Basketball is one of the most injury-risk team sports. Taking into consideration high frequency of knee joint injuries in both young and professional basketball-players and especially issues of overloads of locomotor apparatus in adult basketball, it is crucially important to develop and propose an effective prevention programs to avoid acute injuries and traumas of knee joints. The proposed study was focused on the development of special training prescriptions and recommendations for coaches and physical trainers aimed to implement prevention methods in the training process. The study was conducted in the Ural Federal University Sports Technologies Research Lab. Twenty young athletes born in 2002 from basketball youth sport schools (Yekaterinburg, Russia) were recruited for the study. The significant interrelations between functional state, oxygen transport and utilization systems and power of working muscles were established for the first time. A novel prevention program of knee joint injuries was introduced, effectiveness of which was proved during the study. / Баскетбол входит в пятерку самых травмоопасных командных, контактных видов спорта. Актуальность исследования обусловлена высокой частотой травматизма коленного сустава, как у молодых, так и у профессиональных баскетболистов. В особенности это грозит игрокам молодежных составов, так как при переходе в профессиональную команду растёт объем интенсивности нагрузки на опорно-двигательный аппарат и зачастую отсутствуют программы профилактики травматизма. Данная работа посвящена разработке рекомендаций по построению тренировочного процесса и внедрение в него программы профилактики травматизма для снижения степени риска повреждения коленного сустава. Исследование проводилось на базе лаборатории «Технологии восстановления и отбора в спорте» ЦКП ФГАОУ ВО УрФУ имени первого Президента России Б.Н. Ельцина. В исследовании приняли участие 20 юных спортсменов 2002 года рождения, воспитанники детско-юношеских спортивных школ (г. Екатеринбург). Впервые была установлена связь между общим функциональным состоянием организма спортсмена, системой транспорта и утилизации кислорода работающими мышцами и силой мышц нижних конечностей. Была разработана и внедрена в тренировочный процесс программа профилактики травматизма коленного сустава, эффективность которой была доказана в ходе исследования.

Значительная доля людей, столкнувшихся с коронавирусной инфекцией имеют осложнение в виде COVID-19-ассоциированной пневмонии и нуждаются в доступной и квалифицированной реабилитации. Цель работы - оценить влияние программы физической реабилитации на толерантность к физическим нагрузкам и функциональное состояние кардио-респираторной системы пациентов, перенесших COVID-19-ассоциированную пневмонию. В исследовании приняли 20 пациентов, перенесших COVID-19-ассоциированную пневмонию. В работе использовались следующие методы исследования: оценка толерантности к физической нагрузке оценивалась с помощью теста шестиминутной ходьбы, для оценки степени одышки после нагрузки использовалась шкала Борга, определяли сатурацию в покое и после проведения теста шестиминутной ходьбы, оценивалась частота сердечных сокращений до и после тестирования, а также выраженность одышки при повседневной деятельности оценивалась по шкале mMRC. Согласно полученным результатам, разработанная программа реабилитации повлияла на повышение толерантности к физическим нагрузкам, улучшение функционального состояния кардио-респираторной системы и субъективной переносимости физической нагрузки у пациентов, перенесших COVID-19-ассоциированную пневмонию. / A significant proportion of people who have experienced coronavirus infection have a complication in the form of COVID-19-associated pneumonia and need affordable and qualified rehabilitation. The aim of the work was to evaluate the impact of the physical rehabilitation program on exercise tolerance and the functional state of the cardio-respiratory system in patients who had undergone COVID-19-associated pneumonia. The study included 20 patients with COVID-19-associated pneumonia. Research methods were used in the work: assessment of exercise tolerance was assessed using a six-minute walk test, the Borg scale was used to assess the degree of dyspnea after exercise, saturation was determined at rest and after a six-minute walk test, heart rate was assessed before and after testing, as well as the severity of dyspnea during daily activities was assessed using the mMRC scale. According to the results obtained, the developed rehabilitation program influenced the increase in exercise tolerance, the improvement of the functional state of the cardio-respiratory system and the subjective exercise tolerance in patients who underwent COVID-19-associated pneumonia.

В диссертационном исследовании проанализированы нарушения опорно-двигательного аппарата у женщин старше 40 лет, а также механизмы лечебного воздействия средств оздоровительной гимнастики ушу на опорно-двигательный аппарат. Разработана, обоснована и определена эффективность программы физической реабилитации женщин старше 40 лет с нарушениями опорно-двигательного аппарата средствами оздоровительной гимнастики ушу. / The dissertation analyses the musculoskeletal system disorders in women over 40 years old, as well as the mechanisms of therapeutic effects of Wushu recreational gymnastics on the musculoskeletal system. The effectiveness of physical rehabilitation program for women over 40 years old with disorders of musculoskeletal system by means of wushu health gymnastics has been identified, explained and developed.

Background Critical illness myopathy (CIM) and polyneuropathy (CIP) are a common complication of critical illness. Both cause intensive-care-unit-acquired (ICU-acquired) muscle weakness (ICUAW) which increases morbidity and delays rehabilitation and recovery of activities of daily living such as walking ability. Focused physical rehabilitation of people with ICUAW is, therefore, of great importance at both an individual and a societal level. A recent systematic Cochrane review found no randomised controlled trials (RCT), and thus no supporting evidence, for physical rehabilitation interventions for people with defined CIP and CIM to improve activities of daily living. Therefore, the aim of our study is to compare the effects of an additional physiotherapy programme with systematically augmented levels of mobilisation with additional in-bed cycling (as the parallel group) on walking and other activities of daily living.

No description available.

[pt] A fisioterapia visa melhorar a funcionalidade física das pessoas, procurando atenuar as incapacidades causadas por alguma lesão, distúrbio ou doença. Nesse contexto, diversas tecnologias computacionais têm sido desenvolvidas com o intuito de apoiar o processo de reabilitação, como as tecnologias adaptáveis para o usuário final. Essas tecnologias possibilitam ao fisioterapeuta adequar aplicações e criarem atividades com características personalizadas de acordo com as preferências e necessidades de cada paciente. Nesta tese é proposta uma abordagem de baixo custo baseada no aprendizado de máquina interativo (iML - Interactive Machine Learning) que visa auxiliar os fisioterapeutas a criarem atividades personalizadas para seus pacientes de forma fácil e sem a necessidade de codificação de software, a partir de apenas alguns exemplos em vídeo RGB (capturadas por uma câmera de vídeo digital) Para tal, aproveitamos a estimativa de pose baseada em aprendizado profundo para rastrear, em tempo real, as articulações-chave do corpo humano a partir de dados da imagem. Esses dados são processados como séries temporais por meio do algoritmo Dynamic Time Warping em conjunto com com o algoritmo K-Nearest Neighbors para criar um modelo de aprendizado de máquina. Adicionalmente, usamos um algoritmo de detecção de anomalias com o intuito de avaliar automaticamente os movimentos. A arquitetura de nossa abordagem possui dois módulos: um para o fisioterapeuta apresentar exemplos personalizados a partir dos quais o sistema cria um modelo para reconhecer esses movimentos; outro para o paciente executar os movimentos personalizados enquanto o sistema avalia o paciente. Avaliamos a usabilidade de nosso sistema com fisioterapeutas de cinco clínicas de reabilitação. Além disso, especialistas avaliaram clinicamente nosso modelo de aprendizado de máquina. Os resultados indicam que a nossa abordagem contribui para avaliar automaticamente os movimentos dos pacientes sem monitoramento direto do fisioterapeuta, além de reduzir o tempo necessário do especialista para treinar um sistema adaptável. / [en] Physiotherapy aims to improve the physical functionality of people, seeking to mitigate the disabilities caused by any injury, disorder or disease. In this context, several computational technologies have been developed in order to support the rehabilitation process, such as the end-user adaptable technologies. These technologies allow the physiotherapist to adapt applications and create activities with personalized characteristics according to the preferences and needs of each patient. This thesis proposes a low-cost approach based on interactive machine learning (iML) that aims to help physiotherapists to create personalized activities for their patients easily and without the need for software coding, from just a few examples in RGB video (captured by a digital video camera). To this end, we take advantage of pose estimation based on deep learning to track, in real time, the key joints of the human body from image data. This data is processed as time series using the Dynamic Time Warping algorithm in conjunction with the K-Nearest Neighbors algorithm to create a machine learning model. Additionally, we use an anomaly detection algorithm in order to automatically assess movements. The architecture of our approach has two modules: one for the physiotherapist to present personalized examples from which the system creates a model to recognize these movements; another to the patient performs personalized movements while the system evaluates the patient. We assessed the usability of our system with physiotherapists from five rehabilitation clinics. In addition, experts have clinically evaluated our machine learning model. The results indicate that our approach contributes to automatically assessing patients movements without direct monitoring by the physiotherapist, in addition to reducing the specialist s time required to train an adaptable system.

Дети, страдающие церебральным параличом, имеют пораженный мозг, который изначально не может обеспечить его самореализацию в среде жизнедеятельности. Тем самым ограничивая их в движении, что сказывается в его движении и во взаимодействии с окружающей средой. Проблема состоит в необходимости оптимизировать процесс развития двигательного стереотипа школьников с ДЦП в системе физического воспитания, акцентируя внимание на формирование физических качеств и функциональных возможностей учащихся с церебральным параличом. Цель исследования – коррекция функционального состояния опорно-двигательного аппарата у детей школьного возраста со спастической формой ДЦП. В соответствии с целью и в процессе работы была выдвинута гипотеза: предполагается, что в ходе систематической, целенаправленной работы посредством использования системы разработанной программы с применением аппарата HUBER и комплекса упражнений по увеличению амплитуды движения, окажет положительное влияние на двигательное и функциональное развитие детей школьного возраста со спастической формой ДЦП. / Infants with cerebral spastic infantile paralysis (CSIP) have cerebral disorders which can’t supply self-actualization in the society. Thus, limiting the ability to move, can impact on the interaction with the environment. The main issue is to optimize the development of movement abilities of schoolchildren with CSIP during studying process, focusing on formation of physical features and functional capacities of children with CSIP. The aim of the study is the correction of functional state of musculo-skeletal apparatus of children with CSIP. It is suspected that during systematic work with the use of investigated program of HUBER Motion Lab application and exercise for amplitude movement increasing will benefit in movement and functional development in scholars with CSIP.

Cette thèse porte sur les dynamiques interculturelles et la réactivité des institutions dans les contextes pluralistes. Le contexte clinique, un exemple parmi tant d’autres, sert à saisir les enjeux des rencontres entre personnes d’origines différentes. Le milieu de la réadaptation physique apparaît particulièrement intéressant pour étudier les enjeux induits par les rencontres interculturelles, car les interventions y sont d’une durée relativement longue en comparaison avec les soins aigus, et ce type de pratique demande une grande collaboration de la part des clients. Cette recherche sollicite trois acteurs essentiels dans ce contexte : clients immigrants, intervenants et agents tiers payeurs (CSST) ont pris la parole lors de groupes de rencontre (focus group). La recherche d’un cadre théorique pertinent en anthropologie interculturelle revisite les courants moderniste et postmoderniste, à partir d’une approche critique, et propose une épistémologie interactionniste. Ces courants qui traversent l’anthropologie sont étudiés à la lumière de la clinique, ce qui engendre un dialogue entre les intervenants et les anthropologues. Le contexte ethnographique permet de cerner différents enjeux concernant les politiques de santé dans les contextes pluriethniques, ce qui permet de saisir, à partir de la gestion, des rapports d’emboitement entre le macro et le micro. Le fonctionnement de la réadaptation physique au Québec sert de toile de fond pour comprendre les discours des acteurs sollicités par cette recherche. L’ethnographie met en lumière les convergences et les divergences entre ces trois acteurs dans les contextes pluriethniques. Selon une méthode caractéristique des relations interculturelles, je présente d’abord l’intervention dans les institutions de réadaptation. Les clients immigrants sont mis en scène avec l’intervention dans les contextes pluriethniques. Les discours de tous ces acteurs mettent en lumière des barrières dites objectives et des facteurs liés à la culture. L’analyse s’intéresse à la communication et à la circulation de l’information dans les contextes pluriethniques; elle étudie les rapports entre l’information, la connaissance et les préjugés. L’analyse offre quelques pistes qui aident à comprendre l’imperméabilité du système de santé dans les contextes pluralistes. La conclusion propose une approche complémentariste pour établir un dialogue entre les modèles de discrimination et l’interculturel. Les anthropologues sont alors interpellés en vue de répondre aux nouveaux défis générés par le néolibéralisme. / This thesis is based on the intercultural and institutional dynamics of health care in pluralistic contexts. The clinical context makes it possible to understand what is at stake in encounters between people of different ethnic and religious backgrounds. The field of physical rehabilitation is a particularly interesting context for understanding these dynamics because interventions require long-term assessment and sustained collaboration on the part of clients. The current research examines three types of actors in this context: immigrant clients, health care specialists (or practitioners), and third party payers (CSST). In order to elaborate an intercultural theoretical framework, the thesis critically examines modernist and postmodernist orientations in anthropology, and through an epistemological approach proposes an interactionist orientation. These differing epistemological orientations are studied from a clinical standpoint and, the resulting analysis prepares the way for a dialogue between practitioners and anthropologists. The ethnographic context sheds light on various themes concerning the politics of healthcare in pluralistic contexts, but also the policies that influence different relationships between macroeconomics and local-level encounters in organizational settings. The system of physical rehabilitation in Quebec serves as a canvas to understand concerns and expectations of the different types actors solicited by this research. The ethnographic data presented here highlights the convergence and divergence between those who are involved in administering and receiving care. After describing the conditions and terms of intervention in the field of physical rehabilitation, there is a discussion of the specificity of immigrant clients and healthcare in pluriethnic contexts. Data collected from different actors highlights the difference between objective barriers to adequate services and factors which can be linked to culture. Analysis of the data focuses on communication in an intercultural or pluriethnic context and the flow of information, carefully examining the relationship between information, expertise and prejudice. The analysis also offers certain pathways to better understand the lack of reactivity in pluralistic contexts. The conclusion proposes a complementary approach which is intended to facilitate a dialogue between models based on discrimination and those on interculturalism. Anthropologists are presented as being particularly well positioned to answer new challenges generated by intercultural situations in an era of neoliberalism.

Cette thèse porte sur les dynamiques interculturelles et la réactivité des institutions dans les contextes pluralistes. Le contexte clinique, un exemple parmi tant d’autres, sert à saisir les enjeux des rencontres entre personnes d’origines différentes. Le milieu de la réadaptation physique apparaît particulièrement intéressant pour étudier les enjeux induits par les rencontres interculturelles, car les interventions y sont d’une durée relativement longue en comparaison avec les soins aigus, et ce type de pratique demande une grande collaboration de la part des clients. Cette recherche sollicite trois acteurs essentiels dans ce contexte : clients immigrants, intervenants et agents tiers payeurs (CSST) ont pris la parole lors de groupes de rencontre (focus group). La recherche d’un cadre théorique pertinent en anthropologie interculturelle revisite les courants moderniste et postmoderniste, à partir d’une approche critique, et propose une épistémologie interactionniste. Ces courants qui traversent l’anthropologie sont étudiés à la lumière de la clinique, ce qui engendre un dialogue entre les intervenants et les anthropologues. Le contexte ethnographique permet de cerner différents enjeux concernant les politiques de santé dans les contextes pluriethniques, ce qui permet de saisir, à partir de la gestion, des rapports d’emboitement entre le macro et le micro. Le fonctionnement de la réadaptation physique au Québec sert de toile de fond pour comprendre les discours des acteurs sollicités par cette recherche. L’ethnographie met en lumière les convergences et les divergences entre ces trois acteurs dans les contextes pluriethniques. Selon une méthode caractéristique des relations interculturelles, je présente d’abord l’intervention dans les institutions de réadaptation. Les clients immigrants sont mis en scène avec l’intervention dans les contextes pluriethniques. Les discours de tous ces acteurs mettent en lumière des barrières dites objectives et des facteurs liés à la culture. L’analyse s’intéresse à la communication et à la circulation de l’information dans les contextes pluriethniques; elle étudie les rapports entre l’information, la connaissance et les préjugés. L’analyse offre quelques pistes qui aident à comprendre l’imperméabilité du système de santé dans les contextes pluralistes. La conclusion propose une approche complémentariste pour établir un dialogue entre les modèles de discrimination et l’interculturel. Les anthropologues sont alors interpellés en vue de répondre aux nouveaux défis générés par le néolibéralisme. / This thesis is based on the intercultural and institutional dynamics of health care in pluralistic contexts. The clinical context makes it possible to understand what is at stake in encounters between people of different ethnic and religious backgrounds. The field of physical rehabilitation is a particularly interesting context for understanding these dynamics because interventions require long-term assessment and sustained collaboration on the part of clients. The current research examines three types of actors in this context: immigrant clients, health care specialists (or practitioners), and third party payers (CSST). In order to elaborate an intercultural theoretical framework, the thesis critically examines modernist and postmodernist orientations in anthropology, and through an epistemological approach proposes an interactionist orientation. These differing epistemological orientations are studied from a clinical standpoint and, the resulting analysis prepares the way for a dialogue between practitioners and anthropologists. The ethnographic context sheds light on various themes concerning the politics of healthcare in pluralistic contexts, but also the policies that influence different relationships between macroeconomics and local-level encounters in organizational settings. The system of physical rehabilitation in Quebec serves as a canvas to understand concerns and expectations of the different types actors solicited by this research. The ethnographic data presented here highlights the convergence and divergence between those who are involved in administering and receiving care. After describing the conditions and terms of intervention in the field of physical rehabilitation, there is a discussion of the specificity of immigrant clients and healthcare in pluriethnic contexts. Data collected from different actors highlights the difference between objective barriers to adequate services and factors which can be linked to culture. Analysis of the data focuses on communication in an intercultural or pluriethnic context and the flow of information, carefully examining the relationship between information, expertise and prejudice. The analysis also offers certain pathways to better understand the lack of reactivity in pluralistic contexts. The conclusion proposes a complementary approach which is intended to facilitate a dialogue between models based on discrimination and those on interculturalism. Anthropologists are presented as being particularly well positioned to answer new challenges generated by intercultural situations in an era of neoliberalism.

La satisfaction du patient et du personnel sont considérés comme des indicateurs importants afin de mesurer la qualité dans le secteur hospitalier.<p>Dans les services de revalidation, les rencontres thérapeutes-patients présentent une valeur significative par le temps consacré, l'approche thérapeutique mais également la relation qui découle du processus de soin.<p>L'objectif de la recherche fut d'évaluer la satisfaction du personnel travaillant dans les services de revalidation physique (thérapeutes et techniciens ou assistants) et les différents variables démographiques ou liés à l'environnement du travail ainsi que la satisfaction des patients traités dans ces services.<p><p>Une analyse transversale par questionnaire a permis de mesurer la satisfaction au travail et les éléments de productivité dans les services de revalidation. Simultanément, une enquête concernant la satisfaction des patients a été réalisée dans ces mêmes départements. La recherche fut effectuée au sein de dix centres hospitaliers au moyen d'un questionnaire d'enquête commun basé sur le modèle " Effort- Reward Imbalance" ou “déséquilibre efforts-récompenses” et des informations complémentaires sur les conditions de travail ont étés collectées au moyen de questionnaires spécifiques. L’étude met en évidence des variables démographiques tells l'âge, la nationalité, le niveau d'éducation, ainsi que la charge travail et les types de cas traités comme facteurs significatifs influençant le stress au travail.<p>Les résultats confirment une corrélation positive entre le stress au travail par le déséquilibre Efforts-Récompenses et la performance quantitative (productivité) des thérapeutes en revalidation. Il est basé sur la satisfaction des thérapeutes en fonction des heures de travail, du nombre moyen de patients par jours ainsi que des mesures de productivité élevées du département. En ce qui concerne les récompenses perçues comme positives, le soutien du médecin et du superviseur apparaissent comme facteurs de motivation importants. Il a été également déterminé que les thérapeutes appréciaient la participation et l’expression de son opinion dans la gestion thérapeutique du patient. Bien qu’une corrélation entre la satisfaction des patients et le degré de stress au travail des thérapeutes n’ait pas été démontrée, ces deux mesures varient de manière significative en fonction des types d’hôpitaux et du degré de « Over-commitment » des thérapeutes dans leur travail.<p>Les déterminants essentiels de la satisfaction des patients en revalidation apparaissent toutefois liés à l’intervention du thérapeute tel que sa capacité à rassurer le patient ou la qualité de l’information liée au plan de traitement et doivent être considérés dans l’approche thérapeutique en revalidation.<p>Les résultats de l’étude ont permis de concevoir un modèle systémique de satisfaction et de stress au travail résumant les éléments liés de manière significative au déséquilibre des efforts et récompenses dans les services de revalidation physique et qui pourrait inspirer les directeurs ou gestionnaires hospitaliers a promouvoir une atmosphère de travail positive. <p><p>Patient and staff satisfaction are considered as important indicators to monitor quality in healthcare. In rehabilitation services the patient and therapist encounters are of significant value by the amount of time, the therapeutic approach but also the personal relations in the care process. The aim of the research was to evaluate the staff job satisfaction in physical rehabilitation services and the related variables as well as its correlations to patients’ satisfaction. <p><p>A cross sectional survey approach in the rehabilitation services has measured the job satisfaction and the related elements of productivity. Simultaneously a survey of the patients’ satisfaction was performed. As the research in the physical rehabilitation services was conducted in ten different health care facilities of the Jeddah region, a common assessment tool was utilized based on the Effort Reward Imbalance (ERI) model and complementary information were collected using specifically developed survey questionnaires. Socio-demographic variables such as age, nationality, work specialty, educational levels, as well as the caseload and workload appeared also as significantly influencing job satisfaction. <p>The findings confirmed a positive correlation between the Effort Reward Imbalance and the quantitative performance (productivity) of the rehabilitation staffs. It is supported by the level of job satisfaction of the therapists which is related to the number of patients per day, caseload, hours of work and high productivity measures. From the aspects of positive rewards, the role of the supervisor and doctors appear as important motivators. It was also found that therapists valued the fact of being given the opportunity to participate and discuss opinions in the patient management and quality improvement.<p>While no evidence confirmed a positive correlation between patients’ satisfaction about the rehabilitation treatments and the staff job satisfaction, both measured patients’ and staff satisfaction varied significantly according to the hospital type and the degree of Over-commitment. <p>Essential determinants of patients’ satisfaction appeared however related to the therapists' input, such as the ability to reassure or the quality of information given in the treatment plan and have to be taken into account when delivering the patients’ care.<p>All the results allowed the design of a systemic model of staff job satisfaction resuming the significant related elements of effort and reward in the rehabilitation services and could be utilized to inspire the hospital leaders, managers and executive directors to promote a healthy work life environment based on a valued human resources approach. <p> / Doctorat en Sciences de la santé publique / info:eu-repo/semantics/nonPublished