Вестник восстановительной медицины (Aug 2021)

Innovative Methods of the Interdisciplinary Approach to Medical Rehabilitation in Children with Bronchial Asthma

  • Anna V. Ponomareva,
  • Mikhail M. Raspertov,
  • Maxim Yu. Yakovlev,
  • Anatoly D. Fesyun

DOI
https://doi.org/10.38025/2078-1962-2021-20-4-50-56
Journal volume & issue
Vol. 20, no. 4
pp. 50 – 56

Abstract

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The childhood incidence of bronchial asthma is the most common chronic pathology in children. Due to the influence of many factors,as well as due to the widespread prevalence, the problem is becoming particularly relevant today. In recent years, a frequently usedconcept of medical rehabilitation is the so-called “multidisciplinary approach”, which also consists in the implementation of a personalizedapproach. Aim. To develop a comprehensive targeted program for the medical rehabilitation of children with bronchial asthma, to study the effectivenessof a comprehensive targeted program selected taking into account the individual characteristics of the child. Material and methods. There was developed an individual targeted program of medical rehabilitation was developed, in accordancewith the procedures and standards of medical care, taking into account indications and contraindications, taking into account a multidisciplinaryapproach, and rehabilitation methods, namely, such as: climatotherapy, physiotherapy, speleotherapy, aromatherapy,inhalation therapy, oxygen therapy, hypoxytherapy, mechanotherapy, psychocorrection, massage, physical therapy, phytotherapy.The patients were divided into three groups by randomization, without reference to the treatment method or any other factor. Allthree groups of patients received a basic program of medical rehabilitation, which included magnetotherapy, dry carbon dioxidebaths,speleotherapy and physical therapy. Results. Positive indicators of clinical and laboratory results and subjective data as a resultof rehabilitation were obtained in all patients from all 3 groups. In children with bronchial asthma of mixed genesis, as a result of complextreatment, a significant improvement was noted. These results allow us to speak about the significant effectiveness of individuallyselected targeted medical rehabilitation programs in patients with bronchial asthma. Conclusion. As a result of the analytical work carried out according to the results of the study, it can be concluded that the use of anindividual rehabilitation complex of procedures and therapeutic techniques in children’s patients with bronchial asthma is effective.The implementation of these methods in a complex improves the condition and well-being of patients according to a subjective feeling,and also allows us to reliably speak about the improvement of the condition according to clinical and diagnostic indicators. It ispossible to recommend the introduction of the use of these programs in the medical rehabilitation of this group of patients. Drawingup targeted programs for use in children’s patients with a history of bronchial asthma is an important link in medical rehabilitation,as it allows each patient to conduct an individually selected targeted rehabilitation program in the conditions of the department ofmedical rehabilitation for patients with somatic diseases.

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