Issue 20-4, 2021

Original article

https://doi.org/10.38025/2078-1962-2021-20-4-50-56

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

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1 Anna V. Ponomareva, 2 Mikhail M. Raspertov, 2 ORCIDMaxim Yu. Yakovlev, 2 ORCIDAnatoly D. Fesyun

1 City Ivano-Matreninskaya Children’s Clinical Hospital, Irkutsk, Russian Federation
2 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation


ABSTRACT

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.


KEYWORDS: medical rehabilitation of children, inpatient rehabilitation, bronchial asthma, multidisciplinary approach, specialized programs

FUNDING: The study had no sponsorship

CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article

FOR CITATION: Ponomareva A.V., Raspertov M.M., Yakovlev M.Yu., Fesyun A.D. Innovative Methods of the Interdisciplinary Approach to Medical Rehabilitation in Children with Bronchial Asthma. Bulletin of Rehabilitation Medicine. 2021; 20 (4): 50-56. https://doi.org/10.38025/2078-1962-2021-20-4-50-56

FOR CORRESPONDENCE:

Maxim Yu. Yakovlev, e-mail: masdat@mail.ru


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.