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

The relevance of the problem of children with upper limb trauma medical rehabilitation is determined by the high frequency elbow joint fractures; the risk of complications development, disabilityc of the patient. A comprehensive medical rehabilitation program assumes a personalized approach and a differentiated prescription of physical factors, depending on the time period of rehabilitation. Early physical rehabilitation is a key link in the complete recovery of the function of a patient’s limb with damage to the elbow joint. The purpose of this work is to analyze literature and summarize the results of our own research to determine the optimal approaches and methods for medical rehabilitation of children with upper limb injury. The medical rehabilitation program includes various methods of kinesiotherapy, robotic mechanotherapy, massage, a wide range of apparatus physiotherapy to improve the trophism of the periarticular tissues, to maintain mobility in joints free from immobilization; gain of the full range of motion in the damaged joint; normalizing tone and strengthening the muscles of the upper limb. Medical rehabilitation of children with elbow joint injury is carried out from the earliest stage, in stationary conditions, during the period of immobilization. The rehabilitation measures continue in outpatient and polyclinic conditions, during the entire period of immobilization (2–4 weeks) and then in the post-immobilization period until the limb function is fully restored. It is necessary to monitor the main indicators of the function of the upper limb during the entire period of rehabilitation to assess the effectiveness of rehabilitation measures, objectify the course of the rehabilitation process and the continuity of rehabilitation programs. Definition of the tasks of medical rehabilitation, differentiated for each stage; the choice of modern, pathogenetically grounded rehabilitation technologies with an assessment of their effectiveness contribute to a significant increase in the effectiveness of comprehensive rehabilitation programs for children with upper limb trauma.

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Counseling for the Catastrophically Disabled: A Critical Need in the Medical Model

Journal of Applied Rehabilitation Counseling ◽

10.1891/0047-2220.20.4.39 ◽

1989 ◽

Vol 20 (4) ◽

pp. 39-41

Author(s):

Elaine Irons ◽

Thomas R. Irons

Keyword(s):

Sexual Functioning ◽

Medical Model ◽

Rehabilitation Program ◽

Medical Rehabilitation ◽

Rehabilitation Process ◽

Areas Of Concern

The intent of this article is to create greater awareness of a continuing problem in the medical rehabilitation of the catastrophically disabled. That problem is a need for counseling throughout the rehabilitation program. It is noted that without this element in the medical model there are numerous problems related to later adjustment, such as socialization, and sexual functioning. The authors comment on these areas of concern, and discuss what might be implemented to facilitate the total rehabilitation process.

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Efficiency of medical rehabilitation program in early aged children with cystic fibrosis

The Scientific Notes of the I P Pavlov St Petersburg State Medical University ◽

10.24884/1607-4181-2020-27-2-32-38 ◽

2020 ◽

Vol 27 (2) ◽

pp. 32-38

Author(s):

V. S. Matveev ◽

S. V. Matveev ◽

A. A. Potapchuk ◽

Iu. K. Uspenskaia

Keyword(s):

Cystic Fibrosis ◽

Motor Skills ◽

Rehabilitation Program ◽

Main Group ◽

Physical Rehabilitation ◽

Medical Rehabilitation ◽

Control Group ◽

Efficiency Coefficient ◽

Rehabilitation Programs ◽

Quantity Of Children

Introduction. The problem is actual due to the increasing of cystic fibrosis children quantity: according to neonatal screening, there were 124 children with cystic fibrosis in 2018 (72.9 % from all identified cases for the reporting year). Medical rehabilitation is the main method of the pathogenetic therapy and prevention of cystic fibrosis exacerbation. The new strategy of medical procuring for patients with orphan diseases, which is necessary to develop expert methods for diagnostics of rehabilitation potency and objectify individual rehabilitation programs, gives particular relevance to the problem.The objective was the development of new rehabilitation programs for early aged children with cystic fibrosis, the search of efficiency assessment criteria.Methods and materials. Physical and motor growth, clinical and functional parameters were estimated in 79 early aged children of main and control groups.Results. It was proved that the weight index (absolute and relative), quantity of children with harmonic growth increased due to physical methods of rehabilitation while the quantity of children with acutely disharmonic growth reduced in main group. After applying the developed rehabilitation program, the formed motor skills amounted 83 — 92 % from age norm in the main group of children and 60 — 85 % in the control group. Normotonic reaction to physical activity after the physical rehabilitation program was registered in 73.2 % of the main group and 47.8 % of the control group. In dynamics, the rehabilitation efficiency coefficient amounted (1.68±0.10) in the control group of children and (1.97±0.14) (p<0.05) in the main group that could be corresponded as «improvement». That means the quality of clinical and laboratory shifts, dynamism of physical growth and development rate of motor skills is significantly higher in the main group of children.Conclusion. The possibility of physical rehabilitation use in different rehabilitation programs of early aged children with cystic fibrosis was justified. The rehabilitation efficiency coefficient, the rehabilitation potential were offered, the effectiveness of chosen rehabilitation programs was proved.

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Medical rehabilitation approaches in patients with implanted pacemaker

Cardiosomatics ◽

10.26442/22217185.2020.1.200096 ◽

2020 ◽

Vol 11 (1) ◽

pp. 28-34

Author(s):

Bakhram G. Iskenderov ◽

Marina G. Ivanchukova ◽

Natalya V. Berenshtejn

Keyword(s):

Electromagnetic Interference ◽

Cardiac Pacemaker ◽

Cardiac Pacing ◽

Rehabilitation Program ◽

Social Adaptation ◽

Medical Rehabilitation ◽

Cardiac Pacemakers ◽

Treatment Regimens ◽

Rehabilitation Programs ◽

External Electromagnetic Fields

In the following review article, the principles and approaches of medical rehabilitation in patients with implanted pacemakers are discussed. It was shown that total benefit results from cooperation among medical, physical and psychological components of rehabilitation program and optimisation of the mode and parameters of cardiac pacing. Social adaptation of the patients with implantable pacemakers is of paramount importance and should be directed on avoidance of external electromagnetic fields and their influence on pacemaker functions, which in turn may be life-threatening for patient and the staff as well. The indications to diagnostic and treatment regimens including physiotherapeutic procedures should be clearly defined in order to avoid potential influence of electromagnetic interference on cardiac pacemaker. The well-structured medical rehabilitation programs need to be organised in order to improve quality of life and patients survival with regard to growing tendency of implantation of cardiac pacemakers.

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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

Pediatrician (St Petersburg) ◽

10.17816/ped81106-111 ◽

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.

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Rehabilitation after new coronavirus infection (COVID-19): principles and approaches

Cardiosomatics ◽

10.26442/22217185.2020.4.200570 ◽

2021 ◽

Vol 11 (4) ◽

pp. 6-14

Author(s):

Marina G. Bubnova ◽

Anna L. Persiyanova-Dubrova ◽

Nadezhda P. Lyamina ◽

David M. Aronov

Keyword(s):

Interpersonal Relationships ◽

Rehabilitation Program ◽

Medical Rehabilitation ◽

The Novel ◽

Multisystem Disease ◽

Professional Activities ◽

Rehabilitation Programs ◽

Coronavirus Infection ◽

Self Service ◽

Novel Coronavirus

The novel coronavirus infection (COVID-19), which quickly became a pandemic in 2020, has presented new challenges for healthcare system. COVID-19, being a contagious infectious disease predominantly affects respiratory system, causes cardiovascular, neurocognitive, renal, gastrointestinal, hepatic, metabolic and mental damages, which is in fact a multisystem disease. Patients with COVID-19, primarily with moderate and severe forms, need appropriate rehabilitation. This article establishes need of development of rehabilitation programs for COVID-19 patients, identifies their problems that leads to restrictions on everyday life, self-service, mobility, communication, interpersonal relationships, and professional activities. Goals and general principles of medical rehabilitation in context of a pandemic at all three stages are presented. Features of rehabilitation approaches are highlighted and important components of individual rehabilitation program for COVID-19 patients are highlighted.

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Medical Rehabilitation Carried out by the social Insurance Institution as part of Disability to work prevention

Acta Balneologica ◽

10.36740/abal202103117 ◽

2021 ◽

Vol 64 (3) ◽

pp. 223-229

Author(s):

Piotr Winciunas ◽

Dariusz Lachman

Keyword(s):

Musculoskeletal System ◽

Social Insurance ◽

Therapeutic Process ◽

Rehabilitation Program ◽

Health Condition ◽

Medical Rehabilitation ◽

Ability To Work ◽

Social Insurance System ◽

Social Insurance Institution ◽

The Social

The Social Insurance Institution (ZUS) has been implementing a medical rehabilitation program as part of disability prevention since 1996. The purpose of medical rehabilitation is to improve the health condition of the insured in terms of regaining or maintaining the ability to work. Medical rehabilitation is carried out in those diseases that most often cause inability to work, and thus generate the greatest costs for the social insurance system. Currently, ZUS is referring to medical rehabilitation in: diseases of the musculoskeletal system, cardiovascular diseases, respiratory system diseases, psychosomatic diseases, people after treatment of breast cancer, voice organ diseases, people who, during an accident, in particular an accident at work, suffered an injury to the musculoskeletal system , diseases of the central nervous system. Its role is limited to supplementing the therapeutic process with medical measures aimed at improving the body’s efficiency, enabling the insured person or pensioner to return to employment. Hence, the subjective scope of its activities covers the insured at risk of total or partial incapacity for work and who are promising to start gainful employment as a result of its completion. The concept of incapacity for work means that a person who has lost the ability to work completely or partially due to a violation of the body’s efficiency is incapable of work and does not expect to regain the ability to work after retraining. A person who has lost the ability to perform any work is completely incapable of work. A person partially incapable of work is a person who has largely lost the ability to work in accordance with the level of their qualifications.

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Algorithm of stepwise medical rehabilitation of patients with differentiated thyroid cancer

Head and neck tumors (HNT) ◽

10.17650/2222-1468-2021-11-1-122-133 ◽

2021 ◽

Vol 11 (1) ◽

pp. 122-133

Author(s):

T. I. Grushina ◽

S. O. Podvyaznikov ◽

G. A. Tkachenko ◽

A. M. Mudunov ◽

S. B. Shakhsuvaryan ◽

...

Keyword(s):

Thyroid Cancer ◽

Exercise Therapy ◽

Nutritional Support ◽

Differentiated Thyroid Cancer ◽

Rehabilitation Program ◽

Medical Rehabilitation ◽

Outpatient Rehabilitation ◽

Thromboembolic Complications ◽

Health Resort ◽

Surgical Department

Four stages of medical rehabilitation of patients with differentiated thyroid cancer in Russia are described. Specific rehabilitation programs and methods are described for every stage. The pre-rehabilitation program includes psychological and nutritional support, exercise therapy, consultations by the surgeon and anesthesiologist, correction of concomitant disorders, prevention of thromboembolic complications and local hemodynamic abnormalities. At the rehabilitation stage in the ICU antibacterial therapy, patient positioning, percussion massage of the chest, passive mobilization, massage of the extremities are performed. The rehabilitation program at the specialized surgical department includes psychological rehabilitation, adequate pain management, exercise therapy, massage, nutritional support, prevention of thromboembolic complications, treatment of early postoperative complications. The in-hospital rehabilitation at medical facilities additionally includes treatment of delayed and late surgical complications, correction of radioiodine therapy consequences. The outpatient rehabilitation program also involves correction of hypothyroidism and minimization of adverse effects of suppressive hormone therapy, health resort treatment.

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Development of a community-based medical rehabilitation program in the Kivalliq Region of Nunavut, Canada

International Journal of Circumpolar Health ◽

10.3402/ijch.v63i0.17867 ◽

2004 ◽

Vol 63 (sup2) ◽

pp. 101-106

Author(s):

M. Fricke ◽

M. Achtemichuk ◽

J. Cooper ◽

B. Martin ◽

A. Macaulay ◽

...

Keyword(s):

Rehabilitation Program ◽

Medical Rehabilitation ◽

Community Based

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STAGES OF REHABILITATION OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT

International Medical Journal ◽

10.37436/2308-5274-2021-1-10 ◽

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.

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