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Effect of Rehabilitation Interventions on Post-Stroke Upper Limb Dysfunction and Cognitive Functions: a Systematic Review and Meta-Analysis 康复干预对脑卒中后上肢功能障碍和认知功能的影响:系统回顾和荟萃分析
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-69-79
E. Kostenko, Lyudmila V. Petrova, D. I. Nahrapov, I. Pogonchenkova
INTRODUCTION. The prevalence of upper limb dysfunction and cognitive impairments are frequently observed following stroke, but are often considered as distinct entities, and there is little evidence regarding how they are related, as well as rehabilitation methods are aimed at monodomain restoration of any of these impairments.AIM. To analyze the data of recent years on the impact of rehabilitation interventions on cognitive and the upper limb (UL) motor functions in patients with stroke, and to establish how they are related.MATERIAL AND METHODS. The search was carried out in the Medline, Web of Science, PubMed and Scopus sources in accordance with the PRISMA principles and initially revealed 2,841 records. Of these, 35 articles were included in the study with publication 2011–2022. Keywords were used: stroke, movement, motor, upper limb, cognition, cognitive, cognitive-motor, motor-cognitive function. The relationship between cognitive impairments and the degree of restoration of the UL motor function under the influence of various rehabilitation interventions was assessed.RESULTS. Five studies were selected for meta-analysis with the inclusion of 180 stroke patients. It is shown that the improvement of cognitive tests (MoCA) is accompanied by an improvement in UL motor impairments (FMA, Jebsen-Taylor Hand Function Test), while hand dexterity (Box and blocks, NHPT, Minnesota manual dexterity test) remained without statistically significant changes during medical rehabilitation.CONCLUSION. The meta-analysis provides evidence of the relationship and mutual influence of cognitive functions on motor recovery and manual dexterity. However, the small sample size and heterogeneity of available studies are still limiting factors for obtaining unambiguous conclusions.
介绍。中风后经常观察到上肢功能障碍和认知障碍的患病率,但通常被认为是不同的实体,很少有证据表明它们是如何相关的,以及康复方法旨在恢复这些损伤中的任何一种。分析近年来康复干预对脑卒中患者认知和上肢运动功能的影响,并探讨两者之间的关系。材料和方法。根据PRISMA原则,在Medline、Web of Science、PubMed和Scopus来源中进行了搜索,初步发现了2841条记录。其中,35篇文章被纳入2011-2022年出版的研究。关键词:卒中,运动,运动,上肢,认知,认知,认知-运动,运动-认知功能。在各种康复干预措施的影响下,评估认知障碍与UL运动功能恢复程度的关系。选取5项研究纳入180例脑卒中患者进行meta分析。结果表明,认知测试(MoCA)的改善伴随着UL运动障碍(FMA, Jebsen-Taylor Hand Function Test)的改善,而手灵巧(Box and blocks, NHPT, Minnesota manual dexterity Test)在医疗康复期间无统计学意义的变化。meta分析提供了认知功能对运动恢复和手灵巧的关系和相互影响的证据。然而,现有研究的小样本量和异质性仍然是获得明确结论的限制因素。
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引用次数: 0
Sustaining and Development of Physiotherapy as an Important Condition for Health Resort Treatment Effectiveness Increasing: a Review 理疗的持续和发展是提高疗养效果的重要条件
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-16-21
T. Konchugova, A. D. Fesyun, M. V. Nikitin, O. V. Yurova, M. Yakovlev, D. Kulchitskaya
AIM. To focuses on the relevance of using, along with natural healing factors, traditional and innovative transformed physical factors, which can significantly improve the effectiveness of health resort treatment.INTRODUCTION. Globally recognized achievements of Russian balneology are first of all connected with strictly scientific approaches to development of therapeutic methods and complex programs of physiotherapeutic treatment, implemented for many decades in health resort organizations throughout the country. The richest deposits of natural mineral waters and mud were mastered, studied and adapted for treatment of chronic diseases of inflammatory and degenerative-dystrophic nature, for rehabilitation of patients after vascular accidents, injuries and operations, as well as for rehabilitation of virtually healthy persons with reduced functional reserves.The results obtained on the basis of randomized clinical trials represent the evidence base for inclusion of various methods of physiotherapy in the Clinical Guidelines for various nosologies. The successful development of physiotherapy requires not only a profound scientific approach, consolidation of researchers, manufacturers of physiotherapy equipment and practitioners, but also further improvement of the regulatory framework. Thus, a great achievement of 2022 can be considered the drafting of an Order on providing medical care to the population in the profile of «physiotherapy».
的目标。重点研究利用与自然愈合因子、传统和创新转化物理因子的相关性,可以显著提高疗养地治疗的有效性。全球公认的俄罗斯疗养学成就首先与严格科学的治疗方法和复杂的物理治疗方案有关,这些方法和方案在全国各地的疗养机构实施了数十年。对最丰富的天然矿泉水和泥浆矿藏进行了掌握、研究和改造,用于治疗炎症性和退行性营养不良的慢性疾病,用于血管事故、损伤和手术后患者的康复,以及用于功能储备减少的几乎健康的人的康复。在随机临床试验的基础上获得的结果代表了将各种物理治疗方法纳入不同病种临床指南的证据基础。物理治疗的成功发展不仅需要深刻的科学方法,需要研究人员、物理治疗设备制造商和从业人员的团结,还需要进一步完善监管框架。因此,2022年的一项重大成就可以被认为是起草了一项关于在“物理治疗”方面向人口提供医疗服务的命令。
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引用次数: 2
Current Status and Prospects for the Development of Health Resort Complex of the Russian Federation 俄罗斯联邦疗养综合体发展现状与展望
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-8-15
A. Fesyun
INTRODUCTION. Medical rehabilitation and health resort treatment are significant, dynamically developing links of the healthcare system that have a high potential to influence the level of health of the population of the Russian Federation. A special role in the development of these medical areas is played by modern information complexes, in particular, the «State Registry of Resorts of the Russian Federation».AIM. To analyze the current state of the health resort complex of the Russian Federation and to reveal the most perspective directions of its improvement, including medical rehabilitation, provided by sanatoriums having licenses for medical rehabilitation.MATERIAL AND METHODS. Regulatory and legal acts, feedback from organizational and methodological support of the subjects of the Russian Federation in the profile «health resort treatment» with an assessment of the quality of medical care were used. Data from information-analytical systems of the health resort industry of the Russian Federation were also used for the analysis.RESULTS. The main ways of development of health resort organizations of the Russian Federation have been analyzed and presented, including the main tasks aimed at improving the quality of medical care, expanding the use of natural healing resources and modern non-medicinal treatment and rehabilitation methods and health care informatization. Research limitation. The proposed ways of development are applicable to health organizations of the Russian Federation licensed to provide medical care for health resort treatment, as well as medical rehabilitation.CONCLUSION. For further improvement of health resort treatment important aspects are development and implementation of personalized programs of medical rehabilitation and non-drug prevention of chronic non-infectious diseases, development of algorithms and common criteria for assessing the effectiveness of health resort treatment, development of the State Register of the Russian Federation Resort Fund including an interactive map of resorts of the Russian Federation.
介绍。医疗康复和疗养地治疗是医疗保健系统中重要的、动态发展的环节,对影响俄罗斯联邦人口的健康水平具有很大的潜力。现代信息系统,特别是“俄罗斯联邦度假胜地国家登记处”,在这些医疗领域的发展中发挥了特殊作用。分析俄罗斯联邦疗养综合设施的现状,并揭示最有前景的改进方向,包括由持有医疗康复许可证的疗养院提供的医疗康复。材料和方法。在«疗养地治疗»简介中,采用了规章和法律行为、对俄罗斯联邦主体提供的组织和方法支持的反馈以及对医疗保健质量的评估。来自俄罗斯联邦疗养产业信息分析系统的数据也被用于分析。分析和介绍了俄罗斯联邦疗养组织发展的主要途径,包括旨在提高医疗保健质量、扩大自然治疗资源和现代非药物治疗和康复方法的使用以及保健信息化的主要任务。研究局限性。建议的发展方式适用于获得许可提供疗养治疗和医疗康复医疗服务的俄罗斯联邦卫生组织。为了进一步改善疗养地治疗,重要的方面是制定和实施个性化的医疗康复和慢性非传染性疾病的非药物预防方案,制定评估疗养地治疗效果的算法和共同标准,制定俄罗斯联邦疗养地基金国家登记册,其中包括俄罗斯联邦疗养地的互动地图。
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引用次数: 0
Health Resort Medicine Development in Perm Krai before and after COVID-19 Pandemic: a Retrospective Study 2019冠状病毒病大流行前后彼尔姆边疆区疗养医学发展的回顾性研究
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-22-27
M. Oborin, Eugeniy V. Vladimirsky
AIM. To substantiate the prospects for health resort complex development in Perm Krai in terms of adaptation to the effects of the COVID-19 pandemic and the use of therapeutic base of resorts in the region in the recovery and rehabilitation process.MATERIALS AND METHODS. Statistical data on the health resort complex state of the region, as well as the dynamics of individual groups of diseases for 2017–2021 were used. The research was conducted on the basis of philosophical methods, comparison, grouping, description, modeling.RESULTS AND DISCUSSION. The health complex of Perm Krai is traditionally well-developed, it operates on a rich hydro-mineral resource base, which allows to diversify the therapeutic profile and implement programs for the recovery, treatment and rehabilitation of the population after COVID-19 with long-term negative consequences and exacerbation of chronic and concomitant diseases. Regional health resorts indexes as a whole correspond to the negative trend of quantitative decline, which became especially noticeable in 2020 with subsequent gradual recovery. The profitability of the resorts of Perm Krai remains high, which suggests positive prospects for maintaining the sufficient supply and its focus not only on the residents of the region. The practice of state management of resort medicine shows that its systematic economic and fiscal support is needed, only in this case it will be possible to achieve significant coverage of the population with rehabilitation programs. First of all, there is a need for a regional strategy of the health resort complex development with clearly defined program measures. This should be done taking into account the experience of past planning with an analysis of the reasons why many indicators were not achieved.CONCLUSION. Health resort complex of the region has a developed resource and infrastructure potential, experience, traditions that allow to implement programs for prevention and recovery of various categories of population after suffering from the disease caused by COVID-19. Diversified therapeutic profiles of resorts can become the basis for the formation of an advanced base of resort medicine in the region and the Volga Federal District.
的目标。从适应COVID-19大流行的影响以及在恢复和康复过程中使用该地区度假胜地的治疗基地方面,证实了彼尔姆边疆区疗养胜地综合发展的前景。材料和方法。使用了该地区疗养胜地综合状况的统计数据,以及2017-2021年各个疾病群体的动态。本研究采用哲学方法、比较法、分组法、描述法、建模法进行。结果和讨论。彼尔姆边疆区的卫生综合设施传统上发展良好,它依托丰富的水力矿产资源基础运作,这使得治疗方案多样化,并实施了2019冠状病毒病(COVID-19)后人口的恢复、治疗和康复方案,造成了长期的负面影响,并加剧了慢性和伴随疾病。区域疗养地指数总体上呈数量下降的负向趋势,到2020年这一趋势尤为明显,随后逐渐恢复。彼姆边疆区度假胜地的盈利能力仍然很高,这表明保持充足供应的前景良好,而且它的重点不仅仅是该地区的居民。国家管理度假医疗的实践表明,它需要系统的经济和财政支持,只有在这种情况下,才有可能实现康复计划对人口的大规模覆盖。首先,有必要制定一个具有明确规划措施的区域疗养综合体发展战略。这应考虑到以往的规划经验,并分析许多指标未能实现的原因。该地区的疗养中心拥有发达的资源和基础设施潜力、经验和传统,可以实施预防和恢复各类人群的方案,使他们在遭受COVID-19引起的疾病后恢复健康。度假村的多样化治疗概况可以成为形成该地区和伏尔加河联邦区度假医学先进基地的基础。
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引用次数: 0
Professional Burnout Syndrome in Health Personnel and Social Workers: a Comparative Questionnaire-Based Survey 卫生人员和社会工作者职业倦怠综合征:一项基于问卷的比较调查
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-87-97
Olga I. Hohlova, E. Vasilchenko, Vadim A. Versh, Olga B. Lazhintseva, Julia V. Archibasova, Natalya V. Tulkina, M. Zhestikova
AIM. To perform the comparative assessment of the prevalence of professional burnout symptoms in health personnel and social workers providing services to persons with pronounced disabilities.MATERIAL AND METHODS. We conducted a survey of employees in two medical institutions (healthcare workers, Group 1, n = 86) and employees in a social service institution (social workers, Group 2, n = 89). The presence of professional burnout was established using Maslach Burnout Questionnaire adapted by N. Vodopyanova.RESULTS AND DISCUSSION. Signs of professional burnout of different severity were found in 96,6 % of the respondents. High and extremely high levels of psychoemotional exhaustion, depersonalization, reduction of personal achievements were more frequent among health personnel than among social workers: 1,9 times (p = 0,012), 1,6 times (p = 0,033), 2,9 times (p = 0,029) respectively. At the same time, 31.4 % of Group 1 and 7.9 % of Group 2 respondents indicated overwork due to understaffing; 29.1 % and 10.1 %, respectively, indicated frequent need for additional work due to the temporary absence of colleagues. It explains higher levels of professional burnout among employees of medical institutions. At the same time, Group 2 was characterized by a younger age (by 6.5 years on average, p = 0.006) and a shorter work experience in the institution (by 10 years on average, p < 0.001) compared to Group 1, which may indicate both «staff turnover» among social workers and the appearance of conditions in the social service sphere attractive for younger age specialists.CONCLUSION. Health personnel have higher levels of the professional burnout symptoms more often than social workers, that is probably connected with an increased intensity of labour and overwork.
的目标。对为明显残疾人士提供服务的卫生人员和社会工作者中职业倦怠症状的患病率进行比较评估。材料和方法。我们对两家医疗机构的员工(医疗工作者,第一组,n = 86)和一家社会服务机构的员工(社会工作者,第二组,n = 89)进行了调查。采用N. Vodopyanova改编的Maslach职业倦怠问卷来确定职业倦怠的存在。结果和讨论。96.6%的受访者存在不同程度的职业倦怠迹象。与社会工作者相比,卫生工作者的心理情绪耗竭、人格解体、个人成就减少的程度较高和极高,分别为1.9倍(p = 0.012)、1.6倍(p = 0.033)、2.9倍(p = 0.029)。与此同时,31.4%的第一组受访者和7.9%的第二组受访者表示由于人手不足而过度工作;分别有29.1%和10.1%的受访者表示,由于同事暂时不在,他们经常需要额外的工作。这解释了医疗机构员工的职业倦怠水平较高。与此同时,与第一组相比,第二组的特点是年龄更年轻(平均6.5岁,p = 0.006),在机构中的工作经验更短(平均10年,p < 0.001),这可能表明社会工作者的“员工流动率”,以及社会服务领域对年轻专家的吸引力。卫生人员比社会工作者更容易出现职业倦怠症状,这可能与劳动强度增加和工作过度有关。
{"title":"Professional Burnout Syndrome in Health Personnel and Social Workers: a Comparative Questionnaire-Based Survey","authors":"Olga I. Hohlova, E. Vasilchenko, Vadim A. Versh, Olga B. Lazhintseva, Julia V. Archibasova, Natalya V. Tulkina, M. Zhestikova","doi":"10.38025/2078-1962-2023-22-1-87-97","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-87-97","url":null,"abstract":"AIM. To perform the comparative assessment of the prevalence of professional burnout symptoms in health personnel and social workers providing services to persons with pronounced disabilities.\u0000MATERIAL AND METHODS. We conducted a survey of employees in two medical institutions (healthcare workers, Group 1, n = 86) and employees in a social service institution (social workers, Group 2, n = 89). The presence of professional burnout was established using Maslach Burnout Questionnaire adapted by N. Vodopyanova.\u0000RESULTS AND DISCUSSION. Signs of professional burnout of different severity were found in 96,6 % of the respondents. High and extremely high levels of psychoemotional exhaustion, depersonalization, reduction of personal achievements were more frequent among health personnel than among social workers: 1,9 times (p = 0,012), 1,6 times (p = 0,033), 2,9 times (p = 0,029) respectively. At the same time, 31.4 % of Group 1 and 7.9 % of Group 2 respondents indicated overwork due to understaffing; 29.1 % and 10.1 %, respectively, indicated frequent need for additional work due to the temporary absence of colleagues. It explains higher levels of professional burnout among employees of medical institutions. At the same time, Group 2 was characterized by a younger age (by 6.5 years on average, p = 0.006) and a shorter work experience in the institution (by 10 years on average, p < 0.001) compared to Group 1, which may indicate both «staff turnover» among social workers and the appearance of conditions in the social service sphere attractive for younger age specialists.\u0000CONCLUSION. Health personnel have higher levels of the professional burnout symptoms more often than social workers, that is probably connected with an increased intensity of labour and overwork.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"41 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":"123481828","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
Application of Physical Factors in the Chronic Endometritis Treatment: a Review 物理因子在慢性子宫内膜炎治疗中的应用综述
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-110-116
O. O. Borisevich, A. Fesyun, N. V. Kotenko
INTRODUCTION. Chronic inflammation in the uterine cavity is a fairly common problem in women of reproductive age, which negatively affects the state of the reproductive potential of the population.AIM. To present a scientific review of domestic and foreign literature covering modern methods and approaches of physical medicine used in the rehabilitation treatment of women with chronic endometritis.CONCLUSION. After analyzing the studied sources, we can conclude that the use of restorative medicine factors significantly expands the possibilities of treating chronic endometritis. Due to the use of complex or monotherapeutic techniques based on natural and preformed physical factors, it is possible to achieve outstanding results in restoring the morphofunctional potential of the endometrium. The main obstacle to the introduction of physical medicine approaches in practical healthcare is their low background, insufficient number of randomized studies that allows to use these methods as part of clinical recommendations. Further search and study of suitable non-drug regimens for chronic inflammation in the uterine cavity is needed, which will reduce the need for drug therapy.
介绍。子宫腔慢性炎症是育龄妇女中相当常见的问题,它对人口的生殖潜力状态产生负面影响。对国内外有关物理医学在女性慢性子宫内膜炎康复治疗中的现代方法和途径的文献进行科学综述。在分析研究来源后,我们可以得出结论,使用恢复性药物因素显着扩大了治疗慢性子宫内膜炎的可能性。由于使用基于自然和预先形成的物理因素的复杂或单一治疗技术,有可能在恢复子宫内膜形态功能潜能方面取得突出的效果。在实际医疗保健中引入物理医学方法的主要障碍是其背景低,随机研究数量不足,无法将这些方法作为临床建议的一部分。需要进一步探索和研究适合子宫腔慢性炎症的非药物治疗方案,以减少对药物治疗的需求。
{"title":"Application of Physical Factors in the Chronic Endometritis Treatment: a Review","authors":"O. O. Borisevich, A. Fesyun, N. V. Kotenko","doi":"10.38025/2078-1962-2023-22-1-110-116","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-110-116","url":null,"abstract":"INTRODUCTION. Chronic inflammation in the uterine cavity is a fairly common problem in women of reproductive age, which negatively affects the state of the reproductive potential of the population.\u0000AIM. To present a scientific review of domestic and foreign literature covering modern methods and approaches of physical medicine used in the rehabilitation treatment of women with chronic endometritis.\u0000CONCLUSION. After analyzing the studied sources, we can conclude that the use of restorative medicine factors significantly expands the possibilities of treating chronic endometritis. Due to the use of complex or monotherapeutic techniques based on natural and preformed physical factors, it is possible to achieve outstanding results in restoring the morphofunctional potential of the endometrium. The main obstacle to the introduction of physical medicine approaches in practical healthcare is their low background, insufficient number of randomized studies that allows to use these methods as part of clinical recommendations. Further search and study of suitable non-drug regimens for chronic inflammation in the uterine cavity is needed, which will reduce the need for drug therapy.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"813 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":"117054666","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
Application of Patients Remote Monitoring in Medical Organizations of Rehabilitation and Health Resort Profile: a Narrative Review 患者远程监护在康复疗养医疗机构中的应用述评
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-60-68
L. Marchenkova, I. A. Rozanov
INTRODUCTION. The article presents the result of a systematic analysis of 53 scientific literature sources related to modern methods of remote patient monitoring, which constitute the subject of clinical biotelemetry and are available for use in medical organizations of health resort and rehabilitation profile. The development of medical telemetry methods has a long history and is associated with the achievements in the field of telecardiology, in remote medical support.AIM. Provide an overview of the main results on the relevance of using these technologies for remote patient monitoring in rehabilitation medicine and in health resort organizations. Such parameters as motor activity, heart rate, heart rhythm variability, qualitative and quantitative indicators of their sleep and psycho-emotional state can be remotely analyzed by computer. The data obtained can be processed in real time and can be useful not only for scientific purposes, but also for quality control of medical services, for prompt detection of maladaptive conditions, and, above all, for improving the quality of life of patients.RESULTS. The results of the literature review showed that the tasks of the medical services and patients’ life quality improving can be solved by implementing high-tech methods of remote monitoring in the practice of physical and rehabilitation medicine of health resort treatment.
介绍。本文介绍了53个与现代远程患者监测方法相关的科学文献来源的系统分析结果,这些方法构成了临床生物遥测的主题,可用于疗养和康复的医疗机构。医学遥测方法的发展有着悠久的历史,它与远程心电学、远程医疗支持等领域的成就有关。概述在康复医学和疗养组织中使用这些技术进行远程患者监测的相关主要结果。运动活动、心率、心律变异性、睡眠定性和定量指标、心理情绪状态等参数均可通过计算机远程分析。获得的数据可以进行实时处理,不仅可以用于科学目的,还可以用于医疗服务的质量控制,及时发现适应不良的情况,最重要的是,可以提高患者的生活质量。文献综述结果表明,在疗养地理疗康复医学实践中,采用远程监控的高科技手段,可以解决医疗服务和提高患者生活质量的任务。
{"title":"Application of Patients Remote Monitoring in Medical Organizations of Rehabilitation and Health Resort Profile: a Narrative Review","authors":"L. Marchenkova, I. A. Rozanov","doi":"10.38025/2078-1962-2023-22-1-60-68","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-60-68","url":null,"abstract":"INTRODUCTION. The article presents the result of a systematic analysis of 53 scientific literature sources related to modern methods of remote patient monitoring, which constitute the subject of clinical biotelemetry and are available for use in medical organizations of health resort and rehabilitation profile. The development of medical telemetry methods has a long history and is associated with the achievements in the field of telecardiology, in remote medical support.\u0000AIM. Provide an overview of the main results on the relevance of using these technologies for remote patient monitoring in rehabilitation medicine and in health resort organizations. Such parameters as motor activity, heart rate, heart rhythm variability, qualitative and quantitative indicators of their sleep and psycho-emotional state can be remotely analyzed by computer. The data obtained can be processed in real time and can be useful not only for scientific purposes, but also for quality control of medical services, for prompt detection of maladaptive conditions, and, above all, for improving the quality of life of patients.\u0000RESULTS. The results of the literature review showed that the tasks of the medical services and patients’ life quality improving can be solved by implementing high-tech methods of remote monitoring in the practice of physical and rehabilitation medicine of health resort treatment.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"39 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":"129556535","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
Advanced Application of Digital Technologies for Rehabilitation and Remote Monitoring of Patients with Post-Covid Syndrom: a Review 数字技术在新冠肺炎患者康复和远程监测中的先进应用综述
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-117-123
M. A. Ansokova, I. A. Rozanov, L. Marchenkova
AIM. To describe modern technologies for telerehabilitation and remote monitoring of the condition of patients who have undergone a new coronavirus infection COVID-19, and to show the experience of the National Medical Research Center for Rehabilitation and Balneology of the in the clinical testing and development of these technologies.MATERIAL AND METHODS. A consistent analysis of 39 modern sources of scientific literature (including systematic reviews and original researches), selected by the keywords of this article and including the most up-to-date publications in rating peer-reviewed journals, allows us to conclude the following. The use of digital methods of rehabilitation and diagnostics in institutions of restorative medicine in patients who have had a new coronavirus infection can reduce the risks of undesirable outcomes and the burden on medical personnel, reduce the severity of manifestations of post-COVID-19 syndrome and improve the quality of life of patients.RESULTS AND DISCUSSIONS. The article describes the prospects for the use of modern intelligent technologies (virtual reality, biofeedback mechanotherapy and remote analysis of the cardiovascular system, motor activity and psychoemotional sphere) in the treatment and rehabilitation programs of patients who have suffered a new coronavirus infection COVID-19. The clinical aspects of the new coronavirus infection that determine the use of digital technologies and remote monitoring in the medical rehabilitation of patients with postcovid syndrome are presented. The technologies of virtual reality, biofeedback mechanotherapy and remote monitoring developed for the rehabilitation of patients with postcovid syndrome at the National Medical Research Center for Rehabilitation and Balneology are described in detail, data on their effectiveness, as well as limitations and difficulties possible with the introduction of digital methods of rehabilitation and telemedicine methods are given. The analysis of psychological factors of distress caused by a new coronavirus infection and approaches to their remote telemonitoring were carried out.CONCLUSION. The effectiveness of new digital rehabilitation methods that have recently appeared in clinical practice allows us to conclude that the use of modern intelligent technologies is promising. Among them, it should be noted such technologies as virtual reality, mechanotherapy with biofeedback and remote analysis of the performance of the cardiovascular system, motor activity and psycho-emotional sphere in the treatment and rehabilitation programs of patients with post-ovoid syndrome.
的目标。介绍新型冠状病毒感染COVID-19患者远程康复和远程监测的现代技术,介绍国家康复医学研究中心在这些技术的临床试验和开发方面的经验。材料和方法。根据本文的关键词选取的39个现代科学文献来源(包括系统综述和原创研究),包括评级同行评议期刊上最新的出版物,通过对这些文献的一致性分析,我们可以得出以下结论。在恢复性医学机构对新型冠状病毒感染患者使用数字化康复和诊断方法,可以降低不良后果风险和医务人员负担,减轻covid -19后综合征表现的严重程度,提高患者的生活质量。结果和讨论。本文介绍了现代智能技术(虚拟现实、生物反馈机械疗法以及心血管系统、运动活动和心理情绪领域的远程分析)在新型冠状病毒感染COVID-19患者治疗和康复方案中的应用前景。介绍了新型冠状病毒感染的临床方面,这些方面决定了在covid后综合征患者的医疗康复中使用数字技术和远程监测。详细介绍了国家康复和Balneology医学研究中心为covid - 19综合征患者康复开发的虚拟现实、生物反馈机械疗法和远程监测技术,给出了其有效性数据,以及引入数字康复方法和远程医疗方法可能存在的局限性和困难。对1例新型冠状病毒感染患者的心理困扰因素进行分析,并探讨其远程监护方法。最近在临床实践中出现的新型数字康复方法的有效性使我们得出结论,现代智能技术的使用是有前途的。其中,虚拟现实、生物反馈机械疗法、远程分析心血管系统、运动活动和心理情绪领域的表现等技术在卵泡后综合征患者的治疗和康复方案中值得注意。
{"title":"Advanced Application of Digital Technologies for Rehabilitation and Remote Monitoring of Patients with Post-Covid Syndrom: a Review","authors":"M. A. Ansokova, I. A. Rozanov, L. Marchenkova","doi":"10.38025/2078-1962-2023-22-1-117-123","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-117-123","url":null,"abstract":"AIM. To describe modern technologies for telerehabilitation and remote monitoring of the condition of patients who have undergone a new coronavirus infection COVID-19, and to show the experience of the National Medical Research Center for Rehabilitation and Balneology of the in the clinical testing and development of these technologies.\u0000MATERIAL AND METHODS. A consistent analysis of 39 modern sources of scientific literature (including systematic reviews and original researches), selected by the keywords of this article and including the most up-to-date publications in rating peer-reviewed journals, allows us to conclude the following. The use of digital methods of rehabilitation and diagnostics in institutions of restorative medicine in patients who have had a new coronavirus infection can reduce the risks of undesirable outcomes and the burden on medical personnel, reduce the severity of manifestations of post-COVID-19 syndrome and improve the quality of life of patients.\u0000RESULTS AND DISCUSSIONS. The article describes the prospects for the use of modern intelligent technologies (virtual reality, biofeedback mechanotherapy and remote analysis of the cardiovascular system, motor activity and psychoemotional sphere) in the treatment and rehabilitation programs of patients who have suffered a new coronavirus infection COVID-19. The clinical aspects of the new coronavirus infection that determine the use of digital technologies and remote monitoring in the medical rehabilitation of patients with postcovid syndrome are presented. The technologies of virtual reality, biofeedback mechanotherapy and remote monitoring developed for the rehabilitation of patients with postcovid syndrome at the National Medical Research Center for Rehabilitation and Balneology are described in detail, data on their effectiveness, as well as limitations and difficulties possible with the introduction of digital methods of rehabilitation and telemedicine methods are given. The analysis of psychological factors of distress caused by a new coronavirus infection and approaches to their remote telemonitoring were carried out.\u0000CONCLUSION. The effectiveness of new digital rehabilitation methods that have recently appeared in clinical practice allows us to conclude that the use of modern intelligent technologies is promising. Among them, it should be noted such technologies as virtual reality, mechanotherapy with biofeedback and remote analysis of the performance of the cardiovascular system, motor activity and psycho-emotional sphere in the treatment and rehabilitation programs of patients with post-ovoid syndrome.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"51 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":"131210696","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
Methodological Problems of Psychometric Tests in Clinical Studies of Cognitive Disorders in Patients with Cerebral Vascular Lesions: a Review 脑血管病变患者认知障碍临床研究中心理测量测试方法学问题综述
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-46-59
A. Aizenshtein, A. Trofimova, Y. Mikadze, G. Ivanova
AIM. To assess cognitive dysfunction in clinical practice, depending on the task being solved in the examination, different neuropsychological research methods are used. To identify the specific cause of the dysfunctions in the structure of various mental functions (neuropsychological characteristics of the defect) and in the brain functions (topical diagnosis), methods of qualitative analysis of the detected symptoms of the disorder are used. Psychometric (quantitative) methods are used to assess numerically the severity of disorders and the dynamics of changes in the state of individual mental functions, as well as for screening assessment of e possible cognitive decline level in general. Methods of cognitive dysfunctions qualitative assessment are focused on the search for a «missing link» in the structure of the examined mental functions. Psychometric tests, in most cases, describe the general state of either individual mental functions, or, in the case of screening, a set of cognitive functions. Thus, one or more aspects of mental functions are evaluated, in which several cognitive functions are involved at once.The article presents the results of a literature review with a description and analysis of preferences, methods used and corresponding techniques for neuropsychological examination of cognitive disorders in domestic clinical practice in vascular brain lesions.
的目标。为了在临床实践中评估认知功能障碍,根据考试中要解决的任务,使用了不同的神经心理学研究方法。为了确定各种心理功能结构(缺陷的神经心理学特征)和大脑功能(局部诊断)功能障碍的具体原因,使用了对检测到的疾病症状进行定性分析的方法。心理测量学(定量)方法用于数值评估疾病的严重程度和个体心理功能状态变化的动态,以及对一般可能的认知衰退水平进行筛选评估。认知功能障碍定性评估的方法侧重于寻找被检查心理功能结构中的“缺失环节”。心理测试,在大多数情况下,描述个人心理功能的一般状态,或者,在筛选的情况下,描述一组认知功能。因此,评估心理功能的一个或多个方面,其中同时涉及几个认知功能。本文介绍了一篇文献综述的结果,描述和分析了国内临床实践中血管性脑病变认知障碍神经心理学检查的偏好、方法和相应的技术。
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引用次数: 0
Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study 稳定训练在卒中患者运动康复中的应用:一项前瞻性随机研究
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-28-35
N. F. Miryutova, Liudmila V. Mikhailova, N. N. Minchenko
INTRODUCTION. Proprioceptive deficits are one of the common sensory impairments after stroke and have a negative impact on motor activity.AIM. Evaluation of the effect of stabilization training on the dynamics of clinical and functional indices and the efficiency of motor rehabilitation in patients after stroke.MATERIAL AND METHODS. The dynamics of motor (motor functions, activity) and non-motor (cognitive and emotional volitional) consequences of stroke, as well as the quality of life under the influence of complex application of stabilization training with the use of scales (National Institutes of Health Stroke Scale, Medical Research Council Scale, Modified Ashworth Scale of muscle spasticity, «Memory for images» and «10 words», Schulte-Platonov Table, Lusher Color Test, The Hospital Anxiety and Depression Scale), International Classification of Functioning (ICF), EQ-5D questionnaire and stabilography method. The effectiveness of motor rehabilitation was evaluated by the dynamics of the integral index of health level.RESULTS AND DISCUSSION. After complex rehabilitation in stroke patients the regression of neurological disorders was detected (almost half of patients after rehabilitation showed mild degree of impairment, in 6 % of cases full recovery of paretic leg muscle strength was achieved, the share of patients with severe and moderate paresis decreased, hypertonicity of paretic muscles decreased). Complementing the complex of motor rehabilitation with stable exercise led to a decrease in the degree of functional limitations (in 48.5 % of patients after rehabilitation the Hauser walking index indicated a mild degree of walking disorder, patients became able to walk around the room without using aids, reduced dependence on others in everyday life), improved quality of balance function and quality of life, a positive impact on the psychoemotional state of patients and increased effectiveness of rehabilitation measures.CONCLUSION. Stabilotraining application in the complex of motor rehabilitation of patients allowed to improve walking and balance functions, psycho-emotional state of patients, to increase their quality of life and, accordingly, to increase the effectiveness of rehabilitation measures after stroke.
介绍。本体感觉缺损是脑卒中后常见的感觉障碍之一,对运动活动有负面影响。评价稳定训练对脑卒中患者临床和功能指标动态及运动康复效果的影响。材料和方法。中风的运动(运动功能、活动)和非运动(认知和情绪意志)后果的动态,以及稳定训练复杂应用影响下的生活质量,使用量表(美国国立卫生研究院中风量表、医学研究委员会量表、修正Ashworth肌肉痉挛量表、“图像记忆”和“10个词”、Schulte-Platonov表、Lusher颜色测试、医院焦虑和抑郁量表)。国际功能分类(ICF), EQ-5D问卷和稳定性法。采用健康水平综合指标动态评价运动康复效果。结果和讨论。脑卒中患者经过复杂康复后,发现神经功能障碍的消退(几乎一半的患者康复后表现为轻度损伤,6%的患者瘫腿肌力完全恢复,重度和中度瘫瘫患者比例下降,瘫肌高张力下降)。以稳定的运动来补充运动康复的复杂性,导致功能限制程度的降低(康复后48.5%的患者Hauser步行指数显示轻度行走障碍,患者可以在不使用辅助设备的情况下在房间里走动,减少了日常生活中对他人的依赖),平衡功能质量和生活质量得到改善。对患者的心理情绪状态有积极影响,提高了康复措施的有效性。稳定训练在复杂运动康复患者中的应用,可以改善患者的行走和平衡功能,改善患者的心理情绪状态,提高患者的生活质量,从而提高脑卒中后康复措施的有效性。
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Bulletin of Rehabilitation Medicine
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