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  1. Article ; Online: Psychotherapy of Borderline Mental Disorders in Sanatorium-Resort Conditions. Literature Review

    Anna A. Kuzyukova / Andrey P. Rachin

    Вестник восстановительной медицины, Vol 21, Iss 1, Pp 86-

    2022  Volume 97

    Abstract: Psychotherapeutic methods acceptable for sanatoriums were analyzed in this work due to the high frequency of borderline mentaldisorders exampled in the general medical practice, including sanatorium-resort institutions, and the frequent prioritizationof ... ...

    Abstract Psychotherapeutic methods acceptable for sanatoriums were analyzed in this work due to the high frequency of borderline mentaldisorders exampled in the general medical practice, including sanatorium-resort institutions, and the frequent prioritizationof psychotherapy (compared to psychopharmacology) for the treatment of such conditions; as well as the lack of structure in thesystematics of psychotherapeutic methods used in the sanatorium treatment conditions, and the frequent lack of convincing evidenceof their effectiveness. Aim. Various group and individual methods that can be used for short-term psychotherapy have been studied. In accordance with the modern principles of evidence-based medicine, an assessment of the available evidence of their effectiveness was carried out. Material and Methods. The RSCI and Medline electronic databases were used, the search was carried out by keywords (names of relevant techniques and mental dysfunctions, such as anxiety, depression, adjustment disorders, stress states, psychosomatics). The efficacy and safety evidence levels were evaluated in accordance with the National Standard of the Russian Federation GOST R 56034–2014. Results. As a result of the work performed, a wide range of psychotherapy methods related to its various directions, applicable in sanatorium-resort conditions (most of them are also suitable for hospitals/rehabilitation centers) is analyzed. Some of them have a high level of evidence, while others have less convincing data, which is often associated with the difficulty of reproducing them in experimental conditions. Conclusion. The information provided may be useful to specialists working in sanatoriums, rehabilitation centers and hospitals, for solving issues of organizing and improving the quality of psychotherapeutic care for patients with concomitant borderline mental disorders as well as for further scientific research.
    Keywords psychotherapy ; sanatorium-resort ; levels of evidence of effectiveness ; psychotherapy in sanatoriums ; borderline mental disorders ; somatic diseases ; somatic hospital ; methods of short-term psychotherapy ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Subject code 150
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Electrodermal Activity Monitoring for Stroke Patients Stress States, Еmotional Disturbances, Rehabilitation Measures Effectiveness Specification

    Anna A. Kuzyukova / Andrey P. Rachin / Vasiliy A. Kolyshenkov

    Вестник восстановительной медицины, Vol 21, Iss 6, Pp 19-

    a Pilot Study

    2022  Volume 29

    Abstract: INTRODUCTION. The level of stress experienced by stroke patients (caused by anxiety-depressive disorders, pain and motor deficiency) is still difficult to assess adequately clinically and with the help of existing diagnostic questionnaires, whereas their ...

    Abstract INTRODUCTION. The level of stress experienced by stroke patients (caused by anxiety-depressive disorders, pain and motor deficiency) is still difficult to assess adequately clinically and with the help of existing diagnostic questionnaires, whereas their presence in a state of pronounced discomfort significantly affects the overall functioning and effectiveness of rehabilitation measures. In connection with the above, of interest are the methods aimed at objectification of stress level, such as determination of sympathetic activation byregistration of cutaneous conductivity, which, according to the literature, can be a reliable marker of affective pathology and chronic pain. AIM. To assess the possibility of using the NeonFSC stress monitoring system, RU No. RZN 2021/16179 dated December 29, 2021 for diagnostics by recording the skin conduction of stress, pain sensations and emotional pathology in stroke patients, and determining the effectiveness of the treatment and rehabilitation measures taken to correct the above disorders. MATERIAL AND METHODS. Thirty-five stroke patients were examined clinically and anamnesthetically, clinico-neurologically, clinicopsychopathologically,using diagnostic scales and recording electrodermal activity. RESULT AND DISCUSSION. The NeonFSC system determines the level of sympathetic activation in stroke patients, correlated with clinical parameters (neurological deficit, severity of pain, anxiety and depression) and helps to assess the dynamics of discomfort experienced by the patient as a result of rehabilitation measures. The use of electrodermal activity monitoring in a comprehensive examination of patients increased the diagnosis of emotional pathology and pain by 30%, objectified the presence of distress or its absence. CONCLUSION. The NeonFSC system is promising for use in comprehensive diagnosis and assessment of the dynamics of anxietydepressive disorders, pain, and other distress-inducing conditions, as well as to determine the adequacy of physical activities used in ...
    Keywords ischemic stroke ; electrodermal activity ; distress ; stress ; stroke rehabilitation ; depression ; pain ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Subject code 150
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Use of Probiotics in Treatment and Rehabilitation of Patients after a New Coronavirus Infection

    Pavel A. Markov / Irina S. Kudryashova / Petr S. Eremin / Elena Yu. Kostromina / Ilmira R. Gilmutdinova / Andrey P. Rachin

    Вестник восстановительной медицины, Vol 21, Iss 3, Pp 24-

    2023  Volume 29

    Abstract: As of January 2022, 343 million cases of SARS-CoV-2 were reported globally. COVID-19 is a multi-faceted, multi-systemic illness in whichall age groups are susceptible. A number of research findings have shown that COVID-19 is associated with dysbiosis, ... ...

    Abstract As of January 2022, 343 million cases of SARS-CoV-2 were reported globally. COVID-19 is a multi-faceted, multi-systemic illness in whichall age groups are susceptible. A number of research findings have shown that COVID-19 is associated with dysbiosis, leading to thedevelopment of local and systemic pathologies. It was found that the use of probiotics in the complex therapy of patients with COVID-19 reduces the severity of the disease and the development of complications. According to the researchers, several mechanisms couldexplain the therapeutic effect of probiotics, including the ability to suppress pro-inflammatory cytokine formation and modulate thefunctional activity of the immune system. In Russia, probiotics in the treatment of COVID-19 patients are only used to correct diarrhea,while literature suggests that probiotics have much greater therapeutic potential. Introducing oral bacterial therapy into the treatmentand rehabilitation of COVID-19 patients requires further clinical trials.
    Keywords as of january 2022 ; 343 million cases of sars-cov-2 were reported globally. covid-19 is a multi-faceted ; multi-systemic illness in whichall age groups are susceptible. a number of research findings have shown that covid-19 is associated with dysbiosis ; leading to thedevelopment of local and systemic pathologies. it was found that the use of probiotics in the complex therapy of patients with covid-19 reduces the severity of the disease and the development of complications. according to the researchers ; several mechanisms couldexplain the therapeutic effect of probiotics ; including the ability to suppress pro-inflammatory cytokine formation and modulate thefunctional activity of the immune system. in russia ; probiotics in the treatment of covid-19 patients are only used to correct diarrhea ; while literature suggests that probiotics have much greater therapeutic potential. introducing oral bacterial therapy into the treatmentand rehabilitation of covid-19 patients requires further clinical trials ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Subject code 610
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Medical Staff at Sanatorium-Resort Organizations

    Nikolay A. Meshkov / Anatoliy D. Fesyun / Maxim Yu. Yakovlev / Andrey P. Rachin / Elena A. Valtseva

    Вестник восстановительной медицины, Vol 21, Iss 1, Pp 126-

    Working Conditions and Health Risk Factors

    2022  Volume 136

    Abstract: Medical staff working conditions are characterized by a range of adverse workplace factors investigated primarily at hospital organizations. However, sanitary audit of working conditions and health risk factors for medical workers in the sanatorium- ... ...

    Abstract Medical staff working conditions are characterized by a range of adverse workplace factors investigated primarily at hospital organizations. However, sanitary audit of working conditions and health risk factors for medical workers in the sanatorium-resort industry is also a task that needs attention. Aim. To analyze the results of the working conditions special assessment and identify the main work-related factors affecting health state of medical staff at sanatorium-resort organizations. Material and methods. Scientific search and analysis of publications on the safety of working conditions and health protection of medical workers. Systematization of research materials, statistical and comparative analysis of the results of working conditions special assessment carried out at branches of the Medical Research Center and data provided in publications. Results. Medical staff are exposed to a wide range of hazards. Work-related factors that do not meet established hygiene standards cause the greatest concern among medical workers. These are microclimate, lighting and working equipment (47.0%, 37.8% and 24.0%, respectively). A number of devices inspected in the physiotherapy room exceeded hygienic standards for alternating electric and magnetic field intensity. Analysis of air pollution in the physiotherapy department working area showed that some of the harmful chemicals exceeded permissible exposure limits. The results of the special assessment of working conditions performed at branches of the Medical Research Center showed that a high percentage of medical workers was exposed to harmful biological factors and high severity of the labor process. Conclusion. Physical and chemical factors are the greatest workplace hazards for healthcare workers at health resorts. However, a special assessment of working conditions showed that the biological factor was the most significant one across all professional groups.
    Keywords sanatorium-resort organizations ; medical staff ; risk factors ; working conditions ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Subject code 027
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Long-term outcomes of different rehabilitation programs in patients with long COVID syndrome

    Irina A. Grishechkina / Andrey A. Lobanov / Sergei V. Andronov / Andrey P. Rachin / Anatoliy D. Fesyun / Elena P. Ivanova / Stefano Masiero / Maria Chiara Maccarone

    European Journal of Translational Myology (2023)

    a cohort prospective study

    2023  

    Abstract: After the resolution of the acute SARS-COV-2 infection, an important percentage of patients do not fully recover and continue to present several symptoms. Nevertheless, there is a lack of data in the literature on the effects of rehabilitation programs ... ...

    Abstract After the resolution of the acute SARS-COV-2 infection, an important percentage of patients do not fully recover and continue to present several symptoms. Nevertheless, there is a lack of data in the literature on the effects of rehabilitation programs on medium- and long-term long COVID symptoms. Therefore, the aim of this study was to evaluate the long-term outcomes after rehabilitation programs in long COVID syndrome patients. A prospective cohort study was conducted from August 2021 to March 2022, involving 113 patients with long COVID syndrome. The patients in the experimental group (EG, n=25) received a tailored and multidisciplinary rehabilitative program, involving aquatic exercises, respiratory and motor exercises, social integration training and neuropsychologic sessions, LASER therapy and magnetotherapy. Patients in the other three comparison groups received eastern medicine techniques (CG1), balneotherapy and physiotherapy (group CG2), self-training and home-based physical exercise (CG3). Once the several rehabilitation protocols had been performed, a structured telephone contact was made with the patients after 6 months ± 7 days from the end of the rehabilitation treatment, in order to record the frequency of hospital ad-missions due to exacerbation of post-exacerbation syndrome, death or disability, and the need for other types of care or drugs. The patients in the comparison groups were more likely to request therapeutic care for emerging long COVID symptoms (χ2=6.635, p=0.001; χ2=13.463, p=0.001; χ2=10.949, p=0.001, respectively), as well as more likely to be hospitalized (χ2=5.357, p=0.021; χ2=0.125, p=0.724; χ2=0.856, p=0.355, respectively) when compared to the patients of the EG. The relative risk (RR) of hospital admissions in the observed cohort was 0.143 ±1,031 (СI: 0.019; 1.078); 0.580±1,194 (CI: 0.056; 6.022); 0,340±1,087 (CI: 0.040; 2.860). The RR of hospital admissions for patients with long COVID syndrome was reduced by 85.7%; 42.0% and 66.0%, respectively, when the experimental ...
    Keywords Long COVID syndrome ; rehabilitation ; exercise therapy ; relative risk ; balneotherapy ; health resort medicine ; Medicine ; R ; Human anatomy ; QM1-695
    Subject code 610
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: New Assessment of Overall Tolerance in the Rehabilitation of Patients in the Early Recovery Period of Ischemic Stroke

    Alexey A. Vershinin / Irina A. Belyaeva / Mikhail Yu. Martynov / Yana G. Pekhova / Andrey P. Rachin / Anatoliy D. Fesyun / Eugeniy I. Gusev

    Вестник восстановительной медицины, Vol 21, Iss 3, Pp 96-

    2023  Volume 107

    Abstract: Aim. To study the dynamics of overall tolerance in patients in the early recovery period of ischemic stroke (IS) with mild and moderatelysevere paresis, to evaluate the effect of aerobic training in this group of patients on exercise tolerance during ... ...

    Abstract Aim. To study the dynamics of overall tolerance in patients in the early recovery period of ischemic stroke (IS) with mild and moderatelysevere paresis, to evaluate the effect of aerobic training in this group of patients on exercise tolerance during inpatient treatment asof Compulsory Medical Insurance (CMI).Material and methods. The first group of 30 patients were examined (17 women, 13 men, the average age – 60,6±6,45 years old)during the 4-6 week of IS. Total points of the FIM scale were 118±5,2 /121,8±4,5. The second group- control group consisted of 30patients with chronic cerebral ischemia (CCI). The following were mainly dominated among the vascular risk factors in both groupsof patients: atherosclerosis of brachiocephalic artery of various degrees of severity poorly controlled arterial hypertension, smoking,dyslipidemia. Physical exercise tolerance was assessed by cardiopulmonary testing on a bicycle ergometer using the Quark CPETspiroergometer system from COSMED (Italy). The peak oxygen consumption (VO2 peak), the maximum load performed in metabolicunits (MET), the percentage of the proper maximum oxygen consumption (% pred VО2 peak) with constant ECG monitoring, bloodpressure during the exercise test were evaluated. Patients with stroke received aerobic training during rehabilitation treatment – 10-12sessions according to the target indicators.Results and discussion. The minimum required values of VO2 peak to provide an active daily life equals on average 15 -18 ml/min*kg of oxygen. Analysis of the results of our study showed a decrease in the VO2 peak in group 1 of stroke patients to 13.22 ± 3.32ml/min * kg. The VO2 peak at stroke is only 54.96% ± 12.82 of the proper average values of VO2 and corresponds to 3.73 ± 0.92 MET.The results of the study confirm a very low level of exercise tolerance in the stroke group, which is significantly lower than in the CCIgroup (VO2 peak is 19.43 ± 4.77 ml/min * kg, which is 83.96 ± 12.93% of the proper average values and corresponds to 5.74 ± 1 .65MET). The ...
    Keywords cardiopulmonary testing ; ischemic stroke ; aerobic exercises ; overall tolerance ; arterial hypertension ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Subject code 796
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Development of Wound Dressing for Regenerative Medicine

    Irina S. Kudryashova / Pavel A. Markov / Elena Yu Kostromina / Petr S. Eremin / Andrey P. Rachin / Ilmira R. Gilmutdinova

    Вестник восстановительной медицины, Vol 20, Iss 6, Pp 54-

    2021  Volume 95

    Abstract: The understanding of the pathophysiological mechanisms of the wound process deepened with the development of science. The technological base that was creating has enabled to serve the clinical needs of tissue repair. These factors, combined with the ... ...

    Abstract The understanding of the pathophysiological mechanisms of the wound process deepened with the development of science. The technological base that was creating has enabled to serve the clinical needs of tissue repair. These factors, combined with the growing need for healing of infected and chronic wounds, have led to the expansion of the market for wound dressings materials supplies. In this connection, there is a need to generalize and update information about new types of dressings. This review provides an up-to-date understanding of the wound process: cellular and signaling mechanisms of repair, characteristics of the optimal microclimate of the wound bed, morphofunctional re-arrangements of tissues during the healing process. Based on these data, the requirements for the modern wound dressings are formulated. Existing wound dressings have been classified as interacting with body tissue. The bio-functional characteristics of the synthetic and natural polymers used in the dressing are described, including their effect on regenerative processes. A classification of the active medicinal ingredients used in the manufacture of dressings is given, the characteristics of their use on the background of the pathological wound process are considered.
    Keywords wound dressing ; wound process ; interactive wound dressing ; bioactive wound dressing ; biomaterials ; wound treatment ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Investigation of the Effectiveness and Safety of the Rehabilitation Program for Patients with Long Covid Using Aquatic Training

    Andrey A. Lobanov / Irina A. Grishechkina / Anatoliy D. Fesyun / Andrey P. Rachin / Maxim Yu. Yakovlev / Sergey V. Andronov / Gleb N. Barashkov / Olga D. Lebedeva / Andrey I. Popov / Elena M. Styazhkina / Mar’yana A. Ansokova / Valeriya A. Vasil’eva

    Вестник восстановительной медицины, Vol 21, Iss 3, Pp 45-

    2023  Volume 57

    Abstract: Aim. To evaluate the effectiveness and safety of aquatic training in diluted sodium chloride bromine brine in restoring the functionalstate of the organism of patients with portcovid syndrome in comparison with aquatic training in fresh water.Material ... ...

    Abstract Aim. To evaluate the effectiveness and safety of aquatic training in diluted sodium chloride bromine brine in restoring the functionalstate of the organism of patients with portcovid syndrome in comparison with aquatic training in fresh water.Material and methods. Specialists of the National Medical Research Centre of Rehabilitation and Balneology of the Ministry of Healthof Russia conducted an open, prospective, randomized study to evaluate the effect of a course of aquatic training in a bromine sodiumchloride brine pool. The study included 28 subjects, who were divided into 2 equal groups. Patients in both groups were comparablefor gender (χ2 =0.45; p=0.31) and age (U=99.5; p=0.7) and all had post COVID-19 (U 09.9) as their primary diagnosis. The interventiongroup received a course of aquatic training (7 treatments) in a pool with bromine sodium chloride brine (well No. 69, 32 Novy ArbatStreet, Moscow) with mineralization of 120 g/dm3 and its preliminary dilution to 40 g/m3. Control group – a course of aquatic-exercises(7 treatments) in a fresh water pool. Patients, after signing informed consent, underwent load tests: 6-minute walking test, laser Dopplerflowmetry (“LASMA ST”, Russia), cardiointervalography (“Health Reserves-R”, Russia).Results and discussion. These data confirm the “null” hypothesis of a more favorable effect of the chemical composition of the dilutedbrine that acts during aquatic training on the patient’s body compared to fresh water, especially in the presence of microcirculationdisorders after suffering COVID-19.The group of patients who received aquatic training in the pool with bromine sodium chloride brine revealed a significant decrease inexcessive sympathetic nervous system activity (T-11.0; p=0.02) at the end of the study. According to LAZMA-ST data, there was a twofoldincrease in the oxidative metabolism of the cell (IOM T-16.0; p <0.01), an increase in exercise tolerance (6-minute walk test T-10.0; p =0.01). IOM increased statistically significantly threefold (U-32.0; ...
    Keywords sodium chloride mineral waters ; long covid ; aquatic training ; new coronavirus infection ; rehabilitation ; microcirculation ; cardiointervalography ; Medicine (General) ; R5-920 ; Sports medicine ; RC1200-1245
    Subject code 796
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Local ozone therapy options for lumbosacral dorsopathy

    Lev G. Agasarov / Tatiana V. Konchugova / Detelina B. Kulchitskaya / Olga S. Davyan / Tatiana V. Apkhanova / Anatoliy D. Fesyun / Andrey P. Rachin / Maxim Yu. Yakovlev / Kirill V. Terentev / Natalia P. Sanina

    European Journal of Translational Myology (2022)

    2022  

    Abstract: The characteristic resistance of dorsopathies to conventional therapy explains the attention to new technologies that combine several therapeutic links and, in particular, ozone therapy. The study involved 90 patients under the age of 55 in the ... ...

    Abstract The characteristic resistance of dorsopathies to conventional therapy explains the attention to new technologies that combine several therapeutic links and, in particular, ozone therapy. The study involved 90 patients under the age of 55 in the exacerbation phase of lumbar and sacrum dorsopathy with the leading vascular component. The patients were divided into three groups, in which basic medical and physical treatment was given. At the same time, ozone therapy was used the first two groups: the 1st group received standard ozone therapy, with a predominant selection of algic zones, the 2nd - according to the rules of biopuncture, affecting the complex of segmental, distant and "vascular" points. In the 3rd control group, the correction was limited to a standard therapeutic complex. The verification of the observed changes was carried out through clinical, psychological and electrophysiological analysis. As a result, both ozone therapy schemes (effective in 69% and 73% of observations respectively) were found to have a reliable advantage over the base complex, where 49% of patients demonstrated improvement. Differences within the ozone therapy groups themselves related to the achievement of a stable effect (in the 2nd group 2.6 days earlier) and the degree of reduction of vaso-reflex reactions (observed in 50% and 75% of observations respectively). Thus, by bringing in additional control methods, it has been proven that the implementation of ozone therapy in compliance with the rules of biopuncture ensures faster and more sustainable effects.
    Keywords Dorsopathy ; biopuncture ; local ozone therapy ; tetrapolar reovasography ; thermography ; laser doppler flowmetry ; Medicine ; R ; Human anatomy ; QM1-695
    Subject code 610
    Language English
    Publishing date 2022-07-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Telemedicine platform COVIDREHAB for remote rehabilitation of patients after COVID-19

    Ilmira R. Gilmutdinova / Vasiliy A. Kolyshenkov / Kristina A. Lapickaya / Anastasiya S. Trepova / Valeriia A. Vasileva / Andrei N. Prosvirnin / Larisa A. Marchenkova / Kirill V. Terentev / Maxim Y. Yakovlev / Andrey P. Rachin / Anatoliy D. Fesyun / Igor V. Reverchuk

    European Journal of Translational Myology (2021)

    2021  

    Abstract: The world's practice has shown the importance of medical rehabilitation, which allows increasing the effectiveness of treatment of patients with COVID-19, and also significantly reduce the risks of developing complications after COVID-19. Moreover, ... ...

    Abstract The world's practice has shown the importance of medical rehabilitation, which allows increasing the effectiveness of treatment of patients with COVID-19, and also significantly reduce the risks of developing complications after COVID-19. Moreover, timely medical rehabilitation reduces the frequency of disability retirement. We developed and investigated the effectiveness of the telemedicine platform “COVIDREHAB” in order to enhance the effectiveness of the recovery period during self-isolation, as well as to provide access to rehabilitation for patients residing in remote areas or unable to undergo in-person medical rehabilitation. This pilot open clinical study includes 178 patients (108 women and 70 men) aged 32 to 82 years [mean age 50 (33-56) years] who had a moderate disease of COVID-19. We used the specialised platform COVIDREHAB for remote monitoring of the rehabilitation efficiency of patients who suffered from COVID-19. During the study, the supervising doctor assigned the patient a set of specialised questionnaires, which were filled in online. The questionnaires distributed to the patient included questions specifically designed for the COVIDREHAB remote platform as well as the mMRC (Modified Medical Research Council) questionnaire. Patients who completed the remote rehabilitation programme were found to have positive dynamics of indicators of the respiratory system functional state, and complaints.Pulmonary rehabilitation is an important part of case management for patients with respiratory diseases and plays an active role in improving lung function and general well-being of patients. Patients who completed the comprehensive medical rehabilitation program using the information and analytical system COVIDREHAB, were found to have positive dynamics of indicators of the respiratory system functional state, and complaints. Hence, at the end of the course the shortness of breath severity decreased (from 34.8% to 12.4%, as well as the feeling of lack of oxygen from 32% to 17.4%, p <0.05). We anticipate the online approach to rehabilitation will improve the functioning of the respiratory and cardiovascular systems, restore physical function, reduce anxiety and depression, and restore quality of life. An essential benefit of this program is the prevention of secondary complications and reduction of serious adverse effects of COVID-19 treatment."
    Keywords Rehabilitation ; COVID-19 ; telemedicine technologies ; physiotherapy exercises ; Medicine ; R ; Human anatomy ; QM1-695
    Subject code 300
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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