Acta Balneologica最新文献

{"title":"Analysis of Decisions on Incapacity for Work Issued at the Polish Social Insurance Institution (ZUS) in Relation to Persons with Multiple Sclerosis Before and After the Introduction of Current Drug Treatment Programmes for Multiple Sclerosis in Poland","authors":"D. Lachman, Piotr Winciunas, J. Lorkowski, Piotr Kupidurski, Zuzanna Komosińska","doi":"10.36740/abal202204106","DOIUrl":"https://doi.org/10.36740/abal202204106","url":null,"abstract":"Aim: The aim of the study was to analyse the decisions on incapacity for work issued at the Polish Social Insurance Institution (ZUS) in the years 2009-2011 and 2016-2018 in relation to people with MS, before and after the introduction of MS drug treatment programmes in Poland, which in connection with the application for rehabilitation or disability pension were examined by a ZUS certifying doctor or ZUS medical board. Materials and Methods: The analysis covered 100 cases, in which in the years 2009-2011 and 2016-2018, in connection with the application for a rehabilitation benefit or a disability pension, a ZUS certifying doctor or ZUS medical board issued a decision on incapacity for work in relation to the same person with the diagnosed SM. Statistical analysis was performed using IBM SPSS Statistics. Results: There were 20% less medical decisions confirming deterioration of health condition related to persons covered by drug programmes compared to the group of persons not participating in these programmes. The asymptotic (two-sided) significance of the cross-tabulation association measure was p = 0.053. In the case of an increase in the number of no-change-in-disability decisions in the group of people covered by the drug programme, the asymptotic (two-sided) significance of the cross-tabulation association measure was p = 0.087. Conclusions: 1. The introduction of immunological therapy that modifies the natural course of multiple sclerosis in patients under the MS drug treatment programmes has significantly reduced the development of their motor disability. 2. As a result, people who have become incapable of work due to this disease have maintained their job or have returned to work, which is particularly important for young patients who are likely to remain economically active for many years to come. 3. Such measures have a significant impact on reducing the number of benefits from the social insurance system.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729067","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 Dry Needling, Shock Wave Therapy and Manual Therapy on the Achilles Tendon Enthesopathy. A Case Study","authors":"J. Szewczyk, Katarzyna Zwolińska-Mirek, J. Mirek","doi":"10.36740/abal202203113","DOIUrl":"https://doi.org/10.36740/abal202203113","url":null,"abstract":"Aim: The aim of the study was to evaluate the effectiveness of the therapy applied on the health condition of a patient with an Achilles tendon injury. Case study: A case study of a 23-year-old runner with an Achilles tendon injury that was diagnosed by an orthopedist. After two platelet-rich plasma injections within 6 weeks, the patient was referred for rehabilitation. An ultrasound scan of the Achilles tendon was performed before and after the therapy was applied. Also, three months after the treatment was completed, orthopedic examination was performed - VAS scale, algometry and ultrasound scanning. Conclusions: The use of the extracorporeal shock wave therapy, dry needling and manual therapy in treating an Achilles tendon injury proved to be highly effective. The orthopedic examination and ultrasound scanning performed 3 months after the treatment was completed showed that the patient’s pains and difficulty walking had been removed.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729242","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":"Dynamics of the Level of Functioning of Patients After Laparoscopic Cholecystectomy in the Long-term Rehabilitation Period","authors":"N. Golod, Ljudmyla Rusyn, I. Churpiy, N.R. Zakaliak, V. Saienko, K. Meleha, Yuliya V. Dutkevych-Ivanska","doi":"10.36740/abal202206108","DOIUrl":"https://doi.org/10.36740/abal202206108","url":null,"abstract":"Aim: to determine the dynamics of the level of functioning of patients after laparoscopic cholecystectomy in the long-term rehabilitation period. Materials and Methods: 79 patients after laparoscopic cholecystectomy were included, double-blind survey on the presence of impairments in functioning, activity and participation using the ICF. Statistical methods: measurement of the median value (Me), upper and lower quartiles (25%; 75%). The Mann-Whitney U-test was used to compare independent samples; the Wilcoxon T-test was used for dependent samples. Results: under the influence of rehabilitation, positive dynamics in the state of the gastrointestinal tract and the gait activity of patients of group A were revealed after the implementation using a biomedical approach. The rehabilitation method of group B was based on the assessment of the patient’s functioning using the ICF and the organization of problem-oriented and aimed at achieving long- and short-term tasks with a patient-centered approach. to achieve improved functioning of gastrointestinal functions, general endurance, aerobic capacity, muscle strength and improved activities. Conclusions: the dynamics of the level of functioning and activity of patients after laparoscopic cholecystectomy in the long-term rehabilitation period was better in the group that used a biopsychosocial approach with the use of ICF.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69731442","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":"Assessment of Physical Therapy Following Knee Arthroplasty","authors":"W. Kuliński, Sylwia Woźniak","doi":"10.36740/abal202201101","DOIUrl":"https://doi.org/10.36740/abal202201101","url":null,"abstract":"Aim: The aim of the study was to assess the quality of life and physical therapy used in patients after knee arthroplasty.\u0000Materials and Methods: The study involved 20 patients after surgical treatment with knee arthroplasty staying at the in-patient rehabilitation centre in Osieczek. The patients underwent physical therapy and rehabilitation.\u0000Results: Following 3-week treatment, study patients showed better mobility, pain elimination and an improved quality of life. Further management included recommendations with respect to regular physical activity and maintaining a normal body weight.\u0000Conclusions: 1. Osteoarthritis is the most common cause of disability in patients.\u00002. Arthroplasty has a beneficial influence on the subjective and objective condition of patients. 3. The procedure helped increase mobility, improved the quality of life and eliminated pain in the patients. 4. Regular physical activity and a normal body weight play an important role in osteoarthritis prevention.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48129268","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":"Assessment of the Quality of Life of Patients with Diabetic Polyneuropathy Using Hydrogen Sulphide Baths","authors":"T. G. Bakaliuk, N. R. Маkarchuk, H. O. Stelmakh","doi":"10.36740/abal202204102","DOIUrl":"https://doi.org/10.36740/abal202204102","url":null,"abstract":"Aim: Evaluation of the effect of hydrogen sulfide baths on the quality of life of patients with diabetic polyneuropathy. Materials and Methods: 125 patients with type 2 diabetes mellitus complicated by diabetic polyneuropathy were examined. The patients were divided into 2 groups: the 1st group included 61 patients who received standard treatment in outpatient settings, whereas 64 patients of the 2nd group, in addition to standard treatment, received hydrogen sulfide baths in sanatorium conditions. Quality of life was assessed using the EQ-5D-3L questionnaire before treatment, followed by subsequent assessments made 14 days, 3 and 6 months after the treatment, to assess the durability of the effect. Results: Positive changes in physical, psychological and social condition were noted in all studied patients, and the patients who took hydrogen sulfide baths managed to achieve statistically significant positive changes and maintain positive dynamics for 3 months. However, after 6 months, quality of life indicators began to decrease, which shows the need for a repeated course of balneotherapy to be taken no later than 6 months. Conclusions: The use of hydrogen sulfide baths in the complex treatment of diabetic polyneuropathy improves the quality of life of patients for up to 6 months.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"8 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69728809","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":"Physiotherapy Procedure in the Treatment of Right Lateral Ankle Joint After Fracture","authors":"Michal Senejko, J. Pasek","doi":"10.36740/abal202203112","DOIUrl":"https://doi.org/10.36740/abal202203112","url":null,"abstract":"The paper describes the case of a patient with a lateral ankle fracture, who came to the hospital emergency department. After a series of diagnostic tests, the patient was fitted with a plaster splint and was discharged home. During the follow-up visit, the cast was removed (numerous bruises, circulation problem, mobility problem, swelling), the patient started rehabilitation due to the persistent complications described above and in order to restore the condition of the treated limb. After 2 months of intensive rehabilitation, including a number of methods, therapies and physical treatments, limb mobility was restored, swelling and pain were reduced, which enabled the patient to live independently and return to work.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729198","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":"Current Issues of the Implementation of Complementary Medical and Health-improving Methods in Medical Rehabilitation: on what are Attachment and Mistrust Based?","authors":"O. Kovalenko, Olha Yuryk, O. V. Litvin, L. Klymenko","doi":"10.36740/abal202204116","DOIUrl":"https://doi.org/10.36740/abal202204116","url":null,"abstract":"Aim: To sharpen the attention of doctors and rehabilitation specialists on the wide possibilities of alternative/complementary methods in modern medicine. Materials and Methods: The main method used in the preparation of this work is bibliosemantic. We conducted an analysis of modern literary data and studied the experience of leading clinics in both Europe and China. Researched leading works on the validity of using reflexology for improved treatment compliance. The directions of medical rehabilitation for the restoration of impaired functions in various nosologies were presented, along with this, the question of the feasibility of using alternative methods in the rehabilitation of patients with various diseases was considered. Conclusions: The modern theoretical and practical evidence base for the effectiveness of methods in rehabilitation, which is based on the anatomical and physiological mechanisms of action of acupuncture and related non-invasive methods of reflexotherapy, was considered, and the reasons for insufficient commitment of the population and doctors of related specialties to the use of the methods were analyzed. References are given to some existing protocols for the use of acupuncture in various pathological conditions, which is explained by the evidence base of the method.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729297","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":"Specific Features of Postoperative Rehabilitation of Patients with Secondary Hyperparathyroidism After Parathyroid Surgery Intervention","authors":"Anatolii I. Denysenko, V. Cherniy","doi":"10.36740/abal202204109","DOIUrl":"https://doi.org/10.36740/abal202204109","url":null,"abstract":"Aim: The objective of the research is to assess the effectiveness of postoperative rehabilitation of patients with secondary hyperparathyroidism (SHPT) after parathyroid surgery intervention (PTSI). Materials and Methods: The research focused on 143 patients with SHPT after PTSI who experienced chronic renal failure and were on programmed hemodialysis, the ASA risk III-IV. PTSI was performed under general anesthesia. After surgery, group I patients (n=71) received a “potassium-free” diet, programmed hemodialysis, calcium preparations, prophylactic doses of heparins, and symptomatic treatment. In group II (n=72), rehabilitation measures were supplemented with the administration of glucocorticoids with the control of blood cortisol and metabolism. Results: After PTSI, all patients felt general weakness, had a low level of ionized blood calcium, hemodynamic, oxygen and metabolism disorders, with more pronounced manifestations in group I. In group II, synchronously with the reduction of metabolic disorders, hemodynamics and oxygen level were restored to reference values, and hypocalcemia was quickly corrected with administering calcium (≥2g/day). Conclusions: The use of glucocorticoids accompanied with the control of blood cortisol levels and indirect calorimetry during the rehabilitation of patients with SHPT after PTSI accelerates the recovery of life support functions of patients and improves the results of their rehabilitation.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69729718","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":"Dependence of Students’ Health on the Organization of their Motor Activity in Higher Educational Institutions","authors":"G. Griban, Nataliya V. Moskalenko, S. Adyrkhaiev, Lyudmyla V. Adyrkhaieva, O. Ivchenko, S. Ovcharenko, K. Prontenko","doi":"10.36740/abal202205112","DOIUrl":"https://doi.org/10.36740/abal202205112","url":null,"abstract":"Aim: To investigate the impact of the peculiarities of the organization of students’ motor activity on their health in the learning process. Materials and Methods: The research involved 164 students (93 men and 71 women) from two higher educational institutions. The research was conducted in 2017-2021 and included carrying-out the comparative analysis of the peculiarities of the organization of physical education in two institutions and the research of their impact on students’ health. The state of students’ health was studied in terms of the indicators of their body length and weight, lung capacity, hand dynamometry, heart rate, blood pressure and level of physical health. Results: It was found that the main difference in the organization of motor activity of students in the studied institutions is the total number of hours provided for the study “Physical Education” academic subject during the years of attendance: compulsory training sessions are held for 4 years in one institution and for 2 years in the other. It was found that the students whose physical education training sessions were conducted throughout the entire study period had significantly better health indicators; there was an increase in the number of students with average, above-average and high levels of physical health. Conclusions: The obtained results show that the peculiarities of the organization of motor activity of students in the higher educational institution have a significant impact on their health, which will help improve their future life-sustaining activities.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69730317","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 Principles of Medical Rehabilitation of Patients with Median Defects of the Abdominal Wall","authors":"R. Lysenko, V. Liakhovskyi, О. Krasnov, O. Krasnova","doi":"10.36740/abal202205105","DOIUrl":"https://doi.org/10.36740/abal202205105","url":null,"abstract":"Aim: To analyze rehabilitation and improvement of the quality of life of patients with median abdominal wall defects (MAWD) by increasing the efficiency of alloplasty by determining the general principles of planning and performing surgical interventions. Materials and methods: We carried out an analysis of the treatment results of 346 patients with MAWD, who underwent surgery in the 1st Poltava City Hospital for the period 2005-2019. There were 269 women (77.8%), men – 77 (22.2%). 282 (81.5%) patients underwent reconstructive surgeries, 59 (17.1%) – reconstructive and corrective alloplasty techniques, and 5 (1.4%) – corrective ones. Patients underwent surgery: onlay – in 3 patients (0.9%), sublay – in 289 (83.5%), sublay-inlay – in 38 (11.0%), inlay – in 4 (1.2%), Ramirez modification – in 10 (2.9%), open IPOM – in 2 (0.6%). Results: Local complications were in 25 (7.2%) cases: seroma in 12 (3.5%) patients, infiltrate in 5 (1.5%), necrosis of the edges in 4 (1.2%), hematoma – in 3 (0.9%), wound suppuration – in 1 (0.3%). In the remote period, 14 (4.1%) were registered: recurrence – 7 (2.0%); long-term deep seroma- 3 (0.9%); ligature fistulas with phlegmon – 2 (0.6%); abscess formation – 1 (0.3%), hernial sac infiltration – 1 (0.3%). Conclusions: The results of MAWD alloplasty depend on the correct solution of the planning problem and the choice of the most rational treatment tactics. Adequate abdominoplasty leads to an improvement in the quality of life of patients, medical and social rehabilitation.","PeriodicalId":42213,"journal":{"name":"Acta Balneologica","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69730543","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}