Modern Opportunities of Medical Rehabilitation of Children with Chronic Constipation

2020 ◽  
Vol 98 (4) ◽  
pp. 35-41
Author(s):  
M.A. Rassulova ◽  
E.M. Talkovsky ◽  
O.Yu. Alexandrova ◽  
A.N. Smirnov
Keyword(s):  
Chronic Constipation ◽  
Rehabilitation Program ◽  
Mineral Waters ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Medication Therapy ◽  
Combined Use ◽  
Individual Program ◽  
Magnetic Therapy ◽  
The Individual

This article reviews the methods of medical rehabilitation used in the complex treatment of children with chronic constipation. Medical rehabilitation of children with chronic constipation is a complex system of measures that include rational nutrition, medication therapy, physiotherapy, kinesotherapy, massage, etc. The main objectives of the medical rehabilitation of children with chronic constipation are normalization of the passage through the intestines, improvement of tone of the pelvic floor muscles, restoration of the defecation reflex. The article describes the methods of physiotherapy used in the treatment of chronic constipation in children in combination with diet, daily regimen, drug treatment, physiotherapy exercises and massage: amplipulse therapy, interference therapy, ultrasound therapy, percutaneous electroneurostimulation, fluctotuorization, high-intensity magnetic therapy, transient transduction. The methods of balneotherapy are widely used: the internal and external use of mineral waters, as well as heat therapy and peloidotherapy. Natural and artificial physical factors are assigned differentially, taking into account the type of intestinal motility disorder. One of the promising directions of modern physiotherapy is to study the combined and combined use of two physical factors that increase the effectiveness of the medical rehabilitation program for children with chronic constipation. Methods of medical and psychological correction are of great importance in the medical rehabilitation of children with chronic constipation. The medical rehabilitation of children with chronic constipation is carried out taking into account the individual program of medical rehabilitation of the child, which makes it possible to increase the efficiency of medical rehabilitation and the patient’s quality of life.

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.

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.

scholarly journals Medical Rehabilitation of Children after a New Coronavirus Infection COVID-19

2021 ◽  
Vol 20 (4) ◽  
pp. 4-12
Author(s):  
Maria S. Petrova ◽  
Maya A. Khan
Keyword(s):  
The Body ◽  
Mineral Waters ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Therapeutic Effects ◽  
Rehabilitation Team ◽  
Therapeutic Exercises ◽  
Wide Range ◽  
Coronavirus Infection ◽  
Rehabilitation Measures

The article is about medical rehabilitation of children who have suffered from the coronavirus infection COVID-19, which is an acute infectious disease caused by a new strain of the coronavirus SARS CoV-2. The authors present current information about epidemiology and clinical course of this disease in children. It is known that complications and adverse outcomes of COVID-19 in children are observed much less frequently than in adults. At the same time, the clinical experience of monitoring children who have had a new coronavirus infection showed that all patients need medical rehabilitation, including those who had the disease in asymptomatic or mild form. Data on the possibility of functional disorders not only in the respiratory organs but also in other systems of the body determines the necessity of stage-by-stage medical rehabilitation of these children. The article defines the main principles and stages of their rehabilitation, proves the necessity of indications for different stages. Medical rehabilitation of children after a new coronavirus infection at all stages is provided by specialists of a multidisciplinary rehabilitation team which includes a pediatrician, a physiotherapist, an exercise therapist, a medical rehabilitation doctor, a reflexologist, a medical psychologist, a speech therapist, an instructor-methodologist, etc. This article presents a wide range of modern techniques of apparatus physiotherapy and kinesotherapy indicated for children who have undergone COVID-19, with the description of the main therapeutic effects and the mechanism of therapeutic action of physical factors. Psychological rehabilitation is of great importance in the complex of rehabilitation measures for children with COVID-19. Special attention is paid to the issues of sanatorium-resort treatment of children after a new coronavirus infection. The spectrum of nonmedicamentous technologies for inclusion in the individual program of sanatorium-resort treatment of such patients with the use of natural healing resources (mineral waters, therapeutic mud, therapeutic climate, other natural conditions used for treatment and prevention of diseases); nonmedicamentous therapy, therapeutic exercises, massage, physiotherapy, hydrotherapy, reflexotherapy, psychotherapy is determined. The article presents criteria for evaluating the effectiveness of rehabilitation measures.

scholarly journals Rehabilitation program for acute poisoning in a toxicological hospital

2021 ◽  
Vol 20 (2) ◽  
pp. 99-117
Author(s):  
Yuri S. Goldfarb ◽  
Amayak V. Badalyan ◽  
Marina Yu. Marina ◽  
Vladislav A. Shchetkin ◽  
Mikhail M. Potskhveriya
Keyword(s):  
Functional Performance ◽  
Acute Poisoning ◽  
Rehabilitation Program ◽  
The Body ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Duration Of Treatment ◽  
Severe Burns ◽  
Adaptive Capabilities ◽  
Snake Bites

BACKGROUND: Diagnostics and treatment of acute poisoning, as well as the rehabilitation measures carried out in relation to them, including the stationary stage, are aimed at the most complete restoration of the lost capabilities of the body. AIMS: Increasing the efficiency of medical rehabilitation of acute poisoning (AP) in a toxicological hospital through a combination of drug therapy and non-drug treatment with preformed physical factors. MATERIAL AND METHODS: Of 1,207 patients with AP psychopharmacological agents (pPFA), neurotoxicants (pNT), cauterizing agents (pCA) and snake bites (SB), who were in the toxicology department of the N.V. Sklifosovsky, 421 patients with an unfavorable course of AP were subjected to an in-depth examination. Intravenous laser hemotherapy (LGT), hyperbaric oxygenation (HBO), mesodiencephalic modulation (MDM), wave biomechanotherapy (WBMT) and ethylmethylhydroxypyridine succinate (EP) were used in cases of 291 patients of the main groups. RESULTS: The unfavorable course of AP was accompanied by an increase in the duration of treatment by 2.26.8 times due to the addition of pneumonia (pPFA), toxicohypoxic encephalopathy (pNT), severe burns of the gastrointestinal tract (pCA) and local edematous-inflammatory changes (SB). There was a syndrome of high blood viscosity and moderate endotoxicosis. The best clinical and laboratory results were obtained with a combination of LHT (90 minutes) with EP (pPFA), HBO and EP (pCA), HBO, MDM, EP (heavy pNT), HBO, EP (moderate pNT) and WBMT (SB). The adaptive capabilities of the organism, the state of the autonomic nervous system (pNT), neuropsychological indicators and electrical activity of the brain (pNT) improved. CONCLUSION: Programmed rehabilitation made it possible to achieve a noticeable reduction in the incidence of symptoms of the studied poisoning (by 54.693.4%), the time to resolve their manifestations (by 9.175%), as well as inpatient treatment (by 16.159.3%), improving functional performance.

scholarly journals The role and place of preformed physical factors in the complex treatment of patients with corneal ulcer

2021 ◽  
Vol 20 (1) ◽  
pp. 79-84
Author(s):  
Olga V. Yurova ◽  
Yaroslav A. Solovyov ◽  
Tatiana V. Konchugova
Keyword(s):  
Vision Loss ◽  
Corneal Ulcer ◽  
Anterior Segment ◽  
Corneal Opacity ◽  
Medical Rehabilitation ◽  
Physical Factors ◽  
Actual Problem ◽  
Corneal Ulcers ◽  
Pathogenetic Therapy ◽  
Magnetic Therapy

Corneal ulcer is a severe pathology of the anterior segment of the eye, the outcome of which can be the loss of the eye as an organ, the formation of gross corneal opacity and irreversible vision loss. Currently, there is evidence of the successful use of preformed physical factors in the treatment of patients with corneal ulcers. The article presents information about the effectiveness of magnetic therapy, pulsed electrotherapy, ultrasound and laser therapy, hyperbaric oxygenation and a number of other physiotherapy methods in this pathology. Standard pathogenetic therapy is an integral part of the treatment process of corneal ulcers, but the use of physiotherapy techniques in addition to standard therapy allows you to achieve a better clinical effect, which makes it possible to consider the actual problem of medical rehabilitation of patients with corneal ulcers.

Manual therapy and visual color-impulse therapy in the rehabilitation of patients with piriformis syndrome

2020 ◽  
pp. 95-101
Author(s):  
V. A. Frolov ◽  
M. S. Akopyan
Keyword(s):  
Manual Therapy ◽  
Muscle Tone ◽  
Randomized Study ◽  
Integrated Approach ◽  
Medical Rehabilitation ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Group I ◽  
Combined Use ◽  
Visual Color

Introduction. Piriformis syndrome (PS) is a condition accompanied by tension of the piriformis muscle and followed then by compression of the sciatic nerve passing through the piriformis muscle. According to statistics, PS occurs in 6–35 % of patients with lower back pain. Practitioners still face difficulties in treating patients with PS, and it necessitates the searching of new therapy methods and assessment of their compatibility.The goal of research — to study the clinical efficacy of the combined use of manual therapy and visual colorimpulse therapy in patients with piriformis syndrome.Materials and methods. A prospective, controlled, randomized study was conducted in 2019 at the Department of Sports Medicine and Medical Rehabilitation of I. M. Sechenov First Moscow Medical State University. In accordance with the inclusion criteria, 40 patients participated in the study. All participants, depending on the used treatment methodology, were divided by the method of simple randomization using envelopes into two equal groups. In the main group (group I), an integrated approach to treatment was tested: manual therapy in combination with visual color-impulse therapy (CIT); and in the other group (group II) only manual therapy was used.Results. The combined use of manual therapy and CIT in patients with piriformis syndrome leads to a significantly more pronounced decrease in the pain degree and normalization of impaired muscle tone. Also, an integrated approach helps to eliminate existing angiospastic disorders of the lower extremities.Conclusion. The study shows a clear positive dynamics in the integrated use of manual therapy methods in combination with visual color-impulse therapy in the treatment of patients with piriformis syndrome. It is planned to continue the study and assess the possibilities of using the combined technique in different groups of patients (athletes, pregnant women) with this syndrome. 

Correction of functional constipation in patients with limited mobility after stroke

2019 ◽  
Vol 1 (6) ◽  
pp. 53-55
Author(s):  
M. S. Turchina ◽  
M. V. Bukreeva ◽  
L. Yu. Korolyova ◽  
Zh. E. Annenkova ◽  
L. G. Polyakov
Keyword(s):  
Quality Of Life ◽  
Chronic Constipation ◽  
Functional Constipation ◽  
Cerebrovascular Diseases ◽  
Medical Rehabilitation ◽  
Stroke Patients ◽  
Limited Mobility ◽  
Complete Restoration ◽  
The World

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.

Medical Rehabilitation Program: 2. Effects on Basic Training Graduation Rates

1991 ◽  
Author(s):  
Linda K. Hervig ◽  
Ross R. Vickers ◽  
Bischoff Jr. ◽  
Craig
Keyword(s):  
Graduation Rates ◽  
Rehabilitation Program ◽  
Medical Rehabilitation ◽  
Basic Training

scholarly journals Development of the Mental, Emotional, and Bodily Toughness Inventory in Collegiate Athletes and Nonathletes

2008 ◽  
Vol 43 (2) ◽  
pp. 125-132 ◽  
Author(s):  
Mick G. Mack ◽  
Brian G. Ragan
Keyword(s):  
Undergraduate Students ◽  
Rating Scale ◽  
Collegiate Athletes ◽  
Rehabilitation Program ◽  
Mental Toughness ◽  
Individual Treatment ◽  
Model Data ◽  
Fit Statistics ◽  
The People ◽  
The Individual

Abstract Context: The assessment of an individual's mental toughness would assist clinicians in enhancing an individual's performance, improving compliance with the rehabilitation program, and improving the individual treatment program. However, no sound measure of mental toughness exists. Objective: To develop a new measure of mental toughness, the Mental, Emotional, and Bodily Toughness Inventory (MeBTough). Design: Participants were invited to complete a 45-item questionnaire. Setting: University research laboratory. Patients or Other Participants: A total of 261 undergraduate students were recruited to complete the questionnaire. Main Outcome Measure(s): The Rasch-calibrated item difficulties, fit statistics, and persons' mental toughness ability estimates were examined for model-data fit of the MeBTough. Results: Forty-three of the 45 items had good model-data fit with acceptable fit statistics. Results indicated that the distribution of items was fittingly targeted to the people and the collapsed rating scale functioned well. The item separation index (6.31) and separation reliability statistic (.98) provided evidence that the items had good variability with a high degree of confidence in replicating placement of the items from another sample. Conclusions: Results provided support for using the new measure of mental, emotional, and bodily toughness.

Probing of the combined effect of bisquaternary ammonium antimicrobial agents and acetylsalicylic acid on model phospholipid membranes: differential scanning calorimetry and mass spectrometry studies

2014 ◽  
Vol 10 (12) ◽  
pp. 3155-3162 ◽  
Author(s):  
N. A. Kasian ◽  
V. A. Pashynska ◽  
O. V. Vashchenko ◽  
A. O. Krasnikova ◽  
A. Gömöry ◽  
...  
Keyword(s):  
Mass Spectrometry ◽  
Differential Scanning Calorimetry ◽  
Acetylsalicylic Acid ◽  
Antimicrobial Agents ◽  
Combined Effect ◽  
Phospholipid Membranes ◽  
Scanning Calorimetry ◽  
Combined Use ◽  
The Individual

Qualitatively different membranotropic effects of the individual drugs and complexes formed in their combined use were demonstrated by differential scanning calorimetry.

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