Cerebral palsy is a non-progressive functional disorder affecting the developing central nervous system, predominantly motor neurons, whose onset occurs during pregnancy, delivery or in the perinatal period. The incidence of cerebral palsy ranges from 1.5 to 2.5 per 1,000 live births. Brain damage due to periventricular leukomalacia and intraventricular haemorrhage in newborns is the most common cause of cerebral palsy. This paper presents the clinical picture of a girl with cerebral palsy. The child experienced perinatal hypoxia, which resulted in central nervous system damage and changes in the form of periventricular leukomalacia. Initially, she exhibited considerable axial hypotonia and upper and lower limb hypotonia. Rehabilitation was promptly initiated using a combination of multiple neurological methods, for example Vojta’s method, NDT Bobath therapy and PNF. The rehabilitation produced the desired effects, with the child achieving better motor control with respect to trunk and head stabilisation. She began using orthopaedic aids and undergoing verticalisation at the age of two years. She started experimental stem cell treatment in 2016. Currently her therapy takes place five times a week. The child is able to walk a short distance when she is being held by her arms. She acquires new skills and learns fast and has a wide vocabulary. She is motivated and determined to continue her rehabilitation in order to achieve her dream of walking with a walker by herself. Systematic motor rehabilitation contributed to an improvement in the physical fitness and everyday functioning of the child.
{"title":"PHYSICAL THERAPY IN CEREBRAL PALSY. CLINICAL ASPECTS. CASE REPORT","authors":"Włodzisław Kuliński, Ewa Adamczyk","doi":"10.36740/abal202304101","DOIUrl":"https://doi.org/10.36740/abal202304101","url":null,"abstract":"Cerebral palsy is a non-progressive functional disorder affecting the developing central nervous system, predominantly motor neurons, whose onset occurs during pregnancy, delivery or in the perinatal period. The incidence of cerebral palsy ranges from 1.5 to 2.5 per 1,000 live births. Brain damage due to periventricular leukomalacia and intraventricular haemorrhage in newborns is the most common cause of cerebral palsy. This paper presents the clinical picture of a girl with cerebral palsy. The child experienced perinatal hypoxia, which resulted in central nervous system damage and changes in the form of periventricular leukomalacia. Initially, she exhibited considerable axial hypotonia and upper and lower limb hypotonia. Rehabilitation was promptly initiated using a combination of multiple neurological methods, for example Vojta’s method, NDT Bobath therapy and PNF. The rehabilitation produced the desired effects, with the child achieving better motor control with respect to trunk and head stabilisation. She began using orthopaedic aids and undergoing verticalisation at the age of two years. She started experimental stem cell treatment in 2016. Currently her therapy takes place five times a week. The child is able to walk a short distance when she is being held by her arms. She acquires new skills and learns fast and has a wide vocabulary. She is motivated and determined to continue her rehabilitation in order to achieve her dream of walking with a walker by herself. Systematic motor rehabilitation contributed to an improvement in the physical fitness and everyday functioning of the child.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135954408","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: The aim of the study was to assess the efficacy of physical therapy methods used in AS patients. Materials and Methods: The study group comprised of 30 individuals with ankylosing spondylitis aged 30 to 67 years, including 5 women and 25 men. The mean age was 43.4 years in women and 41.76 years in men. The largest patient group consisted of men aged 30 to 40 years. All patients lived in the Świętokrzyskie Voivodeship. The study used a diagnostic survey based on a questionnaire created by the authors. Study patients underwent physical therapy in the form of electrotherapy, laser therapy, ultrasound therapy, magnetic field therapy, cryotherapy, kinesiotherapy and massage. Results: The study showed that physical therapy reduced pain severity and increased the level of everyday functioning. Both the sign test (p-value≈0) and the Wilcoxon signed-rank test (p-value≈0) showed a significant difference in pain severity measured before rehabilitation vs. after rehabilitation (significance level, α=0.05). Conclusions: Physical therapy and rehabilitation is a key part of treatment in this group of patients.
{"title":"Analysis of Physical Therapy in Ankylosing Spondylitis","authors":"W. Kuliński, Kornel Antos","doi":"10.36740/abal202301101","DOIUrl":"https://doi.org/10.36740/abal202301101","url":null,"abstract":"Aim: The aim of the study was to assess the efficacy of physical therapy methods used in AS patients. Materials and Methods: The study group comprised of 30 individuals with ankylosing spondylitis aged 30 to 67 years, including 5 women and 25 men. The mean age was 43.4 years in women and 41.76 years in men. The largest patient group consisted of men aged 30 to 40 years. All patients lived in the Świętokrzyskie Voivodeship. The study used a diagnostic survey based on a questionnaire created by the authors. Study patients underwent physical therapy in the form of electrotherapy, laser therapy, ultrasound therapy, magnetic field therapy, cryotherapy, kinesiotherapy and massage. Results: The study showed that physical therapy reduced pain severity and increased the level of everyday functioning. Both the sign test (p-value≈0) and the Wilcoxon signed-rank test (p-value≈0) showed a significant difference in pain severity measured before rehabilitation vs. after rehabilitation (significance level, α=0.05). Conclusions: Physical therapy and rehabilitation is a key part of treatment in this group of patients.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69733648","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: Ultraviolet radiation is the main threat to the skin. Excessive exposure to the ultraviolet radiation can lead to various conditions, but most of all, it causes accelerated photoaging of the skin. The most common method of protection against ultraviolet radiation is use of cosmetic products with the sunscreen. Assess suitability of natural resources for protection from the ultraviolet radiation. Materials and Methods: The study was conducted at Passage Cosmetics Laboratory S.A. in Gałkówek Duży. The test method was the measure the absorption of different natural resources, including cocoa butter, shea butter, coconut oil, sunflower oil, olive oil, sweet almond oil and macadamia oil. Measurements were made using the UV-VIS spectrophotometer, in accordance with ISO 24443: 2012 method. Results: The following results were obtained for the tested raw materials: SPF 12 for cocoa butter and for shea butter, SPF 7 for coconut oil, SPF 6 for olive oil and sunflower oil, and SPF 5 for sweet almond oil and for macadamia oil. Conclusions: All tested oils and vegetable butters have a low SPF factor and constitute to a sunscreen with a low degree of protection. The in vitro measurements of shea butter, as well as cocoa butter showed a higher level of absorption. Natural raw materials have sunscreen properties, but the level of protection is not to be a safe sunscreen.
{"title":"THE ROLE OF ALTERNATIVE METHODS OF SKIN PROTECTION AGAINST ULTRAVIOLET RADIATION","authors":"Małgorzata Grzejszczak, Łukasz Kikowski","doi":"10.36740/abal202302103","DOIUrl":"https://doi.org/10.36740/abal202302103","url":null,"abstract":"Aim: Ultraviolet radiation is the main threat to the skin. Excessive exposure to the ultraviolet radiation can lead to various conditions, but most of all, it causes accelerated photoaging of the skin. The most common method of protection against ultraviolet radiation is use of cosmetic products with the sunscreen. Assess suitability of natural resources for protection from the ultraviolet radiation. Materials and Methods: The study was conducted at Passage Cosmetics Laboratory S.A. in Gałkówek Duży. The test method was the measure the absorption of different natural resources, including cocoa butter, shea butter, coconut oil, sunflower oil, olive oil, sweet almond oil and macadamia oil. Measurements were made using the UV-VIS spectrophotometer, in accordance with ISO 24443: 2012 method. Results: The following results were obtained for the tested raw materials: SPF 12 for cocoa butter and for shea butter, SPF 7 for coconut oil, SPF 6 for olive oil and sunflower oil, and SPF 5 for sweet almond oil and for macadamia oil. Conclusions: All tested oils and vegetable butters have a low SPF factor and constitute to a sunscreen with a low degree of protection. The in vitro measurements of shea butter, as well as cocoa butter showed a higher level of absorption. Natural raw materials have sunscreen properties, but the level of protection is not to be a safe sunscreen.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69734027","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}
Nataliya A. Zolotarova, Rooslan S. Vastyanov, Kseniia O. Zolotarova, Nataliya V. Nescoromna
Aim: To research the comparative effectiveness of a protocol-based drug complex for angina pectoris and combination therapy using ω-3 polyunsaturated fatty acids and magnetotherapy on the lipid peroxidation and antioxidant system activity dynamics. Materials and Methods: The clinical examination included 97 patients who were randomized into three group of observation depending the variants of treatment. 50 practically healthy persons were involved into the control group. Lipid peroxidation end-products and antioxidant enzymes activities were determined in blood of the examined patients. Results: Our results revealed the expressed efficacy of the original method of patients with stable exertional angina pectoris physiotherapeutic treatment. The scheme, which we prove to be effective for patients with stable exertional angina pectoris includes, combined used of ω-3 PUFAs and magnetotherapy. Our data allowed to indicate that the therapeutic benefits of our original physiotherapy complex developed faster and were expressed in more effective lipid peroxidation prevention and inhibition of the blood antioxidant system activity compared to those parameters in case of other used therapeutic complexes. Conclusions: We determined an antioxidant efficacy of ω-3 PUFAs and magnetotherapy combined use patients with stable exertional angina pectoris. Continuing a series of similar courses of physiotherapy treatment in these patients with the expressed antioxidant effect, we are confident in its effectiveness, safety, and the absence of side effects, which justifies the expediency of its widespread use in physiotherapy clinics.
{"title":"Ώ-3 POLYUNSATURATED FATTY ACIDS AND MAGNETOTHERAPY COMBINED IMPACT ON FREE RADICAL PROCESSES IN PATIENTS WITH STABLE EXERTIONAL ANGINA","authors":"Nataliya A. Zolotarova, Rooslan S. Vastyanov, Kseniia O. Zolotarova, Nataliya V. Nescoromna","doi":"10.36740/abal202304109","DOIUrl":"https://doi.org/10.36740/abal202304109","url":null,"abstract":"Aim: To research the comparative effectiveness of a protocol-based drug complex for angina pectoris and combination therapy using ω-3 polyunsaturated fatty acids and magnetotherapy on the lipid peroxidation and antioxidant system activity dynamics. Materials and Methods: The clinical examination included 97 patients who were randomized into three group of observation depending the variants of treatment. 50 practically healthy persons were involved into the control group. Lipid peroxidation end-products and antioxidant enzymes activities were determined in blood of the examined patients. Results: Our results revealed the expressed efficacy of the original method of patients with stable exertional angina pectoris physiotherapeutic treatment. The scheme, which we prove to be effective for patients with stable exertional angina pectoris includes, combined used of ω-3 PUFAs and magnetotherapy. Our data allowed to indicate that the therapeutic benefits of our original physiotherapy complex developed faster and were expressed in more effective lipid peroxidation prevention and inhibition of the blood antioxidant system activity compared to those parameters in case of other used therapeutic complexes. Conclusions: We determined an antioxidant efficacy of ω-3 PUFAs and magnetotherapy combined use patients with stable exertional angina pectoris. Continuing a series of similar courses of physiotherapy treatment in these patients with the expressed antioxidant effect, we are confident in its effectiveness, safety, and the absence of side effects, which justifies the expediency of its widespread use in physiotherapy clinics.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135953528","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 improve treatment effectiveness for patients with previous myocardial infarction (MI) while studying clinical pathogenetic features of decompensated heart failure (HF) in the postinfarction period with the focus of using succinic acid. Materials and Methods: The work is based on the results of an examination of 60 patients with previous MI, who got registered decompensated II А-B CHF. The patients with previous STEMI complicated by decompensated HF were divided into groups: the I group included the patients with previous STEMI, who were getting standard treatment according to the guidelines of the MoH of Ukraine (beta-blockers, ACE inhibitors, dual antiplatelet therapy (acetylsalicylic acid+clopidogrel), nitrates, statins) (n=30); the II group included the patients with previous STEMI, who were getting succinic acid into the therapy complex beside the standard treatment. Results: We determined insignificant improvements in such symptoms, as angina, dyspnea, dizziness, and tiredness in the group of patients receiving standard treatment. Herewith using succinic acid reduced clinical signs of inadequate response to physical exercise significantly. Disregarding the one-sidedness of the probable dynamics of the aforementioned 6MWD characteristics, the positive dynamic was less significant in the case of standard treatment. all examined groups presented positive dynamics concerning decreasing the number of points in the patients with decompensated HF after STEMI during the therapy according to Borg’s scale. Conclusions: The use of succinic acid for patients with decompensated heart failure that occurred after STEMI is accompanied by positive clinical effects, and antiischemic and cytoprotective influence.
{"title":"Using Cytoprotective Features of Succinic Acid During the Rehabilitation of the Patients with Previous Acute Myocardial Infarction Complicated with Decompensated Heart Failure","authors":"K. Levandovska, Nataliia Tymochko, T. V. Naluzhna","doi":"10.36740/abal202301104","DOIUrl":"https://doi.org/10.36740/abal202301104","url":null,"abstract":"Aim: To improve treatment effectiveness for patients with previous myocardial infarction (MI) while studying clinical pathogenetic features of decompensated heart failure (HF) in the postinfarction period with the focus of using succinic acid. Materials and Methods: The work is based on the results of an examination of 60 patients with previous MI, who got registered decompensated II А-B CHF. The patients with previous STEMI complicated by decompensated HF were divided into groups: the I group included the patients with previous STEMI, who were getting standard treatment according to the guidelines of the MoH of Ukraine (beta-blockers, ACE inhibitors, dual antiplatelet therapy (acetylsalicylic acid+clopidogrel), nitrates, statins) (n=30); the II group included the patients with previous STEMI, who were getting succinic acid into the therapy complex beside the standard treatment. Results: We determined insignificant improvements in such symptoms, as angina, dyspnea, dizziness, and tiredness in the group of patients receiving standard treatment. Herewith using succinic acid reduced clinical signs of inadequate response to physical exercise significantly. Disregarding the one-sidedness of the probable dynamics of the aforementioned 6MWD characteristics, the positive dynamic was less significant in the case of standard treatment. all examined groups presented positive dynamics concerning decreasing the number of points in the patients with decompensated HF after STEMI during the therapy according to Borg’s scale. Conclusions: The use of succinic acid for patients with decompensated heart failure that occurred after STEMI is accompanied by positive clinical effects, and antiischemic and cytoprotective influence.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69733659","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 investigate the scope, forms and activeness of informal professional communication of rehabilitation specialists using information and communication channels and its significance for their practical activities. Materials and Methods: The following methods were used during the research: sociological; statistical; structural and logical analysis; generalization. Copies of the author’s original sociological survey questionnaire were used as research materials. Results: The analysis of the results of survey revealed that absolutely all interviewed rehabilitation specialists consider it useful to create virtual groups for professional communication with colleagues in the field of rehabilitation through modern information and communication channels. 44.9±3.7% of respondents recognized themselves as passive participants of such groups. But 98.9±0.8% of the survey participants consider the information received in such communication groups to be useful for professional clinical activities in the field of rehabilitation. It was determined that the issues of correct preparation of documentation when providing services under the packages of the National Health Service of Ukraine (78.7±3.1%) and the problems of organizing the provision of rehabilitation services in health care facilities (74.2±3,3) were discussed most often in the groups. Conclusions: The development of virtual professional communities of rehabilitation specialists helps them to exchange information and improve their knowledge in matters of organizing the provision of rehabilitation services in health care institutions and processing documentation. Provided that the facilitation of communication topics of professional groups is established, it is possible to improve their functioning and attract more specialists to active participation.
{"title":"Informal Professional Communication of Rehabilitation Specialists and its Significance for their Practical Activities","authors":"V. Brych, M. Dub","doi":"10.36740/abal202301108","DOIUrl":"https://doi.org/10.36740/abal202301108","url":null,"abstract":"Aim: To investigate the scope, forms and activeness of informal professional communication of rehabilitation specialists using information and communication channels and its significance for their practical activities. Materials and Methods: The following methods were used during the research: sociological; statistical; structural and logical analysis; generalization. Copies of the author’s original sociological survey questionnaire were used as research materials. Results: The analysis of the results of survey revealed that absolutely all interviewed rehabilitation specialists consider it useful to create virtual groups for professional communication with colleagues in the field of rehabilitation through modern information and communication channels. 44.9±3.7% of respondents recognized themselves as passive participants of such groups. But 98.9±0.8% of the survey participants consider the information received in such communication groups to be useful for professional clinical activities in the field of rehabilitation. It was determined that the issues of correct preparation of documentation when providing services under the packages of the National Health Service of Ukraine (78.7±3.1%) and the problems of organizing the provision of rehabilitation services in health care facilities (74.2±3,3) were discussed most often in the groups. Conclusions: The development of virtual professional communities of rehabilitation specialists helps them to exchange information and improve their knowledge in matters of organizing the provision of rehabilitation services in health care institutions and processing documentation. Provided that the facilitation of communication topics of professional groups is established, it is possible to improve their functioning and attract more specialists to active participation.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69733295","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}
N.V. Bachynska, O. Ivchenko, Viktor Boguslavsky, V. Sarychev, Dmytro Petrushyn, D. Anisimov, K.G. Vozniuk
Aim: Study and comparative characteristics based on the data of heart rate variability (HRV) analysis of athletes specializing in pair-group acrobatics, taking into account age, features of sexual dimorphism at various stages of multi-year training Materials and Methods: Acrobats of both sexes, of different sports qualifications, of the following stages of long-term training took part in the study: 1) group of training 9-11 years old: girls (n=38), boys (n=38); 2) sports improvement groups aged 12-15: girls (n=36), boys (n=36); 3) groups of higher sports skills aged 16-23: girls (n=32), boys (n=32). Results: A gender comparison was made between groups of acrobats aged 9-11 years, but no statistically significant differences between girls and boys were found (р>0.05). Comparative characteristics of boys 12-15 and 16-20 years old shows a statistical difference (p 0.5). Conclusions: In each of the age and gender groups, at different stages of multi-year improvement, acrobats with a different type of regulation – central or autonomous – were identified. The correlation analysis of the 12-15-year-old age group allowed us to obtain the following results: a high and medium degree of correlation between LF and TP indicators in both girls and boys (r=0.82 and r=0.66, respectively). A relationship between VLF and TP indicators was also revealed, in girls r=0.78 and in boys r=0.72.
{"title":"STUDY OF INDICATORS OF HEART RATE VARIABILITY OF ACROBATS AT THE STAGES OF LONG-TERM TRAINING IN THE ASPECT OF SEXUAL DIMORPHISM","authors":"N.V. Bachynska, O. Ivchenko, Viktor Boguslavsky, V. Sarychev, Dmytro Petrushyn, D. Anisimov, K.G. Vozniuk","doi":"10.36740/abal202303102","DOIUrl":"https://doi.org/10.36740/abal202303102","url":null,"abstract":"Aim: Study and comparative characteristics based on the data of heart rate variability (HRV) analysis of athletes specializing in pair-group acrobatics, taking into account age, features of sexual dimorphism at various stages of multi-year training Materials and Methods: Acrobats of both sexes, of different sports qualifications, of the following stages of long-term training took part in the study: 1) group of training 9-11 years old: girls (n=38), boys (n=38); 2) sports improvement groups aged 12-15: girls (n=36), boys (n=36); 3) groups of higher sports skills aged 16-23: girls (n=32), boys (n=32). Results: A gender comparison was made between groups of acrobats aged 9-11 years, but no statistically significant differences between girls and boys were found (р>0.05). Comparative characteristics of boys 12-15 and 16-20 years old shows a statistical difference (p 0.5). Conclusions: In each of the age and gender groups, at different stages of multi-year improvement, acrobats with a different type of regulation – central or autonomous – were identified. The correlation analysis of the 12-15-year-old age group allowed us to obtain the following results: a high and medium degree of correlation between LF and TP indicators in both girls and boys (r=0.82 and r=0.66, respectively). A relationship between VLF and TP indicators was also revealed, in girls r=0.78 and in boys r=0.72.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69735164","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}
Nataliia V. Kharchenko, Inna E. Shaparenko, Pavlo V. Khomenko, Olena O. Terzi
Aim: To summarize the development of physiatry and to define the role of physical medicine and rehabilitation in the modern army. Materials and Methods: Analysis and summarization of literary sources and Internet data on the implementation of rehabilitation services, systematic analysis and synthesis. Conclusions: Thus, the experience of previous wars and the modern Russian-Ukrainian war emphasized the valuable contribution of Physical Medicine and Rehabilitation to the optimal care and functional recovery of wounded soldiers. Physical therapists treat functional problems of wounded soldiers using strengthening exercises, range of motion exercises, orthotics, physical modalities, and gait training. However, when physiotherapists are present in medical centers, physical therapy and occupational therapy departments with physiotherapists are organized. When physical therapists are not available, orthopedic services usually include therapists.
{"title":"THE ESSENCE AND ROLE OF PHYSICAL MEDICINE AND REHABILITATION","authors":"Nataliia V. Kharchenko, Inna E. Shaparenko, Pavlo V. Khomenko, Olena O. Terzi","doi":"10.36740/abal202304111","DOIUrl":"https://doi.org/10.36740/abal202304111","url":null,"abstract":"Aim: To summarize the development of physiatry and to define the role of physical medicine and rehabilitation in the modern army. Materials and Methods: Analysis and summarization of literary sources and Internet data on the implementation of rehabilitation services, systematic analysis and synthesis. Conclusions: Thus, the experience of previous wars and the modern Russian-Ukrainian war emphasized the valuable contribution of Physical Medicine and Rehabilitation to the optimal care and functional recovery of wounded soldiers. Physical therapists treat functional problems of wounded soldiers using strengthening exercises, range of motion exercises, orthotics, physical modalities, and gait training. However, when physiotherapists are present in medical centers, physical therapy and occupational therapy departments with physiotherapists are organized. When physical therapists are not available, orthopedic services usually include therapists.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135953786","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}
Olga O. Hutsalenko, Ivan P. Katerenchuk, Tetyana I. Yarmola, Iryna V. Tsyganenko, Lidia A. Tkachenko, Ludmila K. Ovcharenko, Alexander V. Mokhnachev
Aim: The paper evaluates effectiveness and safety of acupressure (AP) in the comprehensive treatment and rehabilitation of patients with uncomplicated peptic ulcer disease (PUD). Materials and Methods: The study retrospectively assessed the effectiveness of treating 24 PUD patients, who received AP session following the author’s protocol based on Houston F.M. recommendations. The statistical analysis of the results employed the algorithm for qualitative data analysis applying the MedCalc 2023 software package. We analyzed the frequency of clinical syndrome manifestations before and after treatment, calculating the interval estimate of this measure (95% confidence interval (CI)). The study formulated null and alternative statistical hypotheses applying the McNemar test to check the null hypothesis for paired samples. When evaluating the risk of AP side effects, we determined 95% CI for proportion, considering binomial distribution of the feature (“presence-absence of complications”). Results: After completing the treatment course and observing the absence of endoscopic signs of peptic gastropathy, we detected statistically significant changes in the frequency of all clinical syndrome manifestations (p-value < 0.0001, based on the McNemar test). AP rapidly and effectively alleviated the main clinical manifestations in patients with PUD. The tolerability of acupressure was good, without side effects. The study determined with 95% probability, that the risk of adverse effects did not exceed 15%. Conclusions: AP is easy to use, non-invasive adjunctive therapy and alternative medical practice during the rehabilitation stage for PUD patients. It proves to be effective, safe, and inexpensive non-pharmacological method of treatment and rehabilitation, aligning with the alternative statistical hypothesis.
{"title":"THE ASSESSMENT OF ACUPRESSURE EFFECTIVENESS AND SAFETY IN THE COMPREHENSIVE TREATMENT AND REHABILITATION OF PATIENTS WITH PEPTIC ULCERS","authors":"Olga O. Hutsalenko, Ivan P. Katerenchuk, Tetyana I. Yarmola, Iryna V. Tsyganenko, Lidia A. Tkachenko, Ludmila K. Ovcharenko, Alexander V. Mokhnachev","doi":"10.36740/abal202304105","DOIUrl":"https://doi.org/10.36740/abal202304105","url":null,"abstract":"Aim: The paper evaluates effectiveness and safety of acupressure (AP) in the comprehensive treatment and rehabilitation of patients with uncomplicated peptic ulcer disease (PUD). Materials and Methods: The study retrospectively assessed the effectiveness of treating 24 PUD patients, who received AP session following the author’s protocol based on Houston F.M. recommendations. The statistical analysis of the results employed the algorithm for qualitative data analysis applying the MedCalc 2023 software package. We analyzed the frequency of clinical syndrome manifestations before and after treatment, calculating the interval estimate of this measure (95% confidence interval (CI)). The study formulated null and alternative statistical hypotheses applying the McNemar test to check the null hypothesis for paired samples. When evaluating the risk of AP side effects, we determined 95% CI for proportion, considering binomial distribution of the feature (“presence-absence of complications”). Results: After completing the treatment course and observing the absence of endoscopic signs of peptic gastropathy, we detected statistically significant changes in the frequency of all clinical syndrome manifestations (p-value < 0.0001, based on the McNemar test). AP rapidly and effectively alleviated the main clinical manifestations in patients with PUD. The tolerability of acupressure was good, without side effects. The study determined with 95% probability, that the risk of adverse effects did not exceed 15%. Conclusions: AP is easy to use, non-invasive adjunctive therapy and alternative medical practice during the rehabilitation stage for PUD patients. It proves to be effective, safe, and inexpensive non-pharmacological method of treatment and rehabilitation, aligning with the alternative statistical hypothesis.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135954104","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}
J. Andrejeva, Elinga Mockute, Grazina Sniepienė, E. Malysko, N. Istomina, V. Hendrixson
Aim: To identify the impact of WATSU method on fatigue which has an impact on sleep and quality of life, pain and depression or its aggravation. Materials and Methods: The study involved the four participants. The following instruments were used: Multiple Sclerosis Quality of Life questionnaire; Pittsburgh Sleep Quality Index; Burns Depression Checklist; Fatigue Impact Scale. The study was carried out in medical center in Lithuania from 09-11-2019 till 18-01-2020 during 10 weeks. Each participant of the study received ten WATSU sessions. The research data was processed using SPSS Statistics 20. Qualitative Outcome Measures were conducted by content analysis, observation, semi-structured individual interview methods. Results: After 10 sessions, fatigue lessened in all people investigated. Initially, the average of fatigue was 70 points and decreased to 34 points after the investigation. The average sleep quality index was as high as 5 points, after ten weeks the average decreased to 3 points. Changes in assessment of major to mild depression: initially, the average was 36 points, which decreased to 14 points after ten weeks. Conclusions: The WATSU method was effective in reducing fatigue as a physiotherapy method. Along with changes in fatigue, the Pittsburgh Sleep Quality Index decreased, energy and motivation increased, quality of life improved, level of depression reduced, and the change was statistically significant. While assessing the quality of life, pain was found to be decreased – it became less frequent after ten weeks of sessions and less intense or even absent, its influence on daily activities decreased.
{"title":"The impact of WATSU as Physiotherapy Method on Fatigue for People Diagnosed with Multiple Sclerosis","authors":"J. Andrejeva, Elinga Mockute, Grazina Sniepienė, E. Malysko, N. Istomina, V. Hendrixson","doi":"10.36740/abal202301103","DOIUrl":"https://doi.org/10.36740/abal202301103","url":null,"abstract":"Aim: To identify the impact of WATSU method on fatigue which has an impact on sleep and quality of life, pain and depression or its aggravation. Materials and Methods: The study involved the four participants. The following instruments were used: Multiple Sclerosis Quality of Life questionnaire; Pittsburgh Sleep Quality Index; Burns Depression Checklist; Fatigue Impact Scale. The study was carried out in medical center in Lithuania from 09-11-2019 till 18-01-2020 during 10 weeks. Each participant of the study received ten WATSU sessions. The research data was processed using SPSS Statistics 20. Qualitative Outcome Measures were conducted by content analysis, observation, semi-structured individual interview methods. Results: After 10 sessions, fatigue lessened in all people investigated. Initially, the average of fatigue was 70 points and decreased to 34 points after the investigation. The average sleep quality index was as high as 5 points, after ten weeks the average decreased to 3 points. Changes in assessment of major to mild depression: initially, the average was 36 points, which decreased to 14 points after ten weeks. Conclusions: The WATSU method was effective in reducing fatigue as a physiotherapy method. Along with changes in fatigue, the Pittsburgh Sleep Quality Index decreased, energy and motivation increased, quality of life improved, level of depression reduced, and the change was statistically significant. While assessing the quality of life, pain was found to be decreased – it became less frequent after ten weeks of sessions and less intense or even absent, its influence on daily activities decreased.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69733363","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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