorticosteroids, presence of emphysema and fibrosis in lungs at the X-ray examination, expressiveness of electrographic changes, FEF25-75%, 6-minute walk test. Conclusion: the procedure of the selection of 7 BA phenotypes at the resort stage of medical rehabilitation can be carried out by the use of the mathematical model consisting of 7 linear discriminant functions including 23 indices; the accuracy of the selection of the offered BA phenotypes of the developed mathematical model in general is 89.0%.

scholarly journals Prevention of Meteopathic Reactions in Children with Bronchial Asthma in a Sanatorium

2021 ◽  
Vol 20 (4) ◽  
pp. 13-21
Keyword(s):  
Bronchial Asthma ◽  
Weather Forecasting ◽  
Climatic Factors ◽  
Weather Conditions ◽  
Climatic Conditions ◽  
Medical Rehabilitation ◽  
Automated System ◽  
Weather Factors ◽  
Rehabilitation Programs ◽  
Weather Sensitivity

The problems of medical rehabilitation of children with bronchial asthma are relevant for the national health care due to the high prevalence of the disease in the child population and the possibility of disability. Currently, the role of weather factors in the development of meteopathic reactions in children suffering from bronchial asthma is increasing. Meteopathological reactions can be manifested by increased symptoms of the disease and ventilation disorders, as well as they reduce the effectiveness of rehabilitation measures. In this regard, research devoted to the development of methods for the prevention and correction of manifestations of weather dependence using natural and climatic factors is of particular interest. Aim. The study aimed to assess the bioclimatic potential of the resort of Gelendzhik city and to develop methods for the prevention of meteopathic reactions in children with bronchial asthma. Material and methods. The research was conducted on the basis of the SRC “Vulan” (Gelendzhik). Features of biotropic weather conditions influence and meteopathic reactions development were studied in 119 children with bronchial asthma aged 5 to 15 years. Microclimatic features of the Sanatorium “Vulan” territory were studied using an automated system of medical and meteorological weather forecasting. Methods of climate therapy included dosed sun and air baths, which were prescribed taking into account the severity of the disease and the degree of child’s adaptation to the climatic conditions of the sanatorium. Results and discussion. The study of the bioclimatic potential showed that the territory of the Sanatorium “Vulan” can be attributed to the resort area with a sparing effect of the climate on the child’s body and with favorable microclimatic conditions that allow to widely include all types of climatotherapy in treatment and rehabilitation programs. Against the background of the dosed climate therapy, the majority of children (82.1%) had decreased manifestations of increased weather sensitivity, improved respiratory function and increased indicators of the psychoemotional status of children with bronchial asthma. Conclusion. Improved and scientifically-based technologies for dosing of the climate-related procedures, which are included in the programs of sanatorium-resort treatment of children with bronchial asthma, can significantly reduce the frequency of weather-related reactions.

scholarly journals Innovative Methods of the Interdisciplinary Approach to Medical Rehabilitation in Children with Bronchial Asthma

2021 ◽  
Vol 20 (4) ◽  
pp. 50-56
Author(s):  
Anna V. Ponomareva ◽  
Mikhail M. Raspertov ◽  
Maxim Yu. Yakovlev ◽  
Anatoly D. Fesyun
Keyword(s):  
Physical Therapy ◽  
Bronchial Asthma ◽  
Well Being ◽  
Rehabilitation Program ◽  
Basic Program ◽  
Individual Characteristics ◽  
Medical Rehabilitation ◽  
Inhalation Therapy ◽  
Subjective Feeling ◽  
Subjective Data

The childhood incidence of bronchial asthma is the most common chronic pathology in children. Due to the influence of many factors,as well as due to the widespread prevalence, the problem is becoming particularly relevant today. In recent years, a frequently usedconcept of medical rehabilitation is the so-called “multidisciplinary approach”, which also consists in the implementation of a personalizedapproach. Aim. To develop a comprehensive targeted program for the medical rehabilitation of children with bronchial asthma, to study the effectivenessof a comprehensive targeted program selected taking into account the individual characteristics of the child. Material and methods. There was developed an individual targeted program of medical rehabilitation was developed, in accordancewith the procedures and standards of medical care, taking into account indications and contraindications, taking into account a multidisciplinaryapproach, and rehabilitation methods, namely, such as: climatotherapy, physiotherapy, speleotherapy, aromatherapy,inhalation therapy, oxygen therapy, hypoxytherapy, mechanotherapy, psychocorrection, massage, physical therapy, phytotherapy.The patients were divided into three groups by randomization, without reference to the treatment method or any other factor. Allthree groups of patients received a basic program of medical rehabilitation, which included magnetotherapy, dry carbon dioxidebaths,speleotherapy and physical therapy. Results. Positive indicators of clinical and laboratory results and subjective data as a resultof rehabilitation were obtained in all patients from all 3 groups. In children with bronchial asthma of mixed genesis, as a result of complextreatment, a significant improvement was noted. These results allow us to speak about the significant effectiveness of individuallyselected targeted medical rehabilitation programs in patients with bronchial asthma. Conclusion. As a result of the analytical work carried out according to the results of the study, it can be concluded that the use of anindividual rehabilitation complex of procedures and therapeutic techniques in children’s patients with bronchial asthma is effective.The implementation of these methods in a complex improves the condition and well-being of patients according to a subjective feeling,and also allows us to reliably speak about the improvement of the condition according to clinical and diagnostic indicators. It ispossible to recommend the introduction of the use of these programs in the medical rehabilitation of this group of patients. Drawingup targeted programs for use in children’s patients with a history of bronchial asthma is an important link in medical rehabilitation,as it allows each patient to conduct an individually selected targeted rehabilitation program in the conditions of the department ofmedical rehabilitation for patients with somatic diseases.

Medical rehabilitation of children with bronchial asthma

2021 ◽  
Vol 98 (2) ◽  
pp. 70
Author(s):  
N.A. Lyan ◽  
M.A. Khan ◽  
E.A. Turova ◽  
I.I. Ivanova ◽  
M.S. Petrova ◽  
...  
Keyword(s):  
Bronchial Asthma ◽  
Medical Rehabilitation

Physical Rehabilitation of Children with Bronchial Asthma

2020 ◽  
Vol 98 (4) ◽  
pp. 20-25
Author(s):  
N.A. Lyan ◽  
E.A. Turova ◽  
I.I. Ivanova ◽  
I.A. Bokova ◽  
I.I. Kalinovskaya
Keyword(s):  
Bronchial Asthma ◽  
High Frequency ◽  
New Technologies ◽  
Comparison Group ◽  
Clinical Course ◽  
Bronchial Tree ◽  
Medical Rehabilitation ◽  
Disease Course ◽  
Moderate Disease ◽  
Asthma In Children

The presence in children with bronchial asthma of disorders of bronchial patency, hypersecretion, deterioration of the drainage function of the bronchi determines the need to develop new technologies of kinesotherapy aimed at cleansing the bronchial tree from viscous sputum, strengthening the chest muscles. In this regard, the use of high-frequency thoracic oscillation is promising. Purpose. Study of the effectiveness of high frequency chest oscillation in children with bronchial asthma. Materials and methods. 60 children with bronchial asthma aged 6 to 17 years were examined. The main group was 30 children who received exposure to high frequency chest oscillation, the comparison group included 30 children who received only basic therapy, including basic anti-asthma therapy and respiratory gymnastics. Results. In the course of the study, positive dynamics of clinical-functional indicators was revealed, characterized by a decrease in the frequency of wet and dry seizure cough and its disappearance, increased sputum discharge, normalization of the auscultal picture in the lungs against the background of improving the performance of external breathing and respiratory excursion of the chest. More pronounced dynamics were observed in children with a moderate disease course, who were in incomplete remission and had initially lower computer flowmetry rates. Conclusion. Based on the studies, the possibility of using high-frequency chest oscillation in the comprehensive medical rehabilitation of children with bronchial asthma was scientifically substantiated. Peculiarities of action of high-frequency thoracic oscillation on clinical course of bronchial asthma characterized by improvement of bronchial patency, enhancement of sputum withdrawal, improvement of mobility of ribs, diaphragm, and biomechanics of respiration are studied. High therapeutic effectiveness of high-frequency chest oscillation in the treatment of bronchial asthma in children was established – 93.3%, which is significantly higher than in the comparison group (73.3%, p < 0.05).

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