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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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引用次数: 0
Telemedicine Technologies Efficacy in a Complex Rehabilitation Program: аn Open Controlled Study of 64 Patients after Transpedicular Spine Fixation 远程医疗技术在复杂康复计划中的疗效:64例经椎弓根固定后患者的开放对照研究
Pub Date : 2023-02-28 DOI: 10.38025/2078-1962-2023-22-1-98-109
I. Pogonchenkova, Evgeniya V. Orlova, D. Somov, V. Daminov, Irina G. Gorokhova
AIM. To evaluate the efficiency of telemedicine technologies in the complex rehabilitation of patients after transpedicular fixation of the lumbar spine.MATERIAL AND METHODS. 64 patients (38 men and 26 females, age 31 to 67 years) after transpedicular fixation of the lumbar spine where included in the study. All patients underwent 2-weeks inpatient medical rehabilitation. The telemedicine platform «Steps Reabil» was used in the study group (35 patients) for home-based rehabilitation. Patients received e-mail links to the video recording of 10 home-based physical exercises. The control group (29 patients) received a leaflet describing similar 10 physical exercises. Rehabilitation diagnosis by ICF domains (b28013, b7303, b7600, d4500, e1151), backache on 100-mm visual analog scale (VAS) and on Roland-Morris Disability Questionnaire (RDQ), Health Assessment Questionnaire (HAQ), Spielberger-Khanin reactive anxiety test, Beck depression inventory (BDI), 10-meters walking test were evaluated before starting home-based physical exercises and after 1 month.RESULTS AND DISCUSSION. The best patient adherence (74 %) to regular home-based physical exercises using the telemedicine platform was observed after 2 weeks, by the 2nd month the adherence decreased. Telerehabilitation improved the values of the qualifiers of ICF domains, reduced backache on VAS by 43.2 % (p < 0.05), on RDQ by 47.8 % (p < 0.05), HAQ by 57.1 % (p < 0.01), 10-meters walking test by 39.0 % (p < 0.05), reactive anxiety level by 30.6 % (p < 0.05), subclinical depression symptoms on BDI by 44.2 % (p < 0.05), with statistically significant differences from the control group in most parameters (р < 0.05), excluding 10-meters walking test. These results are consistent with the data of numerous studies that have demonstrated the efficiency of technology-based distance telerehabilitation in patients with various diseases.CONCLUSION. Telemedicine technologies allow to conduct the individual home-based rehabilitation program, to control its efficiency, which ensures the continuity of rehabilitation activities at all stages.
的目标。目的评价远程医疗技术在腰椎经椎弓根固定术后复杂康复中的应用效果。材料和方法。64例患者(38名男性,26名女性,年龄31至67岁)经椎弓根固定后纳入研究。所有患者均接受2周住院医学康复治疗。研究组(35例患者)使用远程医疗平台“Steps Reabil”进行家庭康复。患者收到了10项家庭体育锻炼录像的电子邮件链接。对照组(29名患者)收到一份描述类似10种体育锻炼的传单。采用ICF域(b28013, b7303, b7600, d4500, e1151)进行康复诊断,100 mm视觉模拟量表(VAS)、Roland-Morris残疾问卷(RDQ)、健康评估问卷(HAQ)、spielberg - khanin反应性焦虑测试、Beck抑郁量表(BDI)、10米步行测试进行康复诊断。结果和讨论。2周后观察到患者对使用远程医疗平台进行定期家庭体育锻炼的最佳依从性(74%),到第2个月时依从性下降。Telerehabilitation改进的值的限定符ICF域,背痛在血管减少了43.2% (p < 0.05), RDQ 47.8% (p < 0.05),在哈克57.1% (p < 0.01), 10米行走测试39.0% (p < 0.05),无功焦虑水平30.6% (p < 0.05),亚临床抑郁症状对BDI 44.2% (p < 0.05),与对照组显著差异在大多数参数(р< 0.05),扣除10米行走测试。这些结果与许多研究的数据一致,这些研究已经证明了基于技术的远程康复对各种疾病患者的有效性。远程医疗技术允许进行个人家庭康复计划,控制其效率,确保康复活动在各个阶段的连续性。
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引用次数: 0
Dynamics of Indicators of the Fetoplacental Complex during Ozone Therapy: a Prospective Comparative Study of 93 Women with Acute Serous Gestational Pyelonephritis 臭氧治疗期间胎胎盘复体指标的动态变化:对93例急性浆液性妊娠期肾盂肾炎的前瞻性比较研究
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-52-58
Marina R. Gaitova, A. Fedorov, A. Kaisinova, M. A. Mkrtchyan, Mikhail A. Frank, Natalya V. Efimenko
INTRODUCTION. The beneficial effect of the ozone therapy use in acute serous gestational pyelonephritis is well-known. However, in the scientific literature there is no information on the effect of medical ozone on the functional state of placental fetal blood flow with this pathology.AIM. To study the dynamics of fetoplacental complex parameters in women suffering from acute serous gestational pyelonephritis using ozone-oxygen mixture.MATERIAL AND METHODS. The studies were conducted on 93 pregnant women at the age of 28 (16-39) years old suffering from acute serous gestational pyelonephritis, gestational age was from 14 to 26 weeks, who were randomized into two groups: the first/study (n=46) group and the second/control (n=47) one. The control group of pregnant women took only the drug standard according to the Federal Clinical Guidelines. In the study group, drug therapy was supplemented by intravenous administration of an ozone-oxygen mixture. Both groups were evaluated in the dynamics of ultrasound examination of the fetoplacental complex, as well as uterine and placental blood flow Dopplerometry.DISCUSSION. The increase in the effectiveness of restorative treatment of women with acute serous gestational pyelonephritis including ozone therapy is due to an increase in the initially reduced diastolic blood perfusion rate; summation of the therapeutic effects of ozone and pharmacotherapy; enhancement of pharmacopotential value of the used medicinal preparation.CONCLUSION. Parenteral application of ozone-oxygen mixture in programs of restorative treatment of women with acute serous gestational pyelonephritis provides significant improvement of functional state of placental-uterine blood flow.
介绍。臭氧治疗用于急性浆液性妊娠肾盂肾炎的有益效果是众所周知的。然而,在科学文献中,没有关于医用臭氧对这种病理胎盘胎儿血流功能状态影响的信息。目的:探讨臭氧-氧气混合液对急性妊娠期浆液性肾盂肾炎患者胎胎盘复合体参数的影响。材料和方法。研究对象为93例28岁(16 ~ 39)岁、胎龄14 ~ 26周的急性浆液性妊娠期肾盂肾炎孕妇,随机分为两组:第一组/研究组(n=46)和第二组/对照组(n=47)。对照组孕妇只服用联邦临床指南规定的药物标准。在研究组中,药物治疗辅以静脉注射臭氧-氧气混合物。两组均进行胎胎盘复合体的超声动态检查,以及子宫和胎盘血流多普勒测量。包括臭氧治疗在内的恢复性治疗对急性妊娠期浆液性肾盂肾炎妇女疗效的增加是由于最初舒张期血液灌注率降低;臭氧与药物治疗的疗效总结提高了所用制剂的药势值。在急性妊娠期浆液性肾盂肾炎恢复性治疗方案中应用臭氧-氧气混合物可显著改善胎盘-子宫血流功能状态。
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引用次数: 1
Punctural Physiotherapy in Complex Rehabilitation of Elderly Patients with Large Joints Lower Extremities Pathology: a Narrative Review 针刺理疗在老年大关节下肢病理患者复杂康复中的应用综述
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-119-126
A. Polyakova, Tatiana V. Buylova, A. M. Rezenova, Vilyam O. Sushin
AIM. To analyze of recently reported domestic and foreign studies on the influence of РhP on the results of rehabilitation of elderly patients after total endoprosthetics operations.MATERIAL AND METHODS. The review examines issues related to the pathogenetic aspects of punctural effects on the body, the peculiarities of using low-intensity physical factors of electromagnetic nature as a therapeutic stimulus when exposed to acupuncture points based on the results of clinical and experimental studies on cell cultures and animals published in Faberlink, Pubmed. The mechanisms of the influence of low-intensity laser, optical and extremely high frequency radiation on the adaptive reactions of the body are discussed. The results of experimental studies on the choice of optimal modes and parameters of low-intensity electromagnetic radiationof extremely high frequency are considered for the purpose of application in complex rehabilitation programs. The results of reflexodiagnosticsin the process of restoring vegetative disorders of the body as predictors of adaptive potential in the process of predicting the direction and volume of rehabilitation load, as well as the outcomes of rehabilitation treatment are evaluated.CONCLUSION. Further studies on the mechanisms of action and rehabilitation potential of low-intensity EMR in different ranges are needed to expand the clinical application of PhP techniques.
的目标。分析近年来国内外报道的关于РhP对老年患者全假肢术后康复效果影响的研究。材料和方法。这篇综述根据发表在Pubmed的Faberlink上的细胞培养和动物的临床和实验研究结果,研究了与针刺对身体的致病作用有关的问题,以及在暴露于穴位时使用低强度电磁物理因素作为治疗刺激的特点。讨论了低强度激光、光学和极高频率辐射对人体自适应反应的影响机理。考虑了极高频低强度电磁辐射的最佳模式和参数选择的实验研究结果,以便在复杂的康复方案中应用。评价了身体恢复过程中的反射诊断结果作为预测康复负荷方向和容量过程中适应电位的预测指标,以及康复治疗的效果。需要进一步研究不同范围内低强度EMR的作用机制和康复潜力,以扩大PhP技术的临床应用。
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引用次数: 0
Electrodermal Activity Monitoring for Stroke Patients Stress States, Еmotional Disturbances, Rehabilitation Measures Effectiveness Specification: a Pilot Study 脑卒中患者压力状态,Еmotional干扰,康复措施有效性规范的皮电活动监测:一项试点研究
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-19-29
A. Kuzyukova, A. P. Rachin, V. Kolyshenkov
INTRODUCTION. The level of stress experienced by stroke patients (caused by anxiety-depressive disorders, pain and motor deficiency) is still difficult to assess adequately clinically and with the help of existing diagnostic questionnaires, whereas their presence in a state of pronounced discomfort significantly affects the overall functioning and effectiveness of rehabilitation measures. In connection with the above, of interest are the methods aimed at objectification of stress level, such as determination of sympathetic activation byregistration of cutaneous conductivity, which, according to the literature, can be a reliable marker of affective pathology and chronic pain.AIM. To assess the possibility of using the NeonFSC stress monitoring system, RU No. RZN 2021/16179 dated December 29, 2021 for diagnostics by recording the skin conduction of stress, pain sensations and emotional pathology in stroke patients, and determining the effectiveness of the treatment and rehabilitation measures taken to correct the above disorders.MATERIAL AND METHODS. Thirty-five stroke patients were examined clinically and anamnesthetically, clinico-neurologically, clinicopsychopathologically,using diagnostic scales and recording electrodermal activity.RESULT AND DISCUSSION. The NeonFSC system determines the level of sympathetic activation in stroke patients, correlated with clinical parameters (neurological deficit, severity of pain, anxiety and depression) and helps to assess the dynamics of discomfort experienced by the patient as a result of rehabilitation measures. The use of electrodermal activity monitoring in a comprehensive examination of patients increased the diagnosis of emotional pathology and pain by 30%, objectified the presence of distress or its absence.CONCLUSION. The NeonFSC system is promising for use in comprehensive diagnosis and assessment of the dynamics of anxietydepressive disorders, pain, and other distress-inducing conditions, as well as to determine the adequacy of physical activities used in rehabilitation for various diseases.
介绍。脑卒中患者所经历的压力水平(由焦虑抑郁障碍、疼痛和运动缺陷引起)仍然难以在临床和现有诊断问卷的帮助下充分评估,而他们处于明显不适状态的存在显著影响康复措施的整体功能和有效性。与上述相关,我们感兴趣的是旨在客观化应激水平的方法,例如通过记录皮肤电导率来确定交感神经激活,根据文献,这可以作为情感病理和慢性疼痛的可靠标记。为了评估使用NeonFSC应力监测系统的可能性,RU No.;RZN 2021/16179,于2021年12月29日发布,通过记录脑卒中患者的应激、疼痛感觉和情绪病理的皮肤传导来进行诊断,并确定为纠正上述疾病而采取的治疗和康复措施的有效性。材料和方法。采用诊断量表和记录皮电活动对35例脑卒中患者进行临床、记忆、临床神经、临床精神病理学检查。结果和讨论。NeonFSC系统确定中风患者的交感神经激活水平,与临床参数(神经功能缺陷、疼痛严重程度、焦虑和抑郁)相关,并有助于评估患者因康复措施而经历的不适动态。在对患者进行全面检查时使用皮肤电活动监测可使情绪病理和疼痛的诊断率提高30%,使痛苦的存在或不存在客观化。NeonFSC系统有望用于全面诊断和评估焦虑抑郁障碍、疼痛和其他痛苦诱发条件的动态,以及确定用于各种疾病康复的体育活动的充分性。
{"title":"Electrodermal Activity Monitoring for Stroke Patients Stress States, Еmotional Disturbances, Rehabilitation Measures Effectiveness Specification: a Pilot Study","authors":"A. Kuzyukova, A. P. Rachin, V. Kolyshenkov","doi":"10.38025/2078-1962-2022-21-6-19-29","DOIUrl":"https://doi.org/10.38025/2078-1962-2022-21-6-19-29","url":null,"abstract":"INTRODUCTION. The level of stress experienced by stroke patients (caused by anxiety-depressive disorders, pain and motor deficiency) is still difficult to assess adequately clinically and with the help of existing diagnostic questionnaires, whereas their presence in a state of pronounced discomfort significantly affects the overall functioning and effectiveness of rehabilitation measures. In connection with the above, of interest are the methods aimed at objectification of stress level, such as determination of sympathetic activation byregistration of cutaneous conductivity, which, according to the literature, can be a reliable marker of affective pathology and chronic pain.\u0000AIM. To assess the possibility of using the NeonFSC stress monitoring system, RU No. RZN 2021/16179 dated December 29, 2021 for diagnostics by recording the skin conduction of stress, pain sensations and emotional pathology in stroke patients, and determining the effectiveness of the treatment and rehabilitation measures taken to correct the above disorders.\u0000MATERIAL AND METHODS. Thirty-five stroke patients were examined clinically and anamnesthetically, clinico-neurologically, clinicopsychopathologically,using diagnostic scales and recording electrodermal activity.\u0000RESULT AND DISCUSSION. The NeonFSC system determines the level of sympathetic activation in stroke patients, correlated with clinical parameters (neurological deficit, severity of pain, anxiety and depression) and helps to assess the dynamics of discomfort experienced by the patient as a result of rehabilitation measures. The use of electrodermal activity monitoring in a comprehensive examination of patients increased the diagnosis of emotional pathology and pain by 30%, objectified the presence of distress or its absence.\u0000CONCLUSION. The NeonFSC system is promising for use in comprehensive diagnosis and assessment of the dynamics of anxietydepressive disorders, pain, and other distress-inducing conditions, as well as to determine the adequacy of physical activities used in rehabilitation for various diseases.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123421499","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
Connective Tissue Growth Factor in Patients with Coronary Heart Disease: a Pilot Study 结缔组织生长因子在冠心病患者中的作用:一项初步研究
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-42-51
S. V. Topolyanskaya, Tatyana A. Eliseeva, O. I. Turna, O. N. Vakulenko
AIM. To determine the concentration of connective tissue growth factor and assess the relationship of this index with a number of pathological conditions in elderly patients with CHD.MATERIAL AND METHODS. The study enrolled 50 patients older than 75 years with a diagnosis of coronary heart disease (CAD); most of them (71%) were women. The patients ranged in age from 75 to 96 years (mean age -87.8 years). The concentration of connective tissue growth factor (CTGF) in blood was determined by enzyme immunoassay.RESULTS AND DISCUSSION. In the group of CHD patients, the average CTGF concentration was 357.2 pg/ml, whereas in healthy young adults it was 1076.7 pg/ml (p=0.07). Only 7.9% of patients with CHD had CTGF level exceeding 1000 pg/ml, whereas in young subjects CTGF level exceeded 1000 pg/ml in 25% of cases. In patients with clinically significant CHD, CTGF concentration was significantly higher than in patients without CHD (p=0.001). A negative correlation was registered between the CTGF levels and the systolic (r = -0.25; p = 0.1) and diastolic (r = -0.36; p = 0.02) blood pressure. In the subgroup of patients with pneumosclerosis, the median CTGF concentration reached 190.7 pg/l, without it – 34.7 pg/ml (p = 0.03). A significant inverse correlation was found between the CTGF levels and glucose (r = -0.34; p = 0.03), total cholesterol (r = -0.49; p = 0.002) and LDL cholesterol (r = -0.40; p = 0.01) concentrations. This pilot study found a significant effect of CTGF on echocardiographic parameters and the course of CHD, and higher levels of CTGF in patients with pneumosclerosis. However, a small sample of patients and extremely variable CTGF values do not currently allow unequivocal conclusions to be drawn at this time about the role of this factor in various comorbid conditions.CONCLUSION. Further research is needed to establish the clinical significance of CTGF.
的目标。测定老年冠心病患者结缔组织生长因子的浓度,并评价该指标与多项病理状况的关系。材料和方法。该研究招募了50名年龄在75岁以上、诊断为冠心病(CAD)的患者;其中大多数(71%)是女性。患者年龄75 ~ 96岁,平均年龄-87.8岁。采用酶免疫分析法测定血中结缔组织生长因子(CTGF)的浓度。结果和讨论。在冠心病患者组中,CTGF平均浓度为357.2 pg/ml,而在健康青年组中,CTGF平均浓度为1076.7 pg/ml (p=0.07)。只有7.9%的冠心病患者CTGF水平超过1000 pg/ml,而在年轻受试者中,25%的病例CTGF水平超过1000 pg/ml。在有临床意义的冠心病患者中,CTGF浓度显著高于无冠心病患者(p=0.001)。CTGF水平与收缩压呈负相关(r = -0.25;P = 0.1)和舒张压(r = -0.36;P = 0.02)血压。在肺硬化患者亚组中,CTGF中位浓度为190.7 pg/l,无- 34.7 pg/ml (p = 0.03)。CTGF水平与血糖呈显著负相关(r = -0.34;P = 0.03)、总胆固醇(r = -0.49;p = 0.002)和LDL胆固醇(r = -0.40;P = 0.01)浓度。本初步研究发现CTGF对超声心动图参数及冠心病病程有显著影响,且在肺硬化患者中CTGF水平较高。然而,由于患者样本量小,且CTGF值变化很大,目前尚不能就该因子在各种合并症中的作用得出明确结论。CTGF的临床意义有待进一步研究。
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引用次数: 0
Application of Remote Patient Monitoring Technology in Medical Rehabilitation Programs 远程病人监护技术在医疗康复中的应用
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-59-67
M. A. Eremushkin, T. A. Knyazeva, Elena V. Malakhova, Olga G. Makarova
AIM. To develop an original information technology for remote monitoring and to conduct a scientific justification for its use for monitoring and evaluating the motor regimen and the main physiological parameters of patients in a rehabilitation center.MATERIAL AND METHODS. The original architecture of the software and hardware complex was used (certificate of state registration of the computer program No. 2022611766 of February 1, 2022), allowing to the attending physician’s PC and wearable devices (smart watches) of the patient with the function of the 24-hour registration of motor activity and heart rate indicators of users. The study involved 21 patients, who underwent medical rehabilitation courses in a round-the-clock hospital. 11 patients underwent cardiorehabilitation programs for the diagnosis of chronic coronary heart disease, myocardial infarction in the past (I25.2 according to ICD-10); 10 patients due to a condition after COVID-19 (U09.9 according to ICD-10).RESULTS AND DISCUSSION. When comparing the motor characteristics of the 2 study groups, it was found that the average number of steps per day was 9004.6 in the group of patients with a diagnosis of I25.2, which equals the distance of 6.6±2.63 km, and 10072.4 steps per day and 7.45±3.12 km in the group with a diagnosis of U09.9, respectively (p<0.001). In both groups, during the course of medical rehabilitation, as a rule, 3 peaks of an increase in motor load were observed – on days 2-3, 5-6 and 8. The period of physical activity in group I25.2 averaged 5:45±0:33 hours, and in group U09.9 – 5:30±0:23 hours. The total density of motor load in both groups corresponded to ≈ 35-36%. However, the average time of motor load spent on active physical rehabilitation procedures in the group with a diagnosis of I25.2 was 1:45±0:17 hours, and in the group U09.9 only 1:05±0:14 (p<0.01). In this connection, the motor density of the motor load of rehabilitation measures in the groups corresponded to 26.6% and 19.8%.CONCLUSION. The software package for remote monitoring of the motor regime and the main physiological parameters of patients has demonstrated the possibility of its use in medical practice, namely for patients at the 2nd stage of medical rehabilitation in a round-the-clock hospital and can be recommended for inclusion in programs of spa treatment.
的目标。开发一种用于远程监测的原始信息技术,并对其用于监测和评估康复中心患者的运动方案和主要生理参数进行科学论证。材料和方法。采用原有软硬件综合体架构(计算机程序国家注册证2022611766号,2022年2月1日),使主治医生的PC和患者的可穿戴设备(智能手表)具有24小时登记用户运动活动和心率指标的功能。这项研究涉及21名患者,他们在一家24小时的医院接受了医学康复课程。11例因诊断为慢性冠心病、心肌梗死而接受心脏康复计划的患者(ICD-10为25.2例);10例患者因COVID-19后的状况(根据ICD-10, U09.9)。结果和讨论。比较两组患者的运动特征,发现诊断为I25.2组患者平均每天步行9004.6步,相当于6.6±2.63 km;诊断为U09.9组患者平均每天步行10072.4步,相当于7.45±3.12 km,差异有统计学意义(p<0.001)。在医学康复过程中,两组患者通常在第2-3天、第5-6天和第8天观察到运动负荷增加的3个高峰。I25.2组体力活动时间平均为5:45±0:33小时,U09.9组体力活动时间平均为5:30±0:23小时。两组大鼠电机负荷总密度≈35 ~ 36%。然而,在诊断为I25.2的组中,运动负荷用于主动物理康复程序的平均时间为1:45±0:17小时,而在诊断为U09.9的组中仅为1:05±0:14小时(p<0.01)。在此基础上,康复措施组运动负荷的运动密度分别为26.6%和19.8%。该软件包用于远程监测患者的运动状态和主要生理参数,已经证明了其在医疗实践中使用的可能性,即在24小时医院进行第二阶段医疗康复的患者,可以推荐纳入水疗治疗方案。
{"title":"Application of Remote Patient Monitoring Technology in Medical Rehabilitation Programs","authors":"M. A. Eremushkin, T. A. Knyazeva, Elena V. Malakhova, Olga G. Makarova","doi":"10.38025/2078-1962-2022-21-6-59-67","DOIUrl":"https://doi.org/10.38025/2078-1962-2022-21-6-59-67","url":null,"abstract":"AIM. To develop an original information technology for remote monitoring and to conduct a scientific justification for its use for monitoring and evaluating the motor regimen and the main physiological parameters of patients in a rehabilitation center.\u0000MATERIAL AND METHODS. The original architecture of the software and hardware complex was used (certificate of state registration of the computer program No. 2022611766 of February 1, 2022), allowing to the attending physician’s PC and wearable devices (smart watches) of the patient with the function of the 24-hour registration of motor activity and heart rate indicators of users. The study involved 21 patients, who underwent medical rehabilitation courses in a round-the-clock hospital. 11 patients underwent cardiorehabilitation programs for the diagnosis of chronic coronary heart disease, myocardial infarction in the past (I25.2 according to ICD-10); 10 patients due to a condition after COVID-19 (U09.9 according to ICD-10).\u0000RESULTS AND DISCUSSION. When comparing the motor characteristics of the 2 study groups, it was found that the average number of steps per day was 9004.6 in the group of patients with a diagnosis of I25.2, which equals the distance of 6.6±2.63 km, and 10072.4 steps per day and 7.45±3.12 km in the group with a diagnosis of U09.9, respectively (p<0.001). In both groups, during the course of medical rehabilitation, as a rule, 3 peaks of an increase in motor load were observed – on days 2-3, 5-6 and 8. The period of physical activity in group I25.2 averaged 5:45±0:33 hours, and in group U09.9 – 5:30±0:23 hours. The total density of motor load in both groups corresponded to ≈ 35-36%. However, the average time of motor load spent on active physical rehabilitation procedures in the group with a diagnosis of I25.2 was 1:45±0:17 hours, and in the group U09.9 only 1:05±0:14 (p<0.01). In this connection, the motor density of the motor load of rehabilitation measures in the groups corresponded to 26.6% and 19.8%.\u0000CONCLUSION. The software package for remote monitoring of the motor regime and the main physiological parameters of patients has demonstrated the possibility of its use in medical practice, namely for patients at the 2nd stage of medical rehabilitation in a round-the-clock hospital and can be recommended for inclusion in programs of spa treatment.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130850645","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: 3
Evaluation of the Somatotype of Patients with Class 1, 2 and 3 Obesity According to the Heath-Carter Scheme Using Various Formulas 根据Heath-Carter方案用不同公式评价1、2、3类肥胖患者的体型
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-78-90
M. M. Semenov, K. Vybornaya, R. Radzhabkadiev, K. M. Gapparova, K. Sharafetdinov, Z. M. Zainudinov, D. Nikityuk
AIM. The purpose of this work was to study the somatotypological characteristics of patients with non-communicable diseases and obesity of class 1, 2 and 3; compare three methods to evaluate the somatotype using three types of complex formulas according to the Heath-Carter scheme; to check the reliability and informativeness of the method of bioimpedance evaluation of somatotype components by regression formulas used in bioimpedance analysis.MATERIAL AND METHODS. 145 patients (67 men, mean age 41.4±10.3 years and 78 women, mean age 40.6±9.4 years) with class 1, class 2 and class 3 obesity, were examined at the clinic of the Federal Research Center of Nutrition and Biotechnology. Anthropometric measurements were taken. Bioimpedance evaluation of body composition was performed using the analyzer ABC-01 "Medas". The somatotype was determined according to the Heath-Carter scheme using three types of complex formulas – based on anthropometry and based on a bioimpedance study of body composition.RESULTS AND DISCUSSION. Based on anthropometric and bioimpedance studies, a characterization of somatotypes according to the Heath-Carter scheme in patients with alimentary-dependent pathologies and class 1, class 2 and class 3 obesity is presented. Significant differences were shown in the values of the somatotype components ENDO and MESO, obtained by calculation using the formulas implemented in the software of the bioimpedance analyzer, from the values obtained by calculating by formulas based on anthropometry.CONCLUSION. The degree of gender dimorphism was different when determining the somatotype according to the Heath-Carter scheme in patients with class 1, class 2 and class 3 obesity, and it depended on what particular formulas were used to calculate the scores. Pronounced gender dimorphism was noted when using both versions of the regression formulas, because they take into account the gender of the individual being examined. It was shown that these formulas are not applicable for evaluation of the components of the somatotype in persons with obesity of class 1, class 2 and class, because the coefficients of determination do not correspond to those previously obtained for a group of people with normal BMI values. We consider it expedient to develop new regression equations for evaluation of the somatotype of the above category of patients.
的目标。这项工作的目的是研究非传染性疾病和1、2和3类肥胖患者的身体类型特征;比较了根据Heath-Carter方案使用三种复杂公式评价躯体型的三种方法;利用生物阻抗分析中的回归公式,检验生物阻抗评价体型成分方法的可靠性和信息量。材料和方法。145例1、2、3级肥胖患者(男性67例,平均年龄41.4±10.3岁,女性78例,平均年龄40.6±9.4岁)在联邦营养与生物技术研究中心门诊接受了检查。进行了人体测量。采用ABC-01“Medas”生化分析仪进行体成分生物阻抗评价。根据Heath-Carter方案,使用三种复杂的公式——基于人体测量学和基于身体成分的生物阻抗研究——来确定体型。结果和讨论。基于人体测量学和生物阻抗研究,根据Heath-Carter方案,在有食物依赖病理和1、2、3级肥胖的患者中,提出了一种身体类型的特征。用生物阻抗分析仪软件中实现的公式计算得到的体型成分ENDO和MESO值与用人体测量学公式计算得到的值有显著差异。根据Heath-Carter方案确定1、2、3类肥胖患者的体型时,性别二态性的程度不同,这取决于使用什么特定的公式来计算得分。在使用两种版本的回归公式时,注意到明显的性别二态性,因为它们考虑到被检查个体的性别。结果表明,这些公式不适用于评估1类、2类和1类肥胖者的体型组成部分,因为决定系数与先前获得的BMI值正常的人群的决定系数不一致。我们认为有必要开发新的回归方程来评价上述患者的体型。
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引用次数: 0
High Intensity Pulsed Magnetic Field Application in Patients with Chronic Prostatitis Complicated by Erectile Dysfunction: а Randomized Prospective Study 高强度脉冲磁场在慢性前列腺炎合并勃起功能障碍患者中的应用:随机前瞻性研究
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-91-98
D. Kulchitskaya, A. Fesyun, V. Kiyatkin, T. Konchugova, M. Yakovlev, I. Bobrovnitsky
INTRODUCTION. Chronic prostatitis is one of the most common urological nosologies, the third most common diagnosis in men under 50 years old. Existing scientific sources testify to the effectiveness of various physiotherapeutic interventions in patients with infectious-inflammatory diseases of the male reproductive system, complicated by erectile dysfunction.AIM. The aim of the study was the scientific substantiation of high-intensity pulsed magnetic field application in patients with chronic prostatitis complicated by erectile dysfunction.MATERIAL AND METHODS. The study included 60 patients randomized into two groups. The first group (30 people) received high-intensity pulsed magnetic field; the second group (30 people) received drug therapy.RESULTS AND DISCUSSION. It was shown that the high clinical results of high-intensity pulsed magnetic field application were based on the compensation of local blood circulation conditioned by the improvement of the prostate blood flow according to the ultrasound of the prostatic vessels as well as by the elimination of the penile blood supply deficiency due to the improvement of the arterial vessels tone and elimination of venous stasis according to laser doppler flowmetry.CONCLUSION. An innovative method has been developed to treat patients with chronic prostatitis complicated by erectile dysfunction using high-intensity pulsed magnetic field.
介绍。慢性前列腺炎是最常见的泌尿科疾病之一,在50岁以下男性中排名第三。现有的科学资料证实了各种物理治疗干预对男性生殖系统感染性炎症性疾病合并勃起功能障碍患者的有效性。该研究的目的是为高强度脉冲磁场在慢性前列腺炎合并勃起功能障碍患者中的应用提供科学依据。材料和方法。该研究包括60名患者,随机分为两组。第一组(30人)接受高强度脉冲磁场;第二组(30人)接受药物治疗。结果和讨论。结果表明,高强度脉冲磁场应用的高临床效果是基于前列腺血管超声显示的前列腺血流量改善对局部血液循环的补偿,以及激光多普勒血流测量显示的动脉血管张力改善和静脉淤积消除引起的阴茎血供不足。一种创新的方法已经开发治疗慢性前列腺炎合并勃起功能障碍患者使用高强度脉冲磁场。
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引用次数: 1
Introduction by Evgeniy E. Achkasov Evgeniy E. Achkasov介绍
Pub Date : 2022-12-30 DOI: 10.38025/2078-1962-2022-21-6-1-2
E. Achkasov
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引用次数: 0
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Bulletin of Rehabilitation Medicine
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