The aim of research is to study the role of physical activity for rehabilitation of patients suffered from mild persistent asthma during their treatment at hospital. The study involved 30 patients ...being in hospital due to the exacerbation of asthmatic disease. The program of physical rehabilitation is based on the survey results of patients, paying attention to their functional state, rapid assessment of health and physical features of the disease. The use of dosed physical activity while physical rehabilitation of patients suffered from mild persistent asthma has improved functional status of their cardiovascular and respiratory systems, physical performance, quality of life, helped to control the disease.
Bronchial asthma – a chronic relapsing disease that affects 1-18 % of the population in various countries worldwide, die annually around 250,000 people. Asthma worsens quality of life, reduced ...exercise tolerance, causing respiratory dysfunction and poor physical condition of patients. The aim of research is to study the role of physical activity for rehabilitation of patients suffered from mild persistent asthma during their treatment at hospital. The study involved 30 patients being in hospital due to the exacerbation of asthmatic disease. To compare the effectiveness of the proposed physical rehabilitation program was formed two control groups of 30 patients who used medication and only with traditional methods of exercise. The average age of patients was 35,41 ± 1,05 years. Groups were formed by randomization patients were compared by sex and age. Monitoring the rehabilitation process conducted by the current and landmark controls, which ensure adequate treatment expansion and intensification of physical activity each patient. The program of physical rehabilitation is based on the survey results of patients, paying attention to their functional state, rapid assessment of health and physical features of the disease. The basis of the program was a gradual expansion of physical activity of patients. When building sessions followed a certain sequence purpose of physical training, which consisted of three parts: introduction, main and final. Used have morning hygienic gymnastics and gymnastics, independent study, individually and in small groups. One of the popular methods of training both in-patient and outpatient basis, was walking up the stairs. The second half of the course of rehabilitation systems used cyclic exercises. The use of dosed physical activity while physical rehabilitation of patients suffered from mild persistent asthma has improved functional status of their cardiovascular and respiratory systems, physical performance, quality of life, helped to control the disease.
Assessment of the quality of life of a child with a disability involves studying the physical, psychological, emotional, and social components of his life. Such a multidimensional phenomenon as the ...assessment of the quality of life of a child with a disability is a personalized and unique survey result, as rather subjective survey indicators are taken into account, which determine the satisfaction of individual needs in the context of the life of a pediatric patient. The QI-Disability questionnaire includes the study of the possibility of communication, psychosocial indicators, physical health, and independence are taken into account. The purpose of the study: analysis of the assessment of the quality of life of children with disabilities of the palliative non-oncology group. Research methods: empirical methods (comparison, description, measurement), theoretical method (axiomatic), general logical methods (analysis, synthesis, generalization), general assessment of quality of life QI-Disability, multivariate regression model. The study was conducted on the basis of the Rivne Educational and Rehabilitation Center «Special Child». 47 (100%) children took part in the study. Research results. The analysis of statistical indicators of children's disability in the Rivne region during 2015-2021 showed that the number of children with disabilities due to congenital anomalies aged 0-2 years is decreasing: by 73, taking into account the absolute number; due to neurological diseases by 18, taking into account the absolute number; from all causes less by 105; children with disabilities due to congenital anomalies aged 3-6 years decreased: by 143, taking into account the absolute number; due to neurological diseases by 15, taking into account the absolute number; from all reasons less by 189.However, the number of children in this category aged 7 to 14, on the contrary, is increasing: children with disabilities due to congenital anomalies have increased to 191 in absolute terms; due to neurological diseases increased by 63, taking into account the absolute number; 210 more than all the reasons. The study of the quality of life using the QI-Disability survey showed that in the parameter «Social interaction» 388 points were obtained, in the parameter «Negative emotions» – 574 points, in the parameter «Positive emotions» – 237 points, in the domain «Leisure and walks on nature» – 180 points, in the domain «Physical health» – 302 points, in the domain «Independence» – 154 points. In the process of analyzing indicators, a reliable correlation was established between the «Positive Emotions» questionnaire component and other components, which was mathematically confirmed: the dependence is reliable, since the correlation coefficient is 0,921445. Conclusions. The increase in the number of children with disabilities prompts the study of the quality of life of a child of this category in order to find means of rehabilitation to improve the quality of life of the pediatric patient and his family.
Важливим фактором збереження здоров’я в осіб похилого віку є підтримання належного рівня фізичної підготовленості. Мета дослідження – оцінити особливості показників фізичної підготовленості та ...визначити факторну структуру показників фізичного стану чоловіків похилого віку. Методи дослідження – аналіз науково-методичної літератури, педагогічні, фізіологічні, антропометричні методи дослідження, методи математичної статистики. Педагогічне тестування фізичної підготовленості здійснювали відповідно до вимог тестів і нормативів для проведення щорічного оцінювання фізичної підготовленості населення України. У дослідженні використано метод кореляційного аналізу. Розглянуто парну кореляційну залежність кожного параметра з обчисленням коефіцієнта кореляції. Факторний аналіз із застосуванням методу головних компонент і стратегії обертання референтних осей за Varimax-критерієм дав змогу згрупувати окремі показники фізичного стану чоловіків похилого віку. Кластерний аналіз за методом k-середніх проводили з метою класифікації досліджуваного контингенту за даними фізичного стану. У дослідженні брали участь 50 чоловіків похилого віку (середній вік становив 65,06 ± 3,06 років). Результати дослідження. Виявлено низький рівень фізичної підготовленості більшості чоловіків похилого віку. Виокремлено дві групи чоловіків похилого віку зі статистично значущими відмінностями за всіма показниками фізичного стану, установлено, що найбільші інволюційні зміни відбуваються у віці 66–70 років, що потрібно враховувати під час планування програм оздоровчого фітнесу. Виділено фактори, котрі характеризують структуру фізичного стану чоловіків похилого віку й пояснюють 76,35 % загальної дисперсії: I фактор – фізична підготовленість та показники серцево-судинної системи (38,818 %), II – постуральна стабільність і дані дихальної системи (30,833 %), III фактор – фізичний розвиток (8,122 %). Висновки. Виявлено особливості показників фізичної підготовленості чоловіків похилого віку.
The International Classification of Functioning is a tool that will provide a patient-centered, interdisciplinary approach to physical therapy for children requiring palliative care. Purpose: to ...analyze the dynamics of indicators for assessing impairments and limitations according to the components of the International Classification of Functioning in the process of rehabilitation of palliative pediatric patients of non-oncological profile. Material & Methods: empirical methods (comparison, description, measurement), theoretical methods (axiomatic), general logical methods (analysis, synthesis, generalization), multiple regression method. The basis of physical therapy for pediatric non-cancer palliative patients has been the biopsychosocial model presented in the International Classification of Functioning of Children and Youth (ICF-CY). Domains of ICF-CY components were selected that took into account the symptomatology of the criteria for palliative conditions. As a result, the list of domain codes in the study included 17 categories: structures and functions of the body – 6 categories (s710, b280, b710, b735, b760, b134), activity and participation – 7 categories (d310-340, d415, d465 d820, d920), environmental factors – 3 categories (e355, e320, e115). Initial patient surveys were interpreted into ICF classifiers and patient categories were generated. Results: the initial examination established the main limitations, revealed the severity of impairments in each domain, and recorded the vast majority of severe, absolute impairments in patients of both groups. A control rehabilitation assessment 24 months after the start of therapy showed positive dynamics of ICF indicators in both groups. Calculation of the dynamics of changes in classifiers showed that the components of the functioning of the body in the main group corresponded to 123,0%, in the comparison group – 52,9%, for components of activity and participation – 154,4% in the main group and comparison group – 49,9%; components Environmental factors – 81,6% in children of the main group and in patients of the comparison group, respectively – 22,9%. A reliable correlation has been established between all components of the ICF-CY version, mathematically confirmed, and the correlation coefficient is 0,787378. Conclusions: the use of the International Classification of Functioning contributed to a comprehensive examination of patients in need of non-oncological palliative care, helped to formulate a multi-vector rehabilitation program and ensured monitoring of the effectiveness of the rehabilitation program.
Annotation. Rehabilitation of children who need palliative non-oncology care is a complex and multi-vector task. WHO defines palliative pediatric care as a complex of active care for the physical and ...mental state of the child, its cognitive abilities, as well as support for the patient's family. To provide comprehensive palliative care that is child- and family-centered, it is possible to use the International Classification of Functioning to examine and build a rehabilitation system. The purpose of the study: to analyze the application of the international classification of functioning in the process of rehabilitation examination of children who need palliative care. Research methods: empirical methods (comparison, description, measurement), theoretical method (axiomatic), general logical methods (analysis, synthesis, generalization). The study was conducted on the basis of the Rivne Educational and Rehabilitation Center «Special Child» 47 (100%) children took part in the study. Research results. The International Classification of Functioning-Children, Adolescents (ICF-DP) was used to define a set of tools for rehabilitation assessment of pediatric patients. Taking into account the psychometric criteria of the assessment scales, the following were selected for the examination of the Structure and function of the body component: s 710 – brain structure – disease history and systematized diagnoses according to ICD-10; Pain sensation (b 280) – 5-point scale of verbal assessments, visual-analog scale of pain intensity (10 points), FLACC scale; Joint mobility functions (b 710) – goniometry; Muscle tone functions (b 735) – Modified Ashforth spasticity scale; to analyze the problem Sleep functions (b 134) allowed a survey of parents; observing the control of voluntary motor functions (b 760) contributed to the study of the state of the problem. Examination of the domains of the Activity and Participation component was provided by the PEDI Pediatric Disability Questionnaire, parent questionnaire, observation of pediatric patients: communication (d 310-340), Schooling (d 820), recreation, leisure (d 920) – PEDI Pediatric Disability Questionnaire (assessment social functions); d 550 nutrition – PEDI pediatric disability questionnaire (self-care); moving from place to place (d 460) – Classification of the system of general motor functions GMFCS; use of precise movements of the hand and hand (d 440) – MACS fine motor development level (levels), «Box and cubes» test; maintaining body position (d 415) – observation. Through survey and observation, the Environmental Factors component examined the presence of facilitating or barrier factors. In the aspect of personal factors, the patient's age, gender, and motivation for physical therapy classes were analyzed. Structure and function disorders were found in 43% of the overall assessment, activity and participation limitations covered 39%, and environmental factors – 18%. A review of limitations and impairments confirms that the greatest problem in pediatric patients requiring palliative care is in the Activity and Participation component (182 points). Therefore, the use of the International Classification of Functioning – Children, Adolescents contributes to the selection of tools for assessing the functioning of children in need of palliative care, and ensures the control of the effectiveness of rehabilitation. Conclusions. Evaluation of pediatric patients who belong to the non-oncology palliative group is a complex, multifaceted task, since complex disorders and pathological conditions prompt the search for evaluation resources that would allow monitoring the effectiveness of the rehabilitation process. The International Classification of Functioning, which is represented by the Basic Set «Childhood Cerebral Palsy» provides those domains that fully reveal the needs of a child with a disability in all areas of life – Structures and functions of the body, Activity and Participation, Environmental factors. The international classification of functioning must be used to assess the pathological condition of a pediatric patient, since it is the multifaceted examination that will ensure the formation of a multifaceted rehabilitation program.
Human walking is a cyclic locomotor movement carried out by pushing. It is walking that can be considered as a criterion for assessing the state of human motorics. The purpose of the research: To ...identify the model time characteristics of walking in healthy children 6-8 years old. Participants: 94 healthy boys and 120 healthy girls of 6-8 years old. Methods: the analysis of scientific and methodological references and documentary materials, videometry by the "BioVideo" software. Results: The duration of the double support phase in the left supporting leg in healthy boys 6 years old is on average 0.12 s (SD = 0.01 s), in girls - 0.14 s (SD = 0.01 c), in healthy boys and girls 7 years old the duration of this phase is the same and is 0.14 s (SD = 0.01 s), as well as in boys and girls 8 years old and is 0.16 s (SD = 0.02 s in boys and SD = 0.01 s in girls). A difference in the duration of the double support phase in the left supporting leg between boys and girls in each of the age categories 7-8 years was not statistically significant (p> 0.05) in contrast to boys and girls 6 years, in whom the indicators of the duration of this phase were statistically significantly different (p <0.05). In the final phase of the double step of walking, there was a statistically significant increase in its duration in girls 7 years, compared with boys of this age by 0.04 s (p <0.05), its duration is in girls 7 years, and in boys and girls 8 years on average 0.24 s (SD = 0.03 s in girls 7 years and boys 8 years and SD = 0.02 s in girls 8 years). According to the time indicators of the walking phases of healthy children 6-8 years old, model characteristics have been developed. The lower and upper limits of the confidence bounds for the arithmetic mean of the general population by the value of the arithmetic mean of the sample with a 95% confidence level were chosen as model characteristics. Conclusions: The structure of the walking cycle of healthy children 6-8 years old was studied, the significance of which was confirmed by objective time indicators. It was reaffirmed that the biomechanical structure of the locomotor act is almost completely formed at the age of 7-8 years.
Annotation. In the process of rehabilitation examination, the assessment of pain in children of the palliative non-oncological group is a difficult task. This is due to a number of reasons: reduced ...communication skills, unclear pathogenesis, etiology, nature of pain. At the same time, identifying the pain syndrome and suppressing it will provide comfort to the child and confidence to the parents. The purpose of the study: analysis of pain syndrome in children who need palliative non-oncological care. Research methods: empirical methods (comparison, description, measurement), theoretical method (axiomatic), general logical methods (analysis, synthesis, generalization), pain intensity assessment scales. Research results. To assess the intensity of pain, the following were used: children's scale for pain assessment by facial expressions of Wong-Baker (1988) – 10 (21,3%) children, assessment of pain in children who cannot speak or with speech disorders (from 6 months to 7 years old) – FLACC scale – 10 (21,3%) children, visual analog scale (VAS) – 19 (40,4%), KUSS (1998) children's pain assessment scale – 8 (17,0%). The results of the assessment of pain intensity are interpreted in the ICF qualifier «b 280 feeling of pain». The results of the survey revealed the following indicators: b 280.4 absolute violations were found in 14 children, b 280.3 severe violations were recorded in 26 children, b 280.2 moderate violations were detected in 6 children, 280.1 mild violations in one child. At the same time, the survey showed that most often children express or complain about pain of various concentrations: in the muscles of the lower limbs – «Minor pain» – 4 (8,5%), «Mild pain» – 5 (10,6%), «Moderate pain» – 27 (57,4%), «Severe pain» – 8 (17,0%), «Excessive pain» – 3 (6,3%); in the muscles of the shoulder girdle: «Slight pain» – 12 (25,5%), «Mild pain» – 12 (25,5%), «Moderate pain» – 11 (23,4%), «Severe pain» – 9 (39,1%), «Excessive pain» – 3 (6,3%); in the back: «Minor pain» – 7 (15,8%), «Mild pain» – 13 (27,6%), «Moderate pain» – 11 (23,4%), «Severe pain» – 10 (21,2%), «Excessive pain» – 6 (12,7%); unexplained pain manifested by crying: «Slight pain» – 11 (23,4%), «Mild pain» – 17 (36,1%), «Moderate pain» – 9 (39,1%),« Severe pain» – 7 (14,8%), «Excessive pain" – 3 (6,3%). There were no children who did not have pain. Clarifying the localization of pain contributed to the idea that musculoskeletal problems caused by hypodynamia, long-term immobilization, forced pathological position of the body provoke a significant share of discomfort. Conclusion. Thus, there is a need to include pain assessment in the complex of rehabilitation examination of children with disabilities in order to form an integrated approach to the rehabilitation program.
The purpose of the research is the scientific justification and development of a system of physical therapy for children who need palliative care. The methods of research in this case are empirical ...methods (description, comparison, measurement), the method of theoretical knowledge (axiomatic), general logical methods (analysis, synthesis), systematic approach.
The basis of providing palliative care involves a patient-centered approach of a multidisciplinary team, the composition of which is determined by the patient's needs, his age, and the severity of his condition. If we consider the rehabilitation support of children who need non-oncological palliative care within the framework of the International Classification of Functioning, it can be stated that, having violations in the Body Structure and Functions component, they have significant limitations in the Activity-Participation component. Contextual factors – Environmental factors and Personal factors – play a significant role in the quality and effectiveness of rehabilitation. After the rehabilitation instrumental examination, the needs of the child and his family members, child-centered tasks are identified, and the goal of physical therapy is formed. The means of the rehabilitation program are therapeutic physical culture, massage, positioning, dance and movement therapy, photo therapy and art therapy using the «hand in hand» method; selection of technical means of movement, rehabilitation equipment for modification of the educational space. Therefore, the means of the physical therapy program will be directed to reducing the complication of the main disease, will help to form the household-educational-social organization of the space of children of this category, will contribute to the emotional and psychological stability of patients, their family members, and representatives of the interdisciplinary team.
Purpose: purpose of the work is to determine the changes in physical activity indicators of Ukrainian students in the conditions of distance education caused by the quarantine restrictions and the ...conditions of the legal regime of martial law.
Material & Methods: the study, which lasted from 2020 to 2023, involved 1528 higher education students from different regions of Ukraine. The International Physical Activity Questionnaire (IPAQ) was used to assess physical activity. The results were subjected to statistical analysis.
Results: the results of the study of PA indicators in students showed that on average they had a normal PA score, which was 26.0 (22.0; 32.0) points for males, and 24.0 (19.0; 30.0) points for females. It was proved that, compared to female students, the PA score of male students was statistically significantly higher (U=226269.5; Z=7.329; p<0.05). The study of the dynamics of PA indicators demonstrated that while the PA score of higher education students, regardless of gender status, decreased from the beginning of quarantine restrictions (p<0.05), it did not differ statistically from the pre-quarantine level (p>0.05) in 2021. Nevertheless, with the outbreak of hostilities in the Ukraine, the PA score has decreased and continues to decline. There was an unprecedented increase in the percentage of students with low PA, which reached 43.1% and 60.1% among male and female students, respectively, in 2023.
Conclusions: the analysis of the dynamics of PA in higher education students for the period from 2019 to 2023 revealed a decrease in the PA score during the distance learning period, regardless of gender status. The only exception was 2021, which can be explained by the adaptation of students to distance learning. Instead, the armed conflict in the country led to a sharp decline in the PA score and a statistically significant (p<0.05) increase in the proportion of students with low physical activity. Moreover, this trend continued in 2023. The findings of the study made possible to assess the extent of the negative impact of distance learning under quarantine restrictions and the legal regime of martial law on the PA in higher education students.
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