Complex Physical Rehabilitation Research Articles

Complex Physical Rehabilitation of Women of Reproductive Age with Stage I Hypertensive Heart Disease

Background. Hypertensive heart disease (HD) is a chronic abnormality that affects various systems of the body and is especially unfavorable for women of reproductive age. The purpose of the study was to develop a comprehensive program of physical rehabilitation for young women suffering with stage I hypertensive heart disease at the outpatient stage of rehabilitation and evaluate its effectiveness. Materials and methods. 42 young women with a diagnosis of HD were randomly divided into two groups: one performing traditional physical rehabilitation (control group) and the other following a method based on the Pilates system. Questionnaire, Martinet-Kushelevsky test, modified Romberg test, and Deshin test were performed. Results. Questionnaire and examination for determination of therapeutic tasks in the application of physical rehabilitation show improvement due to the use of the suggested methodology. Indicators of Martinet-Kushelevsky test improved from 2.46 points to 5.48 points (p<0.01) which is better (p<0.05) than in the case of the traditional methodology where they changed from 2.44 to 4.61 (p<0.01). Kotov-Deshin test results show improvement in both groups evenly but the test results of the women of the main group improved from “unsatisfactory” to “good”, and those of the women of the control group improved from “unsatisfactory” to “satisfactory” with significantly better results in the main group (p<0.05). Distribution of the Romberg test results show improvement of vestibular stability in all participants of the main group. Conclusions. The proposed program of complex physical rehabilitation of patients with stage I hypertensive heart disease using the Pilates method proved to be effective. Due to this program, there was a significant decrease in heart rate, systolic and diastolic pressure, an improvement in the response of the cardiovascular system to the Martinet-Kushelevsky functional test as well as in the state of the respiratory and nervous systems, as evidenced primarily by the indicators of hypoxic tests, spirometry, clino- and orthostatic tests, with the Romberg and Deshin methods.

Оценка эффективности реабилитации после артроскопической реконструкции передней крестообразной связки

The aim of this study was to study the effectiveness of complex individual physical rehabilitation in patients after arthroscopic anterior cruciate ligament reconstruction. Material and methods. The study involved 834 patients (464 men and 370 women) aged 18-55 years with an isolated rupture of the ACL of the knee joint. The patients were divided into two groups: the main group - 304 patients (162 men and 142 women), in which rehabilitation treatment and complex rehabilitation were carried out according to an individual program, and the control group - 530 patients (302 men and 228 women), in which patients received only rehabilitation treatment after ACL reconstruction. Results. The research revealed that 1 year after ACL arthroscopic reconstruction and physical rehabilitation in patients of the main group, higher values of median efficiency according to orthopedic questionnaires were established than in the control group (p<0.0001, Mann-Whitney U-test). The use of complex physical rehabilitation after ACL arthroscopic reconstruction provides a higher recovery of physical activity and an increase in the quality of life of this category of patients.

Роль пропріоцептивної нейром’язової фасилітації у фізичній терапії пацієнтів з адгезивним капсулітом плечового суглобу

The purpose of the study was to perform an analysis of the results of studies devoted to the study of the effectiveness of proprioceptive neuromuscular facilitation in patients with adhesive capsulitis of the shoulder joint. Materials and methods. This work is the result of an analysis of studies devoted to the study of the effect of proprioceptive neuromuscular facilitation as monotherapy and as a part of a complex physical therapy or rehabilitation program on the range of motion in the shoulder joint, pain on the visual analog scale, and the shoulder pain and disability index. During the search in scientific databases, the data of 11 studies, which are devoted to the specified issues, were selected. Results and discussion. Studies examining the immediate effects of interventions have found both benefits and no benefits on amplitude measures in groups of patients who received proprioceptive neuromuscular facilitation in addition to physical therapy or as a component of adjunctive therapy. Thus, it is not possible to draw unequivocal conclusions in the question of advantages regarding the immediate effect. Analysis of the effectiveness of programs and courses of treatment for adhesive capsulitis of the shoulder joint established that in the vast majority of studies, the results in the proprioceptive neuromuscular facilitation groups were better at the end of the treatment (3-4 weeks). At the same time, in most studies, scientists noted a significant improvement in pain, amplitude, and functioning indicators in control groups, that is, without the use of proprioceptive neuromuscular facilitation. All of the reviewed papers that analyzed the effectiveness of adding only proprioceptive neuromuscular facilitation to physical therapy programs or adding proprioceptive neuromuscular facilitation as a part of adjunctive therapy found advantages in such groups in terms of pain improvement on a visual analog scale or a pain subscale in questionnaires. Only one such study did not indicate a benefit of proprioceptive neuromuscular facilitation in external rotation. In addition, in most cases, proprioceptive neuromuscular facilitation or combined therapy with proprioceptive neuromuscular facilitation had a better effect on the amplitude of abduction and flexion at the shoulder joint. Conclusion. The developed Ukrainian versions of the questionnaires can be used to assess the level of therapeutic alliance and patient satisfaction in the field of physical therapy and occupational therapy

Evaluation of the dynamics of changes in the quantitative content of neuron growth factor (Beta-NGF) in the blood serum of patients who have suffered an ischemic stroke under the influence of complex physical rehabilitation

The article is devoted to the study of dynamic of changes in the quantitative content of neuron growth factor (Beta-NGF) in the blood serum of patients who have suffered ischemic stroke under the influence of complex physical rehabilitation. 116 patients in the recovery period of ischemic stroke (IS) (from 3 to 6 months) were examined. The average age of the patients was 61.4±0.53 years. During the study all patients were divided into two groups depending on the type of rehabilitation treatment. Group 1 consisted of 66 patients who received standard drug therapy aimed at secondary prevention during the entire period of the study and undergoing a course of complex physical rehabilitation. Group 2 consisted of 50 patients who received only standard drug therapy as part of secondary IS prevention. The control group included 30 practically healthy persons of the appropriate age and subjects who, according to the anamnesis and neuroimaging data, had no signs of a previous IS. The average age of the control group was 61.07±0.75 years. Beta-NGF was determined in 22 patients of group 1 and group 2 before the beginning of inpatient treatment and after its completion. This study was also conducted once for 10 people from the control group. The analysis of the results showed a significant decrease in the content of Beta-NGF in blood serum in patients with IS in the recovery period, which, in our opinion, may be associated with hypoxic damage to the brain tissue. In favor of this, data indicate the presence of a strong correlation between the level of Beta-NGF content and MMSE indicators. Also, the obtained data suggest that a significant decrease in the level of Beta-NGF content can be an indicator of the presence of type 2 diabetes. Significantly higher quantitative content of Beta-NGF in blood serum and statistically significant differences in dynamic changes during the study in patients of the first group indicate that physical rehabilitation can contribute to an increase in the content of Beta-NGF and thus cause a positive effect on the restoration of functions impaired as a result of a brain catastrophe.

Influence of complex physical rehabilitation on the dynamics of recovery of cognitive functions in patients who have been cerebral ischemic stroke

The article presents the results of a study of the effect of a complex physical rehabilitation on the dynamics of restoration of cognitive impairments in patients in the early recovery period of the cerebral ischemic stroke. The study included 83 patients. All patients under study were distributed to the main group and the comparison group. The average age of the patients was 66,0 ± 2,3 years. Patients of two groups received standard drug therapy aimed at secondary prophylaxis. The patients under study from the main group additionally undertook a course of physical rehabilitation treatment within 21 days. Assessment of the condition of cognitive functions was carried out with the help of psychodiagnostic scales before the onset and after completion of treatment. The study showed that the use of a complex rehabilitation treatment, which includes drug therapy within the framework of secondary prophylaxis and course of physical rehabilitation can significantly affect the improvement of the state of moderately impaired cognitive functions in patients with a hemispheric ischemic stroke.

Effects of Biophilic Nature Imagery on Indexes of Satisfaction in Medically Complex Physical Rehabilitation Patients: An Exploratory Study.

Exposure to nature has been shown to influence various dimensions of human experience in the healthcare environment. This mixed method study explores the effects of the presence of biophilic, nature-based imagery on patient perceptions of their hospital room and aspects of their experience in rehabilitation. In settings where patients have high degrees of medical acuity and infection control is a major concern, exposure to the benefits of real nature may be precluded. This is also true in many older healthcare facilities which were not designed with salutatory nature exposure in mind. In these settings, the presence of nature imagery may provide benefits which positively impact patient experience. Seventy-six physical rehabilitation patients on a medically complex/cardiopulmonary rehabilitation unit filled out questionnaires assessing their perceptions of their room and various indexes of patient satisfaction. Data were collected from 47 patients in enhanced room containing nature imagery and 29 patients in standard rooms which served as controls. Scores on the Environmental Assessment Scale (EAS) indicated a significant difference between experimental and control group in the rating of their rooms (p = .0071). Ratings of quality of room, quality of stay, quality of sleep, and overall care trended in the direction of the hypothesis but were not significant. Data from qualitative questionnaires supported the results of the EAS. We conclude that the presence of biophilic nature imagery in the hospital rooms had a significant effect on patients' room ratings and positively influenced indexes of patient satisfaction.

INFLUENCE OF THE ORTOSANO RESTORATION METHOD ON CHRONIC PAIN SYNDROME IN DEGENERATIVE-DYSTROPHIC DISEASES OF THE SPINE

The aim: Was to assess the influence and the effectiveness of complex physical rehabilitation using the ORTOSANO technique for people with degenerative-dystrophic diseases of the spine (DDS) on the severity of chronic pain (CHD). Materials and methods: We studied the condition of 166 patients. The observation group included patients with chronic pain caused by DDS of the spine. The patients underwent a course of complex physical rehabilitation in the center using the ORTOSANO method. Results: The following results were obtained statistically: pain with localization in the lumbosacral spine was registered in 67 patients (40.4%), in the cervical spine - in 42 patients (25.3%), in the thoracic spine - in 37 patients (22.3%). Pain in the shoulder joints was registered in 24 patients (14.5%), in the hip joints in 16 (9.6%), knee joints - in 12 (7.2%), in the ankle joints - in 9 patients (5.4%). Initially, the level of pain among all the group members according to the VAS scale was on average (7.6 ± 0.35) points in men and (6.4 ± 0.72) in women (p <0.05). Conclusions: 1.It was established that the proposed complex physical rehabilitation using the ORTOSANO method reduces the severity of chronic pain significantly, improves functional and daily activity, quality of life, and stabilizes the neuro-psychological state of patients. 2. The ORTOSANO method can be recommended to be used in the complex of rehabilitation exercises in physiotherapeutic departments of educational and medical establishments.

Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Lumbar Radiculopathy: An Electromyography-guided Prospective, Randomized Study.

Lumbar radiculopathy refers to the disruption of one or more lumbosacral nerve root functions, usually causing radiating pain and functional impairments. We aimed to analyze the role of repetitive peripheral magnetic stimulation (rPMS) alone or in association with physiokinesiotherapy (PKT) in treating lumbar radiculopathy. A total of 41 patients diagnosed with lumbar radiculopathy were randomly allocated to the rPMS group and the rPMS plus PKT group. Subjects were then administered a total of 10 treatment sessions. A statistically significant improvement was highlighted in both groups in terms of pain score, and electromyography (EMG) analysis depicted a far superior functional recovery in the rPMS plus PKT group. rPMS can constitute an effective treatment for subjects with lumbar radiculopathy and its association with a complex physical rehabilitation program could improve the outcome in these patients.

Effect of the complex physical rehabilitation on postural control in patients with osteoporotic vertebral fractures

Effect of the complex physical rehabilitation on postural control in patients with osteoporotic vertebral fractures

Complex physical rehabilitation effect on postural control in patients with osteoporotic vertebral fractures

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Ефективність комплексної програми фізичної реабілітації хворих на бронхіальну астму в поєднанні з патологією гепатобіліарної системи

Мета. Науково обґрунтувати, розробити і визначити ефективність комплексноїпрограми фізичної реабілітації хворих на бронхіальну астму в поєднанні з патологієюгепатобіліарної системи.Методи. Розрахунок індексу Робінсона (подвійного добутку) для оцінки обмінно-енергетичних процесів в міокарді; розрахунок адаптаційного потенціалу серцево-судинної системи, вегетативного індексу Кердо, експіраторного гіпоксичного індексу, інтенсивності болю за допомогою візуально-аналогової шкали ВАШ та психоемоційного стану за тестом САН. Результати. Обстежено 20 осіб віком від 36 до 60 років (з них 10 жінок і 10 чоловіків) з діагнозом бронхіальна астма і супутніми патологіями гепатобіліарної системи. У реабілітаційному комплексі використано лікувальну гімнастику, яка відрізнялась поєднаннямспеціальних фізичних вправ для бронхіальної астми та патології гепатобіліарної системи,способи вольового керування диханням для профілактики та купірування бронхоспазму,сегментарно-рефлекторний та точковий масаж, фізіотерапію, дієтотерапію. Висновки. Під впливом проведеного курсу фізичної реабілітації у експериментальній групі достовірно покращились показники психологічного тесту САН (з 40,2 ± 1,89 до 49,5 ± 2,01 ум. од.; р &lt; 0,01), за шкалою інтенсивності болю ВАШ (з 60,9 ± 2,12 % до 45,6 ± 2,3 %; p &lt; 0,001), адаптаційного потенціалу серцево-судинної системи (з 3,2 ± 0,16 до 2,8 ± 0,14 балів; p &lt; 0,05), а також індексу Робінсона (з 101,4 ± 3,4 до 93,2 ± 2,46 ум. од.; p &lt; 0,05) та експіраторного гіпоксичного індексу (з 3,42 ± 0,17 до 2,60 ± 014 ум. од.; р &lt; 0,01). Досліджені показники функціональних резервів організму хворих на бронхіальну астму, яка поєднується з патологією гепатобіліарної системи, у основній групі кращі, ніж у контрольній. В основній групібуло виявлено більш суттєвий реабілітаційний єфект, що доказує ефективність та перевагирозробленої реабілітаційної програми і дозволяє рекомендувати її до впровадження.

Аналіз сучасних засобів фізичної терапії при хронічному некалькульозному холециститі

Purpose: to characterize the use of physical therapy in chronic noncalculous cholecystitis. Material and methods: theoretical analysis and generalization of modern scientific literature in the use of rehabilitation means in chronic noncalculous cholecystitis. Results: modern means of physical therapy for chronic non-calculous cholecystitis were considered. Conclusions: with chronic noncalculous cholecystitis, complex physical rehabilitation is the most effective, the component of which is a rational movement regime, therapeutic nutrition, natural physical factors, therapeutic exercise, therapeutic massage, and physiotherapy treatment.

Dynamics of the electrospondilography indices of the individuals with back pain under the influencing of the physical rehabilitation program. Physical rehabilitation of the individuals with back pain

Back pain (BP) is an important link in neurological pathology and one of the most common complaints in general medicine practice. The purpose of the research was: scientifically and strategically substantiate and develop a comprehensive physical rehabilitation program of persons with dorsalgia in the thoracic spine and to prove its effectiveness according to the data of the electrospondilography. Materials and methods. The study was conducted on the basis of the sports and rehabilitation club “Fifth Element” in Kyiv, 67 patients (25 men and 42 women) were taking part in our research, of the working-age with BP on the thoracic level. Results. Based on the results of previous studies, we have developed a complex physical rehabilitation program for patients with BP on the thoracic spine, which included various tools and forms of physical rehabilitation, elements of modern fitness techniques, soft tissue and connective tissue manipulative techniques, and a cognitive method -conductive therapy. Conclusion. The effectiveness of the developed program of patients with BP in the thoracic department was evaluated after the completion of the course – after 12 weeks. According to the data of ESG, the positive dynamics of indicators K1, K2, K3, К4 was observed in both the MG and CG. However, only in the MG of changes in K3 and K4 indicators were statistically significant.

The problem of rehabilitation of patients with bronchial asthma

Currently, research continues on various aspects of pathogenesis, clinical manifestations and treatment of patients with bronchial asthma at various stages of its course. This pathology is considered as one of the central problems of medicine and rehabilitology, to which theorists of medical science, clinicians and rehabilitologists pay considerable attention. Despite this, the steady increase in the prevalence of this disease continues. There is an increase in the number of severe, drug-resistant forms of the disease. It becomes clear that for taking control of bronchial asthma, it is necessary to pay special attention to improving the applied approaches to the rehabilitation of this category of patients with the help of non-medicinal drugs. Today there is a fairly extensive list of traditional and modern methods of rehabilitation for diseases of the respiratory system. It becomes clear that the central place in these methods for the rehabilitation of patients with bronchial asthma should be physical exercises. To date, they are recognized as very effective in terms of recovery of patients with this pathology. They are used in the rehabilitation system for bronchial asthma is most often justified in the form of physiotherapy exercises. To enhance the rehabilitation effect of physical exertion, they should be combined in such patients with physiotherapy, climatotherapy and massage. This complex of rehabilitation has proved itself to be quite effective in terms of eliminating bronchospasm and normalizing the functional state of the respiratory system. Proper conduct of complex physical rehabilitation in bronchial asthma in most cases can stabilize the course of the disease and bring it into a state of stable remission.

Professional Issues in Physical Therapy Fields: Biopsychosocial Model versus Biomedical model of Delivery of Care with Expert's Professional discussions

The main objective of the study was to compare the biomedical and bio -psychosocial models of delivery of health care in the physical therapy and rehabilitation fields. An expert in the field with over 25 years of experience in multiple academic institutions and clinical practices was invited to have a through professional discussion using real life didactic educational model. The expert has engaged in full discussion with students, clinicians, staff members and other professionals to understand their perspectives regarding the practical application of the benefits obtained from adopting either the biomedical or the bio-psychosocial model of care delivery. A real complex case scenario was fully described to communicate the benefits and drawbacks derived from adopting certain model of care delivery. About 84% of participants indicated that they are lacking adequate understanding of the philosophy behind either model of health care delivery especially with complex rehabilitation conditions. In conclusion, the bio-psychosocial model of delivery of health care is more comprehensive and viable for addressing the multidimensional aspects of the needs of complex physical therapy and rehabilitation conditions.

Complex physical rehabilitation of patients with chronic obstructive pulmonary disease at a polyclinic stage of treatment

IntroductionThe study was to assess the effectiveness of a comprehensive physical rehabilitation program based on the dynamics of the functional parameters of the respiratory and cardiovascular systems, and the tolerance of daily stress in middle-aged patients with chronic obstructive pulmonary disease (COPD). The incidence of COPD continues to grow, and life expectancy of the patients is shortened by an average of 8 years. Globally, losses from COPD are projected to increase over the coming decades owing to the long-term exposure to risk factors and population aging. A significant role in improving COPD patients condition and preventing the disease is played by physical rehabilitation.MethodsAnalysis of modern scientific literature, content analysis of outpatient documentation, conclusions of X-ray examinations, anthropometric measurements, pulse oximetry, arterial tonometry, spirographic studies, 6-minute walk distance, methods of mathematical statistics.ResultsA comprehensive physical rehabilitation program was developed for use in a polyclinic, which included a common set of physical exercises combined with breathing gymnastics with elements of superficial breathing, sound gymnastics, therapeutic massage, nebulizer therapy, Nordic walking. After the program application, chest excursion increased and airway patency statistically significantly improved. The exercise tolerance of the cardiovascular system increased.ConclusionsThe physical rehabilitation program for middle-aged COPD patients contributed to the economization of the respiratory system, slowing down the recovery of cardiovascular parameters, and improving the tolerance of daily exercise, which was confirmed by mathematical processing.

Rehabilitation as an important component of the algorithm for treating patients with Gilmore’s hernia

The purpose of the work is to develop a method for the restoration of patients with Gilmor hernia in the postoperative period, which includes the original scheme of medical treatment of pain syndrome and conducting physical therapy with the use of its own protocol of rehabilitation. In the article an overview of postoperative rehabilitation programs for patients with Gilmore’s hernia is given. In the literature available of the series of post-operative rehabilitation programs varies among themselves, although only some of them are detailed and comprehensive it is proved. The own scheme of postoperative treatment of Gilmore’s hernia has been developed. Drug therapy in conjunction with the original protocol for the rehabilitation of patients is carried out. The complex physical rehabilitation prevents relapse of pain syndrome in patients with glycemic hernia and contributes to the forced restoration of sports activities it has been proved. The positive outcomes of complex treatment of Gilmor hernia using its own rehabilitation and conservative treatment scheme provide grounds for recommending it for implementation in broad medical practice.

Обґрунтування розробленої програми фізичної реабілітації фізично підготовлених осіб з есенціальною артеріальною гіпертензією І ступеня

Tamara Ridkovets & Volodymyr Bilyi Purpose: scientifically substantiate the developed complex physical rehabilitation program aimed at accelerating the recovery process at different rehabilitation periods for people with essential hypertension of the first and second adulthood who have been engaged in fitness for more than three years. Material & Methods: in the patients of the main and control groups, the functional state was determined using the analysis of the heart rate variability on the Poly-Spectrum apparatus © Neurosoft, blood pressure measurement by the method of N. S. Korotkov, bioimpedance study of the body composition, and the quality of life according to the MOS SF-36. The main group consisted of 31 people (24 men and 7 women), the control group was 31 (23 men and 8 women). Results: program of physical rehabilitation has been developed, which includes kinesitherapy (training on simulators, independent exercises, dosed aerobic exercise, morning hygienic gymnastics), thermo-contrast agents and nutrition correction and was introduced in the sports and recreational complex Monitor in the main group. Conclusion: use of the developed program of physical rehabilitation helped to normalize blood pressure, improve the functional state and the level of quality of life to a greater extent than in the control group in which the standard program of the institution was applied.

Dynamics of morphological and functional parameters of the physical condition of secondary-school age girls with impaired vision under the influence of aerobic exercises in a complex physical rehabilitation.

To assess the impact of the rehabilitation complex on the physical condition of schoolchildren, 90 girls of secondary school age with impaired vision were examined. The evaluation of the physical condition was carried out by the express method of G.L.Apanasenko. The results of the initial survey showed that average indicators of physical condition of girls with impaired vision are low. Under the influence of the rehabilitation complex, there were statistically significant positive changes in the indices of the main groups of girls, in addition to this, the total score in all investigated criteria increased. In adolescence, the variability of anthropometric characteristics of the organism changes in close connection with individual motor activities. On this basis aerobic exercises can be recommended in the complex physical rehabilitation of secondary-school age girls with poor vision.

Динаміка показників функції зовнішнього дихання у чоловіків похилого віку під впливом реабілітаційних заходів в іммобілізаційному періоді перебігу хвороби після переломів плато

Tetiana AnanievaPurpose: to determine the effectiveness and justify the use of physical rehabilitation on respiratory function of patients with older men who are in immabilizatsionom period of the disease after the fractures of the tibial plateau. Material &amp; Methods: analysis of special scientific and methodical literature; analysis of medical records of patients under study; methods of research indicators of respiratory function; methods of mathematical statistics. Analyzed contingent – 15 male patients of advanced age who are in a hospital in the immobilization period after fractures of the tibial plateau. Results: the studies showed significant positive changes in lung function in patients with elderly men under the influence of the proposed complex physical rehabilitation. Conclusions: the proposed complex of physical rehabilitation can be used in hospital patients who are in the immobilization period (bed, motor mode) after the fractures of the tibial plateau with a view to improving respiratory function and prevention of complications in the respiratory system due to the reduction of motor activity after the injury.