During the first year of the new coronavirus (COVID-19) pandemic, more than 60 million people were infected. Of these, almost 20% had the consequences after it, the so-called “Post-COVID syndrome”, which manifests itself in various long-term painful symptoms. The causative agent of the disease, the coronavirus SARS-CoV-2, primarily affects the lung tissues and disrupts gas exchange that leads to acute respiratory distress syndrome, systemic hypoxia, when, first of all, the blood saturation system is destroyed. Severe complications of this infection require the active development of methods to eliminate and prevent the consequences of infection with coronavirus. Therefore, the search for effective rehabilitation method, especially of the respiratory system specifically after suffering from pneumonia caused by COVID-19, is extremely urgent.
As a result of numerous studies, the possibility of using the method of normobaric interval hypoxic training was justified. At the same time, the respiratory surface and the number of alveoli in the lungs increase, the mass of the respiratory muscles increases and the neurons of the respiratory center hypertrophy occurs as a result of which the efficiency of the ventilation function increases. Inflammation in the lungs can last for several weeks and then fibrosis occurs in place of the damaged areas. This shows the absolute need for effective methods of rehabilitation, first of all, of the bronchopulmonary system after suffering from pneumonia caused by COVID-19.
Interval hypoxic training, as an effective non-specific method of increasing the body’s defenses is indispensable in rehabilitation after viral pneumonia. It is shown that the combined use of interval hypoxic training and the method “Detensor” for the gentle long-term traction of spinal column can reduce or eliminate ventilation and perfusion disorders in chronic obstructive pulmonary disease. This justifies the possibility of using these methods for correction of bronchopulmonary disorders as a non-invasive and non-pharmacological support in the complex of rehabilitation measures for Post-COVID syndrome.
The article is devoted to an overview of modern medical robots used in everyday rehabilitation practice and hospital services. At thesame time, the emerging problems and new challenges associated with the COVID-19 pandemic are analyzed. Logically structured medical and technical solutions using innovative robotics are proposed. The concept model of the multifunctional autonomous robot “Helper” which is presented in the article has 7 functions that are critical in the face of a pandemic: movement along the specified routes; disinfection of premises and robot self disinfection; biometric identification; delivery of medicines; interpersonally communication;possibilities of telepresence and telemedicine; interactive musical-acoustic and virtual psychotherapy. It is an attempt to find effective practical response to the most serious challenges of our time associated with the pandemic aimed at reducing the risks of nosocomial spread of infection, unloading medical staff, providing psychological and service assistance to patients with COVID-19 who are undergoing rehabilitation treatment. The conclusive idea of the article is that medical robotics plays an increasingly significant role in the process of modern rehabilitation treatment and hospital services, which become especially important during a pandemic control and liquidation of its consequences. The relevant robotization of Healthcare Service has strategic importance with high medical,social and economic potential.
The article substantiates the prospects for the consolidation of two such important areas of activity in the life of human society as medicine and art. As an example of the current model, the achievements of scientific music therapy are presented, the direction which arose in Russia on the basis of the integration of music, medicine and modern technologies. The result was the emergence of a fundamental scientific and theoretical base for music therapy, innovative methods and technologies, hardware and software systems, including robotics, as well as a functioning digital platform with educational programs at all levels. It is proposed to use this experience, which has received international recognition, as a paradigm for the synergy of medicine and art in general.
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