In recent years, the number of implanted pacemakers has been increasing. The number of patients with cardiac pacemakers reporting to physiotherapy departments and referred for further treatment at spa hospitals has been increasing. There is an urgent need for popularising knowledge about this issue among physicians and physiotherapists. The paper presents examples of individual pacing modes and describes possible use of physiotherapy in the patients. Most physical therapy procedures may be performed in patients with a pacemaker, but on condition that appropriate safety principles are followed.
{"title":"PROBLEMS IN PHYSICAL MANAGEMENT IN PATIENTS WITH AN IMPLANTED CARDIAC PACEMAKER","authors":"W. Kuliński","doi":"10.36740/abal202302101","DOIUrl":"https://doi.org/10.36740/abal202302101","url":null,"abstract":"In recent years, the number of implanted pacemakers has been increasing. The number of patients with cardiac pacemakers reporting to physiotherapy departments and referred for further treatment at spa hospitals has been increasing. There is an urgent need for popularising knowledge about this issue among physicians and physiotherapists. The paper presents examples of individual pacing modes and describes possible use of physiotherapy in the patients. Most physical therapy procedures may be performed in patients with a pacemaker, but on condition that appropriate safety principles are followed.","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":"69733901","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}
Nadiia M. Havrylova, Svitlana M. Uskova, V. Nazymok, Serhii A. Abramov, A. Lukachyna, N. V. Ivaniuta, Nataliia A Liakhova
Aim: The aim is to study the influence of independent physical exercises of different focuses on the health indicators of students during their distance learning. Materials and Methods: The research was conducted during 2020-2021. The research involved 188 students (103 men and 85 women) of the first instructional years of technical specialties. Of these, 131 students regularly performed physical exercises during their distance learning, and 57 did not perform physical exercises at all. Results: It was found that students who regularly engaged in physical exercises during distance learning did not significantly deteriorate their health indicators and correspond to age norms. At the same time, strength training sessions have a positive effect on body mass index and strength index, while endurance training sessions have a positive effect on body mass index, vital index, and index of Robinson. Students who did not exercise showed a significant deterioration in all health indicators. Conclusions: It was found that distance learning resulted in a significant decrease in students’ physical activity. It was found that students who did not exercise on their own had an increase in body weight, which can cause many diseases. It was proved that regular independent physical exercises are one of the main means of maintaining and promoting the health of students during their distance learning.
{"title":"INDEPENDENT PHYSICAL EXERCISES AS THE MAIN MEANS OF MAINTAINING STUDENTS’ HEALTH DURING THEIR DISTANCE LEARNING","authors":"Nadiia M. Havrylova, Svitlana M. Uskova, V. Nazymok, Serhii A. Abramov, A. Lukachyna, N. V. Ivaniuta, Nataliia A Liakhova","doi":"10.36740/abal202302109","DOIUrl":"https://doi.org/10.36740/abal202302109","url":null,"abstract":"Aim: The aim is to study the influence of independent physical exercises of different focuses on the health indicators of students during their distance learning. Materials and Methods: The research was conducted during 2020-2021. The research involved 188 students (103 men and 85 women) of the first instructional years of technical specialties. Of these, 131 students regularly performed physical exercises during their distance learning, and 57 did not perform physical exercises at all. Results: It was found that students who regularly engaged in physical exercises during distance learning did not significantly deteriorate their health indicators and correspond to age norms. At the same time, strength training sessions have a positive effect on body mass index and strength index, while endurance training sessions have a positive effect on body mass index, vital index, and index of Robinson. Students who did not exercise showed a significant deterioration in all health indicators. Conclusions: It was found that distance learning resulted in a significant decrease in students’ physical activity. It was found that students who did not exercise on their own had an increase in body weight, which can cause many diseases. It was proved that regular independent physical exercises are one of the main means of maintaining and promoting the health of students during their distance learning.","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":"69734743","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 this study was to assess the use of whole-body cryotherapy in cosmetology. Materials and Methods: Literature review was conducted based on the available PubMed bibliographic database from 2012 to 2022. Articles in Polish, English and Russian were included. Keywords such as whole-body cryotherapy, cryogenic chamber, and cryotherapy in cosmetology were used during the publication search. Conclusions: Whole-body cryotherapy is safe for the skin and has minimal effect on changes in pH, moisture and oiliness. Cryotherapy in a cryo-chamber can be used as complimentary therapy for the treatment of skin dermatoses and can also be a non-invasive method of treating various types of hair loss. It can also be an alternative method of reducing body fat.
{"title":"APPLICATION OF SYSTEMIC CRYOTHERAPY IN COSMETOLOGY","authors":"Justyna Uriasz, Łukasz Kikowski","doi":"10.36740/abal202303108","DOIUrl":"https://doi.org/10.36740/abal202303108","url":null,"abstract":"Aim: The aim of this study was to assess the use of whole-body cryotherapy in cosmetology. Materials and Methods: Literature review was conducted based on the available PubMed bibliographic database from 2012 to 2022. Articles in Polish, English and Russian were included. Keywords such as whole-body cryotherapy, cryogenic chamber, and cryotherapy in cosmetology were used during the publication search. Conclusions: Whole-body cryotherapy is safe for the skin and has minimal effect on changes in pH, moisture and oiliness. Cryotherapy in a cryo-chamber can be used as complimentary therapy for the treatment of skin dermatoses and can also be a non-invasive method of treating various types of hair loss. It can also be an alternative method of reducing body fat.","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":"69735568","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}
Agnieszka Małgorzata Jankowska, Kamil Koszela, Robert Irzmański, Justyna Laskowska, Katarzyna Janczewska, Marta Woldańska-Okońska
Aim: The purpose of this study was to evaluate the efficacy of low-frequency magnetic field in the hybrid treatment of COVID-19 patients, i.e., including magnetic stimulation in the standard treatment. Materials and Methods: In the study groups, the patients were subjected to magnetic field - magnetic stimulation with the use of apparatus Viofor JPS System. In laboratory tests, the following levels were assessed in the patients: interleukin 6 (IL -6), leukocytes (WBC), monocytes (MONO), platelets (PLT) and CRP. Results: In patients hospitalized for COVID-19 who received magnetic stimulation treatments with the use of the Viofor JPS System device, a statistically significant reduction in proinflammatory IL-6 levels was achieved (28.72 vs. 6.05 pg/ml, p=0.008). In the study group (with magnetic stimulation) we also observed a higher number of monocytes (MONO) with a more stable level of leukocytes (WBC) compared to the control group (without magnetic stimulation). Conclusions: It is probable that the application of low-frequency magnetic field in the hybrid treatment of COVID-19 patients may reduce pro-inflammatory factors (IL- 6). The low frequency magnetic fields are capable of restoring body homeostasis in terms of parameters evaluated in laboratory tests (WBC, MONO, PLT, CRP) which requires further research.
目的:本研究的目的是评价低频磁场在新冠肺炎患者混合治疗中的疗效，即在标准治疗中加入磁刺激。材料与方法:实验组采用Viofor JPS系统对患者进行磁场-磁刺激。在实验室测试中，评估了患者的以下水平:白细胞介素6 (IL -6)、白细胞(WBC)、单核细胞(MONO)、血小板(PLT)和CRP。结果:在COVID-19住院患者中，使用Viofor JPS System设备进行磁刺激治疗，促炎IL-6水平降低具有统计学意义(28.72比6.05 pg/ml, p=0.008)。在研究组(有磁刺激)中，我们还观察到与对照组(没有磁刺激)相比，单核细胞(MONO)数量更多，白细胞(WBC)水平更稳定。结论:低频磁场在混合治疗COVID-19患者中的应用可能会降低促炎因子(IL- 6)，低频磁场在实验室检测参数(WBC、MONO、PLT、CRP)方面具有恢复机体稳态的能力，有待进一步研究。
{"title":"THE EFFECT OF TREATMENT WITH MAGNETIC STIMULATION ON THE CONCENTRATION OF INTERLEUKIN-6, MORPHOLOGICAL PARAMETERS OF BLOOD AND CRP IN COVID-19 PATIENTS: PRELIMINARY RESULTS","authors":"Agnieszka Małgorzata Jankowska, Kamil Koszela, Robert Irzmański, Justyna Laskowska, Katarzyna Janczewska, Marta Woldańska-Okońska","doi":"10.36740/abal202304104","DOIUrl":"https://doi.org/10.36740/abal202304104","url":null,"abstract":"Aim: The purpose of this study was to evaluate the efficacy of low-frequency magnetic field in the hybrid treatment of COVID-19 patients, i.e., including magnetic stimulation in the standard treatment. Materials and Methods: In the study groups, the patients were subjected to magnetic field - magnetic stimulation with the use of apparatus Viofor JPS System. In laboratory tests, the following levels were assessed in the patients: interleukin 6 (IL -6), leukocytes (WBC), monocytes (MONO), platelets (PLT) and CRP. Results: In patients hospitalized for COVID-19 who received magnetic stimulation treatments with the use of the Viofor JPS System device, a statistically significant reduction in proinflammatory IL-6 levels was achieved (28.72 vs. 6.05 pg/ml, p=0.008). In the study group (with magnetic stimulation) we also observed a higher number of monocytes (MONO) with a more stable level of leukocytes (WBC) compared to the control group (without magnetic stimulation). Conclusions: It is probable that the application of low-frequency magnetic field in the hybrid treatment of COVID-19 patients may reduce pro-inflammatory factors (IL- 6). The low frequency magnetic fields are capable of restoring body homeostasis in terms of parameters evaluated in laboratory tests (WBC, MONO, PLT, CRP) which requires further research.","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":"135953787","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}
Viktoriia I. Horoshko, Zinovii M. Yashchyshyn, Svitlana I. Danylchenko, Dmytro V. Morozenko, Kateryna V. Gliebova, Nadiia M. Kononenko, Rymma F. Yeromenko
Aim: The purpose of the work was to study the possibility of using Dihydroquercetin in rehabilitation programs for patients with coronary artery disease after Coronary artery bypass grafting (CABG) surgery in order to increase the effectiveness of rehabilitation, which has notable scientific and practical significance. Materials and Methods: The methodological basis of the research is based on systemic, historical, terminological, and informational approaches. Results: The results of the study showed the high clinical effectiveness of Dihydroquercetin in the complex medical rehabilitation of patients with coronary artery disease who underwent the operation. The pill intake did not affect indicators of carbohydrate and lipid metabolism, which indicates its metabolic neutrality. None of the patients had any worsening of the condition, increased frequency of angina attacks, or episodes of painless ischemia. All patients indicated good tolerability of the drug, and improvement in general well-being (reduction or disappearance of shortness of breath, decrease in pain intensity, increase in activity, improvement in sleep). The implementation of the optimized rehabilitation program also contributed to the improvement of the psycho-emotional state of the patients. Conclusions: Сomplex medical rehabilitation of patients with coronary heart disease after Coronary artery bypass grafting surgery according to a program with the inclusion of Dihydroquercetin helps to improve the rheological properties of blood, strengthen the active vasomotor mechanisms of MC regulation, improve indicators of central and peripheral hemodynamics, blood oxygenation, increase in exercise tolerance, improve psycho-emotional the condition, which ultimately ensure an increase in the rehabilitation effect.
{"title":"COMPLEX REHABILITATION OF ISCHEMIC HEART DISEASE PATIENTS AFTER CORONARY BYPASS OPERATION WITH THE USE OF BIOLOGICALLY ACTIVE ADDITIVES","authors":"Viktoriia I. Horoshko, Zinovii M. Yashchyshyn, Svitlana I. Danylchenko, Dmytro V. Morozenko, Kateryna V. Gliebova, Nadiia M. Kononenko, Rymma F. Yeromenko","doi":"10.36740/abal202304107","DOIUrl":"https://doi.org/10.36740/abal202304107","url":null,"abstract":"Aim: The purpose of the work was to study the possibility of using Dihydroquercetin in rehabilitation programs for patients with coronary artery disease after Coronary artery bypass grafting (CABG) surgery in order to increase the effectiveness of rehabilitation, which has notable scientific and practical significance. Materials and Methods: The methodological basis of the research is based on systemic, historical, terminological, and informational approaches. Results: The results of the study showed the high clinical effectiveness of Dihydroquercetin in the complex medical rehabilitation of patients with coronary artery disease who underwent the operation. The pill intake did not affect indicators of carbohydrate and lipid metabolism, which indicates its metabolic neutrality. None of the patients had any worsening of the condition, increased frequency of angina attacks, or episodes of painless ischemia. All patients indicated good tolerability of the drug, and improvement in general well-being (reduction or disappearance of shortness of breath, decrease in pain intensity, increase in activity, improvement in sleep). The implementation of the optimized rehabilitation program also contributed to the improvement of the psycho-emotional state of the patients. Conclusions: Сomplex medical rehabilitation of patients with coronary heart disease after Coronary artery bypass grafting surgery according to a program with the inclusion of Dihydroquercetin helps to improve the rheological properties of blood, strengthen the active vasomotor mechanisms of MC regulation, improve indicators of central and peripheral hemodynamics, blood oxygenation, increase in exercise tolerance, improve psycho-emotional the condition, which ultimately ensure an increase in the rehabilitation effect.","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":"135953793","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}
Serhiy Maksymenko, K. Maksymenko, Svitlana Yalanska, N. Atamanchuk, V. Zhamardiy, V. Donchenko
Aim: To reveal the method of psychological relief of a person and its effectiveness in the process of aeroapiphytotherapy, taking into account compliance. Materials and Methods: The pedagogical experiment lasted during 2020-2022 in Poltava region. The study involved 50 people who were divided into 2 groups: EG (25 people), CG (25 people), including representatives of different ages from 12 to 72 years, all of them complained of physical fatigue, lack of mood, apathy, emotional imbalance – irritability, lack of self-regulation during the experience of traumatic situations. The research methods were as follows: analysis of special and scientific literature, pedagogical observation, pedagogical experiment, pedagogical testing, methods of statistical data processing Results: The results of our research indicate the effectiveness of the method of psychological relief of patients who complained of physical, psychological overload, lack of mood, apathy, emotional imbalance – irritability, aggression towards others, uncontrolled experiences of traumatic situations. Conclusions: The proposed method of psychological relief, which helps to prevent psychological problems, correction of psychological state, provides psychological health through optimal use of psychophysiological reserves of the human body and reserves of aeroapiphytotherapy, has a number of significant differences from traditional: the method differs in that at each successive stage is aeroapiphytotherapy.
{"title":"РSYCHOPHYSIOLOGICAL UNLOADING WITH COMPLIANCE TAKING INTO ACCOUNT: AEROAPIPHYTHOTHERAPY RESOURCE","authors":"Serhiy Maksymenko, K. Maksymenko, Svitlana Yalanska, N. Atamanchuk, V. Zhamardiy, V. Donchenko","doi":"10.36740/abal202302106","DOIUrl":"https://doi.org/10.36740/abal202302106","url":null,"abstract":"Aim: To reveal the method of psychological relief of a person and its effectiveness in the process of aeroapiphytotherapy, taking into account compliance. Materials and Methods: The pedagogical experiment lasted during 2020-2022 in Poltava region. The study involved 50 people who were divided into 2 groups: EG (25 people), CG (25 people), including representatives of different ages from 12 to 72 years, all of them complained of physical fatigue, lack of mood, apathy, emotional imbalance – irritability, lack of self-regulation during the experience of traumatic situations. The research methods were as follows: analysis of special and scientific literature, pedagogical observation, pedagogical experiment, pedagogical testing, methods of statistical data processing Results: The results of our research indicate the effectiveness of the method of psychological relief of patients who complained of physical, psychological overload, lack of mood, apathy, emotional imbalance – irritability, aggression towards others, uncontrolled experiences of traumatic situations. Conclusions: The proposed method of psychological relief, which helps to prevent psychological problems, correction of psychological state, provides psychological health through optimal use of psychophysiological reserves of the human body and reserves of aeroapiphytotherapy, has a number of significant differences from traditional: the method differs in that at each successive stage is aeroapiphytotherapy.","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":"69734308","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. Griban, Serhii F. Kudin, H. Zhara, Andrii Kuzhelnyi, T. Mazur, Yuliya M. Nosko, O. Mekhed
Aim: The aim is to experimentally verify the methodology of self-regulation culture formation as an important element of professional training of future teachers of the humanities in the process of studying the author’s specialized course referred to as “Fundamentals of Psychovaleology”. Materials and Methods: The research involved third-year students of pedagogical institutions of higher education aged 20 to 23 years in the number of 126 people (80 girls and 46 boys). The methods used included observation, questionnaires, psychodiagnostic methods for determining the level of anxiety, self-assessment of well-being, quantitative and qualitative analysis of the results in terms of self-regulation culture formation according to theoretical, practical and professional criteria. Results: Experimental verification of the effectiveness of the developed methodology shows qualitative positive changes in the students’ emotional well-being, in significant reduction of their anxiety, as well as in increasing motivation for active exercise Conclusions: The developed methodology of self-regulation culture formation in future teachers can become a significant basis for the further formation of individual health preservation competence of students i. e. future teachers, their orientation to active physical education as well as fitness and health recreation activities, and can also be included in the system of implementation of professional standards for the training of students in pedagogical specialties, especially in terms of the development of their health preservation competence
{"title":"Formation and Preservation of Students’ Mental Health in the Process of Studying at Pedagogical Universities","authors":"G. Griban, Serhii F. Kudin, H. Zhara, Andrii Kuzhelnyi, T. Mazur, Yuliya M. Nosko, O. Mekhed","doi":"10.36740/abal202301110","DOIUrl":"https://doi.org/10.36740/abal202301110","url":null,"abstract":"Aim: The aim is to experimentally verify the methodology of self-regulation culture formation as an important element of professional training of future teachers of the humanities in the process of studying the author’s specialized course referred to as “Fundamentals of Psychovaleology”. Materials and Methods: The research involved third-year students of pedagogical institutions of higher education aged 20 to 23 years in the number of 126 people (80 girls and 46 boys). The methods used included observation, questionnaires, psychodiagnostic methods for determining the level of anxiety, self-assessment of well-being, quantitative and qualitative analysis of the results in terms of self-regulation culture formation according to theoretical, practical and professional criteria. Results: Experimental verification of the effectiveness of the developed methodology shows qualitative positive changes in the students’ emotional well-being, in significant reduction of their anxiety, as well as in increasing motivation for active exercise Conclusions: The developed methodology of self-regulation culture formation in future teachers can become a significant basis for the further formation of individual health preservation competence of students i. e. future teachers, their orientation to active physical education as well as fitness and health recreation activities, and can also be included in the system of implementation of professional standards for the training of students in pedagogical specialties, especially in terms of the development of their health preservation competence","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":"69733374","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}
L. Babinets, Z. Sabat, Olha Salamadze, Zoreslava Ya. Onufryk
Aim: To conduct a comparative analysis of the dynamics of heart rate variability parameters in CP patients with autonomic dysfunction under the influence of the proposed complex treatment programs with the additional inclusion of the vegetative stabilizing agent memoplant and a combination of complex bioregulatory drugs. Materials and Methods: Statistical and spectral parameters of heart rate variability were analyzed in 69 patients with CP before and after outpatient treatment. Patients were divided into 3 groups of 23 patients with CP: group 1 – received conventional treatment (CT) according to the clinical diagnosis and the protocol proposed by the Ministry of Health of Ukraine (Order No. 638 of 10.09.2014); group 2 – CT enhanced with a course of the vegetative-stabilizing drug ginkgo biloba (memoplant); 3 group – CT with a course of memoplant and complex bioregulatory therapy (BRT): momordica compositum, traumeel S and neurexan according to the proposed scheme. Results: In group 1, the stress index (SI) decreased by 18.49%, p<0.05, vegetative reactivity (VR) increased by 21.31%, p<0.05, IARS decreased by 25.79%, p<0.01. In group 2, a more significant decrease in sympathicotonia was observed: SI decreased by 38.17% (p<0.01), mode amplitude (АМо) by 14.57% (p<0.05), the range of variation (X) increased by 12.78% (p<0.05); IARS decreased by 44.55 % (p<0.01) to moderate tension. There was an increase in the total spectrum power (TP) (by 29.21%, p<0.01) and components: LF increased by 37.03% (p<0.01) relative to the initial level, HF by 64.01% (p<0.01), VLF by 8.75% (p<0.05). In patients of group 3, normalization of SI and АМо was observed (indicators decreased by 48.42% and 19.98%, p<0.01), X increased by 17.35%, p<0.01; The VR level did not differ significantly from the control (1.16±0.06 and 1.25±0.10, respectively). IARS decreased by 56.18% (p<0.01); TP increased by 49.61% (p<0.01), LF by 76.78% (p<0.01), HF by 117.67% (p<0.01), VLF by 8.41% (p<0.05). Conclusions: In patients with CP, a higher efficiency of treatment programs with the inclusion of ginkgo biloba and complex bioregulatory therapy on the state of autonomic regulation was established compared to the generally accepted program in terms of spectral and statistical parameters of heart rate variability.
{"title":"Comparative Analysis of Complex Programs of Renewal Treatment of Patients with Chronic Pancreatitis","authors":"L. Babinets, Z. Sabat, Olha Salamadze, Zoreslava Ya. Onufryk","doi":"10.36740/abal202301106","DOIUrl":"https://doi.org/10.36740/abal202301106","url":null,"abstract":"Aim: To conduct a comparative analysis of the dynamics of heart rate variability parameters in CP patients with autonomic dysfunction under the influence of the proposed complex treatment programs with the additional inclusion of the vegetative stabilizing agent memoplant and a combination of complex bioregulatory drugs. Materials and Methods: Statistical and spectral parameters of heart rate variability were analyzed in 69 patients with CP before and after outpatient treatment. Patients were divided into 3 groups of 23 patients with CP: group 1 – received conventional treatment (CT) according to the clinical diagnosis and the protocol proposed by the Ministry of Health of Ukraine (Order No. 638 of 10.09.2014); group 2 – CT enhanced with a course of the vegetative-stabilizing drug ginkgo biloba (memoplant); 3 group – CT with a course of memoplant and complex bioregulatory therapy (BRT): momordica compositum, traumeel S and neurexan according to the proposed scheme. Results: In group 1, the stress index (SI) decreased by 18.49%, p<0.05, vegetative reactivity (VR) increased by 21.31%, p<0.05, IARS decreased by 25.79%, p<0.01. In group 2, a more significant decrease in sympathicotonia was observed: SI decreased by 38.17% (p<0.01), mode amplitude (АМо) by 14.57% (p<0.05), the range of variation (X) increased by 12.78% (p<0.05); IARS decreased by 44.55 % (p<0.01) to moderate tension. There was an increase in the total spectrum power (TP) (by 29.21%, p<0.01) and components: LF increased by 37.03% (p<0.01) relative to the initial level, HF by 64.01% (p<0.01), VLF by 8.75% (p<0.05). In patients of group 3, normalization of SI and АМо was observed (indicators decreased by 48.42% and 19.98%, p<0.01), X increased by 17.35%, p<0.01; The VR level did not differ significantly from the control (1.16±0.06 and 1.25±0.10, respectively). IARS decreased by 56.18% (p<0.01); TP increased by 49.61% (p<0.01), LF by 76.78% (p<0.01), HF by 117.67% (p<0.01), VLF by 8.41% (p<0.05). Conclusions: In patients with CP, a higher efficiency of treatment programs with the inclusion of ginkgo biloba and complex bioregulatory therapy on the state of autonomic regulation was established compared to the generally accepted program in terms of spectral and statistical parameters of heart rate variability.","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":"69733282","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 assess the clinical effectiveness of a comprehensive rehabilitation program for patients with Parkinson’s disease Materials and Methods: The study was conducted in the regional center for movement disorders (Odesa, Ukraine). 90 patients with 1-2.5 Hoehn-Yahr stage were examined. Patients were randomly assigned to three groups (I (n=30) – standard drug therapy, II (n=30) – standard drug therapy +physical therapy, III (n=30) – standard drug therapy +physical therapy+ art therapy). The effectiveness of the therapy was assessed using the UPDRS questionnaires, Beck Depression Inventory (BDI), Montreal Cognitive Assessment (MoCA), and Pegboard Test. The follow-up period was 12 months. Results: Patients of the II and III groups noted an improvement in mood after physical exertion. They observed a decrease in daytime sleepiness, a decrease in tremors, and a decrease in the intensity of anxiety and fear. During the observation period, signs of disease progression were observed only in 4 (13.3%) patients of group II, in 2 (6.7%) patients of group III and in 12 (40.0%) ) patients of the control group (respectively, χ2 = 4.18 p = 0.04 and χ2 = 7.55 p = 0.006) Conclusions: 1. The use of complex rehabilitation allows to reduce the severity of motor and non-motor manifestations of Parkinson's disease. 2. The inclusion of art therapy in the complex rehabilitation program allows to halve the number of cases of disease progression. 3. The positive effect of the use of comprehensive rehabilitation is maintained throughout the observation period.
目的:评估帕金森病患者综合康复计划的临床效果材料和方法:研究在运动障碍区域中心(敖德萨，乌克兰)进行。对90例1-2.5 Hoehn-Yahr分期患者进行了检查。将患者随机分为三组(I (n=30) -标准药物治疗，II (n=30) -标准药物治疗+物理治疗，III (n=30) -标准药物治疗+物理治疗+艺术治疗)。采用UPDRS问卷、贝克抑郁量表(BDI)、蒙特利尔认知评估(MoCA)和Pegboard测试对治疗效果进行评估。随访期为12个月。结果:II组和III组患者在体力消耗后情绪有所改善。他们观察到白天嗜睡的减少，颤抖的减少，焦虑和恐惧的强度减少。观察期间，II组4例(13.3%)、III组2例(6.7%)、对照组12例(40.0%)出现疾病进展迹象(χ2 = 4.18 p = 0.04、χ2 = 7.55 p = 0.006)。使用复杂的康复可以减轻帕金森病的运动和非运动表现的严重程度。2. 在复杂的康复计划中纳入艺术治疗可以使疾病进展的病例数量减少一半。3.在整个观察期内，综合康复治疗的积极效果得以保持。
{"title":"Complex Rehabilitation of Patients with Parkinson’s Disease","authors":"I. Khubetova","doi":"10.36740/abal202301102","DOIUrl":"https://doi.org/10.36740/abal202301102","url":null,"abstract":"Aim: To assess the clinical effectiveness of a comprehensive rehabilitation program for patients with Parkinson’s disease Materials and Methods: The study was conducted in the regional center for movement disorders (Odesa, Ukraine). 90 patients with 1-2.5 Hoehn-Yahr stage were examined. Patients were randomly assigned to three groups (I (n=30) – standard drug therapy, II (n=30) – standard drug therapy +physical therapy, III (n=30) – standard drug therapy +physical therapy+ art therapy). The effectiveness of the therapy was assessed using the UPDRS questionnaires, Beck Depression Inventory (BDI), Montreal Cognitive Assessment (MoCA), and Pegboard Test. The follow-up period was 12 months. Results: Patients of the II and III groups noted an improvement in mood after physical exertion. They observed a decrease in daytime sleepiness, a decrease in tremors, and a decrease in the intensity of anxiety and fear. During the observation period, signs of disease progression were observed only in 4 (13.3%) patients of group II, in 2 (6.7%) patients of group III and in 12 (40.0%) ) patients of the control group (respectively, χ2 = 4.18 p = 0.04 and χ2 = 7.55 p = 0.006) Conclusions: 1. The use of complex rehabilitation allows to reduce the severity of motor and non-motor manifestations of Parkinson's disease. 2. The inclusion of art therapy in the complex rehabilitation program allows to halve the number of cases of disease progression. 3. The positive effect of the use of comprehensive rehabilitation is maintained throughout the observation period.","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":"69733346","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}
Paweł Wojciech Janus, Sylwia Mętel, Marek Koprowski
Aim: The main objective of this retrospective study was to determine the effect of a pulmonary rehabilitation programme conducted in underground salt chambers on functional status, chest mobility, and endurance of patients with post-COVID syndrome. In addition, we attempted to determine whether the symptoms reported by specific patients depended on the period in which they suffered from COVID-19. Materials and Methods: Based on the analysis of the ’Wieliczka’ Salt Mine Health Resort patients’ medical records, the effects of post-COVID rehabilitation programme, in effect from June 19th, 2021 till October 28th, 2022, i.e. during 19 consecutive 3-week treatment stays, were assessed. The programme involved 699 patients, of whom 591 completed the entire programme. For each patient, the Post-COVID Functional Status questionnaire was completed, chest mobility was measured using a tape measure, and endurance was evaluated using the 2-Minute Step Test. Results: The most common symptoms reported in the Post-COVID Functional Status questionnaire were: chronic fatigue, post-exertional malaise, and dyspnoea on exertion. The mean chest mobility significantly increased from 4.07 ± 2.17 cm before to 5.95 ± 4.99 cm (p < 0.001) after completion of the programme. In a definite majority of patients (n = 467, i.e. 79%), an improvement of the result of 2-Minute Step Test was observed, usually accompanied by increased fatigue with concomitant reduction of dyspnoea on exertion. The period in which patients suffered from the infection had no effect on reporting of specific symptoms. Conclusions: Subterraneotherapy combined with pulmonary rehabilitation improves functional status, chest mobility, and endurance in patients with post-COVID syndrome.
{"title":"EFFECTS OF PULMONARY REHABILITATION IN SUBTERRANEAN SALT CHAMBERS ON FUNCTIONAL STATUS, CHEST MOBILITY, AND ENDURANCE OF PATIENTS WITH POST-COVID SYNDROM","authors":"Paweł Wojciech Janus, Sylwia Mętel, Marek Koprowski","doi":"10.36740/abal202304102","DOIUrl":"https://doi.org/10.36740/abal202304102","url":null,"abstract":"Aim: The main objective of this retrospective study was to determine the effect of a pulmonary rehabilitation programme conducted in underground salt chambers on functional status, chest mobility, and endurance of patients with post-COVID syndrome. In addition, we attempted to determine whether the symptoms reported by specific patients depended on the period in which they suffered from COVID-19. Materials and Methods: Based on the analysis of the ’Wieliczka’ Salt Mine Health Resort patients’ medical records, the effects of post-COVID rehabilitation programme, in effect from June 19th, 2021 till October 28th, 2022, i.e. during 19 consecutive 3-week treatment stays, were assessed. The programme involved 699 patients, of whom 591 completed the entire programme. For each patient, the Post-COVID Functional Status questionnaire was completed, chest mobility was measured using a tape measure, and endurance was evaluated using the 2-Minute Step Test. Results: The most common symptoms reported in the Post-COVID Functional Status questionnaire were: chronic fatigue, post-exertional malaise, and dyspnoea on exertion. The mean chest mobility significantly increased from 4.07 ± 2.17 cm before to 5.95 ± 4.99 cm (p < 0.001) after completion of the programme. In a definite majority of patients (n = 467, i.e. 79%), an improvement of the result of 2-Minute Step Test was observed, usually accompanied by increased fatigue with concomitant reduction of dyspnoea on exertion. The period in which patients suffered from the infection had no effect on reporting of specific symptoms. Conclusions: Subterraneotherapy combined with pulmonary rehabilitation improves functional status, chest mobility, and endurance in patients with post-COVID syndrome.","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":"135953525","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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