The article describes physical and neurophysiological rehabilitation of women of childbearing age with extragenital pathology, the most common oncologic pathologies of female genitalia. The article aims to develop a programme of physical and neurophysiological rehabilitation for women of childbearing age with extragenital pathology who underwent ovariectomy and evaluate its effectiveness. The authors observed 100 women aged between 18 and 45: the control group (CG) - 50 women and the experimental group (EG) - 50 women; each group was also divided into two age sub-groups - 18-29 years old and 30-45 years old. The exercise therapy included physical and neurostimulation rehabilitation measures: calisthenic routine, static and dynamic breathing exercises, shallow breathing, some elements of muscle relaxation and autogenic training, dosed walking inside the ward, going up the stairs, as well as dosed walking using treadmills, pelvic floor exercises. Methods of studying rehabilitation effectiveness are the following: instrumental methods (heart rate monitoring; arterial tonometry; respiratory rate measuring; spirometry); functional tests (hypoxic Stange and Genchi tests; orthostatic tests; clinostatic tests); laboratory research methods (clinical blood tests). The article proves that the employed methods of physical rehabilitation helped to increase indicators of the cardiovascular and respiratory systems in EG patients aged between 18 and 29 3-5 days earlier and EG patients aged between 30 and 45 - 3-4 days earlier than that in CG. It proves the effectiveness of the developed programme of physical rehabilitation for women of childbearing age with extragenital pathology who underwent ovariectomy.
Aim: to determine the dynamics of the level of functioning of patients after laparoscopic cholecystectomy in the long-term rehabilitation period. Materials and Methods: 79 patients after laparoscopic cholecystectomy were included, double-blind survey on the presence of impairments in functioning, activity and participation using the ICF. Statistical methods: measurement of the median value (Me), upper and lower quartiles (25%; 75%). The Mann-Whitney U-test was used to compare independent samples; the Wilcoxon T-test was used for dependent samples. Results: under the influence of rehabilitation, positive dynamics in the state of the gastrointestinal tract and the gait activity of patients of group A were revealed after the implementation using a biomedical approach. The rehabilitation method of group B was based on the assessment of the patient’s functioning using the ICF and the organization of problem-oriented and aimed at achieving long- and short-term tasks with a patient-centered approach. to achieve improved functioning of gastrointestinal functions, general endurance, aerobic capacity, muscle strength and improved activities. Conclusions: the dynamics of the level of functioning and activity of patients after laparoscopic cholecystectomy in the long-term rehabilitation period was better in the group that used a biopsychosocial approach with the use of ICF.
Most of the current programs of physical rehabilitation of students of a special medical group (hereinafter - SMG) are aimed only at a separate contingent depending on the type of nosology, which complicates the work of the teacher and reduces the effectiveness of classes for other students. In fact, no physical rehabilitation programs have been developed for female students who have the highest reproductive potential. Therefore, the creation of a rehabilitation program that will not only be able to cover students with various diseases, but will also be useful for the prevention of risk factors for chronic noncommunicable diseases (CHD) as the most acute demographic problem is relevant. The purpose of the study is to develop, scientifically substantiate and test the program of physical rehabilitation of students of a special medical group, taking into account motor disorders. The developed program of physical rehabilitation of SMG students taking into account motor impairments had a complex character and included the following elements: lifestyle modification, kinesitherapy (with stoppage of fitness yoga, functional training, aerobic training) (swimming, fitness, jogging, health) self-massage with the Lyapko applicator. The control group included 24 individuals, the experimental group consisted of two groups of 24 individuals. The following methods were used to solve the research tasks: analysis of scientific and special literature, surveys and questionnaires, pedagogical testing, methods of determining indicators of physical development, physical fitness and functional state of the organism, methods of mathematical statistics. After the implementation of the developed program of physical rehabilitation for female students, a decrease in the number and intensity of modified risk factors for CHD due to increased physical activity, reduction of bad habits was determined; reducing the number of complaints. Studies on the effectiveness of the program of physical rehabilitation of female students, taking into account motor impairments, tested on a sufficient number of female students of the special medical group, have confirmed data and can serve as a basis for practical implementation of this program.
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