Open Access Open Access  Restricted Access Access granted  Restricted Access Subscription or Fee Access

Vol 21, No 3 (2022)

Cover Page

Full Issue

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Original studies

Current trends in the treatment of hypertrophic scars

Nogerov A.R., Kruglova L.S., Gryazeva N.V.

Abstract

BACKGROUND: The therapeutic arsenal for the treatment of hypertrophic scars and keloids has expanded significantly in recent years. Traditional methods of treatment, such as intraocular injection of corticosteroids, pressure therapy and cryotherapy, are increasingly supplemented with new methods. The level of evidence for treatment approaches has increased due to the development of systematic reviews and national and international recommendations.

AIM: To study the effectiveness of pneumokinetic micro-jet "needle-free" delivery of corticosteroid drug and fluorouracil in hypertrophic scars.

MATERIAL AND METHODS: We observed 23 patients (with hypertrophic scars. The average age was 31.3±4.3 years. The duration of the existence of hypertrophic scars in the average group was 7.8±2.3 months. Previously, patients did not receive therapy for the correction of scars. All patients were treated with intra-cicatricial administration of durant corticosteroid and fluorouracil. The technology of pneumokinetic micro-jet "needle-free" was used.

RESULTS: A high effect was achieved in all patients. Thus, the total Dermatological symptom scale index decreased with localization of the process on the face by 79.1% (p <0.01), with localization on the neck by 81.2% (p <0.01), with localization on the abdomen by 73.4% (p <0.01).

CONCLUSION: The technology of pneumokinetic micro-jet "needle-free" delivery of corticosteroid drug and fluorouracil subdermally can be considered as the method of choice in this category of patients.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):163-170
pages 163-170 views

Interstitial electrical nerve stimulation in combination with perineural injections of corticosteroids in the treatment of paresthetic meralgia

Al-Zamil M.K., Kulikova N.G., Vasilieva E.S.

Abstract

BACKGROUND: Paresthetic meralgia is a neuropathy caused by compression, pinching or stretching of the lateral femoral cutaneous nerve between the inguinal ligament and the anterior superior iliac spine.

AIM: to study the effectiveness of interstitial electrical nerve stimulation in combination with perineural corticosteroid injections in the treatment of paresthetic meralgia.

MATERIALS AND METHODS: We observed 30 patients with bilateral paresthetic meralgia. All patients suffered from numbness, tingling, and pain in the lateral thighs. Our study included only patients with bilateral lesions and severe pain. Patients were divided into 3 groups. The first group ― 10 patients underwent drug therapy (control group). The 2nd group included 10 patients who, in addition to drug therapy, underwent a course of perineural corticosteroid injections. The third group included 10 patients who, in addition to drug therapy, underwent a course perineural corticosteroid injections and interstitial electrical nerve stimulation.

RESULTS: The obtained results prove the high efficacy of perineural corticosteroid injections in the treatment of paresthetic meralgia in comparison with the exclusive use of medical therapy. At the same time, the analgesic effect increased by 2.17 times, the regression of positive sensory symptoms increased by 1.2 times, sensitivity improved by 2 times and the quality of life of patients in the physical and mental spheres significantly improved. The use of interstitial electrical nerve stimulation after perineural corticosteroid injections exceeded the effectiveness of perineural corticosteroid injections in reducing pain by 98%, regressing positive sensory symptoms by 63%, reducing the zone of hypesthesia by 2 times and improving the quality of life in the physical and mental components of SF-36 by an average of 2 times.

CONCLUSIONS: It is recommended to perform perineural corticosteroid injections in the treatment of patients with paresthetic meralgia, followed by the use of interstitial electrical nerve stimulation.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):171-182
pages 171-182 views

Some features of the effect of different methods of medical rehabilitation on the intensity of pain syndrome in patients after an ischemic stroke in the late recovery period

Mikhailova A.A., Korchazhkina N.B., Koneva E.S., Kotenko K.V.

Abstract

BACKGROUND: All over the world, scientific research is being actively conducted aimed at the prevention, treatment and rehabilitation of patients with cerebrovascular pathology, but acute cerebrovascular accidents still remain an acute medical and social problem in the world. Post-stroke complications include pain in the upper limb, which affects the performance of simple movements, reduces the level of daily life activity and, as a result, the quality of life of patients.

AIM: to evaluate the effectiveness of the influence of various complexes of medical rehabilitation on the intensity of the pain syndrome in dynamics and quality of life in patients with acute cerebrovascular accident in the late recovery period of medical rehabilitation.

MATERIALS AND METHODS: The paper presents data on the effectiveness of the influence of various methods of medical rehabilitation in the late recovery period in 120 patients with ischemic stroke in the late recovery period on pain intensity (according to the digital pain rating scale, NRS, and the Verbal Descriptive Pain Assessment Scale), activity of daily life (according to according to the Barthel index) and quality of life (according to the EQ-5D questionnaire). All patients were divided into 3 groups comparable in terms of clinical and functional characteristics: according to the clinical and functional characteristics of the group: group 1 ― 40 patients who received standard drug therapy and medical rehabilitation (exercise therapy, medical massage, mechanotherapy), group 2 (40 patients) who, in addition to the standard treatment complex, were prescribed massage with a pulsed low-frequency electrostatic field from the Khivamat apparatus and broadband modulation currents, group 3 (40 patients), who, against the background of standard therapy and medical rehabilitation, were included in physiotherapy methods from the Alpha apparatus LED Oxy Light-Spa.

RESULTS: The data obtained indicate the advantage of including in the standard complex of medical rehabilitation and treatment of patients who have had ischemic stroke with movement disorders in the form of hemiparesis of a pulsed low-frequency electrostatic field and broadband modulation currents. This was confirmed by the improvement in the index of activity of daily life.

CONCLUSIONS: In the course of the work, it was proved that the inclusion of a pulsed low-frequency electrostatic field and broadband modulation currents in a standard medical rehabilitation complex contributes to a significant reduction in pain syndrome, and also positively affects the assessment of the quality of life of patients after a course of treatment.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):183-189
pages 183-189 views

Selenium modified mineral waters in restorative treatment of patients with irritable bowel syndrome

Uzdenov M.B.

Abstract

BACKGROUND: Currently, leading gastroenterologists note the insufficient effectiveness of standard pharmacotherapy for irritable bowel syndrome, which is the basis for the search for new non-drug technologies.

AIM: is to evaluate the efficacy of drinking mineral water modified with selenium in the treatment of patients with irritable bowel syndrome.

MATERIAL AND METHODS: There have been carried out some observations of 79 patients suffering from irritable bowel syndrome patients at the age of 18 to 65 years old. By simple sampling 2 groups were formed: the patients of the control group (n=38) had pharmacotherapy in accordance with clinical recommendations; the patients of the main group (n=41) were additionally prescribed low-mineralized mineral water "Psyzh". We used a visual analogue scale, total days estimate with symptoms of the disease and medical cases during the year before and after the course of treatment to control the efficacy.

RESULTS: The positive dynamics of the measures studied immediately after the treatment was higher in the main group by 9–10%. At the same time, the number of total days with the symptoms of the disease and requests for medical care within a year after the course of the treatment was significantly smaller (p <0.05) in this observation group due to the use of selenium-modified mineral water "Psyzh" in the treatment program, its regulatory effect on the secretory-motor function of the gastrointestinal tract, a sufficient antioxidant effect, as well as an increase in the pharma potential of the used medicine.

CONCLUSION: The inclusion of potable mineral waters modified with selenium in the treatment programs of the patients with irritable bowel syndrome contributes to improving the effectiveness of therapeutic measures.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):191-196
pages 191-196 views

Review

Functional recovery of patients after shoulder joint replacement

Makarova M.R., Somov D.A., Maiorov E.A.

Abstract

Currently, shoulder arthroplasty is being actively introduced into surgical practice, indications for operations are expanding, and the number of patients operated with severe injuries and diseases of the proximal humerus and shoulder joint is growing. The decrease in the effectiveness of restoring the painless functioning of shoulder, household independence and quality of life of patients after surgery may be due not only to the severity of damage to the shoulder’s joint structures of the before surgery, shortcomings in surgical techniques and the development of postoperative complications, but, possibly, the imperfection of medical rehabilitation programs for these patients.

To date, the content of the rehabilitation protocol for the early postoperative period has not been sufficiently substantiated, the need for strict immobilization of the operated joint, as well as the long-term benefits and effectiveness of early rehabilitation remains unclear.

The article attempts to summarize the available data on the physical rehabilitation of patients after shoulder joint replacement with various types of endoprostheses in the early and late postoperative periods.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):197-205
pages 197-205 views

Sports with epilepsy: is possible or not. Literature review

Al-Zamil M.K., Kulikova N.G., Vasileva E.S.

Abstract

Epilepsy affects people of all ages and is a common disease. This neurological syndrome is determined by two or more spontaneous, unprovoked seizures that occur at least a day apart. The urgency of the problem lies in the serious adverse effects of epilepsy on the social and psychological well-being of patients.

This literature review discusses the main positions of modern epileptology in relation to sports for patients with epilepsy. The most recent clinical and experimental studies proving the safety of sports for patients with epilepsy and the positive effect of sports on reducing the number of epileptic seizures and improving the quality of life are listed. The antieleptic mechanisms of sports were demonstrated as hippocampal activation, stress realization, antiepileptic properties of acidosis, increased concentration of adenosine in brain tissues, release of β-endorphins and inhibition of the kindling effect. Also in this obor are sports that cannot be practiced with epilepsy.

The opinion of epileptologists in Russia about sports in epilepsy does not differ from the opinion of most epileptologists of the modern world, and therefore patients are allowed to visit gyms and swimming pools in the presence of an instructor.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):207-215
pages 207-215 views

The application of physical factors in the medical rehabilitation of children with osteochondropathy of the spine. Literature review

Khan M.A., Talkovsky E.M., Vybornov D.Y., Tarasov N.I., Koroteev V.V., Gusakova E.V.

Abstract

One of the most urgent and socially significant problems of modern medicine is the widespread occurrence of orthopedic pathology, among which the leading place is occupied by diseases of the spine, accompanied by a steady increase in pain vertebrogenic syndromes that affect the functioning of the child's body as a whole. The prevalence of this nosological form in children, according to various population studies, ranges from 0.42 to 37%. Scheuermann–Mau disease (Scheuermanns kyphosis) is the most common osteochondropathy in children and adolescents and ranges from 0.4–8.3% of the pediatric population.

To date, the etiology of osteochondropathy of the spine is still unclear.

Medical rehabilitation of children with osteochondropathy of the spine is aimed at preventing further progression of deformity, normalizing posture, the functions of the cardio-respiratory system and includes: rational motor mode and nutrition, conservative orthopedic measures (corsetting), kinesiotherapy, hydrocolonotherapy, massage, positional treatment, restorative and hardening procedures, physiotherapy (electrical muscle stimulation), sports (skiing, swimming).

An important place in the review is given to the description of the stages of medical rehabilitation of children and adolescents with dorsalgia on the background of spinal osteochondropathy who underwent surgical treatment.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):217-225
pages 217-225 views

Мedical rehabilitation of children with spinal dysrafism

Novikova E.V., Petrova M.S., Nikolaev S.N., Prikuls V.F.

Abstract

The development of a system of staged medical care for the medical rehabilitation of children with spinal dysraphism is an important and urgent task of pediatrics.

Spinal dysraphism is accompanied by flaccid paresis or paralysis of the lower extremities, as well as a violation of the function of the pelvic organs. In most cases, various deformations of the feet are observed, congenital dislocations of the hip are often found.

Medical rehabilitation begins immediately after surgical treatment in intensive care units and specialized departments. At the first stage, one of the important tasks is the correction of pelvic disorders. For this purpose, electrical stimulation, drug electrophoresis, magnetotherapy are used depending on the type of neurogenic bladder dysfunction. Currently, the effectiveness of high-intensity pulsed magnetotherapy in children with areflex bladder has been proven. The second stage of medical rehabilitation should be carried out if available in rehabilitation departments, medical rehabilitation centers and aimed at correcting motor impairment. Along with instrumental physiotherapy, modern technologies of physiotherapy exercises are actively introduced, aimed at strengthening the muscles of the lower extremities, preventing muscle atrophy.

The third stage of medical rehabilitation is the longest, carried out on an outpatient basis and includes various health technologies, such as aeroionotherapy, halotherapy, balneotherapy, and mud therapy.

Timely implementation of rehabilitation measures with the inclusion of physical factors in the early postoperative period and the consistent expansion of physiotherapy and kinesitherapy technologies at all stages of medical rehabilitation significantly increases the effectiveness of rehabilitation of patients with spinal cord injuries and improves their quality of life.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2022;21(3):227-232
pages 227-232 views


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies