Evaluation of the Impact of the Whole-body Cryotherapy Treatment on the Functional Condition of the Knee Joints in Patients with Rheumatoid Arthritis

Introduction: Rheumatoid arthritis (RA) is a chronic disease that leads to disability of patients. The use of the whole-body cryotherapy treatment for RA patients provides analgesic and anti-inflammatory effects and improves their efficiency. Aim: Assessment of the effect of the whole-body cryotherapy treatment on the functional state of knee joints for patients with RA. Material and Method: The study was conducted on a group of 30 RA patients, who underwent a series of 10 whole-body cryotherapy treatment. The effectiveness and efficiency of the applied therapy was assessed on the basis of: the VAS scale, the Laitinen scale, the assessment of the range of motion, muscle strength with the MicroFet dynamometer and the Up and Go test. Results: As a result of the applied whole-body cryotherapy treatment, a reduction in the intensity of pain, measured with the VAS scale and the Laitinen scale, and a reduction in the duration of morning stiffness by about 55% were found. There was an increase in the range of motion and muscle strength. The time needed to perform the Up and Go test was reduced by 17%. Conclusions: The whole-body cryotherapy treatment is an effective analgesic method of physiotherapy for patients with RA. It provides an improvement in the functional state, increases the range of motion, muscle strength and improves the gait function.

Physical Therapy in Rheumatoid Arthritis

Introduction: Rheumatoid arthritis (RA) is a chronic and progressive inflammatory process resulting in the destruction of articular and periarticular tissues and leading to the development of functional impairment, permanent deformities and disability. RA affects approximately 1% of the global population and is more common in women than men. Aim: To assess the effects of physical therapy in RA patients. Material and Methods: The study assessed 21 patients with stage III/IV RA. They were managed with physical therapy, including thermotherapy, electrotherapy, laser therapy, magnetic field therapy and light therapy. The data collected in the study were statistically analysed. Results: After treatment, all study patients showed pain reduction, improved well-being, reduced duration of morning joint stiffness, improved ranges of motion in the joints and a better quality of life. Conclusions: 1. Rheumatoid arthritis is a difficult clinical and social problem. 2. The physical therapy used in the study reduced the pain experienced by the patients and the duration of morning joint stiffness and improved the ranges of motion and quality of life. 3. Physical therapy and rehabilitation constitute the main method of treatment of this disorder.

Financial and Legal support of military Rehabilitation. The Experience of Ukraine

Aim: To analyze the experience of Ukraine in providing financial and legal support for the rehabilitation of servicemen. materials and methods: We analyzed the experience of Ukraine and some EU countries. In addition, we used statistical data of relevant organizations, expert opinions, and international lawThe statistical method was used in the analysis of statistical data and reports. The method of comparison made it possible to conduct a study of domestic and international law. Conclusions: Ukraine’s state of military conflict necessitates the creation of servicemen and members of their families’ rehabilitation system. Such rehabilitation should be comprehensive and include the rehabilitation of victims, which would allow individuals to return to normal life as soon as possible to restore their mental and physical condition. In Ukraine, financial support for the rehabilitation of servicemen is provided at several levels, covered by various sources (state budget, local budgets, as well as funds from international organizations through the implementation of international technical support projects).

Medical Rehabilitation Carried out by the social Insurance Institution as part of Disability to work prevention

The Social Insurance Institution (ZUS) has been implementing a medical rehabilitation program as part of disability prevention since 1996. The purpose of medical rehabilitation is to improve the health condition of the insured in terms of regaining or maintaining the ability to work. Medical rehabilitation is carried out in those diseases that most often cause inability to work, and thus generate the greatest costs for the social insurance system. Currently, ZUS is referring to medical rehabilitation in: diseases of the musculoskeletal system, cardiovascular diseases, respiratory system diseases, psychosomatic diseases, people after treatment of breast cancer, voice organ diseases, people who, during an accident, in particular an accident at work, suffered an injury to the musculoskeletal system , diseases of the central nervous system. Its role is limited to supplementing the therapeutic process with medical measures aimed at improving the body’s efficiency, enabling the insured person or pensioner to return to employment. Hence, the subjective scope of its activities covers the insured at risk of total or partial incapacity for work and who are promising to start gainful employment as a result of its completion. The concept of incapacity for work means that a person who has lost the ability to work completely or partially due to a violation of the body’s efficiency is incapable of work and does not expect to regain the ability to work after retraining. A person who has lost the ability to perform any work is completely incapable of work. A person partially incapable of work is a person who has largely lost the ability to work in accordance with the level of their qualifications.

Prevention of Complications of Removal of the mandibular Third molars

Aim: Study of the causes that may contribute to complications during and after tooth extraction to justify treatment and prevention measures. materials and methods: A retrospective analysis of the content of ambulatory cards and protocols of operations of 168 patients for the period from 2016 to 2018 and evaluation of the results of personal work for 2018-2020 related to surgical interventions in 134 patients which removed the third lower molars. Results: According to the retrospective material, damage to the inferior alveolar nerve was found in 5.9% of cases, lingual nerve – in 3.3% of cases, the prevalence of alveolitis with simple removal was 16.3% of cases, at difficult and surgical removal – 3.9% of cases. The application of our proposed treatment and prevention complex allowed to reduce their rates to 3.1%, 2.3%, 8.0% and 3.8% of cases, respectively. Risk factors for complications have been identified. Conclusions: when planning the method of surgical removal of third lower molars it is necessary to take into account the probability of its intimate location in relation to inferior alveolar nerve and lingual nerve. The presence of focus of destruction with signs of acute or exacerbation of chronic inflammation in the periodontal bone tissue of the causative tooth is a risk factor for alveolitis and an indication for the appointment of treatment and prevention in the preoperative period, even with simple removal.

Neurorehabilitation in the Early Recovery Period of Ischemic Stroke. Pharmacology Support

Aim: The aim of the study was to evaluate the clinical outcome in the use of neuroprotective agents in the acute period of ischemic stroke. Material and Methods: The study was performed on the basis of the stroke of the Center for Reconstructive and Rehabilitation Medicine (University Clinic) of the Odessa National Medical University. A retrospective analysis of clinical outcomes of 115 patients with acute stroke was conducted. Results: An average NIHSS score at discharge was 4.1±0.1 points when treated with no refinery, then it reached 3.6±0.1 points when using peptidergic drugs, and 3.4±0.1 when using D-fdf. 3.1±0.1 points. When using D-FDF, the MMSE score was 3.5±0.1 points, whereas when using cholinergic agents, this index did not exceed 26.9±1.5 points, and when using peptidergic agents - 26.8±1.4 points. Conclusion: The use of neuroprotective agents positively affects the effectiveness of neuro-rehabilitation in patients with acute stroke. The best results in three months after the hospitalization were obtained for peptidergic agents and D-fructose-1,6-diphosphate.

Evaluation of the Autonomic Nervous System Changes and Temporal-Spatial Gait Analysis in Patients with Ischemic Stroke Subjected to Neurorehabilitation Conventional Methods and Using Special. Literature Revie

Introduction: The persistent high rate of disability in people after stroke in Poland and globally requires continuous analysis of the effectiveness of rehabilitation. This review of the global literature analyzes the effectiveness of two therapeutic concepts in relation to changes in the autonomic nervous system and gait quality. Material and Methods: We searched PubMed for available literature using keywords. The search included literature available in English between January 2000 and June 2017. Results: Most studies described in this literature review did not show any significant advantage in terms of effectiveness of neurorehabilitation methods over conventional ones. Conclusions: The effectiveness of rehabilitation focuses mainly on modulating brain plasticity associated with neurologic deficits in the central nervous system, ignoring the autonomic nervous system.

An Objective Approach to physical Therapy in patients After hip Arthroplasty

Aim: The main aim of the study was to assess the effects of hip arthroplasty and rehabilitation on pain, physical fitness and everyday functioning. Materials and methods: The study involved 25 HOA patients, including 19 women and 6 men, after hip arthroplasty. The patients were assessed before and after the procedure. The results were used to conduct descriptive, graphical and statistical analyses. Results: Surgical treatment and rehabilitation improved joint mobility and had a positive influence and the subjective feeling of pain, resulting in pain reduction or elimination. The treatment also increased the patients’ ability to ambulate. Conclusions: 1. HOA is a common diagnostic and therapeutic problem that affects more women than men. 2. Since the study showed a high overweight and obesity rate, it is important to educate patients about the effects of physical activity on controlling one’s body weight and inform them that overweight and obesity are risk factors for HOA. 3. The treatment used in study patients reduced or eliminated the pain, improved joint mobility and increased the patients’ ability to ambulate, which had a positive effect on the quality of life.

Results of Anti-Recurrent measures in the Active Course of Chronic parenchimatic parotitis in Children

Aim: To establish the effectiveness of anti-relapse measures in the active phase of chronic parenchymal mumps in children in time of remission. materials and methods: The material for writing this work was the results of a survey in remission for 5 years of 38 children with active chronic parenchymal mumps. General clinical, special and additional research methods were used to establish the effectiveness of anti-relapse measures. Results: According to the generalization of scientific information, it was found that for dynamic monitoring of the course of mumps are quite informative ultrasound diagnosis and sialography, cytological and microbiological study of parotid liquid. Preventive measures, which were carried out twice a year, allowed for a five-year period in 24% of children to achieve recovery, in 76% to improve the condition, and the number of exacerbations decreased by 14 times compared to the first year of observation. Conclusions: To monitor the effectiveness of anti-relapse measures in the active course of chronic parenchymal mumps in remission, it is necessary to study the qualitative properties of the secretion of glands, its cellular composition and the nature of the microbial composition. Quite valuable information is ultrasound diagnostic and sialography, which together allows to establish the severity of violations of their anatomical structures, the quality of specialized care and timely measures to prevent exacerbations, which has a positive effect on the functional activity of the parotid salivary glands.

Evaluation of the Effectiveness of Laser Therapy in Complex Treatment of periodontal Diseases

Aim: The object of the study is to increase the efficiency of treatment in patients with generalized periodontitis by using a laser in complex treatment. Materials and Methods: Eighty patients underwent for instrumental and X-ray examination of the oral cavity, bacteriological studies of the microbiota of periodontal pockets, clinical analysis of peripheral blood that was taken from the ulnar vein and capillary blood that taken from the gums, as a local treatment carried lesion treatment portion of diode laser. Results: It was determined that opportunistic microflora, dominating before treatment in the contents of periodontal pockets, was not isolated in all patients, but on the 10th day of treatment, the microflora of periodontal pockets had stabilized. Both in the main group and in the comparison group, among neutrophils and monocytes, the populations of phagocytes with a low digesting ability prevailed, however, the proportions of medium- and highly active phagocytes after laser treatment were higher than after treatment with standard conservative therapy. Conclusions: The use of a laser for the therapeutic stage of the complex treatment of patients with generalized periodontitis of the I-II degree, chronic course contributes to the acceleration of reparative processes, a decrease in the degree of destruction in bone tissue, a decrease in the intensity of pain syndrome, a decrease in collateral edema, has an antibacterial effect and a longer stabilization of the periodontal condition.