Increasing the Motivation of Students for Practical Work Through Motor Activity in Elderly People with Diabetes

Volume 8, Issue 6, December 2023     |     PP. 168-180      |     PDF (434 K)    |     Pub. Date: September 25, 2019
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Ruska Vasileva Paskaleva, Department: Medical Rehabilitation and Ergotherapy, Physical Medicine and Sports. Faculty of Medicine at Trakia University, Stara Zagora , Bulgaria

Elderly people with diabetes should change their lifestyle in the direction of regular exercise of moderate physical activity and maintenance of a certain physical condition. The high level of physical activity reduces insulin resistance of tissues (especially skeletal muscles); prevents obesity; reduces overweight, which is associated with lower plasma LDL-cholesterol and triglyceride levels, and higher HDL-cholesterol plasma levels, as well as lower blood pressure. The aim of the present study is the implementation of rehabilitation events at the Diabetes Center in Sofia, Stara Zagora, in the elderly with diabetes through the active participation of the students from the specialty "Medical rehabilitation and ergotherapy". Material and methods. The subject of the study is 120 diabetic patients in the Diabetes Social and Public Center - Stara Zagora. Rehabilitation events are applied depending on the motor skills. The activities are twice a week with a duration of 50 minutes, with the participation of the students of the specialty "Medical Rehabilitation and Ergotherapy" at the Faculty of Medicine at the Trakia University during the clinical practice and pre-graduate practice. Methodology of the study. Anthropometric measurements, a specialized test for daily life activities (DLA) and a Quality of Life Test were performed. The latter consists of four parts (1. Physical health and daily life activities; 2. Psychological test and appearance; 3. Social and personal relationships; 4. Environment and financial resources). It gives a very accurate idea of the quality of life of diabetic patients. Tests were performed in 120 diabetic patients before and after rehabilitation formed in five rehabilitation groups, depending on their motor skills. A rehabilitation program of all groups is also implemented within one calendar year with voluntary and active participation of the students. The program includes: kinesitherapy (physical exercise with a large therapeutic ball and dosed walking), proper nutrition, ergotherapeutic activities (DLA and functional ergotherapy) and art therapy (making souvenirs, cards, etc.). Results and discussion. The activities of everyday life are of the utmost importance for a person's autonomy. These are related to getting up in the morning, dressing up, taking breakfast, dressing and undressing. It refers to moving the body into space, changing its position, occupying different positions, moving with aids or without help. It is important for the everyday use of tools, appliances - they support the execution of DLA. The results achieved in improving daily life activities and gait stability confirm the thesis that exercise of regular physical activity in diabetic patients maintains well muscles, prevents the onset of complications by the nervous system and the locomotor apparatus. Inferences and conclusions: The use of rehabilitation and art therapy has a positive impact on the quality of life of elderly people with diabetes; To achieve good results in the rehabilitation of elderly people with diabetes, early initiation, inclusion of work activities and training into independent daily activities are necessary; The application of ergotherapy and art therapy stimulates patient autonomy, mental health and social activity;Improvement and diversification of work leads to improving the quality of life of older people with diabetes.

motivation, clinical practice, motor activity, elderly people, diabetes, prevention of complications.

Cite this paper
Ruska Vasileva Paskaleva, Increasing the Motivation of Students for Practical Work Through Motor Activity in Elderly People with Diabetes , SCIREA Journal of Education. Volume 8, Issue 6, December 2023 | PP. 168-180.


[ 1 ] Andonova, A., Future Medical Specialists on the Specifics of Working with Older People, Sofia 2012, XXX Scientific and Technological Session "Contact 2012" - "The Interdisciplinary Idea in Action" 26.10.2012, ed. TEMTO pp. 193-195
[ 2 ] Bankov, Occupational Therapy Manual. Sofia, Medicine and Physical Education, 1979.
[ 3 ] Vacheva D. Occupational therapy activities in the rehabilitation of patients with postdisciplinary hemiparesis in UMHAT - Pleven. - Collection of materials at the first national conference on medical rehabilitation and ergotherapy, Pleven, 37, 2007.
[ 4 ] Vacheva D. Types of gripping and their testing for various injuries and diseases of the hand , Neurorehabilitation, Vol. 3, 1-2, 26-31, 2009.
[ 5 ] Vacheva D. Recognizing the recovery of daily life activities (toilet and personal hygiene) in patients with cerebrovascular disease. Neurorehabilitation, Volume 5, 2, 68-69, 2011.
[ 6 ] Dimitrova E. Muscular relaxation and stretching in manual therapy. NSA PRESS; Sofia; p.223, 2008.
[ 7 ] Karansev G., Milcheva D. Methods for Diagnostics and Research in the Physical Education. Sofia, VIF, 1984.
[ 8 ] Koleva, I., Ergotherapy - Philosophy and Principles. - Prevention and Rehabilitation, p.3, 1-2, 53-58, 2009.
[ 9 ] Koleva, I. Functional evaluation in medical rehabilitation and ergotherapy. A textbook for students of Medical rehabilitation and ergotherapy at the Medical University - Pleven. - Sofia: RIC "SIMEL", p.154 , 2008.
[ 10 ] Koleva, I. Significance of Ergotrapy in Neurorehabilitation Clinical Practice. - Clinical Rehabilitation and Balneology,p. 3, 1-6, 4-9, 2008.
[ 11 ] Kyuchukova S. The Challenges of Modern Ethics towards Volunteer Students in the Field of Health Care, Academic Journal of Management and Education, vol. VI (4) 2010, ISSN 13126121, Bourgas, pp.268-271, 2010.
[ 12 ] Kyuchukova, S., Voluntary Work in the European Union, Sister's magazine, issue 2-3 /, ISSN 1310-7496, Sofia University, pp. 32-34, 2010.
[ 13 ] Kyuchukova, S. Voluntary student work in the sphere of public health and health care. Dissertation for awarding educational and scientific degree "Doctor", p.223, 2013.
[ 14 ] Mollova K., M. Albert, S. Filkova, R. Djurkova - Physical Activity in Elderly People with Osteoporosis - Proceedings of Scientific Conference with International Participation "Aging, Health, Geriatric Care", pp.189-194, 2017.
[ 15 ] Paskaleva R., Innovative elements in kinesitherapy training, art therapy and ergotherapy for students rehabilitators, Monograph, Publishing House EKS-PRESS - Gabrovo, p. 120, 2012.
[ 16 ] Topuzov I. Ergotherapy. First part. Sofia, RIC "Simel", 2006.
[ 17 ] Topuzov I. Ergotherapy. Third part. Sofia, RIC "Simel", 2009.
[ 18 ] Yancheva S., Milanov I., Georgiev D., Shotekov P. , Motor activity,Neurology - General Neurolog, Prof. Yancheva, Stara Zagora, Knowledge, 1998.
[ 19 ] Andonova, A., Sereva, D., Physical Rehabilitation and Recreation in Surgery, The VIII International Scientific and Practical Internet Conference: Medical, Social, Psychological and Pedagogical Aspects of Health, 13-17 February, pp. 26-31 , 2017.
[ 20 ] Koleva I, Ioshinov R. Automated system for Nosometric Studies, Diagnostics and Prescription of Rehabilitation Complex for Patients Suffering from Multiple Sclerosis. – In: Abstracts of the II Mediterranean Congress of Physical Medicine and Rehabilitation, May 1998, Valencia, Spain, 448.
[ 21 ] Koleva I, Goranova Z, Ivanova S, Yoshinov R. Electrodiagnostical and Electrographical Evaluation of the Efficacy of Reflexothеrapy in Neuropathic Diabetic Foot. - – In: Chinese therapeutic methods, v.2. (Proceedings of VI European Congress of Chinese Medicine “From the past to the future”, September - October 2006, Sofia). Sofia, 32-42, 2008.
[ 22 ] Okafor, P.I., Sumaila, F.G., Mohammed, J., Badaru, U.M. Assessment of Functional and Musculoskeletal Problems, and Barriers to Obtaining Physiotherapy Services Among the Elderly in a Rural Community in Kano State, Nigeria. A JPARS Vol. 7, Nos. 1 & 2, pp. 1 -6, 2015.
[ 23 ] Рaskalevа R. Еffect of innovations in kinesitherapy and ergotherapy training on the students’ motivation for practical work. British Medical Bulletin, Issue 1 (2), (December), Volume 120. „Oxfort University Press“, Pages 321-333, 2016.
[ 24 ] Рaskalevа R. Аpplication of occupational therapy and kinesitherapy to improve the driving activity and activities of daily life (АDL) in children with cerebral damage. Medicine & Science in Sports & Exerciseq Issue 12 (2), (December), Volume 49. Lippincott Williams & Wilkins Ltd. Pages 2875-2884, 2017.
[ 25 ] Paskaleva R. Increasing the motivation of students for practical work through motor activity and prevention of complications in elderly people with diabetes. KNOWLEDGE - International Journal, Vol 23.1, pp. 519-525, 2018.
[ 26 ] Peurala, Sinikka H. Rehabilitation of Gait in Chronic Stroke Patients. Series of Reports, No 74, Department of Neurology, University of Kuopio, 108 p., 2005.
[ 27 ] Platikanova M. Working conditions, labour organisation and musculoskeletal and optical system- related complaints when working with video displays. International scientific on-line journalu"Science & Technologies"; V (1):184-189, 2015.
[ 28 ] Platikanova М., V. Slavova, V. Ivanov, S. Alekova. Role of neuro-psychlogical tension and fatigue in the daily activites of general practition from the Stara Zagora region. Trakia Journal of Sciences; 13 (2):180-183, 2015.
[ 29 ] Sato Y. Diabetes and life-styles: role of physical exercise for primary prevention. The British Journal Of Nutrition [Br J Nutr] Dec; Vol. 84 Suppl 2, pp. S187-90, 2000.
[ 30 ] Sinaki M. Basic clinical rehabilitation medicine. Toronto – Philadelphia, W. B. Saunders Co, 1987.
[ 31 ] Titianova E., T. Chamova, S. Karakaneva, R. Dimova. Myosonographic Assessment of Triceps Surae Muscle in Chronic Post-Stroke Hemiparesis. Neurosonology And Cerebral Hemodynamics, vol. 2, 75-80, 2012.
[ 32 ] Trombly CA. Occupational Therapy for Physical Dysfunction. – Boston – Baltimor – Philadelphia – Hong-Kong – London – New York – Sydney – Tokyo: Williams & Wilkins, 1996.