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Artigo em Russo | MEDLINE | ID: mdl-38372732


OBJECTIVE: To substantiate the use of photochromotherapy (narrow-band optical radiation with an average wavelength of 650 nm) in the complex treatment of children with developmental speech delay on the type of general speech underdevelopment (GSU) of I and II degree. MATERIAL AND METHODS: A number of children equal 70 aged from 4 to 6 years with developmental speech delay were examined. All patients were randomized into 2 clinically comparable groups: the 1st (study) group included 35 patients who received medical treatment in accordance with clinical recommendations in combination with the use of narrow-band optical radiation with an average wavelength of 650nm for 10 days; the 2nd (comparison) group consisted of 35 subjects who received standard drug therapy according to the established clinical recommendations. All patients underwent a comprehensive clinical examination and a special neurological investigation, including electroencephalography and electromyography, as well as an assessment of the development of speech functions and dynamic coordination of gesture, the level of social and communication skills development and neuropsychological processes. RESULTS: The following data were obtained during the complex treatment with the inclusion of narrow-band optical radiation with an average wavelength of 650 nm (red radiation): statistically significant improvement of speech development (p<0.05); improvement of values of social adaptation skills of medium (71%) (Z=2.769; p=006) and low level (29%) (Z=2.691; p=0.007); significant positive dynamics of speech status (Z=3.911; p=0.000); spontaneous activity relief at rest, indicating normalization of muscle tone. CONCLUSION: The inclusion of photochromotherapy in standard therapeutic regimens for children with developmental speech delay on the GSU type of I, II degrees contributes to a significantly confirmed pronounced clinical improvement and can be recommended for practical health care.

Transtornos do Desenvolvimento da Linguagem , Fala , Criança , Humanos
Artigo em Russo | MEDLINE | ID: mdl-37735791


The article presents an analysis of the application of physical therapy methods during the Great Patriotic War in the Soviet Union. It was observed that physical therapy, combined with surgical and other methods, significantly improves the efficacy of patients' treatment, including with battle injuries, as well as with injuries of other etiology, such as frostbite, and also contributes to reducing the incidence of disabilities among the injured. The features of the physical therapy methods' organization sequently from 1941 to 1945, and also the results of active development of physical medicine, have been characterized. The features of physical therapy methods' application both on different bases of healthcare delivery (hospital bases, in the rear) and with regard to various types of pathology have been shown. The importance of involving physical therapy methods in curative measures from the early stages of treatment has been noted.

Modalidades de Fisioterapia , Medicina Física e Reabilitação , Humanos
Front Neurol ; 14: 1230770, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37564736


Duchenne muscular dystrophy (DMD) is one of the most common forms of hereditary muscular dystrophies in childhood and is characterized by steady progression and early disability. It is known that physical therapy can slow down the rate of progression of the disease. According to global recommendations, pool exercises, along with stretching, are preferable for children with DMD, as these types of activities have a balanced effect on skeletal muscles and allow simultaneous breathing exercises. The present study aimed to evaluate the effectiveness of regular pool exercises in patients with Duchenne muscular dystrophy who are capable of independent movement during 4 months of training. 28 patients with genetically confirmed Duchenne muscular dystrophy, who were aged 6.9 ± 0.2 years, were examined. A 6-min distance walking test and timed tests, namely, rising from the floor, 10-meter running, and stair climbing and descending, muscle strength of the upper and lower extremities were assessed on the baseline and during dynamic observation at 2 and 4 months. Hydrorehabilitation course lasted 4 months and was divided into two stages: preparatory and training (depend on individual functional heart reserve (IFHR)). Set of exercises included pool dynamic aerobic exercises. Quantitative muscle MRI of the pelvic girdle and thigh was performed six times: before training (further BT) and after training (further AT) during all course. According to the results of the study, a statistically significant improvement was identified in a 6-min walking test, with 462.7 ± 6.2 m on the baseline and 492.0 ± 6.4 m after 4 months (p < 0.001). The results from the timed functional tests were as follows: rising from the floor test, 4.5 ± 0.3 s on the baseline and 3.8 ± 0.2 s after 4 months (p < 0.001); 10 meter distance running test, 4.9 ± 0.1 s on the baseline and 4.3 ± 0.1 s after 4 months (p < 0.001); 4-stair climbing test, 3.7 ± 0.2 s on the baseline and 3.2 ± 0.2 s after 4 months (p < 0.001); and 4-stair descent test, 3.9 ± 0.1 s on the baseline and 3.2 ± 0.1 s after 4 months (p < 0.001). Skeletal muscle quantitative MRI was performed in the pelvis and the thighs in order to assess the impact of the procedures on the muscle structure. Muscle water T2, a biomarker of disease activity, did not show any change during the training period, suggesting the absence of deleterious effects and negative impact on disease activity. Thus, a set of dynamic aerobic exercises in water can be regarded as effective and safe for patients with DMD.

Artigo em Russo | MEDLINE | ID: mdl-37427816


Becker muscular dystrophy (BMD) is inherited X-linked neuromuscular disease characterized by progressive fatigue, atrophy, hypotonia and muscle weakness, that is predominantly located in muscles of pelvic girdle, femurs and lower leg. There are only singular studies at present showing the efficacy of different training programs for patients with muscular dystrophy, and there are no recommendations allowing to detect the optimal motor regimen, that is effective and safe for such patients. OBJECTIVE: To evaluate the efficacy of regular dynamic aerobic exercises in children with BMD, who are able to self-sustained movement. MATERIAL AND METHODS: The number of patients equal 13 with genetically confirmed BMD at the age from 8.9 to 15.9 years were examined. All patients took the course of exercise therapy for 4 months. The course was divided into 2 stages: the preparative (51-60% of the individual functional reserve of the heart (IFRH) with 6-8 repetitions of every exercise) and the training (61-70% of the IFRH with 10-12 repetitions of every exercise). The training duration was 60 min. The motor capabilities of patients were assessed by the 6-minute walk test, timed up & go test, MFM scale (sections D1, D2, D3) at the initial stage and during dynamic observation after 2 and 4 months. RESULTS: Statistically significant positive dynamics of indicators was revealed. The average distance in the 6-minute walk test at the initial stage was 526.9±12.7 m, after 4 months was 545.2±13.0 m (p<0.05). The average uplift time at the initial stage was 3.9±0.2 s, after 2 months was 3.5±0.2 s (p<0.05). The average running time for the distance of 10 m initially was 4.3±0.1 s, after 2 months was 3.8±0.1 s (p<0.05), after 4 months was 3.8±0.1 s (p<0.05). There was some positive dynamics in the evaluation of uplift and movement capabilities (D1) by the MFM scale: initially the indicator was 87.7±1.5%, after 2 months - 93.4±1.4% (p<0.001), after 4 months - 94.5±1.3% (p<0.001). Clinically significant adverse effects were not registered during the training courses. CONCLUSION: Aerobic trainings without weight combined with exercises on a cycle machine for 4 months allow to improve movement capabilities and are not characterized by clinically significant adverse effects in children with BMD.

Distrofia Muscular de Duchenne , Criança , Humanos , Adolescente , Distrofia Muscular de Duchenne/terapia , Exercício Físico , Terapia por Exercício , Caminhada , Extremidade Inferior
Artigo em Russo | MEDLINE | ID: mdl-35700378


An urgent aspect of scientific research in atopic dermatitis is the development of new complex methods of pathogenetic and symptomatic therapy and alternative treatment options that can effectively relieve exacerbations of the disease and prolong remission between them. As a therapeutic physical factor, magnetotherapy has long been successfully used in medical practice. Promising medical technologies include transcranial application of a traveling variable magnetic field, local low-frequency magnetotherapy, and magnetophoresis. The main tasks of rehabilitation and treatment are aimed at normalizing the state of all organs, the central and autonomic nervous system of the patient, reducing hypersensitivity and itching of atopic skin, as well as normalizing sleep and relieving psycho-emotional stress.

Dermatite Atópica , Magnetoterapia , Adolescente , Criança , Dermatite Atópica/patologia , Humanos , Campos Magnéticos
Artigo em Russo | MEDLINE | ID: mdl-28374729


This paper is devoted to the characteristic of the informative value of the functional step test with the application of the heel cushions in the children for the purpose of differential diagnostics of anatomic and functional differences in the length of the lower extremities. A total of 85 schoolchildren with different length of the lower extremities have been examined. The comparative evaluation of the results of clinical and instrumental examinations was undertaken. The data obtained with the help of the functional step test give evidence of its very high sensitivity, specificity, and clinical significant as a tool for the examination of the children with different length of the low extremities. It is concluded that the test is one of the most informative predictors of the effectiveness of rehabilitation in the children with different length of the lower extremities.

Teste de Esforço/métodos , Desigualdade de Membros Inferiores/diagnóstico , Tíbia , Adolescente , Interpretação Estatística de Dados , Diagnóstico Diferencial , Feminino , Humanos , Desigualdade de Membros Inferiores/diagnóstico por imagem , Desigualdade de Membros Inferiores/etiologia , Masculino , Radiografia , Sensibilidade e Especificidade , Tíbia/anatomia & histologia , Tíbia/fisiologia