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

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.

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

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.

scholarly journals Telemedicine platform COVIDREHAB for remote rehabilitation of patients after COVID-19

2021 ◽  
Author(s):  
Ilmira R. Gilmutdinova ◽  
Vasiliy A. Kolyshenkov ◽  
Kristina A. Lapickaya ◽  
Anastasiya S. Trepova ◽  
Valeriia A. Vasileva ◽  
...  
Keyword(s):  
Functional State ◽  
Respiratory System ◽  
Recovery Period ◽  
Well Being ◽  
Active Role ◽  
Rehabilitation Program ◽  
Medical Rehabilitation ◽  
Moderate Disease ◽  
Analytical System

The world's practice has shown the importance of medical rehabilitation, which allows increasing the effectiveness of treatment of patients with COVID-19, and also significantly reduce the risks of developing complications after COVID-19. Moreover, timely medical rehabilitation reduces the frequency of disability retirement. We developed and investigated the effectiveness of the telemedicine platform “COVIDREHAB” in order to enhance the effectiveness of the recovery period during self-isolation, as well as to provide access to rehabilitation for patients residing in remote areas or unable to undergo in-person medical rehabilitation. This pilot open clinical study includes 178 patients (108 women and 70 men) aged 32 to 82 years [mean age 50 (33-56) years] who had a moderate disease of COVID-19. We used the specialised platform COVIDREHAB for remote monitoring of the rehabilitation efficiency of patients who suffered from COVID-19. During the study, the supervising doctor assigned the patient a set of specialised questionnaires, which were filled in online. The questionnaires distributed to the patient included questions specifically designed for the COVIDREHAB remote platform as well as the mMRC (Modified Medical Research Council) questionnaire. Patients who completed the remote rehabilitation programme were found to have positive dynamics of indicators of the respiratory system functional state, and complaints.Pulmonary rehabilitation is an important part of case management for patients with respiratory diseases and plays an active role in improving lung function and general well-being of patients. Patients who completed the comprehensive medical rehabilitation program using the information and analytical system COVIDREHAB, were found to have positive dynamics of indicators of the respiratory system functional state, and complaints. Hence, at the end of the course the shortness of breath severity decreased (from 34.8% to 12.4%, as well as the feeling of lack of oxygen from 32% to 17.4%, p <0.05). We anticipate the online approach to rehabilitation will improve the functioning of the respiratory and cardiovascular systems, restore physical function, reduce anxiety and depression, and restore quality of life. An essential benefit of this program is the prevention of secondary complications and reduction of serious adverse effects of COVID-19 treatment."

scholarly journals ANALYSIS OF THE MAIN APPROACHES TO THE TREATMENT OF SUBJECTIVE WELL-BEEING IN PSYCHOLOGY

2018 ◽  
pp. 84-87
Author(s):  
A. Khaleeva
Keyword(s):  
Social Relations ◽  
Driving Forces ◽  
Human Life ◽  
Time Lag ◽  
Well Being ◽  
Structural Features ◽  
Individual Characteristics ◽  
Subjective Feeling ◽  
Human Society ◽  
Subjective Well Being

The article analyzes the basic theory of subjective well-being. It is indicated that the desire for well-being is one of the main driving forces of human society, its subjective feeling is an important condition for a full-fledged life of a person, therefore, attention is drawn to the need for psychological research related to the analysis of methodological and systemic approaches aimed at studying subjective well-being. The main differences between the theories, as well as the relationship between the concepts of "well-being", "subjective well-being" and "psychological well-being" are shown, a theoretical analysis of existing modern approaches to the problem of studying subjective well-being and its components is carried out. Subjective well- being is considered as an integral psychological formation, including the assessment and attitude of a person to his life and himself. The main approaches to elucidating the components of subjective well-being are characterized – hedonistic and eudemonistic. Based on the analysis of modern and research, a study of its sources and determinants is carried out, the component composition, terminology base is clarified, the influence of various factors, such as: social relations, genetic predisposition, material well-being, joy of needs, existence of goals and meaning of life, physical activity are investigated , individual characteristics, accepting oneself as a person, etc. Through a synthesis of various approaches to understanding subjective well-being, several key statements have been identified in the framework of the study: the positivity of measuring well-being as the presence of positive intensity indicators and experiences of different intensities; global dimension – the interconnection of all aspects of human life (social, biological, psychological, physical) time lag, dynamism; subjectivity as the dependence of the experience of well-being on assessment, attitude and personal experience. Attention is drawn to the fact that the term "subjective well-being" is interdisciplinary and has its meaning in psychology, sociology, economics and the political sciences. The prospect of further research is seen in continuing to study the structural features of models and components of well-being.

scholarly journals Effects and Quality of Stroke Rehabilitation of BAR Phase D

2018 ◽  
Vol 02 (01) ◽  
pp. E16-E24 ◽  
Author(s):  
Marie-Luise Bussmann ◽  
Hans-Peter Neunzig ◽  
Joachim Gerber ◽  
Jochen Steinmetz ◽  
Svenja Jung ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Stroke Rehabilitation ◽  
Inpatient Rehabilitation ◽  
Well Being ◽  
Rehabilitation Program ◽  
Medical Rehabilitation ◽  
Effect Sizes ◽  
Medium Effect ◽  
Subjective Well Being ◽  
Multicenter Survey

Abstract Background Stroke is a major public health problem of enormous epidemiological significance. Each year, approximately 200.000 people in Germany suffer a stroke. Stroke is the third leading cause of death and the most common cause of acquired disabilities in adults. About one fourth of stroke survivors report severe limitations in activities of daily living three months after acute stroke. The most common post-stroke conditions are motor and cognitive dysfunctions as well as affective problems. Stroke rehabilitation plays a crucial role in coping with stroke sequelae. The large number of strokes and the often debilitating consequences raise the question to what extent participation can be increased by medical rehabilitation. Methods A prospective, multicenter survey study was conducted in six neurological inpatient rehabilitation centers. Recruitment focused on patients with recent acute stroke and disease severity corresponding to BAR phase D. Patients completed questionnaires at three points of measurement: at the beginning and at the end of the inpatient rehabilitation and after four months. Primary outcome was participation, secondary outcomes included several parameters of subjective well-being. Furthermore, utilization of aftercare and satisfaction with the rehabilitation program were measured. Results At the beginning of the rehabilitation, patients experienced severe limitations in participation and reduced subjective well-being. At the end of inpatient rehabilitation, significant improvements of small effect sizes for subjective well-being and medium effect sizes for participation were achieved. After four months, effects had decreased, yet improvements compared to baseline were still noticeable. Patient ratings of the rehabilitation program and the outcomes achieved were consistently positive. Two thirds of the patients were advised to make use of aftercare offerings and most patients (83%) participated in an aftercare program of any kind. Conclusions The results of this study support the notion that stroke rehabilitation has significant and sustainable effects. Participation in particular seems to improve through medical rehabilitation. Partly decreased effects after four months raise the question of adequate aftercare.

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 Depression and loneliness of older adults in Europe and Israel after the first wave of covid-19

2021 ◽  
Author(s):  
Josefine Atzendorf ◽  
Stefan Gruber
Keyword(s):  
Older Adults ◽  
Well Being ◽  
Individual Characteristics ◽  
Control Measures ◽  
Epidemic Control ◽  
Government Response ◽  
Country Level ◽  
Interaction Terms ◽  
Share Data ◽  
Using Data

AbstractEpidemic control measures that aim to introduce social distancing help to decelerate the spread of the COVID-19 pandemic. However, their consequences in terms of mental well-being might be negative, especially for older adults. While existing studies mainly focus on the time during the first lockdown, we look at the weeks afterward in order to measure the medium-term consequences of the first wave of the pandemic. Using data from the SHARE Corona Survey, we include retired respondents aged 60 and above from 25 European countries plus Israel. Combining SHARE data with macro-data from the Oxford COVID-19 Government Response Tracker allows us to include macro-indicators at the country level, namely the number of deaths per 100,000 and the number of days with stringent epidemic control measures, in addition to individual characteristics. The findings show that both macro-indicators are influential for increased feelings of sadness/depression, but that individual factors are crucial for explaining increased feelings of loneliness in the time after the first lockdown. Models with interaction terms reveal that the included macro-indicators have negative well-being consequences, particularly for the oldest survey participants. Additionally, the results reveal that especially those living alone had a higher risk for increased loneliness in the time after the first COVID-19 wave.

scholarly journals Breathing: A Sign of Life and a Unique Area for Reflection and Action

2008 ◽  
Vol 88 (7) ◽  
pp. 832-840 ◽  
Author(s):  
Kirsten Ekerholt ◽  
Astrid Bergland
Keyword(s):  
Physical Therapy ◽  
Physical Therapist ◽  
Well Being ◽  
Qualitative Approach ◽  
Breathing Patterns ◽  
Daily Lives ◽  
The World ◽  
Body And Soul ◽  
Bodily Sensations ◽  
Conscious Attention

Background and Purpose The aim of this study was to clarify patients’ experiences of breathing during therapeutic processes in Norwegian psychomotor physical therapy (NPMP). Subjects and Methods A qualitative approach was used based on interviews with 9 women and 1 man aged between 41 and 65 years. The data were analyzed with the aid of grounded theory. Results Three categories were identified from the participants’ experiences: (1) “Breathing: An Incomprehensible and Disparate Phenomenon,” (2) “Breathing: Access to Meaning and Understanding,” and (3) “Breathing: Enhancing Feelings of Mastery.” Initially, breathing difficulties and bodily pains were described as physical reactions that seemed utterly incomprehensible to the participants. Communication, both verbal and nonverbal, between the patient and the physical therapist was described as vitally important, as was conscious attention to occurrences during the treatment sessions. The participants learned to recognize changes in their breathing patterns, and they became familiar with new bodily sensations. Consequently, they acquired new understanding of these sensations. The feeling and understanding of being an entity (ie, “body and soul”) emerged during therapy. The participants increased their understanding of the interaction between breathing and internal and external influences on their well-being. Their feelings of mastery over their daily lives were enhanced. The therapeutic dialogues gave them the chance to explore, reflect, and become empowered. Discussion and Conclusion In experiencing their own breathing, the participants were able to access and identify the muscular and emotional patterns that, linked to particular thoughts and beliefs, had become their characteristic styles of relating to themselves and the world.

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