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Page 47
Volume 08
June 28-29, 2019 | Oslo, Norway
Joint Event
Journal of Medical and Health Sciences | ISSN : 2319- Breast Pathology and Cancer, Gynecology and Obstetrics Pathology, Palliativecare and Gerontology 2019
Breast Pathology & Cancer Palliativecare & Gerontology Gynecology and Obstetrics Pathology
R K Kantemirova et al., RRJMHS 2019, Volume 08
Application of functional load procedures in the deadly disabled
elderly persons for evaluation of indicators of the cardiovascular
system at the steps of prosthetics
The problem of prosthetics of elderly patients (EP) has worsened due to the
growing number of disabled people in the Russian Federation (RF), the
aging of the population. Annually in RF, about 10, 000 surgical interventions are
performed in the case of lesions of the arteries of the lower extremities.The number
of EP who needs prosthetic supplies has increased. To individualize the selection
of technical means of rehabilitation (TMR), at the stages of learning to walk and
use prostheses, it is necessary to conduct optimal functional tests (FT). The study
aims, selection of the optimal FT with load in EP who underwent amputation
at the level of the shin and thigh. We examined 54 patients who underwent at
the level of the lower leg and thigh. Studies were carried out with modeling of
the load using manual bicycle ergometry. A universal variant of the loading
test is developed, the most informative for assessing the physical state of EP,
identifying potentially dangerous rhythm disturbances and painless myocardial
ischemia. All samples were monitored by electrocardiography, pulse oximetry.
Severe circulatory failure (CF) was detected in seven patients (12.9%), persistent
moderate in 35 patients (64.8%), and insignificant in 12 patients (22.3%). Patients
with severe CF prosthetics were not performed, due to low FT and a high risk of
complications in the stages of prosthetics. Patients with mild CF after choosing
conservative treatment were successfully prosthetized. In the remaining 12
patients the results of FT with exercise helped to start prosthetics in the early
period. The use of functional stress tests in disabled patients for assessment of
the cardiovascular system at the stages of prosthetics, as well as adaptation to new
living conditions, allows individualizing the selection of TMR, eliminating the
risks of complications at the stages of prosthetics, and shortening the terms of
rehabilitation.
Biography
R K Kantemirova is a Doctor of Medical Sciences (Dr. Med. Sci), Honored Head Therapy,
Department of Clinic of Federal Scientific Center of Rehabilitation of the Disabled named after
G.A. Albrecht. She is a Professor in the Department of Gerontology and Geriatrics from North-
Western State Medical University named after I.I. Mechnikov and Saint-Petersburg State
University, and, Professor in the Department of Hospital Therapy from St. Petersburg, Russia.
R K Kantemirova
Federal Scientific Center for the
Rehabilitation of the Disabled- G.A. Albrecht,
Russia
Northwestern State Medical University- I. I.
Mechnikov, Russia
Saint Petersburg State University, Russia
General Bureau of Medical and Social
Expertise of Saint Petersburg, Russia
Co-Authors
A A Burnos4, E O sviridova1 and A Y
Trifanova1
1Federal Scientific Center for the
Rehabilitation of the Disabled- G.A. Albrecht,
Russia
4General Bureau of Medical and Social
Expertise of Saint Petersburg, Russia