Bulletin of Rehabilitation Medicine最新文献

{"title":"Feasibility Study of Using the Integrated Telemedicine Platform “IS-cardio” for Outpatient Cardiological Rehabilitation: Single-Centered Cohort Study","authors":"E. Kotelnikova, V. Gridnev, O. Posnenkova, Valeriy N. Senchikhin","doi":"10.38025/2078-1962-2024-23-1-56-65","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-56-65","url":null,"abstract":"INTRODUCTION. The implementation of remote cardiac rehabilitation (RCR) technology based on telemedicine platforms (TMP) requires a preliminary assessment of the feasibility of use. \u0000AIM. A preliminary study of the feasibility of using the integrated TMP “IS-cardio” to perform RCR in patients with cardiovascular diseases (CVD) in the context of need, feasibility and acceptability. \u0000MATERIALS AND METHODS. Single-center cohort study of patients (n = 33; 75 % men; mean age 56 ± 8 years) with CVD. Testing of the TMP «IS-cardio» was carried out during 12-week physical training (PT) programs with an intensity of 55 %. Feasibility was assessed according to the following criteria: need, feasibility, acceptability. Data on need and acceptability were obtained from a patient survey. Feasibility was assessed as the proportion of patients completing RCR. Remote monitoring was performed using heart rate, blood pressure, electrocardiogram and mobile application recorders. Feedback was provided in the form of electronic reports and delayed consultation. Patient satisfaction was assessed in points. \u0000RESULTS. 79.2 % of respondents were interested in telemedicine monitoring. 100 % of patients completed RCR; 12 patients (39.6 %) fully completed the PT program. The patients’ activity amounted to 2.4 ± 0.7 PT sessions per week; the average duration of PT was 56.5 ± 29.8 min/week. With a total satisfaction of 29.0 ± 3 points, the level of RCR was highly rated (3.85 ± 0.16 points) as a real solution to the problem associated with the presence of CVD (3.67 ± 0.34 points). \u0000DISCUSSION. The medical-technological solution TMP “IS-cardio”, combining the principles of traditional cardiac rehabilitation with telecardiology tools (monitoring based on digital recorders, automatic data transfer and feedback) met the criteria for the feasibility of using TMP with a similar concept. \u0000CONCLUSION. The high demand for remote monitoring, feasibility, and patient satisfaction of RCR may indicate the feasibility of its use for implementation of its programs.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"125 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126211","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}

{"title":"Evaluation of the Clinical Effectiveness of the Drug Laennec in Complex Rehabilitation of Patients with Post-COVID Syndrome: a Randomized Trial","authors":"O. V. Yurova, T. Konchugova, T. V. Apkhanova, I. Gilmutdinova, Valeriia A. Vasileva, D. Kulchitskaya, L. A. Marchenkova, O.S Glazachev, Elena N. Dudnik, Marianna A. Ansokova","doi":"10.38025/2078-1962-2024-23-1-38-48","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-38-48","url":null,"abstract":"INTRODUCTION. The development of post-COVID syndrome is accompanied by an increase in markers of systemic inflammation, a violation of the detoxification function of the liver, caused by both direct viral damage to hepatocytes and an increased iatrogenic load on the hepatobiliary system due to polypharmacy. \u0000AIM. Studying the use of the drug Laennec in the rehabilitation period as a hepatoprotector and immunomodulator in patients with post-COVID syndrome. \u0000MATERIALS AND METHODS. The study included 40 patients with post-COVID syndrome aged 30 to 60 years, with steatosis and steatohepatitis (increased levels of liver transaminases). The clinical effectiveness of Laennec was assessed based on the dynamics of pro-inflammatory biomarkers, liver metabolism indicators, as well as functional tests and psychological questionnaires. \u0000RESULTS. The inclusion of Laennec in the rehabilitation program for patients with post-COVID syndrome leads to a more pronounced improvement in lipid metabolism parameters, correction of liver metabolism parameters, a decrease in the level of pro-inflammatory biomarkers, and an improvement in the quality of life of patients than in the control group. \u0000DISCUSSION. Significantly significant positive dynamics in the severity of complaints of general weakness and sleep disturbance, as well as indicators of memory impairment and impaired concentration in the main group could indicate the achievement of anabolic, neurotrophic and bioenergetic effects of the Laennec drug. A significantly significant decrease in the level of liver transaminases in the main group indicates the hepatoprotective effect of the drug Laennec, due to the amino acids, vitamins and microelements included in the drug, which support the reactions of phases 1 and 2 of liver detoxification. Normalization of elevated pro-inflammatory markers (ferritin, IL-6, CRP) in patients of the main group may indicate the presence of anti-inflammatory and immunoregulatory effects of the Laennec drug. \u0000CONCLUSIONS. A course prescription of the drug Laennec for the purpose of correcting pro-inflammatory markers and hepatoprotection can be recommended for use in complex non-drug rehabilitation to increase its clinical effectiveness, as well as improve subjective indicators of the quality of life of patients with post-COVID syndrome.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"114 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126475","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}

{"title":"Cardiovascular Effects of Neurofeedback Course in Various Sports Adaptation Strategies: an Open Controlled Study","authors":"N. V. Lunina, Yu.V. Koryagina, N. V. Efimenko, G. N. Ter-Akopov, S. V. Nopin, N. Akhkubekova, O. P. Ukhanova","doi":"10.38025/2078-1962-2024-23-1-23-29","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-23-29","url":null,"abstract":"INTRODUCTION. Neurofeedback is effectively applied in clinical practice. Cardiovascular effects (CVEs) from different sports adaptation strategies in course-based β-rhythm neurofeedback are under-studied. \u0000AIM. To evaluate the CVEs of the neurofeedback course under different sports adaptation strategies. \u0000MATERIALS AND METHODS. The study included 1020 men (18–21 years) during the preparatory training period. Following groups were formed: 1 — cyclic sports (n = 387); 2 — speed-strength sports (n = 255); 3 — single combat (n = 31); 4 — team sports (n = 173); 5 — complex coordination sports (n = 174). The CVEs were assessed with the BOSLAB complex (Russia), with eyes open and muscles relaxed. EEG electrodes were applied bipolarly (Cz-Fz). Session types: graphic (10 minutes), game (16 minutes), where the β-rhythm level was increased and maintained. Indices of systemic pressure, cardiac activity; peripheral vessels, functional changes of the cardiovascular system (CVS) were also examined. \u0000RESULTS AND DISCUSSION. Along with improved attention, the 10th session revealed positive CVEs in the 1st, 3rd, 4th and 5th groups with CVS economization. 1st group: CVEs are a desirable response option. 2nd group: ambiguous heterochronic CVEs, with improved systemic pressure and reduced cardiac activity, indices of peripheral vessels, cardiovascular regulation index. These effects, mainly in strength sports, are caused by the long-term sports adaptation strategy, associated with hypoxia and incomplete recovery of the spent resources, causing incomplete adaptation. It is associated with mastering the β-rhythm control skill, different in the nature from the activities with the formed adaptation strategy in the long-term training process. 3rd group (10th session): changes in the brain structure (BS) function formed CVEs involving mechanisms maintaining systemic pressure, regarded as optimal. 4th and 5th groups: optimized BS and CVEs activities. \u0000CONCLUSION. The positive CVEs demonstrated expediency of the β-rhythm neurofeedback course. Ambiguous CVEs in groups of speed-strength sports are studied for neurofeedback technology modification.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"118 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126576","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}

{"title":"The Effects of Antioxidants and Hyperbaric Oxygenation at Severe Thermal Injury: a Prospective Study","authors":"K. Belyaeva, N.V. Didenko, V. I. Zagrekov, A. S. Pushkin, Alexander A. Yeremenko, A. Soloveva","doi":"10.38025/2078-1962-2024-23-1-8-22","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-8-22","url":null,"abstract":"INTRODUCTION. Severe thermal injury (STI) characterized, among others, by hypoxia and oxidative stress (OS). The possibility of maintaining the antioxidant system through the antioxidants usage is proposed, but their effectiveness and duration are debatable issues. On the other hand, correction of OS at STI is theoretically possible by hyperbaric oxygenation (HBO) sessions, but there is a need to assess the benefit-risk ratio. \u0000AIM. Investigate the effect of antioxidants and hyperbaric oxygenation sessions on the course of oxidative stress at severe thermal injury. \u0000MATERIALS AND METHODS. This study involved conditionally healthy individuals (n = 25), and patients with STI (n = 31), randomized into 3 groups: standard methods (n = 11), supplemented with antioxidants (daily injecting of 250 g vitamin C, 1.494 g “Cernevit” and 10 ml “Addamel N” during 14 days, n = 11) or HBO sessions (50–60 minutes in pressure chambers BLKS-30, BLKS-307/1 in the “low dose” at 1.3 Ata, n = 9). Plasma and erythrocytes were evaluated for free radical oxidation (FPO) and total antioxidant activity, malonic dialdehyde (MDA) concentration, activity of superoxide dismutase (SOD), catalase, and glutathione reductase. \u0000RESULTS AND DISCUSSION. At the antioxidant usage was found SOD activity increase by 11 % (p 0.01) on the second day, a decrease in FROer by 13 % (p = 0.012) on the 9th day, and MDAer by 13 % (p = 0.036) on the 6th day. In the HBO group, there was 9 % increase in SOD activity (p = 0.038) after the first session, an increase in glutathione reductase activity by 15 % (p = 0.028) by the 9th day. Thus, it is possible to pre-limit the period of potentially favorable use of antioxidants and HBO, which contributes to the maximum therapeutic effect. The negative consequences caused by the use of antioxidants or HBO have not been identified in this work. \u0000CONCLUSION. The antioxidant usage at STI contributes to the growth of the antioxidant protection of erythrocytes. The HBO usage leads to an improvement in cellular respiration and antioxidant enzymes activity and does not cause a deepening of OS. The optimal duration of prescribing antioxidants is the first 6–8 days, HBO — 9–11 days from the beginning of therapy.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"106 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126019","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}

{"title":"Interval Versus Continuous Intradialytic Training on Muscle Quality Index and Functional Capacity in Hemodialysis Patients: a Prospective Randomized Clinical Study","authors":"H. Mansour, Nesreen Gh. Elnahas, Hala M. Ezz Eldeen, Tarek F. Ahmed, Asmaa M. Sharabash","doi":"10.38025/2078-1962-2024-23-1-49-55","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-49-55","url":null,"abstract":"INTRODUCTION. Chronic kidney disease (CKD) is an important health well-being problem globally, with increasing incidence. That tends to create an “epidemic”. Generalized muscle weakness in hemodialysis patients typically affects the lower limbs and proximal muscles. Patients experience impaired endurance and quality of life. Exercise is prescribed for these individuals to improve their physical health and prevent disease consequences. \u0000AIM. To find out the effect of interval versus continuous intradialytic training on muscle quality index and functional capacity in Hemodialysis patients. \u0000MATERIALS AND METHODS. Sixty men with chronic renal insufficiency grade 5 on hemodialysis aged from 45 to 55 years were divided into two groups using computerized block randomization: Groups (A) and (B) each containing 30 patients. They underwent 8-week program of high intensity interval training (HIIT), moderate intensity continuous training (MICT) intradialytic pedaling exercise plus hemodialysis three times per week. Pre-test and post-test evaluations have been carried out for 6-minute walk test (6MWT) and muscle quality index (MQI) of all patients. \u0000RESULTS. Both groups had a significant positive improvement in MQI and 6MWT with different proportions, patients received high intensity interval intradialytic pedaling exercise had a slightly significant improvement in MQI compared to moderate intensity continuous training group. While, moderate intensity training group had a more significant improvement in 6MWT compared to high intensity training group. \u0000CONCLUSION. Both HIIT and MICT are realistic and good options for individuals with CKD and have parallel profits on functional capability and, skeletal muscle quality and overall quality of life.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"104 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126283","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}

{"title":"Current Aspects of Medical Rehabilitation of Patients with Cancer Related Lymphedema of Extremities: a Narrative Review","authors":"T. Konchugova, T. V. Apkhanova, D. Kulchitskaya, O. V. Yurova, L. Agasarov, Tatyana V. Marfina","doi":"10.38025/2078-1962-2024-23-1-66-76","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-66-76","url":null,"abstract":"INTRODUCTION. Over the past decades, in developed countries and in the Russian Federation, there has been an increase in the number of patients with secondary lymphedema who have undergone surgical treatment with dissection of regional lymph nodes and radiation therapy for various forms of gynecological cancer in women and prostate cancer in men, as well as breast cancer. \u0000AIM. Search and analysis of the results of previously published randomized controlled trials (RCTs) of the effectiveness of various non-drug rehabilitation methods in patients with lymphedema of the extremities who underwent radical treatment for cancer of various locations. \u0000MATERIALS AND METHODS. A search was conducted and studied publications in international scientific peer-reviewed publications (PEDro Database) on medical rehabilitation for cancer treatment-related lymphedema (LSPR) for the period from 1996 to December 2023 using the keywords “lymphedema”, “rehabilitation”. 145 RCTs focused on medical rehabilitation and conservative treatment of LSPR. \u0000DISCUSSION. Lifestyle correction and psychosocial interventions are recommended to improve the quality of life of patients. Studies have found that early activation, various physical exercises with a slow increase in loads under the supervision of a physical therapist are safe and help increase endurance, strength and range of motion in a limb with lymphatic edema. The clinical effectiveness of therapeutic exercises in the pool has been proven, manifested in the reduction of edema in patients with LSPR. The effectiveness of compression products with Velcro technology as an alternative to rigid low-stretch bandages in patients with LSPR has been confirmed. The anti-edematous and anti-inflammatory effects of low-intensity laser therapy and magnetic therapy in the rehabilitation of patients with LSLR have been proven. Alternating pneumatic compression (APC) is recommended as an adjuvant treatment in addition to comprehensive decongestant therapy. Preference should be given to the use of technologies of advanced hardware lymphatic drainage methods that imitate manual techniques. \u0000CONCLUSION. To improve the physical and socio-psychological functioning of patients with LSPR, an integrated approach is required, including lifestyle changes, psychological correction, compression therapy, modern exercise therapy techniques, and safe physiotherapeutic technologies. Conducted scientific research indicates the high effectiveness of the use of manual and hardware lymphatic drainage techniques, while the use of PPC is more economical and accessible, and does not require the involvement of specialists who know the expensive method of manual lymphatic drainage.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"118 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126567","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}

{"title":"Assessment of the Effectiveness and Safety of Wheelchair Use Training for Patients with Hemiparesis","authors":"N. G. Konovalova, Svetlana Yu. Frolenko, Elena G. Drobysheva, Irina V. Deeva","doi":"10.38025/2078-1962-2024-23-1-30-37","DOIUrl":"https://doi.org/10.38025/2078-1962-2024-23-1-30-37","url":null,"abstract":"INTRODUCTION. The rationale of the research is defined by the large number of patients with hemiparesis, unable to restore an upright posture and in need of training to use a wheelchair. \u0000AIM. To present the methodology of wheelchair training of patients with hemiparesis. \u0000MATERIALS AND METHODS. We observed 30 patients with severe hemiparesis during wheelchair training. Examination included assessment of clinical, neurological, and mental status (MMSE — Mini-Mental State Examination), testing of limb muscle strength according to Lovett’s scale modified by L.D. Potekhin, level of sitting function compensation assessment, wheelchair skills (Wheelchair Skills Test). Each patient attended 10 wheelchair training sessions and related physical therapy (PT) sessions, with PT classes preceding the wheelchair training sessions and practicing the wheelchair-using movements required in the wheelchair training sessions. Patients controlled the wheelchair using only healthy limbs. \u0000RESULTS. At the moment of admission, 14 patients were not able to use wheelchair independently; 16 patients were able to use wheelchair to varying degrees. As a result of the sessions, the muscle strength of healthy limbs increased; statistically significant improvement in sitting and wheelchair skills was noted. None of the patients who scored 10 for MMSE test improved their wheelchair skills. \u0000CONCLUSION. Persons with severe hemiparesis learn to use the wheelchair with the help of healthy limbs. Physical therapy sessions precede wheelchair training and form the movements necessary for learning to use the wheelchair.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126824","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}

{"title":"Rehabilitation of Patients with Post-Stroke Dysarthria in the Russia and Abroad: a Literature Review","authors":"Olga V. Loginova, Daria I. Bovtyuk","doi":"10.38025/2078-1962-2023-22-6-100-106","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-6-100-106","url":null,"abstract":"INTRODUCTION. Post-stroke speech disorders are one of the important reasons for the decline in the functioning of patients. According to statistics, the incidence of dysarthria among patients after stroke varies from 24 to 64 %. \u0000AIM. To evaluate existing methods of rehabilitation of post-stroke dysarthria, attempt to create a classification of methods, assess the possibility of use in modern conditions and the effectiveness of these methods. \u0000MATERIALS AND METHODS. A literature review was conducted using the eLibrary, PubMed, and Google Scholar databases over the past 5 years (2019–2023). Key words used for the search: “stroke” (stroke in foreign databases), “rehabilitation”, “dysarthria”. The criteria for inclusion of articles in the review were as follows: year of publication of the scientific work from 2019 to 2023, full-text articles, works that include the author’s methodology or its modification, meta-analyses, descriptions of clinical cases. Exclusion criteria: descriptive articles, works based on statistics of post-stroke dysarthria, works describing the organization of speech therapy support without specifying methods, coincidence of identical works in different databases. \u0000RESULTS. The literature review included 16 full-text articles, based on the results of which it can be said that speech rehabilitation, repeating trends in motor rehabilitation, is moving in the direction of increasing the use of various equipment, and there has been an increase in the use of invasive techniques. \u0000CONCLUSION. This review highlights the current trends in speech rehabilitation in adults.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"43 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140431458","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}

{"title":"Biofeedback Endurance Training for Gait Rehabilitation in Parkinson’s Disease: a Non-Randomized Controlled Study","authors":"O. V. Guseva, N. G. Zhukova","doi":"10.38025/2078-1962-2023-22-6-21-27","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-6-21-27","url":null,"abstract":"INTRODUCTION. Parkinson’s disease is a disease with the highest rates of disability growth in the neurodegenerative pathology group, with the leading motor symptom — impaired walking and an increased risk of falling. There is evidence that Parkinson’s disease preserves stability for cycling. The issue of extending the effects of cycling training to daily activity, including walking, remains unclear. \u0000AIM. To evaluate the effect of a course of endurance training on a cycle ergometer with biofeedback (BFB) on a walking ability of a patient with Parkinson’s disease. \u0000MATERIALS AND METHODS. A total of 69 patients with stages 2–3 Parkinson’s disease according to the Hoehn and Yahr Rating Scale were included in the study, group 1: 34 people (60.05 ± 7.07 years) and group 2: 35 patients (61.75 ± 7.53 years). The patients were examined — anamnesis collection: duration of Parkinson disease, presence of arterial hypertension (AH), sports history, medication, assessment of systolic and diastolic blood pressure (SBP and DBP), body mass index (BMI), “6-minute walk” test (6MWT), motor function according to the MDS UPDRS scale — part III. The patients of group 1 had daily exercises on a digital bicycle ergometer with BOS for 10 days, the patients of group 2 — therapeutic gymnastics. The therapy was assessed by repeated 6MWT. \u0000RESULTS AND DISCUSSION. The Parkinson’s disease duration was longer in the patients of group 1. Concomitant hypertension was in 20 (57 %) patients of group 1 and 16 (47 %) patients of group 2 (p 0.05). 11 people of group 1 and 5 of group 2 had a sports history (p = 0.07). The indicators of SBP and DBP of groups 1 and 2 had normal values during the examination. BMI in both groups corresponded to excess body weight. Patients had risk factors of the modern world: hypertension and overweight. Motor disorders according to the MDS UPDRS — Part III scale were greater in group 1. Despite having serious motor impairments in group 1, after the therapy, the patients demonstrated an increase in the distance traveled in 6 minutes (392.18 ± 96.3 m vs. 476.43 ± 108.08 m; p 0.05), while no changes were found in group 2. \u0000CONCLUSION. BOS endurance training on a cycle ergometer is effective for walking rehabilitation of Parkinson’s disease patients.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"143 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140429191","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}

{"title":"The Post-Flight Rehabilitation Program for Astronauts in Health Resort: Case Report Series","authors":"G. Ter-Akopov, Nataliya V. Efimenko, Yu.V. Koryagina, S. M. Abutalimova, N. V. Lunina","doi":"10.38025/2078-1962-2023-22-6-107-116","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-6-107-116","url":null,"abstract":"INTRODUCTION. The prospects for studying deep space are associated with the development of methods and programs for restoring the body of astronauts after flights. In this case, an important role is given to the implementation of aspects of restoring the functions of the nervous system of astronauts at the 2nd stage of post-flight rehabilitation (PFR) in Health Resort. \u0000AIM. To develop a program of rehabilitation for cosmonauts in Health Resort (stage 2 of PFR), aimed at restoring the functions of the nervous system. \u0000MATERIALS AND METHODS. The study involved 5 cosmonauts. Diagnostics included assessment of psychological and psychophysiological parameters and properties of the nervous system, the functional state of the autonomic nervous system. The rehabilitation program included: intake of mineral water “Slavyanovsky”, carbon dioxide-hydrogen sulfide baths, baro-, halo-, inhalation and climate therapy, a course of 5 sessions of neurofeedback on the β-rhythm of the brain. The duration of PFR was 21 days, procedures were carried out every other day. \u0000RESULTS AND DISCUSSION. An assessment of heart rate variability revealed the predominance of the influence of the parasympathetic division. After the rehabilitation course, there was a decrease in the stiffness index. There was a positive trend towards normalization of indicators: blood saturation, reflection index, a marker of left ventricular function, cardiac output, blood pressure and oxygen absorption from the microcirculatory system. The dynamics of biofeedback training indicators based on the β-rhythm indicated the orderliness and synchronization of the electroencephalogram (EEG) rhythm signal; an increase in the efficiency of mental work was also revealed. \u0000CONCLUSION. The results obtained indicate the positive impact of the developed program of the 2nd stage of PFR, as a result of which a positive dynamics of indicators of autonomic regulation, central hemodynamics, improvement of mental performance, orderliness and synchronization of the EEG rhythm signal.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"23 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140430005","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}