CONCEPTUAL BASES OF PHYSICAL REHABILITATION OF PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE

Authors

  • I. M. Grigus Primary and Scientific Institute of Health of the National University of Water Management and Use of Natural Resources
  • P. S. Podolyak Primary and Scientific Institute of Health of the National University of Water Management and Use of Natural Resources
  • T. V. Gamma Primary and Scientific Institute of Health of the National University of Water Management and Use of Natural Resources
  • I. S. Podolyanchuk Primary and Scientific Institute of Health of the National University of Water Management and Use of Natural Resources
  • L. A. Zarichanska Primary and Scientific Institute of Health of the National University of Water Management and Use of Natural Resources
  • T. V. Kucher Taras Shevchenko Kremenets Regional Humanitarian and Pedagogical Academy

DOI:

https://doi.org/10.11603/1811-2471.2019.v.i3.10522

Keywords:

хроническая обструктивная болезнь легких, больные, концепция, физическая реабилитация

Abstract

SUMMARY. Chronic obstructive pulmonary disease (COPD) is now one of the most common forms of pathology, leading to high morbidity and mortality. The issue of physical rehabilitation of COPD patients is quite acute at the present stage. This is due to the fact that in such patients the greatest reduction in the adaptation of the body to exercise is observed, and the effect of drug therapy can be greatly enhanced by the implementation of rehabilitation programs.

The aim – to scientifically substantiate the conceptual bases of physical rehabilitation of patients with chronic obstructive pulmonary disease.

Results. The concept of physical rehabilitation of patients with COPD should be implemented taking into account a number of prerequisites: socio-pedagogical, biological and personal. The concept of physical rehabilitation of COPD patients includes a theoretical component, designed with prerequisites for the rehabilitation process, which includes conceptual approaches and bases, as well as a practical component in the form of physical rehabilitation technology.

The concept uses conceptual approaches: system-historical, system-activity, system-function, system-purpose, system-structural, system-resource, system-communication and system-integration.

In a concept, all elements that are united by a fundamental concept and a leading idea are a set of views, and its conceptual basis is the purpose, tasks, principles and methods that provide an understanding of its system mechanisms, the algorithm of construction and operation. Much attention was paid to the features of concomitant disorders that affect the overall picture of physical rehabilitation. Organizational bases were based on physical rehabilitation programs that took into account all individual characteristics of patients.

Conclusions. The proposed concept of physical rehabilitation was based on the use of complex medical and pedagogical approach, had an individual orientation, took into account the level of motor abilities, quality of life, physical performance of patients, functional state of the cardiorespiratory system, function of external respiration.

References

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Hrygus, I.M., Nesterchuk, N.Ye., Nohas, A.O., Prymachok, L.L., & Zakharchenko, I.V. (2018). Vplyv provedenoi fizychnoi reabilitatsii na yakist zhyttia khvorykh na KhOZL [The influence of physical rehabilitation on the quality of life of patients with COPD]. Zdobutky klinichnoi i eksperymentalnoi medytsyny – Achievements of Clinical and Experimental Medicine, 4, 70-74 [in Ukrainian].

Hryhus, I., & Maistruk, M. (2017). Analiz fizychnoi aktyvnosti khvorykh na khronichne obstruktyvne zakhvoriuvannia lehen pry zastosuvanni fizychnoi reabilitatsii [Analysis of the physical activity of patients with chronic obstructive pulmonary disease in the application of physical rehabilitation]. Fizychna aktyvnist, zdorovia, sport – Physical Activity, Health, Sports, 3 (29), 68-77 [in Ukrainian].

Hryhus, I., & Maistruk, M. (2018). Zminy funktsii zovnishnoho dykhannia u khvorykh na khronichne obstruktyvne zakhvoriuvannia lehen 1 stupenia tiazhkosti u protsesi fizychnoi reabilitatsii [Changes in the function of external respiration in patients with chronic obstructive pulmonary disease 1 degree of severity in the process of physical rehabilitation]. Visnyk Prykarpatskoho universytetu. Seriia: Fizychna kultura – Bulletin of the Carpathian University. Series: Physical Education, 30, 19-27 [in Ukrainian].

Hryhus, I., & Maistruk, M. (2018). Otsinka efektyvnosti fizychnoi reabilitatsii khvorykh na khronichne obstruktyvne zakhvoriuvannia lehen pomirnoho stupenia tiazhkosti [Evaluation of the effectiveness of physical rehabilitation of patients with chronic obstructive pulmonary disease of moderate severity]. Molodizhnyi naukovyi visnyk Skhidnoievropeiskoho natsionalnoho universytetu imeni Lesi Ukrainky. Fizychne vykhovannia i sport: zhurnal – Youth Scientific Bulletin of Lesya Ukrainka Eastern European National University. Physical Education and Sports: Journal, 29, 89-96 [in Ukrainian].

Malyavin, A.G. (2006). Respiratornaya meditsinskaya reabilitatsiya. Prakticheskoe rukovodstvo dlya vrachey [Respiratory medical rehabilitation. Practical guide for doctors]. Moscow: Prakticheskaya meditsina [in Russian].

Malyavin, A.G., Epifanov, V.A., & Glazkova, I.I. (2010). Reabilitatsiya pri zabolevaniyakh organov dykhaniya [Rehabilitation for respiratory diseases]. Moscow: GEOTAR-Media [in Russian].

Ponomarenko, G.N. (2000). Sindromno-patogeneticheskiy podkhod – strategiya razvitiya fizioterapii v KhKhI veke [Syndromic-pathogenetic approach is a strategy for the development of physiotherapy in the 21st century]. Med. reabilitatsiya, kurortologiya, fizioterapiya – Medrehabilitation, Balneology, Physiotherapy, 1 (21), 7-9 [in Russian].

Chuchalina, A.G. (Eds.). (2005). Standarty po diagnostike i lecheniyu bolnykh KhOZL (ATS/ERS, peresmotr g. 2004) [Standards for the diagnosis and treatment of COPD patients (ATS / ERS, 2004 revision) 2004]. Moscow: Atmosfera, [in Russian].

Ghanem, M., Elaal, E.A., Mehany, M., & Tolba, K. (2010). Home-based pulmonary rehabilitation program: effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients. Annals of Thoracic Medicine, 5 (1), 18-25. DOI: https://doi.org/10.4103/1817-1737.58955

Grygus, I., Maistruk, M., & Zukow, W. (2017). Effect of physical therapy on respiratory function in patients with chronic obstructive pulmonary disease. Collegium Antropologicum, 41 (3), 255-261.

Grygus, I., Nesterchuk, N., Zukow, W., Nikolenko, O., & Prymachok, L. (2019). The quality of life in COPD patients in the process of physical rehabilitation. Journal of Physical Education and Sport, 19 (2), 163, 1126-1132.

Nici, L., Donner, C., Wouters, E., Zuwallack, R., Ambrosino, N., Bourbeau, J., …, & Troosters, T. (2006). ATS/ERS Pulmonary Rehabilitation Writing Committee. American Thoracic Society. European Respiratory Society statement on pulmonary rehabilitation. Am. J. Respir. Crit. Care Med., 173, 12, 1390-1413. DOI: https://doi.org/10.1164/rccm.200508-1211ST

Published

2019-10-24

How to Cite

Grigus, I. M., Podolyak, P. S., Gamma, T. V., Podolyanchuk, I. S., Zarichanska, L. A., & Kucher, T. V. (2019). CONCEPTUAL BASES OF PHYSICAL REHABILITATION OF PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE. Achievements of Clinical and Experimental Medicine, (3), 170–176. https://doi.org/10.11603/1811-2471.2019.v.i3.10522

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Section

Погляд на проблему