M. A. Gorai, L. F. Kurdysh, N. Gadzhula, O. V. Kulytska, H. M. Poberezhna, Irina M Horlenko
Aim: To evaluate the therapeutic effectiveness of the use of photodynamic therapy in chronic traumatic lesions of oral mucosa. Materials and methods: Clinical examination and treatment of 67 patients aged 18-65 years with erosive-ulcerative lesions of oral mucosa were carried out. Treatment of patients in the main group was performed using photodynamic therapy. Treatment of patients of the control group was carried out according to the standard method. The results of treatment were evaluated by clinical and cytological parameters. Results: In all patients of the main group with chronic traumatic erythema, already on the second day of treatment, complaints of pain when talking and eating completely disappeared, and on the third day in 100% of patients the affected mucosa had no pathological changes. In patients with erosive-ulcerative lesions, complete clinical recovery in the main group was observed on the 3-4th day of treatment, in the control group – on the 7-10th day. The results of cytological examination, namely the absence of young epithelial cells of stages 1 and 2 of differentiation, a significant decrease of intermediate maturity cells (stages 3 and 4) and a similar increase of mature cells (stages 5 and 6), indicated the acceleration of mucosal regeneration in patients of the main group compared to the control group. Conclusions: The use of photodynamic therapy in the treatment of traumatic oral mucosa lesions contributed to the acceleration of elimination of clinical manifestations of chronic mechanical injuries and the normalization of parameters of cytological characteristics of epithelial cells in patients of the main group compared to the group of standard treatment.
{"title":"Experience of the Use of Photodynamic Therapy in the Treatment of Chronic Traumatic Lesions of Oral Mucosa","authors":"M. A. Gorai, L. F. Kurdysh, N. Gadzhula, O. V. Kulytska, H. M. Poberezhna, Irina M Horlenko","doi":"10.36740/abal202205107","DOIUrl":"https://doi.org/10.36740/abal202205107","url":null,"abstract":"Aim: To evaluate the therapeutic effectiveness of the use of photodynamic therapy in chronic traumatic lesions of oral mucosa. Materials and methods: Clinical examination and treatment of 67 patients aged 18-65 years with erosive-ulcerative lesions of oral mucosa were carried out. Treatment of patients in the main group was performed using photodynamic therapy. Treatment of patients of the control group was carried out according to the standard method. The results of treatment were evaluated by clinical and cytological parameters. Results: In all patients of the main group with chronic traumatic erythema, already on the second day of treatment, complaints of pain when talking and eating completely disappeared, and on the third day in 100% of patients the affected mucosa had no pathological changes. In patients with erosive-ulcerative lesions, complete clinical recovery in the main group was observed on the 3-4th day of treatment, in the control group – on the 7-10th day. The results of cytological examination, namely the absence of young epithelial cells of stages 1 and 2 of differentiation, a significant decrease of intermediate maturity cells (stages 3 and 4) and a similar increase of mature cells (stages 5 and 6), indicated the acceleration of mucosal regeneration in patients of the main group compared to the control group. Conclusions: The use of photodynamic therapy in the treatment of traumatic oral mucosa lesions contributed to the acceleration of elimination of clinical manifestations of chronic mechanical injuries and the normalization of parameters of cytological characteristics of epithelial cells in patients of the main group compared to the group of standard treatment.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69730661","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}
Olexandr S. Stepanenko, O. Yezhova, Nadia Yu. Dovgan, N. Petrenko, Nataliia O. Dolgova, O. Smiianova, Yevgen V. Smiianov
Aim: Determining the effectiveness of the developed comprehensive physical rehabilitation program for athletes with chronic patellar tendinopathy. Materials and Methods: Participants were randomly divided into the main and control groups consisting of 11 people each. The complex rehabilitation program in the main group combined laser therapy and different types of therapeutic exercises, in the control group the laser therapy was excluded. The effectiveness of the intervention was evaluated by the intensity of pain in the patella (Visual Analog Scale) and the functional ability of the knee (VISA-P scale). Results: At the end of the intervention, a significant reduction in pain was observed in both groups. The average scores on the VAS scale were reduced to 2.0 points in the main group and to 3.5 in the control one. The share of patients, whose pain was eased, was 27.27 per cent in the main group, in the control group such people were not detected. After two months of intervention according to the results of the VISA-P scale in both study groups, there was an improvement in the functional capacity of the knee joint. Thus, the average number of points increased by 30.5 points in the main group, and by 12.0 in the control one. Conclusions: The use of high-frequency laser therapy in a comprehensive program of physical rehabilitation of patients with patellar tendinopathy shows better results for reducing pain and improving the functioning of the knee joint than without it. We believe that high-frequency laser therapy can be used as an important adjunct to various types of therapeutic exercises in the comprehensive rehabilitation of patients with patellar tendinopathy.
{"title":"Laser Therapy in the Comprehensive Program of Physical Rehabilitation of Athletes with Chronic Patellar Tendinopathy","authors":"Olexandr S. Stepanenko, O. Yezhova, Nadia Yu. Dovgan, N. Petrenko, Nataliia O. Dolgova, O. Smiianova, Yevgen V. Smiianov","doi":"10.36740/abal202201107","DOIUrl":"https://doi.org/10.36740/abal202201107","url":null,"abstract":"Aim: Determining the effectiveness of the developed comprehensive physical rehabilitation program for athletes with chronic patellar tendinopathy. Materials and Methods: Participants were randomly divided into the main and control groups consisting of 11 people each. The complex rehabilitation program in the main group combined laser therapy and different types of therapeutic exercises, in the control group the laser therapy was excluded. The effectiveness of the intervention was evaluated by the intensity of pain in the patella (Visual Analog Scale) and the functional ability of the knee (VISA-P scale). Results: At the end of the intervention, a significant reduction in pain was observed in both groups. The average scores on the VAS scale were reduced to 2.0 points in the main group and to 3.5 in the control one. The share of patients, whose pain was eased, was 27.27 per cent in the main group, in the control group such people were not detected. After two months of intervention according to the results of the VISA-P scale in both study groups, there was an improvement in the functional capacity of the knee joint. Thus, the average number of points increased by 30.5 points in the main group, and by 12.0 in the control one. Conclusions: The use of high-frequency laser therapy in a comprehensive program of physical rehabilitation of patients with patellar tendinopathy shows better results for reducing pain and improving the functioning of the knee joint than without it. We believe that high-frequency laser therapy can be used as an important adjunct to various types of therapeutic exercises in the comprehensive rehabilitation of patients with patellar tendinopathy.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69728220","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}
Nataly V. Hasiuk, Nataliya A. Yaskiv, Pavlo V. Leonenko, V. Radchuk
Aim: To analyse and summarize the data of modern scientific literature for the last 10 years on modern approaches to the prevention of chronic recurrent aphthous stomatitis, etiology, pathogenesis and treatment of this disease. Materials and Methods: Analysis and generalization of data from the modern scientific literature on the etiology, pathogenesis, prevention and treatment of CRAS based on databases such as Scopus, Web of Science, MedLine, PubMed, NCBI, the study of which does not exceed 10 years, including literature reviews and results of clinical trials. Conclusions: The prevention of chronic recurrent aphthous stomatitis requires a comprehensive and individualized approach to solve this issue. Reduction of this disease to one cause becomes serious due to its polyetiology, which makes it more difficult to predict the causes of recurrence and solution of the prevention issue. Trigger mechanisms that provoke the formation of CRAS differ in various patients (stress, mechanical disorders, the nature of nutrition, lack of vitamins or trace elements, infections, etc.). However, the immunopathogenetic mechanism may be a common link for the main triggers of the aphthae recurrence emergence. Due to the imperfect understanding of etiopathogenetic factors, the prevention of chronic recurrent aphthous stomatitis is aimed at increasing the intervals between the appearance of new lesions, reducing the number of aphthae and their size, so in other words, it is secondary.
目的:分析总结近10年来关于慢性复发性口腔炎的现代预防方法、病因、病机及治疗的现代科学文献资料。材料与方法:基于Scopus、Web of Science、MedLine、PubMed、NCBI等数据库，对研究时间不超过10年的CRAS的病因、发病机制、防治等现代科学文献数据进行分析归纳，包括文献综述和临床试验结果。结论:慢性复发性口腔炎的预防需要综合、个体化治疗。由于这种疾病的多变性，将其减少到一个原因变得严重，这使得预测复发的原因和预防问题的解决变得更加困难。不同患者诱发CRAS形成的触发机制不同(压力、机械障碍、营养性质、缺乏维生素或微量元素、感染等)。然而，免疫发病机制可能是引起口疮复发的主要诱因之一。由于对发病因素的认识不完善，预防慢性复发性口疮口炎的目的是增加新病灶出现的间隔时间，减少口疮的数量和大小，所以换句话说，它是继发性的。
{"title":"Modern Approach to Prevention of Chronic Recurrent Aphthous Stomatitis","authors":"Nataly V. Hasiuk, Nataliya A. Yaskiv, Pavlo V. Leonenko, V. Radchuk","doi":"10.36740/abal202201117","DOIUrl":"https://doi.org/10.36740/abal202201117","url":null,"abstract":"Aim: To analyse and summarize the data of modern scientific literature for the last 10 years on modern approaches to the prevention of chronic recurrent aphthous stomatitis, etiology, pathogenesis and treatment of this disease. Materials and Methods: Analysis and generalization of data from the modern scientific literature on the etiology, pathogenesis, prevention and treatment of CRAS based on databases such as Scopus, Web of Science, MedLine, PubMed, NCBI, the study of which does not exceed 10 years, including literature reviews and results of clinical trials. Conclusions: The prevention of chronic recurrent aphthous stomatitis requires a comprehensive and individualized approach to solve this issue. Reduction of this disease to one cause becomes serious due to its polyetiology, which makes it more difficult to predict the causes of recurrence and solution of the prevention issue. Trigger mechanisms that provoke the formation of CRAS differ in various patients (stress, mechanical disorders, the nature of nutrition, lack of vitamins or trace elements, infections, etc.). However, the immunopathogenetic mechanism may be a common link for the main triggers of the aphthae recurrence emergence. Due to the imperfect understanding of etiopathogenetic factors, the prevention of chronic recurrent aphthous stomatitis is aimed at increasing the intervals between the appearance of new lesions, reducing the number of aphthae and their size, so in other words, it is secondary.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69728580","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}
G. Mańko, Grzegorz Sobański, Kamil Czamara, Filip Georgiew
Aim: The purpose of this study was to asset the effectiveness of complex manual therapy usage in patients with lumbar flexion dysfunction after discectomy, in comparison to standard physiotherapy based on physical therapy, balneotherapy and sensorimotor exercises. Material and methods: The study was conducted in the participation of 40 patients attending outpatient rehabilitation at ORNR “Krzeszowice” SP ZOZ. Participants were divided into two groups (control and experimental) each one including 20 people. The average patients’ age was 52.75 (± 11.58). The patients had been medically examined before the rehabilitation process implementation and after its completion. The test was carried out using the patient’s card, Laitinen’s scale and mobility tests with a plurimeter. Rehabilitation has taken place for four weeks daily. The exercises of the patients from the experimental group were based on comprehensive manual therapy meanwhile the control group underwent a standard package of physical therapy, balneotherapy and sensorimotor exercises. Results: Two statistically significant phenomena were observed in both groups: decrease of pain in the lower spine and the range motion improvement, nevertheless, both results were significantly greater in the experimental group. Conclusions: Both therapeutic programs indicate an advantageous impact in terms of reducing pain and functioning in everyday life, but the manual therapy is much more effective.
{"title":"Assessment of Effectiveness of Usage Complex Manual Therapy in Patients with Lumbar Flexion Dysfunction After Discectomy, in Comparison to Standard Physiotherapy Based on Physical Therapy, Balneotherapy and Sensorimotor Exercises","authors":"G. Mańko, Grzegorz Sobański, Kamil Czamara, Filip Georgiew","doi":"10.36740/abal202203102","DOIUrl":"https://doi.org/10.36740/abal202203102","url":null,"abstract":"Aim: The purpose of this study was to asset the effectiveness of complex manual therapy usage in patients with lumbar flexion dysfunction after discectomy, in comparison to standard physiotherapy based on physical therapy, balneotherapy and sensorimotor exercises. Material and methods: The study was conducted in the participation of 40 patients attending outpatient rehabilitation at ORNR “Krzeszowice” SP ZOZ. Participants were divided into two groups (control and experimental) each one including 20 people. The average patients’ age was 52.75 (± 11.58). The patients had been medically examined before the rehabilitation process implementation and after its completion. The test was carried out using the patient’s card, Laitinen’s scale and mobility tests with a plurimeter. Rehabilitation has taken place for four weeks daily. The exercises of the patients from the experimental group were based on comprehensive manual therapy meanwhile the control group underwent a standard package of physical therapy, balneotherapy and sensorimotor exercises. Results: Two statistically significant phenomena were observed in both groups: decrease of pain in the lower spine and the range motion improvement, nevertheless, both results were significantly greater in the experimental group. Conclusions: Both therapeutic programs indicate an advantageous impact in terms of reducing pain and functioning in everyday life, but the manual therapy is much more effective.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729172","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}
Y. Rybert, A. Potapchuk, Lidiia Minko, N. Magera, Yaryna Semchyshyn, Maksym Dubas, V. Almashi
Aim: Improving the quality of diagnosis and treatment orthodontic pathology in patient with temporomandibular joint disorders. Materials and Methods: Analysis – to determine objectives and study plan; clinical-diagnostic methods that include dental and radiological examination (to establish the clinical diagnosis of patients with temporomandibular disorders), electronic axiography (to determine the features of the movements of the articular heads of the mandible), instrumental study the models of jaws in the articulator (to diagnose the state of functional occlusion), statistical (to calculate averages and assess the probability of the results). Results: After developed and implemented algorithm total dental rehabilitation we have eliminated functional disorders in the masticatory muscles and temporomandibular joints, completely restored the lost function of the masticatory apparatus. Conclusions: Creation of occlusal relations, which are harmoniously combined with the function of masticatory muscles and temporomandibular joints, allowed to achieve the long period of remission, absence of the complications and recurrences of the disease in the near and long term. These points became the criterions that improved effectiveness of scientifically based individual treatment of mandibular disorders.
{"title":"Complex Rehabilitation of Orthodontic Pathology Combined with Temporomandibular Joint Disorders","authors":"Y. Rybert, A. Potapchuk, Lidiia Minko, N. Magera, Yaryna Semchyshyn, Maksym Dubas, V. Almashi","doi":"10.36740/abal202204113","DOIUrl":"https://doi.org/10.36740/abal202204113","url":null,"abstract":"Aim: Improving the quality of diagnosis and treatment orthodontic pathology in patient with temporomandibular joint disorders. Materials and Methods: Analysis – to determine objectives and study plan; clinical-diagnostic methods that include dental and radiological examination (to establish the clinical diagnosis of patients with temporomandibular disorders), electronic axiography (to determine the features of the movements of the articular heads of the mandible), instrumental study the models of jaws in the articulator (to diagnose the state of functional occlusion), statistical (to calculate averages and assess the probability of the results). Results: After developed and implemented algorithm total dental rehabilitation we have eliminated functional disorders in the masticatory muscles and temporomandibular joints, completely restored the lost function of the masticatory apparatus. Conclusions: Creation of occlusal relations, which are harmoniously combined with the function of masticatory muscles and temporomandibular joints, allowed to achieve the long period of remission, absence of the complications and recurrences of the disease in the near and long term. These points became the criterions that improved effectiveness of scientifically based individual treatment of mandibular disorders.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729650","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}
I. Myronyuk, G. Slabkiy, V. J. Bilak-Lukyanchuk, Serhiy V. Tanchynets
Aim: To substantiate and develop organizational and methodological approaches to providing the population with physical rehabilitation at the level of territorial communities. Materials and Methods: The following methods were used in the course of the study: of expert assessments to conduct an expert evaluation of the proposed innovations; medico-statistical to carry out statistical processing of primary information; of structural-and-logical analysis to analyze and present organizational and methodological approaches to providing the population of territorial communities with physical rehabilitation; bibliosemantic in order to study the existing approaches and the state of solving this issue in Ukraine. The Legislative acts of Ukraine on administrative-and-territorial reform and creation of territorial communities, as well as on the development of a system of physical rehabilitation in the country; scientific information sources on the experience of solving this issue in the countries of the world and Ukraine; results of expert evaluation of the proposed innovations were used as the materials of the study. Among the experts there were: 5 scientists, 5 specialists in physical rehabilitation, 5 heads of territorial communities, 3 family doctors, 3 residents of territorial communities in need of physical rehabilitation. Results: Organizational and methodological approaches to providing the population with physical rehabilitation and physical activity at the level of territorial communities have been substantiated and developed. The approaches are comprehensive and cover both managerial and organizational and financial aspects. Conclusions: Implementation of measures for physical rehabilitation and physical activity at the level of territorial communities will ensure further preservation and strengthening of health of the population.
{"title":"Organizational and Methodological Approaches to Providing the Population of Territorial Communities with Physical Rehabilitation","authors":"I. Myronyuk, G. Slabkiy, V. J. Bilak-Lukyanchuk, Serhiy V. Tanchynets","doi":"10.36740/abal202205117","DOIUrl":"https://doi.org/10.36740/abal202205117","url":null,"abstract":"Aim: To substantiate and develop organizational and methodological approaches to providing the population with physical rehabilitation at the level of territorial communities. Materials and Methods: The following methods were used in the course of the study: of expert assessments to conduct an expert evaluation of the proposed innovations; medico-statistical to carry out statistical processing of primary information; of structural-and-logical analysis to analyze and present organizational and methodological approaches to providing the population of territorial communities with physical rehabilitation; bibliosemantic in order to study the existing approaches and the state of solving this issue in Ukraine. The Legislative acts of Ukraine on administrative-and-territorial reform and creation of territorial communities, as well as on the development of a system of physical rehabilitation in the country; scientific information sources on the experience of solving this issue in the countries of the world and Ukraine; results of expert evaluation of the proposed innovations were used as the materials of the study. Among the experts there were: 5 scientists, 5 specialists in physical rehabilitation, 5 heads of territorial communities, 3 family doctors, 3 residents of territorial communities in need of physical rehabilitation. Results: Organizational and methodological approaches to providing the population with physical rehabilitation and physical activity at the level of territorial communities have been substantiated and developed. The approaches are comprehensive and cover both managerial and organizational and financial aspects. Conclusions: Implementation of measures for physical rehabilitation and physical activity at the level of territorial communities will ensure further preservation and strengthening of health of the population.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69730807","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}
Oksana Prytuliak, I. Vakaliuk, R. Nesterak, V. Sovtus, N. Haliuk, R. Denina
Aim: To determine the features of the early post-infarction period in patients after acute coronary syndrome with concomitant arterial hypertension, depending on the response to dosed physical activity. Materials and Methods: 120 patients with a reduced response to dosed physical activity, with Q, QS MI and concomitant hypertension, who were at the stage of rehabilitation and recovery treatment, were examined. Results: In the course of the study, during the 6-minute walk test, a decrease in oxygen consumption was found in the group of patients of an adequate tolerance to physical activity by 18.42% compared to 15.21% in the group of patients of low tolerance to activity. During the analysis of ABPM (Ambulatory Blood Pressure Monitoring) indicators, it was found that in patients who made up the group of low tolerance to DPA (Dosed Physical Activity), significantly higher average values of systolic blood pressure (SBP) (159.24}3.4) mm Hg and diastolic blood pressure (DBP) (96.26}2 .49) mm Hg, as well as heart rate. During urgent coronary angiography, it was found that in patients of an adequate response to DPA, one vascular lesion was detected in most cases (73.3%), in the group of patients of low tolerance to DPA, one vascular lesion of CA was detected in (14.5%), in (55.5%) recorded two vascular lesions of the CA, and (30%) patients had three or more vascular lesions of the CA. The level of troponin I in blood serum at the time of hospitalization in the group of patients of low tolerance to DPA was 36.38}6.79 ng/ml, the level of NT-proBNP – 726.4}36.32 pg/ml, the level of endothelin-1-9,37}1.34 pmol/L. Conclusions: During the recovery period of treatment of patients after an acute myocardial infarction with concomitant arterial hypertension, a low tolerance to dosed physical activity occurs (in 63.7% of cases), which is accompanied by the appearance of anginal pain, changes in clinical indicators in the early and late post-infarction period and prevents the conducting a full range of rehabilitation measures.
目的:探讨急性冠状动脉综合征合并高血压患者对大剂量体力活动的反应与梗死后早期期的关系。材料与方法:选取120例处于康复和恢复治疗阶段的大剂量体力活动反应降低、Q、QS型心肌梗死并伴有高血压的患者。结果:在研究过程中，在6分钟步行测试中，体力活动耐受性足够的患者组的耗氧量下降了18.42%，而体力活动耐受性低的患者组的耗氧量下降了15.21%。在动态血压监测(ABPM)指标分析中发现，DPA(低剂量体力活动)耐受组患者收缩压(SBP)平均值(159.24 μ}3.4) mm Hg、舒张压(DBP)平均值(96.26 μ} 2.49) mm Hg及心率显著升高。急诊冠状动脉造影发现，在对DPA反应充分的患者中，大多数(73.3%)检测到1个血管病变，在对DPA耐受低的患者组中，检测到1个CA血管病变(14.5%)，在(55.5%)记录到2个CA血管病变。DPA低耐受组住院时血清肌钙蛋白I水平为36.38 μ}6.79 ng/ml, NT-proBNP - 726.4 μ}36.32 pg/ml，内皮素-1-9,37 μ}1.34 pmol/L。结论:急性心肌梗死合并动脉性高血压患者在治疗恢复期出现低剂量体力活动耐受性(占63.7%)，并伴有心绞痛的出现，梗死后早期和后期临床指标发生变化，妨碍了全方位康复措施的开展。
{"title":"The Features of Post-infarction Period in Patients of Law Tolerance to Physical Activity and Chronic Heart Failure","authors":"Oksana Prytuliak, I. Vakaliuk, R. Nesterak, V. Sovtus, N. Haliuk, R. Denina","doi":"10.36740/abal202206111","DOIUrl":"https://doi.org/10.36740/abal202206111","url":null,"abstract":"Aim: To determine the features of the early post-infarction period in patients after acute coronary syndrome with concomitant arterial hypertension, depending on the response to dosed physical activity. Materials and Methods: 120 patients with a reduced response to dosed physical activity, with Q, QS MI and concomitant hypertension, who were at the stage of rehabilitation and recovery treatment, were examined. Results: In the course of the study, during the 6-minute walk test, a decrease in oxygen consumption was found in the group of patients of an adequate tolerance to physical activity by 18.42% compared to 15.21% in the group of patients of low tolerance to activity. During the analysis of ABPM (Ambulatory Blood Pressure Monitoring) indicators, it was found that in patients who made up the group of low tolerance to DPA (Dosed Physical Activity), significantly higher average values of systolic blood pressure (SBP) (159.24}3.4) mm Hg and diastolic blood pressure (DBP) (96.26}2 .49) mm Hg, as well as heart rate. During urgent coronary angiography, it was found that in patients of an adequate response to DPA, one vascular lesion was detected in most cases (73.3%), in the group of patients of low tolerance to DPA, one vascular lesion of CA was detected in (14.5%), in (55.5%) recorded two vascular lesions of the CA, and (30%) patients had three or more vascular lesions of the CA. The level of troponin I in blood serum at the time of hospitalization in the group of patients of low tolerance to DPA was 36.38}6.79 ng/ml, the level of NT-proBNP – 726.4}36.32 pg/ml, the level of endothelin-1-9,37}1.34 pmol/L. Conclusions: During the recovery period of treatment of patients after an acute myocardial infarction with concomitant arterial hypertension, a low tolerance to dosed physical activity occurs (in 63.7% of cases), which is accompanied by the appearance of anginal pain, changes in clinical indicators in the early and late post-infarction period and prevents the conducting a full range of rehabilitation measures.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69732335","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}
O. M. Myatyga, G. Tamozhanska, N. V. Goncharuk, Liana Duhina, Oksana P. Kanishcheva
Aim: To develop and prove experimentally a rational integrated approach for using physical therapy for 30-50-year-old men suffering from pain in the thoracic spine at the training stage to achieve sustainable remission. Materials and Methods: The research was conducted in the clinical sanatorium ”Resort Berezovsky Mineral Waters”. We observed 40 men aged 30-50 years with complaints of the thoracic spine, a stable form, which was divided into the control group (20 persons) - CG and the main group (20 persons) – MG. All patients were at the training stage of rehabilitation in the conditions of sanatorium treatment. Medical and biological methods were used: pulsometry; arterial tonometry; hand dynamometry; linear measurement method; goniometry; measurement of thoracic spine mobility; spirometry. The results of the research were processed by the method of variation statistics with the calculation of mean values, mean quadratic deviation, error of mean value, probability criterion, and reliability of difference of indicators. Results: Reliable positive dynamics of the musculoskeletal system and cardiorespiratory system are established Conclusions: The effectiveness of a multidisciplinary approach is proved, namely application of therapeutic exercises with resistance, elements of traction action in the water in combination with physiotherapeutic procedures, psychotherapy, and therapeutic massage for 30-50-year-old men suffering from pains in the thoracic spine at the training stage of sanatorium treatment.
{"title":"Physical Therapy for Nonspecific Pain in the Thoracic Spine","authors":"O. M. Myatyga, G. Tamozhanska, N. V. Goncharuk, Liana Duhina, Oksana P. Kanishcheva","doi":"10.36740/abal202201109","DOIUrl":"https://doi.org/10.36740/abal202201109","url":null,"abstract":"Aim: To develop and prove experimentally a rational integrated approach for using physical therapy for 30-50-year-old men suffering from pain in the thoracic spine at the training stage to achieve sustainable remission. Materials and Methods: The research was conducted in the clinical sanatorium ”Resort Berezovsky Mineral Waters”. We observed 40 men aged 30-50 years with complaints of the thoracic spine, a stable form, which was divided into the control group (20 persons) - CG and the main group (20 persons) – MG. All patients were at the training stage of rehabilitation in the conditions of sanatorium treatment. Medical and biological methods were used: pulsometry; arterial tonometry; hand dynamometry; linear measurement method; goniometry; measurement of thoracic spine mobility; spirometry. The results of the research were processed by the method of variation statistics with the calculation of mean values, mean quadratic deviation, error of mean value, probability criterion, and reliability of difference of indicators. Results: Reliable positive dynamics of the musculoskeletal system and cardiorespiratory system are established Conclusions: The effectiveness of a multidisciplinary approach is proved, namely application of therapeutic exercises with resistance, elements of traction action in the water in combination with physiotherapeutic procedures, psychotherapy, and therapeutic massage for 30-50-year-old men suffering from pains in the thoracic spine at the training stage of sanatorium treatment.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69727839","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}
Aim: To determine the characteristics of the Medical Nutrition of the Polytraumatized Patients in presence of obesity. Materials and Methods: The clinical material is represented by 42 polytraumatized patients hospitalized at the Department of Surgery of the Municipal Non-Profit Organization ”8th Municipal Clinical Hospital of Lviv”. Results: The posttraumatic catabolic condition requires the energy balance with the early substitution of protein and hypercaloric nutrition. The patients with obesity in the presence of massive severe injuries not receiving the necessary nutrition within the first days after the trauma may develop the cumulative deficit of calories and proteins that conditions the development of the severest complications related to the repeated infecting, and, consequently, the multiple organ dysfunction. The early enteral nutrition for the injured patients with obesity demonstrated a convincing positive result in the form of the prevention of infectious diseases and, correspondingly, improved the results and period of treatment. Conclusions: The patients with obesity in the presence of massive severe injuries not receiving the necessary nutrition within the first days after the trauma may develop the cumulative deficit of calories and proteins that conditions the development of the severest complications related to the repeated infecting, and, consequently, the multiple organ dysfunction,
{"title":"Characteristics of the Medical Nutrition of the Polytraumatized Patients in Presence of Obesity","authors":"O. Chemerys, S. D. Khimich","doi":"10.36740/abal202201112","DOIUrl":"https://doi.org/10.36740/abal202201112","url":null,"abstract":"Aim: To determine the characteristics of the Medical Nutrition of the Polytraumatized Patients in presence of obesity. Materials and Methods: The clinical material is represented by 42 polytraumatized patients hospitalized at the Department of Surgery of the Municipal Non-Profit Organization ”8th Municipal Clinical Hospital of Lviv”. Results: The posttraumatic catabolic condition requires the energy balance with the early substitution of protein and hypercaloric nutrition. The patients with obesity in the presence of massive severe injuries not receiving the necessary nutrition within the first days after the trauma may develop the cumulative deficit of calories and proteins that conditions the development of the severest complications related to the repeated infecting, and, consequently, the multiple organ dysfunction. The early enteral nutrition for the injured patients with obesity demonstrated a convincing positive result in the form of the prevention of infectious diseases and, correspondingly, improved the results and period of treatment. Conclusions: The patients with obesity in the presence of massive severe injuries not receiving the necessary nutrition within the first days after the trauma may develop the cumulative deficit of calories and proteins that conditions the development of the severest complications related to the repeated infecting, and, consequently, the multiple organ dysfunction,","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69728141","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}
Aim: Evaluation of the effect of hydrogen sulfide baths on pain, tactile, temperature and vibration sensitivity in patients with diabetic polyneuropathy. Materials and Methods: 125 patients with type 2 diabetes complicated by diabetic polyneuropathy were examined. Patients were divided into 2 groups: the 1st group included 61 patients who received standard treatment in an outpatient setting, 64 patients of the 2nd group in addition to standard treatment received hydrogen sulfide baths in a sanatorium. Sensitivity assessment was performed using a tuning fork, monofilament, atraumatic needle, Tip-Term cylinder. Results: In most patients, after the initial examination, a significant decrease mainly in vibration and tactile sensitivity was observed. Only pain sensitivity was truly restored in patients receiving standard outpatient therapy. The best clinical effect of treatment (reliable recovery of all types of sensitivity) was achieved in patients who were in a sanatorium and in addition to standard therapy received hydrogen sulfide baths. Conclusions: The use of hydrogen sulfide baths in the complex treatment of diabetic polyneuropathy contributes to a more effective restoration of sensitivity disorders in patients with diabetes
{"title":"Efficacy of Application of Hydrogen Sulfide Baths in Patients with Diabetic Polyneyropathy","authors":"T. G. Bakaliuk, N. R. Маkarchuk, H. O. Stelmakh","doi":"10.36740/abal202201104","DOIUrl":"https://doi.org/10.36740/abal202201104","url":null,"abstract":"Aim: Evaluation of the effect of hydrogen sulfide baths on pain, tactile, temperature and vibration sensitivity in patients with diabetic polyneuropathy. Materials and Methods: 125 patients with type 2 diabetes complicated by diabetic polyneuropathy were examined. Patients were divided into 2 groups: the 1st group included 61 patients who received standard treatment in an outpatient setting, 64 patients of the 2nd group in addition to standard treatment received hydrogen sulfide baths in a sanatorium. Sensitivity assessment was performed using a tuning fork, monofilament, atraumatic needle, Tip-Term cylinder. Results: In most patients, after the initial examination, a significant decrease mainly in vibration and tactile sensitivity was observed. Only pain sensitivity was truly restored in patients receiving standard outpatient therapy. The best clinical effect of treatment (reliable recovery of all types of sensitivity) was achieved in patients who were in a sanatorium and in addition to standard therapy received hydrogen sulfide baths. Conclusions: The use of hydrogen sulfide baths in the complex treatment of diabetic polyneuropathy contributes to a more effective restoration of sensitivity disorders in patients with diabetes","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69728159","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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