With the development of high technologies in medicine, the diagnostic process is improving, the methods of treating patients are refining, the percentage of patients who survived after serious ...injuries, diseases and/or conditions is increasing. The issue of the patients` quality of life that received primary medical, specialized, including high-tech medical care is becoming a priority for health care. Rehabilitation is defined as one of the critical interventions “enabling people with disabilities to achieve and maintain maximum independence, full physical, mental, social and professional ability and full inclusion and participation in all aspects of life”. The problems and prospects of rehabilitation medicine for the future arise due to critical changes in demographics, life expectancy, a variation in approaches to assessing disability, an increase in the prevalence of long-term health disorders, especially in connection with the new coronavirus infection, technological progress, as well as changes in health care costs and changes in society’s requirements for well-being and quality of life, including health.
The object of the study is the process of organizing medical rehabilitation of patients with cerebral stroke at the second phase of rehabilitation process in a 24-hour inpatient medical rehabilitation department for patients with impaired function, structures, limited activity and participation due to damage to the central nervous system based on the application of the International Classification of Functioning, Disabilities and Health (ICF) for the rehabilitation diagnosis description (the degree of disturbance of structure, function, limitation of activity and participation, the degree of influence of environmental factors) and the formation of the medical rehabilitation program on its basis.
Introduction. Epilepsy is one of the most common chronic nervous system disorders. Epilepsy in a child requiring physical, psychological and speech therapy significantly reduces its scope and ...decreases the likelihood of recovery. The aim of the study was to assess the efficacy and safety of a rehabilitation programme for young children with movement disorders and concomitant epilepsy. Materials and methods. Simple randomization was used to divide 123 children aged 924 months into four groups: three main groups and one comparison group. Patients in group 1 received traditional massage, excluding the cervical region, as their rehabilitation. Patients in group 2 received kinesiotherapy (Vojta therapy) in addition to traditional massage. Children in group 3 participated in a comprehensive programme, including traditional massage and kinesiotherapy (Vojta therapy). Children in the control group did not receive rehabilitation. Results. A statistically significant improvement in the psychomotor development parameters was observed after a course of medical rehabilitation. It was more significant when the epileptic focus was localized in the right hemisphere or the patient had generalized epilepsy. The outcome was less favourable in multifocal epilepsy and when the epileptic focus was present on the convex surface of the left hemisphere. The third group noted a statistically significant improvement in the GMFCS scores by the end of the comprehensive rehabilitation course. There were no epileptic seizures seen on repeat EEG recordings during the medical rehabilitation and one month after its completion. Conclusion. A comprehensive approach to planning a course of rehabilitation ensures its efficacy. The location of the epileptic focus and the distribution of epileptic activity along the convex surface of the brain determines the outcome of medical rehabilitation. An increased epileptiform activity index on EEG without signs of clinical deterioration requires more careful patient monitoring but, nevertheless, is not a reason to completely cancel rehabilitation measures.
Modern aspects of computer visual syndrome Trubilin, Vladimir N.; Yudin, Vladimir E.; Ovechkin, Igor G. ...
Kliničeskaâ praktika,
10/2021, Letnik:
12, Številka:
3
Journal Article
Recenzirano
Odprti dostop
The review presents the pathogenetic, diagnostic, therapeutic and rehabilitation aspects of computer visual syndrome. The importance of an integrated approach to the implementation of treatment and ...rehabilitation measures is emphasized. The promising directions of scientific and practical activity on the problem of treating patients with computer visual syndrome symptoms from the standpoint of modern requirements for medical rehabilitation have been determined.
Stroke is the second leading cause of death and the third leading cause of disability. World Health Organization in 2021 found that around 70% of disability and 87% of deaths due to stroke occur in ...low- and middle-income countries. One of Indonesia’s efforts to minimize disability in post-stroke patients is medical rehabilitation. In an effort to maintain the patients’ motivation to adhere to medical rehabilitation, hospitals employ the hospital health promotion program. The purpose of this study is to analyze the effect of the hospital health promotion program on stroke patients' motivation for medical rehabilitation. This quantitative analytic study with a cross-sectional approach was conducted at Haji Adam Malik Central General Hospital and Medan Haji General Hospital. The research population was 124 post-stroke patients (48 patients from Haji Adam Malik Central General Hospital and 76 patients from Medan Haji General Hospital) and all of them were used as samples (total sampling). Data collection was conducted using a valid and reliable questionnaire (validity and reliability test carried out). Analysis was carried out using frequency distribution, chi-square, and double-log regression analysis. This study found that 90 out of 124 participants had high motivation for medical rehabilitation, while the rest had low motivation. The results showed that the hospital health promotion program had a significant effect on the motivation of stroke patients for medical rehabilitation, namely empowerment (OR=2.842), atmosphere building (OR=2.937), advocacy (OR=3.028), and partnerships (OR=2.738). Advocacy has the most impact on the patient’s motivation with OR=3.028. It can be concluded that hospital health promotion program has a positive influence on stroke patients’ motivation to undergo medical rehabilitation. Hence, implementation of similar health promotion program on other hospitals are highly encouraged to influence stroke patients’ motivation for medical rehabilitation.
Background: Remaining phenomena presented by people who endured COVID -19 at various times after the acute pha-se of the disease, remain the objectives of the medical and social approaches. ...Musculoskeletal pain is increasingly re-ported by patients as one of the persistent symptoms in post-COVID-19 syndrome. The purpose of the study was the qualitative and quantitative assessment of musculoskeletal pain post _COVID 19 in the process of in-hospital medical rehabilitation.
Methods: A group of 124 people who suffered SARS-Cov-2 infection were analyzed and underwent rehabilitation treat-ment with physiotherapy, halotherapy and electrotherapy sessions in the specialized “Post COVID rehabilitation” ward during a period of 14 days. For the analysis of the pain phenomenon, 103 people who presented musculoskeletal pain, before and after treatment were assessed by the Nordic Musculoskeletal Questionnaire, pain intensity by VAS scale and intensity of fatigue syndrome.
Results. Musculoskeletal pain was present in 84.3% of cases among persons admitted for rehabilitation treatment. Re-habilitation programs applied under inpatient conditions increased the rate of people with moderate and mild pain by 6.8% and decreased the rate of those with severe pain by 13.6% (p< 0.05), assessed by the Nordic Musculoskeletal Ques-tionnaire. The proportion of patients with severe pain, assessed by the VAS scale, decreased by 13.8% at discharge from the hospital.
Conclusion. In-hospital medical rehabilitation programs applied to people with musculoskeletal pain post -COVID 19 had a beneficial effect by decreasing the number of painful areas and pain intensity.
Objective
: to evaluate the effectiveness of changes in the legal framework that regulates medical rehabilitation (MR) in the Russian Federation.
Material and methods
. We analyzed the valid Order of ...the Ministry of Health of the Russian Federation of June 31, 2020 No. 788n “Organization of medical rehabilitation of adults”, which came into legal power on January 1, 2021. It was proposed for public discussion on the introduction of amendments (project of amendments). The changes proposed in the project were compared with the original text of the document. Besides, other legal documents on the organization of medical rehabilitation were analyzed.
Results
. Order No. 788n regulates the stages of MR, specifies the formation and realization of an individual plan for a multi-disciplinary rehabilitation team based on the evaluation by Rehabilitation Routing Scale. The document includes in-house protocols of profile inpatient and outpatient departments of medical institutions, standards for doctor’s offices equipment, organization of day-time inpatient department, and regulations for MR centers. The project of amendments contains a variant of involvement of the existing additional Groups 1 and 2 medical divisions for the organization of MR, and limitation for the Stage 2 of MR in inpatient settings, which is now possible only for patients who need 24-hour care.
Conclusion
. The proposed changes have evolutionary character. A lot of issues in the regulatory framework of MR remain unsolved. It is necessary to improve the state policy for MR and perform further clinical studies of its benefits.
Background
Effective multidisciplinary rehabilitation programs supporting the return to work have become increasingly relevant for cancer survivors. In Germany, inpatient work‐related medical ...rehabilitation programs consider treatment modules of work‐related diagnostics, work‐related functional capacity training, psychosocial groups, and intensified social counseling. The authors tested the effectiveness of a work‐related medical rehabilitation program compared with conventional medical rehabilitation using a cluster‐randomized multicenter trial (German Clinical Trial Register: DRKS00007770).
Methods
In total, 484 patients with cancer were recruited at 4 rehabilitation centers. Patients at a center who started their rehabilitation in the same week represented a cluster. These clusters were randomly assigned using computer‐generated randomization schedules either to an intervention group (IG) or to a control group (CG). The primary outcome was role functioning. Secondary outcomes were other quality‐of‐life domains and the return to work.
Results
In total, 425 patients (210 in the IG) were included in the analysis at the 3‐month follow‐up. There was no significant difference between the IG and CG in role functioning (b = 3.55; 95% CI, −1.18 to 8.29; P = .142). Participants in the IG reported better physical functioning (b = 5.99; 95% CI, 3.33‐8.65; P < .001), less physical fatigue (b = −5.09; 95% CI, −9.62 to −0.56; P = .028), and less pain (b = −6.24; 95% CI, −11.24 to −1.23; P = .015).
Conclusions
Work‐related medical rehabilitation had no effect on the primary outcome compared with conventional medical rehabilitation but may enhance physical functioning and reduce physical fatigue and pain.
Work‐related medical rehabilitation has no effect on role functioning compared with conventional medical rehabilitation. However, it may enhance physical functioning and reduce physical fatigue and pain.
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