Vladimir
Husak, Pavel Slobozaninov
Chernivtsi National
University named after Yuriy Fedkovych
Physical Rehabilitation as One of the Main
Methods of Human Health Recovery
Setting the problem. The rates of social,
technological, economic and even climate changes require quick adaptation from
a man. Unfortunately, human body experiences difficulties with total recovery
of its functions or returning to the usual life after having injuries. General
disability after injuries and orthopedic illnesses amount 25%, and 80% of
patients after strokes forever lose ability to work. According to the
statistics, 26% of patients lose ability to work and enter the category of
disabled due to the late and irregular recovery treatment and underestimation
of basic means of physical rehabilitation, directed to the restoration of the
lost movement function.
The development of the
medical science enriches theoretical and practical basis of the given field,
i.e. implementation during rehabilitation of ill people and disabled. One of
the most effective recovery methods of treatment is physical rehabilitation,
the integral part of which is physiotherapy. The main tools of physical
rehabilitation are physical exercise and natural factors. The necessary
condition of the physical rehabilitation is active, willful and purposeful
participation of the patients in the process of treatment and doing physical
exercise.
Analysis of the recent
research and publications allow stating that one can get acquainted with the topic
of rehabilitation only partially, particularly in the works of P. K. Anokhin,
R. M. Bayevskyi, Y. K. Gaverdovskyi, S. V. Dmitriyev, V. M. Mukhin and others.
The term “physical rehabilitation” has lots of interpretations; particularly,
in Ukrainian and English sources it is interpreted almost similarly.
Rehabilitation is a complex of means directed to the recovery of impaired
functions of human body and labor capacity of the ill and disabled.
The aim of the
investigation is the aspiration to prove that one can both restore lost functions to the
human body and prevent development of the illness relapse by active applying
physical rehabilitation.
Physical rehabilitation
(PhR) – is an independent theoretical and practical discipline which is aimed
at the restoration of the lowered level of health by means of prevention
progression the disposable illness, replacement of the lost functions and
returning labor capacity by means of physical culture with the use of healing
natural factors.
The most peculiar feature
of the method PhR is the use of strictly dosed physical exercise. That is why
it is very important to define which level of physical activity is recommended
for this or that patient, taking into consideration the character of the
illness, level of the functional disorders, general condition of the patient
and adaptation to the physical stress. Depending on the therapeutic tasks, the
doctor has to dose and methodically rule the use of PhR during the treatment
course. PhR as a method of treatment is a part of the complex therapy. It is
used at all stages of rehabilitation both during acute condition of an illness
and at the closing, post-in-patient treatment and sanatorium and resort stages;
it is successfully combined with medicine therapy and different
physiotherapeutic methods of treatment.
It is accepted to combine
rest and movements in the clinic, which always complement each other, while the
rehabilitation process. It is known that movement is the most important
biological stimulant of body vital functions, and no other method, used in
medicine with the purpose of rehabilitation, can be equal to physical exercise.
But, to my mind, the
rehabilitation itself (according to the interpretation of this notion by the
experts of WHO (World Health Organization)) is the process with the help of
which there is a possibility to prevent disability during treatment an illness
and assist disabled to achieve physical, professional, social and economic
completeness, which is possible within the frames of the illness.
Hence, rehabilitation is
a complex of treatment, psychological, pedagogic, social and labor means
directed to the restoration of patient’s health and working capacity.
The main instrument of
PhR is physical exercise; its use is always a pedagogic and educational
process, whose quality depends on the methodologist’s mastering of pedagogic
skills and knowledge. This very process is a medical-pedagogic discipline which
rests on the achievements of medicine, physical education and sport. The
rehabilitation process itself is conducted according to the predefined program.
One can say that the majority of such programs have been composed according to
the functional type. It means that coming from the existing disorder or
deficiency in a human body, being guided by the data of the local pathology,
one picks motor actions which compensate or favorably influence restoration of
the impaired function. Further, coming from the selected motor actions, one
forms the sequence of physical exercise which make up the basis of the
developed complex of PhR. It means that every rehab program has its own complex
of physical exercise according to the treatment course.
After the corresponding
drug therapy the main attention is focused to the restoration of the vital
function – movement, especially after injuries and diseases of the musculoskeletal system and the nervous system. Different orthopedic
means are used with this purpose: prostheses, crutches, canes, wheelchairs. The function therapy rooms are equipped with special
stands and tables for restoration domestic skills. In case of permanent disability (amputation) there takes place an
adaptation of surrounding conditions of the disabled to his physical capacity
(the stairs are equipped, elevators, public transport, flats).
According to its origin
rehabilitation can be distinguished as medical, psychological, pedagogic,
social-economic, professional, domestic and physical.
PhR takes one of the most
important places in the complex of rehabilitation means; it was based on the
wide use of physical culture means. Rehabilitation of patients with serious
functional disorders may be carried out in departments of rehabilitation
therapy of Research Institutes, hospitals of medical universities, hospitals of
disabled veterans, regional clinics and polyclinics, suburban parts
of hospital with a rehabilitation profile, specialized sanatoriums, special
boarding schools (for children who have poliomyelitis, Cerebral Palsy, scoliosis), therapeutic resorts with a
balneotherapeutic profile, therapeutic-physical cultural dispensaries, health
centers.
Conclusions. Modern physical
rehabilitation crossed classical boarders of medical-pedagogic science, having
become an interdisciplinary scientific and practical branch of knowledge.
Theory and methodology of physical culture, medical philosophy and general
pathology as theoretical bases of medical-pedagogic discipline must become the
foundation and methodological basis of its interdisciplinarity. Besides, one
should keep in mind the achievements of rehabilitators from different countries
where the given area has a wider scope of activities.
Literature
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