Rehabilitation Methods Research Articles

Perioperative hemorheological status of oncological patients with primary knee replacement

Introduction. Endoprosthesis of large joints is associated with high risk of venous thromboembolism. Researchers focus on biochemical characteristics of homeostasis, blood clotting in particular, as the main reason for abnormal blood flow. At the same time, biophysical condition of homeostasis, namely decreased blood fluidity, is rarely considered. Study of rheological behavior of blood after primary oncological endoprosthesis of large joints in patients can potentially affect the selection of perioperative thromboprophylaxis and patient rehabilitation approach.Aim. To study the indicators of the hemorheological status of patients with tumours of long bones in the preand postoperative periods of primary oncological knee replacement.Materials and methods. The study included 36 patients (26 men and 10 women, mean age 46 years) without cardiovascular diseases and pathology of the veins of the lower limb admitted to the Russian Scientific Center of Roentgen Radiology for oncological endoprosthesis of the knee joint. All patients were prescribed: an antiplatelet agent (acetylsalicylic acid) and an anticoagulant (enoxaparin sodium 40 mg daily). Distal resection of the femur (on average 14 cm) was performed in 28 patients, and proximal resection of the tibia (on average 12 cm) in 8 patients, followed by knee replacement. Before the operation, on the 1st and 6th days after the operation, the hemorheological status and the state of the hemostasis system were evaluated in all patients. To determine the reference values, 24 healthy people were examined, comparable in gender and age. Statistical analysis using Statistica 10.0.Results. During the preoperative examination, integral assessment showed the differences in the severity of hemorheological disorders between patients, and two groups were identified: Group 1 – 21 (61 %) patients whose hemorheological disorders were classified as severity degree I, and Group 2 – 14 (39 %) patients with severity degree II d. On day 1 after the surgery, both patient groups showed negative dynamics: hemorheological disorders in group 1 worsened from grade I to II d., and in group 2 to III d. (critical) (p <0.05). On day 6, the parameters did not change significantly in all patients. Similar dynamic changes were observed in the haemostasis system.Conclusion. Activation of the blood coagulation system and deterioration of hemorheology occurred after surgery during administration of anticoagulant and antiplatelet therapy. None of the patients had venous thromboembolic complications, however the risk of their development remained high. A differential model describing hemorheological status can be useful for selection of thromboprophylaxis and rehabilitation methods which include physical factors that improve the hemorheological profile: low-frequency magnetic and/or laser therapy in patients.

Logistics of technologies in the framework of personalized rehabilitation of patients with chronic back pain

BACKGROUND: Lower back pain covers a large part of the population and is common in all age groups. Scientific research shows not only significant medical and social, but also high economic costs associated with this problem.
 AIM: optimization of diagnostic and rehabilitation approaches in the management of patients with chronic back pain.
 MATERIALS AND METHODS: 126 patients participated in the ongoing single-center prospective cohort study. The assessment of neuroorthopedic examination and neuropsychological status, laboratory, neuroimaging (magnetic resonance tomography) and neurophysiological studies of patients, filling out scales and questionnaires, consultations of related specialists were carried out. 42 patients with a clinical picture of neuropathic pain underwent electromyography stimulation, and 16 of them underwent a transcranial magnetic stimulation study. Within the framework of the pilot project, 22 patients with identified undesirable side reactions when taking non-steroidal anti-inflammatory drugss underwent pharmacogenetic research and consulting by a medical geneticist to select personalized non-steroidal anti-inflammatory drugs pharmacotherapy. Based on the results of the examinations, taking into account the nature of the course of the disease and the prevailing pathogenetic variant of pain, an individual rehabilitation program was developed. To assess the individual rehabilitation program, the data obtained within each group were compared with the results of treatment of patients with the traditional approach (retrospective analysis of medical histories).
 RESULTS: The study included 126 patients (67 men and 59 women) with lower back pain persisting for more than 3 months. The average age was 50.06±1.25 years. The average duration of the disease was 10±2.19 months. The patients were divided into 3 groups: the first group of 30 patients with back pain and the predominance of a dysfunctional component; the second group of 78 patients with neuropathic pain syndrome (radiculopathy); the third group included 18 patients with nociceptive variant of back pain. As a result of the pathogenetically directed rehabilitation program, it was possible to increase patients' adherence to treatment and compliance with recommendations (p 0.05) and reduce the need for surgical treatment in patients with discogenic radicular syndrome (p 0.05).
 CONCLUSION: The multi-vector multidisciplinary approach with a pathogenetic focus on identifying and treating clinical and pathogenetic variants of pain and the causes of its persistence is the most effective, and physical rehabilitation methods are well combined with each other and with pharmacotherapy, potentiating each other's effects.

Physical Telerehabilitation interventions for Gait and balance in Multiple sclerosis: A Scoping review

BackgroundGait and balance impairments affects approximately a quarter of people with multiple sclerosis (pwMS) at onset and increases to almost half by five years. Physical rehabilitation has been recognised as the gold standard method to restore physical function in multiple sclerosis (MS). Emerging evidence in the literature is suggesting that a remote therapy rehabilitation platform (Telerehabilitation) is cost-effective, beneficial, and satisfying for patients and health care practitioners. The overarching aim of this review is to identify and summarise the evidence on the different types of telerehabilitation interventions available to manage gait and balance. MethodsThis review followed a methodological framework for conducting scoping reviews. PubMed,Science Direct and Web of Science were searched in April 2023 for relevant published literature. The inclusion criteria were peer-reviewed journal articles written in English which included telerehabilitation interventions for pwMS. Search keywords included multiple sclerosis and telerehabilitation. A reviewer screened titles and abstracts and eligible articles were fully reviewed. The included studies were categorised based on the type of intervention. ResultsEight studies were included in this review. The participants (n = 355) had an average age of 48 years (SD = 9.9) with 50% who had relapsing remitting multiple sclerosis who were living with MS for 12 years on average. Study designs included randomised control trials (n = 3), pilot studies and feasibility studies (n = 4). Two types of interventions were identified: Exergaming (n = 5) and Web-Based Physical Therapy (n = 2) of which exergaming appeared to be optimal in improving gait and balance. ConclusionThis scoping review identified and summarised the evidence on telerehabilitation interventions used for gait and balance in MS. The evidence is showing that telerehabilitation could be used as an alternative to conventional rehabilitation methods for improving gait and balance. More robust trials with larger sample sizes are needed to build on the current evidence to enable telerehabilitation to be integrated into care pathways in the future.

Topological Hydrogels for Long-Term Brain Signal Monitoring, Neuromodulation, and Stroke Treatment.

Stroke is the primary cause of disability without effective rehabilitation methods. Emerging brain-machine interfaces offer promise for regulating brain neural circuits and promoting the recovery of brain function disorders. Implantable probes play key roles in brain-machine interfaces, which are subject to two irreconcilable tradeoffs between conductivity and modulus match/transparency. In this work, mechanically interlocked polyrotaxane is incorporated into topological hydrogels to solve the two tradeoffs at the molecular level through the pulley effect of polyrotaxane. The unique performance of the topological hydrogels enables them to acquire brain neural information and conduct neuromodulation. The probe is capable of continuously recording local field potentials for eight weeks. Optogenetic neuromodulation in the primary motor cortex to regulate brain neural circuits and control limb behavior is realized using the probe. Most importantly, optogenetic neuromodulation is conducted using the probe, which effectively reduces the infarct regions of the brain tissue and promotes locomotor function recovery. This work exhibits a significant scientific advancement in the design concept of neural probes for developing brain-machine interfaces and seeking brain disease therapies.

Retracted: MRI View of Rehabilitation Methods to Relieve Anterior Cruciate Ligament Injury in Dancers

Retracted: MRI View of Rehabilitation Methods to Relieve Anterior Cruciate Ligament Injury in Dancers

Development of a Smart Game Application for Auditory Training of Children with Spatial Processing Disorder in Iran: A Pilot Study

Background and Aim: Identifying sound localization defects in children and using appropriate rehabilitation methods lead to improve their problem to use binaural processing skills to successfully suppress background noise and selectively attend to a particular auditory source. This pilot study aims to design a game for auditory training of children with Spatial Processing Disorder (SPD) in Iran and compare their performance in engagement time and speech recognition in noise with those of normal peers. Methods: The game application was designed based on the spatial separation of target and competing stimuli by applying head-related transfer functions. The child’s task was to identify the picture of the target word from among the displayed options. Participants were 24 children with SPD and 27 normal peers aged 7–9 years, who performed the speech recognition tasks using the designed game. Results: The game was fascinating and easy to use for most participants. There was no significant difference in mean engagement time between the two groups. The mean engagement time of participants was significantly different between the two groups in terms of age. The children with SPD obtained lower scores in speech recognition in noise tasks. There was no significant difference in speech recognition scores between girls and boys. Conclusion: The designed game application has the potential for speech recognition in- noise training of children with SPD in Iran. It is a fascinating and user-friendly tool for simulating the real-life auditory situations for these children. Keywords: Smart game; speech recognition; application; auditory training; design; spatial auditory processing disorder.

Russian system of nanostructured titanium dental implants

Despite the progress in the development of modern dentistry and maxillofacial surgery and significant improvements in diagnostic, surgical, and restoration methods, currently, the number of patients with tooth loss is not decreasing. This trend is also characteristic of modern Russia. The number of implants installed to replace lost teeth in our country is increasing annually; despite this, the share of implantation systems with full localization in the territory of the Russian Federation is small. This study aimed to demonstrate the possibilities and effectiveness of using a Russian-made innovative system of dental implants made of nanostructured titanium in various clinical cases. The results of dental rehabilitation of patients with orthopedic structures supported by dental implants with a follow-up period of up to 5 years were analyzed. The results were presented with an indication of all stages of treatment of patients using modern methods of complex dental rehabilitation.

Maxillary bone augmentation with calvarial bone graft for immediate full-arch rehabilitation: Insights from a 10-year proof-of-concept retrospective analysis.

Evaluate the long-term outcomes of full-arch rehabilitation using immediate dental implant placement and continuous functional loading with full-fixed dental prostheses (FFDPs). Fifty-six patients received temporary implants (n = 327) at maxillary augmentation with calvarial bone. A provisional acrylic FFDP was immediately loaded onto these implants. After 6 months, the temporary implants were replaced with definitive implants (n = 326) and immediately loaded with a second provisional FFDP (N = 55). Subsequently, a baseline radiograph was taken following a 6-month healing period. The second bridge was then substituted with a definitive FFDP. Primary outcomes included peri-implant marginal bone level (MBL) and definitive implant survival. Secondary outcomes evaluated provisional implant and prostheses survival, complications, and patient satisfaction. The provisional implants had a survival rate of 97.9%. One patient was excluded from further analysis due to loss of temporary implants and first FFDP. The definitive implant survival rate after 10 years was 92.2%, with a moderate but significant decrease in MBL between baseline radiography and 10 years later (-0.08 ± 0.18 vs. -0.24 ± 0.44). However, large individual variations were observed, with 65.8% of implants showing no bone loss and 9.2% showing loss ≥0.5 mm. Sinusitis was experienced by 14.3% of patients upon surgery. Patient satisfaction was high or reported no issues after protocol completion (80%). One patient lost all six definitive implants and definitive FFDP 8.2 years after implant placement. The described protocol can be regarded as a long-term, highly successful method for full-arch rehabilitation of atrophied maxillae while enabling continuous masticatory and speaking functionality.

Profilometric analysis of cross-linked collagen matrix for soft tissue thickness augmentation in dental implants: A randomized controlled clinical trial

BACKGROUND: Dental implantation is an effective method for rehabilitating patients without teeth. The long-term survival of implants is influenced by various factors, one of which is the condition of the soft tissue surrounding the implant.
 AIM: To evaluate the effectiveness of cross-linked collagen matrix for soft tissue augmentation in the implant area.
 MATERIALS AND METHODS: Thirty-two patients with soft tissue thickness deficiency were examined. The patients were divided into two groups depending on the method of surgery. Group 1 received a cross-linked collagen matrix, whereas group 2 underwent the transplantation of a free connective tissue graft. The increase in soft tissue thickness was assessed 3 and 6 months after surgery.
 RESULTS: Soft tissue thickness 3 months after surgery increased by 1.77±0.61 and 1.26±0.41 mm in groups 1 and 2, respectively (p 0.001). Moreover, 6 months after surgery, soft tissue thickness increased by 1.11±0.44 and 1.43±0.81 mm compared with the initial value (p=0.012).
 CONCLUSION: The use of the collagen matrix increases the soft tissue thickness in the implant area; however, the effect size is lower than that obtained by autograft transplantation.

Progress of treating knee osteoarthritis with traditional Chinese medicine

Knee osteoarthritis is a degenerative diseases-based ailment, the primary cause is lower limb dysfunction in the elderly population, the manifestations of joint pain, swelling, stiffness, deformity, joint friction, dysfunction and other symptoms, adversely impact the patients emotional well-being and quality of life. Chinese herbal medicine, with a long history and as a promising therapeutic, has also been gradually applied to the treatment of osteoarthritis of the knee (KOA). It is based on the conventional Chinese medical theory and its clinical application traditional Chinese medicine (TCM) treatment methods such as using TCM externally, acupuncture, massage, traditional health care, etc., is conducive to achieving significant clinical results. This article reviews the different methods of treating KOA with TCM, and probes into the function and the benefits of combining traditional Western medicine with clinical diagnosis and treatment of KOA in TCM. The results show that shadowboxing, eight trigrams boxing, tendon change classic, the Five Mimic-animal boxing and other important rehabilitation methods in traditional health care not only start from the holistic view of TCM, but also can organically combine breathing, consciousness and movement, and then improve the ability of human motor system through multi-functional exercise. In addition, integrative medicine has positive and effective effect on the treatment of KOA. Different patients should choose the appropriate way to intervene individually. In the future, clinical research efforts should be further strengthened to improve the quality of evidence-based evidence, so as to better guide clinical practice.

Mevcut Konut Yapılarında Enerji Etkin ve Depreme Dayanıklı İyileştirme Yöntemlerinin İncelenmesi

Many studies are carried out in the rehabilitation of existing residential buildings, addressing the energy released during the pre-construction, construction, use and demolition stages of the building and circularity. Furthermore, in Türkiye, earthquakes are one of the primary influencers impacting the lifespan of buildings. However, a limited number of studies take a holistic approach, integrating both energy efficiency and earthquake resistance in existing residential buildings. To promote awareness on the subject, it is aimed to systematically examine the rehabilitation methods in reinforced concrete residential buildings. Seven studies were reviewed through literature analysis to investigate structural strengthening methods, energy efficient improvement techniques and their costs. The studies concluded that rehabilitation and strengthening were carried out in the structure and different building elements, and energy costs were reduced. Based on the data obtained, the steps to be followed in rehabilitating the residential buildings in this context were determined.

Legal regulation of the provision of comprehensive rehabilitation to military personnel participating in a special military operation.

The conduct of a special military operation on the territory of Ukraine (hereinafter referred to as SVO) gave a great impetus to the development of legal regulation of relations arising between the state and the military, and the revision of the basic laws in this area. The purpose of the study is to pay special attention to the analysis of the status of servicemen who returned from the SVO zone, which led to the emergence of new tasks: firstly, updating existing legislation, inventing new legal mechanisms to organize the granting of the right to rehabilitation of servicemen of this category; secondly, the need for practical provision of rehabilitation measures: the use of existing tools, from the involvement of organizations that can use existing resources to provide them before developing new methods and methods of rehabilitation, both at the federal and regional levels. In the course of the study, the tasks set were solved by the author using general scientific (dialectical, systematic, formal-logical) and legal (comparative-legal, sociological, axiological) research methods. The novelty of the study lies in the fact that the author has determined the legal status of servicemen who returned from their military service zone (discharged from military service), which allows determining their right to comprehensive rehabilitation: military personnel who have received the status of a combat disabled person and military personnel who have received the status of a combat veteran. The author came to the conclusion that the volume of rehabilitation of combat invalids is determined by his status, assuming the existence of all the rights of persons with an established disability. The author also analyzed regional legislation in this area and determined that some areas within the framework of the comprehensive rehabilitation of military personnel, which the regions focus on, seem promising, however, a more "point policy" in this area is carried out in the regions, taking into account the capabilities of each region and existing resources, which does not always cover all the tasks of comprehensive rehabilitation. The main conclusion of this study is the determination that comprehensive rehabilitation should be multidimensional and take into account many factors for the real recovery of such a category of citizens as military personnel who participated in the SVO, which can only be achieved by the certainty of federal legal regulation in this area, establishing a single legal status of such subjects to secure them a specific right to comprehensive rehabilitation.

Фізична реабілітація при коронавірусній інфекції та постковідному синдромі у санаторно-курортних установах України

This article is devoted to the problem of physical rehabilitation of patients who have suffered coronavirus infection and suffer from post-Covid syndrome. The authors consider the possibilities and advantages of physical rehabilitation in sanatorium and resort institutions of Ukraine in the context of updating physical and psychological health. The article highlights effective methods of physical therapy, physical education and rehabilitation procedures that help improve the condition of patients and improve the quality of life after infection with coronavirus. The results of the article may be useful for specialists in the field of medicine and rehabilitation, as well as for patients who are looking for optimal methods of recovery after COVID-19. Taking into account the restrictions providing for a quarantine regime and other measures to slow down the spread of viral infection, we examined exactly how they affected the sanatorium and resort institutions of Ukraine, because in a pandemic, any mass gatherings are dangerous to health due to the risks of spreading the infection. The actions and influence of viruses from the family were studied Coronaviridae and their mode of transmission. The clinical manifestations of COVID-19, its spread, forms and possible complications are analyzed. Statistics are provided on the number of patients and deaths among them. To date, it has not yet been clarified why patients continue to experience symptoms after treatment, so this condition has been called post-Covid syndrome. The symptoms of post-Covid syndrome, its prerequisites, course and impact are described. Rehabilitation methods that can be used for COVID-19 and post-Covid syndrome are presented. The direction of therapeutic physical culture is characterized as a means that can be started in the first stage of rehabilitation. The feasibility of using massage, physiotherapy and hydrotherapy in combination with exercise has been proven. It has been established that Ukraine has good climatic and natural resource potential, which stimulates the development of the sanatorium and resort industry. The problems of recreation that lead to damage in the health resort industry and threaten its existence are examined. It is proposed to pay attention to the need for resorts, sanatoriums, boarding houses and other health institutions, where rehabilitation for coronavirus infection and post-Covid syndrome will help patients speed up recovery and shorten the period of incapacity.

Attributes, validity, and prognostic efficacy of nutritional assessment methods in geriatric rehabilitation: A scoping review

Attributes, validity, and prognostic efficacy of nutritional assessment methods in geriatric rehabilitation: A scoping review

Machine Learning in Robot-Assisted Upper Limb Rehabilitation: A Focused Review

Robot-assisted rehabilitation, which can provide repetitive, intensive and high-precision physics training, has a positive influence on motor function recovery of stroke patients. Current robots need to be more intelligent and more reliable in clinical practice. Machine learning algorithms (MLAs) are able to learn from data and predict future unknown conditions, which is of benefit to improve the effectiveness of robot-assisted rehabilitation. In this paper, we conduct a focused review on machine learning-based methods for robot-assisted upper limb rehabilitation. Firstly, the current status of upper rehabilitation robots is presented. Then, we outline and analyze the designs and applications of MLAs for upper limb movement intention recognition, human-robot interaction control and quantitative assessment of motor function. Meanwhile, we discuss the future directions of MLAs-based robotic rehabilitation. This review article provides a summary of MLAs for robotic upper limb rehabilitation and contributes to the design and development of future advanced intelligent medical devices.

Esthetic reconstruction of a localized severely resorbed anterior maxilla associated with peri-implantitis: A clinical report

This clinical report described the esthetic reconstruction of a localized severely resorbed right anterior maxilla associated with peri-implantitis. For vertical bone augmentation, guided bone regeneration surgery was performed by raising a flap with the remote incision technique, followed by soft tissue grafting and vestibuloplasty. The biologically oriented preparation technique was used to improve the health and stability of the peri-implant tissues. The surgical treatment and a novel method of prosthetic rehabilitation provided excellent esthetic and functional outcomes.

Методи та засоби фізичної реабілітації для постраждалих від російсько-української війни

The issue of determining the characteristics of adaptive physical culture using physical and sports rehabilitation for persons injured as a result of war is updated in the context of the current Russian-Ukrainian war. The study established that a component of medical rehabilitation is physical rehabilitation, which mobilizes the functional reserves of the body. The special importance of adaptive physical culture in this process has been revealed. It has been determined that medical rehabilitation includes a complex system of therapeutic, pedagogical, social, psychological and physical activities. Attention is focused on the role and physical rehabilitation. It occupies one of the main places in the complex of rehabilitation methods. The study considers therapeutic physical culture as one of the main and widespread means of physical rehabilitation. Modern Ukrainian scientists distinguish between different types of adaptive physical culture. The article provides characteristics of adaptive physical education, adaptive physical rehabilitation and adaptive sports. It has been established that for effective physical rehabilitation a number of psychocorrectional methods for regulating post-traumatic conditions can be used. In particular, we are talking about the method of rational psychocorrection and debriefing of the stress of critical situations. The main tasks of debriefing are identified. Methods of mental self-regulation and methods of personality-oriented psychotherapy are specified. In the context of a review of current publications on the research topic, it was found that the topic of providing psychological and correctional assistance to former combatants for their adaptation and rehabilitation in everyday life is increasingly relevant. According to the study results, it is summarized that rehabilitation can have temporary but significant success, resulting in dramatic improvements in quality of life. The identified personality traits of people who saw and participated in hostilities and maladaptive manifestations of their behavior and reasons should be taken into account when organizing rehabilitation activities with her.

Seismic Risk Assessment and Rehabilitation Method of Existing RCC Structures Using Micro Concrete

Aging reinforced concrete (RC) building structures typically experience more severe damage and are prone to collapse during earthquakes, constituting a primary factor in casualties and direct economic losses. To enhance the seismic performance of these old structures, this paper proposes a seismic risk assessment and a micro-concrete restoration method. It applies the process to an existing three-story reinforced concrete structure. A practical framework for mitigating structural vulnerabilities in seismic-prone regions was proposed. Then an as-built survey was conducted to create as-built architectural and structural drawings. Concrete core tests, ferroscans, and rebar tests were also performed. Based on field surveys and test data, nonlinear static and dynamic analyses have been used to evaluate structural safety. Concrete column jacketing was used to strengthen weak existing columns with micro-concrete. In assessing the structural response of retrofitted buildings, a comparison was made to their initial state. The comparison shows that applying concrete column jacketing with micro concrete can reduce other structural elements' demand capacity ratio (DCR), minimize maximum displacements, and enhance overall stiffness. The results indicate that the proposed method effectively evaluates the seismic risk of aging structures and enhances seismic resilience in existing buildings. Moreover, the application to the actual structure demonstrates that micro-concrete is highly durable and compatible with parent-concrete. Doi: 10.28991/CEJ-2023-09-12-04 Full Text: PDF

P61: The use of the errorless learning method in the rehabilitation of activities of daily living and instrumental activities of daily living

Objective:The aim of this review was to describe the usage and effectiveness of errorless learning in activities of daily living (ADL) and instrumental activities of daily living (IADL) rehabilitation methods reported in the literature over the past 10 years.Methods:Two databases were searched (PubMed, EMBASE) using the key words “errorless learning and ADL and IADL”. Articles published in the last 10 years in English were considered.Results:4 studies were identified that included 94 people with Alzheimer's disease (AD) and 129 people with stroke (104 with amnesia and 25 with ideational apraxia ).One study on AD patients showed that it is possible for them to re-learn relevant IADL activities using the errorless learning (EL) and spaced retrieval (SR) techniques and to maintain these gains for at least 3 months (t =2.811; df =22.246; p=0.010).In another study on AD patients, participants with AD had to re-learn three IADLs. All three learning methods (including EL) had similar efficiency (F(2,94)=21,99). However, the intervention resulted in greater improvement in actual IADL task performance than in explicit knowledge.In another study, structured ADL re-training in stroke survivors with amnesia significantly increased functional independence (MD: 4.90, SE=1.4, 95% confidence interval) and shortened time of hospitalisation (mean difference: 5.22, SE= 1.4, 95% CI: 1.8, 8.7).The fourth study presented a model in which patients with post-stroke ideational apraxia attended tea making training sessions during which progress was monitored and feedback was provided via a computer system. A qualitative analysis of errors was conducted before training, and the most common errors observed were those related to kettlebell and continuous perseveration. After training, the frequency of errors decreased for all error types except for skipping a step.Conclusion:The results of the studies discussed demonstrate the wide range of applications of error-free learning protocols in both AD patients and post-stroke patients. A clearly specified but flexible training protocol, together with information on error distribution, provide pointers for further refinement of task model approaches in ADL and IADL rehabilitation.

Medical and biological support of elite sports: recovery and rehabilitation measures

Purpose of the study: to analyze the content and systematize the scientific and methodological materials on research in recovery and rehabilitation in the medical and biological support (MBS) of elite sports. Materials and methods. The research included content analysis of literature sources. Articles included in the PubMed, Scopus, Google Scholar, and Russian Science Citation Index databases were examined. Total of 97 articles were analyzed, and 44 were selected. Results and discussion. Recovery and rehabilitation in sport includes a set of medical, professional, psychological, and pedagogical measures aimed at the restoration or compensation of impaired body functions and sports performance. Among the existing set of means and methods of rehabilitation used in medical practice in the medical and biological support of sports at the present time, the methods that allow quickly eliminating signs and consequences of physical and psychoemotional tension (stress) observed during sports activities, and restoring psychofunctional state through direct impact on regulatory systems (nervous, humoral, and hormonal systems) of the human body are of particular interest. There are active studies on the use of transcranial methods of electrical and magnetic stimulation, as well as biofeedback, which allow the development of the ability to control one’s psychophysiological functions. The analysis of recovery and rehabilitation methods of local impact on the musculoskeletal system has shown that there are very few developments and studies associated with the use of modern physiotherapy and mechanotherapy equipment adapted for application in sports. The use of natural healing resources for recovery and rehabilitation of the human body is sufficiently studied and substantiated by research conducted over the years. However, there are few studies on the influence of natural healing factors on the functional state of the body and the performance ability of athletes. Conclusion. The study has shown various recovery and rehabilitation technologies with application of total and local impact methods. However, there are gaps regarding a lack of studies on the scientific justification of applying natural healing resources and modern mechanotherapy measures with great possibilities for recovery and rehabilitation of the human body’s functional systems, adapted for use in sports, as well as the absence of a formed system for recovery and rehabilitation of athletes in conditions of training in middle altitude.