scholarly journals Possibilities of rehabilitation treatment of children with lymphoblastic leukemia (literary review)

2021 ◽  
Vol 26 (4) ◽  
pp. 39-47
Author(s):  
S.V. Lukashchuk ◽  
O.I. Lemko

According to nowaday protocols of acute lymphoblastic leukemia (ALL) treatment, the percentage of recovering patients has increased significantly. This determines the necessity for comlex long-term rehabilitation, as chemotherapeutic drugs are highly toxic and contribute to the development of comorbid diseases of the gastrointestinal tract, nervous and musculosceletal systems. The purpose of the study was to review and analyze data from foreign and domestic literature concerning possibilities for rehabilitative treatment of children with ALL and to reveal informative methods assessing the effectiveness of rehabilitation. Important elements of rehabilitation goals and assessment of its the effectiveness are the International Classification of Functioning, Disability and Health of Children and Adolescents, and the Quality of Childrens’ Life. Rehabilitation begins at the hospital and includes psychological support for the child with the involvement of psychotherapists and family, as well as the performance of certain physical exercises lasting for 15-30 minutes, which are selected individually, taking into account the functional capabilities and motivation of the child. After the acute period, physical activity is carried out in accordance with an individual plan, which takes into account the peculiarities of the disease and includes active video games, cycling and other activities. Rehabilitation treatment on the basis of sanatorium-resort institutions with the participation of a multidisciplinary team is actual. Such treatment, in addition to physical exercises, includes the use of natural and preformed physical factors in order to influence the manifestations of comorbid pathology, and also contributes to an increase of the social activity and independence of the child. However, the number of such studies is limited, which determines the necessity to develop clear practical recommendations regarding methods of exposure, their duration and intensity.

2019 ◽  
Vol 8 (4) ◽  
pp. 5-12
Author(s):  
B. S. Kasparov ◽  
T. Yu. Semiglazova ◽  
D. V. Kovlen ◽  
G. N. Ponomarenko ◽  
V. A. Klyuge ◽  
...  

During last 10 years the number of studies which devoted to using of medical physical factors in rehabilitation of patients with breast cancer has increased. Using any physical factor in rehabilitation should be proved by results of evidence-based studies.The article presents data of scientometric analysis of 748 studies from 1980 till 2018 which were devoted to using of medical physical factors in rehabilitation of 261643 patients with breast cancer. The most studied physical factors with authentically proven effect are physical exercises, water based physical exercises, compression therapy. Process of synthesis and analysis of study results should be done regularly.


2020 ◽  
Vol 20 (3) ◽  
pp. 139-145
Author(s):  
B Dyshko ◽  
V Mizin ◽  
V Ezhov ◽  
L Dudchenko

Aim. The paper aims to evaluate the effectiveness of respiratory training as part of a comprehensive spa and medical rehabilitation. Materials and methods. Studies were performed in 90 patients with bronchial asthma and 60 patients with chronic cerebral ischemia. During physical training, New Breath breathing simulators were used. The effectiveness of medical rehabilitation was evaluated according to the severity of impaired body functions related to the corresponding domains of the International Classification of Functioning, Disability and Health. Results. Under rehabilitation, the condition of patients in both groups improved significantly, systemic rehabilitation effects in the form of improved indicators of the blood system and its oxygen transport functions, as well as increased reserves for handling stress and other psychological demands were notified. Conclusion. The study suggests the inclusion of physical exercises with the New Breath simulator in the comprehensive rehabilitation of patients with chronic cerebral ischemia and obstructive diseases of the respiratory system.


Author(s):  
V. V. Afanasyeva ◽  
A. A. Potapchuk ◽  
N. V. Chernysh

The objective was to determine the most significant categories of ICF that allow us to provide objective information about the biopsychosocial state of patients who have suffered a new coronavirus infection COVID-19 and to choose the most effective methods of rehabilitation based on the rehabilitation diagnosis of each group of patients.Methods and materials. On the basis of the clinic of the Pavlov University, a course of medical rehabilitation was conducted for 2 weeks for patients who had suffered a new coronavirus infection in severe and moderate degree of course. 2 groups were formed: EG1-25 people participating in the rehabilitation program with the use of physical exercises and EG2 — 39 people with the use of physical exercises and physiotherapy. A categorical rehabilitation profile of patients by ICF domains was compiled.Results. As a result of the application of the medical rehabilitation program, a statistically significant improvement in the indicators in EG 2 was revealed. The respiratory function (the Barbell test) improved by 14.6%, the functional state of the cardiovascular system according to the DBP indicator by 3.9%. The analysis of the results of the ICF category «activity and participation» revealed a statistically significant improvement in the motor test parameters (6MSHT) in both groups: by 11.9 % in EG2 and by 20.6 % in EG1.Conclusions. The results of the study indicate the positive impact of the proposed program of medical rehabilitation and confirm the relevance of the problem, unsolved problems and prospects for scientific research on this topic.


2019 ◽  
Author(s):  
Allison J L'Hotta ◽  
Taniya E. Varughese ◽  
Kathleen D. Lyons ◽  
Laura Simon ◽  
Allison A. King

Abstract Background There is a critical need to facilitate return to work, school, and life activities among individuals with and surviving cancer. Each of these areas is a component of participation, defined by the International Classification of Functioning, Disability, and Health (ICF) as involvement in a life situation. Before developing interventions to address participation, we must first understand how this concept is measured. This scoping review investigates what assessments are currently used to measure participation in life activities in individuals with cancer. Methods Six databases were systematically searched using keywords and controlled vocabulary through February 2019. Eligible studies used the term participation in the context of life situations and had an assessment with at least 5 participation-specific questions. Results More than 4,000 references were identified and screened for eligibility. Twenty-seven studies were included; 18 unique assessments of participation were identified. Assessments were 1) developed with the primary purpose of measuring participation (n= 8); 2) measured global or physical function (n=8; 4 had a domain specific to participation); or 3) measured community integration (n=1) or social activity (n=1). Most assessments (10/18) were not developed with the purpose of measuring participation and only 4 assessments measured key components of participation (e.g. satisfaction) other than frequency. Discussion Measuring participation in life activities is a developing area in oncology research. Most studies do not accurately or comprehensively measure this construct. The heterogeneity in the assessments used indicates no clear consensus on a gold-standard participation measure for use among individuals with cancer. Comprehensively measuring participation is an essential first step to helping individuals with and surviving cancer lead productive and meaningful lives during and after treatment. By identifying deficits in participation, healthcare providers can better understand what activities are most important to their patients and provide necessary interventions. To facilitate the development of targeted interventions, a comprehensive measure of participation needs to be validated for use with individuals with cancer.


2021 ◽  
pp. 13-18
Author(s):  
Havryshko S.H. ◽  
Moroz F.V.

Considering the modern conditions of educational development, insufficient attention is paid to the independent motor activity of primary school students and directly to the independent performance of physical exercises in extracurricular activities. The article is devoted to the analysis of psychological and pedagogical research of the problem of organization of independent physical exercises in extracurricular activities of primary school.The article considers the essence of the concept of independence. The accepted thesis is that independence should be understood as a generalized characteristic of the activity of a junior schoolchild, and physical development as a controlled natural process of increasing the functional capabilities of primary school students.Forms of independent classes in school and out of school in physical education are recommended, namely: morning hygienic gymnastics; exercise during the day; sports breaks; independent physical exercises at the place of living.The state of use of physical exercises by students of primary school in independent activity is revealed.Thus, from first to fourth grade there is a tendency to reduce the number of students engaged in independent physical activity.The reasons for students’ refusal to exercise in independent physical activity are analyzed. It is indicated that the main reason is the lack of desire to exercise.The algorithm for students’ independent work with physical exercises is proposed. Thus, it is recommended to follow the following sequence of actions: determining the state of health and level of physical fitness, formation of pedagogical tasks, selection of general and special physical exercises, and implementation of tasks, planning and implementation of tasks, evaluation of work results. Elementary school students are offered the rules of independent exercise.To increase the efficiency of preparation of independent classes, develop requirements for compiling sets of exercises for independent motor activity of primary school students.Key words: independent classes; physical exercises; elementary school students.З огляду на сучасні умови розвитку освіти недостатньо приділяється уваги самостійній руховій діяльності учнів початкової школи та безпосередньо самостійному виконанню фізичних вправ у позакласній та позашкільній роботі. Стаття присвячена аналізу психолого-педагогічних досліджень проблеми організації самостійних занять фізичними вправами в позакласній та позашкільній роботі початкової школи.У статті розглянуто сутність поняття «самостійність». Прийнято тезу, що самостійність треба розуміти як узагальнену характеристику активності молодшого школяра, а фізичний розвиток – як керований природній процес підвищення функціональних можливостей учнів початкових класів.Рекомендуються форми самостійних занять з фізичного виховання, такі як ранкова гігієнічна гімнастика; фізичні вправи протягом дня; фізкультурні паузи; самостійні заняття фізичними вправами за місцем проживання.Виявлено стан використання учнями початкової школи фізичних вправ у самостійній діяльності. Так, від 1-го до 4-го класу наявна тенденція до зменшення кількості учнів, що займаються самостійною руховою діяльністю.Проаналізовано причини відмови учнів від самостійних занять руховою діяльністю. Зазначено, що основними причинами є відсутність бажання займатися, невмотивованість з боку дорослих.Запропоновано алгоритм педагогічного впливу в процесі організації самостійної роботи для учнів початкової школи. Так, педагогам рекомендується дотримуватись такої послідовності дій: врахування стану здоров’я та рівня фізичної підготовленості, розроблення педагогічних завдань з урахуванням індивідуальних особливостей учнів, підбір змісту загальних і спеціальних фізичних вправ, планування та реалізація завдання, оцінювання результатів проведеної роботи. Учням початкових класів запропо-новано правила проведення самостійних занять фізичними вправами.Для підвищення ефективності підготовки самостійних занять розроблено вимоги до складання комплексів вправ для самостійної рухової діяльності учнів молодшого шкільного віку.Ключові слова: самостійні заняття, фізичні вправи, учні початкової школи.


Author(s):  
Monica Pinto ◽  
Francesca Gimigliano ◽  
Stefania De Simone ◽  
Massimo Costa ◽  
Attilio A. M. Bianchi ◽  
...  

Management of COVID-19 post-acute syndrome is an emerging health issue in rehabilitation. This article aims to present a proposal, based on the principles of clinical governance, health management and information technology (IT), and to respond to the need for a structured organization model for post-acute COVID-19 rehabilitation. The authors present a regional-based model of a network of clinicians and healthcare managers using a dedicated IT platform to achieve both effectiveness and efficiency objectives, to ensure coordination of the available resources and the most appropriate rehabilitative treatment for patients. The proposed post-acute COVID-19 rehabilitation network has been designed according to the model of a clinical management project within the Italian national healthcare system, and its context is an easily adjustable model for the European healthcare systems. The authors base the project on current laws and scientific guidelines in rehabilitation in Italy and in Europe and use the SWOT analysis technique to assess the proposal feasibility. The primary aims of the project are: (1) standardizing the minimum assessment tools of post-COVID-19 patients with disabilities; (2) ensuring an individual rehabilitation project for each patient with international classification of functioning, disability and health (ICF) coding and (3) reporting the activity performance with appropriate indicators. The secondary aims are: (1) developing educational programs for patients and care givers also aimed at acquiring better empowerment and positive behavior; (2) creating a regional database for data collection and (3) improving IT, and specifically tele-rehabilitation, as a suitable approach during the COVID-19 emergency and also in the future. Expected results are: continuum of care; effectiveness, efficacy and appropriateness in the delivery of rehabilitation treatments through a standardized minimum assessment and the wording of the individual rehabilitation project and a precise reporting of performance indicators to measure the effectiveness of clinical activities and the satisfaction of patients and caregivers. The assessment of results will be analyzed at three and six months to implement corrective actions according to the concept of continuous improvement of the Deming cycle. The IT remote approach allows the patient to meet the needs of proximity of care and empowerment, and, at the same time, to contain the spread of infection. This project could have a significant healthcare impact ensuring a more efficient and effective management of the demand of rehabilitation post-acute COVID-19, expanding the professional skills of the rehabilitation team members, improving both clinical and process data, in addition to optimal allocation of available economic resources.


2019 ◽  
Vol 19 (1) ◽  
pp. 126-133 ◽  
Author(s):  
Laila Ulfa ◽  
Ratu Ayu Dewi Sartika

Successful aging is a universal goal, but it is a challenge owing to declining physical, psychological, and social conditions that occur with increasing age. The aim of this study was to analyze risk factors and changes in successful aging among older individuals (≥ 60) in Indonesia. This longitudinal study (2000 to 2014) used data from the Indonesia Life Survey (IFLS). Successful aging was defined with physical, mental and social health based on the available questionnaire. The univariate analysis and chi-square- test was used in this study. Of the 801 individuals followed up, 588 (93.2%) were found to have unsuccessful aging and 43 (6.8%) older person showed a change from unsuccessful to successful aging. The proportion of older persons mental and social unhealthy were higher than physical. Factors significantly relating to unsuccessful aging included female sex (p < 0.001), living in rural areas (p < 0.05) or movement from rural to urban areas (p < 0.05), unemployed (p < 0.001), movement from employed to unemployed (p < 0.001), unmarried (p < 0.001) and underweight (p < 0.05). Older individuals who are not categorized as successful aging at the age of ≥ 60 years can still change for better success in aging at ≥ 74 years of age. Maintaining mental and social health of older individuals can be achieved through their empowerment by providing opportunities for social activity and work productivity in the community.


2017 ◽  
Vol 20 (1) ◽  
pp. 39-43
Author(s):  
Natalia S. Lukyanchikova ◽  
Elena I. Sharapova

Prophylaxis of bone fractures in patients with osteoporosis should not only consist of pharmaco-therapeutical intervention targeting to increase the bones strength, because improving bone tissue quantity does not affect the risk of falls. Additionally, physical factors could have an impact on bone mineral density (BMD). A complex of approache directed to modification of structure and strength of bone tissue together with decrease of falls risk in elderly patients with osteoporosis should become optimal. It’s very important that physical exercise programs developed for osteoporosis patients should include strength and power load exercises as well as flexibility an coordination and balance trainings. Special attention should be paid to the fact that a number of physical exercises are contraindicated as an excessive load can cause inadequate impact on the on the bones with compromised density.


Author(s):  
Ilya Mikhailovich Zyukov

This article deals with the problem of physical rehabilitation of the children suffering from infantile cerebral paralysis. It is shown that the process of walking correction in such patients should be focused on the development of the ability to relax skeletal and respiratory muscles and the formation of the novel physical sensations, concurrence and coordination of movements. The author has elaborated the program for the rehabilitative treatment of the children suffering from infantile cerebral paralysis including therapeutic physical exercises and hydrokinesitherapy. The program is designed to promote the enhancement of the muscular strength, the formation of the new locomotor stereotype, and the development of the walking skills.


Author(s):  
Mark S. Davies ◽  
Hugh D. Jones ◽  
S. J. Hawkins

Physical factors affecting the fate and functional capabilities of the pedal mucus of Patella vulgata L. deposited in the intertidal have been examined. Mucus dehydration, rehydration and degradation were assessed. Mucus dehydration is dependent on ambient wind speed, temperature and relative humidity. Of these, over naturally encountered ranges, wind speed produces the greatest water loss over a 6-h period and it is surmised that mucus deposited at mid-shore will lose >60% of its water when exposed by the tide on days when the air is not still. The more dehydrated pedal mucus is, the longer it subsequently takes when immersed to reach a fully hydrated state.


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