Aim: A study was conducted on the relationship between personality and temperamental traits and the perception of trauma. Materials and Methods: The study involved 50 people practicing extreme and high-risk sports and 50 people practicing non-extreme sports. The study used: the BFI-10 Personality Questionnaire translated by Jan Fazlagić, the Sensation Seeking Scale (SSS-V) by Zuckerman and the Scale of Perception of Injury in Sports by J. Blecharz. Results: Statistically significant differences were detected in the intensity of personality and temperamental traits and injury perception between groups, as well as statistically significant correlations between the results obtained in the BFI-10 Questionnaire, SSS-V Scale and the Injury Perception Scale in Sports. Conclusions: There is a relationship between the type of sport practiced and personality and temperamental traits. Personality and temperamental traits have a weak or moderate impact on the perception of trauma.

Aim: The purpose of our study was check to how a 3-month program of physical, cognitive and social rehabilitation affected the cognitive functions of patients of the Mental Health Support Centre in Tarnowskie Gory by using the Wisconsin Card Sorting test Materials and Methods: The Wisconsin Card Sorting Test (WCST) was conducted twice among patients of the Mental Health Support Center in Tarnowskie Gory, who were undergoing a 3 month rehabilitation program that included physical, cognitive, and social rehabilitation. The test was conducted at the beginning and after the participation in the rehabilitation program. Results: The rehabilitation program led to a significant decrease in patients’ perseverative responses compared to the initial study. Other indicators were also assessed in the Wisconsin Card Sorting Test (WCST). There were no statistically significant differences between the results of the first and second studies. Conclusions: After completing the rehabilitation program, patients showed a significant decrease in perseverative responses, indicating improved speed in responding to changing task conditions. Cognitive flexibility, including the ability to respond to changing environmental conditions, is a key skill that enables adequate and adaptive actions.

Aim: The aim of the study is to investigate the methodological potential of hermeneutics and phenomenology in modern specific scientific research on valeological, rehabilitation and physiotherapeutic activities, highlighting the substantive and functional features of phenomenology and hermeneutics in rehabilitation practice. Materials and Methods: The basis of scientific research is the method of historical-philosophical analysis. In working with texts, the general methodological basis was the acquisition of historical-critical and systemic-structural approaches. Also, the interdisciplinary approach played a leading role in the work, which within the scope of the study involves the synthesis of not only the norms of scientific research of primary sources, but also theoretical ideas and principles that determine the directions of the object’s research. Conclusions: It was established that hermeneutics and phenomenology have significant methodological potential in valeological, rehabilitation and physiotherapeutic research. It has been proven that the problem of understanding is of particular importance in rehabilitation activities. With the help of hermeneutics, it is possible to create a bridge for effective communication between the rehabilitation doctor and the patient.

Aim: To assess the restoration of the act of swallowing in patients with cancer of the oral cavity and oropharynx using an objective method - ultrasound examination of the contraction of the muscles involved in the act of swallowing in complex treatment. Materials and Methods: The study was conducted in 76 patients (58 (76.3%) men and 18 (23.7%) women, mean age 58.05±12.31 years) with tumors of the oral cavity and oropharyngeal mucosa of stages II-IVa, with the possibility of surgical removal, without distant metastases. Patients are divided into two groups depending on treatment and postoperative analgesia. The act of swallowing and its restoration were studied using the ultrasound method of research for 1 and 10 days. Results: During the study, it was found that the difference in the indicators of contractions of the muscles of the oral cavity on day 10 in the main group almost corresponded to the initial indicators before the operation and the proposed treatment. This indicates that patients with cancer of the oral cavity and oropharynx in the postoperative period resumed the act of swallowing on the 10th day and such patients could switch from zonal to self-feeding. That is, on the 10th day, a nasogastric tube can be removed from them. And in the patients of the comparison group, on the 10th day, the indicators of muscle contraction decrease. Therefore, the nasogastric tube was removed for 12-14 days, depending on the volume of removed muscles. Conclusions: The developed ultrasound study of the act of swallowing is of practical importance as an objective research method with a mathematical justification of the functional activity of the muscles. Combined treatment contributes to the rapid recovery of swallowing, which is confirmed by ultrasound examination of the contraction of the muscles involved in the act of swallowing.

Aim: To justify and experimentally verify the modern method of physical improvement of higher education students by means of functional training, taking into account the individual capabilities of student age in the aspect of health-preservation. Materials and Methods: 264 students of the 1st-2nd years of the specialties: «Physical therapy, occupational therapy», «Technologies of medical diagnosis and treatment», specialty «Secondary education. Physical culture» and «Physical culture and sport. Sport» took part in the study. They attended physical education classes and extracurricular functional training classes during 2020-2022 in three stages: theoretical and diagnostic stage; analytical and research stage; experimental and generalizing stage. Students were from the Educational and Scientific Institute of Physical Education and Sports of the State Institution «Luhansk National University named after Taras Shevchenko», the Communal Institution «Kharkiv Humanitarian and Pedagogical Academy» of the Kharkiv Regional Council. Research methods: theoretical, empirical, methods of statistical data processing. Results: The survey of the tested contingent showed that 60% of respondents want to increase muscle mass, increase strength – 30%, correct the figure – 10%. Among the forms of classes, 46% students consider independent classes to be the best, physical education classes – 40%, personal and group classes – 14%. Conclusions: An experimental method of physical improvement of students of higher education institutions using functional training exercises has been developed. A feature of the developed methodology is the individualization and integral combination of traditional teaching methods with innovative ones with gradual complication of the content of classes.

Aim: Complex regional pain syndrome (CRPS) is characterised by chronic pain, swelling, and vasomotor dysfunction. The disorder often gradually leads to muscle dystrophy, bone defects, and decreased limb function. The etiology of this condition has not been fully established. Aim. To analyse the physical therapy in CRPS patients treated at the Division of Physical Medicine of the Department of Rehabilitation in 2012-2022. Materials and Methods: The study involved a group of 58 patients after distal epiphyseal fractures of the forearm and crus. Testing concerned the following: hand or foot skin temperature, hand grip strength, pain intensity, bone radiographs, and psychosomatic profile according to Zung’s scale. Physical therapy included whirlpool massage, lidocaine and calcium iontophoresis, variable low frequency magnetic fields, and kinesiotherapy. Results: After 6-week treatment, we achieved full clinical improvement in 82% of the patients and partial improvement in 18% (these were patients in whom the treatment was introduced at an advanced stage of the disorder). Conclusions: 1. Complex regional pain syndrome is a difficult clinical problem. 2. Early diagnosis and introduction of focused physical therapy allow for full restoration of limb function.

Aim: Comparison of the quality of life of patients after the procedures of coronary artery bypass grafting (CABG) and valve replacement (so-called small thoracotomy, i.e. a small incision under the breast). Materials and Methods: The study group consisted of 144 patients (average age 68,36 ) of the State Medical Institute of the Ministry of Internal Affairs and Administration, after cardiac surgeries, who were subjected to physiotherapy for 3 years in the Cardiac Rehabilitation Department of the same hospital. Before and after the therapy, questions from the WHOQOL BREF Quality of Life Assessment Questionnaire were asked. Results: In the patients before rehabilitation, the average value of each domain variable, i.e. Somatic, Psychological and Social, is significantly lower than after the stay in the Cardiac Rehabilitation Department. Conclusions: The implementation of rehabilitation in patients after cardiac surgeries had a positive impact on the values of each domain variable.

Aim: To study of the clinical effectiveness of the use of medicinal mud of the Shabolat estuary “Akvilon” in the complex treatment of chronic inflammatory processes of the uterine appendages in women of reproductive age. Materials and Methods: The prospective study was conducted of 40 patients with chronic inflammatory diseases of the appendages (the main group) who were treated according to the proposed scheme with the addition of therapeutic mud “Akvilon” and 22 patients who made up the control group and were treated according to the generally accepted scheme. The level of gonadotropins and sex hormones, the biocenosis of the vagina and the intensity of the pain component were determined. Results: In patients who received the offered treatment scheme with the use of “Akvilon” therapeutic mud, the improvement in the general state of health, acceleration of the elimination of clinical symptoms of inflammation was revealed. The use of therapeutic mud made it possible to normalize the menstrual cycle, the biocenosis of the vagina, and reduce the pain component as a manifestation of the chronic inflammatory process. Conclusions: The use in women with chronic inflammatory diseases of the appendages in the complex treatment of natural mud “Akvilon” contributes to the rapid regression of clinical manifestations of the disease, in comparison with standard therapy. The use of the drug allows you to normalize the hormonal background, accelerate the recovery of the vaginal biocenosis, treat the sebaceous process, which in the future will contribute to the desired pregnancy. The obtained results testify to the effectiveness of the therapeutic mud “Akvilon” and justify the need to use this group of drugs for the treatment and rehabilitation of women with chronic inflammatory diseases of the appendages.

This is a case study of a 7-year-old boy with thoracolumbar scoliosis. An examination revealed trunk, shoulder and scapular asymmetry, pelvic obliquity, head and shoulder protraction, and reduced flexibility of the paraspinal and pelvic muscles. The child underwent a 1-year rehabilitation programme according to the Functional Individual Therapy of Scoliosis (FITS) method and three-plane manual therapy of foot defects as well as scoliotic curve correction with asymmetric exercises and the use of Thera-Band. After one year of rehabilitation, a physical and radiographic examination showed a considerable reduction in the Cobb angle as well as the angle of trunk rotation. Regular scoliosis screening should be offered to children and adolescents in kindergartens and schools.

Aim: This study aims to assess the behaviour of the thumb when subjected to axial pressures, to estimate the risk of potential damage in the long term and to quantify the information obtained from clinical analyses. Materials and Methods: The study evaluated the effect of axial loading on the thumb based on an objective assessment during measurements on a strain gauge bench and compared it to hand loading during use of a fascial therapy tool. The study was supplemented by biomechanical analysis on an X-ray of a randomly selected physiotherapist. Results: The study highlighted a decrease in thumb performance during the course of successive soft tissue therapy techniques, despite guidelines stating the need for uniform action on the tissues, and confirmed that prolonged axial pressure/loading can lead to a range of functional impairments carrying the risk of permanent damage in the long term. Compared to thumb work, tool therapy scored slightly better, although also with a downward trend indicative of inadequate ergonomics resulting from the tool’s design. Conclusions: The thumb, as the most sensitive structure of the therapist’s hand, despite anatomical conditions providing it with high stability during use, can gradually acquire dysfunctions that limit its performance. Consequently, there is a need to search for substitutes that are as equally effective.