scholarly journals Correction of Motor Disability Impairments by Physical Therapy Means in Women after Cesarean Section

2021 ◽  
Vol 6 (4) ◽  
pp. 149-157
Author(s):  
Yu. S. Kuravskaya ◽  

In modern obstetrics, the frequency of abdominal accouchement is constantly increasing. Therefore, the problem of restoring the state of health of women after surgical delivery requires the introduction of new medical knowledge and technologies into practical rehabilitation, in particular, methods of physical therapy. The purpose of the study was to determine the influence of the developed program of physical therapy on the dynamics of the parameters of the motor ability of women in the postpartum period after cesarean section. Materials and methods. 112 women were examined after childbirth. The comparison group consisted of 47 women who had a natural childbirth. The main group 1 consisted of 32 women who did not want to carry out the proposed program of physical therapy; they were provided with general recommendations for self-observation in the postpartum period after cesarean section. The main group 2 consisted of 33 women after cesarean section who underwent postpartum physical therapy for 12 months (kinesitherapy (therapeutic exercises, functional training to improve motor skills and abilities), abdominal wall bandage, kinesiotaping, abdominal and general massage, wellness nutrition, psychological relaxation, education of women). Determination of motor ability according to the Functional Movement Screen was performed in the late postpartum period (6-8 weeks), 6 and 12 months after childbirth. Results and discussion. In women in the late postpartum period, regardless of the type of delivery, signs of impaired motor ability are revealed, which was established by the results of the Functional Movement Screen test exercises. Within a year after childbirth, there is a gradual improvement in the motor ability of women, regardless of the type of delivery and their performance of active restorative interventions. The use of a physical therapy program starting from the early postpartum period in women after cesarean section revealed advantages regarding the state of their motor ability in relation to women who underwent natural delivery and those who recovered from cesarean section on their own, according to separate Functional Movement Screen tests already at the end of the late postpartum period. After 1 year after childbirth, women who underwent cesarean section and performed the developed physiotherapy intervention on all Functional Movement Screen tests demonstrated a statistically significantly better result compared to women who underwent natural delivery and those who recovered from cesarean section on their own. Women who underwent cesarean section, but recovered on their own with the help of general recommendations, according to the signs of impaired movement capacity 1 year after childbirth could not reach the levels of women who gave birth by vaginal delivery and women who underwent a physical therapy program. Conclusion. It is advisable to prescribe physical therapy means from the first day of postpartum rehabilitation in order to level the signs of impaired motor capacity for quick postpartum recovery of women and their return to full functioning

2019 ◽  
Vol 5 (3) ◽  
pp. 9 ◽  
Author(s):  
M.G. Aravitska

<p><strong>Objective:</strong> to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.</p><p><strong>Materials and methods</strong>. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.</p><p><strong>Results.</strong> During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p &lt;0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p&gt; 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p &lt;0.05).</p><p><strong>Conclusions: </strong>Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.</p>


2021 ◽  
pp. 52-60
Author(s):  
Yu. S. Kuravska

Резюме. Мета: визначення впливу розробленої програми фізичної терапії на динаміку якості життя жінок після абдомінального родорозрішення (кесарів розтин – КР) у післяпологовому періоді Методи. Обстежено 112 жінок після пологів. Групу порівняння склали 47 жінок, у яких пологи відбулись природним шляхом. Основну групу 1 склали 32 жінки після КР, які відновлювались самостійно. Основну групу 2 склали 33 жінки після КР, які проходили післяпологову реабілітацію впродовж 12 місяців. Розроблена програма включала: кінезітерапію, бандаж черевної порожнини, кінезіологічне тейпування, масаж живота та загальний; оздоровче харчування, психологічну релаксацію, освіту жінок. Визначення якості життя проводили за опитувальником SF-36 4 рази: у ранньому та пізньому післяпологовому періодах; через 6 та 12 місяців після пологів. Результати дослідження. Визначено, що у жінок після пологів знизились показники фізичних та психічних компонентів якості життя. У ранньому післяпологовому періоді жінки після КР мали гірші показники фізичного та рольового функціонування, загального здоров’я, життєздатності за SF-36 порівняно із жінками після родорозрішення природним шляхом (р<0,05). Застосування засобів фізичної терапії дозволило до кінця пізнього пологового періоду жінкам після КР за всіма досліджуваними параметрами досягнути якості життя жінок групи порівняння (р>0,05). Жінки, які перенесли КР, але відновлювались самостійно, за більшістю критеріїв якості життя (крім соціального функціонування), змогли досягнути рівнів жінок, що народжували природним шляхом, тільки через рік. Висновки. Засоби фізичної терапії доцільно призначати з першого дня післяпологового періоду з метою покращення якості життя і, відповідно, післяпологового відновлення жінок та швидкого повернення їх до повноцінного функціонування.


2020 ◽  
Vol 47 (4) ◽  
pp. 427-434
Author(s):  
Mohammed S. El-Tamawy ◽  
Moshera H. Darwish ◽  
Saly H. Elkholy ◽  
Engy BadrEldin S. Moustafa ◽  
Shimaa T. Abulkassem ◽  
...  

BACKGROUND: Cortical reorganization between both cerebral hemispheres plays an important role in regaining the affected upper extremity motor function post-stroke. OBJECTIVES: The purpose of the current study was to investigate the recommended number of contra-lesion low frequency repetitive transcranial magnetic stimulation (LF-rTMS) sessions that could enhance cortical reorganization post-stroke. METHODS: Forty patients with right hemiparetic subacute ischemic stroke with an age range between 50–65 yrs were randomly assigned into two equal groups: control (GA) and study (GB) groups. Both groups were treated with a selected physical therapy program for the upper limb. Sham and real contra-lesion LF-rTMS was conducted for both groups daily for two consecutive weeks. Sequential changes of cortical excitability were calculated by the end of each session. RESULTS: The significant enhancement in the cortical excitability was observed at the fourth session in favor of the study group (GB). Sequential rate of change in cortical excitability was significant for the first eight sessions. From the ninth session onwards, no difference could be detected between groups. CONCLUSION: The pattern of recovery after stroke is extensive and not all factors could be controlled. Application of LF-rTMS in conjugation with a selected physical therapy program for the upper limb from four to eight sessions seems to be efficient.


2021 ◽  
Author(s):  
David Putrino ◽  
Laura Tabacof ◽  
Jenna Tosto-Mancuso ◽  
Jamie Wood ◽  
Mar Cortes ◽  
...  

Abstract Post-acute COVID-19 syndrome (PACS) is a collection of persistent and debilitating symptoms lasting weeks to months after acute COVID-19 infection, with fatigue most commonly reported. There is controversy surrounding the role of exercise programs for this condition, due to concerns over the potential to worsen fatigue. We developed a novel physical therapy program known as Autonomic Conditioning Therapy (ACT) for PACS, and report on the preliminary patient-reported outcome (PRO) data from individuals who completed ACT for PACS, compared with those who did not. Seventy-eight (55 [71%] female, median [range] age 43 [12 to 78]) met the inclusion criteria and consented to have their data included in the analyses. A total of 31 (40%) individuals completed ACT for PACS. There was within-group improvement in fatigue in individuals who completed ACT for PACS (mean difference [95% CI] -14 [-27 to -1], p = 0.03), as well as greater between-group impression of change measured on the Patient Global Impression of Change scale (ACT for PACS median [range] 5 [1 to 7], no ACT for PACS 4 [1 to 7], p < 0.01). ACT for PACS is a novel physical therapy program that can reduce fatigue in individuals with PACS.


Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e85-e86
Author(s):  
S.A. Arnadottir ◽  
B. Gudjonsdottir ◽  
S.V. Bjornsdottir ◽  
A. Arnason ◽  
K. Briem ◽  
...  

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