Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-122-129
S. A. Pavlovskiy, A. D. Fesyun, T. Konchugova, M. Nikitin, D. Kulchitskaya
INTRODUCTION. The high prevalence of shoulder pain syndrome (SPS) determines the relevance of the development of new comprehensive methods of rehabilitation of this category of patients. AIM. To evaluate the clinical effectiveness of shockwave therapy (SWT) and pulsed low-frequency electrostatic field (PLEF) in patients with SPS undergoing medical rehabilitation in a sanatorium-resort organization in comparison with traditional health resort treatment. MATERIALS AND METHODS. The comparative analysis of medical rehabilitation efficiency was carried out in 90 patients with SPS aged 31–68 years undergoing medical rehabilitation in the health resort complex “Vulan” — a clinical branch of National Medical Research Center for Rehabilitation and Balneology. All patients were divided into 3 groups of 30 persons each by the method of simple randomization. Group 1 patients (control) received traditional health resort treatment, including ozokeritotherapy, physical exercise therapy, electrotherapy with sinusoidal modulated currents and manual massage. Patients of the second group (comparison) received against the background of the above complex 3 SWT procedures on the shoulder joint once a week. Group 3 patients (main group) received, in addition to traditional treatments, 3 SWT and 8 field PLEF treatments administered every other day. The effectiveness of rehabilitation was evaluated according to the severity of pain syndrome (VAS scale), Swanson’s scale for the shoulder. Movement volume before and after rehabilitation was measured with an orthopedic angle gauge. Microcirculation state was assessed by laser Doppler flowmetry (LDF). Leukert scale was used to assess the state of well-being. The results of the study were assessed 18 days after the beginning of rehabil itation measures. RESULTS AND DISCUSSION. Patients who additionally received SWT and PLEF against the background of traditional health resort treatment noted a significant reduction in the severity of pain syndrome, while in the main group pain regression was noted earlier (on day 4–5), whereas in the comparison group the same results were obtained by the day 14th . In the control group, patients noted significant changes on the VAS scale only by the end of the rehabilitation course. On the Swanson scale, the most significant positive results were also obtained by the patients in the main group: the pain decreased on average 2.6-fold, the volume of active movements in the shoulder joint increased 2.7-fold, and activity in everyday life 1.9-fold. Statistical differences in the Swanson Scale scores with the comparison group were obtained with regard to pain syndrome and volume of active movements. When comparing with the control group, reliable differences were revealed in all Swanson’s scale indicators in both the main group and the comparison group. When studying the dynamics of microcirculation according to LDF data, it was noted that reliable changes in the main indices of the LDF-gram were
{"title":"Effectiveness of Physiotherapy Methods in Medical Rehabilitation of Patients with Shoulder and Scapular Pain Syndrome in a Sanatorium: a Randomized Clinical Study","authors":"S. A. Pavlovskiy, A. D. Fesyun, T. Konchugova, M. Nikitin, D. Kulchitskaya","doi":"10.38025/2078-1962-2023-22-3-122-129","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-122-129","url":null,"abstract":"INTRODUCTION. The high prevalence of shoulder pain syndrome (SPS) determines the relevance of the development of new comprehensive methods of rehabilitation of this category of patients. AIM. To evaluate the clinical effectiveness of shockwave therapy (SWT) and pulsed low-frequency electrostatic field (PLEF) in patients with SPS undergoing medical rehabilitation in a sanatorium-resort organization in comparison with traditional health resort treatment. MATERIALS AND METHODS. The comparative analysis of medical rehabilitation efficiency was carried out in 90 patients with SPS aged 31–68 years undergoing medical rehabilitation in the health resort complex “Vulan” — a clinical branch of National Medical Research Center for Rehabilitation and Balneology. All patients were divided into 3 groups of 30 persons each by the method of simple randomization. Group 1 patients (control) received traditional health resort treatment, including ozokeritotherapy, physical exercise therapy, electrotherapy with sinusoidal modulated currents and manual massage. Patients of the second group (comparison) received against the background of the above complex 3 SWT procedures on the shoulder joint once a week. Group 3 patients (main group) received, in addition to traditional treatments, 3 SWT and 8 field PLEF treatments administered every other day. The effectiveness of rehabilitation was evaluated according to the severity of pain syndrome (VAS scale), Swanson’s scale for the shoulder. Movement volume before and after rehabilitation was measured with an orthopedic angle gauge. Microcirculation state was assessed by laser Doppler flowmetry (LDF). Leukert scale was used to assess the state of well-being. The results of the study were assessed 18 days after the beginning of rehabil itation measures. RESULTS AND DISCUSSION. Patients who additionally received SWT and PLEF against the background of traditional health resort treatment noted a significant reduction in the severity of pain syndrome, while in the main group pain regression was noted earlier (on day 4–5), whereas in the comparison group the same results were obtained by the day 14th . In the control group, patients noted significant changes on the VAS scale only by the end of the rehabilitation course. On the Swanson scale, the most significant positive results were also obtained by the patients in the main group: the pain decreased on average 2.6-fold, the volume of active movements in the shoulder joint increased 2.7-fold, and activity in everyday life 1.9-fold. Statistical differences in the Swanson Scale scores with the comparison group were obtained with regard to pain syndrome and volume of active movements. When comparing with the control group, reliable differences were revealed in all Swanson’s scale indicators in both the main group and the comparison group. When studying the dynamics of microcirculation according to LDF data, it was noted that reliable changes in the main indices of the LDF-gram were","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139227025","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-29-39
E. V. Kostenko, L. G. Petrova, I. V. Pogonchenkova
INTRODUCTION. Balance disturbances are frequent syndromes after a cerebral stroke (CS). The availability of a validated tool for balance and walking functions comprehensive assessments is very important part of real clinical practice, for rehabilitation diagnosis and individual medical rehabilitation plan. AIM. To determine the psychometric properties of the Motor Activity Performance Assessment Scale (Tinetti Test, TT) for measuring balance and walking in patients with ischemic stroke (IS). MATERIALS AND METHODS. 200 patients were included, 100 in the early (ERP) and 100 in the late (LRP) recovery periods of IS. The average age of patients was 55 [51; 57] years. The average of IS-duration were 99.3 ± 30.9 days (ERP) and 267.7 ± 27.8 days (LRP). Clinical and demographic characteristics of patients in two groups were comparable. The median and interquartile interval of TT were 20 [14; 24] points out of 28 possible. Content validity and intra-rater reliability were assessed by 10 clinicians. The test-retesting method was used to determine the intra-rater reliability. The Berg Balance Scale (BBS), the Stand Up and Go for Time (TUG), and the 10-meter walk test (10MWT) were used for concurrent validation. RESULTS. Two-stage linguistic and cultural adaptation made it possible to construct a Russian-language version of TT that was tested in a pilot study of 30 patients. The subsequent study of the psychometric properties of TT demonstrated high level of content validity and internal consistency of TT (α-Kronbach: 0.74 for TT-Balance and 0.72 for TT-Gait). BBS data significantly correlated with TT-Balance scores (r = 0.73, p = 0.001), TUG showed a negative correlation with TT-Gait (r = −0.69, p = 0.02). Retest reliability ranged from 0.72 to 0.86. The Bland-Altman plot showed the loss of one data point for TT-total beyond 95 % CI. DISCUSSION. The Tinetti test indicates high substantive validity and internal consistency of the scales (the α-Kronbach for the balance and walking sections are 0.74 and 0.72, respectively), which is consistent with the data of foreign authors. CONCLUSION. The linguistic and cultural adaptation and psychometric testing of the Russian version of the Motor Activity Performance Assessment Scale demonstrated the validity and reliability of this test as a tool for balance and walking assessment in patients with IS.
{"title":"Validation of the Performance Oriented Mobility Assessment (Tinetti Test) Scale in Russia for Stroke Patients","authors":"E. V. Kostenko, L. G. Petrova, I. V. Pogonchenkova","doi":"10.38025/2078-1962-2023-22-3-29-39","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-29-39","url":null,"abstract":"INTRODUCTION. Balance disturbances are frequent syndromes after a cerebral stroke (CS). The availability of a validated tool for balance and walking functions comprehensive assessments is very important part of real clinical practice, for rehabilitation diagnosis and individual medical rehabilitation plan. AIM. To determine the psychometric properties of the Motor Activity Performance Assessment Scale (Tinetti Test, TT) for measuring balance and walking in patients with ischemic stroke (IS). MATERIALS AND METHODS. 200 patients were included, 100 in the early (ERP) and 100 in the late (LRP) recovery periods of IS. The average age of patients was 55 [51; 57] years. The average of IS-duration were 99.3 ± 30.9 days (ERP) and 267.7 ± 27.8 days (LRP). Clinical and demographic characteristics of patients in two groups were comparable. The median and interquartile interval of TT were 20 [14; 24] points out of 28 possible. Content validity and intra-rater reliability were assessed by 10 clinicians. The test-retesting method was used to determine the intra-rater reliability. The Berg Balance Scale (BBS), the Stand Up and Go for Time (TUG), and the 10-meter walk test (10MWT) were used for concurrent validation. RESULTS. Two-stage linguistic and cultural adaptation made it possible to construct a Russian-language version of TT that was tested in a pilot study of 30 patients. The subsequent study of the psychometric properties of TT demonstrated high level of content validity and internal consistency of TT (α-Kronbach: 0.74 for TT-Balance and 0.72 for TT-Gait). BBS data significantly correlated with TT-Balance scores (r = 0.73, p = 0.001), TUG showed a negative correlation with TT-Gait (r = −0.69, p = 0.02). Retest reliability ranged from 0.72 to 0.86. The Bland-Altman plot showed the loss of one data point for TT-total beyond 95 % CI. DISCUSSION. The Tinetti test indicates high substantive validity and internal consistency of the scales (the α-Kronbach for the balance and walking sections are 0.74 and 0.72, respectively), which is consistent with the data of foreign authors. CONCLUSION. The linguistic and cultural adaptation and psychometric testing of the Russian version of the Motor Activity Performance Assessment Scale demonstrated the validity and reliability of this test as a tool for balance and walking assessment in patients with IS.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139225381","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-59-65
Vadim V. Sverchkov, Evgeny V. Bykov
INTRODUCTION. Low-intensity resistance training with blood flow restriction is an effective strategy for increasing muscle mass and strength, as well as reducing excess subcutaneous and visceral fat deposition. In recent years, this method has been used in various populations. The purpose of this study was to evaluate the effect of low-intensity resistance training with blood flow restriction on anthropometric parameters and body composition in men with metabolic syndrome. AIM. To evaluate the effect of low-intensity strength training with blood flow restriction on anthropometric indices and body composition in men with metabolic syndrome. MATERIALS AND METHODS. The study involved 60 untrained men (mean age 38.7 ± 5.6 years) who meet the criteria for metabolic syndrome due to health reasons. Participants were divided into three groups according to resistance training regimens: low-intensity resistance with blood flow restriction; high-intensity training; low-intensity training without blood flow restriction. Before and after 12 weeks of training, the groups were assessed for body mass index, fat mass, visceral fat area, musculoskeletal mass, waist circumference. RESULTS. There was a statistically significant decrease in fat mass, visceral fat area, waist circumference and an increase in musculoskeletal mass (p 0.05) in the groups of low-intensity strength training with blood flow restriction and high-intensity strength training. In the parameters of men belonging to the group of low-intensity strength training without blood flow restriction, no statistically significant changes were found (p 0.05). CONCLUSION. In summary, the study found that low-intensity resistance training with blood flow restriction effectively altered the body composition of men with metabolic syndrome.
{"title":"Effect of Blood Flow-Restricted Strength Training on Body Composition: a Randomized Controlled Study of Patients with Metabolic Syndrome","authors":"Vadim V. Sverchkov, Evgeny V. Bykov","doi":"10.38025/2078-1962-2023-22-3-59-65","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-59-65","url":null,"abstract":"INTRODUCTION. Low-intensity resistance training with blood flow restriction is an effective strategy for increasing muscle mass and strength, as well as reducing excess subcutaneous and visceral fat deposition. In recent years, this method has been used in various populations. The purpose of this study was to evaluate the effect of low-intensity resistance training with blood flow restriction on anthropometric parameters and body composition in men with metabolic syndrome. AIM. To evaluate the effect of low-intensity strength training with blood flow restriction on anthropometric indices and body composition in men with metabolic syndrome. MATERIALS AND METHODS. The study involved 60 untrained men (mean age 38.7 ± 5.6 years) who meet the criteria for metabolic syndrome due to health reasons. Participants were divided into three groups according to resistance training regimens: low-intensity resistance with blood flow restriction; high-intensity training; low-intensity training without blood flow restriction. Before and after 12 weeks of training, the groups were assessed for body mass index, fat mass, visceral fat area, musculoskeletal mass, waist circumference. RESULTS. There was a statistically significant decrease in fat mass, visceral fat area, waist circumference and an increase in musculoskeletal mass (p 0.05) in the groups of low-intensity strength training with blood flow restriction and high-intensity strength training. In the parameters of men belonging to the group of low-intensity strength training without blood flow restriction, no statistically significant changes were found (p 0.05). CONCLUSION. In summary, the study found that low-intensity resistance training with blood flow restriction effectively altered the body composition of men with metabolic syndrome.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139227014","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-102-112
D. Kulchitskaya, A. D. Fesyun, O. V. Yurova, T. Konchugova, V. Kiyatkin, Tatyana V. Apkhanova, T. V. Marfina
AIM. Retrospective analysis of experimental and clinical studies of the effect of sodium chloride baths on the body. MATERIALS AND METHODS. The retrospective analysis included experimental and clinical studies revealing the mechanisms of action of sodium chloride baths on the human body, as well as their therapeutic effect in the rehabilitation of patients with various chronic non-communicable diseases, which were carried out on the basis of the National Medical Research Center for Rehabilitation and Balneology over the past 60 years. RESULTS. It was found that sodium chloride baths (HCV) have a distinctive, inherent effect for them, which depends on the concentration of sodium chloride, the temperature of the water in the bath and the initial state of the body. Experimental work has proved the different effect of HCV of different concentrations on the function of the adrenal cortex. It was found that with an increase in the concentration of sodium chloride in the bath, the observed changes were more pronounced. In the experiment, it was revealed that as a result of the action of HCV, general reactions of the whole organism were observed. Baths with a sodium chloride concentration of 30 g/l change the functional state of the brain in the direction of reducing excitability, and baths with a sodium chloride content of 60 g/l in the direction of its increase. It has been established that HCV is an adequate and pathogenetically justified method of treating patients with CKD. The realization of the therapeutic effect of baths was determined by their anti-inflammatory and desensitizing effect, influence on central and regional hemodynamics. Baths with a sodium chloride concentration of 40 g/l had a more pronounced positive effect. Studies conducted in patients with hypertension have proven the benefits of using HCV with a lower temperature of 31–32 °C. It is also proved that in patients of this category, the use of HCV with a concentration of 40 g/l had a more pronounced hypotensive, antianginal effect and led to an increase in physical performance, to an improvement in central, peripheral and cerebral hemodynamics compared with baths with a concentration of 20 g/l. Other studies testified to the beneficial effect of HCV in coronary heart disease, which was expressed in improving the contractile function of the myocardium and increasing the level of physical performance and coronary reserve of the heart. Analgesic, anti-inflammatory, desensitizing effect of HCV was noted in patients with degenerative-dystrophic and infectious nonspecific joint lesions. CONCLUSION. The presented scientific works of retrospective analysis reveal the mechanisms of the biological and therapeutic effects of HCV. The data obtained are the justification for their use in a number of diseases. For a more successful use of HCV, further regular generalization and analysis of existing evidence-based studies, as well as the implementation of new qualitative randomized controlled
{"title":"Retrospective Analysis of Experimental and Clinical Studies of the Effect of Sodium Chloride Baths on the Body","authors":"D. Kulchitskaya, A. D. Fesyun, O. V. Yurova, T. Konchugova, V. Kiyatkin, Tatyana V. Apkhanova, T. V. Marfina","doi":"10.38025/2078-1962-2023-22-3-102-112","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-102-112","url":null,"abstract":"AIM. Retrospective analysis of experimental and clinical studies of the effect of sodium chloride baths on the body. MATERIALS AND METHODS. The retrospective analysis included experimental and clinical studies revealing the mechanisms of action of sodium chloride baths on the human body, as well as their therapeutic effect in the rehabilitation of patients with various chronic non-communicable diseases, which were carried out on the basis of the National Medical Research Center for Rehabilitation and Balneology over the past 60 years. RESULTS. It was found that sodium chloride baths (HCV) have a distinctive, inherent effect for them, which depends on the concentration of sodium chloride, the temperature of the water in the bath and the initial state of the body. Experimental work has proved the different effect of HCV of different concentrations on the function of the adrenal cortex. It was found that with an increase in the concentration of sodium chloride in the bath, the observed changes were more pronounced. In the experiment, it was revealed that as a result of the action of HCV, general reactions of the whole organism were observed. Baths with a sodium chloride concentration of 30 g/l change the functional state of the brain in the direction of reducing excitability, and baths with a sodium chloride content of 60 g/l in the direction of its increase. It has been established that HCV is an adequate and pathogenetically justified method of treating patients with CKD. The realization of the therapeutic effect of baths was determined by their anti-inflammatory and desensitizing effect, influence on central and regional hemodynamics. Baths with a sodium chloride concentration of 40 g/l had a more pronounced positive effect. Studies conducted in patients with hypertension have proven the benefits of using HCV with a lower temperature of 31–32 °C. It is also proved that in patients of this category, the use of HCV with a concentration of 40 g/l had a more pronounced hypotensive, antianginal effect and led to an increase in physical performance, to an improvement in central, peripheral and cerebral hemodynamics compared with baths with a concentration of 20 g/l. Other studies testified to the beneficial effect of HCV in coronary heart disease, which was expressed in improving the contractile function of the myocardium and increasing the level of physical performance and coronary reserve of the heart. Analgesic, anti-inflammatory, desensitizing effect of HCV was noted in patients with degenerative-dystrophic and infectious nonspecific joint lesions. CONCLUSION. The presented scientific works of retrospective analysis reveal the mechanisms of the biological and therapeutic effects of HCV. The data obtained are the justification for their use in a number of diseases. For a more successful use of HCV, further regular generalization and analysis of existing evidence-based studies, as well as the implementation of new qualitative randomized controlled","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"175 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139221364","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-8-16
Elza M. Akhmadullina, R. A. Bodrova, R. Rakhmaeva
INTRODUCTION. Today, severe traumatic brain injury (STBI) poses a serious threat to the life and health of affected children, which requires long-term expensive treatment and long-term rehabilitation. Improving the diagnosis, resuscitation and neurosurgical care for children with STBI leads to an increase in the percentage of surviving patients, which necessitates the development and implementation of individual early rehabilitation programs. One of the tasks of early rehabilitation is to reduce the spasticity of the extremities, in connection with which transcranial magnetic stimulation (TMS) is used in our hospital. The experience of using the TCMS method in the first month of STBI in children is given, due to which the dynamics of the restoration of lost functions improves. AIM. Evaluation of the effectiveness of the use of the method of transcranial magnetic stimulation in children in the acute period of STBI with inclusion in the program of early medical rehabilitation. MATERIAL AND METHODS. 40 patients with STBI who were treated at the GAUZ СRCH MH RT, Kazan were taken for curation. The main group was selected by the randomization method, which included 20 (50 %) patients who received the procedure of transcranial magnetic stimulation in the individual program of medical rehabilitation and the control group — 20 (50 %) patients who received only the standard individual program of early rehabilitation. Patients of the main group on the 10th day after receiving a severe traumatic brain injury were initiated to undergo TKMS in addition to the program of individual early rehabilitation. RESULTS AND DISCUSSION. As a result of the course of therapy with the inclusion of TMS in the rehabilitation measures, an increase in the motor activity of the affected limb was observed, which led to an improvement in the patient’s self-care. CONCLUSION. The inclusion of transcranial magnetic stimulation in the program of early rehabilitation of children with severe traumatic brain injury creates suitable conditions for the course of compensatory-regenerative processes in the brain due to the depolarization of the membrane of cortical neurons. In this group of patients, there was a clear increase in muscle strength and a decrease in spasticity.
{"title":"Transcranial Magnetic Stimulation Application in Children with Severe Traumatic Brain Injury: a Randomized Prospective Study","authors":"Elza M. Akhmadullina, R. A. Bodrova, R. Rakhmaeva","doi":"10.38025/2078-1962-2023-22-3-8-16","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-8-16","url":null,"abstract":"INTRODUCTION. Today, severe traumatic brain injury (STBI) poses a serious threat to the life and health of affected children, which requires long-term expensive treatment and long-term rehabilitation. Improving the diagnosis, resuscitation and neurosurgical care for children with STBI leads to an increase in the percentage of surviving patients, which necessitates the development and implementation of individual early rehabilitation programs. One of the tasks of early rehabilitation is to reduce the spasticity of the extremities, in connection with which transcranial magnetic stimulation (TMS) is used in our hospital. The experience of using the TCMS method in the first month of STBI in children is given, due to which the dynamics of the restoration of lost functions improves. AIM. Evaluation of the effectiveness of the use of the method of transcranial magnetic stimulation in children in the acute period of STBI with inclusion in the program of early medical rehabilitation. MATERIAL AND METHODS. 40 patients with STBI who were treated at the GAUZ СRCH MH RT, Kazan were taken for curation. The main group was selected by the randomization method, which included 20 (50 %) patients who received the procedure of transcranial magnetic stimulation in the individual program of medical rehabilitation and the control group — 20 (50 %) patients who received only the standard individual program of early rehabilitation. Patients of the main group on the 10th day after receiving a severe traumatic brain injury were initiated to undergo TKMS in addition to the program of individual early rehabilitation. RESULTS AND DISCUSSION. As a result of the course of therapy with the inclusion of TMS in the rehabilitation measures, an increase in the motor activity of the affected limb was observed, which led to an improvement in the patient’s self-care. CONCLUSION. The inclusion of transcranial magnetic stimulation in the program of early rehabilitation of children with severe traumatic brain injury creates suitable conditions for the course of compensatory-regenerative processes in the brain due to the depolarization of the membrane of cortical neurons. In this group of patients, there was a clear increase in muscle strength and a decrease in spasticity.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139217445","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-113-121
Irina P. Brazhnikova, O. M. Konova, A. Potapov, Tatiana V. Sviridovа
INTRODUCTION. The relevance and importance of the problem of inflammatory bowel diseases is associated with a chronic, recurrent course and a steady increase in morbidity. With a complicated course of the disease, extensive operations on the intestine, this leads to disability, reduced working capacity and social adaptation. It is important to note that the maximum number of cases occurs at a young age and increasingly diseases are detected in childhood. OBSERVATIONS. Based on the analysis of the literature using Russian and foreign sources on the use of non-drug methods in the treatment of inflammatory bowel diseases, it is noted that, despite the constant improvement of drug treatment methods, including the active development of genetic engineering therapy, the search for effective methods and ways to optimize the treatment with the use of non-drug technologies continues. CONCLUSION. Long-term course of inflammatory bowel diseases is associated with a possible risk of side effects from drug therapy and a decrease in the quality of life of patients. Therefore, the use of non-drug methods in the treatment of IBD in adults and children is relevant at the moment. Data on the use of a number of methods, including non-invasive, in the treatment of this category of patients are presented. High potential, promising direction, a small number of side effects show the need for further research and observations.
{"title":"Non-Drug Methods in the Treatment of Inflammatory Bowel Diseases: a Review","authors":"Irina P. Brazhnikova, O. M. Konova, A. Potapov, Tatiana V. Sviridovа","doi":"10.38025/2078-1962-2023-22-3-113-121","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-113-121","url":null,"abstract":"INTRODUCTION. The relevance and importance of the problem of inflammatory bowel diseases is associated with a chronic, recurrent course and a steady increase in morbidity. With a complicated course of the disease, extensive operations on the intestine, this leads to disability, reduced working capacity and social adaptation. It is important to note that the maximum number of cases occurs at a young age and increasingly diseases are detected in childhood. OBSERVATIONS. Based on the analysis of the literature using Russian and foreign sources on the use of non-drug methods in the treatment of inflammatory bowel diseases, it is noted that, despite the constant improvement of drug treatment methods, including the active development of genetic engineering therapy, the search for effective methods and ways to optimize the treatment with the use of non-drug technologies continues. CONCLUSION. Long-term course of inflammatory bowel diseases is associated with a possible risk of side effects from drug therapy and a decrease in the quality of life of patients. Therefore, the use of non-drug methods in the treatment of IBD in adults and children is relevant at the moment. Data on the use of a number of methods, including non-invasive, in the treatment of this category of patients are presented. High potential, promising direction, a small number of side effects show the need for further research and observations.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139223323","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-90-101
I. Grishechkina, Marianna A. Ansokova, L. A. Marchenkova, O. V. Yurova, A. D. Fesyun
INTRODUCTION. The most common symptoms in patients who have had a new coronavirus infection (COVID-19) are associated with pulmonary lesions (shortness of breath, chest pain, cough) and the same complaints persist in the majority of those suffering from long COVID the occurrence and prevalence of which in the population is inextricably linked with the number recovered from COVID-19. AIM. To study the current state of the problem of diagnosis, treatment and rehabilitation of patients with pulmonological manifestations of long COVID at the stage of a specialized rehabilitation hospital in order to formulate basic practical recommendations for the management of this category of patients. MATERIALS AND METHODS. During the period from January 1, 2021 to December 1, 2022, we performed a systematic search of the MEDLINE, Cyberleninka, and eLIBRARY.RU databases on the topic of pulmonary manifestations of long COVID and methods of their rehabilitation in adult patients that gave 678 matches. After further filtering steps according to the methodology outlined in the PRIZMA guidelines, we selected 60 publications for the final analysis. RESULTS. Pulmonary manifestations of long COVID, including, first of all, shortness of breath, rank second after fatigue in terms of frequency of occurrence in long COVID. Diagnostic findings include radiologic pulmonary tissue changes recorded in a proportion of patients under one year, restrictive abnormalities on spirometry, and impaired pulmonary diffusion capacity. Many patients who have had COVID-19 recover quite quickly, but some of them have a long-term symptom complex of dyspnea and physical fatigue, for which rehabilitation in a specialized centers is indicated. The most effective treatment is possible with the involvement of a multidisciplinary rehabilitation team in the rehabilitation process and the appointment of rehabilitation programs created in accordance with the conceptual basis of respiratory rehabilitation, including, first of all, a wide range of methods of therapeutic physical culture. The most effective treatment is possible by involving a multidisciplinary rehabilitation team in the rehabilitation process and prescribing rehabilitation programs designed in accordance with the conceptual framework of respiratory rehabilitation, including, above all, a wide range of therapeutic physical education techniques. CONCLUSION. Current knowledge of the clinical picture, diagnosis, treatment and rehabilitation measures in long COVID is constantly reassessed and expanded. This literature review gives an analysis of research papers focused on the treatment and rehabilitation of pulmonary manifestations in adults, combining the etiopathogenetic and syndromic approaches characteristic of the “classical Russian therapeutic” and, closest to it, the “German” schools. The information extracted both from documents published by World Health Organization (WHO) and from local Russian and European clinical guidelines
{"title":"Rehabilitation of Adult Patients with Pulmonological Manifestations of Long COVID: a Review","authors":"I. Grishechkina, Marianna A. Ansokova, L. A. Marchenkova, O. V. Yurova, A. D. Fesyun","doi":"10.38025/2078-1962-2023-22-3-90-101","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-90-101","url":null,"abstract":"INTRODUCTION. The most common symptoms in patients who have had a new coronavirus infection (COVID-19) are associated with pulmonary lesions (shortness of breath, chest pain, cough) and the same complaints persist in the majority of those suffering from long COVID the occurrence and prevalence of which in the population is inextricably linked with the number recovered from COVID-19. AIM. To study the current state of the problem of diagnosis, treatment and rehabilitation of patients with pulmonological manifestations of long COVID at the stage of a specialized rehabilitation hospital in order to formulate basic practical recommendations for the management of this category of patients. MATERIALS AND METHODS. During the period from January 1, 2021 to December 1, 2022, we performed a systematic search of the MEDLINE, Cyberleninka, and eLIBRARY.RU databases on the topic of pulmonary manifestations of long COVID and methods of their rehabilitation in adult patients that gave 678 matches. After further filtering steps according to the methodology outlined in the PRIZMA guidelines, we selected 60 publications for the final analysis. RESULTS. Pulmonary manifestations of long COVID, including, first of all, shortness of breath, rank second after fatigue in terms of frequency of occurrence in long COVID. Diagnostic findings include radiologic pulmonary tissue changes recorded in a proportion of patients under one year, restrictive abnormalities on spirometry, and impaired pulmonary diffusion capacity. Many patients who have had COVID-19 recover quite quickly, but some of them have a long-term symptom complex of dyspnea and physical fatigue, for which rehabilitation in a specialized centers is indicated. The most effective treatment is possible with the involvement of a multidisciplinary rehabilitation team in the rehabilitation process and the appointment of rehabilitation programs created in accordance with the conceptual basis of respiratory rehabilitation, including, first of all, a wide range of methods of therapeutic physical culture. The most effective treatment is possible by involving a multidisciplinary rehabilitation team in the rehabilitation process and prescribing rehabilitation programs designed in accordance with the conceptual framework of respiratory rehabilitation, including, above all, a wide range of therapeutic physical education techniques. CONCLUSION. Current knowledge of the clinical picture, diagnosis, treatment and rehabilitation measures in long COVID is constantly reassessed and expanded. This literature review gives an analysis of research papers focused on the treatment and rehabilitation of pulmonary manifestations in adults, combining the etiopathogenetic and syndromic approaches characteristic of the “classical Russian therapeutic” and, closest to it, the “German” schools. The information extracted both from documents published by World Health Organization (WHO) and from local Russian and European clinical guidelines ","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139219377","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}
Pub Date : 2023-11-28DOI: 10.38025/2078-1962-2023-22-3-66-74
A. D. Fesyun, L. A. Marchenkova, V. Vasileva
INTRODUCTION. Problem of evaluation of the motor activity patients undergoing medical rehabilitation and sanatorium treatment remains relevant, including obesity. AIM. To study the nature and degree of disorders of muscle strength, motor and coordination functions in patients undergoing medical rehabilitation and sanatorium treatment. MATERIALS AND METHODS. Single cross-sectional study included 160 patients aged 40 to 65 years with normal and overweight. The complex of the study included: functional tests and assess muscle strength and balance. RESULTS. In patients with obesity, compared with persons with normal body weight of the same age, significantly (p 0.05) lower indicators of muscle strength of the right and left arms, strength of the abdominal and back muscles, lower endurance of the abdominal muscles and back muscles and longer time to complete the “Get up and walk” test. Also, in obesity, it turned out to be significantly less time to maintain balance in the “Stand on one leg” tests on the right and left legs with open eyes. A statistically significant direct relationship was found between the level of back muscle strength (γ = −0.82, p = 0.0038) and body weight. A significant relationship was also found between the level of endurance of the back muscles to physical activity and BMI (γ = −0.79, p = 0.01). At the same time, there was no relationship between age and the level of endurance of the back muscles to physical activity (γ = 0.107, p = 0.36). DISCUSSION. In patients undergoing medical rehabilitation and health resort treatment, obesity is associated with a decrease in muscle strength and motor activity. CONCLUSION. In patients with obesity at the age of 40–65 years, compared with persons with normal body weight of the same age and gender, there is a statistically significant decrease in the muscle strength of the arms, abdomen and back, a longer time to complete the “Get up” test and walk”, as well as deterioration in the function of static balance according to the results of the “Stand on one leg” test.
{"title":"Assessment of Motor Activity of Patients Undergoing Medical Rehabilitation and Health Resort Treatment","authors":"A. D. Fesyun, L. A. Marchenkova, V. Vasileva","doi":"10.38025/2078-1962-2023-22-3-66-74","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-3-66-74","url":null,"abstract":"INTRODUCTION. Problem of evaluation of the motor activity patients undergoing medical rehabilitation and sanatorium treatment remains relevant, including obesity. AIM. To study the nature and degree of disorders of muscle strength, motor and coordination functions in patients undergoing medical rehabilitation and sanatorium treatment. MATERIALS AND METHODS. Single cross-sectional study included 160 patients aged 40 to 65 years with normal and overweight. The complex of the study included: functional tests and assess muscle strength and balance. RESULTS. In patients with obesity, compared with persons with normal body weight of the same age, significantly (p 0.05) lower indicators of muscle strength of the right and left arms, strength of the abdominal and back muscles, lower endurance of the abdominal muscles and back muscles and longer time to complete the “Get up and walk” test. Also, in obesity, it turned out to be significantly less time to maintain balance in the “Stand on one leg” tests on the right and left legs with open eyes. A statistically significant direct relationship was found between the level of back muscle strength (γ = −0.82, p = 0.0038) and body weight. A significant relationship was also found between the level of endurance of the back muscles to physical activity and BMI (γ = −0.79, p = 0.01). At the same time, there was no relationship between age and the level of endurance of the back muscles to physical activity (γ = 0.107, p = 0.36). DISCUSSION. In patients undergoing medical rehabilitation and health resort treatment, obesity is associated with a decrease in muscle strength and motor activity. CONCLUSION. In patients with obesity at the age of 40–65 years, compared with persons with normal body weight of the same age and gender, there is a statistically significant decrease in the muscle strength of the arms, abdomen and back, a longer time to complete the “Get up” test and walk”, as well as deterioration in the function of static balance according to the results of the “Stand on one leg” test.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"797 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139221687","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}
Pub Date : 2023-02-28DOI: 10.38025/2078-1962-2023-22-1-36-45
A. Fesyun, M. Yakovlev, E. A. Valtseva, I. Grishechkina, B. Y. Abramova, M. V. Nikitin
INTRODUCTION. Identification of risk factors for the emergence, development and exacerbation of chronic noncommunicable diseases and their correction is one of the main tasks of preventive and restorative medicine. AIM. To study the frequency and severity of meteopathic reactions in patients undergoing health resort treatment, as well as to evaluate the associations with chronic noncommunicable diseases and the region of habitation. MATERIAL AND METHODS. A verbal and communicative examination of 735 patients undergoing health resort treatment was carried out using the questionnaire «Severity of meteosensitivity of the patient» (Patent 2736612 C1 from 19.11.2020). Cross-sectional study design was used. The data were analyzed using descriptive statistical methods and the criterion c2. RESULTS. It was shown that patients with chronic noncommunicable diseases including metabolic syndrome had the following meteopathic organism reactions: headaches (in 59.5 per cent of patients), arterial pressure increase (47.0 per cent), complaints of poor health expressed in weakness and decreased activity (42.5 per cent), sleepiness (41.46 per cent), pain in joints (40.5 per cent). The interrelation between the degree of the severity of meteopathy and the presence of diseases as well as the place of a patient’s residence (a region with contrasting climatic conditions and a considerable difference in time zones) was revealed, which may indirectly indicate a decrease in functional and adaptive reserves of the organism. CONCLUSION. To confirm the results, it is necessary to evaluate the functional state of the organism in patients undergoing treatment, the severity of adaptive responses and the state of individual links of the organism’s regulatory mechanisms under changing weather and climatic conditions.
{"title":"Development of Meteopathic Reactions in Patients Treated at Health Resorts: a Cross-Sectional Study of 735 Patients","authors":"A. Fesyun, M. Yakovlev, E. A. Valtseva, I. Grishechkina, B. Y. Abramova, M. V. Nikitin","doi":"10.38025/2078-1962-2023-22-1-36-45","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-36-45","url":null,"abstract":"INTRODUCTION. Identification of risk factors for the emergence, development and exacerbation of chronic noncommunicable diseases and their correction is one of the main tasks of preventive and restorative medicine.\u0000AIM. To study the frequency and severity of meteopathic reactions in patients undergoing health resort treatment, as well as to evaluate the associations with chronic noncommunicable diseases and the region of habitation.\u0000MATERIAL AND METHODS. A verbal and communicative examination of 735 patients undergoing health resort treatment was carried out using the questionnaire «Severity of meteosensitivity of the patient» (Patent 2736612 C1 from 19.11.2020). Cross-sectional study design was used. The data were analyzed using descriptive statistical methods and the criterion c2.\u0000RESULTS. It was shown that patients with chronic noncommunicable diseases including metabolic syndrome had the following meteopathic organism reactions: headaches (in 59.5 per cent of patients), arterial pressure increase (47.0 per cent), complaints of poor health expressed in weakness and decreased activity (42.5 per cent), sleepiness (41.46 per cent), pain in joints (40.5 per cent). The interrelation between the degree of the severity of meteopathy and the presence of diseases as well as the place of a patient’s residence (a region with contrasting climatic conditions and a considerable difference in time zones) was revealed, which may indirectly indicate a decrease in functional and adaptive reserves of the organism.\u0000CONCLUSION. To confirm the results, it is necessary to evaluate the functional state of the organism in patients undergoing treatment, the severity of adaptive responses and the state of individual links of the organism’s regulatory mechanisms under changing weather and climatic conditions.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122908035","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}
Pub Date : 2023-02-28DOI: 10.38025/2078-1962-2023-22-1-1
A. Fesyun
{"title":"Introduction by Anatoliy D. Fesyun","authors":"A. Fesyun","doi":"10.38025/2078-1962-2023-22-1-1","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-1","url":null,"abstract":"","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123350863","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}
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