Sanatorium Treatment Research Articles

Comparative evaluation of the effectiveness of sanatorium treatment programs on the severity of respiratory disorders in patients with postcovid syndrome

The purpose of the study. To conduct a comparative assessment of the effectiveness of various sanatorium treatment programs for patients with respiratory disorders in postcovid syndrome.Material and methods. The study involved 112 people with impaired respiratory system functions who were referred for sanatorium treatment 2–3 months after suffering a new coronavirus infection COVID-19. Of these, 74 are women and 38 are men. The programs used: physical therapy, halotherapy, inhalation of nitric oxide, electrostatic massage.Results. The use of an extended program of sanatorium treatment with the inclusion of inhalations of nitric oxide and electrostatic massage in patients with respiratory disorders with postcovid syndrome contributes to a significant reduction in the number and severity of complaints in this category of patients.Conclusion. The inclusion of nitric oxide inhalations and electrostatic massage in the programs of sanatorium treatment in patients with respiratory disorders with postcovid syndrome increases the effectiveness of rehabilitation treatment after acute infectious disease.

Tuberculosis in children and adolescents in the Ryazan region in 2010–2023: dynamics of the main epidemiological indicators and problems of prevention

Tuberculosis is included in the list of socially significant infectious diseases that pose a threat to public health. Despite the fact that the structure of tuberculosis cases in the Russian Federation is dominated by the adult population, the incidence of this infection in children and adolescents can be considered as an indicator of epidemic distress, which determines the relevance of analyzing the state of the problem in this particular population group. The aim is to identify the features of the course of the epidemic process of tuberculosis in children and adolescents in the Ryazan region in 2010–2023. It was established that in 2010–2023 in the Ryazan region there were changes in the dynamics and structure of children and adolescents with tuberculosis. An increase in the incidence of children aged 0–14 years in 2019–2023 was revealed against the background of stabilization of this indicator in the group of adolescents. The highest incidence rates occurred among people aged 15–17 and 7–14 years. In 2018–2022, more severe forms of the disease began to prevail in the structure of sick children and adolescents: tuberculosis of the intracoracic lymph nodes was replaced by pulmonary tuberculosis. At the same time, there were changes in the indicators characterizing the early detection of this infection: the coverage of tuberculin diagnostics and fluorographic examinations decreased, there were errors in dispensary monitoring of children in contact with sources of infection, the proportion of people who received chemoprophylaxis and sanatorium treatment decreased. The revealed changes are markers of latent epidemic distress and require immediate targeted measures of influence.

Innovative Processes in the Sanatorium and Resort Sector of the Republic of Belarus

INTRODUCTION. The introduction of innovative processes in sanatorium-resort activities helps to approach the individual treatment of a citizen’s disease or preventive measures aimed at reducing the incidence of the population in a sanatorium-resort area, simplify the functioning of health resorts and their provision of high-quality services for sanatorium treatment and rehabilitation. AIM. To determine the level of public awareness about sanatorium-resort organizations in the Republic of Belarus and to propose an algorithm for introducing innovative processes into their activities. MATERIALS AND METHODS. The survey method was used in the study. The research tool was a questionnaire. The representativeness of the sample was ensured by calculating the required number of respondents, taking into account the population of the regions of the Republic of Belarus (923 people) account the power of the study at the level (1 – β) = 80 %. A mobile application has been developed in the Visual Studio Code environment to improve the activities and optimize organizational processes in the health resort in order to raise public awareness, based on a study conducted in the health resorts of the republic to assess the quality of services provided for sanatorium treatment and wellness. RESULTS AND DISCUSSION. To identify the factors influencing the choice of a health resort by the population, cluster analysis, showed the closest correlation between the factors “doctors’ recommendations” and “medical services” influencing the choice of a health resort. The distribution of health resort awareness assessment in the regional context varied from 10.5 % (Grodno region) to 17.7 % (Minsk). The following are proposed: a system for informing the population and an algorithm for meeting the needs of the population in treatment and rehabilitation, the participation of information in sanatorium and resort activities. A selective assessment of the quality of spa treatment and wellness services in health resorts was carried out. A mobile application has been developed. CONCLUSION. The level of awareness of the population of the Republic of Belarus about the activities of sanatorium-resort organizations was assessed using a survey method — regional differences were identified. A model of the public information system and an algorithm for meeting the needs of the population and health improvement, the participation of information in sanatorium and resort activities are presented. A mobile application has been developed for sanatorium-resort organizations.

Impact of Sanatorium Treatment on the Quality of Life of Patients with Lumbosacral Spine Pain Syndrome

Introduction. Lumbosacral spine pain increasingly impacts the quality of life for many individuals, affecting both physical and social aspects. Addressing this issue through effective prevention and treatment is crucial to mitigating its negative effects on society, especially in developed countries. Aim. The aim of this study was to analyse the impact of sanatorium treatment on the quality of life of patients with lumbosacral spine pain syndrome. Material and Methods. The study was conducted on a group of 50 patients who were referred for sanatorium rehabilitation for a 28-day period. This group was selected on the basis of medical history and diagnosed lower lumbosacral pain syndrome not qualified for surgical treatment. Prospective research employed diagnostic survey methods using a questionnaire technique. Assessment of quality of life was conducted using a questionnaire constructed in two parts. The first part, developed by the authors, included questions regarding socio-demographic variables as well as questions related to the functional status, mental condition, and pain experienced by the patients. The second part was the standard SF-36 quality of life questionnaire. Results. The analysis of the conducted research indicates that sanatorium treatment significantly differentiates the quality of life assessment and its selected indicators (p<0.05) for general health perceptions (t=2.858; p=0.006), physical functioning (t=7.923; p=0.000), mental health (t=3.440; p=0.000), bodily pain (t=11.796; p=0.000), and social functioning (t=5.927; p=0.000). Conclusions. Quality of life assessment is higher after sanatorium treatment than before treatment. Selected indicators of quality of life, such as physical, mental, and social functioning, improved after sanatorium treatment. (JNNN 2024;13(3):106–111)

Regarding the assessment of the influence of thoracic spine manual therapy on the women 's cardiovascular system in the course of sanatorium treatment

Purpose: The purpose of this study was to evaluate the reaction of the cardiovascular system of women to manual therapy procedures on the chest during the course of sanatorium-resort treatment of osteochondrosis of the spine. Material and methods Under supervision were 29 women aged 37.8 (31.3; 45.8) years who underwent a course of sanatorium-resort treatment for osteochondrosis of the thoracic spine in the clinical sanatorium named after V.P. Chkalov (Odesa, Ukraine) in 2010-2011. The treatment complex included of 4 thoracic spine manual therapy (TSMT) procedures, which were performed every 5-7 days of sanatorium-resort treatment. The indicators of the cardiovascular system were recorded using the Omron M1 Classic device (Japan) in a supine position before and after every procedure TSMT. Results In general, the same type of significant changes is noted for most of the hemodynamic indicators under the influence of TSMT procedures. This applies to parameters DBP (mmHg), which increase, HR (min-1), which decrease, and integral indicators – Double product (cu.) and Index Kerdo (cu.), which also decrease. Changes in MBP (mmHg) and PBP (mmHg) are not always significant. Taking into account distribution of types Δ Double product and Δ Kerdo`s Index, it can be stated that the optimal reaction to the TSMT procedure was observed most often after the 2nd procedure - in 62.1% of patients for heart`s contractile function and in 65.5% for autonomic regulation of hemodynamics. It is also informative that from procedure to procedure the number of cases falling into the extreme limits of the distribution and being assigned to excessively pronounced and inadequate types of response significantly decreases. According to the indicator Δ Double product their number from the first to the fourth procedure decreases from 17.2% to 3.4%, and according to the indicator Δ Kerdo`s Index from 17.2% to 6.8%. Conclusions. Determination of changes in indicators of the cardiovascular system activity under the influence of the thoracic spine manual therapy procedure made it possible to characterize the types of reactions of the cardiovascular system.

Метаболічний синдром як вагомий фактор під час розробки концепціїфізичної реабілітації для осіб після холецистектомії

Topicality. There is a need to review the potential long-term negative consequences of gallbladder removal (GBR), especially the associated risk of further metabolic syndrome (MS), considering the rehabilitation prognosis of patients after laparoscopic cholecystectomy (LC). The Aim of the Research is to conduct a synthesis and analysis of the scientific literature that studies the risks of MS foe people after LC and to determine whether there are risk factors for MS among people after LC at the long-term stage of rehabilitation who were in the Morshynkurort sanatorium-resort complex. Methods. A synthesis of scientific works, a retrospective analysis of 100 medical records of patients after LC who were rehabilitated in the Morshynkurort sanatorium-resort complex was carried out. Inclusion criteria: charts of patients after LC from 1 month to 1 year after the intervention. Randomization, blinding of evaluators. Outcome measures: triglycerides (units), fasting plasma glucose (mmol/L), systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg). Results. LC has a high prognostic risk of MS, bowel cancer, cardiovascular disease, dysbiosis, and pancreatic inflammation. It has been established that cholecystectomy (СС) significantly increases the risk of developing MS. The analysis of medical records revealed 3 existing criteria for the presence of MC in patients undergoing sanatorium treatment: triglycerides (2,10 ± 0,30, mmol/L) – above 1,7; fasting blood glucose (6,20 ± 0,56, mmol/L) – above 5,6; elevated blood pressure (systolic and diastolic). Conclusions. Patients in the long-term rehabilitation stages have been found to have signs of MS. The assessment of the modifiable risk factors for MS in patients after CC should be mandatory when planning individual rehabilitation programs.

СРАВНИТЕЛЬНАЯ ОЦЕНКА ЭФФЕКТИВНОСТИ ВОЗДЕЙСТВИЯ ИСКУССТВЕННОГО МИКРОКЛИМАТА У ПОДРОСТКОВ С БОЛЕЗНЯМИ ОРГАНОВ ДЫХАНИЯ В САНАТОРНЫХ УСЛОВИЯХ

Based on the selected, criteria-based risk phenotypes for chronic lung diseases (CBL), 177 adolescents, 11-17 years old (11.94±0.8 years), during the three-week observational observation, two phenotypic groups (2.3), during their stay in the sanatorium, were prescribed an equivalent set of non-drug therapy, with various additions, halo-therapy (GLT) or speleo therapy (SLT). The dynamics were analyzed, with a comparison of a set of diagnostic indicators, at the beginning and at the end of the course of sanatorium treatment: variability of PSV per week, OFV1, FVC, OFV1/FVC, MOS75-50-25, lung age, electronic auscultation, symptoms (cough, shortness of breath, sputum separation), CO., No., assessment of the quality of life (QOL) according to the SF-10 questionnaire. For phenotype 2 (moderate risk of CBL), there was a better dynamics, weekly variability of PSV, increase in PSV in % of due, severity of respiratory acoustic noise, - when using GLT; at the same time, in the gender decomposition, there was a more pronounced positive dynamics, in boys, in terms of growth of OFV-l, FZHEL-l, OFV1/FZhEL-% and OFV1/FZhEL-% , MOS 25-75-l and MOS50-% of due, -, against the background of GLT. For phenotype 3 (high risk of CKD), less pronounced clinical and functional dynamics were noted. According to QOL, for phenotypes 2 and 3, when supplementing the course of sanatorium treatment with SPT or GLT, both in physical and socio-mental components, both in girls and boys, it was positive. For phenotype 2, QOL improved, with the use of GLT, at p<0.05: according to the parameters of general health, according to the component of physical well-being, it was more noticeable in young men. For phenotype 3, a reliable QOL dynamics was established, according to the dynamics of general health and the social component. In general, young men of phenotypes 2 and 3 reacted better to the additional effects of GLT compared with SPT, which was confirmed by reliable positive dynamics of functional indicators and QOL.

Music therapy as a therapeutic and supportive method

Music therapy currently plays an important role in both treatment and prevention of mental health. Sound therapy (music therapy) is used, among others, in psychiatry, cardiology, obstetrics, gynecology, intensive care, surgery, palliative care, rehabilitation, geriatrics, oncology, dentistry and neurology. In healthy people, music (both played and listened to) has a relaxing effect and eliminates nervous tension and reduces stress. Scientific research confirms the beneficial effects of music in hospital and sanatorium treatment. The advantage of this method is the low cost of therapy and universal availability. Meetings can be held in a group or individually. When selecting music, special attention should be paid to the patient's mental condition as well as his personality and musical preferences. The tempo of the music is also very important, as well as active or passive participation in classes using sounds.

ALGORITHM OF SECONDARY PREVENTION OF KIDNEY DISEASES AND URINARY TRACT IN OUTPATIENT CLINICS

Aim effectiveness evaluation of the medical staff actions algorithm an outpatient polyclinic institution during the secondary prevention of kidney and urinary tract diseases.
 Material and methods. This article presents an assessment of the effectiveness of the algorithm developed on the basis of a previously conducted medical and social study, which consists in conducting secondary prevention of exacerbations of the urinary system by prescribing drinking mineral water, diet, physical activity and a protective regimen under the remote control of medical workers with the determination of indicators of the quality of life of patients (on the Wisconsin Questionnaire). The developed algorithm represents the sequence of actions of medical personnel during remote monitoring of patients with pyelonephritis, urolithiasis, urethritis and cystitis. To assess the effectiveness of the proposed algorithm, a survey was conducted among outpatient clinic doctors with more than 10 years of experience using a specially developed questionnaire (score from 1 to 10). To assess the consistency of doctors' opinions, the concordance coefficient was calculated; a high degree of agreement between doctors' opinions in assessing the main indicators was considered at the value of the Kendal W coefficient 0.7. To assess the significance of the obtained concordance coefficient, the 2 criterion was calculated at a significance level of 0.05.
 Results. An analysis of the answers of doctors showed that this algorithm can be used as an alternative to sanatorium treatment for the prevention of exacerbations of diseases of the urinary system.
 Conclusions. The study of the possibility of using medical and organizational measures for the secondary prevention of exacerbations of diseases of the kidneys and urinary tract, presented in the algorithm, makes it possible to achieve an improvement in general well-being in patients under dispensary observation. Algorithm received a positive assessment from doctors of outpatient clinics.

Modern technologies of medical rehabilitation of patients who have undergone COVID-19 at the sanatorium-resort stage

The relevance and social significance of studying the issues of medical rehabilitation and the development of sanatorium treatment programs for patients who have suffered a new coronavirus infection COVID-19 is determined by the high prevalence of this disease in a pandemic, the polymorphism of clinical manifestations, the possibility of developing postcovid syndrome and disability of such patients. Currently, medical rehabilitation of patients is carried out in 3 stages and includes the use of methods of physiotherapy, massage, therapeutic physical education, diet therapy, psychological correction, etc. Sanatorium treatment creates additional opportunities for recovery after a new coronavirus infection due to the use of primarily natural physical factors as the most physiological methods. Currently, research is underway to study the effectiveness of various sanatorium treatment programs in patients who have undergone COVID-19.

An Individual Rehabilitation and/or Habilitation Program for Children with Disabilities (IPRH)

Introduction: The individual program of rehabilitation and (or) habilitation of children with disabilities (IPRH) is mandatory for execution by the relevant state authorities, local self-government bodies, as well as organizations regardless of organizational-legal forms and forms of ownership. Objective: To conduct a pilot analysis of the implementation of the IPRH contingent of patients of children with disabilities in an urban children’s clinic. Patients and methods: There were 366 reports on the implementation of measures provided for by an IPRH for a disabled person (disabled child) of 222 disabled. The organization of the study was in the nature of a continuous sample. The criterion for the inclusion of patients in it was the passage of an IPRH in a disabled child within a specified time frame. The following techniques were used: grouping, absolute and relative values, average values, detailing, and generalization. The threshold error probability for statistically significant differences was set at a level of 0.05. Results: The structure of the results of the control of the performance of IPRH in 222 disabled children according to the classes of diseases that caused the onset of disability (ICD) was as follows 1) G00-G99 - 35.47 ± 3.13%; 2) Q00-Q99 - 23.50 ± 2.77%; 3) 11.11 ± 2.05%; 4) C00-D48 - 10.25 ± 1.98%; 5) H60-H95 - 7.26 ± 1.67%; 6) M00-M99 - 2.99 ± 1.11%; 7-8) H00-H59 and P00-P96 - 2.14 ± 0.95%; 9-10) K00-K93 and S00-T98 - 1.29 ± 0.74% each; 11-12) I00-I99 and N00-N99 - 0.85 ± 0.60% each; 13-14) J00-J99 and L00-L99 - 0.43 ± 0.42% each. Conclusion: 1. In the structure of IPRH in 222 disabled children, according to the classes of diseases that caused disability (ICD), the following prevailed: 1) VI Diseases of the nervous system G00-G99 – 35.47%; 2) XVII Congenital anomalies, chromosomal disorders Q00-Q99 - 23.50%; 3) IV Diseases of the endocrine system, nutritional disorders, and metabolic disorders E00-E90 – 11.11%; 4) II Neoplasms C00-D48 - 10.25%; 5) VIII Diseases of the ear and mastoid process H60-H95 - 7.26%; 6) XIII Diseases of the musculoskeletal system and connective tissue M00-M99 - 2.99%; 7-8) VIII Diseases of the ear and mastoid process H60-H95 and VII Diseases of the eye and its adnexa H00-H59 - 2.14% each. 2. The effectiveness of medical rehabilitation of disabled children was as follows: 1) Improvement - 23.26%; 2) Stabilization - 74.88%; 3) Deterioration - 1.86%. Dynamic observation was carried out on 94.26% of disabled children, drug therapy - 77.32%, non-drug therapy - 66.93%, and other types of medical rehabilitation were received by 14.48% of patients. Reconstructive operations were performed on 11.26% of disabled children. 3. Prosthetics and orthotics were performed on 38.74% of disabled children. 32.43% of disabled children in need received sanatorium treatment, and 30.18% are currently in line to receive a voucher. For various reasons, 24.32% refused this type of rehabilitation; 3.60% of patients had contraindications at the time the voucher was provided. 4. The obtained research results become the initial everyday statistical tool for objectifying the process of rehabilitation of patients and determining the strength and means of a medical institution to monitor and successfully implement an individual rehabilitation/habilitation program for a disabled person

«МЕДИЦИНСКИЙ ФАКУЛЬТЕТ» ДОРЕФОРМЕННОЙ САМАРЫ

The author of the article for the first time introduces the biographies of Samara doctors of the late XVIII – first half of the XIX centuries to the scientific community. The research is based on numerous sources found in the funds of the central and local archives of the Russian Federation. The author reveals details of the professional path of Samara doctors, examines the features of their daily work, and explores some aspects of interactions within the medical community of pre-reform Samara. The study was conducted in the context of modernization theory. The author came to the conclusion that the formation of the medical community of the Samara province from graduates of Russian educational institutions intensified in the pre-reform decade. At the same time, the foundations of medical research, preventive medicine and sanatorium treatment were laid in the Samara province.Samara established itself as one of the centers of the increasingly popular trend in the practice of health conservation, i.e., kumiss treatment.

Analysis of headache in children's patients, its relationship with chronic rhinosinusitis at the sanatorium-resort stage of treatment

To determine the structure and nature of headache in pediatric patients, as well as its relationship with chronic rhinosinusitis, to develop an effective rehabilitation course for pediatric patients with headache at the sanatorium-resort stage. The study included 100 patients aged 8 to 17 years who received a course of sanatorium treatment. Patients were divided into groups: with primary headache and with secondary headache in chronic rhinosinusitis. The results of a comprehensive otorhinolaryngological and neurological study made it possible to determine the mechanism of development, structure, and nature of the predominant types of headache in children and to develop a course of rehabilitation treatment. An analysis of the effectiveness of the rehabilitation course showed that it was possible to achieve a positive result in 88% of children with primary and secondary headache. The necessity of interdisciplinary participation of otorhinolaryngologists and neurologists in the examination and treatment of patients complaining of headache at the sanatorium-resort stage is substantiated. The effectiveness of the proposed rehabilitation course of headache treatment of various origins in children has been proven, the analysis of long-term results allows us to recommend it during staged therapy.

On the Draft Regulations on Districts of Sanitary (Mountain Sanitary) Protection of Natural Medicinal Resources: Comments, Suggestions

The purpose of the article is to attract the attention of specialists in the resort business in the document being developed - the Decree of the Government of the Russian Federation «On Approval of the Regulations on the Districts of Sanitary (Mining and Sanitary) Protection of Natural Medicinal Resources», the draft of which is proposed for discussion. The article presents all the comments on the discussed draft Regulation and proposals for making appropriate changes with their reasoned justification. The proposals put forward to change the wording of specific paragraphs of the Regulation are aimed at protecting and preserving the wealth of our country - natural healing factors that form the basis of sanatorium treatment. The proposals made to edit the paragraphs of the Regulation will undoubtedly guarantee the preservation of Russia's natural healing resources in order to use them for the prevention, treatment and rehabilitation of the population of our country and the successful development of the resort industry.

Historical aspects of the formation and development of children's health resort medicine in the Samara region

Archive documents and sources in scientific electronic databases were analyzed in order to study the historical origins of the health resort business in terms of children's health resort medicine in the Samara government. It has been established that the period of origin and intensive development of balneology for children in the Samara region occurred at the beginning of the 20th century and the first children's sanatoriums began to function thanks to the initiative of the Society of Governmental Physicians for charitable funds of the Samara nobility and merchantry in territories with natural and climatic therapeutic factors, namely Sernovodsky resort, Barboshina glade and Postnikov ravine. A comparative analysis of the dynamics of morbidity structure of children admitted for sanatorium treatment, as well as general education institutions, from which information on the health of school pupils is received, has been conducted over a period of 120 years. Despite the change of years and generations, there is a general concept of sanatorium health improvement of school pupils as a future social and economic pillar of society, with the formation of a healthy generation for both the region and the country in general.

Effectiveness of Sanatorium Treatment Programs for Women with Chronic Endometritis: a Prospective Randomized Study

INTRODUCTION. The problem of recurrent antibiotic-resistant urogenital infections is increasing, and standard therapy is becoming ineffective. Sanatorium-resort treatment of chronic inflammatory diseases of the pelvic organs in women allows us to solve these problems with the help of natural and preformed physical factors. AIM. To study the clinical effectiveness of comprehensive sanatorium treatment programs in patients with chronic endometritis. MATERIALS AND METHODS. A prospective randomized trial included 73 patients, aged 35 ± 10 years, diagnosed with chronic endometritis. The control group (n = 25) received «basic» therapy with amplipulstherapy, sodium chloride baths. The comparison group (n = 24) received «basic» therapy and manual therapy. The main group (n = 24) received «basic» therapy, high-intensity pulsed magnetic field and manual therapy. Diagnostic criteria: immunohistochemical examination of the endometrium, echographic examination, dopplerometry of pelvic vessels, laser Doppler flowmetry. RESULTS AND DISCUSSION. After treatment, an increase in the uterine arterial perfusion index was noted in all groups compared with baseline values. The median indicator increased in the study groups by 2.36 times, 2.4 times, and 2.6 times, respectively (p 0.05). The decrease in the maximum peak speed in the comparison group and the main group exceeded the indicators of the control group (p 0.001). The systolic-diastolic ratio decreased in the comparison group and the main group (p 0.05). A decrease in stagnation in the venular microcirculation, a normotonic type of microcirculation, improvement in endothelial function (p 0.01) were revealed in the main group. CONCLUSION. An algorithm has been developed. In case of endometrial hypoplasia, decreased uterine perfusion, increased uterine artery resistance index, «basic» therapy is recommended, including sodium chloride baths and amplipulstherapy. With an increase in the maximum peak blood flow rate, an increase in the systolic-diastolic ratio, it is necessary to add a course of manual therapy to the «basic» therapy. When detecting violations of venous outflow, it is recommended to include high-intensity pulsed magnetic therapy.

Medical Rehabilitation and Sanatorium Treatment of Patients after Medical Care in The Field of Oncology: а Review

INTRODUCTION. Physical therapy, natural healing resources, spa treatment technologies and other medical rehabilitation reduce the negative effects of treatment-related symptoms and improve the physical function of patients with cancer. Despite a growing body of evidence and recommendations to better integrate medical rehabilitation into cancer care, rehabilitation is a relatively underutilized service. AIM. To summarize the available Russian studies on the use of medical rehabilitation and spa treatment in patients after care, in the field of oncology. MATERIALS AND METHODS. Analysis of the published scientific literature. Meta-analyses, systematic reviews, cohort, prospective and controlled studies for the period from 2014 to 2022 were selected for consideration. RESULTS. Treatment of a cancer patient should not only focus on eliminating the disease directly and restoring the physical functions of the body, but also on restoring the person's ability to live as acceptably as possible in and after the disease. Medical rehabilitation is carried out by the efforts of various specialists in a multidisciplinary team, and their work should consider the peculiarities of the course of the underlying disease, the condition of the cancer patient and his/her (the patient's) individual characteristics. CONCLUSION. Improving rehabilitation care in accordance with the recommendations can have a significant impact on the functioning and quality of life of cancer patients.

Assessment of Motor Activity of Patients Undergoing Medical Rehabilitation and Health Resort Treatment

INTRODUCTION. Problem of evaluation of the motor activity patients undergoing medical rehabilitation and sanatorium treatment remains relevant, including obesity. AIM. To study the nature and degree of disorders of muscle strength, motor and coordination functions in patients undergoing medical rehabilitation and sanatorium treatment. MATERIALS AND METHODS. Single cross-sectional study included 160 patients aged 40 to 65 years with normal and overweight. The complex of the study included: functional tests and assess muscle strength and balance. RESULTS. In patients with obesity, compared with persons with normal body weight of the same age, significantly (p 0.05) lower indicators of muscle strength of the right and left arms, strength of the abdominal and back muscles, lower endurance of the abdominal muscles and back muscles and longer time to complete the “Get up and walk” test. Also, in obesity, it turned out to be significantly less time to maintain balance in the “Stand on one leg” tests on the right and left legs with open eyes. A statistically significant direct relationship was found between the level of back muscle strength (γ = −0.82, p = 0.0038) and body weight. A significant relationship was also found between the level of endurance of the back muscles to physical activity and BMI (γ = −0.79, p = 0.01). At the same time, there was no relationship between age and the level of endurance of the back muscles to physical activity (γ = 0.107, p = 0.36). DISCUSSION. In patients undergoing medical rehabilitation and health resort treatment, obesity is associated with a decrease in muscle strength and motor activity. CONCLUSION. In patients with obesity at the age of 40–65 years, compared with persons with normal body weight of the same age and gender, there is a statistically significant decrease in the muscle strength of the arms, abdomen and back, a longer time to complete the “Get up” test and walk”, as well as deterioration in the function of static balance according to the results of the “Stand on one leg” test.

Actuality of the use of the "OSNOVA" device in remote rehabilitation

The purpose of the study: is to investigate the efficiency of the developed physical rehabilitation program in the late rehabilitation period after ischemic stroke with a personalized approach with the priority use of the "OSNOVA" device for the restoration of locomotor functions. Material & Methods: to implement a physical rehabilitation program in the late rehabilitation period after ischemic stroke with a personalized approach with the priority use of the "OSNOVA" device for the restoration of locomotor functions, 10 patients diagnosed with ischemic stroke in the late rehabilitation period after undergoing sanatorium treatment were involved. Because the patients differed in pathogenesis (flaccid and spastic paralysis, left or right-sided), a personalized physical rehabilitation program was applied to each patient, but with elements of correction depending on the patient’s dynamics. All participants signed an informed consent form to participate in the study. The study used general and clinical methods of examination (medical history, patient examination), the NIHSS (National Institutes of Health Stroke Scale) scale, which allows an objective approach to the patient's condition after a stroke and assesses neurological status, and the MMSE (Mini Mental State Examination) scale, which assesses mental state and cognitive function. Also, to implement the developed program, a device for restoring locomotor functions – "Osnova" – was developed. Results: a program of physical rehabilitation in the late rehabilitation period after ischemic stroke with a personalized approach with the priority use of the device "OSNOVA" was developed, which was conducted for three weeks and included three stages and the volume of training hours – 90. A "success diary" was introduced to motivate and monitor the workload during training. The data obtained showed that the average Barthel scale score is 77.1 against the initial value of 64. It should be noted that the scores increased by 17%. The NIHSS scale is 13.9 against the initial value of 10.1. We note that the scores have increased by 27%. Conclusions: the results obtained showed positive dynamics, but the development of a standard rehabilitation protocol is an open question, as there is currently insufficient data to determine the optimal duration of procedures and their intensity.

Evaluation of physical fitness level of operational level officers with limited functional capabilities according to physical status indicators

The article highlights the problematic issue that the number of operational level officers with limited functional capabilities increases every year in higher military educational institutions of Ukraine. Much better conditions are being done that are necessary for the functioning of students with special needs in Ukrainian higher education institutions, but today there are still a number of problems that complicate the process of integration and adaptation of students with special needs. This category of officers who received injuries or contusions during combat missions and lost all functional abilities for a long period of time, or because of sustained injuries or illnesses received during the performance of official duties, due to their health status, cannot attend regular physical training classes and common physical fitness tests. It is evident that after the end of the war, there will be significantly more people with disabilities in Ukraine. Therefore, it is necessary to think about creating state programs in order to involve this category in all spheres of human life in Ukrainian society, about creating conditions for the appropriate accessibility of health care facilities for them, sanatorium treatment, employment, cultural institutions, about the availability of legal support and information, etc. Therefore, the purpose of this study was to analyse alternative exercises and tests for assessing of physical fitness level of operational level officers with limited functional capabilities according to physical condition indicators. Conclusions. The focus of officers’ physical training is to recover as quickly as possible from an injury or trauma, or to be physically fit while maintaining as much as possible functionality of the injured or wounded body part.