Features of the physical rehabilitation program of preschool children with the consequences of hip joint dysplasia

2020 ◽  
pp. 79-85
Author(s):  
A. Rudenko
Keyword(s):  
Preschool Children ◽  
Full Range ◽  
Rehabilitation Program ◽  
Physical Rehabilitation ◽  
Elastic Band ◽  
Cardiorespiratory System ◽  
Breathing Exercises ◽  
Physical Exercises ◽  
Muscle Groups ◽  
Game Simulation

The physical rehabilitation program was developed based on the previous clinical and instrumental screening of functional disorders of the hip joints, formed as a result of dysplasia in preschool children. This program included preventive and rehabilitation blocks. The first block was used during the year and included: morning hygienic gymnastics, exercise minutes and pauses, awakening gymnastics, self-massage, hardening procedures (water procedures, walking barefoot, air and sun baths), psycho-emotional unloading. The second block included therapeutic gymnastics (fitballs, roles Zelart Grid elastic band Thera-band, balancing platform (hemisphere) BOSU, balance discs, traverse walls Traverse, step platforms), hydrokinesiotherapy, moving games, therapeutic massage (local, general, hydromassage), physiotherapy, orthopedic facilities. The developed program provides for the implementation of a comprehensive approach to restoring the physical and functional state of the preschool ORA through the use of game, simulation, traction, relaxation, stretching, special power, breathing, corrective and various coordination exercises. There are a lot of features and benefits of the proposed program, such as many different types of physical exercises for the development of motor skills and motor training, conducting physical exercises in an imitation way, strict dosing and exercise control, purposefully load weakened muscle groups, which depend on the correction of physiological curves of the spine and other segments of the torso and limbs, to diversify each exercise and give it a playful color, stimulate the cardiorespiratory system, using static and dynamic breathing exercises in combination with swinging movements, increase the elasticity and flexibility of the joints of the spine and limbs, through traction exercises and exercises with full range of motion, to form a stereotype of the correct posture, actively using the positive psycho-emotional state of the child, to harmonize the state of the nervous system (processes of excitation and inhibition) due to the alternation of emotional game exercises, strength exercises with overcoming resistance and relaxation exercises, to motivate children to actively and systematically perform special physical exercises.

Experience in the use of tissue flossing for the prevention and treatment of muscle cramps

2021 ◽  
pp. 86-92
Author(s):  
S. V. Vasilevich ◽  
P. L. Zaltcman
Keyword(s):  
Blood Circulation ◽  
Lower Intensity ◽  
Elastic Band ◽  
Additional Method ◽  
Limb Segment ◽  
Physical Exercises ◽  
Muscle Spasms ◽  
Muscle Groups ◽  
Flexion And Extension

Introduction. Cramps are sudden, involuntary, painful tonic muscle spasms of individual muscles or muscle groups lasting from several seconds to several minutes. It occurs in patients of different age categories with a frequency of up to 37 %. Tissue flossing (flossing, voodoo flossing) is an effect on the musculature, tendons, fascia (myofascial structures) of the extremities with the help of a special elastic band circularly wound on the limb, and subsequent physical exercises in this condition in order to improve blood circulation in the limb segment, increase tissue mobility, elasticity and extensibility of muscle-fascial structures. Tissue flossing can help to increase the volume of movements in the joints, reduce pain and increase flexibility.The aim to study the effects of tissue flossing on the frequency and intensity of manifestations of cramps. Materials and methods. The publication was based on the materials obtained during the observation of 7 patients with cramps. The aggressive nature of the muscle spasms forced them to seek medical help. In order to assess the effect on the frequency and intensity of cramps, patients underwent circular winding of an elastic band on a limb segment (tissue flossing) in which cramps occurred, followed by physical exercises (mainly flexion and extension at a pace of one movement per second) without additional load (with their weight) for 1 minute. Then the elastic band was removed and the patient continued to perform the same movements also for a minute with a frequency of one movement per second. Patients performed exercises 1-2 times a day for 5-14 days.Results. In five out of seven patients, cramps did not resume after the first use of tissue flossing. In two of the seven patients, cramps stopped after 7 days of exercise use. At follow-up in one (out of seven) patients, cramps resumed 2 months after the use of tissue flossing, but with a lower intensity. In the other six (out of seven) patients in the subsequent follow-up period (from 14 days to 6 months), cramps did not resume.Conclusion. According to the preliminary results of observations, it can be assumed that the tissue flossing method is effective for preventing cramps of various genesis as an independent and additional method of treatment.

scholarly journals Assessment of the dynamics of indicators of physical development and motor qualities during the implementation of the program of physical rehabilitation of preschoolers with the consequences of hip dysplasia

2020 ◽  
pp. 128-132
Author(s):  
A. Rudenko
Keyword(s):  
Motor Skills ◽  
Hip Dysplasia ◽  
Physical Development ◽  
Rehabilitation Program ◽  
Main Group ◽  
Physical Rehabilitation ◽  
Control Group ◽  
Abdominal Muscles ◽  
Skills Testing ◽  
Game Simulation

This article evaluates the dynamics of indicators of physical development and motor skills in the process of implementing the program of physical rehabilitation of preschoolers with the consequences of hip dysplasia. Disharmonious physical development with insufficient body weight was revealed in 11,8% of children, there were significantly more females than males among them. The disproportion of growth and maturation of the organism, deterioration of balance in children with the consequences of hip dysplasia from hip injury (p <0,05) were confirmed. It was proved that the indicators of flexibility, speed of strength of the muscles of the lower extremities, strength endurance of the abdominal muscles were better in the comparison group than in the group of children with hip dysplasia (p<0,05). Analysis of the results of motor skills testing showed that girls have lower scores than boys of this age (p <0,05). The physical rehabilitation program was developed based on the previous clinical and instrumental screening of functional disorders of the hip joints, formed as a result of dysplasia in preschool children. This program included preventive and rehabilitation blocks. The developed program provides for the implementation of a comprehensive approach to restoring the physical and functional state of the preschool ORA through the use of game, simulation, traction, relaxation, stretching, special power, breathing, corrective and various coordination exercises. The application of the physical rehabilitation program was allowed to effectively influence the processes of growth and development of the child's body. There was tendency to positive changes in physical development among children of the main group, which increased in the direction of harmony of physical development by 17,2%, and the control group only in 6,1%. It was revealed significantly better indicators of the development of motor skills in children of the main group than in the control group (p<0,05).

EFFECTS OF A PHYSICAL FITNESS PROGRAM UPON ASTHMATIC BOYS

PEDIATRICS ◽  
1965 ◽  
Vol 35 (2) ◽  
pp. 295-299
Author(s):  
Kay H. Petersen ◽  
Thomas R. McElhenney
Keyword(s):  
Physical Education ◽  
Physical Fitness ◽  
Peer Acceptance ◽  
Well Being ◽  
Rehabilitation Program ◽  
Physical Rehabilitation ◽  
Fitness Program ◽  
Asthmatic Children ◽  
Breathing Exercises ◽  
True Value

As indicated by the tests administered and the subjective evaluations received, the results of this eight-month study justified the conclusion that asthmatic children benefit physically, socially, emotionally, and mentally from participation in a specially designed physical fitness program. One of the obvious limitations of this study is the lack of control groups of asthmatic boys all completely evaluated by physical fitness tests, allergic, and psychological tests, with one-half receiving hyposensitization and not the physical rehabilitation program and the other half receiving the physical rehabilitation program and not the hyposensitization program. We hope this paper will stimulate others to undertake such a study and if possible to enlarge the scope to include several hundred asthmatic children, for only then can the true value of such a program as this he completely ascertained. Despite these limitations, our primary objective was to see to what extent each individual boy could be helped. It is the opinion of the allergist that the improvement seen in this group of boys was significantly better than was observed in other asthmatic boys not in the program. It is the opinion of the authors that the personal attention given to these boys in helping them develop improved physical capabilities and therefore a higher regard for themselves was to a large extent one of the telling factors in their improvement. This type of program perhaps offers, often for the first time, an opportunity for the asthmatic child to help himself. As he increases his proficiency in doing breathing exercises, he learns how to diminish the dyspnea associated with his asthma and in this way fear and panic are lessened and his dependence on medication, his parents, and the physician is greatly reduced. This, plus his increased competence in other physical activities, leads to more self-confidence, an increase in peer acceptance and a decrease in his psychological dependence which tends to further the development of asthma. As previously stated, this rehabilitation program is in no way designed to replace good medical management and hyposensitization when indicated. It does, however, provide a means of helping those children whom the physician and parents cannot help and whom at present the schools have not attempted to help. If we are to treat the "whole" child, then a rehabilitation program of this type, combined with the best medical care available, is a must. The resultant marked decrease of school days missed because of asthma by participants in the program had implications for all concerned with asthmatic children's physical well-being, academic progress, and social adjustment, namely, their physicians, parents, school administrators, and classroom teachers. These persons must realize that this is indeed an inexpensive program with great dividends not only measureable in dollars and cents but also in its contribution to the welfare and happiness of deserving children. The feasibility of remedial physical education programs with their carry-over to other areas of adjustment in "sub-par" school chidren's lives should be seriously considered by school boards with encouragement and advice from physicians and qualified physical education teachers. In the school year, 1963-64, with the approval of the Austin Public Schools, some asthmatic boys, having been transferred from other districts, attended Casis Elementary School regularly and were scheduled into the same type of rehabilitation program daily.

No Additive Clinical or Physiological Effects of Short-term Anti-inflammatory Treatment to Physical Rehabilitation in the Early Phase of Human Achilles Tendinopathy: A Randomized Controlled Trial

2021 ◽  
pp. 036354652199190
Author(s):  
Nikolaj M. Malmgaard-Clausen ◽  
Oscar H. Jørgensen ◽  
Rikke Høffner ◽  
Peter E.B. Andersen ◽  
Rene B. Svensson ◽  
...  
Keyword(s):  
Early Phase ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Achilles Tendinopathy ◽  
Physical Rehabilitation ◽  
Symptom Duration ◽  
Short Term ◽  
Nsaid Treatment ◽  
T2 Mri

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in the treatment of Achilles tendinopathy, but whether they have any additive clinical effect on physical rehabilitation in the early phase of tendinopathy remains unknown. Purpose/Hypothesis: To investigate whether an initial short-term NSAID treatment added to a physical rehabilitation program in the early phase of Achilles tendinopathy would have an additive effect. We hypothesized that the combination of NSAID and rehabilitation would be superior to rehabilitation alone. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 69 patients with early phase Achilles tendinopathy (lasting <3 months) were randomly assigned to either a naproxen group (7 days of treatment; 500 mg twice daily; n = 34) or a placebo group (7 days of placebo treatment; n = 35). Both groups received an identical 12-week physical rehabilitation program. The clinical outcome of the study was evaluated using the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire and a numerical rating scale (NRS), and the physiological outcome was evaluated using ultrasonography, magnetic resonance imaging (MRI), and ultra-short time to echo T2* mapping MRI (UTE T2* MRI). Follow-up was performed at 1 week, 3 months, and 1 year. Time effects are presented as mean difference ± SEM. Results: No significant differences were found between the 2 treatment groups for any of the outcome measures at any time point ( P > .05). For the VISA-A score, a significant time effect was observed between baseline and 3-month follow-up (14.9 ± 2.3; P < .0001), and at 1-year follow-up, additional improvements were observed (6.1 ± 2.3; P < .01). Furthermore, the change in VISA-A score between baseline and 3-month follow-up was greater in patients with very short symptom duration (<1 month) at baseline compared with patients who had longer symptom duration (>2 months) (interaction between groups, 11.7 ± 4.2; P < .01). Despite clinical improvements, total weekly physical activity remained lower compared with preinjury levels at 3 months (–2.7 ± 0.5 h/wk; P < .0001) and 1 year (–3.0 ± 0.5 h/wk; P < .0001). At baseline, ultrasonography showed increased thickness (0.12 ± 0.03 cm; P < .0001) and vascularity (0.3 ± 0.1 cm2; P < .005) on the tendinopathic side compared with the contralateral side, but no changes over time were observed for ultrasonography, MRI, or UTE T2* MRI results. Conclusion: Clinical symptoms in early tendinopathy improved with physical rehabilitation, but this improvement was not augmented with the addition of NSAID treatment. Furthermore, this clinical recovery occurred in the absence of any measurable structural alterations. Finally, clinical improvements after a physical rehabilitation program were greater in patients with very short symptom duration compared with patients who had longer symptom duration. Registration: NCT03401177 (ClinicalTrials.gov identifier) and BFH-2016-019 (Danish Data Protection Agency)

scholarly journals REHABILITATION OF A CONSERVATIVELY MANAGED CLAVICULAR FRACTURE

2021 ◽  
Vol 10 (4) ◽  
pp. 3175-3178
Author(s):  
Om C Wadhokar
Keyword(s):  
Clavicle Fracture ◽  
Shoulder Girdle ◽  
Pectoral Muscle ◽  
Rehabilitation Program ◽  
Clavicular Fracture ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture ◽  
Breathing Exercises ◽  
Postural Correction ◽  
Shoulder Blade

The collarbone, or wishbone, is a thin, S-shaped bone about 6 inches (15 cm) long and serves as a support between the shoulder blade and the sternum (sternum). Clavicle fracture so occur as a result of injury or trauma. The most common site of fracture is the junction between the two curvatures of the bone, which is the weakest point. The displacement post fracture is most common in clavicular fracture because the attachment of the muscle sternocleidomastoid pulls the Sternal head upwards and the pectoral muscle pulls the distal clavicle downwards. After a distal clavicle fracture, radiographic nonunion has been identified in 10% to 44% of patients. Most of clavicular fractures are managed non-surgically by physical therapy which consists of a rehabilitation program without hampering the fracture healing, the rehabilitation consists of pain reduction, improving strength and range of motion of the shoulder, Scapular and neck muscles and postural correction exercises in addition to a brace to support the upper limb as the clavicle is the bone connecting the Axilla to the shoulder girdle. And the patient is started with medical management which usually consist of analgesics. 62 year old male patient with left clavicle fracture was diagnosed on x-ray after a hit from a bullock cart. Following this incident the patient underwent a prompt series of physical rehabilitation which included strengthening exercises, thoracic expansion exercises, breathing exercises. The case report suggests that a physiotherapy treatment procedure led to the improvement of functional goals progressively and significantly.

scholarly journals Effects of Physical Rehabilitation on Spatiotemporal Gait Parameters and Ground Reaction Forces of Patients with Intermittent Claudication

2020 ◽  
Vol 9 (9) ◽  
pp. 2826
Author(s):  
Wioletta Dziubek ◽  
Małgorzata Stefańska ◽  
Katarzyna Bulińska ◽  
Katarzyna Barska ◽  
Rafał Paszkowski ◽  
...  
Keyword(s):  
Intermittent Claudication ◽  
Physical Training ◽  
Lower Extremities ◽  
Gait Pattern ◽  
Rehabilitation Program ◽  
Physical Rehabilitation ◽  
Ground Reaction Forces ◽  
Nordic Walking ◽  
Lower Limb Pain ◽  
Reaction Forces

Chronic ischemia of the lower extremities often presents as intermittent claudication characterized by lower limb pain which subsides after a short break. This study aimed to provide an assessment of the spatiotemporal parameters of gait and ground reaction forces in patients with PAD participating in three forms of supervised physical training. A total of 80 subjects completed a three-month supervised physical rehabilitation program with three sessions per week. The subjects were assigned to one of three programs: group 1—standard walking training on a treadmill (TT); group 2—Nordic walking (NW) training; group 3—strength and endurance training comprised of NW with isokinetic resistance training (NW + ISO). Gait biomechanics tests (kinematic and kinetic parameters of gait) and a six-minute walk test were carried out before and after three months of physical training. Nordic walking training led to the greatest improvements in the gait pattern of patients with PAD and a significant increase in the absolute claudication distance and total gait distance. Combined training (NW + ISO) by strengthening the muscles of the lower extremities increased the amplitude of the general center of gravity oscillation to the greatest extent. Treadmill training had little effect on the gait pattern. Nordic walking training should be included in the rehabilitation of patients with PAD as a form of gait training, which can be conducted under supervised or unsupervised conditions.

scholarly journals A Combined Early Cognitive and Physical Rehabilitation Program for People Who Are Critically Ill: The Activity and Cognitive Therapy in the Intensive Care Unit (ACT-ICU) Trial

2012 ◽  
Vol 92 (12) ◽  
pp. 1580-1592 ◽  
Author(s):  
Nathan E. Brummel ◽  
James C. Jackson ◽  
Timothy D. Girard ◽  
Pratik P. Pandharipande ◽  
Elena Schiro ◽  
...  
Keyword(s):  
Intensive Care ◽  
Critical Illness ◽  
Hospital Discharge ◽  
Critically Ill ◽  
Functional Outcomes ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Program ◽  
Physical Rehabilitation ◽  
Surgical Intensive Care

Background In the coming years, the number of survivors of critical illness is expected to increase. These survivors frequently develop newly acquired physical and cognitive impairments. Long-term cognitive impairment is common following critical illness and has dramatic effects on patients' abilities to function autonomously. Neuromuscular weakness affects similar proportions of patients and leads to equally profound life alterations. As knowledge of these short-term and long-term consequences of critical illness has come to light, interventions to prevent and rehabilitate these devastating consequences have been sought. Physical rehabilitation has been shown to improve functional outcomes in people who are critically ill, but subsequent studies of physical rehabilitation after hospital discharge have not. Post-hospital discharge cognitive rehabilitation is feasible in survivors of critical illness and is commonly used in people with other forms of acquired brain injury. The feasibility of early cognitive therapy in people who are critically ill remains unknown. Objective The purpose of this novel protocol trial will be to determine the feasibility of early and sustained cognitive rehabilitation paired with physical rehabilitation in patients who are critically ill from medical and surgical intensive care units. Design This is a randomized controlled trial. Setting The setting for this trial will be medical and surgical intensive care units of a large tertiary care referral center. Patients The participants will be patients who are critically ill with respiratory failure or shock. Intervention Patients will be randomized to groups receiving usual care, physical rehabilitation, or cognitive rehabilitation plus physical rehabilitation. Twice-daily cognitive rehabilitation sessions will be performed with patients who are noncomatose and will consist of orientation, memory, and attention exercises (eg, forward and reverse digit spans, matrix puzzles, letter-number sequences, pattern recognition). Daily physical rehabilitation sessions will advance patients from passive range of motion exercises through ambulation. Patients with cognitive or physical impairment at discharge will undergo a 12-week, in-home cognitive rehabilitation program. Measurements A battery of neurocognitive and functional outcomes will be measured 3 and 12 months after hospital discharge. Conclusions If feasible, these interventions will lay the groundwork for a larger, multicenter trial to determine their efficacy.

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