Rehabilitation Methods Research Articles

Сombined rehabilitation after COVID-19 coronavirus infection

Aim. To study the efficacy of personalized combined rehabilitation of PCS patients in the setting of a day hospital.Materials and methods. The study involved 68 patients with PCS (49 women and 19 men) aged from 36 to 76 years. Bronchial asthma (BA) was detected in 26 patients, chronic obstructive pulmonary disease (COPD)– in 9 patients, and stage II hypertension– in 12 patients. Depending on severity of PCS, the treatment program included drug therapy and physiotherapeutic treatment. The rehabilitation course lasted for 14 days. The efficacy of medical rehabilitation was assessed by the dynamics of clinical and functional indicators.Results. After the rehabilitation course, asthenic syndrome decreased in all patients. The majority of patients reported improvement in dyspnea according to the mMRC scale. In COPD patients, the CAT test score decreased by 26%. After rehabilitation, the asthma patients showed a decrease in the ACQ test score by 45%, with the peakflowmetry indicators having improved. Improvements in spirometry and peripheral oxygen saturation of capillary blood were recorded.Conclusion. Personalized medical rehabilitation of patients after coronavirus infection can reduce the severity of PCS signs. The rehabilitation methods used contributed to the restoration of external respiratory function, stabilization of the patients’ emotional state, reduction of shortness of breath, hypoxemia, and other impaired functions in patients after COVID-19.

Personalized approach to the logopedic rehabilitation of neurogenic dysphagia patients

Aim. To determine the role of personalized approaches in the rehabilitation of patients with neurogenic dysphagia after acute disorders of cerebral circulation (ADCC) in the early recovery period.Materials and methods. The study included 97 patients (53 men and 44 women with the mean age of 69.5) in the early recovery period after ADСС. All the patients were at the second stage of medical rehabilitation. The treatment program included the following methods of logopedic rehabilitation: disinhibition of the act of swallowing; stimulation of the sensitivity of the mucous membranes of the oral cavity; recovery of respiratory and speech functions; selection of the consistency of liquid and solid foods to ensure the safety of swallowing during feeding; selection of the feeding method and appropriate portions to facilitate the patient’s eating.Results. When developing a personalized program of logopedic rehabilitation, the following aspects were considered: the severity of swallowing dysfunctions; the primary speech defect; patient compliance; the degree of cognitive dysfunctions; motivation for recovery.Conclusion. The application of logopedic rehabilitation methods in combination with specialized multidisciplinary care based on personalized approaches can significantly improve patients’ quality of life and reduce the risk of undesired complications.

Effect of augmented reality–based rehabilitation of hand burns on hand function in children: A randomized controlled trial

BackgroundDespite the use of traditional rehabilitation methods, hand function may still remain impaired in children suffering from burn injuries. PurposeThis study aimed to assess the impact of implementing an augmented reality (AR) rehabilitation booklet designed for pediatric hand burn on their hand functionality. Study designThis was a randomized controlled trial. MethodsSeventy-two children, aged 8-14 years with a hand burn, were randomly allocated into intervention (n = 36) and control (n = 36) groups. Children in the control group received routine rehabilitation program, while in the intervention group, children performed exercises using a printed booklet with related AR application. The Jebsen-Taylor Hand Function Test was completed before the intervention at the time of the patients' discharge and 1 month later. ResultsThe results of analysis of covariance based on baseline- and fully-adjusted models showed significant intervention effect after discharge as well as after intervention for hand function (mean difference [95% confidence interval] for discharge: −8.2 [−15.0 to −1.4] and for after intervention: −74.0 [−88.8 to −59.1]) and the items (all p < 0.05), except for writing and lifting large light objects for both after discharge and after intervention measures (all p-value > 0.05). ConclusionsA significant decrease in the total time taking to complete the Jebsen-Taylor hand function test was observed in the intervention group compared to the control group 1 month after discharge. Rehabilitation of children with hand burns, using printed educational booklet with related AR application, improves their hand function.

Effectiveness of cognitive rehabilitation in comparison with routine rehabilitation methods in patients with multiple sclerosis: A systematic review and meta-analysis.

Cognitive rehabilitation includes a set of programs to train the brain, which leads to the improvement of mental and neuro-psychological functions. This meta-analysis was conducted with the aim of investigating the effectiveness of cognitive rehabilitation in comparison with routine rehabilitation methods in patients with multiple sclerosis (MS). The Cochrane Library, ProQuest, PubMed, PsycINFO, and Web of Science databases were searched from inception to August 2022. Google Scholar was used to find relevant sources and complete the search coverage. Two authors independently selected studies based on predefined inclusion criteria. Data analysis was performed using RevMan (version 5.3). Out of the 578 studies found, 20 studies were finally included in this review. The results of the meta-analysis on four outcomes (Paced Auditory Serial Addition Test (PASAT), Brief Visuospatial Memory Test (BVMT), MS Neuropsychological Screening Questionnaire (MSNQ), and Beck Depression Inventory (BDI)) indicated that the outcome was significant in favor of the cognitive rehabilitation group. However, for five outcomes (Controlled Oral Word Association Test (COWAT), California Verbal Learning Test (CVLT), Everyday Memory Questionnaire (EMQ), Symbol Digit Modalities Test (SDMT), and Expanded Disability Status Scale (EDSS)), the differences between the two groups were not significant. The results of this meta-analysis showed that cognitive rehabilitation has an effect on improving the performance of patients with MS. However, further studies with more accurate methodologies are required to determine which of the outcomes cognitive rehabilitation has a greater effect on.

Influence of a comprehensive method of rehabilitation includes transcranial magnetic stimulation and balance therapy on the severity of neurological disorders, gate function and balance in patients with diabetic neuropathy

Objective. To evaluate the effectiveness of a new method of rehabilitation of patients with diabetic polyneuropathy using balance therapy and transcranial magnetic stimulation against the background of a basic rehabilitation program to reduce neurological symptoms and improve the function of movement and balance. Material and methods. The study sample consisted of 34 patients with type 2 diabetes mellitus and with a severe degree of diabetic neuropathy, distal sensorimotor form, from which 2 groups were formed by randomization: the main group (n=17) and the control group (n=17). Patients of the main group received a new rehabilitation method, including rhythmic transcranial magnetic stimulation, No. 10, balance therapy on a simulator with biofeedback, No. 10, whirlpool baths for the lower extremities, No. 10, physical therapy, No. 10, and massage of the lower extremities, No. 10. The rehabilitation method for the control group included magnetic therapy for the lower extremities, No. 10, whirlpool baths for the lower extremities, No. 10, physical therapy, No. 10, and massage of the lower extremities, No. 10. Results. There were revealed a decrease in NSS scale values by 33.3% (from 6.0 [4.0; 7.0] to 4.0 [3.0; 6.0] points, p=0.029) and DN4 questionnaire scores – by 36.4% (from 5.5 [3.0; 7.0] to 3.5 [2.5.0; 5.0] points, p=0.034, p=0.045 in comparison with control), increase in walking speed by 10.7% (from 75.0 [59.0; 88.0] to 83.0 [68.0; 103.0] steps per minute, p = 0.047), decrease in time performing the “Up and go test” from 12.0 [7.0; 15.0] to 10.0 [5.0; 11.0] sec (p=0.039) and an increase in the time of maintaining balance in the “One leg standing test” with eyes closed on the right leg from 2.0 [1.0; 3.5] to 3.5 [1.5; 6.0] sec (p=0.041, p=0.022 compared with control) in patients of the main group, after completion of rehabilitation,. In the control group, there were no reliably significant changes in any of the studied indicators (p&gt;0.05). Conclusion. A new rehabilitation complex, including transcranial magnetic stimulation and balance therapy with biofeedback against the background of standard therapy, helps to significantly reduce the severity of symptoms of distal diabetic polyneuropathy, increase walking speed and improve static balance.

Examining the Benefits of Multidisciplinary Rehabilitation Intervention for Stroke Patients

Background: Stroke is the second leading global cause of death and disability, affecting 80 million survivors with residual symptoms. Rehabilitation, involving an interdisciplinary team approach, plays a crucial role in enhancing functional recovery, addressing deficits in fine motor skills, cognition, and communication through customized therapies, as highlighted in a randomized controlled trial comparing integrated rehabilitation approaches to conventional physical therapy for stroke recovery. Methods: The study was a randomized controlled trial comparing integrated rehabilitation approaches with conventional rehabilitation in post-stroke patients aged 40-60 years over a four-month period. Conducted in a multidisciplinary rehabilitation center, the study included 90 participants, with 45 in each group. The experimental group received integrated rehabilitation involving tailored physical therapy to enhance balance, occupational therapy targeting fine motor skills, and speech therapy addressing swallowing and communication issues. The control group underwent conventional rehabilitation primarily focusing on physical therapy, omitting integrated approaches like occupational and speech therapy. Results: The analysis of the findings had revealed that interdisciplinary rehabilitation program yielded a significantly better results p&lt;0.05 in improving patients’ conditions. The findings provided evidences that all outcome measures that were balance, fine motor function and swallowing and dysphagia were significantly improved p&lt;0.05 both at within and between the group analyses after four months of integrated rehabilitation program. Conclusion: The interdisciplinary rehabilitation programme that included physical, occupational, and speech therapies producednoticeably better outcomes than the conventional rehabilitation methods. The results highlight how well the integrated strategy works to improve swallowing/dysphagia, fine motor function, and balance outcomes. Keywords: Physical Therapy, Occupational Therapy, Post-stroke Patients, Speech Therapy

Low Back Pain: a New Comprehensive Pathogenetic Model Supporting Methods of Medical Rehabilitation

The pathogenesis of chronic low back pain remains elusive. It is still considered a «non-specific» condition, with severity loosely related to anatomical alterations of the lumbar spinal canal (e.g., disc herniation, spinal stenosis). Signs and symptoms may appear contradictory, such as pain aggravated by rest or spinal loading, opposite lumbar postures (flexed or extended) adopted by different patients, and others. Guidelines and reviews oscillate between a restrictive nerve compression model to large sets of epidemiologic factors (from lifestyle to chronic lumbar stress to genetic determinants). A new pathogenetic model is presented here, based on the variable interaction between three possible determinants: compression of nerve endings by disc herniation or arthritic spurs, engorgement of the epidural (Batson) venous plexus, and inflammation triggered by focal thrombophlebitis and fostered by fibrinolytic defects. Hence, the name Compressive-Venous-Inflammatory (CoVIn) is given to the model. Biological and clinical studies provide evidence for each of the three cited determinants. The integrated model explains many «unexplained» characteristics of LBP and provides a rationale for mechanical treatments targeting one or more of the three determinants. Active Lumbar Traction (auto-traction), water exercise, and Williams’ flexor exercises look highly consistent with the model, which can explain their effectiveness.

Maksillada İki Farklı Ogmentasyon Tekniğinin Karşılaştırılması: Olgu Sunumu

Aim: &#x0D; Dental implant applications are most common treatment methods for rehabilitation of edentulous jaws. The severe bone deficiency could not be allowed implant therapies. Various augmentation methods could be used for reconsruction. In this case report tent-pole and onlay grafting techniques were performed in case at edentulous maxilla with radiological evaluation at 6 months follow-up.&#x0D; Materials and Methods:&#x0D; CBCT (Cone beam computed tomography) were obtained from patient. Extraction of all teeth and explantation of 2 implants were planned because of periodontal problems. The ramus onlay grafting was decided to apply for both anterior side of the maxilla and tent pole technique for right premolar area of maxilla.&#x0D; Results:&#x0D; It was observed 3.5 mm horizontal bone gain at the right maxillary anterior side, 4.8 mm horizontal bone gain at the left maxillary anterior side and 3.4 mm horizontal and 6.8 mm vertical bone gain at right premolar side after 6 months.&#x0D; Conclusion:&#x0D; Tent pole and onlay grafting methods are successful treatment options for alveolar ridge augmentation. Nevertheless, autografts could not be enough in every case. In this situation, xenografts and allografts applications with tent pole technique could be preferred as an effective method for alveolar ridge augmentation both horizontally and vertically.

Patient Outcomes After Peripheral Nerve Injury Depend on Bimanual Dexterity and Preserved Use of the Affected Hand

Background Little is known about how peripheral nerve injury affects human performance, behavior, and life. Hand use choices are important for rehabilitation after unilateral impairment, but rarely measured, and are not changed by the normal course of rehabilitation and daily life. Objective To identify the relationship between hand use (L/R choices), motor performance, and patient-centered outcomes. Methods Participants (n = 48) with unilateral peripheral nerve injury were assessed for hand use via Block Building Task, Motor Activity Log, and Edinburgh Handedness Inventory; dexterity (separately for each hand) via Nine-Hole Peg Test, Jebsen Taylor Hand Function Test, and a precision drawing task; patient-centered outcomes via surveys of disability, activity participation, and health-related quality of life; and injury-related factors including injury cause and affected nerve. Factor Analysis of Mixed Data was used to explore relationships between these variables. The data were analyzed under 2 approaches: comparing dominant hand (DH) versus non-dominant hand (NH), or affected versus unaffected hand. Results The data were best explained by 5 dimensions. Good patient outcomes were associated with NH performance, DH performance (separately and secondarily to NH performance), and preserved function and use of the affected hand; whereas poor patient outcomes were associated with preserved but unused function of the affected hand. Conclusion After unilateral peripheral nerve injury, hand function, hand usage, and patient life arise from a complex interaction of many factors. To optimize rehabilitation after unilateral impairment, new rehabilitation methods are needed to promote performance and use with the NH, as well as the injured hand.

Effect of neuromuscular electrical stimulation in critically ill adults with mechanical ventilation: a systematic review and network meta-analysis

BackgroundNeuromuscular electrical stimulation (NMES) is widely used as a rehabilitation methods to restore muscle mass and function in prolonged immobilization individuals. However, its effect in mechanically ventilated patients to improve clinical outcomes remains unclear.MethodsA comprehensive search was conducted using PubMed, Embase, Web of Science, PEDro, and the Cochrane Library from their inception until December 24th, 2023. The search targeted randomized controlled trials (RCTs) comparing NMES with physical therapy (PT) or usual ICU care (CG), for improving clinical outcomes in mechanically ventilated patients. We performed a network meta-analysis utilizing Stata version 14.0 and R 4.3.1.ResultsWe included 23 RCTs comprising 1312 mechanically ventilated adults. The treatments analyzed were NMES, PT, NMES combined with PT (NMES+PT), and CG. Network meta-analyses revealed that NMES or NMES+PT significantly improved extubation success rate compared to CG, with ORs of 1.85 (95% CI: 1.11, 3.08) and 5.89 (95% CI: 1.77, 19.65), respectively. Additionally, NMES exhibited a slight decrease in extubation success rate compared with NMES+PT, with OR of 0.31 (95% CI: 0.11, 0.93). Nevertheless, neither NMES nor NMES+PT showed any significant improvement in ICU length of stay (LOS), ventilation duration, or mortality when compared with PT or CG. NMES+PT emerged as the most effective strategy for all considered clinical outcomes according to the ranking probabilities. The evidence quality ranged from “low” to “very low” in this network meta-analysis.ConclusionsNMES appears to be a straightforward and safe modality for critically ill, mechanically ventilated patients. When combined with PT, it significantly improved the extubation success rate against standard ICU care and NMES alone, and showed a better ranking over PT or NMES alone for clinical outcomes. Therefore, NMES combined with PT may be a superior rehabilitation strategy for this patient group.

Evaluation of Short-Term Clinical Effects of a Novel Repetitive Facilitation Exercise Training Program Using a Hemiplegic Elbow Extension Rehabilitation System

Repetitive Facilitation Exercise (RFE) is known as an effective rehabilitation method that can elicit brain plasticity. In our previous study, we developed a hemiplegic upper limb rehabilitation system that can train the elbow and shoulder based on RFE theory. The system consists of a selective Arm-DoF constrainable mechanism and a multiple facilitative stimulus timing and duration control system. The selective Arm-DoF constrainable mechanism has three DoF, making it possible to selectively restrict a DoF of the shoulder or elbow. The multiple facilitative stimulation timing and duration control system only has an electrical stimulation source and a vibrator and no large actuators to perform the training exercise. In this study, we undertook an evaluation of the short-term clinical effects of a proposed elbow training program using the hemiplegic upper limb rehabilitation system. The training method consists of two sets, each involving 50 repetitions of the elbow extension exercise programmed in our system. We evaluated the short-term training effects through clinical trials for five stroke patients using the above method. In the evaluation, 10 repetitions of pre/post-tests without any facilitative stimulus were performed before and after the two sets of training. As a result, the maximum angular velocities or the average angular velocities of the elbow extensions improved significantly in most subjects. These results indicate that the quickness or the smoothness of elbow extension movements in the hemiplegic limb improved. Therefore, our clinical experiments support the short-term clinical benefits of the proposed method as well as the practicality of quantitative evaluation using our system.

Mine Closure Surveillance and Feasibility of UAV–AI–MR Technology: A Review Study

In recent years, mine site closure and rehabilitation have emerged as significant global challenges. The escalating number of abandoned mines, exemplified by over 60,000 in Australia in 2017, underscores the urgency. Growing public concerns and governmental focus on environmental issues are now jeopardising sustainable mining practices. This paper assesses the role of unmanned aerial vehicles (UAVs) in mine closure, exploring sensor technology, artificial intelligence (AI), and mixed reality (MR) applications. Prior research validates UAV efficacy in mining, introducing various deployable sensors. Some studies delve into AI’s use for UAV data analysis, but a comprehensive review integrating AI algorithms with MR methods for mine rehabilitation is lacking. The paper discusses data acquisition methods, repeatability, and barriers toward fully autonomous monitoring systems for mine closure projects. While UAVs prove adaptable with various sensors, constraints such as battery life and payload capacity impact effectiveness. Although UAVs hold potential for AI testing in mine closure studies, these applications have been overlooked. AI algorithms are pivotal for creating autonomous systems, reducing operator intervention. Moreover, MR’s significance in mine closure is evident, emphasising its application in the mining industry. Ultimately, a hybrid UAV–AI–MR technology is not only viable but essential for achieving successful mine closure and sustainable mining practices in the future.

Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19

Aim of the study was to evaluate the effectiveness of early rehabilitation methods for medical workers with severe or moderate lung damage caused by a new coronavirus infection, who are in intensive care units, to improve lung ventilation, gas exchange and bronchial clearance, correct muscle weakness, increase overall physical endurance, mobility, psycho-emotional stability.Material and methods. We examined 53 COVID-19 women with moderate lung injury at stage I of rehabilitation, divided into two groups: main (n = 31, medical personnel) and control (n = 22, working outside of contact with pulmotropic risk factors, including no risk of SARS-CoV-2 infection). Early rehabilitation was carried out in the intensive care unit and in the infectious diseases hospital of City Clinical Hospital No. 2, for patients with COVID-19 rehabilitation plan was drawn up in accordance with temporary guidelines for the medical rehabilitation of a new coronavirus infection.Results and discussion. It was established, that rehabilitation in the conditions of the intensive care unit and the specialized department can significantly reduce the severity of dyspnea, anxiety and depression, positively affects the increase in exercise tolerance, and helps to reduce the activity of systemic inflammation. In patients who have industrial contact with patients with COVID-19, the effectiveness of rehabilitation measures is lower than in the comparison group.Conclusions. To increase the effectiveness of stage I of the rehabilitation of medical workers with COVID-19 and lung damage, it is necessary to conduct more intensive and longer rehabilitation than indicated in the current guidelines.

Machine-learning-based coordination of powered ankle-foot orthosis and functional electrical stimulation for gait control.

This study proposes a novel gait rehabilitation method that uses a hybrid system comprising a powered ankle-foot orthosis (PAFO) and FES, and presents its coordination control. The developed system provides assistance to the ankle joint in accordance with the degree of volitional participation of patients with post-stroke hemiplegia. The PAFO adopts the desired joint angle and impedance profile obtained from biomechanical simulation. The FES patterns of the tibialis anterior and soleus muscles are derived from predetermined electromyogram patterns of healthy individuals during gait and personalized stimulation parameters. The CNN-based estimation model predicts the volitional joint torque from the electromyogram of the patient, which is used to coordinate the contributions of the PAFO and FES. The effectiveness of the developed hybrid system was tested on healthy individuals during treadmill walking with and without considering the volitional muscle activity of the individual. The results showed that consideration of the volitional muscle activity significantly lowers the energy consumption by the PAFO and FES while providing adaptively assisted ankle motion depending on the volitional muscle activities of the individual. The proposed system has potential use as an assist-as-needed rehabilitation system, where it can improve the outcome of gait rehabilitation by inducing active patient participation depending on the stage of rehabilitation.

Building Rehabilitation: A Sustainable Strategy for the Preservation of the Built Environment

Building rehabilitation and sustainability must go hand in hand to ensure the preservation of the built environment and environmentally conscious practices. Construction is one of the most polluting industries with a high impact on the carbon footprint. Thus, building rehabilitation appears as an effective strategy to reduce this impact, promoting the reuse of more efficient materials and technologies. This study focuses on the rehabilitation of existing buildings as a sustainable strategy and presents the quantitative profile of academic publications in the last 10 years, showing the main themes studied. The results of the sample surveyed on the Scopus platform show an increasing number of publications in the period surveyed (2012–2023), which shows a growing academic interest in the topic. It is possible to see that the publication trend line is ascending and that the largest number of articles investigates building rehabilitation, followed by the rehabilitation of school buildings, energy issues, rehabilitation methods, materials technology, water issues, and sustainability related to rehabilitation.

Assessment of the effectiveness of the reconstraction of social-everyday skills on the hardware-training complex of audio-visual reconstruction of the environment of patients after acute cerebrovascular accident

BACKGROUND: Motor disorders as a result of аcute cerebrovascular accident are the most common cause of disability and not only significantly reduce the quality of life of patients, but also cause restriction of social and household independence of patients in a familiar environment.&#x0D; AIM: the evaluation of the effectiveness for restoring the social and domestic activity skill ― shopping in the supermarket in patients undergoing stroke in the right middle cerebral artery after course of the special apparat trainings with audio-visual reconstruction of the environment.&#x0D; MATERIALS AND METHODS: The study included 65 participants, they were divided into 3 groups, the first and the second group ― the patients who undergoing the stroke (main and control groups): the main group of patients received a base standard rehabilitation program (kinesiotherapy, mechanotherapy on cyclic apparatгs, massage) and additional the social and domestic trainings with audio-visual reconstruction of the environment. The control group ― a base standard rehabilitation program. The duration of the rehabilitation course was 21 days. The third comparison group are the healthy participants, who were necessary for defining "etalon" options for training of socially important skill.&#x0D; RESULTS: As a result of the study in both groups (main and control) as compared with the initial findings the lowering of the heaviness ischemic stroke outcome (NIHSS): 6.2±0.4 in the first group and 6.8±0.7 in the second group vs. 4.2±0.2 and 5.9±0.8 (р ≤0.05). By comparison the first and the second groups with the health participants were defined the statistically significant changes of the studing time options in the main group during making these skills: take the bag and sling it through the shoulder, open the pockets of the bag (2 pockets), take the jacket from the clothes hanger and put on. Although in patients of the first group after restoring threatment course with using method of functional spatially-oriented rehabilitation it was authentic lesser disturbance of everyday life activity: in estimating Bartel Index 61.3±4.9 vs. 43.75±5.1 (initial) (р ≤0.05), what was signuficantly higher be comparison with control group results. In estimating functional independence by Modified Scale FIM: 71.4±4.9 in the main group vs. 53.7±3.1 (initial) (р ≥0.05), what was although significantly higher in comparison with the second group. By HADS it was lowering of the anxiety symptoms in the first group from 13.02±1.9 till 10.12±1.2 (р ≤0.05) as compared with the control group where the level of anxiety was staying quietly high and was 12.6±0.6 by comparison the initial findings 13.14±1.5 (р ≥0.05).&#x0D; CONCLUSION: The obtained resalts point at the effectiveness of using functional spatially-oriented rehabilitation in restoring threatment programs for patient undergoing stroke for elevation of the independence level in real life terms. An additional point is that this kind training promote significantly positive influence on the patient’s motivation for actualization of active movement to improvement of the social and domestic adaptation.

Recent aspects of medical rehabilitation for combat trauma

The realities of the new times determine the need to update approaches to the organisation and The realities of the new times determine the need to actualise approaches to the organisation and conduct of rehabilitation measures for military personnel and civilians injured during combat operations.&#x0D; The article presents a review of modern views on the peculiarities of combat trauma and the dynamics of the nature and type of injuries over the past few decades, the basic principles of comprehensive rehabilitation of the wounded, including medical, professional and socio-psychological aspects. The importance of personalisation of rehabilitation programmes, use of multidisciplinary approach, involvement of the patient's family in the process is reflected. The main disorders arising in persons with combat trauma are characterised in the categories of the International Classification of Functioning. The analysis of the use of modern means and methods of medical rehabilitation: physical training with the use of virtual reality environment and innovative technologies based on the principle of biofeedback, robotic mechanotherapy, hydrokinesiotherapy and other physiotherapeutic methods, the role of remote telemedicine technologies in controlling the effectiveness and safety of the rehabilitation process is highlighted.&#x0D; An integrated approach to rehabilitation, taking into account modern peculiarities of combat trauma, makes it possible to ensure maximum effectiveness of rehabilitation measures, reduce the number of persons with persistent dysfunctions, prevent psycho-emotional disorders and promote maximum social and professional integration of the wounded.

The use of the SIMONA 111 integrated monitoring system in assessing the dynamics of rehabilitation treatment of patients with past coronavirus pneumonia. Clinical observations

The new coronovirus infection affects not only physical health, but also causes significant damage to the mental state of the population. Therefore, the stage of rehabilitation treatment makes it necessary to combine various treatment methods for the most effective restoration of the quality of life and psychological comfort of patients.&#x0D; This article presents clinical observations as part of a study of rehabilitation methods after a new coronavirus infection brought on the basis of Sechenov University and Medsi Clinical Hospital No. 1. A distinctive feature of rehabilitation was the use of hypoxic/hyperoxy therapy in combination with the main course of rehabilitation treatment and the SIMONA 111 integrated monitoring system as a method of control, treatment analysis and a way of visual interaction with patients. This approach allowed not only to obtain objective data on the dynamics of treatment, but also to establish better contact with the patient.

Community mobility and participation assessment of manual wheelchair users: a review of current techniques and challenges.

According to the World Health Organization, hundreds of individuals commence wheelchair use daily, often due to an injury such as spinal cord injury or through a condition such as a stroke. However, manual wheelchair users typically experience reductions in individual community mobility and participation. In this review, articles from 2017 to 2023 were reviewed to identify means of measuring community mobility and participation of manual wheelchair users, factors that can impact these aspects, and current rehabilitation techniques for improving them. The selected articles document current best practices utilizing self-surveys, in-clinic assessments, and remote tracking through GPS and accelerometer data, which rehabilitation specialists can apply to track their patients' community mobility and participation accurately. Furthermore, rehabilitation methods such as wheelchair training programs, brain-computer interface triggered functional electric stimulation therapy, and community-based rehabilitation programs show potential to improve the community mobility and participation of manual wheelchair users. Recommendations were made to highlight potential avenues for future research.

Immersive Virtual Reality Application for Rehabilitation in Unilateral Spatial Neglect: A Promising New Frontier in Post-Stroke Rehabilitation

Stroke is a leading cause of disability among adults in Europe. Complications following stroke include limb paresis and unilateral spatial neglect (USN) syndrome. These complications significantly reduce the patient’s ability to function normally both in the short and long term. The chance to regain function is rehabilitation. One of the techniques in USN’s rehabilitation is repetitive visual scanning training, and the effects of rehabilitation can be enhanced by limb activation, such as moving objects from one side to the other. However, rehabilitation carried out in this way is monotonous, and the assistance of a physiotherapist is necessary. This paper proposes an alternative method of rehabilitation, using virtual reality. The created application contains the most important element that occurs during rehabilitation, which is a movement pattern. At the same time, it diversifies the rehabilitation process and allows rehabilitation without constant contact with a physiotherapist. This paper presents the most important strategies to minimize the occurrence of cybersickness, which were applied in the developed application. The created application was approved by a physician and tested with the participation of five post-stroke patients. The first results were positive. Increased motivation was observed among patients using VR in therapy. Patients noticed an improvement in motor function, as well as a reduction in reaction times. In addition, physiotherapists observed an improvement in the range of motion during virtual reality therapy compared to traditional therapy. This gives hope that the app can be used in clinical practice. However, in order for the app to be incorporated into clinical practice, it is necessary to conduct studies with a larger group of patients.