Background Of Rehabilitation Research Articles

Evaluation of the effectiveness of rehabilitation measures in patients after transferred a new coronavirus infection (SARS-CoV-2 (COVID-19))

Introduction. Patients with transferred a new coronavirus infection, as a rule need in a rehabilitation. It is necessary to develop clinical recommendations for this group of patients. Medical rehabilitation during the COVID-19 pandemic should include all components of rehabilitation measures aimed at rapid recovery of vital body functions, improving the quality of life of patients and preventing complications. The aim of study is to identify the most effective methods of rehabilitation of patients with lung damage of varying severity caused by a new coronavirus infection. Assessment of rehabilitation potential depending on age, gender, and severity of lung tissue damage. Materials and methods. The article describes the experience of rehabilitation and rehabilitation treatment of 40 patients after acute infection caused by the SARS-CoV-2 virus, which was carried out on the basis of the neurological occupational pathology Department of the Burnazyan State Medical Center. Results. To determine the volume of rehabilitation treatment, each patient was tested using special scales and questionnaires that allow assessing the patient's somatic status, physical activity tolerance, cognitive functions, and the presence of affective disorders. Testing was performed at the patient's admission to the hospital and on the 12th day, which helped to assess the dynamics of recovery. To achieve the maximum effect of the work done, we have organized an individual comprehensive multidisciplinary approach to each patient, including a group of specialists, such as a therapist, pulmonologist, neurologist, rehabilitologist, physiotherapist, psychologist, physical therapy instructor. Against the background of rehabilitation and rehabilitation treatment, there was a positive dynamics in the condition of patients, in the form of an increase in tolerance to physical activity according to scales, questionnaires, and functional tests in 95%, improvement in saturation indicators in 90%, and affective disorders were completely corrected in 85% of patients. Subjectively, 100% of patients report an improvement in their health status. Conclusions. Thus, despite the timely treatment received in the acute period of the disease, a very important stage in the treatment of patients is rehabilitation in the long-term period.

Взаимосвязь изменений показателей функционального состояния и допплер-эхокардиографии у больных острым инфарктом миокарда на фоне реабилитации

Objective. The purpose of the study was to assess the integral indicators of the functional state (FS) of the body, the parameters of central and intracardiac hemodynamics in patients with acute myocardial infarction in the process of hospital and post-hospital rehabilitation, and to study the relationships between the received data. Materials and methods. An open, randomized study included 111 people (76 men and 35 women) aged 40 to 65 years (57.2±0.6). The study of the body FS was carried out using the Dynamic-Omega-M hardware-software complex on the 3rd, 8th, and 14th days and by the 6th and 12th months. Doppler echocardiography was performed on the 3rd and 14th days of treatment, 6 and 12 months after discharge. Results. The obtained results allowed to establish a decrease in the values of integral indices of FS at the stages of hospital and post-hospital rehabilitation, the presence of myocardial hypertrophy, disorders of diastolic function of the heart and local contractility. Against the background of rehabilitation, positive dynamics of FS parameters and indices characterizing intracardiac hemodynamics was established. Significant correlations were established between the values of FS parameters and echocardiographic parameters and their dynamics during the study. Conclusion. The research justified the expediency of using the integrated parameters of FS for a comprehensive assessment of the status of patients with acute myocardial infarction and as prognostic criteria for the effectiveness of rehabilitation.

Реабилитационное лечение больных с бронхиальной астмой в сочетании с артериальной гипертензией геотермальными парами в санатории «Янган-Тау»

This article is devoted to the analysis of the effectiveness of rehabilitation of patients with bronchial asthma in combination with arterial hypertension in a sanatorium Yangan-Tau. To perform the work were examined in 62 people aged 27 to 65 years. All patients were performed a questionnaire, ERF test with a 6-minute walk test, electrocardiography, Stange's functional test, and the quality of life dynamics was determined using the official Russian-language counterpart of the SGRQ questionnaire -Questionnaire for patients with respiratory diseases of St. George's Hospital. The results of the study showed a statistically significant increase in volumetric and flow rates, an increase in the distance of the test with 6-minute walking, improvement of the quality of life according to the SGRQ questionnaire on the background of rehabilitation.

P180 – 2388: Main vital activity disorders in small premature infants with severe perinatal cerebral affection

Objective Determination of vital activity disorder in small premature infants with severe perinatal cerebral affection. Methods The main vital activities were studied in 277 infants: 108 infant with extremely low birth weight (ELBW) and 169 – with very low birth weight (VLBW). Rehabilitation prognosis (RP) and compensation levels of vital activity disorder. Results 0 compensation level was found in 13% of infants with ELBW and in 9% infants with VLBW in the age of 3–4 years old: minimal mobility degree without ability even to rotate in the bed and partially attend themselves; severe dysarthria and aphasia, dementia more often occurred at double hemiplegia. RP is unfavorable. 1 compensation level was specific for 21% of infants with ELBW and in 18% infants with VLBW: insignificant mobility allowing verticalization and movement with physical assistance or walker support; on the background of rehabilitation over 45% of infants acquired partial skills of daily living but required constant care. Communication with infants was difficult due to motor, speech and cognitive disorders. RP is unfavorable. 24% of infants with ELBW and in 32% infants with VLBW had 2 compensation level: they were able to independent vertialization; mobility was provided by support on crutches or sticks; daily living was limited by muscle spasticity, paresis severity, pathologic position of arm joints or hyperkinesis. Over 63% of children had speech or cognitive disorders. RP is close to satisfactory. 19% of infants with ELBW and in 21% infants with VLBW had 3 compensation level: children walked with difficulties but independently; daily living was complete; fine differentiated movements in hands and fingers were difficult; dysarthria was observed. RP is favorable. Conclusion Main vital activity disorders in small premature infants with severe perinatal cerebral affection are the predictor of actual and potential disability.

Dynamic stability requirements during gait and standing exergames on the wii fit® system in the elderly.

BackgroundIn rehabilitation, training intensity is usually adapted to optimize the trained system to attain better performance (overload principle). However, in balance rehabilitation, the level of intensity required during training exercises to optimize improvement in balance has rarely been studied, probably due to the difficulty in quantifying the stability level during these exercises. The goal of the present study was to test whether the stabilizing/destabilizing forces model could be used to analyze how stability is challenged during several exergames, that are more and more used in balance rehabilitation, and a dynamic functional task, such as gait.MethodsSeven healthy older adults were evaluated with three-dimensional motion analysis during gait at natural and fast speed, and during three balance exergames (50/50 Challenge, Ski Slalom and Soccer). Mean and extreme values for stabilizing force, destabilizing force and the ratio of the two forces (stability index) were computed from kinematic and kinetic data to determine the mean and least level of dynamic, postural and overall balance stability, respectively.ResultsMean postural stability was lower (lower mean destabilizing force) during the 50/50 Challenge game than during all the other tasks, but peak postural instability moments were less challenging during this game than during any of the other tasks, as shown by the minimum destabilizing force values. Dynamic stability was progressively more challenged (higher mean and maximum stabilizing force) from the 50/50 Challenge to the Soccer and Slalom games, to the natural gait speed task and to the fast gait speed task, increasing the overall stability difficulty (mean and minimum stability index) in the same manner.ConclusionsThe stabilizing/destabilizing forces model can be used to rate the level of balance requirements during different tasks such as gait or exergames. The results of our study showed that postural stability did not differ much between the evaluated tasks (except for the 50/50 Challenge), compared to dynamic stability, which was significantly less challenged during the games than during the functional tasks. Games with greater centre of mass displacements and changes in the base of support are likely to stimulate balance control enough to see improvements in balance during dynamic functional tasks, and could be tested in pathological populations with the approach used here.