The article covers individual coaching program specified by specialists in Sports Medicine and Rehabilitation Center in Bournazian FMBC of the FMBA of Russia, to improve functional durability of highly qualified athletes.
The article presents the current data on the importance of applying a multimodal approach including hardware techniques with biofeedback in restoring fine motor skills of the hand in patients after ischemic stroke in the early recovery period. The results of the combined use of peripheral magnetic stimulation (Magstim Rapid) with active training on the Hand Tutor device with biofeedback are described on the example of a clinical case. The efficiency of the complex approach was evaluated according to basic scales of neurological deficit: the National Institutes of Health Stroke Scale (NIHSS), the modified Rankin Scale, the Barthel Index for Activities of Daily Living, the Rivermead Activities of Daily Living Scale, the Montreal Cognitive Assessment Scale (MoCA). We also performed a quantitative assessment of motor deficits in the affected limb before and after application of the technique, using the MediTutor software. Based on the results of the study, a decrease in both neurological and motor deficits in the affected limb was revealed; however, further study of the effectiveness of the method with the selection of parameters and duration of therapy is necessary.
Aim. To evaluate the effectiveness of the integrated application of pulsating low-frequency alternating electric and intense focused electromagnetic fields, as well as isolated exposure to intense focused electromagnetic fields in order to improve the quality of life of women with stress urinary incontinence. Design. Prospective randomized study. Key points. The study involved 105 menopausal and postmenopausal women aged 46-62 years (average age — 55.1 ± 4.4 years) with mild to moderate stress urinary incontinence, the duration of the disease was 5.8 ± 2.5 years. The patients were divided into three groups with comparable clinical and functional characteristics: the main group (n = 35) received complex treatment, including high-intensity focused electromagnetic (VIFEM) therapy and electrostatic massage using a pulsating low-frequency alternating electric field, the comparison group (n = 35) underwent VIFEM therapy, the control group (n = 35) included women who were prescribed conservative treatment, including a bladder training program and behavioral therapy. The psychoemotional state and overall quality of life of the patients before and after treatment were assessed based on data obtained using a short form of the Incontinence Impact Questionnaire (IIQ-7) and the QOL (Quality of Life) scale. Results. After the therapy, there was an improvement in QOL scores in the main group by 65.7% (p < 0.01), in the comparison group by 40% (p < 0.05) and in the control group by 8-18% (p > 0.05), as well as a decrease in the IIQ-7 questionnaire, especially in the main group — an average of 3.23 times, which was confirmed by a significant decrease in the sum of points: from the initial 13.6 ± 0.2 to 4.2 ± 0.02 after treatment (p < 0.001). Conclusion. The combined use of pulsating low-frequency alternating electric and high-intensity focused electromagnetic fields in the treatment of stress urinary incontinence in women, compared with single exposure, provides a significant improvement in both the physical and emotional state of patients and significantly improves their quality of life, which allows it to be recommended for use in a wide clinical practice. Key words: stress urinary incontinence in women, the condition of the pelvic floor muscles, electrical stimulation of the pelvic floor muscles, pulsating low-frequency alternating electric field, intense focused electromagnetic field, improvement of quality of life.
Obesity, being a global epidemic of the 21st century, increases the likelihood of various diseases and conditions that are associated with increased mortality. Given the risks associated with obesity throughout life, identifying early predictors of its development is a priority task of prevention. Assessment of the prognostic significance of laboratory parameters, functional tests and instrumental examination data for the early diagnosis of obesity and associated metabolic disorders. The studies were conducted at the Scientific and Clinical Center 1 of the B.V. Petrovsky Russian Scientific Center of Surgery with the participation of 77 patients (43 men and 34 women) aged 33 to 65 years. After signing voluntary informed consent for a special study with the processing of their personal data, all patients underwent a comprehensive clinical, laboratory and functional examination. The study design provided for a three-time examination of patients with an interval of 6 and 12 months. To search for predictors of early diagnosis of obesity and metabolic disorders, we used an algorithm for constructing a mathematical model of multiple regression. The dynamics of the body mass index and the insulin resistance index served as the resulting feature. To build a mathematical predictive model, a matrix of independent variables was formed, including parameters characterizing the biochemical status of patients, the severity of systemic inflammation, body composition, as well as arterial stiffness and vascular condition based on the results of ultrasound duplex scanning of the brachiocephalic arteries. The choice of the most informative set of independent variables that act as predictors provides for achieving the maximum additive effect in explaining the variance of the resulting feature. The construction of the actual mathematical multiple regression model was based on the results of the selection of independent factors carried out using the method of sequential hypothesis testing. As a result of applying the algorithm of sequential hypothesis testing, three independent variables (predictors) were identified to predict the degree of BMI increase and four variables to predict the development of metabolic disorders. The accuracy of the developed model, verified at the final stage of the study, showed its high information content. Two clusters of predictors were identified: the cluster of predictors for the risk of obesity development includes the systemic inflammatory response index, the triglyceride-glucose index and the blood leptin level. The cluster of biomarkers of metabolic disorders consists of the atherogenicity coefficient, the blood malondialdehyde level, the systemic inflammation index and the body roundness index.
To identify hyperoxic inhalations on the functional state of the cardiorespiratory system of athletes of different sports, who have previously had COVID-19, when training in the middle altitude.
The article presents the treatment data of 80 patients who had an ischemic stroke with movement disorders in the form of hemiparesis with increased muscle tone in the lower limb due to spasticity. The patients were divided into 2 groups comparable in terms of clinical and functional characteristics: group 1 included patients who, in addition to standard treatment, had gait adaptability training with video reconstruction on the C–Mill biofeedback system (BFB), and group 2 consisted of 40 people who underwent a course of standard drug therapy and medical rehabilitation (exercise therapy and medical massage). The characteristics of the main static and locomotor parameters were assessed according to the C–Mill data and the Tinetti assessment tool, and the range of motion in the lower extremities was assessed according to goniometry data at all control points (before and after treatment, 3 and 6 months after treatment). The obtained data indicate the benefit of including gait adaptability training in the standard complex of medical rehabilitation of patients who have undergone acute cerebrovascular accident with motor disorders in the form of hemiparesis with post-stroke spasticity of the lower extremity. This was confirmed by the normalization of the parameters of the gait adaptability, namely, a decrease in the duration of free gait (step cycle) by an average of 32 %, an increase in the frequency of a free gait step by an average of 30 % and in the length of a free gait step by 16 % immediately after treatment, with the results maintained at all control points.