Saratov JOURNAL of Medical and Scientific Research

rehabilitation

Specific features of rehabilitation potential in adult patients with cerebral palsy

Year: 2019, volume 15 Issue: №1 Pages: 187-190
Heading: Neurology Article type: Original article
Authors: Shulyndin A.V., Antipenko Е.А.
Organization: Privolzhskiy Research Medical University
Summary:

Objective: to determine the specific features of rehabilitation potential in adult patients with cerebral palsy (CP). Material and Methods. Fifty patients with a confirmed diagnosis of cerebral palsy established in childhood were studied. Level of development of gross motor skills according to GMFCS classification was evaluated in all patients; functions were assessed using the International Classification of Functioning (ICF, version 2.1a, clinical form). Results: In patients with level 2 GMFCS, dysfunctions of muscle tone, muscle strength, implementation and capacity for raising and transferring objects of moderate and severe degree (p<0.05) were more common. The frequency of restricted implementation of precise manual movements is comparable in patients with GMFCS levels 1 and 2 Restricted non- assisted walking was significantly more common in patients with 2nd functional level. The moderately significant positive impact of personal mobility assistive products is more common among level 2 patients, while the importance of communication tools was greater for level 1 GMFCS patients. Conclusion. In adult patients with cerebral palsy it is necessary to assess the rehabilitation potential using ICF. Indicators of activity and participation are of key importance to the rehabilitation potential of adult cerebral palsy patients and should be considered in terms of the possibility of full or partial recovery to a level at which the performance of a certain task will meet the needs of the patient.

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Preliminary results of study on efficacy of a virtual reality technique for restoration of lower extremity motor function in patients in acute stage of stroke

Year: 2019, volume 15 Issue: №1 Pages: 172-176
Heading: Neurology Article type: Original article
Authors: Poverennova I.E., Zakharov A.V., Khivintseva E.M., Pyatin V.F., Kolsanov A.V., Chaplygin S.S., Osminina E.A., Lahov A.S.
Organization: Samara State Medical University
Summary:

Objective: to study efficacy of using immersive virtual reality with proprioceptive sensory effects in the rehabilitation of static locomotor function in patients in acute stage of ischemic stroke. Material and Methods. The study included 33 patients in the acute stage of ischemic stroke in the carotid system. Patients were randomized into two groups, the main group additionally took exercises in immersive virtual reality with sensory stimulation. The course includes 10 sessions 15 minutes each. The comparison group received standard rehabilitation assistance. Results. According to Berg balance scale an improvement in static locomotor function was noted in the main group on the 6th day of exercises (p=0.03). The differences between both groups on the last day of rehabilitation course showed an

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Perinatal lesions of the central nervous system in newborns according to the data of Clinical perinatal center of the Saratov region

Year: 2018, volume 14 Issue: №4 Pages: 639-645
Heading: Pediatrics Article type: Original article
Authors: Nechaev V.N., Chernenkov Yu.V., Averianov А.Р., Utts I.A.
Organization: Saratov State Medical University
Summary:

The purpose was to analyze the risk factors for the development of perinatal lesions of the central nervous system and to identify cause-effect relationships. Material and Methods. The retrospective analysis of primary documentation: history of childbirth and history of development of newborns is carried out. The work is based on the results of a comprehensive clinical and neurological examination, neurosonographic data and individual laboratory parameters. Results. In 2017 in the clinical perinatal center of the Saratov region 3301 births were conducted, of which the first delivery was performed in 69,4%, repeated in 30,6% and cesarean section in 41,2% of women. Hypoxic-ischemic disorders were observed in 928 newborns (27,7%). Children with low Apgar score had a combined genesis of chronic intrauterine hypoxia and acute asphyxia in childbirth in 3.8% of cases. Intraventricular hemorrhages (IHD) were diagnosed in 4,3% of cases, birth injuries in 3,6%. Congenital malformations of the central nervous system (CNS) were detected in 31 children (24,4%). Conclusion. The pathological course of pregnancy, problematic natural childbirth and emergency cesarean section are the most frequent risk

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Some approaches in assessing effectiveness of rehabilitation activities in highly qualified athletes

Year: 2017, volume 13 Issue: №4 Pages: 947-955
Heading: sports medicine Article type: Review
Authors: Goloborodko Е.М., Fomkin P.A., Petrova V.V., Razinkin S.M.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

An overview of literature data on the types of medical rehabilitation applied to highly skilled athletes and on ways to assess the effectiveness of the implemented measures is provided in the article. Sport rehabilitation is a separate type of activity for which a conceptual apparatus should be formed; basic methodological approaches should be developed and implemented. In addition to physical rehabilitation, attention should also be given to the psychological athlete recovery, both in the context of accelerating recovery, and to strengthen adherence to the applied procedures. All rehabilitation programs should be developed individually, taking into account the specific kind of the sport. The approach based on the use of the scale of assessing the level of health in combination with an objective diagnosis of his psychoemotional state allows to fully assess the effectiveness of carrying out rehabilitation measures among highly qualified athletes

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Emotional intelligence as an indicator of cognitive functioning in patients with schizophrenia

Year: 2017, volume 13 Issue: №4 Pages: 834-838
Heading: Psychiatry Article type: Original article
Authors: Samoylova D.D., Barylnik Yu.B.
Organization: Saratov State Medical University
Summary:

Aim: to analyze the variability of emotional intelligence as an indicator of cognitive functioning in groups of patients with schizophrenia, depending on the duration of the disease, the duration of treatment and the treatment regimen used. Material and Methods. A total of 420 patients with a clinical diagnosis of paranoid schizophrenia were examined. All patients were divided into groups according to the duration of the disease and the therapy. The research included the medical documentation analyses and the application of «Ekman's Faces» psychodiagnostic scale. Results. There was an improvement of the indicator in the group of primary patients receiving treatment with atypical antipsychotics in combination with rehabilitation. Conclusion. The obtained data allows to make a conclusion about the effect of the duration of the disease, the observation, and also the nature of the conducted therapy on the variability of the emotional intelligence indicator in patients with a paranoid form of schizophrenia and may be used to select a psychotherapeutic algorithm for this category of patients. The obtained results prove the necessity of using questionnaire for emotional intelligence «Ekman's faces» and specific therapy in the early stages of the disease.

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The value of assessment of quality of life in realisation of medico-social rehabilitation of children-orphans in conditions of illness

Year: 2017, volume 13 Issue: №2 Pages: 288-291
Heading: Sociology of Medicine Article type:
Authors: Dubrovina M.S., Krom I.L., Chizhova V.M.
Organization: Saratov State Medical University, Volgograd State Medical University
Summary:

Purpose: interdisciplinary analysis of quality of life and objectifying strategies of medico-social rehabilitation of children-orphans in conditions of illness. Material and Methods. Included in the study on a random sample of 354 respondents aged 14-18 years of age (160 males and 194 female). The study of quality of life was conducted using the international questionnaire of WHOQOL-100. Statistical significance of differences of average indices of life quality of groups of respondents was determined by non-parametric Mann —Whitney test. Results. Analysis of the averages of quality of life in the group of clinically healthy respondents were allowed to define the indices on average significantly (p<0.01 — p<0.05) different in the group of children-orphans and children living in families. During the research it was found that the average quality of life of orphans in a situation of a disease in most points of questionnaire were significantly lower than in the control group. Statistically significant differences of average values of indicators of quality of life in the analysis of the quality of life of the respondents (orphans and children living in families) in the case of illness related to the effects of disease and child abandonment, somatically and socially determined. Conclusion. Established in the course of the study the statistical relationship between indicators of quality of life from disease and the effectiveness of re-socialization proves the possibility of the objectification of recovery strategies and the formation of personally identifiable medical and social assistance to children-orphans in conditions of illness.

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Issues on health status and rehabilitation of young children born with extremely low and very low weight

Year: 2017, volume 13 Issue: №2 Pages: 245-251
Heading: Pediatrics Article type: Review
Authors: Scherbatyuk E.S., Khmilevskaya S.A., Zryachkin N.I.
Organization: Saratov State Medical University
Summary:

The review presents literature data on the catamnesis of children born with extremely low and very low weight, identification of the most common pathological conditions, of the incidence rate and the main causes of disability in childhood, the rationale for the need for early initiation of rehabilitation actions aimed at preventing and correction of these conditions. The article highlights difficulties in assessment of physical and neuropsychological development of deeply premature babies, related to the heterogeneity of contingent of the children being surveyed and the difference in the tests used to determine these parameters. It was noted that for a comprehensive assessment of their health they also need to determine quality of life using the developed scales. The author substantiated the need to improve the system of medical support for such children at all phases of nursing and rehabilitation process and perforce to introduce a personal approach with differentiated programs of medical examination and rehabilitation in the wide practice.

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The course of medical rehabilitation at the department of kinesitherapy, sports medicine and physiotherapy

Year: 2017, volume 13 Issue: №1 Pages: 96-98
Heading: Pedagogics and Education Article type: Short message
Authors: Khramov V.V., Polyanina A.Yu., Tolstokorov S.A., Grigorieva N.N., Amirova I.A., Kirsanova I.S.
Organization: Saratov State Medical University
Summary:

This article summarizes the main aspects of educational process on the clinical course "Medical rehabilitation". The role of this course in the full health restoration of a patient is noted in the work. The algorithm of training and methodological support is also discussed in the article.

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Using of virtual reality technology in acute cerebral stroke and their influense on post-stroke affective disorders

Year: 2014, volume 10 Issue: №4 Pages: 824-827
Heading: Neurology Article type: Original article
Authors: Maslyuk О.А., Smolentseva I.G., Amosova N.A., Shevchenko N.S., Milagina V.S.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim. The study of virtual reality technology in the rehabilitation of patients with cerebral stroke and influence on post stroke affective disorder. Materials and methods. The study included 88 patients with ischemic stroke: 59 men (67%) and 29 women (33%). The average age of the patients was 62,05 ± 11,74 years. In the study group included 46 patients, 44 patients in the control group. The groups were matched by age, time from the begin of disease, severity of disease, the severity of motor, affective and cognitive impairments. In addition, in the study group to the program of early rehabilitation to use individual training with virtual reality technology (BTS NIRVANA). The duration of the training was 21 days, 3 times a week for 40 minutes. Results. On the background of rehabilitation in the study group patients had a significant reduced of neurological deficit (p

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Analysis of major trends of morbidity of population as a base of necessity for organizing rehabilitationc

Summary:

The study aims the research of morbidity in Moscow and the Moscow Region in those diseases rates for which it had been required further rehabilitation and restorative treatment, against the background of the analysis of similar indicators in the whole of the Russian Federation in the dynamics for eight years. The necessity of enlargement restorative treatment and rehabilitation for citizens, including databases of major medical centers had been reasoned.

Keywords: rehabilitation
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