The application of fluctuating currents in the early postoperative period in patients after operations on mammary gland

Gerasimenko, Marina Yu.; Evstigneeva, Inna S.; Kulikov, Alexander N.; Yarustovskaya, O V; Зайцева, Т Н

doi:10.33920/med-14-2004-01

Cited by 4 publications

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“…В реабилитации пациентов с онкологическими заболеваниями широко используются различные методы физической терапии: магнитотерапия, пневмокомпрессия, электротерапия, лазеротерапия. В результате снижаются осложнения после радикального лечения [6][7][8]. При этом лишь в последние годы внимание учёных и врачей стало уделяться вопросам реабилитации пациентов онкологического профиля.…”

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Assessment of the quality of knowledge about medical rehabilitation among doctors

Evstigneeva

2021

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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BACKGROUND: every year in the world, up to 1.5 million primary cases of breast cancer are verified and more than 500 thousand women die. More than 60% of patients diagnosed with breast cancer report functional disorders both during treatment and after its completion. In recent years, the attention of scientists and doctors has been paid to the rehabilitation of cancer patients. But questions remain open concerning the awareness and qualifications of doctors working in the field of medical rehabilitation of the problem of malignant neoplasms of the breast and the organization of medical rehabilitation in medical organizations providing medical care to patients in the field of oncology. AIMS: to determine the level of knowledge among doctors of various specialties planning to work in the field of physical and rehabilitation medicine on the problem of medical rehabilitation of patients with malignant neoplasms of the mammary gland. MATERIALS AND METHODS: а survey was conducted on a questionnaire developed at the Department of Physical Therapy, Sports Medicine and Medical Rehabilitation of the Russian Ministry of Health, which included 211 doctors working in 38 medical institutions in the profile medical rehabilitation, 6 clinical specialties. RESULTS: the questionnaire survey demonstrated the relevance of the problem for the clinical activities of specialists working in the field of physical and medical rehabilitation (89.5%), however, the lack of knowledge in 72.7% of respondents creates the need to increase the level of professional competencies of specialists, namely, conducting specialized and multidisciplinary seminars and conferences, the introduction of new training programs for advanced training. CONCLUSION: The questionnaire created by us is a reliable tool for assessing the level of knowledge of medical professionals. The conducted research allows us to conclude that doctors are not sufficiently knowledgeable in the field of medical rehabilitation of cancer patients. In this regard, it is undoubtedly important to inform all doctors planning further work in the field of physical and rehabilitation medicine about modern research, methods of treatment and rehabilitation of patients with malignant neoplasms of the breast.

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Assessment of the quality of knowledge about medical rehabilitation among doctors

Evstigneeva

2021

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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Influence of physiotherapy on the electrical excitability of the shoulder muscles in the early postoperative period after radical surgical treatment of breast cancer

Evstigneeva

Gerasimenko

Есимова

2022

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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BACKGROUND: Combined treatment of cancer patients includes a large number of aggressive therapies that lead to a complex of functional disorders. There are no publications on the influence of physical factors on the electrical excitability of the muscles of the shoulder girdle and upper limb from the side of surgery in the early period after surgical treatment of breast cancer. AIM: To determine the physical factor that will most significantly affect the electrical excitability of the muscles of the shoulder girdle and upper limb on the side of the operation after radical surgical treatment of breast cancer. MATERIAL AND METODS: A randomized, placebo-controlled study was conducted in 100 patients in the early postoperative period (24 days after surgery) for breast cancer. All patients underwent medical rehabilitation: individual physiotherapy exercises, balance therapy, sessions with a medical psychologist, physiotherapy treatment with a monofactor. The main group included 34 patients who included an extended method of fluctuorization in the course of medical rehabilitation and additionally underwent fluctuorization of the muscles of the forearm, group 2 (comparisons, n=33) the extended method of local magnetotherapy was included in the rehabilitation program and group 3 (comparisons, n=33) in addition to rehabilitation, general magnetic therapy procedures were performed. Patients underwent a study of the excitability of the neuromuscular system on the apparatus of stimulation and electrotherapy ASEtM-01/6 "Elesculap Med TeKo". RESULTS: It was found that fluctuating currents turned out to be more effective in the early stages, which pathogenetically contribute to the restoration of conduction along the peripheral nerves and the activation and contractility of the muscle fiber. A delayed effect of local and general magnetic therapy on improving the contractility of the muscles of the upper limb and the conductivity of the peripheral nerve fiber was noted. CONCLUSION: The inclusion of monophysical factors in the course of standard medical treatment, a course of physical therapy, exercises on a stabiloplatform and individual psychotherapy in the early stages (on days 24) after surgery contributed to the improvement in the functioning of the upper limb and the restoration of the electrical excitability of the muscles and nerves of the operated limb.

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The influence of magnetic fields and fluctuating currents in the complex of medical rehabilitation on the state of peripheral blood flow in the early postoperative period of breast cancer

Evstigneeva

2024

Physiotherapist

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Abstract. Taking into account the high prevalence of complications after radical surgical treatment of breast cancer, medical rehabilitation courses were developed and conducted in the early postoperative period (2–4 days after surgery) with the inclusion of physical factors: fluctuating currents, extended local magnetic therapy, general magnetic therapy, as well as physical therapy, training with biofeedback on the support reaction (balance therapy) and individual sessions with a medical psychologist. Purpose. In a comparative aspect, study the indicators of peripheral microcirculation to assess the effectiveness of various methods of magnetic therapy and fluctuarization in patients operated on for breast cancer in the early postoperative period. Material and methods. The study included 107 women operated on for breast cancer 2–4 days after surgery. Using simple randomization, the patients were divided into 3 groups, comparable in age, clinical and functional indicators; at all stages of the study, the patients underwent clinical, functional and laboratory examinations, and questionnaires. In the 1st group (n=35), in the early postoperative period, in the complex of medical rehabilitation, 10 fluctuarization procedures were carried out using an expanded technique; in the 2nd group (n=35), patients received 10 procedures of expanded magnetic therapy; in the 3rd group (n =37) patients received 10 procedures of general magnetic therapy. In addition to physiotherapy, all patients received a complex of physical therapy, balance therapy and classes with a medical psychologist. Results. In the early stages, fluctuating currents seemed more effective, which, due to chaotic changes in the frequency and amplitude of current pulses, help restore conduction along peripheral nerves and activate muscle fiber contractility, improving hemodynamics. It should be noted the effect of extended and general magnetic therapy on improving the contractility of the muscles of the upper limb and the conductivity of peripheral nerve fibers, as well as on the restoration of capillary blood flow. Early signs of the regeneration process are a restructuring of microvascular regulation, namely an increase in the contribution of nutritional blood flow, the activity of myogenic and neurogenic oscillations in hemodynamics, and an increase in blood flow activity.

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The application of fluctuating currents in the early postoperative period in patients after operations on mammary gland

Cited by 4 publications

References 1 publication

Assessment of the quality of knowledge about medical rehabilitation among doctors

Assessment of the quality of knowledge about medical rehabilitation among doctors

Influence of physiotherapy on the electrical excitability of the shoulder muscles in the early postoperative period after radical surgical treatment of breast cancer

The influence of magnetic fields and fluctuating currents in the complex of medical rehabilitation on the state of peripheral blood flow in the early postoperative period of breast cancer

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