Physical and rehabilitation medicine, medical rehabilitation最新文献

{"title":"SPECTRAL EVALUATION OF SLEEP EEG IN PATIENTS WITH CHRONIC DISORDERS OF CONSCIOUSNESS BY MULTI-WINDOW DISCRETE FOURIER TRANSFORM","authors":"M. M. Kanarskij, J. Nekrasova, I. Borisov, D. Yankevich, Dmitrij L. Kolesov, Oleg B. Lukyanec, K. M. Gorshkov, N. P. Shpichko, T. Krylova, N. Y. Kovaleva, Oleg Y. Lyutkin, Vitalij V. Evstifeev","doi":"10.36425/rehab52648","DOIUrl":"https://doi.org/10.36425/rehab52648","url":null,"abstract":"In recent years, EEG spectral analysis has become increasingly popular due to the development of computer technologies. Among the methods of spectral analysis, various variants of the window Fourier transform are most often used, taking into account the non-stationary nature of the EEG signal. In this article, the spectral composition of the sleep EEG of 32 patients with impaired consciousness was studied using a discrete Fourier transform with Windows in the form of elongated spheroidal sequences. The classification of the received gipropischeprom patients with CHF on the dynamics of the spectral composition of the detected correlation characteristic changes in the spectral composition of sleep EEG with the level of consciousness and the etiology of the disease","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126713012","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":"Clinical Application of High- Precision Neuroimaging Methods in Newborns with Brain Injuries","authors":"S. Perepelitsa","doi":"10.36425/rehab54463","DOIUrl":"https://doi.org/10.36425/rehab54463","url":null,"abstract":"In order to reduce postnatal dysfunction of the central nervous system and prevent irreversible consequences, the concept of early rehabilitation of newborns has been formulated and implemented. When planning a rehabilitation program, an individual approach to the child is required, taking into account the characteristics of his development. A comprehensive assessment of the anatomical and functional state of the brain of a newborn with the help of high-precision neuroimaging technologies that can be used at different stages of rehabilitation treatment deserves special attention.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"19 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113979462","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 application of high intensity and low intensity magnetotherapy in rehabilitation of patients with COVID-19 - a randomized controlled pilot study.","authors":"E. Silantyeva","doi":"10.36425/rehab50236","DOIUrl":"https://doi.org/10.36425/rehab50236","url":null,"abstract":"Background: rehabilitation of patients after severe pneumonia associated with the new coronavirus infection requires the searching for effective tools to restore impaired functions, including methods of hardware physiotherapy. \u0000Aims: to evaluate the effectiveness of the application of high-intensity electromagnetic field (HIEF) in rehabilitation of patients after pneumonia associated with COVID-19. \u0000Materials and methods: 40 patients were examined and treated at the outpatient stage of rehabilitation after severe pneumonia associated with COVID-19. All patients received a set of rehabilitation measures, including daily sessions of therapeutic exercises (No. 15) and magnetotherapy procedures (No. 15). Patients were randomly separated into 2 groups - 20 patients in the treatment group (TG) who received HIEF therapy (BTL-6000 Super Inductive System) and 20 patients in the control group (CG) who received low-intensity magnetotherapy (BTL-4000 Premium device). \u0000Results: during the course of therapy, there were no patients who dropped out of the study, and no undesirable side effects and complications were identified. The high clinical effectiveness of the complex of rehabilitation measures has been proven, more pronounced in the group of patients receiving HIEF therapy. The results were confirmed by reliable dynamics of clinical indicators according to the valid questionnaire and positive changes in spirometry data. \u0000Conclusions: application of high-intensity electromagnetic field (HIEF) is advisable in complex outpatient rehabilitation of patients after severe pneumonia associated with COVID-19 . \u0000Keywords: COVID-19, pneumonia, magnetotherapy, high-intensity electromagnetic field, physical and rehabilitation medicine.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121470614","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 MEDICAL REHABILITATION IN JAPAN: CONDITION AND PROSPECTS","authors":"Koiva Mitoki, Митоки Койва, A. F. Belyaev, Беляев Анатолий Фёдорович","doi":"10.36425/rehab50494","DOIUrl":"https://doi.org/10.36425/rehab50494","url":null,"abstract":"In Japan, much attention is paid to the development of medical rehabilitation. This is due to serious economic, social and moral losses that society suffers in connection with an increase in the number of disabling diseases and injuries, as well as a marked aging of the population. In Japan, a legislative and normative-methodological base for rehabilitation has been formed, staged rehabilitation has been organized (acute period, rehabilitation, outpatient). Equipment standards, staffing and other standards for rehabilitation services have been developed, depending on the type of disease. Great importance is given to patient routing and treatment quality assessment. Specialists are being trained: rehabilitologist, physical therapists, occupational therapists, speech therapists, nurses, social workers. All specialists are included in the list of staffing standards for medical institutions necessary for obtaining accreditation for medical rehabilitation. Payment for medical care in Japan is based on the insurance principle. The cost and standard term for receiving rehabilitation assistance depending on the disease is determined by insurance standards. An example of the work of a rehabilitation center - the Society for Social and Medical Assistance Hokuto ​​(Hokkaido, Obihiro).","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121981334","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":"About the monograph by N. S. Nikolaev and R.V. Petrova “Physical rehabilitation of patients after endoprosthetics of large joints of the lower extremities”","authors":"Alexander V. Novikov, Новиков Александр Вульфович, E. Galova, Галова Елена Анатольевна","doi":"10.36425/rehab34837","DOIUrl":"https://doi.org/10.36425/rehab34837","url":null,"abstract":"The article presents the experience of implementing a systematic approach to medical rehabilitation of patients after hip and knee arthroplasty using the example of the Federal Center for Traumatology, Orthopedics and Endoprosthetics in Cheboksary. The monograph of the authors - direct participants in the process - contains practical recommendations, author's techniques, recommended complexes of physiotherapy after endoprosthesis replacement of large joints of the lower extremities.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124210384","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 care during the new COVID-19 coronavirus infection epidemic at first, second and third medical rehabilitation stages","authors":"G. Ivanova, A. Shmonin, M. Maltseva, I. E. Mishina, E. Melnikova, R. A. Bodrova, M. Tsykunov, I. S. Bakhtina, S. A. Kalinina, Irina N. Balandina, L. Soloveva, N. Ivanova, A. Suvorov, M. Didur","doi":"10.36425/rehab34148","DOIUrl":"https://doi.org/10.36425/rehab34148","url":null,"abstract":"Patients with a new coronavirus infection (COVID-19) need rehabilitation. Rehabilitation approaches of patients with another pathology also require to be reviewed under the conditions of the SARS-CoV-2 epidemic. It is necessary to develop clinical recommendations for the rehabilitation care delivery in patients with COVID-19 and other diseases during a pandemic. A group of experts analyzed the data of current reviews on rehabilitation with COVID-19, as well as previous studies on rehabilitation in patients with Post-intensive care syndrome (PICS) and acute respiratory distress syndrome of non-coronavirus etiology, and developed thereupon the main positions of clinical recommendations. We discuss the main rehabilitation problems in patients with COVID-19, in particular structures and functions impairments, leading to limitations and restrictions of self-care, mobility, domestic life, communication, interpersonal interactions and relationships, professional activities and those determining care requirement. The article also provides general recommendations on medical rehabilitation management in a pandemic at all three stages, including patients routing, ensuring the infectious safety of medical personnel and patients. The necessary individual rehabilitation program components for patients with COVID-19 at all stages of rehabilitation have been identified, including patients examination, nutritional deficiency correction, restoration of respiratory function, exercise tolerance, muscle strength, self-monitoring and training in new movement conditions, psychoemotional state disorders and cognitive functions, as well as independence in everyday life recovery. Medical rehabilitation during the COVID-19 epidemic should include all rehabilitation care components and helps to optimize vital functions, to prevent complications and to improve the patients life quality.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"09 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127373420","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":"Nutritive rehabilitation of the patients after recovering from coma","authors":"M. Petrova, A. Shestopalov, A. Yakovleva, K. Krylov, E. Mengistu","doi":"10.36425/rehab21185","DOIUrl":"https://doi.org/10.36425/rehab21185","url":null,"abstract":"Background. Along with the measures to restore the basic body functions and prevent secondary brain injury, one of the key areas of modern rehabilitation is nutritional and metabolic support. \u0000Aims: to improve the results of the treatment of the patients by optimizing the system of nutritional and metabolic rehabilitation using enteral, parenteral, combined parenteral-enteral nutrition methods, who are undergoing rehabilitation after recovering from Coma resulting from injuries and diseases of the central nervous system. \u0000Methods. In a prospective cohort study, the results of the study and complex treatment of 113 patients after recovering from Coma as a result of brain injury of various etiologies who were undergoing rehabilitation in the period from 2017 to 2019 in the FNRC RR were analyzed. \u0000Results. Indirect calorimetry has proven to be the most accurate method for creating an effective and adequate program of nutritional and metabolic support in patients in chronic critical conditions who recovers from the coma. In patients who recovers from the coma, due to the excessive process of hypercatabolism, increasing protein requirements: the average protein requirements for a patient who recovers from the coma are 1.261.5 g of protein per kg/weight. Conducting optimal nutritional support for patients recovering from Coma involves determining the functional state of the gastrointestinal tract. To build an effective and adequate program of nutritional and metabolic support where accurate determination of energy needs is of great importance. \u0000Conclusions. The indirect calorimetry method is a valuable tool for assessing energy needs, although without taking into account the functionality of the gastrointestinal tract and other factors affecting body compositions, it may not be sufficient to prescribe optimal nutritional support in patients after recovering from Comatose.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121290379","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 INFLUENCE OF NUTRITIONAL CHANGES ON THE MOTOR SKILLS IN CHILDREN WITH TUMORS OF CENTRAL NERVOUS SYSTEM AND ACUTE LYMPHOBLASTIC LEUKEMIA IN REMISSION","authors":"A. Vashura, Вашура Андрей Юрьевич, A. Ryabova, Рябова Алена Андреевна, S. Lukina, Лукина Светлана Сергеевна, A. Karelin, Карелин Александр Федорович, V. Kasatkin, Касаткин Владимир Николаевич","doi":"10.36425/2658-6843-2019-3-18-26","DOIUrl":"https://doi.org/10.36425/2658-6843-2019-3-18-26","url":null,"abstract":"\u0000The paper presents the results of the analysis of associations between motor skills (MS) and nutritional status (NS) in 102 children who have received treatment of CNS tumors (n=53) and ALL (n=49). Median of remission interval was 2 years (from 3 month to 10 years). MS was evaluated by Bruininks-Oseretsky Test of Motor Proficiency. NS was assessed using anthropometry and bioimpedance analysis. As a result, it was found that children after cancer treatment have motor and nutritional deficiencies. Low values of NS indicators (lean body mass, cell mass, mid-arm muscle circumference (MAMC)) are associated with a decrease in MS parameters. There was no dependence between the value, dynamics of body fat mass and MS. In those children who had a positive dynamics (+3%) of the phase angle and MAMC for 3 weeks of the observation changes in MS were also significantly positive - in contrast to the overall sample, where any reliable dynamics of MS parameters was not revealed.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126424215","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":"IMMUNOCHEMICAL DIAGNOSIS OF CANCER. PROTOTYPING","authors":"S. Gantsev, A. Pukhalenko, A. A. Romaniukha, I. A. Chulina, A. Chulin, A. Poletaev","doi":"10.36425/2658-6843-2019-3-58-62","DOIUrl":"https://doi.org/10.36425/2658-6843-2019-3-58-62","url":null,"abstract":"\u0000A prototype of the method of immunochemical detection of different types of solid cancers (primary and recurrent) in the early stages was developed. According to the initial hypothesis, the sera of patients with malignant tumors of different localization and different histological nature, contain different sets of autoantibodies (auto-Ab) of IgG class to many cancer-associated antigens (CA-AG). The content of such auto-Ab differs in cancer patients and patients with non-malignant chronic diseases, which determines the difference in serum immunoreactivity profiles of cancer patients and patients with non-malignant diseases. Confirmation of this hypothesis opens up prospects for the creation of simple and cheap laboratory methods of mass preventive examination of the population for the early detection of different cancers. The confirmation of the hypothesis was obtained. Moreover, even with non-optimal sets of test antigens, with the help of solid-phase ELISA it was possible to achieve sensitivity of 71% and specificity of 68% in the differentiation of blood sera of cancer (lung, stomach, ovary, prostate) and non-cancer patients (chronic inflammatory diseases of the lungs, stomach, ovary, prostate) and nearly 90% in the differentiation of healthy individuals from cancer patients.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132684184","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 PRACTICAL RECOMMENDATIONS FOR THE REHABILITATION OF ONCORTHOPEDIC PATIENTS: REVIEW","authors":"A. Stepanova, Степанова Александра Михайловна","doi":"10.36425/2658-6843-2019-3-73-78","DOIUrl":"https://doi.org/10.36425/2658-6843-2019-3-73-78","url":null,"abstract":"\u0000The rehabilitation of oncoorthopedic patients does not have uniform standards, which is associated with the technical features of the surgical treatment of tumors of large joints in oncology. It is necessary at all stages of treatment, biginning with the diagnosis and should be comprehensive. Conducting a comprehensive rehabilitation of patients with an oncological orthopedic profile improves not only the quality of life, but also the results of treatment of the underlying disease.","PeriodicalId":142894,"journal":{"name":"Physical and rehabilitation medicine, medical rehabilitation","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127398881","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}