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1.
Artículo en Ruso | MEDLINE | ID: mdl-34380305

RESUMEN

The review presents current data on the management of patients with atherosclerosis obliterans of the lower extremities. The main approaches to medical rehabilitation of patients with diseases of the arteries of the lower extremities are considered, tools for determining the rehabilitation potential depending on the stage of lower limb ischemia are proposed. The programs of physical and psychological rehabilitation, as well as the methods of physical and balneotherapy in accordance with the stages of medical rehabilitation, are determined. Modern rehabilitation methods are presented.


Asunto(s)
Arteriosclerosis Obliterante , Aterosclerosis , Balneología , Arterias , Humanos , Pierna , Extremidad Inferior
2.
Artículo en Ruso | MEDLINE | ID: mdl-34223754

RESUMEN

In the conditions of increasingly stringent anti-doping rules, the development of new non-drug methods of treatment and rehabilitation of athletes is of particular importance. OBJECTIVE: Development of new methods of medical rehabilitation of athletes after injury. MATERIAL AND METHODS: Thirty-three athletes with knee injuries were examined. The main complaints were the presence of pronounced edema in the area of injury. All patients were randomly divided into 2 groups: in group 1 (16 patients) lymphatic drainage kinesis-taping was performed; in the 2nd group (17 patients) - complex treatment including lymphatic drainage kinesis-taping and low-frequency pulse magnetic therapy. Using laser Doppler flowmetry a study of microcirculatory disorders in the area of injury was carried out. The severity of edema was assessed by measuring the circumference of the knee joint of the diseased and healthy limbs. The assessment of the subjective feelings of athletes using questionnaires CIVIQ2 andVAS. RESULTS AND CONCLUSION: Based on the obtained subjective and objective data, a medical complex was developed using lymphatic drainage kinesis-taping and low-frequency pulse magnetic therapy, which affects different steps in the pathogenesis of edema formation. Data obtained resultedin more pronounced positive effect during complex treatment compared with monotherapy with kinesis-taping.


Asunto(s)
Cinta Atlética , Cinesis , Atletas , Edema/etiología , Edema/terapia , Humanos , Extremidad Inferior , Fenómenos Magnéticos , Microcirculación
3.
Artículo en Ruso | MEDLINE | ID: mdl-30168515

RESUMEN

This article was designed to describe the main pathogenetic factors underlying the development of lymphedema of the lower extremities, the social implications of this condition, its prevalence throughout the world, and the impact of this disease on the quality of life of patients. In addition, the review presents the modern data on the management of patients with chronic lymphatic edema of the lower extremities. Special attention is given to the principles and methods of its combined conservative treatment, including the use of medications, compression therapy, physiotherapy, thalassotherapy, and balneotherapy. Moreover, the results of the analysis of the effectiveness of the treatment as a whole and of the individual methods, such as intermittent pneumatic compression (SPC), electrical myostimulation, laser therapy, magnetic-laser therapy (MLT) are reported with special reference to their outcomes when applied as isolated interventions and the components of the combined therapy. The review is devoted to the systematization of information about the currently available methods for the prevention and treatment of lymphadema of the lower extremities and the evaluation of the treatment regimens applied in this country and leading foreign clinical centres. Also considered are both the classical scheme of the combined treatment of lymphedema of the lower extremities and the schemes including novel therapeutic modalities. The most promising methods for the treatment of this condition including those proposed during a few recent years (such as kinesiotaping, LPG-engineering, and gravity therapy) are highlighted, and their influence on the generally accepted schemes of the combined treatment of lymphedema of the lower extremities is evaluated. The basic principles of modern pharmacotherapy and its role in the system of methods for the treatment of lymphedema of the lower extremities including phlebotomies, lymphokinesia, antibacterial drugs are considered.


Asunto(s)
Linfedema/terapia , Terapia Combinada , Humanos , Extremidad Inferior , Linfedema/prevención & control , Modalidades de Fisioterapia , Calidad de Vida
4.
Artículo en Ruso | MEDLINE | ID: mdl-25730928

RESUMEN

We have studied the influence of enhanced external counterpulsation (EECP) applied in the combination with gaseous carbon dioxide baths and infrared laser therapy on the dynamics of clinical and functional abnormalities in the patients presenting with coronary heart disease (CHD) including those after surgical myocardial revascularization. The study was conducted on 40 patients of whom 20 suffered from chronic coronary heart disease and FC II-III angina of effort and the remaining 20 ones presented with coronary artery disease following myocardial revascularization (including 5 patients six months after coronary bypass grafting (CBG) and 15 ones three months after translumbar angioplasty (TLAP) in the combination with stenting of the coronary arteries). The study demonstrated that EECP in the combination with gaseous carbon dioxide baths and infrared laser therapy produced anti-ischemic and antianginal effects, stimulated myocardial contractility, contributed to economization of the cardiac activity, increased exercise tolerance, myocardial and coronary reserves. These changes resulted in the improvement of both the psychological status and the quality of life of the patients.


Asunto(s)
Contrapulsación , Isquemia Miocárdica/rehabilitación , Dióxido de Carbono/uso terapéutico , Terapia Combinada , Ecocardiografía , Electrocardiografía Ambulatoria , Frecuencia Cardíaca/fisiología , Humanos , Terapia por Luz de Baja Intensidad , Masculino , Persona de Mediana Edad , Isquemia Miocárdica/diagnóstico por imagen , Isquemia Miocárdica/fisiopatología , Isquemia Miocárdica/cirugía , Estudios Prospectivos , Resultado del Tratamiento , Caminata/fisiología
5.
Artículo en Ruso | MEDLINE | ID: mdl-24437203

RESUMEN

The introduction of thalassotherapy (seaweed wraps cold) into the standard drug therapy and elastic compression techniques increases the effectiveness of conservative treatment of the patients presenting with chronic venous insufficiency due to the influence of biologically active components of brown algae that help to improve microcirculation, lymphatic drainage function, and peripheral hemodynamics. These effects lead to a decrease in the severity of hypoxia, enhancement of tissue trophism, promotion of inflammatory processes, reduction of the clinical manifestations of the disease, and improvement of the patients' quality of life.


Asunto(s)
Climatoterapia/métodos , Extremidad Inferior/irrigación sanguínea , Calidad de Vida , Insuficiencia Venosa/terapia , Adulto , Anciano , Enfermedad Crónica , Femenino , Humanos , Extremidad Inferior/fisiopatología , Masculino , Persona de Mediana Edad , Insuficiencia Venosa/fisiopatología
6.
Artículo en Ruso | MEDLINE | ID: mdl-24640648

RESUMEN

The introduction of statokinesitherapy with biological feedback into combined rehabilitative treatment of the patients presenting with coronary heart disease associated with arterial hypertension and clinical manifestations of dyscirculatory encephalopathy and/or vertebrobasilar insufficiency reduced the severity of clinical symptoms of cerebral syndromes. Specifically, it resulted in the decreased frequency of dizziness and shaky walk, improved coordination and sense of equilibrium, enhanced postural stability in the vertical position. The positive dynamics of clinical manifestations was confirmed by the results of stabilometry that suggested decreased deviation from the centre of pressure in the frontal and saggital directions and diminished total area of the statokinesiogram.


Asunto(s)
Retroalimentación Fisiológica , Hipertensión/terapia , Cinestesia/fisiología , Isquemia Miocárdica/terapia , Modalidades de Fisioterapia , Equilibrio Postural/fisiología , Anciano , Terapia Combinada , Femenino , Humanos , Hipertensión/complicaciones , Hipertensión/fisiopatología , Masculino , Persona de Mediana Edad , Isquemia Miocárdica/complicaciones , Isquemia Miocárdica/fisiopatología , Modalidades de Fisioterapia/instrumentación , Resultado del Tratamiento
7.
Artículo en Ruso | MEDLINE | ID: mdl-21086611

RESUMEN

Physical and balneotherapy along with medicamentous and compression therapy are basic components of conservative treatment of patients with chronic venous insufficiency of the lower extremities. Modern rehabilitative medical technologies help to prevent complications of this pathology, enhance clinical efficiency of the treatment, and improve the patients' quality of life provided they are applied with due regard for the stage of the disease and underlying pathogenetic factors.


Asunto(s)
Balneología/métodos , Insuficiencia Venosa/terapia , Enfermedad Crónica , Humanos , Insuficiencia Venosa/sangre
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