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Personalized approach to the logopedic rehabilitation of neurogenic dysphagia patients 神经源性吞咽困难患者的个性化逻各斯康复方法
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-47-51
A. S. Fadeeva, Yu. A. Kokorina, E. Y. Shestopalov, V. V. Tomilova
Aim. To determine the role of personalized approaches in the rehabilitation of patients with neurogenic dysphagia after acute disorders of cerebral circulation (ADCC) in the early recovery period.Materials and methods. The study included 97 patients (53 men and 44 women with the mean age of 69.5) in the early recovery period after ADСС. All the patients were at the second stage of medical rehabilitation. The treatment program included the following methods of logopedic rehabilitation: disinhibition of the act of swallowing; stimulation of the sensitivity of the mucous membranes of the oral cavity; recovery of respiratory and speech functions; selection of the consistency of liquid and solid foods to ensure the safety of swallowing during feeding; selection of the feeding method and appropriate portions to facilitate the patient’s eating.Results. When developing a personalized program of logopedic rehabilitation, the following aspects were considered: the severity of swallowing dysfunctions; the primary speech defect; patient compliance; the degree of cognitive dysfunctions; motivation for recovery.Conclusion. The application of logopedic rehabilitation methods in combination with specialized multidisciplinary care based on personalized approaches can significantly improve patients’ quality of life and reduce the risk of undesired complications.
目的确定个性化方法在急性脑循环障碍(ADCC)后神经源性吞咽困难患者康复早期的作用。研究纳入了 97 名急性脑循环障碍(ADСС)后处于早期恢复期的患者(男性 53 人,女性 44 人,平均年龄 69.5 岁)。所有患者均处于医疗康复的第二阶段。治疗方案包括以下逻辑康复方法:解除吞咽行为的抑制;刺激口腔黏膜的敏感性;恢复呼吸和语言功能;选择液体和固体食物的浓度,以确保进食时的吞咽安全;选择喂食方法和适当的份量,以方便患者进食。在制定个性化的肢体康复计划时,考虑了以下几个方面:吞咽功能障碍的严重程度;主要的语言缺陷;患者的依从性;认知功能障碍的程度;康复动机。基于个性化方法的逻各斯康复方法与专业的多学科护理相结合,可以显著提高患者的生活质量,降低出现意外并发症的风险。
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引用次数: 0
Сombined rehabilitation after COVID-19 coronavirus infection COVID-19 冠状病毒感染后的联合康复治疗
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-32-36
N. S. Yubitskaya, A. V. Yurenko, N. G. Kos`yanenko, E. Mineeva
Aim. To study the efficacy of personalized combined rehabilitation of PCS patients in the setting of a day hospital.Materials and methods. The study involved 68 patients with PCS (49 women and 19 men) aged from 36 to 76 years. Bronchial asthma (BA) was detected in 26 patients, chronic obstructive pulmonary disease (COPD)– in 9 patients, and stage II hypertension– in 12 patients. Depending on severity of PCS, the treatment program included drug therapy and physiotherapeutic treatment. The rehabilitation course lasted for 14 days. The efficacy of medical rehabilitation was assessed by the dynamics of clinical and functional indicators.Results. After the rehabilitation course, asthenic syndrome decreased in all patients. The majority of patients reported improvement in dyspnea according to the mMRC scale. In COPD patients, the CAT test score decreased by 26%. After rehabilitation, the asthma patients showed a decrease in the ACQ test score by 45%, with the peakflowmetry indicators having improved. Improvements in spirometry and peripheral oxygen saturation of capillary blood were recorded.Conclusion. Personalized medical rehabilitation of patients after coronavirus infection can reduce the severity of PCS signs. The rehabilitation methods used contributed to the restoration of external respiratory function, stabilization of the patients’ emotional state, reduction of shortness of breath, hypoxemia, and other impaired functions in patients after COVID-19.
目的研究在日间医院环境中对 PCS 患者进行个性化综合康复治疗的效果。研究涉及 68 名 PCS 患者(49 名女性和 19 名男性),年龄在 36 岁至 76 岁之间。其中,26 名患者患有支气管哮喘(BA),9 名患者患有慢性阻塞性肺病(COPD),12 名患者患有 II 期高血压。根据 PCS 的严重程度,治疗方案包括药物治疗和物理治疗。康复疗程为期 14 天。通过临床和功能指标的动态变化来评估医疗康复的效果。康复疗程结束后,所有患者的气喘综合征都有所减轻。根据 mMRC 量表,大多数患者的呼吸困难有所改善。在慢性阻塞性肺病患者中,CAT 测试得分下降了 26%。康复治疗后,哮喘患者的 ACQ 测试得分下降了 45%,峰值流速指标也有所改善。肺活量和毛细血管血氧饱和度均有改善。冠状病毒感染后患者的个性化医疗康复可减轻PCS体征的严重程度。所采用的康复方法有助于恢复冠状病毒感染后患者的外部呼吸功能、稳定患者情绪、减轻气短、低氧血症和其他受损功能。
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引用次数: 0
Efficacy of functional electrical stimulation of the lower extremities in stroke patients 中风患者下肢功能性电刺激的疗效
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-21-25
T. A. Kantur, E. V. Khmeleva, Yu. B. Kolesnikova, Z. B. Barzeeva
Aim. To evaluate the efficacy of functional electrical stimulation of the lower extremities in stroke patients at different stages of motor rehabilitation.Materials and methods. The study involved 80 patients with motor disorders after stroke. The studied treatment methods included passive and passive-active functional electrical stimulation (FES) in combination with the THERATrainer Tigo and active FES (neuro-orthosis) WalkAide.Results. The analysis of motor status indicators, namely the Berg Balance Scale, 6-minute walk test, and dynamic walking index showed the maximum efficacy of active FES with biofeedback.Conclusion. When prescribing and selecting a method of electrical stimulation, preference in neurorehabilitation should be given to methods of passive-active and active functional stimulation.
目的评估对处于不同运动康复阶段的中风患者进行下肢功能性电刺激的有效性。研究涉及80名中风后运动障碍患者。研究的治疗方法包括结合THERATrainer Tigo的被动和被动-主动功能性电刺激(FES)以及主动FES(神经正位)WalkAide。对运动状态指标(即伯格平衡量表、6 分钟步行测试和动态步行指数)的分析表明,主动式功能性电刺激与生物反馈疗法的疗效最佳。在处方和选择电刺激方法时,神经康复应优先考虑被动-主动和主动功能刺激方法。
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引用次数: 0
Assessment of the respiratory function of patients after COVID-19 pneumonia for medical rehabilitation 为医疗康复评估 COVID-19 肺炎患者的呼吸功能
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-37-41
A. F. Belyaev, O. Fotina, T. S. Kharkovskaya, N. M. Kondrashova
Aim. To study the indicators of external respiration function in older patients after coronavirus pneumonia (COVID-19) with the purpose of creating personalized rehabilitation programs.Materials and methods. A study of respiratory function after coronavirus pneumonia (COVID-19) was conducted in 109 patients with the average age of 63.7 ± 2.2 (51.3% men and 48.7% women) and the lung damage of more than 25%.Results. The patients after coronavirus pneumonia (COVID-19) show a decrease in respiratory function indicators, such as VC, FVC, FEV1, and SPO2, as well as an increased Tiffeneau –Pinelli index.Conclusion. Timely detection of respiratory disorders in patients after COVID-19 pneumonia allows timely diagnosis of respiratory failures and selection of adequate rehabilitation measures.
目的研究冠状病毒肺炎(COVID-19)后老年患者的外部呼吸功能指标,以制定个性化的康复方案。对109名平均年龄为(63.7±2.2)岁(男性占51.3%,女性占48.7%)、肺损伤程度超过25%的冠状病毒肺炎(COVID-19)患者进行呼吸功能研究。冠状病毒肺炎(COVID-19)后患者的呼吸功能指标,如VC、FVC、FEV1和SPO2均有所下降,Tiffeneau -Pinelli指数也有所上升。结论:及时发现 COVID-19 肺炎患者的呼吸障碍,可以及时诊断呼吸衰竭,并选择适当的康复措施。
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引用次数: 0
Сurrent state and prospects of the Sakhalin balneological potential in rehabilitation and health resort treatment 萨哈林浴场在康复和疗养治疗方面的潜力现状和前景
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-16-20
M. Antonyuk, T. Gvozdenko, S. V. Lebedev, B. Chelnokova
Aim. To assess the prospects for the use of mineral waters and therapeutic muds (peloids) of the Sakhalin region for treatment and prophylactic purposes on the basis of their balneological properties.Materials and methods. The results of balneological analyses of mineral waters and therapeutic muds of the island areas of the Sakhalin region and regulatory documents were used.Results. The mineral waters and therapeutic muds of the Sakhalin region as its major therapeutic resources are characterized. The main groups of mineral waters for internal and external use include siliceous thermal, iodobromic, arsenic, and boric waters. It is noted that unique deposits of Sakhalin-type mineral waters, such as acidic waters with a high content of metals, petroleum products, and organic substances, require additional research. The Sakhalin region is rich in all available types of therapeutic muds– silt sulfide, mound, peat, and sapropel.Conclusion. The Sakhalin region possesses a wide variety of balneological resources for health resort treatment and rehabilitation. Among them are the deposits of mineral waters and therapeutic muds that are promising for research and use in medical and wellness organizations.
目的根据萨哈林地区矿泉水和治疗泥(颗粒泥)的浴疗法特性,评估将其用于治疗和预防目的的前景。采用萨哈林州岛屿地区矿泉水和治疗泥的浴疗法分析结果和法规文件。萨哈林州的矿泉水和疗养泥是其主要疗养资源。供内部和外部使用的矿泉水主要包括硅热水、碘溴水、砷水和硼水。需要指出的是,萨哈林型矿泉水的独特矿藏,如金属、石油产品和有机物质含量较高的酸性水,需要进一步研究。萨哈林州富含各种类型的治疗泥--淤泥、土丘、泥炭和无机泥。萨哈林州拥有各种用于疗养和康复的浴疗法资源。其中,矿泉水和治疗泥的储量很有希望在医疗和保健机构中进行研究和使用。
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引用次数: 0
Сombined rehabilitation after COVID-19 coronavirus infection COVID-19 冠状病毒感染后的联合康复治疗
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-32-36
N. S. Yubitskaya, A. V. Yurenko, N. G. Kos`yanenko, E. Mineeva
Aim. To study the efficacy of personalized combined rehabilitation of PCS patients in the setting of a day hospital.Materials and methods. The study involved 68 patients with PCS (49 women and 19 men) aged from 36 to 76 years. Bronchial asthma (BA) was detected in 26 patients, chronic obstructive pulmonary disease (COPD)– in 9 patients, and stage II hypertension– in 12 patients. Depending on severity of PCS, the treatment program included drug therapy and physiotherapeutic treatment. The rehabilitation course lasted for 14 days. The efficacy of medical rehabilitation was assessed by the dynamics of clinical and functional indicators.Results. After the rehabilitation course, asthenic syndrome decreased in all patients. The majority of patients reported improvement in dyspnea according to the mMRC scale. In COPD patients, the CAT test score decreased by 26%. After rehabilitation, the asthma patients showed a decrease in the ACQ test score by 45%, with the peakflowmetry indicators having improved. Improvements in spirometry and peripheral oxygen saturation of capillary blood were recorded.Conclusion. Personalized medical rehabilitation of patients after coronavirus infection can reduce the severity of PCS signs. The rehabilitation methods used contributed to the restoration of external respiratory function, stabilization of the patients’ emotional state, reduction of shortness of breath, hypoxemia, and other impaired functions in patients after COVID-19.
目的研究在日间医院环境中对 PCS 患者进行个性化综合康复治疗的效果。研究涉及 68 名 PCS 患者(49 名女性和 19 名男性),年龄在 36 岁至 76 岁之间。其中,26 名患者患有支气管哮喘(BA),9 名患者患有慢性阻塞性肺病(COPD),12 名患者患有 II 期高血压。根据 PCS 的严重程度,治疗方案包括药物治疗和物理治疗。康复疗程为期 14 天。通过临床和功能指标的动态变化来评估医疗康复的效果。康复疗程结束后,所有患者的气喘综合征都有所减轻。根据 mMRC 量表,大多数患者的呼吸困难有所改善。在慢性阻塞性肺病患者中,CAT 测试得分下降了 26%。康复治疗后,哮喘患者的 ACQ 测试得分下降了 45%,峰值流速指标也有所改善。肺活量和毛细血管血氧饱和度均有改善。冠状病毒感染后患者的个性化医疗康复可减轻PCS体征的严重程度。所采用的康复方法有助于恢复冠状病毒感染后患者的外部呼吸功能、稳定患者情绪、减轻气短、低氧血症和其他受损功能。
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引用次数: 0
Efficacy of combined rehabilitation programs for infants with perinatal hypoxic-ischemic encephalopathy 针对围产期缺氧缺血性脑病婴儿的综合康复计划的疗效
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-52-56
D. S. Osmolovsky, S. V. Osmolovsky, A. V. Ovchinnikov, O. V. Perelomova
Aim. To evaluate the efficacy of a combined rehabilitation program for infants with perinatal lesions of the central nervous system in the form of hypoxic-ischemic encephalopathy (HIE).Materials and methods. In total, 173 six-month-old children who underwent hypoxia were included in the observational study. The rehabilitation program included medical massage and hydrokinesotherapy; myostimulation of the muscles of the back and limbs; dry immersion method; treatments on a Grosso simulator; ergotherapy; therapy with an elastic pseudo-boiling layer; speech therapy massage. The Griffith mental development scale was used to assess the psychomotor development of infants.Results. Following a course of combined rehabilitation, a positive dynamic in improving functional disorders in children of the first year of life who underwent perinatal HIE was revealed. This effect was associated with improvements in motor and sensory functions, indicators of speech development and understanding speech, emotions and communication, thinking and play activity. A reduction in the backlog of psychomotor development by 1–2 checkup periods and a reduction in the risk of obtaining the status of a disabled child by 12 months was established.Conclusion. Combined programs of long-term rehabilitation for infants with perinatal lesions of the central nervous system were confirmed to be effective due to the pos itive dynamics of functional activity indicators, acceleration of the formation of life support skills, and a threefold reduction in the level of disability.
目的评估针对围产期中枢神经系统受损的缺氧缺血性脑病(HIE)婴儿的综合康复计划的有效性。观察性研究共纳入了 173 名六个月大的缺氧患儿。康复计划包括医疗按摩和水动力疗法、背部和四肢肌肉刺激、干浸泡法、格罗索模拟器治疗、人体工学疗法、弹性假沸腾层疗法、言语治疗按摩。格里耶斯精神发育量表用于评估婴儿的精神运动发育情况。经过综合康复治疗,围产期HIE患儿出生后第一年的功能障碍得到了积极的改善。这种效果与运动和感觉功能、语言发育指标和语言理解能力、情绪和沟通、思维和游戏活动的改善有关。通过1-2个月的检查,精神运动发育积压的时间减少了,12个月时获得残疾儿童身份的风险也降低了。围产期中枢神经系统病变婴儿的长期康复综合方案被证实是有效的,因为功能活动指标呈积极动态变化,生活自理能力的形成加快,残疾程度降低了三倍。
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引用次数: 0
Application of low-frequency electrostatic therapy in respiratory system diseases 低频静电疗法在呼吸系统疾病中的应用
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-11-15
N. D. Rozhkova, M. Antonyuk
The question of enhancing treatment effectiveness in managing respiratory diseases based on physiotherapeutic methods remains highly relevant. We consider the possibility of using pulsed low-frequency electrostatic massage therapy in the rehabilitation treatment of patients with chronic obstructive heart disease, bronchial asthma, pneumonia, and cystic fibrosis. The biological action and therapeutic effects of low-frequency electrostatic therapy are presented. Effects of low-frequency electrostatic therapy on muscle tone, as well as its decongestion, trophic, and regenerative action, are demonstrated. The mechanisms of pathogenetic action in respiratory pathologies require further research and elucidation.
如何通过物理治疗方法提高呼吸系统疾病的治疗效果,仍然是一个非常重要的问题。我们考虑了在慢性阻塞性心脏病、支气管哮喘、肺炎和囊性纤维化患者的康复治疗中使用脉冲低频静电按摩疗法的可能性。介绍了低频静电疗法的生物作用和治疗效果。展示了低频静电疗法对肌肉张力的影响,以及它的减充血、营养和再生作用。对呼吸系统病症的致病作用机制还需要进一步研究和阐明。
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引用次数: 0
Application of low-frequency electrostatic therapy in respiratory system diseases 低频静电疗法在呼吸系统疾病中的应用
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-11-15
N. D. Rozhkova, M. Antonyuk
The question of enhancing treatment effectiveness in managing respiratory diseases based on physiotherapeutic methods remains highly relevant. We consider the possibility of using pulsed low-frequency electrostatic massage therapy in the rehabilitation treatment of patients with chronic obstructive heart disease, bronchial asthma, pneumonia, and cystic fibrosis. The biological action and therapeutic effects of low-frequency electrostatic therapy are presented. Effects of low-frequency electrostatic therapy on muscle tone, as well as its decongestion, trophic, and regenerative action, are demonstrated. The mechanisms of pathogenetic action in respiratory pathologies require further research and elucidation.
如何通过物理治疗方法提高呼吸系统疾病的治疗效果,仍然是一个非常重要的问题。我们考虑了在慢性阻塞性心脏病、支气管哮喘、肺炎和囊性纤维化患者的康复治疗中使用脉冲低频静电按摩疗法的可能性。介绍了低频静电疗法的生物作用和治疗效果。展示了低频静电疗法对肌肉张力的影响,以及它的减充血、营养和再生作用。对呼吸系统病症的致病作用机制还需要进一步研究和阐明。
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引用次数: 0
Vacuum-aspiration system in the treatment of urethrorectal fistula after laparoscopic radical prostatectomy 真空抽吸系统在腹腔镜根治性前列腺切除术后尿道直肠瘘治疗中的应用
Pub Date : 2023-06-15 DOI: 10.34215/1609-1175-2023-2-77-80
S. Proniagin, K. Stegniy, E. Dvoinikova, A. Krekoten, A. V. Grebneva, A. Sokolova, R. Goncharuk
Prevailing complications of radical prostatectomy include rectal injuries and urethrorectal fistulas. Their surgical treatment is highly invasive with 25% recurrence rate. The most commonly used techniques include the York-Mason procedure and transperineal fistuloplasty using local tissue or gracilis muscle flap of thigh. In addition, endoscopic vacuum-aspiration therapy has been used to treat failed anastomoses of digestive tract since 2006. The therapy involves continuous active aspiration through a monoporous foam material of the required size fixed to the aspiration tube. The paper presents a clinical case of successful treatment of urethrorectal fistula by means of a vacuum-aspiration system, which enables the fistula to be completely separated and urethral and anal continence to be preserved. On the 45th day after radical prostatectomy, the cystoscopy and rectoromanoscopy detected closure of the defect; independent urination was restored. 6 months later, independent defecation came back. Relapse-free period for the underlying disease and its complications comprised 32 months.
根治性前列腺切除术的常见并发症包括直肠损伤和尿道直肠瘘。他们的手术治疗是高度侵入性的,复发率为25%。最常用的技术包括约克-梅森手术和经会阴瘘成形术,使用局部组织或股薄肌瓣。此外,自2006年以来,内镜下真空抽吸治疗已被用于治疗消化道吻合失败。该疗法包括通过固定在抽吸管上的所需尺寸的单孔泡沫材料进行持续的主动抽吸。本文报道了一例应用真空抽吸系统成功治疗尿道直肠瘘的临床病例,使瘘管完全分离,保持了尿道和肛门的自制。根治性前列腺切除术后第45天膀胱镜和直肠瘤镜检查发现缺损闭合;恢复独立排尿。6个月后恢复独立排便。基础疾病及其并发症无复发期32个月。
{"title":"Vacuum-aspiration system in the treatment of urethrorectal fistula after laparoscopic radical prostatectomy","authors":"S. Proniagin, K. Stegniy, E. Dvoinikova, A. Krekoten, A. V. Grebneva, A. Sokolova, R. Goncharuk","doi":"10.34215/1609-1175-2023-2-77-80","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-2-77-80","url":null,"abstract":"Prevailing complications of radical prostatectomy include rectal injuries and urethrorectal fistulas. Their surgical treatment is highly invasive with 25% recurrence rate. The most commonly used techniques include the York-Mason procedure and transperineal fistuloplasty using local tissue or gracilis muscle flap of thigh. In addition, endoscopic vacuum-aspiration therapy has been used to treat failed anastomoses of digestive tract since 2006. The therapy involves continuous active aspiration through a monoporous foam material of the required size fixed to the aspiration tube. The paper presents a clinical case of successful treatment of urethrorectal fistula by means of a vacuum-aspiration system, which enables the fistula to be completely separated and urethral and anal continence to be preserved. On the 45th day after radical prostatectomy, the cystoscopy and rectoromanoscopy detected closure of the defect; independent urination was restored. 6 months later, independent defecation came back. Relapse-free period for the underlying disease and its complications comprised 32 months.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73999424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Pacific Medical Journal
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