Physical factors in medical rehabilitation of children with spinal osteochondropathies

2021 ◽  
pp. 28-36
Author(s):  
Irena Vladimirovna Pogonchenkova ◽  
Maya Alekseevna Khan ◽  
Alina Vyacheslavovna Chervinskaya ◽  
Evgeniy Maksimovich Talkovskiy ◽  
Dmitriy Yurievich Vybornov ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Scientific Literature ◽  
Cold Water ◽  
Modern Medicine ◽  
Medical Rehabilitation ◽  
Steady Increase ◽  
Physical Factors ◽  
Pain Syndromes ◽  
Treatment Procedures ◽  
Electrical Muscle

The article is devoted to a targeted search of scientific literature sources aimed at compiling a review of data on the use of physiotherapy methods in the medical rehabilitation of children with spinal osteochondropathy. One of the most urgent and socially significant issues of modern medicine is the widespread prevalence of orthopedic pathology, among which the leading positions are taken by diseases of the spine. Recently, in the population of children and adolescents, there has been a steady increase in pain syndromes of a vertebrogenic nature, leading to impaired physical functioning. According to various population studies, the prevalence of this nosological form ranges from 0.42 to 37% among the child population. The prevalence of Scheuermann — Mau disease in the general population of children and adolescents ranges from 0.4–8.3%. This pathology is the most common among all children osteochondropathies. To date, the etiology of spinal osteochondropathy is still unclear. Due to the asymptomatic course, the disease is not always diagnosed in the early stages of development, which creates certain difficulties in diagnosing and prescribing an effective treatment for the disease. Medical rehabilitation of children with osteochondropathy of the spine is aimed at preventing further progression of deformity, improving posture, respiratory function and cardiovascular system and includes: a rational exercise regime and nutrition, bracing and cold water treatment procedures, conservative orthopedic measures (wearing a corset, staying in a plaster bed), active correction of deformity (kinesiotherapy), hydrokinetic therapy, massage, passive correction of deformity (treatment by position), physiotherapy (electrical muscle stimulation), sports (skiing, swimming).

scholarly journals Physical Factors in the Medical Rehabilitation of Children with Spinal Osteochondropathies

2021 ◽  
Vol 20 (4) ◽  
pp. 82-89
Author(s):  
Evgeny M. Talkovsky ◽  
Dmitry Y. Vybornov ◽  
Nikolay I. Tarasov ◽  
Vladimir V. Koroteev ◽  
Vladislav F. Prikuls
Keyword(s):  
Children And Adolescents ◽  
Modern Medicine ◽  
Medical Rehabilitation ◽  
Economic Losses ◽  
Steady Increase ◽  
Physical Factors ◽  
Pain Syndromes ◽  
Motor Mode ◽  
Electrical Muscle

Aim. To conduct a targeted search for scientific literature sources aimed at compiling a review of data on the use of physical factors inthe medical rehabilitation of children suffering from spinal osteochondropathies.One of the most urgent and socially significant problems of modern medicine is the wide prevalence of orthopedic pathology, amongwhich the leading positions are occupied by diseases of the spine. In the population of children and adolescents, there has been arecent steady increase in pain syndromes of a vertebrogenic nature, leading to a violation of physical functioning. According to variouspopulation studies, the prevalence of this nosological form among the child population ranges from 0.42 to 37%. The prevalenceof Sheyerman-Mau disease in the general population of children and adolescents ranges from 0.4-8.3%. This pathology is the mostcommon among all osteochondropathies of childhood. To date, the etiology of spinal osteochondropathy is still unclear. Due to theasymptomatic course, the disease is not always diagnosed at the early stages of development which creates certain difficulties indiagnosing and prescribing effective treatment of the disease. Medical rehabilitation of children with spinal osteochondropathies isaimed at preventing further progression of deformity, improving posture, respiratory function and cardiovascular system and includes:rational motor mode and nutrition, general strengthening and hardening procedures, conservative orthopedic measures (wearing acorset, staying in a plaster bed), active correction of deformity (kinesotherapy), hydrokinesotherapy, massage, passive correction ofdeformity (treatment with position), physiotherapy (electrical muscle stimulation), sports (skiing, swimming). A special place in thereview is given to the presentation of the stages of medical rehabilitation of children with dorsalgia and adolescents who have undergonesurgical treatment for spinal osteochondropathies. Conclusion. When prescribing a personalized program of medical rehabilitation for children suffering from spinal osteochondropathies,the maximum positive dynamics of the course of the disease is achieved, which leads to an improvement in the quality of lifeand a decrease in disability among the children’s population. The developed programs of medical rehabilitation of children will reducethe socio-economic losses from vertebrogenic pathology and will contribute to strengthening the health of the younger generationsof Russia.

STAGES OF REHABILITATION OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT

2021 ◽  
pp. 56-62
Author(s):  
I. V. Kas ◽  
I. S. Petukhova ◽  
T. P. Ustymenko
Keyword(s):  
Neurological Deficit ◽  
Cerebrovascular Accident ◽  
Modern Medicine ◽  
Rehabilitation Program ◽  
The Body ◽  
Medical Rehabilitation ◽  
Multidisciplinary Teams ◽  
Physical Factors ◽  
Acute Cerebrovascular Accident ◽  
Number Of Factors

One of the urgent tasks of modern medicine is organizing the rehabilitation for patients who have suffered a stroke at different stages of rehabilitation. Restoration of impaired functions in such patients occurs in the first 3−5 months from the onset of the disease, that is influenced by a number of factors: duration of the stroke, size of the lesion and pool of lesions, active participation in the process of a patient him−/herself. The main principles of rehabilitation include its early onset in an acute period of stroke; regularity and duration; complexity and multidisciplinarity (formation of multidisciplinary teams); adequacy of rehabilitation measures, i.e. creation of individual programs taking into account the severity of neurological deficit and dysfunction; stages. Different methods of recovery are applied to each patient individually or in combination, or sequentially according to the rehabilitation program, which is based on the analysis of the patient's condition by all members of the multidisciplinary team, taking into account the results of functional testing and objective examination. Medical support, postural correction, kinesitherapy, mechanotherapy (including robotic), field therapy, hardware physiotherapy, massage, acupuncture according to the indications, functional neurotraining and cardiotraining, neuropsychological training are used. The results of research confirm that the integrated use of kinesitherapy, physical factors, balneotherapy, the methods of psychological rehabilitation of patients after stroke provides a faster recovery of neurological deficit, activates non−specific brain systems, restores mental and somatic functions of the body. Therefore, in addition to health, the patient needs to renew his ability to work and social status. Key words: acute cerebrovascular accident, medical rehabilitation, stages of rehabilitation.

Strengthening the pharmacological potential of drug therapy in treatment of patients with chronic pancreatitis by using therapeutic physical factors

2020 ◽  
pp. 8-14
Author(s):  
R. M. Mallaeva ◽  
A. N. Makhinko ◽  
M. B. Uzdenov
Keyword(s):  
Quality Of Life ◽  
Chronic Pancreatitis ◽  
Drug Therapy ◽  
Clinical Manifestations ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Physical Factors ◽  
Standard Drug ◽  
Pharmacological Potential

The purpose of the study is to improve rehabilitation treatment of patients with chronic pancreatitis (CP) at inpatient stage by strengthening pharmacological potential of drug therapy due to inclusion of therapeutic physical factors (TPF) in therapeutic programs. Materials and methods. 159 patients with acute CP were observed. By simple randomization, 4 groups were formed: the control group (MG, 39 people) received standard drug therapy; 1st comparison group (GC1; 38 people) additionally received TPF; GC2 (40 people) in addition to treatment in GC1 had drinking mineral water «Slavyanovskaya»; in main group (42 people) in addition to the treatment in GC2 got preformed peloidotherapy on the cervical-collar zone. All the patients underwent the evaluation of clinical score and quality of life before and after medical rehabilitation. Results. In MG, clinical symptomatology leveling was by 78,2% (p<0,01), in GC1 — by 71,5% (p<0,01), GC2 — by 62,3% (p<0,01), CG — by 57,2% (p<0,01) on average immediately after the treatment, which was in a clear correlation with indicators of quality of life. In the long term (in 6 and 12 months), the advantage of combination therapy was noted with the same validity, the preservation of the achieved positive result was mostly noted in the MG: after 6 months the improvement in physical health compared to the initial values was noted by 34,4% (p<0,01), after 12 months — by 24,0% (p<0,05); mental — by 32,3% (p<0,01) and 22,5% (p<0,05), respectively. In both comparison groups, positive dynamics was 10–12% lower, and in the control group, after 6 months, there was only a tendency to improve quality of life indicators. Conclusion. The inclusion of TPF in the programs of the inpatient stage of medical rehabilitation of patients with chronic pancreatitis by strengthening the pharmacological potential of drug therapy contributes to the leveling of clinical manifestations (abdominal pain, dyspepsia and diarrhea), the result of which is an improvement in the quality of life of this category of patients.

scholarly journals Modern technologies of medical rehabilitation of children with chronic constipation

2021 ◽  
Vol 20 (2) ◽  
pp. 175-182
Author(s):  
Maya A. Khan ◽  
Evgeny M. Talkovsky ◽  
Maria S. Petrova
Keyword(s):  
Physical Therapy ◽  
Chronic Constipation ◽  
Mineral Waters ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Daily Routine ◽  
External Application ◽  
Intestinal Motility Disorders ◽  
Peloid Therapy ◽  
Magnetic Therapy

Medical rehabilitation of children with chronic constipation is a complex system of measures, including: rational nutrition, drug therapy, physiotherapy, physical therapy, massage, et. The main tasks of medical rehabilitation are: normalization of the passage of fecal masses, tone of the sphincter apparatus of the rectum and pelvic floor muscles, restoration of the defecation reflex and reduction of astheno-vegetative disorders. The article describes the methods of physiotherapy used in the treatment of chronic constipation in combination with diet, daily routine, medication, physical therapy and massage: amplipulstherapy, interference therapy, percutaneous electroneurostimulation, high-intensity magnetic therapy, transcranial electrostimulation. Balneotherapy methods are widely used: internal and external application of mineral waters, as well as heat treatment and peloid therapy. Natural and artificial physical factors are assigned differentially, taking into account the type of intestinal motility disorders. One of the promising areas of modern physiotherapy is the study of the combined and combined use of two physical factors that increase the effectiveness of the program of medical rehabilitation of children with chronic constipation. Methods of medical and psychological correction are of great importance in the medical rehabilitation of children with chronic constipation.

scholarly journals УЧАСТИЕ ДЕТЕЙ В ПРАЗДНИЧНОЙ КУЛЬТУРЕ МОРДОВСКИХ ПЕРЕСЕЛЕНЦЕВ СИБИРИ ВО ВТОРОЙ ПОЛОВИНЕ XX – НАЧАЛЕ XXI вв.

2021 ◽  
pp. 294-303
Author(s):  
Л.Н. Щанкина
Keyword(s):  
Children And Adolescents ◽  
Scientific Literature ◽  
Local Population ◽  
Field Studies ◽  
Children And Youth ◽  
Festive Culture ◽  
Xix Century

Статья посвящена участию детей в праздничной культуре мордовских переселенцев на территории Сибири. Мордва переселялась сюда с территорий мордовского, чувашского, самарского и пензенского краев со второй половины XIX в. по 1970-е гг. Материалом для статьи служат полевые исследования автора и научная литература по изучаемой проблематике. Дается характеристика наиболее важных религиозных праздников мордовских переселенцев. Отмечается, что одной из особенностей праздничной культуры мордовского крестьянства являлось участие в религиозно-праздничных действиях детей и молодежи. При проведении большинства обрядов взрослых дети нередко привлекались в качестве зрителей. Их помощь использовалась и при подготовке к проведению обрядов, например, при сборе продуктов питания; дров, ненужных вещей для рождественских и масленичных костров. Кроме того, дети привлекались для информирования местного населения о предстоящих церемониях (например, посиделках, различных помочах и т. д.). В ряде случаев, в частности при обходе домов поселения на Пасху, Рождество и Новый год, дети и подростки наделялись самостоятельной обрядовой ролью. Их присутствие считалось в народе магически благоприятным средством для достижения определенных целей. Делается вывод о стремлении мордовских переселенцев к сохранению религиозно-праздничной культуры и на иноэтничной территории. Установлено, что на территории Сибири мордовским населением отмечались такие же праздники, как и в исконных территориях выхода переселенцев. The article aims to study how children participated in the festive culture of Mordovian immigrants in Siberia. Mordva had been moving here from Mordovia, Chuvashia, Samara, and Penza from the second half of the XIX century to the 1970s. The article is based on the author's field studies and scientific literature. It describes the most important religious holidays of the Mordovian immigrants. It was typical of the festive culture of the Mordovian peasantry that children and youth participated in religious and festive acts. In most adult rites, children were often involved as spectators. They also assisted in the preparation of rites, for example, collecting food, firewood, unnecessary objects for Christmas and Maslenitsa fires. Apart from that, children informed the local population about upcoming ceremonies. Sometimes, children and adolescents were endowed with an independent ritual role, particularly when knocking on doors on Easter, Christmas, and New Year. Their presence was considered a magical means to achieve certain goals. The author concludes that the Mordovian population aimed to preserve their religious and festive culture in the new territory. In Siberia, the immigrants celebrated the same holidays as in their original territories.

Chronic pain syndromes

2018 ◽  
pp. 623-642
Author(s):  
Gavin Clunie ◽  
Nick Wilkinson ◽  
Elena Nikiphorou ◽  
Deepak R. Jadon
Keyword(s):  
Chronic Pain ◽  
General Practitioner ◽  
Children And Adolescents ◽  
Complex Regional Pain Syndrome ◽  
Musculoskeletal Pain ◽  
Pain Syndrome ◽  
Pain Syndromes ◽  
Pain Medications ◽  
Cross Reference ◽  
Chronic Pain Syndromes

The Oxford Handbook of Rheumatology 4th edition, has been extensively updated to thoroughly review aspects of musculoskeletal pain. Pain pathophysiology is reviewed. Chronic pain and fibromyalgia in adults and in children and adolescents is dealt with in detail. The reader is advised to cross reference from this chapter to Chapters 1–3 in the Handbook, where regional musculoskeletal pain conditions are listed and reviewed. In localized pain syndromes, the chapter has an overview of complex regional pain syndrome (CRPS), which is not infrequently encountered in rheumatology and musculoskeletal clinics. Included in detail for this edition, is the assessment and management of pain in children, which is a highly specialized clinical area of medicine and will be of use to the adult rheumatologist and general practitioner as well as paediatric specialists. Readers should cross reference to Chapter 23 on medications, for ‘pain medications’ in the Handbook

scholarly journals Theory of unpleasant symptoms: support for the management of symptoms in children and adolescents with cancer

2015 ◽  
Vol 36 (3) ◽  
pp. 109-112 ◽  
Author(s):  
Luís Carlos Lopes-Júnior ◽  
Emiliana de Omena Bomfim ◽  
Lucila Castanheira Nascimento ◽  
Gabriela Pereira-da-Silva ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Children And Adolescents ◽  
Critical Analysis ◽  
Scientific Literature ◽  
Symptom Clusters ◽  
Nursing Interventions ◽  
International Studies ◽  
Neuropsychological Symptoms ◽  
Reflective Study ◽  
Support Research ◽  
Theory Of Unpleasant Symptoms

Objective: To present an overview of the clusters of neuropsychological symptoms in children and adolescents with cancer from the perspective of the Theory of Unpleasant Symptoms.Methods: A theoretical and reflective study based on international literature and the critical analysis of the authors.Results: In scientific literature, there is scarcity of international studies and an absence of studies in Brazil regarding the neuropsychological symptom clusters in children and adolescents with cancer. The theory of unpleasant symptoms is consistent because it emphasizes the complexity and interaction of the symptoms, the interrelationship between symptoms, the factors that influence symptoms, and the results and consequences of symptoms, thus supporting the planning of nursing interventions in paediatric oncology.Conclusion: It is essential to update knowledge on this subject and discuss the theories that support research and the clinical practice of symptom management in order to better qualify nursing care.

scholarly journals Relationship between painful manifestations and the use of hydroxyurea in children and adolescents with sickle cell disease

2020 ◽  
Vol 9 (10) ◽  
pp. e6949109046
Author(s):  
Suzana Silva Lira ◽  
Caroline Maria Igrejas Lopes ◽  
Gabriella Aguiar Rodrigues Veras ◽  
Valdenice Aparecida de Menezes
Keyword(s):  
Sickle Cell Disease ◽  
Children And Adolescents ◽  
Sickle Cell ◽  
Short Form ◽  
Cross Sectional Study ◽  
High Rate ◽  
Physical Factors ◽  
Cell Disease ◽  
Cross Sectional ◽  
Painful Events

To analyze the profile of pain, its triggering factors, and the relationship with the use of hydroxyurea in children and adolescents with sickle cell disease. This was an analytical cross-sectional study of 80 patients with sickle cell disease, both male and female, aged 6 to 18 years, seen at the Center for Hematology and Hemotherapy of Pernambuco, Brazil. To assess the pain profile, forms with the adapted visual scale from the “Fear of Dental Pain Questionnaire – Short Form” were used. Fisher's exact test was used to evaluate the association between pain manifestations and the use of hydroxyurea. Pain was reported by 68.7% of the patients and 52.7% of them reported severe pain, which eventually affected their daily routines. Physical triggers presented the highest rate (78.2%). The most frequent sites of pain were the trunk (80%) and lower extremities (54.5%), and constricting (40%) and deep (40%) pain were the most frequent types. Thirty percent of the patients reported being treated with hydroxyurea for prevention of painful events. It is concluded that the patients with sickle cell disease showed a high rate of painful events and physical factors, such as cold temperature, trauma and physical effort, were considered to be the most prevalent. There was no association between the use of hydroxyurea and pain improvement.

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