Physical and rehabilitation medicine, medical rehabilitation最新文献

{"title":"Sound impact on health and rehabilitation","authors":"A. B. Danilov, Ekaterina V Simenko, Adam Ihlef","doi":"10.36425/rehab46494","DOIUrl":"https://doi.org/10.36425/rehab46494","url":null,"abstract":"Sound has enormous influence on human organism. Different types of sound vibrations have both positive and negative effects on peoples health. This review highlights that sound is important factor for health regulation with the emphasis on cognitive functions and mental activity. Also, we describe strategies of using sound in treatment of neurological diseases, anxiety disorders, depressions, and social rehabilitation. Sound influence and its exploit are examined on different levels: ultrasound, infrasound, white noise, music and nature sounds. Finally, our review has shown sound great potential in treatment of neurodegenerative and psychiatric disorders, carpal tunnel syndrome, postoperative rehabilitation, and cognitive functions improvement. We propose the implementation of acoustic monitoring and music therapy as substantial components of rehabilitation medicine.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117159052","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}

{"title":"SPEECH THERAPY REHABILITATION OF PATIENTS WITH APHASIA IN INTENSIVE CARE","authors":"O. Polikarpova","doi":"10.36425/rehab108425","DOIUrl":"https://doi.org/10.36425/rehab108425","url":null,"abstract":"A clinical example shows the role of a speech therapist in communication between doctors and patients with severe brain damage. An individual approach to the provision of speech therapy to patients in intensive care units significantly increases the effectiveness of rehabilitation.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"261 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122337473","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}

{"title":"Rehabilitation environment for patients with chronic impairment of consciousness","authors":"Y. Y. Nekrasova, I. Borisov, M. Kanarsky, Pranil M. Pradhan, V. Deriushkin, Viktoriya S. Sorokina, M. Petrova, M. Stern","doi":"10.36425/rehab106538","DOIUrl":"https://doi.org/10.36425/rehab106538","url":null,"abstract":"The article discusses aspects of providing care to patients with chronic impairment of consciousness (CHS) at the post-hospital stage: it describes the difficulties faced by relatives of patients caring for loved ones at home; the prospects for the use of remote technologies for the rehabilitation of patients are indicated on the example of the experience of foreign researchers; the experience of creating a rehabilitation environment similar to home (Casa Iride model) is presented with an indication of its strengths and weaknesses. Thus, the basis of modern remote and mobile rehabilitation services should be system platform IT solutions that, based on the principles of digitalization, ensure coordination of interdepartmental interaction and efficient use of resources in the process of providing post-hospital rehabilitation care to patients with severe consequences of organic brain damage.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114620670","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}

{"title":"THE EFFECT OF SELECTIVE HYPOTHERMIA OF THE CEREBRAL CORTEX ON METABOLISM IN PATIENTS WITH PROLONGED IMPAIRMENT OF CONSCIOUSNESS","authors":"E. Mengistu","doi":"10.36425/rehab108417","DOIUrl":"https://doi.org/10.36425/rehab108417","url":null,"abstract":"A pilot study was conducted among patients with chronic impaired consciousness in order to assess the response of energy expenditure at rest (REE) during craniocerebral hypothermia. It was found that REE increased in 70.59% of patients, and decreased in 29.41%. It is assumed that the decrease in REE is associated with preserved metabolic activity in the intact parts of the cerebral cortex and may indicate the presence of rehabilitation potential, and the decrease indicates the presence of gross damage that excluded the selectivity of hypothermic exposure.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127705496","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}

{"title":"Features of cranial bone reconstruction in patients at various stages of rehabilitation","authors":"M. Varyukhina, A. Vorobyev, Dmirty V. Levin, A. Ilyina, D. Kolesov, A. Shaybak, M. Radutnaya, A. Yakovlev","doi":"10.36425/rehab108760","DOIUrl":"https://doi.org/10.36425/rehab108760","url":null,"abstract":"Background: Postoperative skull bone defects are one of the urgent problems of neurorehabilitation. Skull bone defect limits the scope of rehabilitation measures, complicates patient care, and leads to secondary complications. Significant risks of postop complications demands making a decision about surgery individually. Surgery timing varies widely and remains controversal. \u0000Aims: to formulate the features of skull bone defects reconstruction in patients at various stages of rehabilitation based on the analysis of the frequency and structure of postoperative surgical complications. \u0000Materials and methods: the retrospective analysis of cranioplasty results was performed in the 129 patients treated in FRCC ICMR from 2018 to 2022 at various stages of rehabilitation (intensive care, inpatient, outpatient). The features of surgery, frequency and structure of surgical complications dependent on rehabilitation stage were analyzed. \u0000Results: A total of 129 patients were included in the study (84 men (65%) and 45 women (35%)). The average age of the patients was 43.2 13.9 years. The average timing of cranioplasty surgery was 79 days [60;133]. Seventy two patients (56%) were operated on at the intensive care stage of rehabilitation, forty (31%) and seventeen (13%) patients were operated on at the inpatient and outpatient stages, respectively. In total, complications occurred in 16 patients (12%). Intensive care patients required careful preoperative preparation, correction of homeostasis and metabolism disorders. In our series, postoperative complications were observed in 12 patients on intensive care stage (17%); all cases of hydrocephalus occurred only in intensive care patients. In patients operated on at the inpatient stage of rehabilitation, complications occurred in 4 cases (10%), while there was no statistically significant difference in the incidence of complications in patients from the intensive care and inpatient subgroups (p=0.334). Complications in patients at the outpatient stage of rehabilitation were not observed in our series. \u0000Conclusions: Cranioplasty surgery is possible even in somatically burdened patients at the intensive care stage of rehabilitation. It allows to expand the scope of rehabilitation measures and facilitate medical care. When planning surgical intervention in the early stages after the cranioplasty surgery, it is important to take into account the increased risk of hydrocephalus manifestation.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128011127","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}

{"title":"Rehabilitation of patients after a new coronavirus infection COVID-19 in a sanatorium-resort institution","authors":"Оleg E. Fatuev","doi":"10.36425/rehab104442","DOIUrl":"https://doi.org/10.36425/rehab104442","url":null,"abstract":"The work is devoted to the organization of post-COVID rehabilitation of patients using adaptive phage therapy technology in a sanatorium-and-spa institution. The use of a complex of agents with bacteriophages for inhalation and oral administration against the background of ongoing physical activity and physiotherapeutic methods of influence helps to restore the functional abilities of the body and optimize the results of previous treatment in patients who have undergone a new coronavirus infection COVID-19.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134264335","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}

{"title":"COMPREHENSIVE REHABILITATION OF PATIENTS WITH PNEUMONIA CAUSED BY COVID 19 \u0000AT THE AMBULATORY STAGE","authors":"T. Novikova","doi":"10.36425/rehab90576","DOIUrl":"https://doi.org/10.36425/rehab90576","url":null,"abstract":"Lung damage caused by the SARS-COV-2 virus is a serious obstacle to recovery in patients with COVID-19-associated pneumonia. The treatment of post-COVID-19 syndrome is currently a significant problem in world health care. Therefore, pulmonary rehabilitation is important at all stages of the disease. The article presents programs of restorative treatment, such as physiotherapy, haloinhalation, exercise therapy and hyperbaric oxygenation. \u0000Their influence on the indicators of the function of external respiration, on blood tests, CT, pulse oximetry, and on the assessment of dyspnea according to the mMRS questionnaire was considered. It is known that with coronavirus infection, diffuse alveolar damage develops, which can lead to a violation of the diffusion capacity of the lungs (DSL). The article discusses the effect of hyperbaric oxygenation on DSL indicators.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125822481","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}

{"title":"ALGORITHM FOR FORMULATION A REHABILITATION DIAGNOSIS USING THE INTERNATIONAL CLASSIFICATION OF FUNCTIONINGIN A PATIENT WITH A STROKE","authors":"G. Ivanova, R. A. Bodrova, Tatyana V. Builova","doi":"10.36425/rehab96918","DOIUrl":"https://doi.org/10.36425/rehab96918","url":null,"abstract":"Introduction.The International Classification of Functioning, Disability and Health (ICF) is a universal system for assessing the health of the body as a whole, as well as problems that limit life. Using the ICF, it is possible at the level of the body, personality and society to quite accurately investigate the nature and severity of disabilities. Subsequently, this will make it possible, on a scientific basis, to substantiate the need and volume of rehabilitation measures and social protection. For medical professionals, one of the main criteria for using the ICF is the ability to formulate a rehabilitation diagnosis, which in turn makes it possible to determine the goal, objectives, rehabilitation program, and in the future to assess the effectiveness of rehabilitation measures. In the formulation of a rehabilitation diagnosis, the coding for the ICF domains is used. Rehabilitation diagnosis is a description of structural and functional disorders that have arisen in a patient as a result of a stroke, which entailed a restriction of activity and participation, the possibility of using environmental factors that may facilitate or hinder the performance of the described functions by the patient. \u0000Purpose of the study: to evaluate the effectiveness of the algorithm for the formation of a rehabilitation diagnosis using ICF domains, tests and scales on a clinical example of a patient who has had a stroke.Conclusion.The ICF evaluates all components of a post-stroke patient's health. The ICF is used in the preparation of a rehabilitation diagnosis and justifies the use of methods of medical rehabilitation. Formation of a rehabilitation diagnosis based on the principles of ICF is a key point in determining short-term and long-term goals for the patient, as well as assessing the rehabilitation potential and prognosis, drawing up an individual plan for medical rehabilitation and further recommendations upon discharge. Our experience of rehabilitation in the post-stroke period has shown that the use of the international classification of functioning in the formulation of a rehabilitation diagnosis in this category of patients allows for a higher efficiency of medical rehabilitation in general.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131765122","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}

{"title":"MECHANISMS OF LOW-TEMPERATURE REHABILITATION TECHNOLOGIES. SPORTS TRAUMATIC BRAIN INJURY","authors":"M. Zhdanova, O. Shevelev, M. Petrova, A. Smolensky, M. Yuriev, E. Mengistu, I. Kostenkova","doi":"10.36425/rehab88833","DOIUrl":"https://doi.org/10.36425/rehab88833","url":null,"abstract":"According to various data, sports traumatic brain injury (TBI) accounts for up to 20% of all injuries in athletes, and the number of cases of traumatization is progressively increasing year by year due to an increase in the number of people involved in sports, the growing popularity of extreme and contact sports, as well as a high level of motivation to achieve record results. The structure of sports TBI is dominated by mild TBI, which can provoke the development of a very wide range of complications and negative consequences that affect not only the result, but, most importantly, the quality of life of athletes. The pathogenesis of mild TBI has been studied, therapy and rehabilitation programs have been developed. At the same time, the features of sports TBI that significantly distinguish it from domestic, road or criminal injuries are not sufficiently taken into account: repeated frequent TBI, increased body and brain temperature, peripheral redistribution of blood flow and hypocapnia associated with physical exertion and significantly affecting cerebral blood flow. An athlete receives a TBI during the most vulnerable period for the brain. To a large extent, these features are associated with the high incidence of various kinds of neurological complications of sports TBI (cognitive disorders, memory impairment, sleep disorders, migraines, etc.). Special techniques that can prevent complications of sports TBI have not been developed. Brain injury is an independent cause of the development of cerebral hyperthermia, which significantly worsens the course and consequences of TBI. The well-known technology of craniocerebral hypothermia (CCG) allows to reduce physical general and cerebral hyperthermia, to increase the resistance of neurons of the cerebral cortex to hypoxia and trauma. However, this technology is used sporadically, which, apparently, is due to the lack of awareness of coaches and doctors of sports teams specializing in sports medicine and rehabilitation. \u0000The purpose of the review is to analyze the features of the action of selective hypothermia of the cerebral cortex, used to prevent complications of mild sports TBI.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121345975","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}

{"title":"Risk factors of the severe course and fatal outcome in COVID-19","authors":"Sergey G. Sсherbak, T. Kamilova, Aleksandr S. Golota, D. A. Vologzhanin","doi":"10.36425/rehab104997","DOIUrl":"https://doi.org/10.36425/rehab104997","url":null,"abstract":"Since its first detection, coronavirus disease 2019 (COVID-19) caused by coronavirus SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection has spread rapidly around the world. Although coronavirus SARS-CoV-2 primarily targets the respiratory system, complications in other organ systems (cardiovascular, neurological, and renal) can also contribute to death from the disease. Clinical experience thus far has shown substantial heterogeneity in the trajectory of SARS-CoV-2 infection, spanning from asymptomatic to mild, moderate, and severe disease forms with low survival rates. Accurate prediction of COVID-19 mortality and the identification of contributing factors would allow for targeted strategies in patients with the high risk of death. We aimed to identify clinical and laboratory features that contributed the most to this prediction. An improved understanding of predictive factors for COVID-19 is crucial for identify those with higher risk of mortality and for clinical decision making to reduce the risk of death. The main risk factors for the severe course of COVID-19, the development of complications and death include old age, concomitant diseases (cardiovascular diseases, chronic lung diseases, diabetes mellitus and hypertension), body temperature 37.8C, oxygen saturation 92%, quantitative and functional depletion of innate immunity, bilateral pulmonary infiltrates, increased levels of laboratory parameters of systemic inflammation, respiratory, cardiac, renal and/or hepatic failure. Proper assessment of prognostic factors and careful monitoring to ensure the necessary interventions at the appropriate time in high-risk patients can reduce the fatality rate from COVID-19.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115252511","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}