Principles Of Rehabilitation Research Articles

The Technological Solution for Management of Toxic Wastes Accumulated in the Last Century (on the Example of the Closed Mining Enterprise in the Primorsky Krai)

Natural-mining technogenic systems formed within the boundaries of the tailings toxic waste impact of the closed Khrustalnensky GOK mining enterprise (the Primorsky Krai) were the object of research. The article presents the data of the long-term researches of the problem for development of technological solution of the accumulated mineral processing toxic wastes management. Exposed to weathering and transformation into new forms, they migrate with groundwater and air flows, having negative impact on ecosphere and human being. Considering this, the aim of the research was to substantiate the need to develop a technological solution for the management of toxic wastes based on the assessment of the present state of the technogenic system and modeling to develop a new technology of liquidation of accumulated environmental damage of the past operation of the former Khrustalnenskiy GOK mining enterprise. Based on the aim of the study, a fundamental research task was established. It includes the scientific basis of assessment and prognosis of environment situation adverse changes. It is established that the technological solution of toxic mining wastes management is based on the results of experimental researches, proposed criteria and principles of ecological rehabilitation of the tailings surface, mining-environmental monitoring of environment objects changes, mathematical modeling of transfer and accumulation of toxic waste technogenic pollution, based on the fundamental principles of hydraulics and engineering hydrology, updating and developing the database of mining and environmental monitoring of ecosystems within the tailings impact boundaries, with regard to the calculation of the pollutants dispersion in the biosphere in the GIS MapInfo-6.0 format.

Rehabilitation in Spinal Muscular Atrophy

Spinal muscular atrophy (SMA) is an autosomal recessive disorder with symptoms of progressive skeletal muscular atrophy which requires multidisciplinary medical care. The advent of nusinersen treatment has created a paradigm shift in rehabilitation treatment for SMA. However, the principles of rehabilitation remain the same for the respiratory, musculoskeletal, gastrointestinal, and speech and nutrition care which are all required. Patient education based on multiple sources of easily available evidence-based information has improved quality of life and has changed treatment goals. Functional assessment is critical before rehabilitation is commenced. In general, SMA patients are classified as “nonsitter,” “sitter,” and “walker.” This review provides an update on rehabilitation provided in contemporary SMA centers.

OSTEOCHONDRAL ALLOGRAFT TRANSPLANTATION for the KNEE: POST-OPERATIVE REHABILITATION.

Articular cartilage injuries of the knee are common among young, active patients presenting with knee pain, swelling, and/or mechanical symptoms. These injuries have limited healing potential due to the avascular nature of hyaline cartilage. While several treatment options exist, osteochondral allograft (OCA) transplantation for the knee has been used successfully in primary management of large chondral or osteochondral defects and salvage of previously failed cartilage repair. OCA transplantation potentially yields a natural, matching contour of the native recipient surface anatomy and transplants mature, viable hyaline cartilage to the affected defect. Following OCA transplantation, strict compliance with a rehabilitation protocol is essential to enable optimal recovery. The outlined rehabilitation protocol is informed by the existing literature and incorporates current rehabilitation principles, the science of osteochondral incorporation, and adaptations based on an individual's readiness to progress through subsequent phases. The purpose of this clinical commentary is to discuss the diagnosis, surgical management, and post-operative rehabilitation following OCA transplantation and to assist the physical therapist in returning athletes to full sports participation.

THE MODERN PRINCIPLES OF REHABILITATION OF HEARING DISORDERS IN WORKERS OF NOISE OCCUPATIONS

The article demonstrates actuality of problem of occupational bradyacusia that takes first place in the structure of professional morbidity of workers in the Russian Federation. This disease has no trend to decreasing and at that about one third of it are initial stages of disorders of sound perception - "signs of impact of noise on organ of hearing" and "loss of hearing (chronic senso-neural bradyacusia) of degree I". The occupational bradyacusia develops at rather young and not retirement age and conditions loss of vocational fitness that determines importance of early diagnostic, treatment and rehabilitation of individuals with loss of hearing due to noise. The main modern pathogenic aspects of rehabilitation and health improvement of individuals with disorders of function of hearing working in conditions of impact of noise. Also are presented hygienic principles of rehabilitation based on accounting negative impact of occupational conditions, necessary measures of primary and secondary prevention, possibilities of sanatoria and health resort, rehabilitation treatment and health improvement.

Психологічні засади фізичної реабілітації хворих на ішемічний інсульт у процесі їх перебування на стаціонарному етапі лікування

The article deals with the problem of psychological principles of physical rehabilitation of patients with ischemic stroke in the process of their staying at the stationary stage of treatment. It was noted that the most frequent and severe consequence of cerebral ischemic stroke is the disorder of the motor functions of the personality. The characteristic feather is the polymorphism of motor disorders of patients with cerebral ischemic stroke. In this case, general for patients is only the loss or violation of arbitrary actions (in the cases of hemiparesis or hemiplegia). Other clinical symptoms are largely variable and depend on a certain extent of the size of affected area, also its localization. According to various authors, persistent disturbances of motor function are also observed in the first days afetr the disease (in 70–80% of cases of patients who had the ischemic stroke). In accordance with the purpose of the research and in order to solve the tasks, 50 patients with ischemic stroke participated in our experiment, they had disturbances in the area of the internal carotid artery in the acute and residual period, who were treated at the Ternopil Regional Communal Clinical Psycho-neurological Hospital during the period from January to December, 2018. Thus, most patients had a fairly low functional state, which required careful monitoring of the level of physical exercises which were being used. The latter also determined the method of further restoration measures (initial position for trainings, duration of trainings, the number of exercises performed by the symptom complexes, the frequency of repetition of exercises, the need for more frequent recording of changes in the frequency of heart rate and blood pressure in response to physical activity). The author of the article developed «Functional method of restoration of motor functions of patients with ischemic stroke, taking into account their psycho-physiological features». The main principles of this technique are: 1) stabilization of psycho-emotional state of the patient: reducing the level of anxiety, increasing the motivation to do physical exercises (to be included into the course of physical rehabilitation); 2) actualization of stable static and dynamic stereotypes of the patient in all initial positions of the body; 3) the restoration of a dynamic stereotype: considering the distal direction of muscles actions because it is prerequisite for providing motor actions; physical exercises must be carried out consistently, with gradual increasing of physical activity; 4) physical rehabilitation should be conducted to ensure the safety of rehabilitation measures, to avoid fatigue or over-stress of the cardiovascular system of the patient and to exceed the permissible level of increasing physical activity for the patient.It is noted that proposed functional method of physical rehabilitation of patients with ischemic stroke, based on mentioned principles, is differentiated, ontogenetically determined, which solves the problem of modeling the psycho-physiological hierarchical control of motor function from the nervous system, which takes into account the psycho-emotional state of the patient, which was actualized as a result of the disease.

Plan B for Implementing Gladue: The Need to Apply Background Factors to the Punitive Sentencing Purposes

The first part of this article examines the sentencing Indigenous offenders cases of Gladue and Ipeelee with a focus on what the Supreme Court of Canada says that may help judges in applying background factors to the various purposes of sentencing. The second part will be a preliminary discussion of how background factors including recent work on Indigenous law might inform the punitive purposes of sentencing relating to moral blameworthiness and the effectiveness of deterrence, denunciation and incapacitation of Indigenous offenders. This analysis is not meant to disparage the importance of rehabilitation or other restorative principles, but to focus on those aspects of sentencing jurisprudence that have been the most resistant to Gladue analysis and where change has the potential to reduce both Indigenous overrepresentation in prison and among crime victims.

Centro de Atenção Psicossocial de álcool e outras drogas: práticas desenvolvidas pelos profissionais de saúde

O aumento no consumo de álcool entre a população tem acarretado graves problemas familiares, profissionais e sociais, associado a riscos de alta complexidade, o que levou o Ministério da Saúde a adotar estratégias para a redução de danos; entre as quais, os Centros de Atenção Psicossocial em Álcool e Outras Drogas (CAPSad). O presente estudo teve como objetivo identificar a percepção da equipe de saúde do CAPSad sobre o alcoolismo e descrever as ações que dificultam o atendimento. Realizou-se um estudo qualitativo, descritivo e exploratório, por meio de uma entrevista com nove profissionais de saúde. As Questões norteadoras foram divididas em categorias para análise. Os resultados indicam categorias e subcategorias de análise, tais como: Álcool no contexto social, fatores que dificultam a adesão do usuário, necessidade de qualificação da equipe, entre outras. Dessa forma, evidenciou-se a necessidade de capacitação da equipe através de práticas de educação permanente, favorecendo e estimulando os princípios da reabilitação psicossocial.

A Narrative Review of Pediatric Nontraumatic Spinal Cord Dysfunction.

This article provides a narrative review of seven key issues relevant to pediatric onset of spinal cord damage not due to trauma, or spinal cord dysfunction (SCDys). The first topic discussed is terminology issues. There is no internationally accepted term for spinal cord damage not due to trauma. The implications of this terminology issue and an approach to addressing this are discussed. Second, a brief history of SCDys is presented, focusing on conditions relevant to pediatrics. Third, the classification of SCDys is outlined, based on the International Spinal Cord Injury Data Sets for Non-Traumatic Spinal Cord Injury. Following this, a summary is given of the epidemiology of pediatric SCDys, primarily focused on the incidence, prevalence, and etiology, with a comparison to traumatic spinal cord injury. Next, important clinical rehabilitation principles unique to children with SCDys are highlighted. Then important prevention opportunities for SCDys in children are discussed. Finally, trends, challenges, and opportunities regarding research in SCDys are mentioned.

PENANGANAN PEKERJA SEKS KOMERSIAL DI INDONESIA

This article describes about the situation of prostitution in Indonesia concerning its types, contributing factors, and elimination strategies using available relevant documents. There are both traditional and contemporary types of prostitution in Indonesia that included sex workers, users and the pimps. The contributing factors of prostitution rooted in three domains including demand, supply and catalyst factors that all associated with social, economic, politic, culture, development of information technology, and globalization factors. Strategies to eradicate prostitution by government in Indonesia rely on the institutional based rehabilitation of sex worker were discussed within the frame of best principles of sex workers rehabilitation. Some limitations were highlighted with regards to the design and implementation of current sex worker’s rehabilitation program.

介護老人保健施設利用者に対する脳活性化リハ 5原則に基づいた 回想法実施充実度と効果の関係 〜効果的なグループ回想法を実施するために〜

介護老人保健施設利用者に対する脳活性化リハ 5原則に基づいた 回想法実施充実度と効果の関係 〜効果的なグループ回想法を実施するために〜

Increasing Psychiatric Rehabilitation Knowledge in a Supported Housing Setting: Pre- and Posttest Analysis.

The current study investigated the effectiveness of a state-wide Community Support Services training grounded in work-based learning to improve knowledge about psychiatric rehabilitation principles and skills. Supervisory staff and direct care staff in supported housing settings completed a 17-item, multiple choice, preand posttest after attending a 48-hour training series. Results indicated that participants gained psychiatric rehabilitation knowledge. These findings support the effectiveness of the training series grounded in work-based learning. [Journal of Psychosocial Nursing and Mental Health Services, 57(6), 39-44.].

Key points of 'Noise-induced hearing loss' clinical guidelines

In this article we present the key points of 'Noise-induced hearing loss' clinical guidelines, which are included to the Clinical Guidelines Classifier of the Ministry of Health of Russia (2018). We give the definition of 'Noise-induced hearing loss', disclose the main causes and pathogenetic features of hearing impairment in employees who are affected by intensive noise at work. We state the main clinical and diagnostic criteria, treatment and rehabilitation principles; present the basics of primary and secondary prevention of hearing impairment in 'noise-hazardous' workers. We also disclose in detail the algorithm of expertise of hearing diseases connection with the profession on the stages of preliminary and final professional disease. Professional suitability issues are also discussed. Clinical guidelines contain a unified classification of noise-induced hearing loss severity complied with international approaches and medical and social expertise criteria.

МОДЕЛІ СОЦІАЛЬНОГО ВІДНОВЛЕННЯ В КОНТЕКСТІ ОСОБИСТІСНО-ОРІЄНТОВАНОЇ ПАРАДИГМИ

This paper analyzes main features of social recovery models, developed within the frameworks of Person-centered paradigm. Person- centeredness is an increasingly common public health and social care concept, that is used to describe a standard of care that ensures that the patient / client is at the center of care delivery. There is no single definition of person-centered care, rather we can find such terms as patient- centered, family-centered, user-centered, individualized. But irrespective of the terms used, a lot of research has looked at what matters to patients and how to provide personalized care to ensure that people have a good experience. Person-centered recovery depends on a number of aspects, in particular: the values of people and placing people at the center of care, taking into account the desires of people and the needs they have chosen, ensuring that people are emotionally comfortable and secure with family and friends, ensuring that people have access to the appropriate care they need, when and where they need to ensure that people receive all the care they need. Main principles of person-centered approach are: recognizing dignity, giving respect and compassion to service users and providers; collaboration with the individual, their family and staff in care planning and assessment; enabling systems and services to help people recognize and build on their own strengths, preferences and objectives in order to realize their full potential. One of the strongest and most methodologically grounded models built in the person-oriented framework is the Comprehensive Rehabilitation Approach (CARe), developed by Dirk den Hollander and Jean Pierre Wilken. The model is based on psychological rehabilitation, recovery and empowerment principles, and is intended to support individuals in their personal development. CARe works with the client in three domains: meeting quality of life wishes and objectives; overcoming insecurity and increasing strength; gaining access to ideal environments and optimizing the quality of life of living environments and social networks.

PHYSICAL THERAPY OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASES: SIGNIFICANCE, MEANS AND PRINCIPLES

Physical rehabilitation, along with the pharmaceutical treatment, is one of the main components of the recovery and the maintenance of health of the patients with chronic obstructive pulmonary disease (COPD). The treatment and rehabilitation results of the physical therapy largely depend on the proper use of its means, requiring the knowledge of its principles. The aim of the study was to establish the means and principles of the physical therapy in COPD, the use of which allows achieving the optimal rehabilitation result. The objective – to establish the means and principles of the physical therapy in COPD, the use of which allows achieving the optimal rehabilitation result. Methods. Literature sources for the last 10 years, selected from the electronic databases of the Vernadsky National Library of Ukraine, Russian Scientific Electronic Library eLIBRARY.RU, Web of Science, PubMed, PEDro. Results. The existing principles of rehabilitation of pulmonologic patients, including those with the COPD were analyzed. The list of physical rehabilitation principles in COPD was formed: a common understanding of the pathogenesis and the clinical disease, influential mechanisms, the medical rehabilitation help effects of physical therapy means; the development and the implementation of an individualized physical therapy program taking into account the peculiarities of the disease of each patient; an early application of physical therapy means; phasing, continuity and sequence of the physical therapy; a complexity, composed and combined application of the physical therapy; an availability of the physical therapy in any conditions of its implementation; an integration of the physical therapy means into the multidisciplinary rehabilitation help; the knowledge of rehabilitation needs, encouragement and active participation of the patient; the focusing of the physical therapy means at the realization of self-care capabilities, a retrieval to a productive labour activity of the patient; involving family or close relatives of the patient to the performing of his or her physical therapy program. Conclusions. The principles of the rehabilitation of pulmonologic patients mentioned above are presented. The list of physical rehabilitation principles in COPD is suggested.

Using Virtual Reality to Increase Motivation in Poststroke Rehabilitation.

Virtual reality (VR) applications meet fundamental principles of rehabilitation: intensity, task oriented training, biofeedback, environments rich in stimuli, and motivation, all pivotal factors for the success of rehabilitation programs. This paper describes the development process of a set of VR minigames developed to increase the motivation of stroke patients while performing repetitive upper limb movements.

Feature Evaluation of Upper Limb Exercise Rehabilitation Interactive System Based on Kinect

The virtual rehabilitation system combining virtual rehabilitation environment and upper limb rehabilitation technology is interactive and interesting, which can improve the enthusiasm and initiative of patients for rehabilitation training, improve the efficiency of rehabilitation training and improve the effect of rehabilitation treatment. This paper firstly conducts in-depth research and analysis on the research progress of the upper limb rehabilitation robot system, and deeply studies the principle and rehabilitation principle of the stroke caused by hemiplegic dyskinesia, and summarizes the goals and methods of the upper limb rehabilitation system design. Secondly, the hand motion tracking is realized by Kinect’s bone tracking, and the optimal tracking distance is determined experimentally, which verifies the stability and robustness of the tracking. Static gesture recognition adopts two gesture recognition schemes based on Kinect depth image and color space model respectively. Finally, using the rehabilitation robot and Kinect sensor as the hardware platform, the virtual rehabilitation training system experimental platform is constructed, and the horizontal rehabilitation exercise and the three-dimensional space rehabilitation exercise are respectively studied experimentally, and the exercise data obtained by using healthy subjects as the experimental object is analyzed. Based on this, the validity and feasibility of the Kinect-based upper limb exercise rehabilitation interactive system were verified.

MODEL OF MULTIDISCIPLINARY ASSISTANCE TO PEOPLE WHO SUFFER CONSEQUENCES OF NEUROLOGICAL DISEASES

The article is devotedto the problem of treatment and support of people who have suffered from a neurological disease. The authors turn attention to the need to implement a comprehensive medical-pharmacological, psychosocial and medical-psychological support for patients with consequences of neurological diseases. The necessity of creating and developing a model of multidisciplinary assistance to those who are experiencing the consequences of neurological disease is emphasized. The basic principles of psychosocial support and rehabilitation of persons with the consequences of a neurological disease have been developed. They point to the need to create interdisciplinary teams of medical-psychological and psychosocial assistance, as this category of people and their closest environment. Authors propose a variant of the model of multidisciplinary care based on the biopsychosocial approach to treatment, taking into account the need for training and psychological support to the closest environment of people who are experiencing the consequences of neurological disease.

MODEL OF MULTIDISCIPLINARY ASSISTANCE TO PEOPLE WHO SUFFER CONSEQUENCES OF NEUROLOGICAL DISEASES

The article is devotedto the problem of treatment and support of people who have suffered from a neurological disease. The authors turn attention to the need to implement a comprehensive medical-pharmacological, psychosocial and medical-psychological support for patients with consequences of neurological diseases. The necessity of creating and developing a model of multidisciplinary assistance to those who are experiencing the consequences of neurological disease is emphasized. The basic principles of psychosocial support and rehabilitation of persons with the consequences of a neurological disease have been developed. They point to the need to create interdisciplinary teams of medical-psychological and psychosocial assistance, as this category of people and their closest environment. Authors propose a variant of the model of multidisciplinary care based on the biopsychosocial approach to treatment, taking into account the need for training and psychological support to the closest environment of people who are experiencing the consequences of neurological disease.

THE PHYSICAL FITNESS DEVELOPMENT OF CHILDREN WITH FUNCTIONALLY SINGLE HEART VENTRICLE AS A BASIS OF THE PHYSICAL REHABILITATION TECHNOLOGY AFTER A HEMODYNAMIC CORRECTION

The aim of the performed research was to determine the features of the physical development and its connection with the body of the children of school age who have a congenital heart disease with a functionally single heart’ ventricle for developing the physical rehabilitation technology. There were performed an examination of the 179 children with functionally single heart’ ventricle hospitalized for operative treatment in the State Center «Scientific and Practical Medical Center of the Pediatric Cardiology and Cardiosurgery of the Ministry of Health of Vietnam in the 2016 and 2017 years. The analysis of the physical development indicators of the children with functionally single heart’ ventricle allowed to establish a more pronounced lagging in the physical development by dividing the length and body mass index into the centile corridors and Roerre's index, comparing with children with other congenital heart disease, determining the need for development for patients with functionally single heart’ ventricle special physical rehabilitation technology. The physical rehabilitation technology of the children with functionally single heart’ ventricle after a hemodynamic correction should include the principles of physical rehabilitation, pedagogical principles, age characteristics of children, the indicators of physical development, the quantitative indicators of the biogeometrical posture profile, features of hemodynamics, functional condition of cardiovascular and respiratory systems.

The Physical Fitness Development of Children with Functionally Single Heart Ventricle as a Basis of the Physical Rehabilitation Technology After a Hemodynamic Correction

The aim of the performed research was to determine the features of the physical development and its connection with the body of the children of school age who have a congenital heart disease with a functionally single heart’ ventricle for developing the physical rehabilitation technology. There were performed an examination of the 179 children with functionally single heart’ ventricle hospitalized for operative treatment in the State Center «Scientific and Practical Medical Center of the Pediatric Cardiology and Cardiosurgery of the Ministry of Health of Vietnam in the 2016 and 2017 years. The analysis of the physical development indicators of the children with functionally single heart’ ventricle allowed to establish a more pronounced lagging in the physical development by dividing the length and body mass index into the centile corridors and Roerre's index, comparing with children with other congenital heart disease, determining the need for development for patients with functionally single heart’ ventricle special physical rehabilitation technology. The physical rehabilitation technology of the children with functionally single heart’ ventricle after a hemodynamic correction should include the principles of physical rehabilitation, pedagogical principles, age characteristics of children, the indicators of physical development, the quantitative indicators of the biogeometrical posture profile, features of hemodynamics, functional condition of cardiovascular and respiratory systems.