[Exercise therapy in outpatient rehabilitation programmes for patients with comorbid digestive pathology in colon cancer and chronic pancreatitis. (Open randomized controlled trial)].
A S Kaisinova, A B Achabaeva, M B Uzdenov, A A Dzhanibekova, M M Kaitova, V E Illarionov, A Yu Suvorov
{"title":"[Exercise therapy in outpatient rehabilitation programmes for patients with comorbid digestive pathology in colon cancer and chronic pancreatitis. (Open randomized controlled trial)].","authors":"A S Kaisinova, A B Achabaeva, M B Uzdenov, A A Dzhanibekova, M M Kaitova, V E Illarionov, A Yu Suvorov","doi":"10.17116/kurort20241010625","DOIUrl":null,"url":null,"abstract":"<p><p>Sanogenetic effects of physical factors that have an activating effect on the adaptation-compensatory mechanisms of the body are known. On the other hand, their comparative effect on the pathogenetic links of the disease has been proven. It is advisable to use them in comorbid pathology of the digestive system to increase the effectiveness of rehabilitation measures.</p><p><strong>Objective: </strong>To study the effectiveness of the developed complex of exercise therapy (ET) in outpatient medical rehabilitation programmes for patients with colorectal cancer (CRC) in combination with chronic pancreatitis (CP).</p><p><strong>Material and methods: </strong>There have been observed 84 patients with CRC after surgical treatment in combination with CP. The patients were divided into 2 groups by simple randomization: the comparison group (CG; 40 people) underwent a diet therapy, standard exercise therapy, psychocorrection, pharmacotherapy (Pinaveria bromide), and internal intake of mineral waters of low mineralization; in the main group (MG; 44 people) the patients had rehabilitation therapy according to the original method (RU 143601 from 20.05.2024). The effectiveness of the outpatient rehabilitation was assessed by indicators of the quality of life (Gastroenterological Quality of Life Questionnaire GSRS and European Quality of Life Questionnaire EQ-5D), bioelectrical activity of rectus abdominis muscles.</p><p><strong>Results: </strong>After implementing the rehabilitation course, it was stated on repeated electromyography that the total amplitude of bioelectrical activity of the rectus abdominis muscle with the patients of the MG has improved relative to the initial value by 1.9 (<i>p</i><0.01) with between-group differences (<i>p</i><0.05). A positive dynamics of GSRS quality of life indicators showed that a more significant (<i>p</i><0.05) decrease in the intensity of clinical manifestations was observed in the MG. According to the EQ-5D questionnaire, the quality of life indicators according to the scales «Mobility», «Pain and discomfort» and «Anxiety and depression» also improved more significantly in the MG with between-group differences (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>The inclusion of the original exercise therapy technique in the outpatient medical rehabilitation programmes for CRC after surgical treatment in combination with CP helps to restore the impaired functions of the digestive organs and improve their quality of life.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6. Vyp. 2","pages":"5-12"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/kurort20241010625","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Sanogenetic effects of physical factors that have an activating effect on the adaptation-compensatory mechanisms of the body are known. On the other hand, their comparative effect on the pathogenetic links of the disease has been proven. It is advisable to use them in comorbid pathology of the digestive system to increase the effectiveness of rehabilitation measures.
Objective: To study the effectiveness of the developed complex of exercise therapy (ET) in outpatient medical rehabilitation programmes for patients with colorectal cancer (CRC) in combination with chronic pancreatitis (CP).
Material and methods: There have been observed 84 patients with CRC after surgical treatment in combination with CP. The patients were divided into 2 groups by simple randomization: the comparison group (CG; 40 people) underwent a diet therapy, standard exercise therapy, psychocorrection, pharmacotherapy (Pinaveria bromide), and internal intake of mineral waters of low mineralization; in the main group (MG; 44 people) the patients had rehabilitation therapy according to the original method (RU 143601 from 20.05.2024). The effectiveness of the outpatient rehabilitation was assessed by indicators of the quality of life (Gastroenterological Quality of Life Questionnaire GSRS and European Quality of Life Questionnaire EQ-5D), bioelectrical activity of rectus abdominis muscles.
Results: After implementing the rehabilitation course, it was stated on repeated electromyography that the total amplitude of bioelectrical activity of the rectus abdominis muscle with the patients of the MG has improved relative to the initial value by 1.9 (p<0.01) with between-group differences (p<0.05). A positive dynamics of GSRS quality of life indicators showed that a more significant (p<0.05) decrease in the intensity of clinical manifestations was observed in the MG. According to the EQ-5D questionnaire, the quality of life indicators according to the scales «Mobility», «Pain and discomfort» and «Anxiety and depression» also improved more significantly in the MG with between-group differences (p<0.05).
Conclusion: The inclusion of the original exercise therapy technique in the outpatient medical rehabilitation programmes for CRC after surgical treatment in combination with CP helps to restore the impaired functions of the digestive organs and improve their quality of life.
已知物理因素对身体的适应-补偿机制具有激活作用的遗传效应。另一方面，它们对疾病发病环节的比较作用已得到证实。建议在消化系统共病病理中使用，以提高康复措施的有效性。目的：探讨运动综合疗法（ET）在结直肠癌（CRC）合并慢性胰腺炎（CP）患者门诊医疗康复方案中的应用效果。材料与方法：观察84例结直肠癌手术联合CP治疗后的患者，采用简单随机法将患者分为两组：对照组(CG；40人)接受饮食治疗、标准运动治疗、心理矫正、药物治疗（溴化Pinaveria）和内部摄入低矿化矿泉水；在主组(MG；44人)按照原方法（RU 143601, 20.05.2024）进行康复治疗。采用生活质量指标（Gastroenterological quality of life Questionnaire GSRS和European quality of life Questionnaire EQ-5D）、腹直肌生物电活动指标评价门诊康复效果。结果：实施康复疗程后，反复肌电图显示，MG患者腹直肌生物电活动总振幅较初始值提高1.9 （pppp1）。将原有的运动治疗技术纳入结直肠癌术后联合CP的门诊医学康复方案，有助于恢复受损的消化器官功能，提高患者的生活质量。
期刊介绍：
The journal deals with the study of the mechanism of a physiological and therapeutic effect of physical and health resort factors, methods and results of their employment, as well as with theoretical and practical problems involved in the use of exercise therapy in combined treatment of different diseases. The results of research and experience of using physical and health resort methods in medical practice and organization of physiotherapeutic and sanatorial and health resort service, book reviews on physiotherapy, health resort science and exercise therapy are published. Scientific life of allied specialities, proceedings of congresses, conferences, symposia (including foreign), the activity of republican and local societies, etc., are covered.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
