Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury最新文献

Introduction: Subacromial impingement syndrome is a common pathology that leads to a persistent decrease in the functioning of the affected limb and, as a consequence, a decrease in the quality of life and work ability of patients. According to various authors, the study of the effectiveness of treatment and rehabilitation of this pathology is quite widely presented in the literature: surgical, including arthroscopic operations, rehabilitation using various factors of physical therapy, manual and other practices. However, the issue of assessing the effectiveness of movement therapy, both alone and in combination with other therapeutic methods, remains relevant.

Aim: To evaluate the effectiveness of therapeutic gymnastics procedures, both monotherapy and in combination with manual massage according to the therapeutic method and extracorporeal shock wave therapy (ESWT), in patients with subacromial impingement syndrome of the shoulder, in order to reduce pain and improve the function of the shoulder joint.

Material and methods: The study included 70 patients whose age was 42.18±10.42 years. Patients were divided into two main groups: group 1 (n=34) and group 2 (n=36). All patients received a course of treatment, including 10 procedures of therapeutic exercises, with recommendations at the end of the course for continuation in the form of independent studies using the proven methodology. The duration of the course of therapeutic exercises (in the form of procedures with a physical therapy instructor and subsequent independent studies) was 30 days. Patients in group 2 were divided into three subgroups: subgroup 2A, in which PH procedures were combined with massage of the cervical-collar area and the upper limb area of the affected side; subgroup 2B, where PH gymnastics was carried out in combination with extracorporeal shock wave therapy (ESWT) procedures; subgroup 2C - a comprehensive program including LH procedures, manual massage and shock wave therapy.

Results: 3 months after the end of the course of rehabilitation measures, patients of all groups showed a significant improvement in scores on the ASES and VAS scales, but there were no reliably significant differences between the results of different groups.

Conclusion: The study indicates that movement therapy is an effective method of rehabilitation for patients with subacromial impingement syndrome, and conducting complex programs in which PH is combined with other rehabilitation methods (massage, shock wave therapy) doesn't have statistically significant advantages over PH alone within a 3-month observation period.

Life expectancy In Russia in 2023, according to preliminary data, exceeded 73 years, returning to the pre-pandemic level. The increase in life expectancy is associated both with an improvement in the quality of medical care In Russia and with a more responsible attitude towards the health of citizens, which is confirmed by an improvement in the quality of nutrition, a decrease in alcohol consumption and an increase in the number of people involved in sports. At the same time, there are many signs of aging, both cellular and molecular, some of the main ones are genome stability, telomere shortening, epigenetic alterations, impaired proteostasis and nutrient recognition, mitochondrial dysfunction, depletion of the stem cell pool and changes in intercellular interactions, extracellular matrix rigidity, as well as retrotransposon activation and chronic inflammation. For these reasons, in modern healthcare, the tasks of preventing premature aging and treating age-related diseases are becoming priorities.

Material and methods: In total, at the first stage of work (in 2023), we examined 80 people, whose average age was 59.6±0.7 years. When analyzing and assessing data, the study adopted a division into age groups (WHO). The following indicators were studied: HbA1, fructosamine, HDL cholesterol, LDL cholesterol, insulin, homocysteine, C-peptide, TSH, free T4, prolactin, total testosterone, cortisol, arginine, asymmetric dimethylarginine, leptin, TNF-a, ferritin, interleukin 1 and 6, telomere length, creatinine, uric acid and urea.

Results: As a result of the study, it was revealed that the aging process of the body affects many indicators, while the main markers that changed in men aged 18 to 44 years were total testosterone, leptin and telomere length; aged 44 to 60 years - HbA1, fructosamine, HDL cholesterol, homocysteine, C-peptide, total testosterone, leptin and telomere length; from 60 to 75 years - fructosamine, HDL cholesterol and telomere length and for 75-90 years - HbA1, HDL cholesterol, insulin, total testosterone, leptin and telomere length, interleukin 6 and uric acid. In women aged 18 to 44 years, only an increase in leptin was observed against the background of shortening telomere length; at the age of 44 to 60 years, the main markers that changed were total testosterone, leptin and telomere length; for the age group 60-75 years - indicators of HbA1, homocysteine, C-peptide, prolactin, total testosterone and leptin, interleukin 6 and uric acid, telomere length was shorter by only 2%; in the age group of 75-90 years, the main markers that changed were insulin, total testosterone, leptin, interleukin 6, while the indicators of uric acid, urea and telomere length differed from the reference values by 2-4%. Shortening of telomere length in all age groups, both men and women, indicates the presence of signs of premature aging. In an individual analysis, data were obtained on a more dramatic sh

Increase of patients with hypertension in the world determines the search for new, accessible, easily applicable and mildly effective antihypertensive agents, particularly essential oils (EO). Currently available studies of the EO impact on blood pressure do not allow to assess the efficiency of such therapy.

Objective: To perform the comparative study of antihypertensive effects of inhalation with EO vapors of various composition.

Material and methods: The investigation included 849 women aged 55-89 years with hypertension. Two examination series were done: 10- and 20-minute duration procedures. Trial subjects were divided into control (psychorelaxation procedure) and experimental (psychorelaxation procedure combined with the EO inhalation of common basil, Italian immortelle, clove tree, common hyssop, cardamom, coriander, Caucasian nepeta, nepeta cataria, spicate lavender, bay laurel, the sort «Oxamitov» of brook-mint, the sorts «Prilutskaya», «Udaichanka», «Ukrainian» of pepper mint, the Siberian fir, Tauric wormwood, the sort «Crimean red» of rose, rosmarinus officinalis, Scotch pine, fennel, mountain savory, garden savory and clary sage; EO concentration in air - 1 mg/m³) groups. Systolic and diastolic blood pressure, heart rate were measured, as well as the coefficient of blood circulation efficiency and Robinson index were calculated before and after the examination in trial subjects.

Results: It has been established that the EO of clary sage, bay laurel, Caucasian nepeta and the sort «Oxamitov» of brook-mint have antihypertensive action at both 10-minute and 20-minute exposure. The antihypertensive action of EO of common basil, clove tree, coriander, nepeta cataria, the sort «Crimean red» of rose, rosmarinus officinalis, garden savory was found after 10-minute exposure. There was no antihypertensive action in EO application of Italian immortelle, common hyssop, spicate lavender, the sorts «Prilutskaya», «Ukrainian», «Udaichanka» of pepper mint, Siberian fir, tauric wormwood, Scotch pine and fennel.

Conclusion: The EO vapors' inhalation of clary sage, bay laurel, Caucasian nepeta, the sort «Oxamitov» of brook-mint, common basil, clove tree, coriander, nepeta cataria, the sort «Crimean red» of rose, rosmarinus officinalis and garden savory can be a promising method to reduce blood pressure in patients with hypertension.

In the history of physiotherapy there are many outstanding names, one of which is the name of Acad. V.S. Ulashchik's name is one of them. The medical community knows V.S. Ulashchik as an outstanding scientist in the field of physiotherapy, regenerative and integrative medicine, organizer of health care, who made a huge contribution to the development, first of all, of national physiotherapy and balneology.

Autism spectrum disorder (ASD) is characterized by triad of abnormalities in the form of developmental distortion with a lack of communicative abilities, behavioral and motor stereotypies. Etiology and pathogenesis of disease currently are unknown, but multifactorial causes of this pathology have been suggested. Although social disorders are considered a defining characteristic, motor disorders are a key feature of ASD. They are based on a postural control impairment, which is accompanied by delayed psychomotor development, reduced ability to motor synchronism in early childhood, modified arrangement of muscles, problems with balance and gait, postural instability, coordination deficiency, presence of motor dyspraxia and other abnormalities.

Objective: To analyze current scientific data about motor disorders in ASD and their correction possibilities in children with this pathology.

Material and methods: Analysis of publications, contained in PubMed and Google Scholar databases, which give consideration to motor disorders in children with ASD, was carried out. The search was done by keywords: motor disorders, children, autism spectrum disorder, causes, correction.

Results and conclusion: Adaptive physical culture during individual training is one of the available and effective methods of physical rehabilitation in patients with ASD. Children with ASD need three levels of psychological support, each of which offers individual exercises, depending on the nature and severity of speech and cognitive impairment.

The article presents an analysis of the application of physical therapy methods during the Great Patriotic War in the Soviet Union. It was observed that physical therapy, combined with surgical and other methods, significantly improves the efficacy of patients' treatment, including with battle injuries, as well as with injuries of other etiology, such as frostbite, and also contributes to reducing the incidence of disabilities among the injured. The features of the physical therapy methods' organization sequently from 1941 to 1945, and also the results of active development of physical medicine, have been characterized. The features of physical therapy methods' application both on different bases of healthcare delivery (hospital bases, in the rear) and with regard to various types of pathology have been shown. The importance of involving physical therapy methods in curative measures from the early stages of treatment has been noted.

The problem of comprehensive physical therapy in polymorbidity (PM) identifies among the most urgent difficulties of modern rehabilitation medicine. It is known that PM are more common than it is generally accepted, and their impact on the endpoints of rehabilitative treatment is more significant. Yet, many problems of PM have not been investigated and properly solved.

Objective: To evaluate the efficacy of comprehensive physical therapy (CPT) in PM in the age aspect on the basis of correlation analysis and ANOVA indicators (OR, RR, Q, x², r²), as well as evidence-based medicine (EBM), in particular randomized comparative study (RCS).

Material and methods: A number of patients with PM equal 554 underwent CPT, of which 204 (36.8%) were male and 350 (63.2%) female. The identified age cohorts were following: the 1st group - 188 (33.9%) patients aged from 45 to 59; the 2nd group - 366 (66.1%) patients aged from 60 to 74. The ratio of middle-aged and elderly patients was 1.9:1.

Results: The efficacy of CPT in patients with PM was judged, first of all, by documentary (medical histories and medical records of patients) and mathematical data (OR, RR, Q, x², r²). The evidence level of CPT effect was determined on the basis of the analysis of the particular method's study results.

Conclusion: The incidence of positive CPT result in middle-aged patients was higher than in elderly. The positive strong statistical correlation between comprehensive physical therapy and the endpoint in most classes of diseases of patients with PM. The comparative assessment of CPT efficacy based on the EBM principles revealed the advantages of their use for elderly patients relative to middle-aged group.

Postoperative pain is a pressing medical problem, as it significantly reduces the quality of life of patients after surgical treatment. Chronic postoperative pain further disables patients and impairs their functional activity. Being a widespread interdisciplinary problem, postoperative pain requires the integration of various pain management methods in complex multimodal pain management in the acute period and treatment programs for its chronicity. The paper examines the possibilities of reflexology methods for the relief of acute and treatment of chronic postoperative pain. Integration of reflex effects from the first days after surgery makes it possible to more effectively and safely solve the problems of acute and chronic postoperative pain.

Currently important task of modern medicine is the development of personalized comprehensive physiotherapy technologies for the treatment of patients with chronic prostatitis (CP).

Objective: To analyze scientific data about efficacy of physiotherapy methods for the treatment of CP.

Material and methods: The number of publications equal 55 about evaluation of therapeutic effects of instrumental physiotherapy in patients with CP have been conducted. The search was done in electronic databases (PEDro, PubMed, EMBASE, eLIBRARY), systematic reviews databases (Cochrane library) for the last 20 years by keywords in Russian and English: «хронический простатит» (chronic prostatitis), «электротерапия» (electrotherapy), «магнитотерапия» (magnetotherapy), «лазерная терапия» (laser therapy), «ударно-волновая терапия» (shock wave therapy), «ультразвук» (ultrasound).

Results: The clinical effects and suggested action mechanisms of instrumental physiotherapy methods in patients with CP were presented.

Conclusion: Based on the results of the randomized placebo-controlled trials, presented in the review, it can be concluded, that certain physiotherapeutic interventions, such as transcutaneous electrical nerve stimulation, extracorporal shock wave therapy, ultrasound, impulsive magnetotherapy lead to decrease of prostatitis symptoms.