Means Of Physical Rehabilitation Research Articles

THE EFFECT OF THE REHABILITATION AND PHYSICAL THERAPY PROGRAM ON THE FUNCTIONAL STATUS OF POST-STROKE PATIENTS

The article examines the impact of a physical rehabilitation program on the functional state of the musculoskeletal system in elderly patients who have suffered an intracerebral stroke and are in the conditions of a neurorehabilitation center in the early post-stroke period. Before the implementation of the program, post-stroke patients have pronounced walking disorders and a pronounced dependence on external assistance. The aim of the articale is to reveal the effectiveness of the physical rehabilitation program for post-stroke patients in the early recovery period. Results. Features of hemodynamic adaptation in post-stroke patients in the conditions of the rehabilitation center were revealed. Conclusion. As a result of the research, it was found that post-stroke patients had concomitant diseases: chronic heart failure and arterial hypertension in all studied patients, diabetes – in 20% of patients. All these conditions were taken into account during the selection of optimal means of the program physical rehabilitation. After completing the program, patients became more independent and needed less daily assistance, and also mastered such a vital and necessary skill as walking. This is confirmed by tests of functional status (Bartel index, Rivermead) and assessment of independent walking (Hauser walking index). The level of disability according to the Rankin scale decreased by 20%, the Rivermead mobility index increased by 50.6%, the Barthel index of daily activity increased by 13.5%, the Hauser walking index increased by 31.8%, the range of motion in the joints of the limbs also increased, the level of spasticity according to the modified Ashworth scale decreased by 22.5% in the in the upper and lower extremities, the strength according to the MRCS scale increased, in the extremities by 20%. Thus, after completing the rehabilitation program, all patients observed a increase in paretic muscle strength, decreased muscle spasticity tone, and improved range of motion in the joints. Implementation of the physical rehabilitation program resulted in a significant increase in MRCS muscle strength in the limbs by 20% (p < 0.01). After completing the program, patients became more independent and needed less daily assistance, as well as mastered such a vital and necessary skill as walking. This is confirmed by tests of functional status (Bartel index, Rivermead) and assessment of independent walking (Hauser walking index). The level of disability according to the Rankin scale decreased by 20%, the Rivermead mobility index increased by 50.6%, the Barthel daily activity index increased by 13.5%, the Hauser walking index increased by 31.8%, the range of motion in the joints of the upper and of the lower limbs also increased, the level of spasticity according to the modified Ashworth scale decreased by 22.5% in the upper limb and by 20% in the upper and of the lower limbs, the strength according to the MRCS scale increased, in the limbs by 20%. Patients were able to move with little resistance. The effect of the rehabilitation program and physical therapy is evident in the increase in paretic muscle strength, reduction in spasticity, and increase in joint range of motion. Most patients regained the ability to walk, which contributed to increasing their level of independence. In general, the research results obtained after the implementation of the selected means of physical rehabilitation indicate the effectiveness of such a program.

Effects of Pilates exercises on spine deformities and posture: a systematic review

BackgroundPilates is becoming increasingly popular amongst a wide range of people and is gaining more attention. It is also an effective means of physical rehabilitation. The aim of this systematic review is to explore the effects of Pilates on spinal deformity and posture.MethodThis systematic review was conducted using four recognised academic and scientific databases (Scopus, Web of Science, PubMed and Cochrane) to identify articles that met the inclusion criteria. The secondary search used the Google Scholar and the Science Direct search engines. The search for articles for this review began in July 06, 2023 and was concluded on February 01, 2024. The search process for this study was documented using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020). The PEDro scale was used to assess the internal validity and data statistics of the studies included in this systematic review and to evaluate the quality of the studies.ResultsThe systematic review included nine studies that met the inclusion criteria from the 651 studies retrieved, involving a total of 643 participants. The PEDro scale scores of the studies included in this systematic review ranged from 3 to 8. The intervention was in the form of Pilates or Pilates combined exercises. The studies included in this review used outcome measures of Cobb angle, angle of trunk rotation (ATR), range of motion (ROM), chest expansion, Scoliosis Research Society Questionnaire (SRS-22r) and postural assessment. Research has shown that Pilates is effective in correcting spinal deformities and posture, as well as improving quality of life, pain relief, function and fitness.ConclusionsThis systematic review provide substantial evidence that Pilates has a positive impact on improving spinal deformity and posture. However, more research is needed to validate whether Pilates can be used effectively as a physical therapy for spinal deformity rehabilitation. Pilates has considerable potential for public health interventions.

Valuation of the effectiveness of physical rehabilitation for postural disorders in the adolescent pupils age

In the article, based on the analysis and generalization of literary sources, reveals the state of development of the problem of prevention and correction of postural disorders in adolescent pupils. Modern approaches to the prevention and correction of postural disorders in schoolchildren in the conditions of educational institutions by means of physical rehabilitation are analyzed in it. The purpose of the scientific article is to study the influence of health-improving means of physical rehabilitation in the correction of postural disorders in schoolchildren of adolescent age. According to the purpose of the research, the types of postural disorders in adolescents were determined and a physical rehabilitation program is developed, which included a set of special exercises for forming and correcting posture during physical culture and strengthening them at home.
 The results of the conducted research testify to the effectiveness of the rehabilitation program in correcting postural disorders in adolescent pupils and the feasibility of its implementation in the educational process of secondary education institutions.

The effectiveness of physical therapy in the rehabilitation of patients after arthroscopy of the knee joint.

Aim: To determine the effectiveness of physical therapy on the functional state of law enforcement officers' knee joints after surgical intervention. Materials and Methods: The research involved law enforcement officers from different units of the National Police of Ukraine (n = 56) who had suffered knee joint injuries in the line of duty, and underwent surgical intervention and rehabilitation procedures. Results: It was found that 78.2 % of respondents had suffered knee joint ligament injuries as a result of falls during rapid movement, while 43.9 % were in full gear (armored protection, helmet, etc.). It was determined that after surgical intervention, the functional state of the knee joint of law enforcement officers who followed the recommendations of physical therapy specialists and systematically performed special sets of physical exercises was significantly different (p < 0.001). Worse results were noted in people who partially followed the recommendations of rehabilitation therapists and performed part of the prescribed procedures and physical exercises. Conclusions: The effectiveness of the complex use of physical rehabilitation means for restoring the functioning of the knee joint after surgical intervention, which included arthroscopy, partial menisectomy of the damaged areas, debridement, vaporization of damaged cartilage, etc. was revealed. The positive effect of physical exercises on the functional state of the knee joint was proven. The sets of exercises that are advisable to use to restore the functioning of the knee joint were determined.

Modern methods of physical rehabilitation for the prevention of osteochondrosis in sports players

An important component in increasing the efficiency of the training process and achieving the highest possible results of athletes - players are the methods of physical rehabilitation in osteochondrosis, which are aimed at rapid recovery of the body and are an integral part in the development of training programs. Therapeutic physical culture, massage and physiotherapeutic methods used in the prevention of osteochondrosis are considered. Taking into account the methods and means of physical rehabilitation in athletes with osteochondrosis is a priority direction in the correction of loads in different periods of the annual cycle.&#x0D; The scientific novelty of the study is due to the fact that osteochondrosis of the spine in athletes is one of the most common chronic diseases. During the training and competitive process, athletes-players endure heavy loads, which provoke further exacerbation of the manifestations of osteochondrosis, where their physical and functional capabilities in motor activity are significantly limited. Therefore, it becomes obvious the need to consider modern methods and programs of physical rehabilitation as a comprehensive approach used in the prevention of osteochondrosis.&#x0D; However, in recent years, the specifics of the physical rehabilitation of osteochondrosis of the spine in athletes - highly qualified players have been caused by a number of contradictions. In particular, the issue of the impact of spinal cord pathology on the motor functions of athletes has not been investigated. The effectiveness of the use of rehabilitation programs of physical rehabilitation, which open up new possibilities for the prevention of osteochondrosis, has not been highlighted.

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.

CHARACTERIZATION OF THE INFLUENCE OF PHYSICAL REHABILITATION MEANS AND SPECIAL PHYSICAL EXERCISES OF ARCHERY ON THE SPORTS PERFORMANCE OF PARALYMPIC ATHLETES

Determining the effect of an individually selected complex of special physical exercises in archery and physical rehabilitation means on the functional state of the cardiovascular, neuromuscular, and sensory systems and sports achievements of Paralympic athletes. Material. To achieve the goal and solve the tasks of the study, the following methods were used: theoretical – search and bibliographic methods; empirical – medical-pedagogical and medical-biological research methods; methods of mathematical statistics. Results. The analysis of scientific and methodological literature on practically healthy archery athletes allowed us to establish the important role of the nervous, muscular, and sensory systems in the realization of the archer’s sports results. Physical loads in archery are static and well-studied in practically healthy athletes, but in Paralympic athletes, they have not yet been studied sufficiently, and the effect of physical rehabilitation and special physical exercises in archery on recovery processes in the post-training and post-competition periods has not been studied, so a scientific study of Paralympic athletes was conducted. It was found that the Paralympians of the experimental and control groups at the firing line before and after the first training session of the first stage (background indicators) had no significant differences between all studied indicators. Significant differences between the first and second stages of the study and between the first and third stages of the study were determined only in the experimental group. The positive influence of the use of a complex of special physical exercises in archery and physical rehabilitation means on increasing psycho-emotional stability and improving sports performance has been proved. It was proved that Paralympians of the experimental group were more stable in performing shots and outperformed Paralympians of the control group by the results of shots, which is also an argument for the application of the proposed changes to the plans of educational and training sessions. Conclusions. In order to improve and stabilize sports results, increase psycho-emotional stability in the preparatory part of training sessions of the preparatory and competitive periods, apply a set of special physical exercises in archery and in the final part of physical rehabilitation – back muscle massage, massage of the muscles of the shoulder girdle and upper extremities and, on a free day, recreational swimming.

Use of physical rehabilitation to improve venous blood flow in varicose veins

Statistics, symptoms, complications of varicose veins of the lower extremities were studied. According to the data of the scientific and methodical literature, the influence of the means of physical rehabilitation of patients on the improvement of venous blood flow was determined, and the most effective methods and means were selected. It has been shown that varicose veins (varicose veins) of the lower extremities are the most common among all vascular diseases. The World Health Organization included it in the list of "diseases of civilization", because according to statistics, in developed countries, varicose veins are observed in 25-34% of women and 10-20% of men. In Europe, an average of 22.23 million people suffer from varicose veins, in the USA - 98.4 million, and in Ukraine - 12.57 million people. In recent years, the disease has become younger and occurs in patients aged 12-16 years. In addition to aesthetic problems, the disease often leads to disability and death (its fatal complication is thromboembolism of the branches of the pulmonary artery). The main part of the work is devoted to the study of the influence of methods and means of physical rehabilitation, based on their physical and compressive action, with the aim of rehabilitation, preventing the progression of varicose veins and improving the morphofunctional state of patients at various stages of the disease. It is shown that the rehabilitation program should include recommendations for modifying the patient's lifestyle, wearing compression stockings to prevent dilatation of the veins of the lower extremities, to restore the "vascular pump" of the calf muscle, an individually developed walking program is offered, and kinesio taping is used to strengthen regional blood circulation.

Забезпечення фізичної активності людей з травмами і захворюваннями опорно-рухового апарату в умовах військового і надзвичайного станів

The purpose of the study was to consider the main methods of increasing the physical activity of people with disabilities (in wheelchairs) in emergency situations, military conflicts, natural disasters, etc. Materials and methods. The study of physical rehabilitation of people with disabilities (in wheelchairs) was conducted by the author during many years working as a trainer of the Kyiv Regional Center for Physical Culture and Sports for the Disabled “Invasport” and continued during the military actions in the country in 2022–2023 with an emphasis on the problems of rehabilitation of patients in military and emergency conditions. In order to increase the physical activity of people with disabilities (in wheelchairs) in conditions limited by military operations, it is recommended to pay special attention to exercises for the muscles of the neck, joints, and muscles of upper limbs; exercises for the lower limbs and pelvic organs; exercises for back and trunk muscles; balance exercises, breathing exercises, etc. Massage and self-massage procedures will also be useful in such situations. Results and discussion. The effectiveness of rehabilitation and, as a result, the successful outcome of maintaining the physical activity of people with spinal injuries and disabilities largely depends on the early start and correct selection of rehabilitation programs. In addition, the choice of methods and means of physical rehabilitation and physical activity for people with disabilities in the limited military and emergency conditions depends on their general physical and mental condition, the presence of accompanying diseases and complications, as well as on the surrounding circumstances. However, regardless of the difficulties and surrounding circumstances, people with disabilities (in a wheelchair) or with an injury and spine diseases must be engaged in physical therapy and do physical exercises in order not to lose the physical capacity for action, even limited, to be able to adapt to the circumstances and mobilize functional reserves of their bodies. Conclusion. Comprehensive rehabilitation is an integral part of therapy for patients with spinal injuries, people with disabilities (in wheelchairs), etc. Physical exercises not only affect the development of the motor activity of people with disabilities but also increase the body's resistance to adverse environmental factors, activating vegetative systems, stimulating and normalizing functions of body systems. The gradual adaptation of the body to physical exertion leads to adaptation, mobilization and use of the body's functional reserves. Physical training itself is an adaptation process that activates the body's hidden reserves

Complex of measures regarding the physical rehabilitation of military servants

The article analyzes the main features of physical rehabilitation, physical therapy of soldiers who are under medical supervision due to diseases of the main body systems, injuries of the lower extremities. As the basis of medical physical culture, physical exercises, movement and hygienic regime are considered. A prominent place among the means of physical rehabilitation is given to physical exercises, because motor activity is the most important condition for the formation of a healthy life, the basis of proper medical rehabilitation. After treatment in the hospital, servicemen are faced with the issue of restoring functionality to get back in shape. It is important to note that physical rehabilitation of servicemen after injuries, severe contusions, etc. takes time and can last from 1-2 to 5-6 months or longer. The complex of rehabilitation treatment measures is aimed at restoring the body after the end of the acute period and rather allows to avoid primary disability or prevent further deterioration of health, contributes to the improvement of the general physical condition of the soldier, etc. The purpose of the work is to consider the specifics of post-hospital physical rehabilitation of servicemen through physical therapy and a complex of rehabilitation exercises, to describe the specifics of using some of the exercises. The correct choice of the rehabilitation option, the complex of physical exercises, the intensity of the medical measures being carried out, determines the favorable outcome of the medical process, the restoration of work capacity and fighting capacity, and the quick return of the serviceman to action.

Application of suspension systems with rigid elastic elements in the physical rehabilitation of patients with amputation defects of the lower extremities

BACKGROUND: Exercise on suspension systems (gravitational neuromuscular activation) is a highly effective means of physical rehabilitation for patients with various pathologies. Modernization of these products through the use of rigid elastic slings or equipping standard simulators with elastic elements expands the capabilities of this type of equipment, allows you to master new types of exercises, positively affecting the strength, tone and endurance of muscle groups.&#x0D; AIMS: to study the impact of the inclusion of suspension systems with rigid elastic elements (slings) in physical rehabilitation programs for patients with amputation stumps at the hip level.&#x0D; MATERIAL AND METHODS: Twelve patients were tested before and after repeated prosthetics in the conditions of the FB MSE Clinic, which, due to the use of suspension systems, including elastic elements, not only increased strength, endurance and coordination relationships of muscles, but also changed the structure of their walking. The active part of the course of physical rehabilitation with the inclusion of suspension systems with elastic elements was less than two weeks. Setting the patient the task of increasing the speed of movement on the prosthesis in the long term, in the near future we focused exclusively on the correctness of the step structure and subjective sensations.&#x0D; RESULTS: The technical improvement of suspension systems due to elastic elements increases the convenience of their use, the speed of mastering by patients and the degree of efficiency, determining a high percentage of achieving the planned result. Inclusion in the course of training on the simulator with the use of elastic slings allows the patient to master and confidently perform various complexly coordinated movements, including squats, to participate in new types of game activities, which contributes to an increase in his adaptation and socialization in society. Subjectively, patients note greater strength of muscle groups that have undergone additional stress on these systems, improved coordination of movements and endurance when walking on a prosthesis as a whole, as well as a sense of "correctness" of walking, which is confirmed by clinical examination methods and the results of biomechanical tests (increased pace and speed of walking with a decrease in the duration of the step cycle).&#x0D; CONCLUSIONS: Suspension systems are most useful for the prevention and elimination of atrophy of the muscles that support the movement of the pelvic girdle, in comparison with conventional dynamic training and walking on a prosthesis. Modifications of suspension systems by including elastic elements in them allow functional training not only using static, but also dynamic exercises, expanding their application possibilities in medical and complex rehabilitation, adaptive physical culture and adaptive sports.

Restoration Treatment for Female Patients with Non-Bearing Pregnancy at the Early Terms of Gestatione

An important indicator of reproductive health is pregnancy failure, which has no decreasing trend worldwide [1-3]. Despite certain successes achieved in treatment and rehabilitation, the problem of pregnancy failure, especially in early gestation, is still urgent [4-6]. Thus, according to different authors, it ranges from 2 to 55%, reaching up to 80% in the first trimester. Statistically, 15 to 25% of all registered pregnancies are spontaneously miscarried, and 80% of pregnancies are terminated before 12 weeks of gestation. The incidence of spontaneous miscarriage remains consistently high, at 45-88.6% of early spontaneous miscarriages. Direct reproductive losses from non-pregnancy in Ukraine amount to 36-40 thousand unwanted children annually. It has been established that the state of reproductive health depends to a greater extent on the duration of pregnancy failure and the complex of rehabilitation measures [1-3]. When a pregnancy occurs within the first 6 months, after a previous miscarriage, a large number of repeated pregnancy losses have been noted. The rate of pregnancy loss after a single miscarriage is 13-17%, after two miscarriages 36-38%, and with recurrent miscarriage up to 45% [1-3]. After spontaneous abortion it is necessary to rehabilitate a woman's reproductive health regardless of the number of spontaneous miscarriages, taking into account all the causes and conditions that contribute to spontaneous pregnancy termination. The principles of the reproductive health rehabilitation program for women after spontaneous miscarriage include the earliest possible initiation of treatment and rehabilitation measures, the principle of an individual approach to rehabilitation measures for each patient [4-6]. The principle of dynamic control over the effectiveness of rehabilitation and therapeutic measures and the principle of continuity between inpatient, outpatient, and sanatoriumresort units of rehabilitation measures are important when using the methods and means of physical rehabilitation [4-7].

Peculiarities of the Practical Implementation of Rehabilitation Treatment after a Caesarean Section

The article presents the materials of a study devoted to the peculiarities of the use of methods and means of physical rehabilitation in women who have undergone a corporate cesarean section. The stage of rehabilitation treatment in an obstetric hospital and a women's clinic is presented and substantiated. The criteria for initiating the use of active physical activity after surgery are specified. The volume of rehabilitation measures in the late postoperative period, which can be carried out both in the outpatient and at home conditions, is presented.

Athletics in the aspects of professional students’ training, health improvement process, efficiency improvement, elimination of the physical condition shortcomings

The historical conditions of origin and development of athletics are considered in the article; views on athletic gymnastics in the light of preparing a person for professional activities, health improvement process, efficiency improvement, the possibility of using athletics as a means of physical recreation and, under certain conditions - physical rehabilitation and elimination of physical development shortcomings. The authors considered the different views of physical education specialists on the peculiarities of athletic training; review of strength training characteristics was made through the prism of coordinates according to the vectors: professional training, sports training, leisure (physical recreation), athletics as a means of physical rehabilitation. The content of the term “Special Strength” is defined in the article and an attempt is made to interpret its essence through the characteristics of the strength training features, which are covered by the authors of the scientific literature. According to law enforcement specialists, in the process of special physical training “it is necessary to use exercises to develop special strength and work on the development of those muscle groups that are essential in performing techniques of physical impact” [10, p. . 71]. This statement is consistent with the recommendations of F. Devalier and M. Gandill in the creation of a strength training program for MMA fights, which emphasizes: “focus on what works best; 2) open up to what you need.” [1, p. 7]. In the fundamental works of V. M. Platonov and M. M. Bulatova context of this vision is manifested as a recommendation of scientists to adhere to factors, one of which is – “the possibility of implementing the combination principle in the development of power and other motor skills and the technical skills formation” [8, p.110].&#x0D; The article describes the importance of strength exercises in the context of the possibility to use them in the forms, means and methods of therapeutic gymnastics and gives examples of their effective use. The authors see the possibility of using athletic gymnastics in physical rehabilitation programs (conditionally highlighting the motives of activity as the desire to correct physique, restore body functions, improve muscle condition, increase strength), on the examples of successful rehabilitation methodological developments of famous athletes Yuri Petrovich Vlasov and Valentin Ivanovich Dikul.

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.

Therapeutic Exercises for Prevention and Rehabilitation of Sports Shoulder Injuries

Aim: To analyze the functional effects of frequently used therapeutic exercises in the rehabilitation of athletes with shoulder injuries and to evaluate the possibility of their use in the prevention of sports shoulder injuries. Materials and Methods: The analysis of scientific literature based on the Web of Science database has been carried out. A computer search for the title “sports shoulder injury” revealed 2428 articles. Later, the search was specified. At the final stage, eight articles were analyzed. The analysis of selected articles suggests that the following exercises are recommended for the prevention and rehabilitation of shoulder injuries: proprioceptive, resistance exercises (e.g., kinesiology tape), passive exercises, exercises for the upper extremities with closed and open kinematic chains, isokinetic, plyometric and specialized sports exercises (depending on the sport). Besides therapeutic exercises, for the prevention of sports injuries of the shoulder, we admit it is appropriate to consider the method of kinesiology taping as a promising means of physical therapy. Conclusions: Among the therapeutic exercises to prevent of sports injuries of the shoulder, we consider promising proprioceptive, isokinetic, exercises with open and closed kinematic chain, exercises with resistance. It is necessary to study the feasibility of using these exercises and develop appropriate preventive measures and recommendations in the training process. It is also high-potential to study the effectiveness of combining therapeutic exercises with other means of physical rehabilitation.

The effectiveness of physical rehabilitation in the treatment of patients with type 2 diabetes

Physical rehabilitation of patients with type 2 diabetes mullitu (DM) is a complex process and requires long-term, systematic and gradual use of a set of tools to achieve compensation for diabetes, prevention of its complications. Generalization of experience in the use of physical rehabilitation in type 2 diabetes is an important task for scientists. The paper work shows that the basis of rehabilitation of patients with diabetes mellitus of this type are its principles such as systematicity, individuality and complexity of rehabilitation measures. They are aimed at the treatment and prevention not only of diabetes mellitus, but also of the patient's body as a whole.&#x0D; The purpose of the study - theoretical and practical justification of the need and essence of physical rehabilitation for type 2 diabetes and evaluation of the effectiveness of the developed program.&#x0D; Research methods: pedagogical (theoretical analysis and generalization of pedagogical and medical-biological literature); analysis of the medical cases; pedagogical testing; pedagogical experiment; clinical research methods; methods of mathematical statistics.&#x0D; The results of the use of physical rehabilitation in the complex treatment of type 2 diabetes mellitus at the dispensary stage of rehabilitation to maintain and improve the physical condition, efficiency in the life of patients and prevention of complications of various etiologies and comorbidities of this group of patients. The experiment involved 24 patients aged 44-59 years. The program of physical rehabilitation has been developed, the main components of which are therapeutic exercise, mechanotherapy, dosed stroke and massage. It is established that the means of physical rehabilitation contribute to the sustainable compensation of type 2 diabetes.

Оценка эффективности гимнастики тайцзицюань в физической реабилитации коленного сустава у юных гимнасток и учащихся хореографических училищ

Various types of physical activity, including tai chi exercises, have become part of physical rehabilitation of young athletes after knee joint injury. However, many physiological mechanisms of the restorative effect of traditional systems still need to be clarified. We recruited 38 girls aged 10–16 years (mean age 12.5 years, interquartile range [10.8; 13.2] years) involved in different types of physical activity (rhythmic gymnastics and choreography) needing to recover their knee joint function after overuse injury. The subjects were divided into two groups: the main group (physical rehabilitation using a specially developed set of tai chi movements) and the control group (standard course of physical rehabilitation taking place in a physical therapy room). After 2 weeks of rehabilitation, the participants underwent isokinetic testing of the knee joint using the Biodex System 4 Pro (USA). The test results obtained by cluster analysis were typified into three characteristic patterns (χ2 test, p = 0.004): 1) insufficiency of strength parameters (peak torque (PT), peak torque to body mass (PT/BM)) at high speed and insufficiency of functional parameters (PT angle, deceleration time) at high speed; 2) insufficiency of functional parameters (time to PT, deceleration time); 3) insufficiency of strength parameters (PT, PT/BM). It was shown that while the classical means of physical rehabilitation are good for restoring the dynamic muscle parameters (PT), tai chi exercises optimally restore the functional parameters of muscle activation (TP angle and deceleration time). For citation: Vasil’ev O.S., Levushkin S.P., Achkasov E.E., Lyakh V.I., Sharapov A.N. Efficiency Assessment of Tai Chi Exercises in Physical Rehabilitation of Knee Joint in Young Rhythmic Gymnasts and Choreography Students. Journal of Medical and Biological Research, 2021, vol. 9, no. 2, pp. 115–125. DOI: 10.37482/2687-1491-Z049

Оцінка ефективності програми фізичної реабілітації дітей із наслідками дисплазії кульшових суглобів

Дисплазія кульшових суглобів за несвоєчасного виявлення та лікування в ранньомудитячому віці прогресує і призводить до негативних наслідків, які починають проявлятися удітей дошкільного віку.Мета. Оцінити ефективність застосування засобів фізичної реабілітації у дітей із наслідкамидисплазії кульшових суглобів. Методи. У дослідженні взяли участь 68 дітей дошкільного вікуз односторонньою дисплазією кульшових суглобів за анамнезом (виявлено за результатамианалізу медичних карт), середній вік обстежених 5,6 ± 0,5 року. Для проведення дослідженьсформовано дві групи: основну (ОГ; n = 35) – діти, які займалися за розробленою нами про-грамою реабілітації, та контрольну (КГ; n = 33) – діти, які займалися за програмою дитячогонавчального закладу. Тривалість дослідження – 2014–2019 рр. Результати. Після проведенняпрограми фізіотерапевтичних втручань виявлено, що тонус м’язів-аддукторів наблизився дозначень інтактної кінцівки, що пов’язано з покращенням тонусу м’язів антагоністів (м’язів-абдукторів стегна (m. gluteus medius, m. gluteus minimus, m. tensor fasciae latae), та виправ-ленням патологічної привідної контрактури у кульшовому суглобі (в ОГ інтактна – 72,3 ± 3,2та уражена – 70,2 ± 3,4 (–х ± S); в КГ – інтактна – 69,4 ± 3,5 уражена –76,3 ± 3,7, (р &gt; 0,05). Зарезультатами обстеження виявлено покращення параметрів відеомоніторингу постави, асаме: в ОГ кількість дітей з порушеннями у сагітальній площині зменшилось на 11 осіб; пору-шення постави у сагітальній площині зберіглися у 12 (34,2 %) дітей групи. В КГ також виявленопозитивну динаміку, але лише у п’яти дітей покращився профіль постави у сагітальній площині,у решти 17 (51,5 %) дітей порушення постави у сагітальній площини зберіглися рівні первин-них значень. Висновки. Використання комплексної авторської програми фізичної реабілітації,спрямованої на усунення та зменшення проявів наслідків дисплазії кульшових суглобів, покра-щення та корекцію функціональних можливостей опорно-рухового апарату, у яких відбулисяпатологічні зміни, зміцнення суглобово-зв’язкового апарату, дозволяє більш ефективно усуну-ти прояви наслідків ДКС порівняно зі стандартними програмами реабілітації.