Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury最新文献

筛选
英文 中文
[Rationale for early rehabilitation of patients with uterine corpus cancer]. [子宫体癌患者早期康复的理由]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410102118
V V Zhavoronkova, N P Aleksandrova, T I Grushina
{"title":"[Rationale for early rehabilitation of patients with uterine corpus cancer].","authors":"V V Zhavoronkova, N P Aleksandrova, T I Grushina","doi":"10.17116/kurort202410102118","DOIUrl":"https://doi.org/10.17116/kurort202410102118","url":null,"abstract":"<p><strong>Objective: </strong>To study the dynamics of hemorheologic changes and the frequency of early complications of laparoscopic radical hysterectomy in patients with uterine corpus cancer depending on conducting rehabilitation activities in the early postoperative period.</p><p><strong>Material and methods: </strong>The number of patients with uterine corpus cancer equal 49 (mean age 54.8±2.2 years), divided into 2 comparable groups, was examined: experimental group - 23 patients, who received local magnetotherapy since the first day after surgery for 5-6 days, and control group - 26 patients without physiotherapy. Comparative group included 24 healthy women. The basic rheological parameters, namely blood viscosity at high and low shear rate, hematocrit, erythrocytes' aggregation and deformability, erythrocytes and platelets electrophoretic mobility, were evaluated in all patients initially, on the 1st and 5th days after surgery and in comparison group.</p><p><strong>Results: </strong>There were changes in the rheological properties of the blood before surgery in patients of both groups: increase of blood viscosity, enhancement of aggregation activity of its formed elements, decrease of erythrocytes' deformability properties. The laparoscopic radical hysterectomy was accompanied by the exacerbation of these disorders. The early magnetotherapy in patients reduced hemorheological abnormalities up to the preoperative parameters (<i>p</i><0.05) for 5 days, as well as reduced the incidence of early postoperative complications by 2.4 times compared to the control group.</p><p><strong>Conclusion: </strong>The application of local low-frequency low-intensity magnetotherapy since the first postoperative day allows to reduce the level of postoperative hemorheological abnormalities up to the level of preoperative parameters, as well as the frequency of early postoperative complications.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 2","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862343","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}
引用次数: 0
[The use of transcranial micropolarization in the acute period of severe traumatic brain injury in children]. [经颅微极化在儿童严重脑外伤急性期的应用]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410101113
E M Akhmadullina, R A Bodrova
{"title":"[The use of transcranial micropolarization in the acute period of severe traumatic brain injury in children].","authors":"E M Akhmadullina, R A Bodrova","doi":"10.17116/kurort202410101113","DOIUrl":"10.17116/kurort202410101113","url":null,"abstract":"<p><p>Traumatic brain injury, which is often considered as a silent epidemic, is a public health problem. The duration of acute recovery period remains a commonly used criterion for injury severity and clinical management. In this connection, the first stage of medical rehabilitation is carried out in the conditions of resuscitation and neurosurgery department in the hospital providing specialized care. Rehabilitation techniques such as postural training, phase verticalization, individual kinesiotherapy, transcranial micropolarization and etc. are used.</p><p><strong>Objective: </strong>To assess the effectiveness of using transcranial micropolarization in acute period of severe traumatic brain injury in children.</p><p><strong>Material and methods: </strong>The study on the effectiveness of using transcranial micropolarization in acute period of severe traumatic brain injury in 85 children, divided into 2 groups, was carried out. The study group (42 patients) received the transcranial micropolarization on the 2nd day after severe traumatic brain injury. The control group (43 patients) received only rehabilitation in neurosurgery department. The neurological status in the patients of both groups was assessed on the 2nd day after severe traumatic brain injury in resuscitation department, and after 1, 3 and 6 months.</p><p><strong>Results and conclusion: </strong>The inclusion of transcranial micropolarization in the early medical rehabilitation of children with severe traumatic brain injury increases consciousness level in a shorter period of time, that predicts early patient's socialization.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 1","pages":"13-21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900620","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}
引用次数: 0
[Predictors of premature aging and the effectiveness of combined physiotherapy]. [早衰的预测因素和联合物理治疗的有效性]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410106250
K V Kotenko, N B Korchazhkina, A A Mikhailova, V K Frolkov, S N Nagornev, A V Badimova, I V Reshetova
{"title":"[Predictors of premature aging and the effectiveness of combined physiotherapy].","authors":"K V Kotenko, N B Korchazhkina, A A Mikhailova, V K Frolkov, S N Nagornev, A V Badimova, I V Reshetova","doi":"10.17116/kurort202410106250","DOIUrl":"10.17116/kurort202410106250","url":null,"abstract":"<p><p>Premature aging of a person is caused by many reasons, among which great importance is given to chronic somatic diseases. Their presence is largely accompanied by numerous pathological reactions, which are quite difficult to correct by the use of drugs, which, as a rule, have specific therapeutic effects. At the same time, combined physiotherapy is devoid of these disadvantages and can activate sanogenetic processes.</p><p><strong>Objective: </strong>To analyze predictors of pathological manifestations of premature aging and to evaluate predictors of the effectiveness of combined physiotherapy to reduce the rate of premature aging.</p><p><strong>Material and methods: </strong>The studies were conducted at the Scientific and Clinical Center 1 of the B.V. Petrovsky Russian Scientific Center of Surgery with the participation of 80 patients (46 men and 34 women) aged 20 to 90 years. After signing voluntary informed consent for a special study with the processing of their personal data, all patients underwent a comprehensive clinical, laboratory and functional examination. Using the method of simple fixed randomization, patients were divided into two groups. The comparison group (<i>n</i>=40) received moderate physical activity, reduced calorie intake and vitamin therapy. Patients of the main group (<i>n</i>=40) additionally received a physiotherapeutic complex, which included multimodal effects using the Alpha LED Oxy Light-Spa device, hyper-hypoxytherapy, pressotherapy, dry carbon dioxide baths. Preventive courses were repeated twice with an interval of 6 months. All studies were conducted before and 6 months after the completion of each preventive course. Multiple linear and logistic regression analysis was used to identify predictors.</p><p><strong>Results: </strong>Premature aging processes are associated with the presence of chronic somatic pathology, which disrupts insulin regulation of carbohydrate and lipid metabolism, increases the rate of aging and is accompanied by activation of inflammation processes and a decrease in the relative length of telomeres. Correlation and regression analysis made it possible to isolate the main predictors of premature aging, the regression of which became one of the goals of physiotherapeutic effects on these parameters. It has been proven that the effectiveness of combined physiotherapy increases with more significant disorders caused by the presence of chronic somatic pathology.</p><p><strong>Conclusion: </strong>The leading role of insulin resistance in the formation of pathological reactions characterizing premature aging in patients with chronic somatic diseases has been revealed. Analysis of dynamic processes in the use of combined physiotherapy and predictors of its effectiveness allowed us to assume that physiotherapeutic effects have a therapeutic effect to a greater extent than a preventive one.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6. Vyp. 2","pages":"50-59"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068410","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}
引用次数: 0
[«Selfish brain» theory: modern concept and practical use. (Literature review)]. [自私的大脑 "理论:现代概念与实际应用。(文献综述)]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410105166
A Yu Shishonin, A A Vetcher, V I Pavlov
{"title":"[«Selfish brain» theory: modern concept and practical use. (Literature review)].","authors":"A Yu Shishonin, A A Vetcher, V I Pavlov","doi":"10.17116/kurort202410105166","DOIUrl":"10.17116/kurort202410105166","url":null,"abstract":"<p><p>In the early 20<sup>th</sup> century, the term «selfish brain» appeared in scientific literature, around which theory was formed, finding its proof in the work of doctors and scientists. The basic principle of the theory is that the superior hierarchy of the brain, whose needs are prioritized, results in the primary satisfaction of one's own needs, often to the detriment of the functioning of other organs and systems. The origins of the theory of «selfish brain», according to researchers, lie in the work of neurosurgery pioneer Harvey Cushing, who discovered a reflex named after him and consisting in increasing arterial pressure at high intracranial pressure. Later, the field of action of this phenomenon was expanded by specialists who showed that an increase in arterial pressure can occur not only in critical situations and arise not only at high intracranial pressure, but also as a result of hypoxia of the brain. It was also found that the remodeling of intracranial vessels in hypertensive disease may be not only a consequence, but also a cause. Currently, similar patterns have been established in relation to other processes - exchange, immune and others. It was found that the priority of brain energy needs in different situations can affect insulin resistance and glucose tolerance. These effects can be realized through various mechanisms, but the advantage is through vegetative (autonomous) nervous system, mainly through sympathetic link, and also through simulation of the functioning of parasympathetic link. It is known that there is currently a rapidly increasing number of pathologies associated with degenerative-dystrophic processes of the spine, and other factors that disrupt the blood flow in the vertex-basilar zone of the Willis circle, Correction of these processes with the help of a set of manual techniques and physical methods (A. Yu. Shishonin's method with correction of aerobic-anaerobic energy balance in the reflex zones of the brain stem) Can have a good effect on the treatment of hypertensive disease and other chronic non-communicable diseases.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 5","pages":"66-73"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565159","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}
引用次数: 0
[Hydrogen sulfide balneotherapy in comprehensive sanatorium-resort treatment of post-burn scars in children]. [硫化氢浴疗法在综合疗养院治疗儿童烧伤后疤痕中的应用]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410103132
L S Khodasevich, V I Mironov, I A Rassokha, G K Popov, S A Sharapova
{"title":"[Hydrogen sulfide balneotherapy in comprehensive sanatorium-resort treatment of post-burn scars in children].","authors":"L S Khodasevich, V I Mironov, I A Rassokha, G K Popov, S A Sharapova","doi":"10.17116/kurort202410103132","DOIUrl":"10.17116/kurort202410103132","url":null,"abstract":"<p><p>Thermal lesions in children leave behind cicatricial contractions, contractures, deformations of the wrists, feet, face. Sanatorium-resort treatment using balneotherapy is an integral part of rehabilitation measures in such patients.</p><p><strong>Objective: </strong>To analyze the results of hydrogen sulfide balneotherapy in children with consequences of thermal injury.</p><p><strong>Material and methods: </strong>A single-center observational retrospective non-controlled study was carried out, in which sanatorium-resort treatment concerning post-burn scars in 812 children aged 5-17 years was analyzed. Hydrogen sulfide balneotherapy was prescribed to patients depending on the age in mild (5-6 years) or moderate-to-high (7-17 years) exposure modes. The imported hydrogen sulfide mineral water from the T-2000 well of the Matsesta field with the H<sub>2</sub>S total concentration of 410-420 mg/l was used for treatment. The applications were performed to children alternate days, 8 procedures of balneotherapy per course.</p><p><strong>Results: </strong>Lightening of the affected areas of the skin, reduction of the sensation of contraction and tension of the scars, which became softer, more elastic and more mobile with regard to the subjacent tissues have been noted in patients after the course of balneotherapy. The head mobility increased after applications in the presence of scars. The large joints' range of motion grew up. In addition, an increase in the mobility of the fingers of wrists and feet, a decrease in the stiffness of movements, increase or recovery of the affected skin's tactile sensitivity have been observed. Children well tolerated procedures, adverse events were seen in 0.7% of cases in the form of mild reactions at the beginning of the applications' course, namely of balneological (0.6%) and toxico-allergic (0.1%) nature.</p><p><strong>Conclusion: </strong>Hydrogen sulfide balneotherapy in combination with rehabilitation exercises and other sanatorium-resort factors is an effective mean of post-burn scars correction in children.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 3","pages":"32-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459803","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}
引用次数: 0
[Differentiated approach to cognitive rehabilitation of patients after stroke]. [脑卒中患者认知康复的差异化方法]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort20241010615
A V Kotelnikova, A A Kukshina, E A Turova
{"title":"[Differentiated approach to cognitive rehabilitation of patients after stroke].","authors":"A V Kotelnikova, A A Kukshina, E A Turova","doi":"10.17116/kurort20241010615","DOIUrl":"https://doi.org/10.17116/kurort20241010615","url":null,"abstract":"<p><p>Post-stroke cognitive impairments are widespread and significantly reduce the quality of life and rehabilitation prognosis of patients. Clinical observations show a serious variability of cognitive impairments in patients after acute cerebrovascular accident. Thus, the classification of above mentioned disorders, based on which it would be possible to determine the order of individualization of a cognitive rehabilitation program, is currently not available in literature.</p><p><strong>Objective: </strong>To scientifically establish the differentiated approach to cognitive rehabilitation by verification of patients groups, differing in the structure of post-stroke complications.</p><p><strong>Material and methods: </strong>Cognitive status of 45 patients in the early rehabilitation period after ischemic stroke (26 (57.8%) women, 19 (42.2%) men aged 63.0±8.0 years), who underwent inpatient treatment stage of medical rehabilitation was studied by means of «Short neuropsychological examination of cognitive sphere (SNECS)» methodology. Indicators of neurodynamics according to the domains of the International Classification of Functioning, Disability and Health were considered as well.</p><p><strong>Results: </strong>The conducted neuropsychological study revealed 4 groups of patients, 3 of which had a significant cognitive functions' deficiency, manifested in the 1st group by reduced indicators of psychomotor control level (neurodynamic impairments, asthenia, exhaustion), executive functions, ability to analytical-synthetic activity, attention and working memory; in the 2nd group - by reduced ability to perform graphical test tasks on constructional praxis and reproduction of sequences' set; in the 4th group - by reduced indicators of «unfinished images» test task performance, reflecting state of visual object gnosis. Cognitive functions' state in the persons of the 3rd group was assessed as satisfactory.</p><p><strong>Conclusion: </strong>The present study provides an attempt to classify cognitive disorders in patients who underwent stroke aimed at the formation of differentiated cognitive rehabilitation programs. As a result, 4 groups of patients, differing in the structure of post-stroke complications, were verified, and the directions of rehabilitation work for each of them were indicated in the cognitive functions investigation using «SNECS» methodology.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886108","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}
引用次数: 0
[Application of modern methods for activation of brain functions in obese patients (literature review)]. 【现代脑功能激活方法在肥胖患者中的应用(文献综述)】。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410106154
N V Bolotova, N Yu Filina, K A Cherednikova, O A Logacheva, S V Timofeeva, N V Nikolaeva, E P Novikova
{"title":"[Application of modern methods for activation of brain functions in obese patients (literature review)].","authors":"N V Bolotova, N Yu Filina, K A Cherednikova, O A Logacheva, S V Timofeeva, N V Nikolaeva, E P Novikova","doi":"10.17116/kurort202410106154","DOIUrl":"https://doi.org/10.17116/kurort202410106154","url":null,"abstract":"<p><p>The problem of rational activation of functions of the central nervous system of a human remains highly relevant.</p><p><strong>Objective: </strong>To analyze scientific data on the use of transcranial exposure method in obesity.</p><p><strong>Results: </strong>The literature review presents current data on the effectiveness of non-invasive hardware brain neurostimulation in obese patients. The results of studies by domestic and foreign authors on the use of techniques of transcranial magnetic stimulation, transcranial magnetotherapy, transcranial electrical stimulation and their combinations in the comprehensive treatment of obesity in patients of different ages are presented. The data of studies on changes in dynamics of clinical and laboratory indicators, change in eating behavior in patients with obesity and metabolic syndrome after the course application of transcranial therapy by means of hardware exposure of magnetic and/or electric fields on the central nervous system are described.</p><p><strong>Conclusion: </strong>The use of transcranial techniques has a positive effect on all levels of dysregulation in patients with obesity, both central and peripheral.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"54-61"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886171","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}
引用次数: 0
[Influence of intermittent pneumatic compression on microvasculature condition in lymphedema. Prospective randomized clinical trial]. 间歇性气压压缩对淋巴水肿患者微血管状况的影响。前瞻性随机临床试验]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410106148
D B Kulchitskaya, A D Fesyun, T V Konchugova, T V Apkhanova
{"title":"[Influence of intermittent pneumatic compression on microvasculature condition in lymphedema. Prospective randomized clinical trial].","authors":"D B Kulchitskaya, A D Fesyun, T V Konchugova, T V Apkhanova","doi":"10.17116/kurort202410106148","DOIUrl":"10.17116/kurort202410106148","url":null,"abstract":"<p><p>Lymphedema is a chronic disabling disease that affects 250 million people worldwide. To this date, it has been proven that treatment of this category of patients should be truly integrated - combining surgical, therapeutic methods and recovery procedures.</p><p><strong>Objective: </strong>To study the influence of intermittent pneumatic compression (IPC) on microvasculature in patients with lymphedema of the lower extremities.</p><p><strong>Material and methods: </strong>Prospective randomized clinical trial included the observation of 60 patients with lower extremities' lymphedema of stages I-III, divided into 2 groups. The 1st group consisted of 30 patients who received IPC in addition to the baseline therapy (lymphotonic agents for 3 weeks and elastic compression using therapeutic garment of the 3<sup>rd</sup> compression class for 1 month); the 2<sup>nd</sup> group included 30 patients who received only baseline therapy. Laser doppler flowmetry (LDF) was applied to study microhemodynamics.</p><p><strong>Results: </strong>Most patients complained of swelling and heaviness sensation in the affected extremity, increased fatigue at admission. The presence of dense, painless swellings in the foot arch and tibia was revealed during physical examination. The difference in circumference of lower third of the tibia with a healthy extremity was equal 4.1±1.73 cm on average. The data obtained from LDF indicated that patients with lymphedema had impaired endothelial function, arterioles spasticity and decreased level of capillary perfusion. The 1st group patients had improvement of all LDF indicators after the treatment course. The 2<sup>nd</sup> group patients had a positive dynamics only in two LDF indicators.</p><p><strong>Conclusion: </strong>Patients with lymphedema of the lower extremities had changes in all microvasculature components according to the LDF. The inclusion of IPC in a comprehensive rehabilitation program for this category of patients led to the elimination of impaired endothelial function that contributed to vasodilatation of arterioles and microhemodynamics improvement in general. Regression of the disease's clinical symptoms was found in a greater degree in patients receiving IPC compared to control group.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886229","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}
引用次数: 0
[Identification of prognostic significant markers of early diagnosis of obesity and metabolic disorders]. [肥胖症和代谢紊乱早期诊断的预后显著标志物的鉴定]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410106271
A A Mikhailova, K V Kotenko, S N Nagornev, V K Frolkov, I V Reshetova, A V Badimova, N B Korchazhkina
{"title":"[Identification of prognostic significant markers of early diagnosis of obesity and metabolic disorders].","authors":"A A Mikhailova, K V Kotenko, S N Nagornev, V K Frolkov, I V Reshetova, A V Badimova, N B Korchazhkina","doi":"10.17116/kurort202410106271","DOIUrl":"https://doi.org/10.17116/kurort202410106271","url":null,"abstract":"<p><p>Obesity, being a global epidemic of the 21st century, increases the likelihood of various diseases and conditions that are associated with increased mortality. Given the risks associated with obesity throughout life, identifying early predictors of its development is a priority task of prevention.</p><p><strong>Objective: </strong>Assessment of the prognostic significance of laboratory parameters, functional tests and instrumental examination data for the early diagnosis of obesity and associated metabolic disorders.</p><p><strong>Material and methods: </strong>The studies were conducted at the Scientific and Clinical Center 1 of the B.V. Petrovsky Russian Scientific Center of Surgery with the participation of 77 patients (43 men and 34 women) aged 33 to 65 years. After signing voluntary informed consent for a special study with the processing of their personal data, all patients underwent a comprehensive clinical, laboratory and functional examination. The study design provided for a three-time examination of patients with an interval of 6 and 12 months. To search for predictors of early diagnosis of obesity and metabolic disorders, we used an algorithm for constructing a mathematical model of multiple regression. The dynamics of the body mass index and the insulin resistance index served as the resulting feature.</p><p><strong>Results: </strong>To build a mathematical predictive model, a matrix of independent variables was formed, including parameters characterizing the biochemical status of patients, the severity of systemic inflammation, body composition, as well as arterial stiffness and vascular condition based on the results of ultrasound duplex scanning of the brachiocephalic arteries. The choice of the most informative set of independent variables that act as predictors provides for achieving the maximum additive effect in explaining the variance of the resulting feature. The construction of the actual mathematical multiple regression model was based on the results of the selection of independent factors carried out using the method of sequential hypothesis testing. As a result of applying the algorithm of sequential hypothesis testing, three independent variables (predictors) were identified to predict the degree of BMI increase and four variables to predict the development of metabolic disorders. The accuracy of the developed model, verified at the final stage of the study, showed its high information content.</p><p><strong>Conclusion: </strong>Two clusters of predictors were identified: the cluster of predictors for the risk of obesity development includes the systemic inflammatory response index, the triglyceride-glucose index and the blood leptin level. The cluster of biomarkers of metabolic disorders consists of the atherogenicity coefficient, the blood malondialdehyde level, the systemic inflammation index and the body roundness index.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6. Vyp. 2","pages":"71-79"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068406","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}
引用次数: 0
[Effectiveness of spinal traction in degenerative spine diseases. (A literature review)]. [脊柱牵引对脊柱退行性疾病的疗效。(文献综述)]。
Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury Pub Date : 2024-01-01 DOI: 10.17116/kurort202410104160
N F Miryutova, N G Badalov, E V Gameeva, A M Stepanova
{"title":"[Effectiveness of spinal traction in degenerative spine diseases. (A literature review)].","authors":"N F Miryutova, N G Badalov, E V Gameeva, A M Stepanova","doi":"10.17116/kurort202410104160","DOIUrl":"10.17116/kurort202410104160","url":null,"abstract":"<p><p>Back pain is one of the most urgent healthcare problems in many countries of the world. The high prevalence of the disease among persons of working age, the high disability indices and the high economic losses determine the relevance of this problem and its epidemiological and socio-economic significance.</p><p><strong>Objective: </strong>To analyze sources of scientific and technical literature and study materials of meta-analyses, systematic reviews on the issues of evaluation of the spinal traction effectiveness (dry and underwater, horizontal and vertical) in the treatment of patients with degenerative spine diseases.</p><p><strong>Material and methods: </strong>An analysis of 67 sources, including 54 periodical articles, 5 meta-analyses and 8 systematic reviews was conducted. The search depth was 20 years.</p><p><strong>Results: </strong>The ability of the spinal traction method to influence on the pain intensity, functional state, general improvement or return to work in patients with degenerative spine diseases has been identified. There has been a statistically significant regression of lumbar and radicular pain under the influence of «dry» horizontal tractions of the spine (13389 patients with degenerative spine diseases received them), including in combination with physiotherapy (vibration, impulse currents, laser therapy), and there has been an improvement in the motor function of the spine, a decrease in the disability rate in patients with herniated disks. These results were also obvious in short-term observation (up to 3 months after intervention). Underwater traction (5533 patients received it) had a positive impact on pain syndrome at rest and during activity, increased the activity of patients. All registered effects were related to short-term effect for up to 3 months after the intervention.</p><p><strong>Conclusion: </strong>The evidence, based on the materials of meta-analyses and systematic reviews of medium and low quality, that «dry» and underwater spinal traction can be considered as a therapeutic tool for short-term (within 3 months) reducing pain and disability in patients with lumbar pain and lumbar radiculopathy, is presented.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"60-69"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156215","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信