Uncomplicated community-acquired pneumonia as a rehabilitation problem

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Abstract

Introduction. The article examines the feasibility of rehabilitation interventions for children who have had community-acquired uncomplicated pneumonia. The study aimed to analyze the functional characteristics of the cardiorespiratory system and assess the ICF domains in convalescent children with uncomplicated community-acquired pneumonia before discharge from an infectious diseases hospital. Materials and methods. A survey of convalescent children (n = 100, aged 14 to 17 years) was conducted before discharge from the hospital in March 2024 after uncomplicated community-acquired pneumonia. All subjects underwent an assessment of structures, functions, activity and participation, and environmental factors in ICF categories. Results and discussion. In all age groups, a decrease in blood oxygen saturation was noted after the 6MWT, low Stange test values were observed before the test of a six-minute walk (6MWT). In response to submaximal exercise, an increase in heart rate (above the physiological norm) was noted, as well as relatively low six-minute walk test values. Patients of all age groups had difficulties performing physical activity in a submaximal mode. The average score on the Borg scale was 19 points. The results obtained were assessed using the ICF. Conclusion. The study found that patients who have had uncomplicated community-acquired pneumonia, at the time of discharge from the infectious diseases hospital, have a number of limitations in life activity associated with the cardiorespiratory system. These patients require rehabilitation aimed at restoring respiratory function and exercise tolerance.

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About the authors

Ildar Kh. Kashaev

Saratov State Medical University named after V. I. Razumovsky

Author for correspondence.
Email: kashaev.i.h@yandex.ru
ORCID iD: 0009-0004-5814-3116

second-year resident specializing in Physical Therapy and Sports Medicine at the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Lyudmila Yu. Arkhipova

Saratov State Medical University named after V. I. Razumovsky

Email: milamir2016@yandex.ru
ORCID iD: 0000-0002-2134-1918

Candidate of Medical Sciences, Associate Professor of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Irina S. Kirsanova

Saratov State Medical University named after V. I. Razumovsky

Email: kirsanova_is@mail.ru
ORCID iD: 0000-0002-7561-2074

Assistant of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Elena G. Bukreeva

Saratov State Medical University named after V. I. Razumovsky

Email: elena-iva-w@yandex.ru
ORCID iD: 0009-0003-1303-0823

Assistant of the Department of Neurology named after K. N. Tretyakov, Candidate of Medical Sciences

Russian Federation, Saratov

Dmitry Yu. Levin

Saratov State Medical University named after V. I. Razumovsky

Email: dmitry1979tm@mail.ru
ORCID iD: 0000-0002-9402-2344

Candidate of Medical Sciences, Associate Professor of the Department of Infectious Diseases in Children and Polyclinic Pediatrics named after N. R. Ivanov

Russian Federation, Saratov

Sergey A. Tolstokorov

Saratov State Medical University named after V. I. Razumovsky

Email: stol74_74@inbox.ru
ORCID iD: 0000-0002-4447-9637

Candidate of Medical Sciences, Associate Professor of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Bilolkhon N. Bobokhonov

Saratov State Medical University named after V. I. Razumovsky

Email: bilolkhon@mail.ru
ORCID iD: 0009-0000-2864-8392

first-year resident specializing in Anesthesiology and Intensive Care Medicine at the Department of Emergency Anesthesiology and Intensive Care and Simulation Technologies in Medicine

Russian Federation, Saratov

Georgy S. Bakulin

Saratov State Medical University named after V. I. Razumovsky

Email: gordanko22@gmail.com
ORCID iD: 0009-0007-3849-9301

second-year resident in the specialty “Physiotherapy” of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Ekaterina A. Galkina

Saratov State Medical University named after V. I. Razumovsky

Email: katoreada@gmail.com
ORCID iD: 0009-0007-0661-7932

Assistant of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Inessa A. Amirova

Saratov State Medical University named after V. I. Razumovsky

Email: amirovaia@mail.ru
ORCID iD: 0009-0007-8147-7124

Assistant of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Maria I. Lukyanova

Saratov State Medical University named after V. I. Razumovsky

Email: mariaegorova90@yandex.ru
ORCID iD: 0000-0002-3664-6343

Assistant of the Department of Physical Therapy, Sports Medicine and Physiotherapy

Russian Federation, Saratov

Elmira D. Minibayeva

Saratov State Medical University named after V. I. Razumovsky

Email: elmira.minibaeva.03@mail.ru
ORCID iD: 0009-0006-6411-6987

fifth year student of the pediatric faculty

Russian Federation, Saratov

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