Purpose: to investigate and determine anthropometric indicators (length and body weight, abdominal circumference, skin fold thickness, calculate body mass index and percentage of adipose tissue) of examined patients with metabolic syndrome, evaluate the effectiveness of our comprehensive physical therapy program based on the study of the dynamics of anthropometric indicators women with metabolic syndrome during the rehabilitation process. Material and methods: 28 women with metabolic syndrome were examined, the main group (MG) (n = 14) and the control group (CG) (n = 14), the average age was in MG-31.49 .71 years, in the CG -31.06 .57 years. Women of the main group studied according to the author's program of physical therapy, women of the control group -according to the program, used for metabolic syndrome according to the methods of S.M. Popova (2005, 2008), N.A. Beloy (2001). Results: allowed us to analyse the dynamics before the indicators were fully scrutinized by the programs of physical therapy and to separate the results from the main and control groups. Conclusions: the author's program of physical therapy is effective, was carried out in order to normalize body weight and reduce the manifestations of abdominal obesity.
Purpose: to investigate the influence of the developed program of physical therapy for patients with chronic gastritis and to evaluate the effectiveness and dynamics of the indices of the secretory function of the stomach and the autonomic nervous system. Material and methods: 30 men were examined, patients with chronic gastritis, the average age of the patients was 25.9 ± 0.8 years in the main group (n = 15), and 26.4 ± 0.6 years in the control group (n= 15). The men of the main group were engaged in the author's program of physical therapy, the men of the control group-in the program of physical therapy for patients with chronic gastritis according to the method of I.I. Parhotik (2003). Results allowed to analyse the dynamics of the studied parameters under the influence of the program of physical therapy developed by us and to compare the results obtained in the main and control groups. Conclusion: author's program of physical therapy is effective and contributes to a more stable normalization of the secretory function of the stomach and improve the function of the main systems of the body.
Мета: дослідити динаміку типів реакції серцево-судинної системи на дозоване фізичне навантаження за допомогою проби Мартіне-Кушелевського та визначити функціональний стан вегетативної нервової системи (ВНС) за допомогою вегетативного індексу Кердо жінок молодого віку, хворих на аліментарне ожиріння, під впливом розробленої комплексної програми фізичної терапії. Матеріал і методи: в основу дослідження покладено клініко-функціональне обстеження 50 жінок віком від 18 до 30 років, хворих на аліментарне ожиріння І-ІІ ступеня. Результати: проведено і проаналізовано стан серцево-судинної системи на дозоване фізичне навантаження за допомогою проби Мартіне-Кушелевського та вегетативної нервової системи за індексом Кердо. Висновки: застосування програми фізичної терапії, яка включає гіпокалорійну дієту, масаж, лікувальну гімнастику з елементами спортивно-орієнтованої аеробіки, дозовану ходьбу в поєднанні з дихальними вправами з урахуванням активності ВНС, сприяє нормалізації функціонального стану серцево-судинної і вегетативної нервової систем.Ключові слова: ожиріння, програма фізичної терапії, серцево-судина система, вегетативна нервова система, обстеження хворих.Abstract. Yuliya Kalmykova, Sergey Kalmykov, Viktoriya Polkovnyk-Markova & Anna Reutska. Application and influence of the complex program of physical therapy on the state of the cardiovascular and autonomic nervous system of young women, patients with alimentary obesity. Purpose: to investigate the dynamics of the types of reaction of the cardiovascular system to the dosed physical load using the Martine-Kushelevsky test and determine the functional state of the autonomic nervous system (ANS) using the Kerdo index of young women suffering from alimentary obesity under the influence of the developed comprehensive physical therapy program. Material & Methods: study was based on the clinical and functional examination of 50 women aged from 18 to 30 years old, patients with alimentary obesity I-II degree. Results: conducted and analyzed the state of the cardiovascular system on the dosed exercise with the help of the Martine-Kushelevsky and vegetative nervous system tests according to the Kerdo index. Conclusion: use of a physical therapy program, which includes a low-calorie diet, massage, therapeutic gymnastics with elements of sports-oriented aerobics, dosed walking in combination with breathing exercises taking into account the activity of the ANS, helps to normalize the functional state of the cardiovascular and autonomic nervous system.
Мета: дослідження реакції серцево-судинної системи на дозоване фізичне навантаження хворих на метаболічний синдром у процесі застосування програми фізичної терапії. Матеріал і методи: у дослідженні приймали участь 28 жінок молодого віку, хворих на метаболічний синдром, ОГ -14, КГ -14 жінок. Середній вік хворих ОГ складав 31,49±0,71 років, КГ -31,06±0,57 років. З метою визначення та оцінки толерантності серцево-судинної системи до дозованого фізичного навантаження у обстежуваних хворих застосовували пробу Мартіне-Кушелевського. Результати: проведено, проаналізовано та узагальнено результати дослідження реакції серцево-судинної системи на дозоване фізичне навантаження за пробою Мартіне-Кушелевського. За даними первинного обстеження в основній та контрольній групах показник якості реакції за пробою Мартіне-Кушелевського був менше норми, що свідчить про незадовільну реакцію серцево-судинної системи хворих на дозоване фізичне навантаження. Після застосування програми фізичної терапії ПЯР збільшився в основній групі з 0, 40±0,17 до 0,54±0,01 ум. од. (на 35,0%), у контрольній -з 0,41±0,17 до 0,49±0,12 ум. од. (на 19,5%). Висновки: аналіз показників якості реакції у хворих основної та контрольної груп показав, що при повторному обстеженні в основній групі пацієнтів після застосування авторської програми фізичної реабілітації вони були кращими.
Purpose: to study the level of growth hormone (GH) and insulin-like growth factor type 1 (IGF-1) in patients with type 1 diabetes mellitus (DM1) at the stages of puberty. Material & Methods: 165 children (85 girls (51.5%) and 80 boys (48.5%), aged 8 to 18 years old, suffering from DM1 and staying in the endocrinology department of the State Institution "Institute of Health for Children and Adolescents”) of the National Academy of Medical Sciences of Ukraine" (State Institution "IOZGP NAMS"). The criterion for inclusion in the study was the duration of T1DM for more than one year (from 1 to 16 years). The level of GH and IGF-1 was determined in 165 children 8-18 years old (85 girls and 80 boys) with DM1, taking into account gender, the level of sexual development at the time of the survey, the duration of DM1 and the level of glycemic control. Study participants were divided into groups depending on the level of sexual development (T1-T4) at the time of the study, assessed by the Marshall & Tanner scale (Marshall, & Tanner, 1969; Marshall, & Tanner, 1970); duration of DM1 (<5 years, 5 to 10 years, >10 years); level of glycemic control (optimal (HbA1c<7.5%), suboptimal (7.5%≤HbA1c≤9.0%), high-risk (HbA1c>9.0%) according to ISPAD 2018 recommendations (DiMeglio, et al., 2018) Results: in adolescents with DM1, a physiological type of activation of the GH/IGF-1 system was established with an increase in its activity during the period of puberty proper. Sexual characteristics were determined in the levels of GH and IGF-1 at the stages of puberty. Girls had higher levels of IGF-1 than boys, especially during prepuberty. During prepuberty and puberty proper, GH values were higher in boys, and in late puberty, in girls. It has been established that in girls and boys with an increase in the duration of diabetes, there is an increase in the level of GH and a decrease in IGF-1. The nature of the state of GH/IGF-1 in patients with different experience of DM1 is affected by the level of sexual development at the time of the examination and the sex of adolescents. In boys aged 14-18 years (the period of proper and late puberty), with an increase in the duration of the disease, an increase in the level of GH (pk-w<0.05) and a decrease in IGF-1 (p<0.05) occur. In girls, an increase in GH (pk-w<0.05) and a decrease in IGF-1 (pk-w<0.05) with an increase in the duration of DM1 were recorded only in the group of patients aged 16-18 years (late puberty). The relationship between HbA1c and GH and IGF-1 levels has gender specifics: in the state of decompensation, the guys showed a tendency to decrease in GH, and in girls – to increase GH and IGF-1. Conclusions: the functional state of the GH/IGF-1 system in adolescents with DM1 depends on gender, the level of sexual development, the duration of diabetes and the state of carbohydrate metabolism compensation, which coincides with the data of domestic and foreign studies.
Purpose: to investigate and evaluate the secretory function of the stomach in patients with peptic ulcer of the stomach and duodenum under the influence of the use of a physical therapy program. Material & Methods: 30 men aged 36 to 45 years were under observation with a diagnosis of peptic ulcer, inactive phase; cicatricial and ulcerative deformity of the duodenal bulb; increased secretory function of the stomach, they were randomly divided into two groups: the main group (MG) – 15 patients and the control group (CG) – 15 patients. The average age of patients MG was 41,5±0,1 years, CG – 42,1±0,2 years. Patients of the main and control groups, patients with peptic ulcer of the stomach and duodenum, underwent a course of physical therapy for 4 months. In the main group, patients were trained according to the developed program of physical therapy, which is based on the use of morning hygienic exercises, kinesiotherapy and self-study with the use of general developmental physical exercises, corrective exercises for the spine and breathing exercises performed at rest; therapeutic massage according to the method of P.B. Efimenko; diet therapy. Patients of the control group were engaged in the program of physical therapy used in medical institutions according to Parkhotik, I. (2003). Results: in the initial study, the results of pH-metry of the stomach in patients of both groups did not differ significantly, that is, the phenomena of hyperacidity in combination with continuous acid formation prevailed. After the application of the physical therapy program in the main group according to the author's program, the indicators significantly improved compared to the control group: normalization of the acid-forming function of the stomach on an empty stomach and stimulated was observed, in addition, normal acidity on an empty stomach occurred in 100% of patients. Conclusions: in the course of the study of the results of pH-metry of the stomach, the effectiveness of the physical therapy program for patients with dissecretory syndrome in gastric and duodenal ulcers was determined and it was concluded that the developed and applied physical therapy program is effective and contributes to a more stable normalization of the stomach, reduction of clinical manifestations of the disease. The conducted studies confirmed the expediency of using physical therapy in patients with this pathology, depending on the clinical manifestations of the disease, indicators of the secretory function of the stomach.
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