ABSTRACT
The article is devoted to the investigation of actual at present problem of incongruent pain in patients with spine osteochondrosis. 26 patients with congruent and 24 patients with incongruent pain, intensity and localization of which did not correspond to organic disturbances, have been examined. The results of comparison of two groups demonstrated involvement of central mechanisms, namely physiologic, in the pain syndrome formation in patients with incongruent pain. They demonstrate the necessity of differentiated approach in the treatment of the patients of the mentioned group, including psychotherapeutic measures.
Subject(s)
Back Pain/psychology , Hysteria/complications , Osteochondritis/complications , Psychophysiologic Disorders/etiology , Spondylitis/complications , Adult , Aged , Back Pain/etiology , Back Pain/therapy , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Osteochondritis/psychology , Osteochondritis/therapy , Psychophysiologic Disorders/therapy , Psychotherapy , Spondylitis/psychology , Spondylitis/therapyABSTRACT
A technique of rehabilitation treatment was suggested and tested on 25 patients with an elbow joint endoprosthesis. The postoperative rehabilitation involved three periods: absolute immobilization, relative immobilization and postimmobilization. Therapeutic measures should be adjusted to each specific stage and imply different physiotherapeutic modalities according to clinical features and duration of the postoperative period: position treatment; passive, light active dynamic exercise, isometric training, underwater exercise; electrostimulation; manual and mechanical massage; occupational therapy. Positive response after adequate postoperative rehabilitation was registered in 20 patients.
Subject(s)
Elbow Injuries , Elbow Joint , Joint Prosthesis/rehabilitation , Adult , Elbow Joint/surgery , Exercise Therapy/methods , Follow-Up Studies , Fractures, Bone/rehabilitation , Humans , Middle Aged , Osteomyelitis/rehabilitation , Postoperative Care , Preoperative Care , Wounds, Gunshot/rehabilitationABSTRACT
The authors analyse the treatment of 153 children aged 4.5-15 who were performed 213 tendon- and myoplasties for persistent lesions of the peripheral nerves. The peculiarities of rehabilitative therapy in this category of patients are described. Three groups of muscles used for grafting and requiring special approach during the rehabilitation period have been distinguished. The rehabilitative treatment is divided into three periods: preoperative preparation, working out of the new function and securing of the new motor act. The peculiarities of the rehabilitative treatment in each period have been substantiated.