Physical and rehabilitation medicine, medical rehabilitation最新文献

{"title":"Information Technology in Hospitalization Management in a Federal Medical Organization","authors":"E. Preobrazhenskaya, N. Nikolaev","doi":"10.36425/rehab70730","DOIUrl":"https://doi.org/10.36425/rehab70730","url":null,"abstract":"The article presents the experience of organizing the management process of planned hospitalization at the Federal Center for Traumatology, Orthopedics and Arthroplasty (Cheboksary). Automation of the process of hospital admission planning, including monitoring of hospital admissions failures and the length of patient stay in the PA, organization of information support for the staff of the Center's admission department based on the developed MIS \"Medialog\" module, related to patient registration and registration of documents specific to the federal medical center in the PA, allowed for ongoing monitoring of hospitalization, reducing the proportion of patients waiting in the emergency department for more than 3 hours, improving the quality of patient flow planning and management.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126155243","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":"Diagnostic of psychoemotional and cognitive impairments in acute ischemic stroke","authors":"A. M. Tynterova","doi":"10.36425/rehab77964","DOIUrl":"https://doi.org/10.36425/rehab77964","url":null,"abstract":"Aims: to assess the severity of cognitive, psychoemotional, behavioral disorders, the level of self-control and prevalence of certain coping strategies in patients with lesions of the right and left cerebral hemispheres after acute ischemic stroke. \u0000Materials and methods: The study included 60 patients with a diagnosis of ischemic stroke. Depending on the location of the stroke, patients were divided into two groups: Group 1 - 30 patients with lesions of the right hemisphere, Group 2 - 30 patients with lesions of the left hemisphere. The study was conducted on the 7th day of treatment and included: assessment of the cognitive status according to the Montreal scale (with additional scales for assessing the functions of the right hemisphere); assessment of the level of distress, depression, anxiety and somatization using the Four DimensionalSymptomQuestionnaire; assessment of mental and physical asthenia according to the MFI-20 scale, level of self-control using the Rotter'sLocus of Control Scale and coping strategies modality using E. Heim coping questionnaire. \u0000Results: The study established the prevalence of depression, a tendency towards non-adaptive coping strategies, ideational praxis related disorders understanding of metaphors and low level of self-control in relation to health in patients with lesions of the right hemisphere. Patients with ischemic stroke localized in the left hemisphere are characterized by a high level of mental asthenia, a choice of adaptive and relatively adaptive coping strategies, and a low level of self-control in respect to interpersonal relationships. \u0000Conclusions: The results of the study show that in the acute period of stroke there are qualitative and quantitative differences in neuropsychiatric symptoms of patients with lesions of the right and left cerebral hemispheres. The predominance of depression, cognitive impairments, and non-adaptive coping strategies in patients with lesions of the right hemisphere even with minimal or moderate motor deficits justifies early examination of the patient's behavioral, neuropsychiatric, and cognitive syndromes. The results of the study indicate the need to develop individual psychological rehabilitation programs for patients with lesions of the right and left cerebral hemispheres during the acute period of stroke.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125700748","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":"Development of paradigms for the diagnosis of \"covert cognition\" and cognitive motor dissociation in patients with chronic disorders of consciousness","authors":"A. Cherkasova, K. Ilina, M. Kovyazina, N. Varako, M. Krotenkova, E. Kremneva, A. Broutian, Y. Ryabinkina, A. Belkin, V. Belkin, N. Suponeva, M. Piradov","doi":"10.36425/rehab72308","DOIUrl":"https://doi.org/10.36425/rehab72308","url":null,"abstract":"The detection of signs of consciousness in patients with chronic disorders of consciousness is a complex clinical task. In recent decades, instrumental methods have been used to improve the accuracy of diagnostics. The phenomenon of covert cognition and cognitive-motor dissociation have been demonstrated in a small proportion of patients in studies using instrumental methods in combination with different paradigms. This article describes the main features of the diagnostic paradigms used for such purposes. Currently, the development of its own complex of paradigms is held at the Research Center of Neurology collaboratively with group of neuropsychologists from Lomonosov Moscow State University. The general characteristics of this complex of paradigms are indicated. The practical significance of detecting the phenomenon of covert cognition and cognitive-motor dissociation in patients with chronic disorders of consciousness is discussed.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126462251","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":"Hardware and Software Complex for Restoring Motor Functions Based on Virtual Reality and Brain-Computer Interface","authors":"Iuliia Y. Nekrasova, V. Vorontsova, M. Kanarskii, Pranil M. Pradhan, D. Shunenkov, S. Puzin, Ivan V. Pasko, Julia A. Podolskaya, Alina Y. Kriuchkova","doi":"10.36425/rehab65949","DOIUrl":"https://doi.org/10.36425/rehab65949","url":null,"abstract":"In this paper, we consider a hardware-software complex based on virtual reality and a non-invasive EEG neurocomputer interface, designed to restore motor functions of the limbs in patients with the consequences of severe acquired brain lesions through ideomotor training. The complex is a flexible system that allows to train any movements of both the upper and lower extremities in any virtual environment with varying degrees of immersiveness. The proposed method for assessing desynchronization of the sensorimotor rhythm during imagining movements and the developed algorithm for ideomotor training have been successfully tested on healthy volunteers.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123999078","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 Cancer Patients аfter Surgical and Combined Treatment for Breast Cancer","authors":"E. Filonenko, A. Kaprin, M. A. Polyak, E. A. Troshenkov, D. Malik","doi":"10.36425/rehab70778","DOIUrl":"https://doi.org/10.36425/rehab70778","url":null,"abstract":"Radical surgical treatment, adjuvant chemotherapy and postoperative radiation therapy, used in the complex and combined treatment of breast cancer, inevitably lead to serious functional and psychosomatic disorders. One of the most common complications of breast cancer treatment is postmastectomy syndrome (PMES). That is why the study of the latter and the development of modern methods of rehabilitation of patients with an established diagnosis of PMES remain extremely relevant. To date, the pathogenetic mechanism of the development of upper limb edema and a huge range of possible methods of prevention and treatment have been described in detail. However, the choice of a rehabilitation method requires a personalized approach based on a specific clinical case, and special attention to the psychoemotional status of the patient.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134176689","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":"Modern Aspects of the Rational Organization and Conduct of Medical Rehabilitation of Patients with Breast Cancer","authors":"V. Akhmedov, Viktoria A. Lagutochkina","doi":"10.36425/rehab71321","DOIUrl":"https://doi.org/10.36425/rehab71321","url":null,"abstract":"Breast cancer is the most common female cancer worldwide. The side effects of chemotherapy require rational, correct and selective use of rehabilitation measures. The principle of individualization is one of the fundamental principles in the rehabilitation process. Currently, there are separate studies on the use of rehabilitation techniques in the treatment of patients who have had breast cancer. For a more detailed understanding by practitioners of the clinical possibilities and prospects for the use of various rehabilitation technologies In the presented review article, modern data on the goals and principles of rehabilitation programs for patients who have undergone breast cancer treatment using therapeutic physical culture, massage, physiotherapy, as well as alternative medicine and psychocorrection methods are disclosed.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133558995","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":"Organization of Multilevel Interdisciplinary Rehabilitation in the Netherlands","authors":"H. V. Van Dijk, G. Ivanova, R. A. Bodrova, L. Gumarova, G. Z. Akhmetzyanova","doi":"10.36425/rehab71384","DOIUrl":"https://doi.org/10.36425/rehab71384","url":null,"abstract":"This article gives an overview of medical rehabilitation in the Netherlands. It shows that Dutch rehabilitation is based on the International Classification of Functioning, Disability and Health (ICF) and organized in three different levels: rehabilitation medicine, geriatric rehabilitation, and monodisciplinary therapy. The author describes these three levels in their distinctive scopes and numbers. Together they operate as a coherent rehabilitation service system that reflects an important characteristic of the system of health care in the Netherlands: decentralized if possible and centralized if necessary. The system is accessible for all and it is organized in a way that simple medical problems can be dealt with close to home, whereas specialized treatment is concentrated in rehabilitation centers spread over the country. The rehabilitation facilities are embedded in the general health care system: it is easy for hospitals as well as general practitioners to refer patients to rehabilitation. In conclusion, the possibilities of further improving the system of medical rehabilitation and the application of Dutch experience in other countries are considered.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122111700","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":"Psychological Study of the Quality of Life of Lung Cancer Patients Receiving Immunotherapy","authors":"G. Tkachenko","doi":"10.36425/rehab64902","DOIUrl":"https://doi.org/10.36425/rehab64902","url":null,"abstract":"The article discusses the results of a psychological study of the quality of life of 28 lung cancer patients who receiving immunotherapy. The quality of life was assessed independently by the patients using the DemboRubinstein questionnaire. Before the start of immunotherapy, patients remained dissatisfied with their health, appearance, sexual relations, and mood. A repeated study showed that these spheres of life were significantly improved in all the subjects, and health satisfaction increased by more than 1.5 times compared with the initial one. In the course of immunotherapy, a significant increase in the scales of social functioning is noted: communication with others, opportunities for leisure and recreation. A repeated study showed that there were twice as many patients who returned to professional activity (32.1% versus 17.9% of the primary).","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124881771","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":"Experience in the Rehabilitation of Patients After Removal of Malignant Neoplasms of the Central Nervous System: A Clinical Case","authors":"M. Stern, E. Polkovnikova, M. Petrova","doi":"10.36425/REHAB64935","DOIUrl":"https://doi.org/10.36425/REHAB64935","url":null,"abstract":"Background. Early rehabilitation of patients after removal of neoplasms is an urgent task of modern rehabilitation. Clinical case description. This clinical example describes an example of rehabilitation and dynamics of recovery in a patient after removal of glioblastoma. After removal of a malignant neoplasm of the central nervous system, the patient underwent a course of rehabilitation measures within the framework of hospitalization at the Federal Research Center for Clinical Center of the Russian Federation. Conclusion. Patients after removal of malignant neoplasms are shown early active rehabilitation in order to compensate for neurological and mental deficits after removal of neoplasms of the central nervous system.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131354952","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":"Cardiac Rehabilitation","authors":"A. Sarana, T. Kamilova, S. V. Lebedeva, D. A. Vologzhanin, A. Golota, S. V. Makarenko, S. Apalko","doi":"10.36425/rehab64287","DOIUrl":"https://doi.org/10.36425/rehab64287","url":null,"abstract":"Cardiac rehabilitation based on exercise therapy is a valuable treatment for patients with a broad spectrum of cardiovascular diseases. Current guidelines support its use in patients with stable chronic heart failure and coronary artery disease, after myocardial infarction, acute coronary syndrome, coronary artery bypass grafting, coronary stent placement, and valve surgery. Its use in these conditions is supported by a robust body of research demonstrating improved clinical outcomes. The significant clinical improvement obtained through the regular training in patients with cardiovascular diseases is the result of a complex interplay of different effects: 1) improved cardiopulmonary efficiency and pulmonary functional capacity; 2) amelioration of myocardial perfusion by reducing endothelial dysfunction and by inducing new vessel formation; 3) improved myocardial contractility; 4) counteract the muscle wasting and cachexia; 5) reduction of the systemic inflammation; 6) attenuation of the sympathoexcitation, a typical feature of CHF, even in the persistence of cardiac dysfunction. Despite this evidence, cardiac rehabilitation referral and attendance remains low and interventions to increase its use need to be developed.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114854705","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}