Working capacity and return to the labor market of patients with endoprosthesis

Musculoskeletal conditions are common among all age groups and present a serious risk of aggravation in quality of life, especially in patients of working age. In this context, endoprosthesis and the concomitant early kinesitherapy at the appropriate time in the life of the patient with musculoskeletal disorder offer an opportunity for a positive change in the quality of life. The aim of the study is to compare the course of the recovery period, the possibilities of premature workload, return to daily life and working capacity after hip arthroplasty in middle-aged patients. The subject of this paper are the changes in the functional tests of the patients after hip endoprothesis with an individual femur and induviduals with conventional hip replacement, who have undergone kinesitherapy treatment. Anthorpometric and statistical methods are the basis of the research methodology. The developed and applied kinesitherapy methodology in patients with individual femoral stem proves better functional results after its application in cases of patients of working age

Innovative Possibility To Support Reduction Of Overweight In Teenagers

Information technologies are attracting more and more interest among children, and their motor activity is replaced by prolonged standing in front of a computer, tablet or phone. One of the modern trends in medicine is the use of active video games adapted to the needs of the growing generation by increasing motivation and physical activity. They can find their therapeutical place in training mind, strength, balance and flexibility, making them competitive on static video games. Their ability to imitate sporting activities, dancing or standard training provides children with the necessary daily motor activity. These qualities of active video games stand out as an innovative opportunity that could be part of the kinesitherapeutic behavior in overweight children and adolescents.The purpose of this article is to explore possibilities to help reduce overweight in adolescents through active video games

Physiotherapy in Children With Cri Du Chat Syndrome: A Clinical Case

Cri du chat syndrome is a rare genetic abnormality characterized by a specific set of symptoms. It occurs as a result of the deletion of the short arm of the fifth chromosome. The syndrome can be inherited or congenital. Children suffering from this genetic disease have characteristic signs: low birth weight, microcephaly, short fingers, clinodactyly, muscular hypotonia, congenital heart defects, mental retardation, delayed psychomotor development, a characteristic cry resembling a cat`s meow, etc. The timely inclusion of physiotherapy and consistency in the implementation of the physiotherapeutic complexes would help prevent or limit the development of certain deficits, both in the physical development and in the neurological status of the child. This, in turn, will help the parents in their care of the child, ensuring greater independence and socialization within society.The aim of this report is to prepare and present a physiotherapeutic protocol whose purpose is to improve coordination and concentration while helping the patient adapt to activities of daily living.Materials and methods: A case study involving a five-year-old girl with congenital cri du chat syndrome.Results and discussion: Long-term physiotherapy, employing a range of methods and tools at each stage, combined with interdisciplinary collaboration with specialists such as speech therapists, psychologists, and occupational therapists. All of them contribute to the development and adaptation of the patient to the surrounding environment

Health care for patients with stroke - a challenge for rehabilitation at home environment

The process of rehabilitation in patients who have experienced stroke is complex and lengthy and needs to begin immediately after the incident. The procedures are to be carried out systematically and continuously over time to achieve the desired results. Moreover, the rehabilitation of stroke patients typically requires compiling specific and highly individualized program for each of teamwork and cooperation efforts of all medical and non-medical professionals. On the other hand, early initiation of rehabilitation and its duration and consistency of clinical, ambulatory and home conditions is particularly important to reduce disability that inevitably accompanies patients whose rehabilitation is not conducted with the required duration. The conditions offered by the NHIF, however are primarily focused on the recovery of patients in a hospital environment.The need to cover the existing deficit of rehabilitative care reveals untapped opportunities to create a center for rehabilitation care provided at home. The disclosure of the limitations that puts the health system for patients who have experienced stroke and the creation of mechanisms to overcome them ensures good health and social policies. The expected benefits of development and expansion of this type of personalized health care aimed at recovery of locomotor activity of this vulnerable population group are associated with improved quality of life and early social inclusion

The Role of Long-Тerm Physiotherapy in the Treatment of Scoliosis

Scoliosis is one of the most common spine deformations today. Approximately 80% of the cases of scoliosis are defined as "idiopathic," which means that the cause of scoliosis is unknown. Either way, the cause is characterised by certain symptoms that are determined through medical examination and X-ray and are classified according to different indications. Long-term physiotherapy finds wide application in the treatment of scoliosis. Such treatment is essential to improving the lives of patients and reducing the progressive course of the disease in some of them. The purpose of this article is to spread awareness about this spine disease called scoliosis and highlight the need for long-term physiotherapy, which is essential for its treatment

Physioterapeutic view on the management of low back pain

Back pain is a common problem in the physiotherapy practice. The percentage of the people affected reaches 80%. The medical and social significance of the issue is determined by the fact that these crises are found mainly in the working age patients. The temporary incapacity for work and disability as a result of failed or untimed rehabilitation, cause huge losses to the economy, the healthcare and the social security systems. The choice of an effective approach by any patient with Low back pain (LBP) is a serious challenge in the daily work of the health professionals.The aim of this study is to present the physiotherapeutic look on the management of low back pain. The results of the study show that the treatment through movement is an essential instrument in the plan of the integrated care for patients with low back pain. The plan is provided by a broad multidisciplinary team of specialists - a doctor, an orthopedist, a physiotherapist, a neurosurgeon, a specialist of physical medicine and rehabilitation and others. An individual physioterapeutic schedule is arranged. Training with the right posture, gait and creating useful motor skills in the chronic phase of the disease will lead to a change in the lifestyle, reduction of the relapses and reduction of the disability risk

Kinezitherapy and Skoliosis: A Case Report

Juvenile scoliosis occurs between the ages of 4 and 10, and there are many variations of this type known at the present. It is more commonly thoracic, with convexity on the right; it is the fastest-progressing type of scoliosis, and, unlike the other types of idiopathic scoliosis, juvenile scoliosis has manifest symptoms: pain, rapid progression, and deformation of the left half of the chest. There are two methods of treatment: the conservative one, by corset therapy, in patients with spinal curvature from 25⁰ to 50⁰ Cobb angles, and the operative one, by subcutaneous stabilization. Kinesitherapy is the basis for subsequent treatment, regardless of whether it is a conservative or operative method of treatment. It could be active and passive and is an irreplaceable part of the lives of patients with scoliosis. It includes passive extension and mobilization (manual or with equipment), active therapeutic exercise, and underwater gymnastics. The purpose of this report is to present the need for long-term kinesitherapy in juvenile scoliosis. Material and methods: a prospective study was conducted with a patient over a period of 30 years. Results and discussion: long-term kinesitherapy is still the only known effective way to deal with pain and discomfort. The progression of the distortion has been successfully overcome, and further undesirable conditions caused by the high degree of curvature have been prevented

The fitball as a multifunctional kinesitherapeutical instrument - specificity when choosing

Голямата гимнастическа топка „Fitball` (ГГТ) в последните години придоби популярност в световен мащаб. В наши дни освен като гимнастически и фитнес уред ГГТ се е наложила като ценен и широко прилаган метод в кинезитерапевтичната практика. Характеристиките на ГГТ изискват спазването на определени правила при избора й с оглед постигането на максимално лечебно въздействие и безопасност за пациента. Подборът на точния размер, цвят и разновидност са от съществено значение за прецизното изпълнение и ефективността на методиката. Познаването на технологичните характеристики и условията за съхранение и експлоатация на ГГТ гарантират безопасността при нейното използване.The big gymnastic ball `Fitball` has gained popularity worldwide in the last few years. Nowadays, except as gym and fitness equipment, Fitball has established itself as a valuable and widely used method in the kinesitherapeutic practice. The characteristics of Fitball require compliance with certain rules in selecting it to achieve maximum therapeutic effect and safety for the patient. The selection of the exact size, color and type are essential for precise execution and effectiveness of the methodology. Knowing the technological characteristics and conditions for storage and operation of Fitball ensure the safety of its use

The influence of mineral waters in the village of Yagoda on patients with degenerative joint diseases

Въведение: Съвременният начин на живот и съпътстващите рискови фактори като обездвижване, затлъстяване, неправилно хранене и стрес водят до увеличаване на заболеваемостта и обостряне на ставните заболявания. Това затруднява ежедневните дейности на пациентите в различна степен и ги превръща в потребители на дългосрочни грижи, които включват медикаментозна терапия, рехабилитация, балнеолечение. Прилагани, минералните води като част от комплексното балнеолечение оказват благоприятно въздействие при различни ставни заболявания със своя минерален, газов състав и висока температура. На базата на получените данни от изследването на химичния състав на един от водоизточниците в с. Ягода установихме, че водата може да бъде използвана при лечение и профилактика на дегенеративни ставни заболявания. Настоящият доклад има за цел да представи благоприятното въздействие на минералната вода от изследвания източник в село Ягода при пациенти с такава патология. Материал и методи: Изследването съчетава теоретични концепции и наблюдения за влиянието на минералната вода от източник в с. Ягода при пациенти с дегенеративни ставни заболявания. Резултати и обсъждане: Прилагането на минералната вода от източника в с. Ягода поради високата концентрация на флуор и ниската минерализация, хидрокарбонатно-сулфатно и натриево съдържание на водата повлиява из ключително добре възпалителните и дегенеративни ставни заболявания. Заключение: Разтворените във водата елементи, прониквайки в организма през кожата или чрез вътрешно приложение, участват в биохимичните му реакции. На базата на получените данни от изследването на химичния състав на един от водоизточниците в с. Ягода се установи, че водата според ph показателя е алкална и негодна за пиене, но оказва изключително благоприятно влияние при лечението на дегенеративни ставни заболявания, подобрявайки общото състояние, психоемоционален тонус, функционалния капацитет на опорно-двигателния апарат, дихателната и сърдечно-съдовата система на пациента.Introduction: Contemporary lifestyle and the accompanying risk factors such as immobilization, obesity, poor nutrition and stress lead to increased morbidity and exacerbation of joint diseases. This hampers the daily activities of patients to a certain degree and turns them into users of long-term care, which include medication therapy, rehabilitation, balneotherapy. Applied, the mineral waters as a part of the complex balneological treatment, have a beneficial effect on various joint diseases with their mineral, gas composition and high temperature. On the basis of the data obtained from the study of the chemical composition of one of the water sources in the village of Yagoda, we have found that water can be used in treatment and prevention of degenerative joint diseases. This report aims to present the beneficial effects of mineral water from a source in the village of Yagoda in patients with such pathology. Materials and Methods: The study combines theoretical concepts and observations of the influence of mineral water from a source in the village of Yagoda in patients with degenerative joint diseases. Results and Discussion: The application of mineral water from the source in the village of Yagoda due to the high concentration of fluorine and low mineralization, hydrocarbon-sulphate and sodium content of water, affects extremely well the inflammatory and degenerative joint diseases. Conclusion: Elements dissolved in water, penetrating the body through the skin or by internal use, are involved in its biochemical reactions. On the basis of the data obtained from the study of the chemical composition of one of the water sources in the village of Yagoda, it was found that the water based on the pH indicator is alkaline and unsuitable for everyday drinking, but it has an extremely beneficial effect in the treatment of degenerative joint diseases, improving the general condition, psycho - emotional tone, the functional capacity of the locomotor system, the respiratory and the cardiovascular system of the patient