NORDIC WALKING AS AN EFFECTIVE METHOD OF MEDICAL REHABILITATION AND PHYSICAL 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.

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DYNAMICS OF HEART RATE VARIABILITY IN CHILDREN OPERATED FOR VENTRICULAR SEPTAL DEFECT IN ТНЕ PROCESS OF SANATORIAL SPA TREATMENT

Herald of physiotherapy and health resort therapy ◽

10.37279/2413-0478-2020-26-3-68-70 ◽

2020 ◽

Vol 26 (3) ◽

pp. 68-70

Author(s):

N. N. Kaladze ◽

А. Уи. Iushchenko ◽

V. N. Lukyanenko ◽

М. Е. Kutkin

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Ventricular Septal Defect ◽

Septal Defect ◽

Medical Rehabilitation ◽

Control Group ◽

Healthy Children ◽

Time Analysis ◽

Nordic Walking ◽

Significant Difference

The purpose of the study is to study the effectiveness of medical rehabilitation in children operated on for a ventricular septal defect, based on the dynamics of heart rate variability indicators. Material and methods of research. Heart rate variability was evaluated in 75 children operated on for ventricular septal defect. The control group (CG) consisted of 30 healthy children. The effectiveness of medical rehabilitation was assessed by the dynamics of heart rate variability indicators. Children of the 1st group (20 people) took the cardiometabolic drug Elkar at a dose of 30 mg/kg/day for 1 month. With children of the 2nd group (20 people) for 3 months, Nordic walking classes were held (NW). In addition, children of the 2nd group received the drug Elkar for 1 month (30 mg/kg). Results. According to the time analysis of heart rate variability, operated children had significantly lower values of SDNN 82 [69;103] (p<0.001), SDANNi 50.5 [39;87] (p<0.05), SDNNi 69.5 [54;80] (p<0.05), rMSSD 50.5 [39;87] (p<0.05), pNN50 % 18.4 [6.7;28.3] (p<0.05) lower power in the high-frequency range of the spectrum (p<0.001) and a change in the vegetative balance towards the predominance of the sympathetic division of the autonomic nervous system (LF/HF=3.16, p=0.009) than in the control group. After the treatment, there was no reliable HRV dynamics in children who received Elcar. There was a significant difference between SDNN and rMSSD with KG. In the second group, there was a significant increase in HRV according to SDNN data by 37.7 % (p<0.01), SDANNi by 45.6 % (p<0.05), rMSSD by 6.5 % (p<0.05), pNN50 % by 32.7 % (p<0.05). The difference in indicators with CG is leveled. Conclusions. In children operated on for VSD, there was a decrease in the parameters of the time analysis of HRV in comparison with healthy peers (p<0.05). The combined use of Nordic walking and Elkar have a normalizing effect on the HRV, causing a decrease in the tension of the Central circuit of heart rate regulation, significantly increasing the parasympathetic effect on the heart rate.

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Study Regarding the Use of Basketball Elements in the Correction of Kyphotic Postures in Middle Schoolers

GYMNASIUM ◽

10.29081/gsjesh.2019.20.1s.06 ◽

2019 ◽

Vol XX (1 (Supplement)) ◽

pp. 66

Author(s):

Vasile-Cătălin Ciocan

Keyword(s):

Physical Therapy ◽

Pectoralis Major ◽

Medical Rehabilitation ◽

Upper Body ◽

Lower Body ◽

Middle Schoolers ◽

Rhomboid Muscles

Who should observe the deformation of the spine should be the parents or school doctors. Dorsal kyphosis causes an upper body compensation through a forward inclination of the neck and head, and a lower body one through an accentuation of the lumbar curvature. The scapulae get further apart from the thorax through the extension of the trapezius and rhomboid muscles and the shortening of the pectoralis major. The thorax is caved in and the shoulders are brought forward. Physical therapy uses movement for rehabilitation - somatic-functional, motor and psychomotor, or for reeducating the compensatory functions, in the case of the partially reversible or irreversible deficiencies. It is indispensable to medical rehabilitation, mental re-adaptation, professional reeducation and social re-adaptation. Thus, physical therapy refers to the rehabilitation of certain body functions, while prophylactic physiotherapy helps prevent the disorders, regardless of their nature, or even prevent recurrences of and complications from previous disorders.

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THE USE OF NEW PHYSICAL COMPONENTS FOR SECONDARY AND TERTIARY PREVENTION OF THE DEVELOPMENT OF FALLS SYNDROME IN OLDER PERSONS

Journal of the Grodno State Medical University ◽

10.25298/2221-8785-2021-19-2-219-223 ◽

2021 ◽

Vol 19 (2) ◽

pp. 219-223

Author(s):

T. L. Alenskaya ◽

Keyword(s):

Secondary Prevention ◽

Older Patients ◽

Older Persons ◽

Medical Rehabilitation ◽

National Strategy ◽

Geriatric Syndromes ◽

Practical Application ◽

Nordic Walking ◽

Rehabilitation Programs ◽

Physical Components

Background. Due to the aging of the population, it is urgent to search for non-drug components of prevention and rehabilitation of the development and /or progression of major geriatric syndromes, in particular, the syndrome of falls in older people at the outpatient and home stages of medical rehabilitation. Aim: to study new physical components for the secondary prevention of the development of falls syndrome, as well as medical rehabilitation of older patients at the outpatient and home stages. Results. In the work, the effectiveness of the course of hypobaric hyperbaric adaptation, physical training by Qigong and Nordic walking to increase the statokinetic stability in older patients was obtained by the method of stabilometry. Conclusions. The results obtained enable to recommend the proposed physical components for practical application in the concept of the National Strategy "Active Longevity-2030" and in medical rehabilitation programs at the outpatient and home stages.

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Physical therapy for young men having vertebrogenic lumbosacral pain

Health, sport, rehabilitation ◽

10.34142/hsr.2019.05.04.07 ◽

2019 ◽

Vol 5 (4) ◽

pp. 57

Author(s):

I.A. Sasko ◽

O.V. Beziazychna ◽

S.V. Manucharian

Keyword(s):

Physical Therapy ◽

Young Men ◽

Medical Rehabilitation ◽

Control Group ◽

Therapy Program ◽

Biological Studies ◽

Spine Mobility ◽

Motor Mode ◽

Physical Therapy Program ◽

And Control

Objective: to develop and experimentally explain physical therapy methods for vertebrogenic lumbosacral pain.Material and methods: 20 young men having vertebrogenic lumbosacral pain took part in the experiment at training motor mode, they were divided into two groups – experimental and control one, containing 10 people each. Men in experimental group had physical therapy according to original program, men from the control group – did it according to common recommendation of the Ministry of Health of Ukraine. Pedagogical and medico-biological studies have been carried out since October 2019 up to December 2019. Physical therapy courses in both experimental and control group lasted for two months. Clinical methods (medical history, visual examination), assessment according to Visual Analogue Scale of pain (VAS), lumbar spine mobility investigation, life quality evaluation according to Oswes try Disability Index questionnaire.Results: The presented efficiency of physical therapy program for training motor mode using the exercises on Redcord Suspension System: dynamic exercises to improve spine mobility, static exercises to strengthen and improve core and lower extremity muscles endurance, exercises using slings to improve proprioception; therapeutic massage according to Yefimenko methods: massage of lumbosacral region of spine, glutes, favorable number of procedures – is 15-20 ones; instrumental physiotherapy methods: ultrasound (1.2 – 1.4 W-cm2), double-pole interference (25-27 mA), Trabert’s current (7-8-12 mA).Conclusions: In the course of study undertaken we have made a conclusion that physical therapy program developed and introduced at the premises of Kinezio Medical Center of Physical Rehabilitation and Sport Medicine in Kharkov for young men having vertebrogenic lumbosacral pain allowed advancing efficiency of medical rehabilitation, is accessible for all specialized rehabilitation facilities and appears worthy of practical application.

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Scientific Basis of the Use of Medical Rehabilitation and Botulinum Therapy during Rehabilitation Post-Stroke Spasticity

Journal of New Medical Technologies ◽

10.12737/3305 ◽

2014 ◽

Vol 21 (1) ◽

pp. 25-29

Author(s):

Королев ◽

A. Korolev

Keyword(s):

Botulinum Toxin ◽

Physical Therapy ◽

Exercise Therapy ◽

Botulinum Toxin Type A ◽

Rehabilitation Program ◽

Additional Treatment ◽

Medical Rehabilitation ◽

Comprehensive Treatment ◽

Post Stroke ◽

Spastic Paresis

Among the factors contributing to disability after stroke is the most important movement disorder, major clinical manifestation of which is the central spastic paresis. Spasticity is revealed in the study of passive movements of the limbs as increased resistance to muscle in response to its rapid stretching. Once developed spastic paresis usually persists throughout the life of the patient. The treatment of spastic paresis is intractable problem. In recent years the treatment of post-stroke spasticity started using botulinum toxin type A. In comparison with the existing methods of treating muscle hyper local administration of botulinum toxin has a number of obvious advantages. According to the latest recommendations in all cases after botulinum therapy require active physical therapy and physical rehabilitation. Botulinum therapy is not a substitute for physical therapy and exercise therapy, which is the basis of the rehabilitation program and is an integrated part of a comprehensive treatment to improve motor functions. Using a special additional treatment measures such as physical therapy and exercise therapy is often part of the overall treatment but their formal evaluation was carried out in only a few studies. The article presents the author´s concept of rehabilitation post-stroke spastic muscle hypertonus in neuro-rehabilitation with the use of medical rehabilitation and botulinum therapy.

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Fizjoterapia a rehabilitacja medyczna – problemy semantyczne z nazewnictwem w fizjoterapii / Physical therapy versus medical rehabilitation - semantic problems with nomenclature in physical therapy

Physiotherapy ◽

10.2478/v10109-011-0027-1 ◽

2011 ◽

Vol 19 (4) ◽

Cited By ~ 1

Author(s):

Emilia Mikołajewska

Keyword(s):

Physical Therapy ◽

Medical Rehabilitation

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Innovative Methods of the Interdisciplinary Approach to Medical Rehabilitation in Children with Bronchial Asthma

Journal of restorative medicine and rehabilitation ◽

10.38025/2078-1962-2021-20-4-50-56 ◽

2021 ◽

Vol 20 (4) ◽

pp. 50-56

Author(s):

Anna V. Ponomareva ◽

Mikhail M. Raspertov ◽

Maxim Yu. Yakovlev ◽

Anatoly D. Fesyun

Keyword(s):

Physical Therapy ◽

Bronchial Asthma ◽

Well Being ◽

Rehabilitation Program ◽

Basic Program ◽

Individual Characteristics ◽

Medical Rehabilitation ◽

Inhalation Therapy ◽

Subjective Feeling ◽

Subjective Data

The childhood incidence of bronchial asthma is the most common chronic pathology in children. Due to the influence of many factors,as well as due to the widespread prevalence, the problem is becoming particularly relevant today. In recent years, a frequently usedconcept of medical rehabilitation is the so-called “multidisciplinary approach”, which also consists in the implementation of a personalizedapproach. Aim. To develop a comprehensive targeted program for the medical rehabilitation of children with bronchial asthma, to study the effectivenessof a comprehensive targeted program selected taking into account the individual characteristics of the child. Material and methods. There was developed an individual targeted program of medical rehabilitation was developed, in accordancewith the procedures and standards of medical care, taking into account indications and contraindications, taking into account a multidisciplinaryapproach, and rehabilitation methods, namely, such as: climatotherapy, physiotherapy, speleotherapy, aromatherapy,inhalation therapy, oxygen therapy, hypoxytherapy, mechanotherapy, psychocorrection, massage, physical therapy, phytotherapy.The patients were divided into three groups by randomization, without reference to the treatment method or any other factor. Allthree groups of patients received a basic program of medical rehabilitation, which included magnetotherapy, dry carbon dioxidebaths,speleotherapy and physical therapy. Results. Positive indicators of clinical and laboratory results and subjective data as a resultof rehabilitation were obtained in all patients from all 3 groups. In children with bronchial asthma of mixed genesis, as a result of complextreatment, a significant improvement was noted. These results allow us to speak about the significant effectiveness of individuallyselected targeted medical rehabilitation programs in patients with bronchial asthma. Conclusion. As a result of the analytical work carried out according to the results of the study, it can be concluded that the use of anindividual rehabilitation complex of procedures and therapeutic techniques in children’s patients with bronchial asthma is effective.The implementation of these methods in a complex improves the condition and well-being of patients according to a subjective feeling,and also allows us to reliably speak about the improvement of the condition according to clinical and diagnostic indicators. It ispossible to recommend the introduction of the use of these programs in the medical rehabilitation of this group of patients. Drawingup targeted programs for use in children’s patients with a history of bronchial asthma is an important link in medical rehabilitation,as it allows each patient to conduct an individually selected targeted rehabilitation program in the conditions of the department ofmedical rehabilitation for patients with somatic diseases.

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Complex Application of Laser Radiation and Interference Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder

Journal of restorative medicine and rehabilitation ◽

10.38025/2078-1962-2020-98-4-71-76 ◽

2020 ◽

Vol 98 (4) ◽

pp. 71-76

Author(s):

E.V. Novikova ◽

L.B. Menovshikova ◽

V.F. Prikuls ◽

O.V. Trunova

Keyword(s):

Laser Radiation ◽

Physical Therapy ◽

Neurogenic Bladder ◽

Comparison Group ◽

Bladder Dysfunction ◽

Clinical Symptoms ◽

Behavioral Therapy ◽

Medical Rehabilitation ◽

Favorable Effect ◽

Neurogenic Bladder Dysfunction

The article is devoted to the medical rehabilitation of children with neurogenic bladder dysfunction. Medical rehabilitation of children with neurogenic bladder dysfunction includes behavioral therapy, medication, biofeedback, and physical therapy. The popularity of physiotherapy methods is explained by the influence on the main links of pathogenesis, the absence of side effects and the possibility of use in young children. The aim of the study was to study the effectiveness of complex application of laser radiation and interference currents in the medical rehabilitation of children with PDMP. Materials and methods. Clinical observations and special studies were conducted in 40 children with hyperactive bladder aged 3 to 10 years. The main group consisted of 20 children who received laser therapy and interference currents, 20-a comparison group (without physical therapy). Results. Positive dynamics was observed by the middle of the course of medical rehabilitation, a third of patients showed a decrease in urgency and urgent urinary incontinence, there was a tendency to normalize the number of urinations per day, by the end of the course of medical rehabilitation, the dynamics of clinical symptoms was more pronounced and reliable. The favorable influence of interference currents and laser radiation on the clinical course of neurogenic bladder dysfunction, the state of urodynamics and speed characteristics of the act of urination was revealed. The feasibility of including interference currents and laser radiation in the medical rehabilitation of children with neurogenic bladder dysfunction is scientifically proved. Conclusion. Medical rehabilitation of children with neurogenic bladder dysfunction with the inclusion of laser radiation and interference currents has a favorable effect on the symptoms of hyperactivity of the bladder, indicators of uroflowmetry, cystometry and helps restore the normal rhythm of urination. As a result of the research, the effectiveness of medical rehabilitation with the inclusion of laser radiation and interference currents was 85.0 %, in the comparison group only 60.0 % (p < 0.05).

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Kinesitherapy: One of the most important aspects of medical rehabilitation

Medicinski pregled ◽

10.2298/mpns0512553s ◽

2005 ◽

Vol 58 (11-12) ◽

pp. 553-557

Author(s):

Kosta Savic

Keyword(s):

Physical Therapy ◽

Optimal Recovery ◽

The Body ◽

Medical Rehabilitation ◽

Whole Body ◽

Locomotor Apparatus ◽

Pathological Conditions ◽

Almost All

Introduction Kinesitherapy, as a part of physical therapy, represents one of the most important aspects of medical rehabilitation. It involves movement of various parts of the body, or of the whole body, using exercises in order to maintain, establish, develop and change functions of the locomotor apparatus and organs of locomotion. Aim The aim of kinesitherapy is to use all potentials of the treated patients, to achieve optimal recovery of the damaged function of locomotion. Classification Kinesitherapy includes active and passive exercises. Active exercises are divided into: active exercises with assistance, without assistance and active exercises with resistance. Indications and contraindications Kinesitherapy is applied in almost all medical branches in numerous pathological conditions, as well as a method of prevention. Practically, there are no absolute contraindications, and relative are extremely rare.

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