Analysis of Individual Ways of Compliance Improvement in Obese Patients as an Aspect of Determining Rehabilitation Goals

Аравіцька, М. Г.

doi:10.26693/jmbs04.06.362

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Методи фізичної терапії довели свою протизапальну, знеболювальну, трофікостимулюючу дію на перед-та післяопераційних етапах відновлення пацієнтів після ендопротезування суглобів кінцівок; численні рекомендації та протоколи докладно регламентують реабілітаційні втручання у перші дні-тижні-місяці після ТЕП [4]. Проте навіть ті пацієнти, які виконували регламентовану активну рухову програму упродовж першого року після операції, надалі мало відвідують реабілітаційні заклади внаслідок низької терапевтичної комплаєнтності, що є частою для осіб з довготривалою потребою у відновних втручаннях у поєднанні з відсутністю больових відчуттів [2,11]. Засоби рухового відновлення, зокрема -фізичної терапіїмають прямий корегуючий вплив на етіопатогенез саркопенії [11,12,13].…”

Section: ефективність корекції ознак саркопенії у осіб похилого віку ...unclassified

“…Проте навіть ті пацієнти, які виконували регламентовану активну рухову програму упродовж першого року після операції, надалі мало відвідують реабілітаційні заклади внаслідок низької терапевтичної комплаєнтності, що є частою для осіб з довготривалою потребою у відновних втручаннях у поєднанні з відсутністю больових відчуттів [2,11]. Засоби рухового відновлення, зокрема -фізичної терапіїмають прямий корегуючий вплив на етіопатогенез саркопенії [11,12,13].…”

Section: ефективність корекції ознак саркопенії у осіб похилого віку ...unclassified

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Effectiveness of Correction of Sarcopenia Signs in Elderly People with Knee Arthroplasty

Petruniv¹,

Lapkovskyi²

2023

Ukr. ž. med. bìol. sportu

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The purpose of the study was to evaluate the effectiveness of the developed physical therapy program on the parameters of sarcopenia in elderly people with total knee arthroplasty in the remote period after surgery. Materials and methods. During the research, 80 elderly people were examined. The control group consisted of 13 men and 15 women who did not undergo total endoprosthetic surgery of the joints of the lower limbs, without signs of sarcopenia. The comparison group consisted of 11 men and 16 women with total knee arthroplasty and diagnosed sarcopenia with low therapeutic (rehabilitation) compliance with the active rehabilitation intervention recommended based on the results of the initial examination. The main group consisted of 9 men, 16 women with total knee arthroplasty and diagnosed sarcopenia with a high level of therapeutic (rehabilitation) alliance regarding the active rehabilitation intervention recommended by the results of the initial examination. For them, a 6-month long physical therapy program was developed and implemented, which included the following elements: therapeutic exercises, functional training, massage of the lower limbs and lower back, kinesiological taping of the operated limbs; dietary recommendations; patient education. The effectiveness of the program was evaluated by the dynamics of the grip strength indicators, the Edmonton Frail Scale, and the SarQoL questionnaire. Results and discussion. In elderly patients with knee arthroplasty and sarcopenia, low strength (according to the value of grip strength), subjective physical weakness, difficulties in performing activities of daily living (according to the Edmonton Frail Scale questionnaire), were revealed, which led to a deterioration in the quality of life (according to the SarQoL questionnaire). The developed physical therapy program revealed a statistically significantly better effect on strength indicators, the state of physical weakness and quality of life parameters in comparison with the initial indicators for all studied parameters (р <0.05). Low rehabilitation compliance in elderly patients with knee arthroplasty and sarcopenia, despite being aware of the risks of this polymorbidity, was associated with a lack of improvement over a similar follow-up period. Conclusion. Elderly patients with the consequences of total knee arthroplasty and sarcopenia require the development of physical therapy programs taking into account and correcting the specifics of each condition, the presence of physical status disorders and impaired performance of activities of daily life, which increases the quality of life of this contingent of patients

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Section: ефективність корекції ознак саркопенії у осіб похилого віку ...unclassified

Effectiveness of Correction of Sarcopenia Signs in Elderly People with Knee Arthroplasty

Petruniv¹,

Lapkovskyi²

2023

Ukr. ž. med. bìol. sportu

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The Role of Non-Drug Rehabilitation in the Correction of Signs of Depression in Obese Patients

Аравіцька¹

2020

Ukr. ž. med. bìol. sportu

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Determination of the State of Basic Activities of Daily Life in Patients with Morbid Obesity as an Aspect of the Efficiency of the Physical Therapy Program

Аравіцька¹

2022

Ukr. ž. med. bìol. sportu

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The main reasons for the restriction of activities of daily life in individuals with morbid obesity are limited mobility due to deterioration in flexibility and strength, deterioration in balance, and concomitant pathology of the musculoskeletal system. The data available in the current literature predominantly highlight disorders of activities of daily life in obese elderly people. At the same time, there are almost no studies highlighting the limitations of activities of daily life in morbid obesity, as well as the gender characteristics of these limitations. The purpose of the study was to determine the nature of daily life activity disturbances in men and women with morbid obesity and the effectiveness of their correction by means of physical therapy against the background of different levels of therapeutic alliance. Materials and methods. 74 adults of the second adult age (39.6 ± 1.4 years) were examined with a morbid obesity established by body mass index (more than 40) (43 women and 21 men). According to the results of determining the therapeutic alliance, they were divided into two groups. The comparison group consisted of individuals with a low level of therapeutic alliance who refused to actively participate in the program of weight loss. The main group consisted of patients with a high level of therapeutic alliance, they underwent a correction program using dietary and lifestyle modifications, therapeutic exercises, massage, acupuncture, psychocorrection lasting one year. The main principle of the program was an individual approach taking into account the physical capabilities, comorbidities, psycho-emotional state of the patient with constant monitoring of body functions against the background of maintaining a high level of therapeutic alliance. The performance of daily life activities was characterized by the dynamics of the Barthel index parameters. Results and discussion. In patients with morbid obesity, a deterioration in the performance of daily life activities (according to the Barthel index) was revealed. The use of kinesitherapy against the background of a decrease in body weight as a part of a physical therapy program allowed the patients to restore their independence when performing activities of daily life (according to the Barthel index). The low level of therapeutic alliance led to poor implementation or non-implementation of the recommendations provided (aimed at reducing body weight, increasing physical activity), which was associated with a lack of improvement in the performance of daily life activities. Conclusion. As a result of one-year implementation of the developed program of physical therapy, a statistically significant (p<0.05) improvement in the studied indicators of daily life activities in patients with morbid obesity and restoration of functional independence in this indicator was determined compared to the initial result

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Analysis of Individual Ways of Compliance Improvement in Obese Patients as an Aspect of Determining Rehabilitation Goals

Cited by 4 publications

References 7 publications

Effectiveness of Correction of Sarcopenia Signs in Elderly People with Knee Arthroplasty

Effectiveness of Correction of Sarcopenia Signs in Elderly People with Knee Arthroplasty

The Role of Non-Drug Rehabilitation in the Correction of Signs of Depression in Obese Patients

Determination of the State of Basic Activities of Daily Life in Patients with Morbid Obesity as an Aspect of the Efficiency of the Physical Therapy Program

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