Methods Of Physical Rehabilitation Research Articles

АЛГОРИТМ ПРИМЕНЕНИЯ ИНДИВИДУАЛЬНО – ГРУППОВОГО ПРОТОКОЛА ПРИ КОМПЛЕКСНОЙ РЕАБИЛИТАЦИИ ПАЦИЕНТОВ С САРКОПЕНИЕЙ

Abstract. With the beginning of the aging of the population, diseases associated with old age and senility have become a problem for public health worldwide. This process is accompanied by certain physiological changes. Sarcopenia is one of the causes of these changes and is defined as a clinical syndrome associated with age-related loss of skeletal muscle mass, strength, function and physical performance. Sarcopenia is officially recognized as a muscular disorder with the diagnostic code ICD‐10‐CM (M62.84) and is associated with various adverse outcomes, including falls, impaired mobility, weakness and death. The present study included 198 elderly male patients aged 61 to 75 years (average 68±3.27 years) suffering from sarcopenia. The patients were divided into groups I and II depending on the method of physical rehabilitation. Physical therapy classes were held for 12 weeks on the basis of the State Medical Institution of the Yaroslavl Regional Gerontological Center. The study participants voluntarily agreed to conduct a comprehensive medical and anthropological examination during 4 control sections, including antropometry, bioimpedance analysis, and hand dynamometry. Based on the data obtained, a computer program "Program for assessing the quality of rehabilitation in patients with progressive and generalized loss of muscle mass and muscle strength" was created, and a protocol for the physical rehabilitation of elderly patients with sarcopenia was developed.

Physical rehabilitation of children and adolescents with oncohematological pathology after hematopoietic stem cell transplantation

Introduction. This article is devoted to the description of the method of physical rehabilitation of children and adolescents of 12–17 years old after hematopoietic stem cell transplantation and the analysis of the effectiveness of this method on the indicators of physical, emotional state and quality of life assessment.The objective of the study was to scientifically substantiate the effectiveness of the method of physical rehabilitation of adolescents who underwent hematopoietic stem cell transplantation.Methods and materials. The experiment involved 40 adolescents with oncopathology who were admitted for treatment at R.M. Memorial Research Institute for Pediatric Oncology, Hematology and Transplantation, of which 16 girls and 24 boys aged 12 to 17 years: experimental group 1 (EG1 ) – 20 patients and experimental group 2 (EG2) – 20 patients. In EG2, classes were held 3 times a week together with an instructor-methodologist of exercise therapy and were taught independently according to a specially developed methodological and video material with filling in a self-control diary.Results. The application of the developed method of physical rehabilitation of adolescents contributes to: optimizing the physical condition: indicators of the life index improved by 5.5 %; power index by 28.9 %; the level of aerobic endurance by 18.3 %; carpal dynamometry of the right hand by 6.5 %, carpal dynamometry of the left hand by 5.2 %; indicators of vital capacity of the lungs improved by 6.5 %; the time of passage of the straight line by 25.7 %, the improvement of the psycho-emotional state – indicators of anxiety and depressive states decreased by 22.3 %, the improvement of the quality of life: physical, emotional, social functioning improved by 7.4 %; pain and soreness, fatigue and sleep, nausea, anxiety, nutrition, thinking, communication improved by 9.3 %.Conclusion. Thus, the presented method of physical rehabilitation has shown its effectiveness.

Effectiveness of Sensor-based Rehabilitation in Improving Outcomes in Patients Undergoing Total Knee Arthroplasty.

Physical rehabilitation after total knee arthroplasty (TKA) is important for long-term functional recovery. Recently, sensor-based home rehabilitation (SHR) has gained prominence as a promising method that allows monitoring and guidance that is both structured and accessible, compared to traditional methods of physical rehabilitation. Despite the advent of wearable sensor systems, there is a paucity of evidence regarding SHR in the current literature. Thus, this systematic review aimed to evaluate the effect of wearable SHR on post-TKA outcomes. We performed a systematic search of three electronic databases from the beginning of record to March 12, 2021. Primary outcomes were patient-reported outcome measures (PROMs) after rehabilitation, including the Knee Injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Knee Society Score (KSS). Secondary outcomes were physical activity levels and functional performance including range of motion (ROM) and Timed Up and Go Test (TUG). A total of 16 studies involving 1321 subjects were included. All wearable sensors in our included studies involved a combination of accelerometers, gyroscopes and magnetometers as functional units. These studies reported favourable outcomes for all three PROMs, although the extent of improvement in specific domains varied among studies. Moreover, physical activity in terms of daily steps and time spent on physical activity increased post-rehabilitation. Similarly, there were improvements in ROM and TUG that reflected a favourable post-operative trajectory during rehabilitation. SHR is effective for improving subjective and objective outcomes post-TKA. The role of SHR should be evaluated by a dedicated cost-benefit analysis to facilitate its wider adoption in healthcare systems.

Psychological Principles of the Formation of General Compensatory Reactions of the Patient with Ischemic Stroke in a Case of Physical Rehabilitatio

The objectives of our article are: 1) to study the characteristics of disorders of psychomotor function and psycho-emotional state of patients with ischemic stroke according to the initial examination; 2) to develop the method of physical rehabilitation of patients with ischemic stroke at the inpatient stage of rehabilitation, depending on the severity of psychomotor functions and features of the psycho-emotional state; 3) to propose psychological principles of the formation of general compensatory reactions of the patient with ischemic stroke in a case of physical rehabilitation. Research methods. There were used psychological and pedagogical research methods: the analysis of literature sources, the method of psychological and pedagogical observation, psychological and pedagogical experiment, providing the research of psycho-emotional state (M. Lucher’s test is used (Lucher,2012)), determination of motor activity on the “Scale of psychomotor activity” by L.S. Rohovyk (Роговик, 2013). For our research we proposed “The author’s methodology of measuring the amount of active movements in the joints of the patient’s limbs” (Харченко & Михальчук, 2022a) and “Six-point scale for assessing muscle strength in the joints of the patient’s limbs” (Харченко & Михальчук, 2022b). The results of the research. Patients showed increased tone in the flexion of the ankle joint and extension of the hip and knee joints. In other muscle groups, the tone was not increased, and in the upper extremities there was a decrease in muscle tone. Muscle strength was statistically significant. In a case of the research of the limbs of the unaffected side, the following data were obtained: the volume of active movements was 55.68% ± 4.3 of the appropriate volume of movements and the values are significantly higher. The rate of passive movements was higher than the affected party (at the level of reliability and amounted to 63.06% ± 3.9 of the appropriate volume of passive movements and corresponded to the average values for the age group of respondents. The mean value of muscle strength was 61.28% ± 7.3 values are statistically significant of the affected side. Muscle tone on the unaffected side was higher than normal and was 27.9% ± 3.6 of the maximum value. It was proved that the amount of passive movements in the experimental group as a whole is slightly lower than in the control group. Conclusions. Adequate tonal response of the muscular system leads to the formation of a pathological static stereotype. We proposed psychological principles for the formation of general compensatory reactions of the patient in a case of physical rehabilitation of patients with ischemic stroke: 1. The principle of actualization of the defect. 2. The principle of progressive mobilization of compensatory mechanisms of psychomotor activity. 3. The principle of continuous reverse concentration of compensatory mechanisms of the personality psyche. 4. The principle of authorizing the compensatory mechanisms of the individual psyche. 5. The principle of relative stability of the compensatory mechanisms of the individual psyche.

Cognitive and Physical Intervention in Metals' Dysfunction and Neurodegeneration.

Metals—especially iron, copper and manganese—are important elements of brain functions and development. Metal-dysregulation homeostasis is associated with brain-structure damage to the motor, cognitive and emotional systems, and leads to neurodegenerative processes. There is more and more evidence that specialized cognitive and motor exercises can enhance brain function and attenuate neurodegeneration in mechanisms, such as improving neuroplasticity by altering the synaptic structure and function in many brain regions. Psychological and physical methods of rehabilitation are now becoming increasingly important, as pharmacological treatments for movement, cognitive and emotional symptoms are limited. The present study describes physical and cognitive rehabilitation methods of patients associated with metal-induced neurotoxicity such as Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis, Huntington’s disease and Wilson’s disease. In our review, we describe physical (e.g., virtual-reality environments, robotic-assists training) and psychological (cognitive training, cognitive stimulation, neuropsychological rehabilitation and cognitive-behavioral and mindfulness-based therapies) methods, significantly improving the quality of life and independence of patients associated with storage diseases. Storage diseases are a diverse group of hereditary metabolic defects characterized by the abnormal cumulation of storage material in cells. This topic is being addressed due to the fact that rehabilitation plays a vital role in the treatment of neurodegenerative diseases. Unfortunately so far there are no specific guidelines concerning physiotherapy in neurodegenerative disorders, especially in regards to duration of exercise, type of exercise and intensity, as well as frequency of exercise. This is in part due to the variety of symptoms of these diseases and the various levels of disease progression. This further proves the need for more research to be carried out on the role of exercise in neurodegenerative disorder treatment.

Determination of efficiency of physical rehabilitation methods in osteochondrosis

The complex nature of rehabilitation in osteochondrosis, the main means of which are therapeutic physical training, massage and physiotherapy methods are substantiated. The main physiotherapeutic methods used in the treatment of osteochondrosis are considered. The choice of one method of physiotherapy or their combination depends on the leading pathogenetic mechanism of osteochondrosis. An important component of the rehabilitation of patients with osteochondrosis is the use of therapeutic massage, classification, the necessary conditions to achieve a health effect, which is presented in the paper. The rules of medical physical training for osteochondrosis are indicated. Modern rehabilitation technologies increase the effectiveness of therapeutic, rehabilitation and preventive measures and reduce the duration of treatment of spinal osteochondrosis. The use of highly effective physical rehabilitation programs opens up new opportunities for the rehabilitation of patients with osteochondrosis of the spine.

Bobath Therapy for Cerebral Palsy: An Efficacy Study

Cerebral palsy is among the most severe perinatal lesions in the central nervous system and a leading cause of childhood disability. Aim to assess how Bobath therapy affects the motor functions and physical development of preschool children with spastic diplegia cerebral palsy. The study includes 42 (46.7%) boys and 48 (53.3%) girls aged four diagnosed with spastic diplegia. All patients were divided into two comparison groups of 45 children based on the method of physical rehabilitation: children enrolled in a conventional rehabilitation program (control group) and children receiving standard rehabilitation together with Bobath therapy (treatment group). After a course of integrated physical rehabilitation, patients demonstrated an improvement in motor skills: 15 (33.3%) children (p<0.05) with GMFCS level 2 improved to level 1, and 16 (35.6%) children (p<0.05) with GMFCS level 3 improved to level 2. In the control group, only 6 (13.3%) children (p<0.05) with GMFCS level 2 improved to level 1, and 11 (24.4%) children (p<0.05) with GMFCS level 3 improved to level 2. The conventional physical rehabilitation combined with Bobath therapy has a positive effect on the motor skills and physical development of children with spastic diplegia cerebral palsy.

Methods And Means of Restorative Treatment in Case of Incorrect Positions of The Uterus Relative to The Horizontal Axis of The Small Pelvis

The article presents the results of a study relating to the practical application of methods and means of physical rehabilitation with incorrect positions of the uterus. An exemplary complex of physical exercises and rehabilitation methods is given.

The influence of an integrated approach of methods on the state of the spine of persons with osteochondrosis and intervertebral disc protrusion

Relevance. Degenerative lesions of the vertebral column and related neurological manifestations are an important problem of modern medical science. It was revealed that methods of physical rehabilitation of patients with osteochondrosis of the spine are more effective when used in a complex.Purpose is to determine theoretically and justify the effectiveness of the developed methodology of physical rehabilitation of persons aged 30-40 years, with osteochondrosis and protrusions,Methods and organization of research. A complex technique was applied, including taping and exercises aimed at decompression of the spine.The results of the research. Patients of the experimental group achieved results already on the thirtieth day, and at the end of the entire course 90% had no complaints. Recommendations for further studies at home were developed for the subjects.Conclusions. The etiological factors of the development of osteochondrosis and the consequences of intervertebral disc protrusions are presented, the analysis of the means of physical rehabilitation for osteochondrosis and protrusions that are used in modern times is carried out.

Модифицирование спортивных подвесных систем для использования в реабилитационном процессе

В работе представлен обзор литературы, посвященной использованию спортивных подвесных систем в реабилитационном процессе. Подвесная терапия, или cлинг-терапия, — это метод физической реабилитации с использованием разнообразных систем подвеса всего тела или конечностей. Эти системы в настоящее время широко используются как в восстановительном лечении, так и в тренировочном процессе. Обсуждается возможное модифицирование спортивных подвесных систем путем использования эластичных подвесов. Применение эластичных подвесов в спортивных вариантах подвесных систем позволяет не только выявить слабое звено в скелетно-мышечной цепи, но и откорректировать его, используя разнообразные динамические упражнения. Так, использование эластичных подвесов дает возможность активизировать более слабые мышечные группы, чередуя выполнение динамических и статических упражнений. При этом врач имеет возможность проследить за тем, чтобы в выполнении движения не участвовали другие, более сильные мышечные группы. Включение в выполнение движения компенсаторных мышц является сигналом к завершению или изменению условий выполнения упражнений. Таким способом возможно сформировать и натренировать правильный двигательный паттерн у пациента, не прилагая больших усилий. Применение эластичных подвесов дает возможность увеличивать или уменьшать нагрузку, не изменяя количество повторений упражнения и, соответственно, не изменяя длительность занятия.

Comparative effectiveness of various methods of physical rehabilitation in the complex treatment of patients with dyscirculatory encephalopathy with vestibulo-atactic syndrome

To compare the effectiveness of a special complex of therapeutic (vestibular) gymnastics and training with biofeedback (BFB) on a stabiloplatform in the rehabilitation of patients with dyscirculatory encephalopathy with vestibulo-atactic syndrome. A cohort prospective single-center randomized comparative study of the clinical effectiveness of the author's complex of therapeutic exercises and stabilometric training with BFB in the complex treatment of patients with dyscirculatory encephalopathy with vestibulo-atactic syndrome was carried out. The study involved 40 patients aged 65-89 years who were randomized into 2 equal groups. Patients of the 1st group, against the background of drug therapy and physiotherapy, were trained on a stabiloplatform with BFB (a training game according to the manufacturer's instructions). Patients of the 2nd group performed a complex of therapeutic (vestibular) gymnastics specially designed for this study. The effectiveness of physical rehabilitation was assessed by the dynamics of (1) subjective symptoms (complaints of patients), (2) indicators of stabilometry (symmetry index, the sum of the coordination indices for the right and left legs, fluctuation) and (3) the results of functional testing using the Get up and go test, the Berg balance scale and the Tinetti mobility scale. In the group of patients who performed vestibular gymnastics, in contrast to patients who participated in training using a multifunctional stabiloplatform with BFB, a statistically significant improvement was revealed when assessed by the Get up and go test and the Berg balance scale. In none of the groups, a distinct dynamics of stabilometry indicators was registered. No correlation was found between the main indicators of stabilometry and the data of functional tests. Thus, vestibular gymnastics has demonstrated greater effectiveness in the rehabilitation of patients with dyscirculatory encephalopathy and vestibulo-atactic syndrome in comparison with stabilometric training with biofeedback. The discrepancy between stabilometry indicators and the results of functional testing in patients requires a targeted study.

Historical stages of development of the Yalta Scientific Phthisiological School: to the 100th Anniversary of the founding of the Yalta Clinical Tuberculosis Institute

An overview of the activities of the scientific phthisiology and balneology school on the southern coast of Crimea, starting from the creation in 1922 of the Yalta Clinical Tuberculosis Institute is presented. Since 2020, the activities of the successor of “Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after. I.M. Sechenov” is focused on the problem of rehabilitative treatment of patients who have felt COVID-19. The history of the Institute is an example of the persistence and constant desire of the team to preserve and increase the traditions of the national medical school.

The Range of Physical Rehabilitation Methods in Children with Cerebral Palsy

Aim: To analyze the modern national and foreign literature on up to date methods of physical rehabilitation of children with cerebral palsy. Materials and Methods: The study used bibliosemantic analysis of physical rehabilitation methods in children with cerebral palsy in ScienceDirect, PubMed, Scopus and Web of Science electronic databases. Inclusion criteria: (1) physical rehabilitation of children with cerebral palsy, (2) methods of physical rehabilitation of children with cerebral palsy. If the expected criterion was found, the full text was reviewed. Conclusions: The bibliosemantic review of literature sources indicated that a large set of new methods are used in the physical rehabilitation of children with CP. In general, a larger percentage of authors indicated the effectiveness of the methods of therapeutic physical exercising, rehabilitation massage, dosed proprioceptive correction, sensory inegration, Vojta-Therapy, kinesiotherapy and kinesiotaping in the physical rehabilitation of children with cerebral palsy.

Сomplex rehabilitation of walking function in central paresis of the lower limb using neuroprosthetic technology

Disability after a stroke is most often associated with decreased patient activity due to walking disorder. In case of severe paresis, the function of the limb in the early stages of recovery is advisable to support with the help of partial prosthetics, using methods that provide functional stimulation. The complex treatment of central paresis includes botulinum therapy, which is due to the high incidence of spasticity.
 Aim: of the study: evaluation of the efficacy of functional electrical stimulation in a complex of multimodal effects in restoring movement in stroke patients with lower limb paresis.
 Materials and methods: Stimulation and neuroprosthetic methods (Bioness L300) were used as the main therapeutic program of rehabilitation treatment for patients with motor disorders of the lower limb after an ischemic stroke (n = 70). The median period of stroke was 21 [11; 47] days, median age 54 [42; 65] years. Scales and questionnaires were used to assess the loss of strength and volume of movement disorders, spasticity, walking speed and self-care (Medical Research Council Weakness Scale (1981, MRC), Barthel Index (1965), Modified Ashworth Scale (MAS), 10-meter test).
 Results: The effectiveness of personalized therapy with the use of a neuroprothesis (Bioness L300) in patients in the acute and early recovery period of ischemic stroke was shown. The additional use of botulinum toxin made it possible to eliminate the inhibitory effect of spasticity, which expanded the possibility of using intensive methods of physical rehabilitation. There was an increase in daily activity, walking speed, and the level of self-care of patients in 90 % of cases.
 Conclusion: The use of a complex of stimulating personalized techniques in the acute period of a stroke is justified and safe. The functional electrical stimulation helps to overcome power paresis, increases the overall level of physical activity of patients after a stroke, motivation for recovery and improves the quality of life. (1 figure, 2 tables, bibliography: 9 refs)

Complex approach to the conservative treatment of hallux rigidus

Introduction. Hallux rigidus (HR) is a common source of forefoot pain, which leads to progressive loss of range of motion in the first metatarsophalangeal (MTP1) joint and pathologically affects biomechanics of the whole lower limb. HR is characterized by degeneration of the articular surfaces of MTP1 joint with the formation of bone growths, cysts and erosions, osteochondral defects and loose bodies. The frequency of occurrence of HR is 1 in 40 adults older than 50 years, and this localization of osteoarthritis is the most common among all joints of the foot. The aim of this article is to improve the results of conservative treatment of HR through the use of physical rehabilitation methods, such as manual therapy, therapeutic exercises and foot orthotics.Materials and methods. This study included retrospective cases of 24 patients (28 feet), who underwent a single course of conservative treatment of HR at the European Clinic for Sports Traumatology and Orthopedics (ECSTO) of the European Medical Center (EMC) since January 2014 to December 2018. The patients’ mean age was 51 years (range, 41 to 69 years). Median time between the beginning of treatment and final examination was 26 months (interquartile range from 17 to 36 months). Patient satisfaction, VAS pain scale, AOFAS and FAAM questionnaires and MTP1 dorsiflexion were evaluated in this study.Results. According to AOFAS scale, we obtained 18% (5/28) of excellent, 78% (22/28) of good, 4% (1/28) of fair and no poor results. Median AOFAS score significantly increased from 58.5 points before treatment to 87.0 points on the final examination (p<0.05). Median FAAM daily activity subscale showed 98% of functional outcome with median subjective score of 95%, median FAAM sports score was 97% and median subjective sports score rate was 90%. Patient’s satisfaction at the final examination was “excellent” in 57% (16/28), “good” in 39% (11/28), “fair” in 4% (1/28) of cases and no poor results were obtained. Median VAS pain scale decreased from 5 points before treatment to 1 point at the final examination (p<0.05). Median angle of the MTP1 dorsiflexion significantly increased from 23° before treatment to 30° on the final examination (p<0.05).Conclusion. Described approach of the conservative treatment of HR is an effective method of treatment of early stages of the disease with high patient satisfaction rate and functional outcome.

Application of pilates means in physical therapy of middle age women with degenerative-dystrophic lesions of the lumbar department

Degenerative-dystrophic diseases in middle-aged women are a common pathology of the spine, which is caused by a sedentary lifestyle, insufficient attention to the problem of spinal health and signs of the disease at an early stage of its development. Purpose: to determine the features of improving the vital functions of middle-aged women with degenerative-dystrophic lesions of the lumbar spine by Pilates. Research methods: theoretical analysis of scientific and methodological literature, empirical (questionnaires by Ostwestry, Rolland-Morris, visual-analog scale), pedagogical experiment, methods of mathematical statistics. The women of the main group were engaged in the developed program of physical therapy, which provides a reasonable choice of tools and methods, taking into account age, pain and functional status of the spine. For each patient of the main group, the means and methods of physical rehabilitation were selected individually, which would most effectively help to solve the problem and achieve the set goal. Classes were held individually 4 times a week for 40-50 minutes. Results: experimental verification of the effectiveness of the developed program of physical therapy showed that at the end of the study women of the main group had better indicators according to the questionnaire Osvestri by 9.86 points (p<0.05), Roland-Morris - by 2.41 points (p<0.05), the indicator of VAS - by 1 point (p<0.05) compared with women in the comparison group, respectively, which confirmed the effectiveness of the proposed program of physical therapy with the means of Pilates.

Climate-weather patterns at climatic resort and medical rehabilitation of patients with lung diseases

Aim. To assess the influence of the climatic and weather patterns at the South Coast of Crimea (SCC) on the effectiveness of health resort medical rehabilitation of patients with lung diseases (LD).Materials and methods. A study carried in a group of 197 patients with LD. The influence of climatic and weather patterns at the SCC were assessed using the methods developed by the Academician Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov – modified clinical index on weather pathogenicity and medical rehabilitation assessment according to the criteria of the “International Classification of Functioning, Disability and Health” (ICF).Results. Regression equations for the dynamics of the ICF domains b280, b430, b4303 and for the mean value of all domains on the values of air temperature, wind speed, cloudiness, and air temperature variability have been developed, which allow to reliably form a rehabilitation prognosis for patients with LD for all terms of health resort treatment in the SCC.Conclusion. The use of modernized clinical indices of weather pathogenicity allows one to adequately assess and predict the effect of weather dynamics and form a rehabilitation prognosis for patients with LD.

Підходи до фізичної терапії пацієнтів із COVID -19 у гострій і післягострій фазах хвороби

Coronavirus disease 2019 (COVID-19) has created global problems around the world, and because of the great international health threat, the World Health Organization has recognized its spread as a pandemic. The severity of the disease may be mild, moderate, severe and critical. There are such peculiarities of COVID-19 as changes in the lungs with a tendency to develop rapidly progressive atypical pneumonia, the course of which is often complicated by acute respiratory failure and acute respiratory distress syndrome, and in the future, there is a risk of pulmonary fibrosis and, consequently, chronic respiratory failure. Quite common cases of long COVID, which includes ongoing symptomatic COVID-19 and post-COVID-19 syndrome, are characterized by persistent pulmonary dysfunction, muscle weakness, pain, fatigue, depression, anxiety, decreased exercise tolerance, occupational problems, and poor quality of life. Appropriate protocols have been developed for the treatment of patients with COVID-19, which are constantly updated and supplemented. Concerning methods of physical therapy and pulmonary rehabilitation in the management of patients with COVID-19, they are elaborated insufficiently, especially for patients in acute and post-acute phases of the disease. Rational use of means and methods of physical therapy in combination with pharmacological treatment and psychotherapy will allow mobilizing, as much as possible, restorative and compensatory resources of patients with COVID-19 in overcoming disease at all phases, irrespective of a place of treatment and rehabilitation. Therefore, standards of care for patients with COVID-19 should include an optimal set of methods of physical therapy and pulmonary rehabilitation, taking into account the period and severity of the disease, including critical disease in patients undergoing mechanical ventilation. The education of a patient and people from his immediate surroundings with the aim of their active participation in the process of treatment and rehabilitation is very important. In the implementation of pulmonary rehabilitation programs, methods of distant communication with patients should be used as much as possible, and if they are unable, live courses with strict adherence to anti-epidemic measures should be provided. Taking into account all aspects of treatment and rehabilitation will help patients recover as quickly as possible and return to active life, as well as prevent the development of complications of the disease and the spread of infection

Evaluation of efficiency of individual complex rehabilitation of patients based on the international classification of functioning

In order to determine the possibility of using a rehabilitation profile to assess the effectiveness of rehabilitation and develop a methodology for quantifying the effectiveness of rehabilitation measures in the short term in inpatients of the State Institution "Ukrainian State Research Institute of Medical and Social Disability of the Ministry of Health of Ukraine" we created a rehabilitation profile of the patient based on the principles of the International Classification of Functioning, Disability and Health (ICF). There were analyzed rehabilitation profiles of 522 patients with therapeutic pathology, musculoskeletal system diseases, and eye diseases. Rehabilitation of patients was comprehensive, with the use of methods of medical, psychological, and physical rehabilitation. The severity of dysfunctions was assessed by a quantitative scale from 0 to 4 points, where "0" – no issues, and "4" – extremely serious issue. The evaluation was performed twice by members of the multidisciplinary team: at the initial examination of the patient and at the discharge from the clinic. The statistical method and the method of expert evaluations were used to process the research results. The licensed software MS Excel for Windows was used. The study found that the proposed method of assessing the effectiveness of short-term rehabilitation is accurate and objective, it considers the initial functional status of the patient and allows to assess the quality and effectiveness of rehabilitation measures at the patient level and at the institution. Its implementation will provide a unified approach to the provision of rehabilitation services and draw conclusions about the effectiveness of rehabilitation activities of the medical institution differentially, considering the type of pathology, leading limitations of life, severity of disorders, age of patients.

Реабилитация в онкологии

Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease. However, afterwards, most survivors have to deal with a wide range of symptoms and side effects and need rehabilitation. Personalized rehabilitation programs for such patients employ various methods of physical medicine. Physical activity is an important component of the cancer patients' treatment and rehabilitation. It improves their functional health, specifically — physical performance, cognitive function, psychological health, and makes the quality of their lives better. Physical activity increases muscle strength, alleviates the radiation and chemotherapy side effects and relieves fatigue. Personalized exercise programs are employed to monitor patient's condition and exercise tolerance. Physical and cognitive rehabilitative interventions are performed simultaneously as part of interdisciplinary rehabilitative care, so this approach can have a synergistic effect. It is necessary to factor in contraindications when prescribing regular physical activity, exercise and other methods of rehabilitation, otherwise they can lead to clinical complications.