Effectiveness of rehabilitation of patients with cerebrovascular insufficiency using the biofeedback method

2020 ◽  
pp. 8-19
Author(s):  
A. V. Rylskiy ◽  
A. N. Oranskaya ◽  
K. G. Gurevich

Objective: To study the effectiveness of the biological feedback (BOS) method in the rehabilitation of patients with cerebral circulation disorders. Materials and methods: 555 patients with chronic cerebral ischemia were examined. All the patients were diagnosed with problems with movement coordination in vertical position. If necessary, the patients received standard conservative therapy. In addition to it, a method for increasing physical activity based on the BOS method was used. A stabilometric examination was carried out on Trust-M equipment. Patient 10m walking time was evaluated. The patients’ quality of life was assessed on a visual analogue scale (VAS). Body mass index (BMI) was calculated based on the measurement of patient height and weight. Results: Before the start of the treatment, there is a tendency of a decrease in the average speed of movement in BOS with age. The average speed of movement in women is lower than that in men. With age, the maximum horizontal speed of movement also decreases. After the treatment, the speed of movement in men decreased in all age groups, and in women, the speed increased in groups older than 60 years. In all age groups, women had a larger increase in the rate of movement. Before the treatment, men spent less time than women on performing a walking test of 10 m. After the treatment, the test time decreases only in the group of men of 61 years and older, and in women — in the group of 51 years and older. The original quality of life of men, measured by the VAS scale, is higher than that of women. These diff erences become unreliable starting from the third BOS session. As a result of the treatment, the energy spent on maintaining the vertical position of the body in the group of persons up to 50 years is reduced. The correlations of mean force between the BMI and the energy spent on maintaining the vertical body position and upright posture retention were obtained. In persons under 50 years of age, the correlation coeffi cient in men is signifi cantly greater than in women. The correlation coeffi cient tends to decrease with age. Conclusion: It has been demonstrated that BOS therapy can have a positive eff ect on patients with cerebrovascular diseases (the increased speed of movement and reduced energy consumption on keeping the body in an upright position). The intensity of the eff ect depends on gender and age.

2021 ◽  
pp. 66-75
Author(s):  
E. G. Ivanova ◽  
E. V. Makarova

Introduction. Currently, one of the directions in medicine is the study of the issue of the quality of life of patients. This indicator is a complex characteristic in terms of the physical and psychological component of health. The state of health is influenced by many factors and one of them is the peculiarities of the climatogeographic region where a person lives. The conditions of the Far North are characterized by extreme climatic and industrial conditions. In such areas, a rotational method is used, which assumes distance from the permanent place of residence. Thus, the influence of the climatic conditions of the Far North on the quality of life of respondents working on a rotational basis determines the relevance of this study, which was carried out in the Khanty-Mansi Autonomous Okrug — UGRA (KhMAO — Ugra).The aim of the research was to study the quality of life of respondents working on a rotational basis in the Far North.Materials and methods. Only men took part in this study — 207 people working in the conditions of the Far North (KhMAO — Ugra) on a rotational basis. All respondents were divided into four age groups: group 1 — 24–28 years old (n=36); group 2 — 29–34 years old (n=63); group 3 — 35–38 years old (n=78); group 4 — 39–45 years old (n=30). The duration of follow-up ranged from 1 to 3 months. A simple survey of all respondents was used to obtain information. In order to study the quality of life (QL) of those working in the Far North on a rotational basis, the MOS SF-36 questionnaire was used. Statistical analysis was performed using the STATGRAPHICS 12 Plus for Windows software in accordance with the general principles of QOL research in medicine.Results. With a long stay in the Far North, a restructuring of the adaptive mechanisms is noted, which goesthrough several stages: initially, minor physiological changes are noted that do not lead to serious changes in the body systems. The second stage is characterized by stable working capacity, but already there is a decrease in health indicators on all scales of the SF-36 questionnaire. The third stage or period of uncompensated fatigue is characterized by a significant decrease in psychological and physical indicators. Conclusion. Unfavorable from the point of view of the medico-biological aspect in the work on a rotational basis in the Far North is the coincidence of the period of work with the phase of the greatest adaptation falling on the first month of stay in the North.


2021 ◽  
Author(s):  
Eniola Awolola Oladejo ◽  
Sonill Maharaj Sooknunan

AbstractBackgroundInterferential therapy (IFT) is the application of two medium frequency currents to the skin to stimulate and activate different systems in the body using specific frequencies and frequency ranges. IFT aims to reduce myalgia in the chest and upper back, reduce muscular fatigue and induce mucus expectoration. This study is designed to compare the efficacy of IFT on asthma control and quality of life of asthma patients pre-and post-administration of bronchodilators and determine the most influential body position in its application.MethodsForty-eight (48) patients aged 18 years and above with bronchial Asthma attending the respiratory clinic at the Lagos State University Teaching Hospital, Ikeja (LASUTH) will be assessed for the study eligibility. The study design will be a double-blinded, randomized control trial with four intervention groups and four parallel placebo control groups. IFT will be administered as an intervention to patients on short and long-acting bronchodilators in an assigned fundamental body position for 20 minutes. Six continuous outcome variables at different points will be utilized as an outcome measure. Baseline Pulmonary Function Test (PFT) will be assessed on entry into the study, Quality of life and asthma control will be evaluated every two (2) weeks of the study. Data obtained will be analyzed using descriptive and inferential statistics of repeated ANOVA; P<0.05.DiscussionThe study outcome will compare the efficacy of IFT on Bronchial Asthma, identify its effect in different body positions, and compare the relationship between its application and the bronchodilator medication frequently used by the patients.Trial Registrationhttps://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=10942:PACTR202005807526130


Author(s):  
A. Babirad

Cerebrovascular diseases are a problem of the world today, and according to the forecast, the problem of the near future arises. The main risk factors for the development of ischemic disorders of the cerebral circulation include oblique and aging, arterial hypertension, smoking, diabetes mellitus and heart disease. An effective strategy for the prevention of cerebrovascular events is based on the implementation of large-scale risk control measures, including the use of antiagregant and anticoagulant therapy, invasive interventions such as atheromectomy, angioplasty and stenting. In this connection, the efforts of neurologists, cardiologists, angiosurgery, endocrinologists and other specialists are the basis for achieving an acceptable clinical outcome. A review of the SF-36 method for assessing the quality of life in patients with the effects of transient ischemic stroke is presented. The assessment of quality of life is recognized in world medical practice and research, an indicator that is also used to assess the quality of the health system and in general sociological research.


2019 ◽  
Vol 1 (6) ◽  
pp. 53-55
Author(s):  
M. S. Turchina ◽  
M. V. Bukreeva ◽  
L. Yu. Korolyova ◽  
Zh. E. Annenkova ◽  
L. G. Polyakov

Currently, the problem of early rehabilitation of stroke patients is important, since in terms of the prevalence of cerebrovascular diseases and disability after suffering a stroke, Russia is one of the first places in the world. The complex of medical rehabilitation of such patients should provide for the early and most complete restoration of all body functions, patient education for lost skills, re-socialization of the patient and improvement of the quality of life. One of the factors contributing to a significant reduction in the quality of life after a stroke is the development of chronic constipation. The article reflects the modern methods of correction of chronic constipation in patients with limited mobility.


Author(s):  
Elena A. Beigel ◽  
Natalya G. Kuptsova ◽  
Elena V. Katamanova ◽  
Oksana V. Ushakova ◽  
Oleg L. Lakhman

Introduction. Occupational chronic obstructive pulmonary disease (COPD) is one of the leading nosological forms of occupational respiratory disease. Numerous studies have shown high effectiveness of the combination of indacaterol/glycopyrronium (Ultibro®breezhaler®) on the impact on clinical and functional indicators in the treatment of COPD in General practice.The aim of the investigation the case of occupational COPD with the analysis of the dynamics of functional indicators, tolerance to physical load and evaluation of the quality of life of workers engaged in aluminum production by using combination of indacaterol/glycopyrronium.Materials and methods. The random sampling method included 20 men, workers of aluminum production, with the established diagnosis of professional COPD at the age of 40 to 60 years. The survey was conducted (Borg scale, medical Research Council scale (mMRC) and COPD Assessment Test (CAT). Functional methods of studies were conducted: spirometry, body plethysmography, electrocardiography (ECG) and the six-minute stepper test (6-MST).Results. Against the background of 8 weeks of therapy, the volume of forced exhalation for 1 minute (FEV1) increased by 14.7% and amounted to 67.90% of the due values, the forced vital capacity of the lungs (FVC) increased by 11.3% and amounted to 76.95% of the due. According to the body plethysmography (BPG) is set to decrease in residual lung volume on average by 13.4% and static hyperinflation, confirmed by the decrease in functional residual volume (FRV) of 18.8%. During the study period increased physical activity of patients. The average difference between the distance traveled in the six-minute step test before and after treatment was 58.8 m. The analysis of personal data showed that the quality of life of patients improved, the total score in the questionnaire CAT at the beginning of the study was 16.9 points, and after 8 weeks decreased by 63% and amounted to 10.7 points.Conclusions: The Results indicate a positive effect of combination therapy with indacaterol/glycopyrronium on the course and progression of occupational COPD.


1997 ◽  
Vol 4 (5) ◽  
pp. 407-412
Author(s):  
Donna Corwin Moss

Background Support groups help their participants to cope with the emotional and practical impact of their illnesses. Methods The effectiveness of the Leukemia Society of America support groups in enhancing the quality of life for their participants is reviewed. The groundwork, purpose, and structure of such groups, as well as alternate sources of support, are presented. Evaluation and future directions for oncology groupwork are discussed. Results Support groups complement the therapies provided by clinical practitioners and scientists by addressing the additional needs of cancer patients over the course of illness and survival. Conclusions New concepts and methods that address the needs of specific age-groups and incorporate the newly generated data on cancer treatments will further enhance the benefits provided by support groups.


Pulmonology ◽  
2021 ◽  
Author(s):  
Jhonatan Betancourt-Peña ◽  
Juan Carlos Ávila-Valencia ◽  
Diana Milena Diaz-Vidal ◽  
Vicente Benavides-Córdoba

2020 ◽  
Vol 5 (1) ◽  
pp. 21-29
Author(s):  
Magdalena Pracka ◽  
Marcin Dziedziński ◽  
Przemysław Łukasz Kowalczewski

AbstractIn recent years have seen increasing percentage of the elderly in the overall population. This has driven the attention to the lifestyle factors that influence the health and quality of life of this social group, including their nutrition and physical activity. Universities of the Third Age (U3A) are a valuable platform for the dissemination and broadening of the knowledge related to these topics. The nutritional habits of 61 U3A students in Poznań were evaluated on the basis of a modified KomPAN questionnaire. Their nutritional status was determined using the body mass index (BMI) and waist to hip ratio (WHR) indices. Nearly half of the respondents were overweight and 16% had first degree obesity. The WHR index in women was on average 0.8, while in men it was 1.01. Only 13% of the students declared regular eating, with 60% consuming 4-5 meals a day. Women were found to eat snacks between meals more often than men. It was also found that the majority of the elderly do not add salt to ready meals or sweeten beverages with sugars. Taking into account the observed nutritional problems and the occurrence of improper eating habits of the elderly, it is recommended to continue the education on the prevention of common diet-related diseased.


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