Stages Of Rehabilitation Research Articles

Реабилитационный диагноз у недоношенных детей с перинатальной патологией нервной системы на основе Международной классификации функционирования

Aim. To determine the main categories of the International Classification of Functioning, Disability and Health that constitute a rehabilitation diagnosis in a premature infant with perinatal lesions of the nervous system. Key points. One of the urgent tasks in the formation of a unified approach to the rehabilitation and habilitation of premature babies when they are transferred from the first or second stage of rehabilitation is to assess the child's rehabilitation status and establish a rehabilitation diagnosis. For this purpose, we used the International Classification of Functioning, Disabilities and Health. Studied domains include nervous system structures; vision and related functions; hearing and vestibular functions; neuromuscular and movement-related functions; skeletal, digestive, and metabolic functions; child mobility; and environmental factors. The article describes a clinical case of a 9.5-month-old patient, born at 30 weeks' gestation, who was admitted to a rehabilitation course at a day hospital with a complaint of delayed motor development. After establishing the rehabilitation diagnosis, the infant's average rehabilitation potential was determined and a favourable rehabilitation prognosis was predicted on the basis of the rehabilitation results. The positive effect of the rehabilitation activities was associated with the emergence of new skills and improvement in the rehabilitation status of the child. Conclusion. Formulating a rehabilitation diagnosis involves assessing the patient's current situation, which makes it possible to set rehabilitation goals, form a multidisciplinary rehabilitation team, justify the use of rehabilitation methods and evaluate the outcome of rehabilitation interventions. Keywords: premature children, rehabilitation diagnosis, rehabilitation potential, International Classification of Functioning, psychological development.

Monitoring Cortical and Neuromuscular Activity: Six-month Insights into Knee Joint Position Sense Following ACL Reconstruction.

Changes in cortical activation patterns after rupture of the anterior cruciate ligament (ACL) have been described. However, evidence of these consequences in the early stages following the incident and through longitudinal monitoring is scarce. Further insights could prove valuable in informing evidence-based rehabilitation practices. To analyze the angular accuracy, neuromuscular, and cortical activity during a knee joint position sense (JPS) test over the initial six months following ACL reconstruction. Study design: Cohort Study. Twenty participants with ACL reconstruction performed a JPS test with both limbs. The measurement time points were approximately 1.5, 3-4 and 6 months after surgery, while 20 healthy controls were examined on a single occasion. The active JPS test was performed seated with a target angle of 50° for two blocks of continuous angular reproduction (three minutes per block). The reproduced angles were recorded simultaneously by an electrogoniometer. Neuromuscular activity of the quadriceps muscles during extension to the target angle was measured with surface electromyography. Spectral power for theta, alpha-2, beta-1 and beta-2 frequency bands were determined from electroencephalographic recordings. Linear mixed models were performed with group (ACL or controls), the measurement time point, and respective limb as fixed effect and each grouping per subject combination as random effect with random intercept. Significantly higher beta-2 power over the frontal region of interest was observed at the first measurement time point in the non-involved limb of the ACL group in comparison to the control group (p = 0.03). Despite individual variation, no other statistically significant differences were identified for JPS error, neuromuscular, or other cortical activity. Variation in cortical activity between the ACL and control group were present, which is consistent with published results in later stages of rehabilitation. Both indicate the importance of a neuromuscular and neurocognitive focus in the rehabilitation. 3.

Muscle Synergy Plasticity in Motor Function Recovery After Stroke.

In certain neurological disorders such as stroke, the impairment of upper limb function significantly impacts daily life quality and necessitates enhanced neurological control. This poses a formidable challenge in the realm of rehabilitation due to its intricate nature. Moreover, the plasticity of muscle synergy proves advantageous in assessing the enhancement of motor function among stroke patients pre and post rehabilitation training intervention, owing to the modular control strategy of central nervous system. It also facilitates the investigation of long-term alterations in remodeling of muscle functional performance among patients undergoing clinical rehabilitation, aiming to establish correlations between changes in muscle synergies and stroke characteristics such as type, stage, and sites. In this study, a three-week rehabilitation monitoring experiment was conducted to assess the motor function of stroke patients at different stages of rehabilitation based on muscle synergy performance. Additionally, we aimed to investigate the correlation between clinical scale scores, rehabilitation stages, and synergy performance in order to provide a more comprehensive understanding of stroke patient recovery. The results of 7 healthy controls and 16 stroke patients showed that high-functioning patients were superior to low-functioning patients in terms of motor function plasticity towards healthy individuals. Moreover, there was a high positive correlation between muscle synergies and clinical scale scores in high-functioning patients, and the significance gradually emerged with treatment, highlighting the potential of muscle synergy plasticity as a valuable tool for monitoring rehabilitation progress. The potential of this study was also demonstrated for elucidating the physiological mechanisms underlying motor function reconstruction within the central nervous system, which is expected to promote the further application of muscle synergy in clinical assessment.

Melatonin at the health-resort stage of treatment and rehabilitation in national practice

Melatonin at the health-resort stage of treatment and rehabilitation in national practice

Аналіз поширеності часткових дефектів зубних рядів та потреби в кістковій пластиці з метою встановлення ендоосальних імплантатів при дистально-необмежених дефектах зубних рядів

Relevance of research. In planning the treatment of partial edentulousness, the Kennedy classification of dentition defects plays an important role in the choice of the type and design of the prosthesis. The structure and morphology of dentition defects, in particular distally unlimited ones, is of great importance in the context of planning effective prosthetic rehabilitation of patients, including pre-prosthetic surgical preparation. The purpose of the study: to investigate the prevalence and structure of dentition defects and the need for bone grafting for the placement of endosseous implants in distally unlimited dentition defects for successful prosthetic rehabilitation. Materials and methods. Radiological, statistical and digital modelling methods were used for the study. Results and discussion. Partial absence of teeth is one of the most common types of pathology of the dental system. According to the results of the analysis of 198 computed tomography scans of the jaws, 76.76% of patients aged 25-60 years had partial defects in the dentition. Distally unlimited defects were found in 46.35% of jaws with partial edentulousness in the age group of 25-60 years. It should be noted that 15.7% of patients had combined distally unlimited defects of the dentition on both jaws. Based on the study data, a large percentage (42.37%) of jaws with Kennedy class I dentition defects that required bone grafting was noted, and a slightly lower percentage (26.53%) of those requiring bone grafting in Kennedy class II. Conclusions. The results of the study indicate the need for careful planning of the surgical and orthopedic stages of implantsupported prosthetics, risk assessment and, to some extent, delay of the final stage of prosthetic rehabilitation of patients with distally unlimited dentition defects. Key words: distally unlimited defects of the dentition, Kennedy classification, bone grafting, endosseous implants.

Effects of visual feedback balance system combined with weight loss training system on balance and walking ability in the early rehabilitation stage of stroke: a randomized controlled exploratory study.

Previous studies have suggested that the Pro-Kin visual feedback balance system can promote the recovery of balance function in stroke patients. However, this system has not been used effectively in the early stages of stroke rehabilitation. This study aimed to investigate the effect of Pro-Kin system combined with weight loss system for the early recovery of balance and walking ability following a stroke. A total of 62 patients who underwent radiological diagnosis of stroke were randomly divided into two groups: a control group (n = 31) and a treatment group (n = 31). Both groups received conventional balance training. The treatment group also received training on the Pro-Kin system in conjunction with a weight loss system. Balance was measured using the Berg Balance Scale (BBS), Timed 'Up & Go' (TUG) test and Pro-Kin system. Walking ability was assessed using the Functional Ambulation Classification (FAC). The tests were performed before the start of treatment and on the 4th week following the training. There was no statistically significant difference between the groups before training. After 4 weeks of training in both groups, there were significant improvements in balance and walking ability. BBS values and FAC were significantly higher (p < 0.01), TUG times, ellipse area and motion trajectory length were significantly reduced (p < 0.01, p < 0.05) after training. The treatment group outperformed the control group (p < 0.05). In addition, there was a positive correlation between balance function and walking ability (p < 0.01). The Pro-Kin system combined with weight loss system is a viable method that promotes early reconstruction of balance and walking ability following a stroke. Clinical trial number ChiCTR1900026370. https://www.chictr.org.cn/showprojEN.html?proj=43736.

Comparison of the effectiveness of non-immunogenic staphylokinase and alteplase for intravenous thrombolysis in ischemic stroke: analysis of hospital registry data

To compare the effectiveness and safety of the use of non-immunogenic staphylokinase (NS) and alteplase (AP) for intravenous thrombolysis (IT) for ischemic stroke (IS) in real clinical practice at a regional vascular center. Data from 100 patients with IS who received IT with NS and 100 patients who received IT with AP for the period 2022-2023 were analyzed. The groups were comparable on sociodemographic parameters, cardiovascular risk factors and diseases, and stroke characteristics. Door-to-needle time was 17 (13-22) min in the NS group and 38 (33-42) min in the AP group (p<0.001). During control neuroimaging, a cerebral infarction was detected in 46% of patients in the NS group and 61% of patients in the AP group (OR 0.479 [0.263; 0.875], p=0.035). When performing IT with NS, an NIHSS score of 0 points (no neurological deficit) was observed twice as often (OR 2.202 [1.079; 4.504], p=0.023). The incidence of hemorrhagic transformation, including symptomatic, as well as hospital mortality did not differ. IT with NS is associated with a lower probability of cerebral infarction and greater positive dynamics of the neurological status in comparison with the use of AP already within the first stage of treatment and rehabilitation.

Functional status of patients after myocardial revascularization combined with chronic low back pain at the sanatorium-resort stage of medical rehabilitation

To develop an algorithm for assessing the functional status of patients after myocardial revascularization with chronic low back pain. The single-center cross-sectional cohort study (September 2021 - May 2022 yrs) included 50 patients after a myocardial revascularization with chronic low back pain (36 women, 14 men; median age 63.5 [55.5; 67.5] years), who were the study group and 10 patients with CIHD (5 women, 5 men; median age 65.0 [62.0; 68.0] years) who joined the control group. All patients underwent clinical (neurological and therapeutic examination), functional (clinical tests, echocardiography) and laboratory (general and biochemical blood analysis, blood cytokine levels) investigations, the functional class of impairment was defined. There are 4 groups with combined pain syndrome (cardiogenic and vertebrogenic) in different ratios due to different functional and laboratory status among patients after the myocardial revascularization with chronic back pain. The presence of cardiogenic pain syndrome was associated with an increase in leukocyte and peripheral blood glucose levels, interleukin-6, myocardial mass enlargement, while vertebrogenic pain syndrome correlated with personal anxiety. The evaluation of the functional status of patients according to the degree of severity of cardiogenic and vertebrogenic pain syndrome has revealed a simple method of pathogenetically based differentiation selection for individual rehabilitation program of patient development.

Подходы к диспансерному наблюдению детей дошкольного возраста c разными типами психосоматической конституции, страдающих хроническим аденоидитом

The article presents a program of medical and social support for preschool children with different types of psychosomatic constitution suffering from complicated chronic adenoiditis. The study involved 82 children aged 4 to 7 years, who were referred after inpatient treatment under the supervision of a paediatrician and an otorhinolaryngologist of a polyclinic. Children in the main group (n = 82; of these, 23 (47.9%) were classified as introverted and 25 (52.1%) as extroverted types of psychosomatic constitution) were given recommendations differentiated according to the identified constitutional features of the course of chronic adenoiditis. Children of the control group (n = 34) underwent traditional rehabilitation. After 6 months, all children in the main group showed persistent remission and regression of clinical manifestations characteristic of their type, and their quality of life improved. In children of the control group, who received traditional recommendations, the positive dynamics was weaker. Thus, the program of support for preschool children with chronic adenoiditis, taking into account the constitutional features of the course of the disease, can be used in the organization of the outpatient stage of rehabilitation. Key words: introverts, rehabilitation program, psychosomatic constitution, chronic adenoiditis, extroverts

ДИФФЕРЕНЦИРОВАННЫЙ ПОДХОД К ПЕДАГОГИЧЕСКОЙ РАБОТЕ С РОДИТЕЛЯМИ В УСЛОВИЯХ ДЕТСКОЙ РЕАБИЛИТАЦИИ: НАЧАЛЬНЫЙ ЭТАП ИЗУЧЕНИЯ СЕМЬИ

Introduction. The article deals with topical issues of providing pedagogical assistance to parents (substituting persons) raising children with the consequences of neurotrauma in hospital conditions: the features of including adults close to the child in a complex of rehabilitation measures are studied; groups of parents are presented, accounting for which makes it possible to effectively build a comprehensive content of the rehabilitation process. The purpose of the study is to present the results of studying the specifics of parental attitudes towards a child with the consequences of neurotrauma. Materials and methods. 106 families were involved. Research methods: the study of psychological, medical, and pedagogical documentation; questionnaires and conversations with parents; directed observation; psychological and pedagogical examination of the child. Results. The methods of studying the parental position in a hospital are determined. The criteria of parental activity and factors that both improve and complicate the inclusion of loved ones in complex rehabilitation are described (biological, individual psychological, micro, and macrosocial). Differentiated parent groups have been identified, accounting for which allows the development of pedagogical assistance, content, and methods variably both at the early stage of rehabilitation and in the long-term recovery period of the child. Discussion and conclusion. All families raising children with the consequences of neurotrauma need comprehensive medical, psychological and pedagogical assistance throughout the rehabilitation/habilitation process. The content of pedagogical work with loved ones is built differentially, based on the levels of parental groups. The results of the study may be useful to specialists providing comprehensive care to children with severe neurotrauma, as wellas close adults.

Impact of short term high-intensity interval training on the aerobic and anaerobic fitness of young male football players in the final stages of rehabilitation

Impact of short term high-intensity interval training on the aerobic and anaerobic fitness of young male football players in the final stages of rehabilitation

Indicators to quantify biodiversity gains for compensation and mineland rehabilitation in the Eastern Amazon.

To connect the protection of natural resources to economic development, environmental rehabilitation is a promising way to repair and compensate for impacts on biodiversity and ecosystem services. Here, we aimed to compare and select potential indicators for the success of different rehabilitating ecosystems to quantify gains in biodiversity and ecosystem services within the Impact Mitigation Hierarchy. We sampled nine environmental variables along rehabilitation chronosequences from rehabilitating (i) iron mining waste piles, (ii) sand quarries, and (iii) compensation areas in the Carajás National Forest. From that, we computed the rehabilitation status, i.e., the proportion of environmental enhancements compared to the overall rehabilitation trajectory, and statistically validated the indicators that best described the status. With a mean rehabilitation status for the oldest rehabilitation stages from waste piles, sand quarries, and compensation areas of 52, 71, and 74%, respectively, we confirmed that rehabilitation activities were able to generate considerable gains in biodiversity. In all the cases, the Shannon diversity, phylogenetic diversity and Leaf Area Index performed better than did the other indices, encouraging the increased use of these indices for upscale monitoring activities. Consistent indicators across distinct projects highlight the importance of maximizing tree diversity and canopy closure in rehabilitation projects to increase biodiversity gains within Impact Mitigation Hierarchy.

STABILOMETRIC ANALYSIS OF MOTOR DISORDERS IN PATIENTS WITH ISCHEMIC STROKE IN THE CAROTID ARTERY IN THE EARLY REHABILITATION PERIOD

The purpose of the study is to analyze stabilometric parameters for motor disorders in patients with an ischemic stroke in the carotid artery in the early rehabilitation period and to monitor their dynamics under rehabilitation therapy with biofeedback (BFB) stabilization training.&#x0D; Materials and Methods. The study involved 24 patients aged 44–75. We chose the patients with mild and moderate motor impairments who were at the second stage of medical rehabilitation at Bryansk City Hospital No. 1. The patients suffered stroke 1–6 months ago. The stabilographic study was carried out on a BFB stabiloanalyzer “Stabilan-01-2” (RITM, Taganrog). The stabilometric training consisted of 7–10 sessions and included various computer games taking into account the type of paresis, the severity of coordination disorders and individual load tolerance. At the beginning of therapy, training lasted 5–10 minutes but gradually it increased up to 15–20 minutes. MS EXCEL and IBM Statistica 12.0 were used for statistical analysis of the obtained data. The Wilcoxon test was used to assess the dynamics. All obtained differences were significant (p≤0.05).&#x0D; Results. During the study, a change in stabilometric parameters was noted towards a decrease in the main parameters of the stabilographic test (“Frontal spread” (p=0.049), “Mean spread” (p=0.045)) and the Romberg test (“Mean spread” with eyes closed (p=0.046) and “Time rate of statokinesigram area” with eyes closed (p=0.043)), which indicated an improvement in the patients’ motor skills during rehabilitation therapy.&#x0D; Conclusions. The results of the analysis allow us to consider stabilization training with biofeedback an effective treatment modality in the early rehabilitation period for patients with ischemic stroke in the carotid artery.

Organization of Remote Rehabilitation in the Russian Federation: a Literature Review

INTRODUCTION. The interruption of the recovery process and the absence of patients’ activities at home after discharge from a medical institution leads to the loss of results achieved at various stages of medical rehabilitation. In this regard, the remote (telemedicine) form of rehabilitation assistance is of particular importance.&#x0D; AIM. To present up-to-date data on the legal and regulatory framework for telemedicine in the Russian Federation, as well as an overview of domestic Internet platforms in the field of remote medical rehabilitation.&#x0D; MATERIALS AND METHODS. The search for normative legal acts was carried out on the “The official Internet portal of Legal Information” (www.pravo.gov.ru). The literature review was performed using the databases eLibrary, Cyberleninka, PubMed, Scopus, Web of Science (Core Collection) and Google Scholar by July 31, 2023 for the following keywords: telemedicine, remote physical rehabilitation, medical rehabilitation, functional recovery.&#x0D; RESULTS. The article elaborates on the legal and regulatory framework of telemedicine in the Russian Federation, provides a list of domestic Internet portals that are now being employed to provide remote medical care.&#x0D; CONCLUSION. The remote form of arranging rehabilitation is supported by the regulatory and legal framework and has promising outlooks for development due to the advent of new information technologies that allow for active communication between a medical worker and a patient. Nevertheless, the issues of effectiveness and safety of remote physical rehabilitation remain insufficiently studied, therefore, it is necessary to conduct randomized comparative studies analyzing long-term results.

PREVALENCE OF CONGENITAL CLEFT LIP AND PALATE IN UKRAINE

Congenital cleft lip and palate (CLP) and dentognathic deformations have a fairly high prevalence, which can be influenced by a variety of factors.&#x0D; Statistical, demographic, historical, bibliographic methods were applied and a systematic analysis was carried out for the purpose of scientific analysis of information regarding statistical data on the prevalence of CLP in Ukraine.&#x0D; The birth rate in Ukraine, as well as other aspects of life, has a significant impact by the state of war today. The demographic situation in the country will correlate with the duration of the war. The longer the duration of military actions, the lower the birth rate and the worse the expected demographic situation. The triggers of this pattern are declining birth rate, high death rate, reduction in the possibility of using quality medical care, non-return of refugees, reduction of the participation of new recruits in the demographic process, negative economic performance of the temporarily occupied territories.&#x0D; The unstable situation also affects the stages of comprehensive rehabilitation of children with congenital defects. Despite the trend towards a decrease in the number of births, the percentage of babies with CLP remains stable and ranges from 0.091% to 0.1%. The multifaceted influence of the factors of the military conflict on the course and results of pregnancy should be taken into account when developing programs to prevent the development of defects of the lip and palate and the manifestation of anomalies associated with them.&#x0D; The multidisciplinary approach with the involvement of medical workers of various profiles within the limits of their competences will allow carrying out both effective prognostic supervision and prevention of the development of CLP. The aim of work on the standardization of statistical data is to generate a thorough analysis of the prevalence of dentognathic deformations in cleft of varying degrees of severity. The importance of this process determines the necessity for its implementation and control at the state level.

Features of Neuropsychological Support of Patients with Impaired Consciousness at the Early Stage of Rehabilitation: a Narrative Review

INTRODUCTION. In the neuropsychological support of patients with impaired consciousness at an early stage of rehabilitation, methodological and practical problems arise related to the choice and procedure for using methods of neuropsychological diagnostics and neuropsychological rehabilitation. To develop methods of working with such patients, it is necessary to address the concepts of the structure of consciousness and the content of consciousness.&#x0D; RESULTS. The article presents a review of the literature devoted to the problem of the work of a neuropsychologist with patients with impaired consciousness. In the reviewed literature, attention is drawn to the insufficient development of the neuropsychological content of the concept of “consciousness”; methodological and procedural limitations that arise when a neuropsychologist works with patients with disorders of consciousness of varying degrees of severity; the possibilities of conducting and limiting psychostimulotherapy and sensory stimulation in domestic and foreign approaches are discussed.&#x0D; CONCLUSION. The analysis of publications on the topic of accompanying patients with impaired consciousness reflects the presence of a number of unresolved issues. At the present stage of development of neuropsychological work with patients with impaired consciousness, there is no single approved and detailed protocol regulating the conduct of neuropsychological diagnostics and neurorehabilitation with them. The problem is at the stage of solution and requires further research.

Effectiveness of Transcranial Magnetic Stimulation in Patients after Ischemic Stroke: a Prospective Study

INTRODUCTION. Despite the fact that a large number of studies are focused on the rehabilitation of patients with ischemic stroke in the early recovery period, currently, much attention is paid to improving existing and developing new technologies in neurorehabilitation at the early stages of the disease. Transcranial magnetic stimulation (TMS) is a promising technology for the rehabilitation and recovery of patients with movement disorders after a stroke, which has a direct effect on the premotor cortex of the brain.&#x0D; AIM. To assess the effectiveness of TMS in relation to daily activity in a comprehensive medical rehabilitation program in patients with ischemic stroke in the early recovery period.&#x0D; MATERIALS AND METHODS. The study included 124 patients aged 55–75 years (53.2 % men and 46.8 % women). The main group included 64 people who received the TMS procedure. The comparison group included 60 patients who received an identical course of treatment, but instead of TMS, they underwent a low-intensity headband magnetic therapy. Treatment effectiveness was assessed using the Rivermead Mobility Index, Rehabilitation Routing Scales, and NIHSS. The severity of anxiety and depressive symptoms was assessed using the HADS scale. The total duration of treatment was 21 days. The dynamics of the patients’ condition was assessed before the start of treatment, 21 days after the course of rehabilitation and 3 months after the start of treatment.&#x0D; RESULTS. The main group showed a significant decrease in neurological deficit according to the NIHSS scale from 15.3 ± 3.6 to 10.1 ± 1.7 (p 0.05), Rivermead Mobility Index decreased from 5.6 ± 1.9 to 10.5 ± 2.4 (p 0.05) and Rehabilitation Routing Scale decreased from 4.3 ± 0.8 to 2.5 ± 0.5 points (p 0.05) since the start of rehabilitation and 3 months after its start. After 3 months, the neurological deficit in the main group was statistically significantly less compared to patients in the comparison group (p 0.5). A significant decrease in depressive symptoms was found in the main group (χ2 = 28.641; p 0.001), while in the control group the dynamics was not significant (χ2 = 7.140; p = 0.129); in addition, there was a regression of the anxiety component both in the main (χ2 = 47.949; p 0.001) and control (χ2 = 12.483; p = 0.015) groups.&#x0D; CONCLUSION. The use of the TMS device at the second stage of rehabilitation significantly reduces the neurological deficit, increases the mobility of patients, and reduces the severity of anxiety and depressive symptoms.

Nutritional support during the rehabilitation phases. Review

A literature search has been performed with the use of sources that contain information on the effects of nutrition on the processes of restoring the functional state and nutrition at the stages of rehabilitation using such key words as «nutritional support», «rehabilitation nutrition», «rational nutrition», «recovery diet». The search was carried out in medical databases Pub Med, Medline, Google Scholar.&#x0D; According to the World Health Organization, a healthy diet is a decisive factor in the prevention and treatment of non‑communicable chronic diseases. People who follow a healthy diet tend to live longer and have a lower risk of obesity, heart disease, type 2 diabetes mellitus and some types of cancers. Over the last decades, the increased attention has been paid to nutrition not only as an important preventive factor, but also as a key component of rehabilitation treatment. Rehabilitation is aimed at the restoration of the functioning of an organism. In these aspects, nutritional interventions have the potential to enhance the rehabilitation effect. Nutritional support at the stages of rehabilitation makes it possible to provide the body with the necessary nutrients, create conditions for better tissue regeneration, reduce the phenomena of chronic inflammation, and maintain the optimal body weight of patients. As the volume of rehabilitation interventions increases, there is a growing need for appropriate nutrients, necessitating adjustments to the dietary regimen. The physiological response to injury, tissue damage, or immobilization can be improved through the optimization of macroelement composition, caloric intake, timing of nutrient consumption, and the use of appropriate dietary supplements. Nutritional support, appropriate nutritional interventions and metabolic modulation can significantly improve the results of treatment of disorders and injuries of the musculoskeletal system and increase the level of rehabilitation of such patients. Determining the necessary volume of nutritional support at the stages of treatment and rehabilitation of patients of various profiles is an urgent problem of medicine and requires scientific research.&#x0D;

Computer Vision-Based Approach for Automated Monitoring and Assessment of Gait Rehabilitation at Home

This study presents a markerless video-based human gait analysis system for automatic assessment of at-home rehabilitation. A marker-based MoCap system (Vicon) is used to evaluate the accuracy of the proposed approach. Additionally, a novel gait rehabilitation score based on the Dynamic Time Warping (DTW) algorithm is introduced, enabling quantification of rehabilitation progress. The accuracy of the proposed approach is assessed by comparing it to a marker-based MoCap system (Vicon), which is used to evaluate the proposed approach. This evaluation results in mean absolute errors (MAE) of 4.8° and 5.2° for the left knee, and 5.9° and 5.7° for the right knee, demonstrating an acceptable accuracy in knee angle measurements. The obtained scores effectively distinguish between normal and abnormal gait patterns. Subjects with normal gait exhibit scores around 97.5%, 98.8%, while those with abnormal gait display scores around 30%, 29%, respectively. Furthermore, a subject at an advanced stage of rehabilitation achieved a score of 65%. These scores provide valuable insights for patients, allowing them to assess their rehabilitation progress and distinguish between different levels of gait recovery. The proposed markerless approach demonstrates acceptable accuracy in measuring knee joint angles during a sagittal walk and provides a reliable rehabilitation score, making it a convenient and cost-effective alternative for automatic at-home rehabilitation monitoring.

Grouping motivational interviewing is only effective for younger patients with alcohol dependence in the rehabilitation stage.

Alcohol dependence (AD) is a risk factor for death and disability. Relapse prevention for AD has been exclusively dominated by psychotherapy intervention for many years. Our study aimed to investigate the efficacy of group motivational interviewing (MI) on the psychological craving for alcohol and depressive symptoms in AD patients in the rehabilitation phase, as well as the impact of age. The participants included 108 individuals with AD in the rehabilitation phase. All participants were assigned to the MI intervention group or the control group and were treated for 6weeks. The severity of psychological craving for alcohol was assessed by the Penn Alcohol Craving Scale (PACS), and psychological status was evaluated by the Hamilton Depression Rating Scale (HAMD). We found that group MI significantly reduced the psychological craving for alcohol in patients with AD in the rehabilitation phase (p < 0.05). In addition, when patients were divided into two groups according to their ages, we found that group MI interventions tended to be effective only in younger patients with AD, but not in older patients. Our findings provide further evidence that the efficacy of group MI interventions was influenced by the age of patients with AD in the rehabilitation stage.