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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 46
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
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t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T
he Declaration of Montréal of IASP recognizes chronic pain
as a serious health problem. Access to pain management is
a fundamental human right. The goal of current work is to prove
and evaluate the efficacy of application of different modalities
and methods of the physical and rehabilitation medicine (PRM)
on independence and quality of life of neurological patients. We
effectuate a composition, clinical application and approbation
series of complex neurorehabilitation algorithms for functional
recovery and amelioration of independence in activities of daily
living (ADL) of 1029 patients with neurological diseases, and
516 patients with neurosurgical conditions. The total of 1545
patients was divided into a lot of groups and subgroups, in
each one we applied a different neurorehabilitation complex,
composed by a synergic combination of natural and pre-formed
physical modalities (electrical currents, laser; cryo/thermo-
agents, hydro-/balneo-/peloido-therapy; physiotherapy and
occupational therapy). Patients were controlled before, during
and at the end of the neurorehabilitation course and one month
after its end - using a battery of traditional and contemporaneous
objective methods (including for pain assessment): tests and
scales for motor deficiency, balance and coordination; tests of
functional grip of the upper limb; tests of gait and independent
motion; complex functional scales for independence in ADL (self
service, family, professional & social life); scales for depression
and anxiety; visual analogue scale of pain; vibroesthesiometry;
thermosensibility; laser Doppler flowmetry; ICF asessment. Based
on detailed qualitative and quantitative evaluation we proved
the efficacy of application of different PhThReh complexes and
programs – on different types and levels of sensory, motor and
functional deficiency in patients with diseases and conditions
of the nervous systems. Mechanisms of physical analgesia are
discussed. In conclusion we must say that physical modalities
improve significantly the quality of life of patients with diseases
and conditions of the nervous systems.
Biography
Ivet B Koleva, MD, PhD, DMedSc is a Medical Doctor (1986; Medical Uni-
versity of Sofia, Bulgaria), a Specialist in Physical and Rehabilitation Medi-
cine /PRM/ (1990) and in Neurology (1995), with European Certification in
PRM (2008). She has completed three scientific theses: PhD in PRM (2004),
PhD in Pedagogics (2013), Doctor of Medical Sciences in PRM (2009). She
has worked as Associated Professor (from 2006) and as Professor in PRM
(from 2010). She is Professor at the Medical University of Sofia, Bulgaria.
She has published more than 100 papers in Bulgarian and international sci-
entific journals, author of a lot of monographs and manuals in the field of
Physical Medicine and Rehabilitation, Neurorehabilitation, Neuro-ergothera-
py, Grasp and Gait rehabilitation, Functional evaluation, Pain management.
She is the Co-author of the Bulgarian National PRM Standard (2004). During
the period 2007-2015 she was a Member of the PRM Section -European
Union of Medical Specialist.
yvette@cc.bas.bgNeurorehabilitation algorithms for pain management
Ivet B Koleva
Medical University of Sofia, Bulgaria
Ivet B Koleva, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-002