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

Author(s):  
A. Rudenko

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).

Author(s):  
V. S. Matveev ◽  
S. V. Matveev ◽  
A. A. Potapchuk ◽  
Iu. K. Uspenskaia

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.   


2020 ◽  
Vol 7 (4) ◽  
pp. 194-199
Author(s):  
I. Khudetskyy ◽  
Yu. Antonova-Rafi ◽  
Viktoria Pshenichna

Background: Scoliosis is defined as deformity of the spinal column and torso in three dimensions. The cause of scoliosis remains unknown. Therefore, such scoliosis is called idiopathic. Adolescent idiopathic scoliosis is one of the most common structural deformities of the spine in adolescents, which aggravates during an active growth. Physical rehabilitation plays an important role in the system of complex conservative treatment of scoliotic disease. The most effective conservative treatment is 3-plane gymnastics according to the method of C. Schroth and brace therapy according to Abbott-Cheneau principle Objective: Improving a comprehensive program of physical rehabilitation for adolescents with scoliotic disease of the second degree by the method of Schrott and determining its effectiveness. Methods: We examined 14 patients aged 11–15 years with scoliotic disease of the second degree. These patients were divided into 2 groups: main and control (7 persons in each, respectively). In patients of the main group the complex treatment of scoliosis that included Schroth's method in combination with massage and brace therapy was used. In the control group comprehensive rehabilitation treatment included restorative and preventive measures according to the generally accepted program. Results: The use of Schroth technique in a comprehensive physical rehabilitation program better reduced Cobb's angle of deviation of the spine, increased strength endurance of the back and abdominal muscles, improved formation of the muscular corset, largely eliminated cosmetic defects. Conclusion: Schroth's technique had a positive effect on Cobb's angle and other parameters in adolescent girls with a grade 2 scoliosis. The multi- component Schroth technique, which includes passive correction, self-stretching and corrected breathing creates conditions for is necessary to be widely implemented in clinical practice.


2021 ◽  
Vol 12 (1) ◽  
pp. 43-50
Author(s):  
Dmitry O. Ivanov ◽  
Galina A. Suslova ◽  
Inga N. Surenkova ◽  
Victoria N. Filippova

The article is devoted to the research of the development of motor skills of premature babies on the background of medical rehabilitation in an outpatient-polyclinic and the determination of the age standard (scale) for the development of motor skills of premature babies. The research includes 137 premature babies with the gestational age from 26 to 37 weeks, birth weight from 800 to 2600 grams. The main group of the research consisted of 117 premature babies who had already took a part in the early and complex rehabilitation, the control group which consisted 20 children who were included in the research because of a history of prematurity and who applied to the rehabilitation department with already established disabilities (the health status of premature babies in the control group was studied retrospectively). Premature babies in the control group began medical rehabilitation after 6 or more months of life and did not receive it in full. The assessment of the motor skills of premature babies was carried out in dynamics on the monthly basis. Of the 117 premature babies of the main group 2.5% had motor disorders that led to disability, the premature babies of the control group reached disability in 100% of cases. The research of motor development of premature babies revealed that with a delay in applying for medical rehabilitation, even for one day, the integrated indicator of the relative deviation of actual skills development from the standard increases by 0.9%.


2020 ◽  
Vol 97 (3) ◽  
pp. 76-82
Author(s):  
A.B. Miroshnikov ◽  
A.V. Smolеnskiy ◽  
A.D. Formеnov

Essential hypertension is a frequent diagnosis in power sports athletes, heavy weight categories. The aim of the study: To evaluate the impact of high-intensity aerobic work on blood pressure and oxidative abilities of hypertensive athletes of power sports, heavy weight categories. Rеsеarсh mеthods: Examination and physical rehabilitation were conducted in 55 hypertensive representatives of power sports, heavy weight categories comparable in age, sex and main clinical manifestations. Athletes were randomized into two groups: the main group (n=35) and the control group (n=20). Athletes of the main group were trained for 180 days (3 times a week) on an ergometer using a high-intensity interval protocol, while the control group participants were trained for 180 days (3 times a week) using their traditional power protocol. The tasks were performed using the following methods: examination, polling, gasometric analysis, triple blood pressure measurement, muscle tissue oxygenation level measurement and mathematical statistics methods. Rеsults: After 180 days of physical rehabilitation, the participants in the main group had a 148% reduction in oxygen oxygenation, an increase in capacity and working time at maximum oxygen consumption, and a reliable decrease in blood pressure: systolic blood pressure by 8.0%, diastolic blood pressure by 10.8%. Сonсlusion: Our protocol for physical rehabilitation of power sports athletes allows us to effectively and safely influence the oxidative capacity of working muscles and blood pressure.


Author(s):  
A. Rudenko

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.


Author(s):  
M.E. Chernenko

It is known that sleep disorders adversely affect the processes of brain neuroplasticity. Wakefulness and night sleep are functional states that are closely interrelated and equally mediate and provide the adaptive activity of the individual. Human biological rhythms are hierarchically dependent on the main pacemaker located in the suprachiasmatic nuclei of the hypothalamus. The role of a mediator that delivers regulatory signals to organs is played by the hormone melatonin, which is synthesized by pineal gland cells. Sleep disorders seriously affect a person's quality of life: emotional stress, anxiety, irritation increase and, as a result, stress resistance decreases, the need for communication, entertainment decreases. In the vast majority of cases, insomnia is secondary, that is, it is formed against the background of the development of diseases and/or adverse circumstances. Quite often, sleep disturbances occur in demyelinating/ neurodegenerative diseases of the central nervous system. We examined 30 patients with a diagnosis of multiple sclerosis, which were divided into two groups. The main group received therapy with a melatonin- containing drug in combination with cognitive-behavioral therapy. Patients in the control group received only therapy with melatonin-containing drug. It was shown that cortisol levels in patients of the main group decreased more than in patients who did not receive CBT. Reduction of clinical manifestations, along with improvements in laboratory indices of day and night melatonin expression, as well as cortisol expression, were already observed on the 14th day of treatment, and on the 21st day of the study, these indices improved significantly. Clinical efficacy in the main group was achieved in 86,6 % of cases, in the control group - in 60,0 % of cases. It is planned to use this method in the development of a comprehensive rehabilitation program in patients with neurodegeneration.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Synenko V.V ◽  
Stoieva T.V ◽  
Bratkova L.B ◽  
Prokhorova S.V ◽  
Fedin M.V

The features of the functioning of key enzymes of bio energetic metabolism in children born with the application of ART at different age periods. A cytochemical analysis of the activity of key mitochondrial enzymes was performed: succinate dehydrogenase (SDH), α- lycerophosphate dehydrogenase and α-GPDH. The material for the analysis was the buccal epithelium. The material was collected by scraping the epithelium from the inner surface of the cheek. The examined children were representatively distributed into age groups: 1st group - children of the first year old (38 children of the main and 20 children of the control group), 2nd group - from 1 to 3 years old (52 children of the main group and 20 children of the control group), 3rd group - from 4 to 7 years old (46 children of the main group and 20 children of the control group). The average age was 2.7 ± 1.9 years. Conclusion: The study of the activity of mitochondrial enzymes SDH and α-GPDH revealed the most pronounced deviations in the functioning of SDH in the group of children from 1 to 3 years old, which was associated with delayed physical development, allergic diseases, prematurity and diseases of the cardiovascular system. A decrease in the concentration of the enzyme GPDH was most expressed in the older group of children from 4 to 7 years old, and was associated with delayed physical development, Broncho-pulmonary diseases, prematurity, and diseases of the digestive system.


2020 ◽  
Vol 5 (4) ◽  
pp. 9
Author(s):  
O.V Bismak ◽  
Ju.S. Kalmykova ◽  
S.A. Kalmykov

<p><strong>The purpose</strong> of the work is to assess the severity of neuropathic pain and determine the effectiveness of rehabilitation measures in people with compression-ischemic neuropathy of the upper limb in the subacute period.</p><p><strong>Material and methods.</strong> Analysis and synthesis of literature data, visual analogue pain scale (VAS), DN4 questionnaire for diagnosing the nature of pain, rehabilitation examination, methods of mathematical statistics. The study involved 73 patients with compression-ischemic neuropathy of the upper limb. Patients were divided into 2 groups: the main (37 people) and control (36 people). The duration of the disease ranged from 3 to 18 months. The age of the examined ranged from 18 to 57 years, an average of 39.4±6.7 years.</p><p><strong>Results.</strong> At the initial examination, we found that in patients of both groups, carpal tunnel syndrome was diagnosed more often than other tunnel syndromes. In patients of the main and control groups, VAS indicators were above average (6.62 ± 0.21 and 6.58 ± 0.18 points, respectively). No significant difference between the groups was found (p&gt; 0.05). In patients of the main group, we used the following rehabilitation measures: kinesitherapy with neurodynamic mobilization, taping, apparatus physiotherapy and mechanotherapy procedures. Patients in the control group were engaged in a standard rehabilitation program - physical exercises, apparatus physiotherapy, mechanotherapy. Upon repeated examination by YOUR, a decrease in pain was observed in both groups, however, in the main group, the severity of pain was significantly lower than in the control group (p &lt;0.001).</p><p><strong>Conclusions.</strong> The study confirmed that the inclusion of kinesitherapy with neurodynamic mobilization, taping, apparatus physiotherapy and mechanotherapy in the complex treatment of copression-ischemic neuropathies of the upper limb contributed to a significant reduction in pain in patients of the main group compared with the control group, in which the standard rehabilitation program was used.</p>


2021 ◽  
Vol 23 (6) ◽  
pp. 752-758
Author(s):  
I. B. Baranova ◽  
A. F. Gumeniuk ◽  
A. I. Semenenko ◽  
I. A. Iliuk ◽  
I. P. Osypenko

Aim: to analyze the effectiveness of intravenous ozone therapy in long COVID-19 patients experienced community-acquired polysegmental pneumonia (associated with SARS-CoV2 infection). Materials and methods. The study involved 42 long COVID-19 individuals aged 41–82 years who underwent rehabilitation after community-acquired polysegmental pneumonia associated with SARS-CoV2 infection. The patients were examined and followed up subjectively (by the G. Borg and PCFS scales) and objectively (oxygen saturation, C-reactive protein, ferritin, D-dimer, urea and creatinine, 6-minute walk test). All patients received similar medicamentous therapy, and combined intravenous ozone therapy was additionally prescribed to the main group patients (n = 21): an alternate-day infusion of 200 ml ozonized saline at a concentration of 20 mg/ml and major autohemotherapy (100 ml ozonized saline at a concentration of 30 mg/ml mixed with 100 ml of the patient’s blood), 10 sessions per treatment course. Results. The integrated approach to the complex program of long COVID-19 treatment and rehabilitation for patients after pneumonia associated with SARS-CoV2 infection using intravenous ozone therapy has demonstrated its significant effectiveness based on the objective and subjective findings (P < 0.01). Twice as many patients in the main group (n = 18) achieved endpoints of the study (absence of dyspnea, normalization of blood biochemical markers and oxygen saturation levels, restoration of exercise tolerance) as compared to the control group (n = 9). Conclusions. The use of combined intravenous ozone therapy (alternating infusion of ozonized saline and ozonized saline mixed with the patient’s blood) in the rehabilitation program for patients after experienced community-acquired polysegmental pneumonia associated with SARS-CoV2 infection is pathogenetically substantiated, effective and cost-effective addition to complex health recovery tools.


2020 ◽  
pp. 14-19
Author(s):  
Elizaveta Koneva ◽  
Tatyana Shapovalenko ◽  
Lyadov Konstantin ◽  
Galina Timashkova ◽  
Evgeny Achkachov ◽  
...  

The aim of the study — the evaluation of the effectiveness for restoring the functional abilities with Neurac method in patients undergoing stroke. Materials and methods. The study included 20 participants, they were divided into 2 groups, the first group — the patients who undergoing the stroke (main group): the main group of patients received a base standard rehabilitation program (kinesiotherapy, mechanotherapy on cyclic apparatгs, massage) and additional trainings in Redcord in Redsord system. The control group — a base standard rehabilitation program. The duration of the rehabilitation course was 14 days. Results and consideration. As a result of the study in both groups (main and control) as compared with the initial findings were better results of Berg Balance Test: 44,4±0,5 in the first group and 43,6±0,8 in the second group vs. 48±0,3 and 45,3±0,5 (р≤0,05). Although in patients of the first group after restoring treatment course with using method of Neurac method it was authentic lesser disturbance of everyday life activity: in estimating Bartel Index 86,9±0,5 vs. 80,1±0,7 (initial) (р≤0,05), what was significantly higher be comparison with control group results. In estimating 10 minutes walking test: 16,82±5,4 in the main group 2020 2 vs. 22,6±3,33 (initial) (р≥0,05), what was although significantly higher in comparison with the second group. By estimating walking on C-mill treadmill the middle speed in first and it second groups was 0,90±0,1 vs. 0,84±0,3 with 0,80±0,2 vs. 0,84±0,3 (ibitial) (р≥0,05). Conclusion: the obtained results point at the effectiveness of using Neurac method in restoring treatment programs for patient undergoing stroke for elevation of the stabilization of trunk, improvement of balance (in static, in functional movements, in walking), independence level in real life terms. An additional point is that this kind training can promote significantly positive influence on the patient’s motivation for actualization of active movement to improvement of the social and domestic adaptation, increase of motor and functional abilities.


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