Showing papers in "Acta Balneologica in 2022"

Influence of the Amount of Students’ Motor Activity on their Health Status and Psychophysical Readiness for Future Life

Abstract: Aim: To investigate the impact of the amount of students’ motor activity on their health status and psychophysical readiness for future life. Materials and Methods: The research was conducted in 2019-2021. The study involved 420 students and 232 graduates of different years. 57 male students took part in the experiment aimed at studying the impact of the amount of motor activity on the health of students and their psychophysical readiness: 28 students were included to the experimental group, 29 students – to the control group. Research methods: theoretical analysis, questionnaires, testing, pedagogical experiment, statistical methods. Results: It was revealed that an increase in the amount of practical (academic and extracurricular) classes to 12-14 hours per week for one year positively affected the state of health of students and their psychophysical readiness for life. In EG, in contrast to CG, the results of most fitness tests significantly improved. The number of students with a high level of health in EG increased by 28.6%, and in CG – by 3.4%. The number of EG students with low level of neuropsychiatric stability decreased by 32.2%, and in CG – by 6.6%. Conclusions: Increasing the level of motor activity of students requires creation of a modern system of physical education of students, which should take into account their interests, motives and personality-oriented choice of the type classes. Classes should be organized in accordance with the level of physical fitness and health status of students.

Effectiveness of Means of Restoring the Working Capacity of Employees of the Security and Defense Sector in the Conditions of Rehabilitation After Injury

Abstract: Aim: To determine the effectiveness of means of restoring the physical performance of employees of the security and defense sector in the conditions of rehabilitation after injury. Materials and Methods: Determining the effectiveness of means of restoring physical performance of employees included conducting a survey of representatives of various structural units of the National Police and the State Security Administration of Ukraine, who were injured while on duty and were rehabilitated (n=167). The questionnaire was developed by the authors and encompassed a number of questions related to the conditions, features of injuries, the use of means of restoring working capacity and their effectiveness. Results: The most common types of injuries suffered by employees while performing service duties were identified, such as: injuries of the upper and lower extremities – 60.5%; head injuries – 2.6%; torso, spine, internal organs – 16.9%. It was found that exercises of therapeutic physical culture, pharmacological agents, namely warming, painkillers, and anti-inflammatory drugs (73.8%) and therapeutic and wellness massage (48.3%) are highly effective. The average effectiveness showed the ultrasound therapy (48.6%), hydrotherapy (42.3%). Approximately the same number of employees surveyed share the effectiveness of psychological recovery means as high (34.23%), medium (35.1%) and low (30.7%). Conclusions: The effectiveness of restoring the physical performance of law enforcement personnel through the use of exercises of therapeutic physical culture, pharmacological, physical and psychological means has been established.

Tendency of Dynamics of Physical and Mental Working Capacity of Law Enforcement Officers at Different Stages of their Professional Activities

Abstract: Aim: To carry out the comparative analysis of the indicators of working capacity (physical and mental) of law enforcement officers in the conditions of educational process and service activities. Materials and Methods: The research of physical working capacity was carried out using the Harvard step test and mental working capacity was assessed by means of the correction test. The cadets (n=72) who studied at the higher educational institution for 3 years (2017-2021) and served in the practical police units after the training were involved in the testing. The testing was carried out in 3 stages: 1st – the beginning of the first training year (2017); 2nd – the end of the third training year (2020); 3rd – after 1 year of service (2021). Results: Significant (p 0.05) deterioration after 1 year of their service (by 1.9 % and 5.4 % respectively) was established. Conclusions: It was found that the organization of the educational process in higher educational institutions is quite effective in improving both physical and mental working capacity of future law enforcement officers. However, the decrease of their working capacity after 1 year of service indicates the complexity and extremity of service activities in practical units.

Changes in Physical and Mental Health Indicators of Law Enforcement Officers in the Process of their Professional Activities

Abstract: Aim: To study the level and dynamics of physical and mental health indicators of officers-in-charge of police organizations in the process of their professional activities. Materials and Methods: The research which was conducted in the period from 2019 to 2021 and involved 155 law enforcement officers (men) of different age groups, who held superior positions in various police departments. The physical health of law enforcement officers was assessed according to the method of H.L. Apanasenko, mental – using a mix of psychodiagnostic methods. Results: It was found that the level of physical health of the officers-in-charge of police organisations is significantly deteriorating with increase in their age and professional experience. The level of health of the majority of superior law enforcement officers is below average and low. The negative dynamics of health indicators of law enforcement officers was revealed during the research period. It was found that the law enforcement officers with a high level of physical fitness have significantly better indicators of mental health than the ones with a low level of physical fitness. Conclusions: One of the main reasons for the low level of physical and mental health of superior police officers is the lack of effectiveness of physical training sessions and, as a result, their low level of physical fitness. All this requires the improvement of physical training with this category of law enforcement officers in order to strengthen their physical and mental health and improve the indicators of their professional activities.

Dependence of Students’ Health on the Organization of their Motor Activity in Higher Educational Institutions

Abstract: Aim: To investigate the impact of the peculiarities of the organization of students’ motor activity on their health in the learning process. Materials and Methods: The research involved 164 students (93 men and 71 women) from two higher educational institutions. The research was conducted in 2017-2021 and included carrying-out the comparative analysis of the peculiarities of the organization of physical education in two institutions and the research of their impact on students’ health. The state of students’ health was studied in terms of the indicators of their body length and weight, lung capacity, hand dynamometry, heart rate, blood pressure and level of physical health. Results: It was found that the main difference in the organization of motor activity of students in the studied institutions is the total number of hours provided for the study “Physical Education” academic subject during the years of attendance: compulsory training sessions are held for 4 years in one institution and for 2 years in the other. It was found that the students whose physical education training sessions were conducted throughout the entire study period had significantly better health indicators; there was an increase in the number of students with average, above-average and high levels of physical health. Conclusions: The obtained results show that the peculiarities of the organization of motor activity of students in the higher educational institution have a significant impact on their health, which will help improve their future life-sustaining activities.

The Influence of the Application of Mineral Water on the Functional State of the Liver of Patients after Laparoscopic Cholecystektomia in the Long Period of Rehabilitation

Abstract: Aim: To determine the effectiveness of the influence of the use of mineral medicinal water on the functional state of the liver of patients after laparoscopic cholecystectomy in a long period of rehabilitation in the conditions of the Morshynkurort health resort complex. Materials and Methods: An analysis of 100 medical records of patients after laparoscopic cholecystectomy who were undergoing rehabilitation at the Morshynkurort health resort complex in 2017 and 2018 was carried out. Medical records were selected by a randomized method using the Random Allocation Rule program. Blinded evaluators while processing medical records. The method of comparison of indicators of the functional state of the liver of patients before the beginning of rehabilitation and after its completion was carried out by the method of mathematical statistics – Student’s t-test. The studied parameters: total protein (g/l), thymol test (unit), total bilirubin (mkmol/l), activity of alanine transpeptidase (ALT, (units/hour • l)), aspartate transaminase (AST, (units/hour • l)), total cholesterol (mmol/l), triglycerides (mmol/l), blood glucose (mmol/l). All patients were examined before and after treatment. There was no dropout from the study among the surveyed. Results: Mathematical statistics revealed a significant (p <0,05) improvement in such indicators as: thymol test, alanine transpeptidase activity, total cholesterol. Conclusions: Hydrotherapy for 14 days MPO well No. 3-k and groundwater source No. 4 in Morshyn diluted to mineralization 3,0-3,4 g/dm³ at a long stage of rehabilitation leads to an improvement in liver function in patients after laparoscopic cholecystectomy.

Effectiveness of Physical Therapy in Middle-Aged Women with Alimentary Form of Obesity of the First Degree

Abstract: Aim: The objective of the article is to demonstrate the research on the effectiveness of physical therapy in renewal of health of women with alimentary-constitutional type of I degree obesity. The task was also to study the initial level of obesity of women, to develop the structure of the therapeutic rehabilitation complex, to implement the developed programme of physical therapy and evaluate its effectiveness. Materials and Methods: The study was conducted for six months on the basis of a sports and recreation complex, which includes a gym, aerobics and a swimming pool with professional equipment. It was attended by 40 people aged from 33 to 56, with overweight and obesity of I degree. They were divided into two groups: the main (20 people) and control (20 people). The main group used a set of strength physical exercises of aerobic and anaerobic types, diet therapy andconstant online psychological support. The women in the control group performed the standard set of physical exercises that are usually offered in sports facilities and ate at their own discretion. We also used elements of therapeutic exercise to increase energy expenditure, reduce excess weight and strengthen muscles, restore and maintain physical and professional performance. There wereno people with serious disorders of the cardiovascular, endocrine and other body systems among the participants of the study. Results: During the therapeutic programme, we performed monthly control measurements of body parameters and body weight in order to monitor their dynamics and compare it with that in the control group, which was engaged in the standard complex. At the beginning of the study, the results in both groups were quite positive, after some time the rate of weight loss began to slow down, and in the control group, among some participants it even worsened – the weight returned. 6 months after the initial control, a final control of both groups of women of second adulthood was performed. When comparing the data obtained before and after rehabilitation measures, we observed a significant decrease in body weight in individuals of the study group in contrast to the control, where there was a decrease in body weight, but it was statistically insignificant. Analysis of the dynamics of monthly weight loss for the entire rehabilitation period showed that in the control group there was a decrease in body weight in the first and second months of the rehabilitation complex, relative to the main group, then the dynamics was marked by significant weight loss in the 1st, 2nd, 3rd month. Conclusions: Based on the obtained results, we proved the high efficiency of the proposed therapeutic and rehabilitation complex (combination of diet therapy, exercises of aerobic and anaerobic directions) for the treatment of persons with I degree of obesity (significantly reduced body weight and reduced the size of body parts). Rehabilitation measures used in our study activate metabolic processes, increase energy expenditure, reduce excess body weight, strengthen the body. By following a healthy lifestyle, eating rationally, you can prevent a number of diseases, improve efficiency and general well-being, avoid premature aging. Physical therapy of obese patients requires a combination of dietary and physiotherapeutic methods (massage, physiotherapy, psychological training), which allows to achieve sustainable weight loss for a long period.

Rehabilitation in Post COVID-19 Neurological Syndrome

Abstract: Aim: Was a study of the role of neuroprotection therapy in rehabilitation possible neurological manifestations of post-COVID-19 syndrome and its effect on productivity in post-COVID-19 patients. Materials and Methods: All patients underwent neuropsychological testing immediately after the COVID-19 treatment and after the administration of neuroprotection therapy. Results: Аll patients voiced complaints typical of asthenic syndrome. Upon the neuroprotection, a verified (р<0,01) increase in well-being, activity and mood in both the Test groups was observed. Significantly, in the Test group 1 showed verified (р<0,01) increase in all indicators after the neuroprotection course, compared with the Test group 2 upon the implementation of a rehabilitation program only. Upon the neuroprotection and comprehensive rehabilitation program, both the test groups and the control group proved a decrease in the signs of asthenic syndrome, with Test groups 1 and 2 displayed verified effect (р<0,01). Both, upon neuroprotection and upon the four-week rehabilitation program, the following verified positive changes in the level of severity of asthenic syndrome were observed. Conclusions: Early administration of neuroprotection able maliorating neurological manifestations of post-COVID-19 syndrome, reducing recovery time and enhansing productivity in post-COVID-19 patients.

Influence of Physical Rehabilitation on the Restoration of Psychoemotional and Cognitive Impairment in Patients Suffered Cerebral Ischemic Stroke

Abstract: Aim: To investigate the influence of physical rehabilitation on psycho-emotional and cognitive impairment in patients in a restoration period (3-6 months from the moment of disease) of a cerebral ischemic stroke. Materials and Methods: Research was conducted on the basis of the department of vascular pathology and rehabilitation of the State Institution “Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine”. Observations were carried out in 84 patients in a restorative period of cerebral ischemic stroke. Patients were divided into two groups. The main group included 43 patients who underwent a course of rehabilitation treatment and received drug therapy within secondary prevention. The comparison group included 41 patients who received only drug therapy for secondary prevention. Results: In the course of the study, it was found that patients who underwent a course of restorative treatment with the use of drug therapy and physical rehabilitation programs received statistically significant improvement in the indicators of cognitive functions by the MMSE, MoCA scales, reduction of manifestations of psycho-emotional disorders that were confirmed by Beck and Spielberger-Khanin scales. Conclusions: Physical rehabilitation of patients in the restorative period of cerebral stroke by ischemic type reduces the degree of expressivness of neurological manifestations, positively affects cognitive functions, contributes to reducing manifestations of depressive and anxiety symptoms, increases the functional capacity of the patient.

Assessment of Compliance with Healthy Lifestyle Standards by the Instructional Staff of Higher Educational Institutions

Abstract: Aim: To assess the quality of compliance with the standards of a healthy lifestyle by instructors of higher educational institutions with specific learning environment and their attitude to exercise. Materials and Methods: To achieve the aim of the research, we conducted a survey of instructors (n=126) of different age groups according to the questionnaire developed by the authors. The questionnaire is designed to investigate the current state of physical training with instructional staff; to clarify the issues of instructors’ healthy lifestyle; to study ways to improve their physical fitness. Results: It was found that only 10.3% of instructors regularly exercise in the morning; 85.7% get to the place of service by public transport or by car and only 14.3% go on foot. On weekends, 41.3% of instructors prefer passive types of motor activity and recreation; more than 50% smoke, in addition, 30.9% smoke one pack or more a day. On top of that, 46.8% of instructors do not engage in physical training at all; 50.9% of instructors answered that they attend training sessions in order to prepare for the test. Conclusions: It was found that the majority of instructors (67.1%) rarely or almost never follow the standards of a healthy lifestyle. Insufficient efficiency of the current system of physical training of instructional staff was identified and the reasons for insufficient level of physical fitness, health of instructors and systematic absence from physical training sessions were revealed.

Analysis of Rehabilitation Inefficiency in Persons with Disabilities After Musculoskeletal Injuries

Abstract: Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards.

Dance and Motor Therapy in the Physical Rehabilitation Program of Teenagers with Childhood Cerebral Palsy

Abstract: Aim: The purpose of the study was to prove the effectiveness of dance and movement therapy in the program of physical rehabilitation of teenagers having cerebral palsy and level III-IV of motor development. Materials and Methods: The following research methods were used during the study: theoretical analysis and generalization of scientific and methodological sources as to the research topic, pedagogical methods (pedagogical observation), clinical research methods: gross motor functions classification system (GMFCS), manual ability classification system (MACS), which is classification system of child’s ability to manipulate objects in everyday activities, muscle tone assessment scale – a modified Ashworth scale, synthesis of examination cards and dynamics of basic motor functions development of teenagers with cerebral palsy, and survey. Results: Research and implementation of dance and movement therapy method was taking place on the basis of the Rivne Training and Rehabilitation Center “Special Child” for two years. The study involved 5 children aged 12-14 years: four girls and one boy. The children studied according to auxiliary educational program of 4-6 years of study. All of the children were diagnosed with cerebral palsy, spastic tetraparesis, having level III-IV of motor development according to gross motor functions classification system (GMFCS), having level IV (the child performs a limited number of exercises in adaptive conditions) according to manual ability classification system (MACS). The basis for the formation of the goal of our rehabilitation program was the biopsychosocial model of rehabilitation, which is the basis of the International Classification of Functioning. The program of physical rehabilitation involved dance and movement therapy and provided two vectors: physical and social ones. Conclusions: The use of dance and movement therapy in the rehabilitation program contributed to the solution of the main tasks that ensured the formation of a harmonious, positive personality of teenagers with disabilities of level III-IV according to their motor development. The participation of the dance group in the cultural events of the school and the town contributed to the socialization of children with disabilities and the readiness of society to accept such persons as its important and necessary part. Parents were ready to cooperate as partners to achieve a positive result. Dance and movement therapy has improved the effectiveness of the physical therapy program as to all of the components of the International Classification of Functioning. This approach has created favorable conditions for a significant life quality improvement for both children and members of their families.

Physical Therapy of Elderly People with Lumbosacral Steochondrosis in the Conditions of Sanatorium-resort Institution

Abstract: Aim: To improve the process of physical therapy of elderly people with lumbosacral osteochondrosis in the conditions of health complex of the sanatorium-resort establishment. Materials and Methods: The study was conducted on the basis of the health complex of the sanatorium-resort institution “Hopry” in Hola Prystan, Kherson region, Ukraine. The study involved 40 patients aged from 61-74 years with lumbosacral osteochondrosis. To implement the tasks, patients were divided into two groups: core and control. Results: As a result of our study, we obtained the following data: all patients in the control and main groups described the dynamics of their general condition as positive. This was manifested by the fact that after the proposed program of physical therapy in a sanatorium, patients had reduced pain, increased range of motion in the intervertebral joints, improved mobility of the patient’s spine, thereby increased motor abilities of patients, which gave a significant stimulating response. improving their psycho-emotional state. Conclusions: The developed set of physiotherapeutic measures in the sanatorium significantly promotes the development of motor skills and maintains the optimal level of functional capabilities of the elderly with osteochondrosis, increases their physical activity and significantly reduces pain by 80%. The efficiency of rehabilitation of elderly people with red and lumbar osteochondrosis has also increased by 30% in all indicators, under the influence of the traditional complex – by 21%. This gives grounds to recommend the proposed complex for practical use in the system of physical therapy of elderly people with lumbosacral spine in sanatoriums.

Algorithm for Creating a Multidisciplinary Team in the Palliative Care System

Abstract: Aim: The study aimed to develop an algorithm for organizing the work of a multidisciplinary palliative care team in a territorial community. Materials and Methods: The following methods were employed: analysis of the regulatory framework, statistical data, international and domestic experience, scientific literature, opinion survey, strategic sessions, participant observation. The field research was conducted by the Center for Social Research of Sumy State University together with the NGO “Family Circle of Trostianechchyna (Trostianets district)” in the Trostianets territorial community of Sumy region (Ukraine) during September-October 2021. Eighty respondents took part in the survey. Up to 30 people joined the strategic sessions at different stages. Results: The survey discovered that at the research time in the pilot territorial community, the needs of palliative patients were more restrained than those who rendered assistance. However, in both cases, there is a high demand for social services against the background of medical services. Proceeding from the identified needs and by the results of strategic sessions, we proposed an algorithm for organizing the work of a multidisciplinary palliative care team at the territorial community level. The algorithm distinguishes between the program and operational levels. We put forward the structure of the interdisciplinary palliative care team. Conclusions: As a conclusion, we can specify the following points. The study confirmed the hypotheses that the basics of the identified needs and the use of strategic sessions with multidisciplinary participation of community members facilitate the development of an efficient algorithm. The designed operational level of the interdisciplinary team recorded the practices available in the pilot community. Simultaneously, the collaborative design determined the development of the multidisciplinary team itself. The involvement of management representatives, junior medical staff, and social workers became an essential factor in their inspiration, contributing to the development of human resources for a new level of quality in palliative care.

The Results of the Examination of Patients After Laparoscopic Cholecystectomy in the Acute Period of Rehabilitation Using the International Classification of Functioning

Abstract: Aim: Conduct an examination of patients after laparoscopic cholecystectomy (LCC) in the acute period of rehabilitation using the international classification of functioning (ICF). To analyze the functionality, activity, environmental factors in patients of this nosology, depending on age. Materials and Methods: The study included 382 patients with chronic calculous cholecystitis (CCC), who were in the surgical department. The assessors and patients were double-blinded during the interview, examination, and processing of the collected data. Performing the initial examination of patients, we used the ICF, formed a “Patient’s Functional Profile” map, in which the existing disorders in the functions of the body, body structures, activity and participation, environmental factors at the time of the initial survey, examination of the patient, as a rule, are available in patients after LCC on acute stage of rehabilitation. Results: It was found that in all groups there are dysfunctions, activities and participation of patients, the degree of impairment of which increases with age. The greatest degree of impairment was observed in elderly patients in the functions of muscle endurance, exercise tolerance and defecation functions. The environment of the clinic is positive for the stay after LCC of patients. A negative assessment of financial assets was in patients of retirement age. Conclusion: The use of a functional profile map of a patient after LCC with ICF with a scoring criterion makes it possible to establish the level of impairment of functioning, activity, participation, environmental factors and plan a rehabilitation program.

The Impact of Health-promoting Technologies on University Students’ Physical Development

Abstract: Aim: To investigate the impact of training sessions on the ground of health-promoting technologies upon students’ physical development in higher educational institutions. Materials and Methods: A group of 50 female students aged 17 to 22 was under our observation for a year. All of them were divided into the experimental (E) and the control (C) groups. The E group female students (n=25) were regularly involved in training sessions using health-promoting technologies, the C group female students (n=25) did not take part in this type of activities. Results: The positive impact of training sessions based on health-promoting technologies upon the physical development of the E group students was revealed. A significantly better level of strength and flexibility development was noted in the E group students, compared to the C one. A statistically significant difference was found after the experiment in the E group students’ indicators of static balance, vestibular stability, accuracy of assessment of strength, time and spatial parameters of movements. Conclusions: A rationally constructed system of training sessions based on health-promoting technologies stimulates biological processes, supports the functioning of both individual organs and the students’ body as a whole. This will contribute to strengthening students’ health, increasing their motor activities, improving the efficiency of both learning and future professional activities.

Neurological Disorders in Hospitalized Patients with Covid-19: Clinical Symptoms, Treatment and Rehabilitation

Abstract: Aim: To establish the spectrum of neurologic disorders in patients with coronavirus disease 2019, and to clarify what are their clinical peculiarities? Materials and Methods: We analyzed retrospectively the clinical, radiological, and neuropathological findings of the patients who entered our clinics between October 2020 and the end of March 2021. Neurological syndromes developing during or after the disease, which were likely to be associated with COVID-19 on clinical and laboratory grounds, were included in the group of interest. Cases for which a more likely alternative pathology was found were excluded. Results: In a case series of 515 patients with Covid-19, neurologic symptoms were observed in 173 (33.6%) patients and were more common in patients with severe infection (47.8%) according to their respiratory status, which included acute cerebrovascular events, impaired consciousness, and muscle injury. Encephalopathy (29/16.7), and neuropathy 36 (20.8) dominated among neurological syndromes. Conclusions: Neurologic symptoms manifest in a significant part of patients with Covid-19. The most common were fever, fatigue, dyspnoea, and muscle-join pains.

Strengthening the Physical and Mental Health of Students During Swimming Classes

Abstract: Aim: The aim is to investigate the impact of swimming training sessions on the dynamics of somatic and mental health indicators of students of special medical groups. Materials and Methods:The research involved 50 1st and 2nd year female students who had diseases of various etiology and were assigned to a special medical group. The students’ somatic health was examined according to the indicators of weight, lungs vital capacity, wrist dynamometry, heart rate, arterial blood pressure, Stange test and Genchi test. The mental health was assessed by method of “Well-being, activity and mood”. Results:The experiments conducted within the EG revealed an improvement in all studied indicators of both somatic and mental health. At the end of the research, the vital index, the Robinson index, the Stange and Genchi tests, the level of somatic health, well-being, and mood in the EG were significantly better than in the CG. Conclusions: Regular swimming training sessions help to improve the health of female students of special medical groups in general, strengthen their musculoskeletal, cardiovascular and respiratory systems as well as increase metabolism. In addition, swimming has a positive effect on the nervous system, relieves stress and improves the well-being of female students, increases their activity and mood.

The Impact of Levels of Emotional Intelligence Development in High Schoolers with Intellectual Disabilities on Their Health Status

Abstract: Aim: To study the levels of development of emotional intelligence in high schoolers with intellectual disabilities and correlation with their health status. Materials and Methods: The experimental part of the research involved the use of the valid psychodiagnostic techniques (Hall’s method, the Mayer-Salovey-Caruzo Emotional Intelligence Test, ”Understanding Emotional States”, ”Human Drawing”), as well as methods of questioning and observation. We used the rank correlation coefficient according to the two-sided Student’s t-test in order to compare the results of the research. In experimental research involved 76 high schoolers in the age of 14-17 who studied in 7-9 grades. There were 45 children with intellectual disabilities and 31 high schoolers with normative development. Results: The conducted diagnostic work made it possible to establish both the integrative indicator of emotional intelligence and the levels of expression of its individual components. Low and medium levels of emotional intelligence development in high schoolers with intellectual disabilities was found: a decrease in the level of perception of emotions by expression; superficial perception of expressive features, vagueness of ideas about them; insufficient differentiation of the constituent elements of the emotional standard. Conclusions: It is proved that the low state of development leads to significant difficulties that arise during interaction with each other, and this primarily affects the further socialization and integration into society.

International Balneology and Physical Medicine Conference «Challenges and Prospects of Public Health and Physical Medicine Development»

Abstract: January 27-28, 2022, Sumy, Ukraine

The Range of Physical Rehabilitation Methods in Children with Cerebral Palsy

Abstract: Aim: To analyze the modern national and foreign literature on up to date methods of physical rehabilitation of children with cerebral palsy. Materials and Methods: The study used bibliosemantic analysis of physical rehabilitation methods in children with cerebral palsy in ScienceDirect, PubMed, Scopus and Web of Science electronic databases. Inclusion criteria: (1) physical rehabilitation of children with cerebral palsy, (2) methods of physical rehabilitation of children with cerebral palsy. If the expected criterion was found, the full text was reviewed. Conclusions: The bibliosemantic review of literature sources indicated that a large set of new methods are used in the physical rehabilitation of children with CP. In general, a larger percentage of authors indicated the effectiveness of the methods of therapeutic physical exercising, rehabilitation massage, dosed proprioceptive correction, sensory inegration, Vojta-Therapy, kinesiotherapy and kinesiotaping in the physical rehabilitation of children with cerebral palsy.

The Effect of Dry Needling, Shock Wave Therapy and Manual Therapy on the Achilles Tendon Enthesopathy. A Case Study

Abstract: Aim: The aim of the study was to evaluate the effectiveness of the therapy applied on the health condition of a patient with an Achilles tendon injury. Case study: A case study of a 23-year-old runner with an Achilles tendon injury that was diagnosed by an orthopedist. After two platelet-rich plasma injections within 6 weeks, the patient was referred for rehabilitation. An ultrasound scan of the Achilles tendon was performed before and after the therapy was applied. Also, three months after the treatment was completed, orthopedic examination was performed - VAS scale, algometry and ultrasound scanning. Conclusions: The use of the extracorporeal shock wave therapy, dry needling and manual therapy in treating an Achilles tendon injury proved to be highly effective. The orthopedic examination and ultrasound scanning performed 3 months after the treatment was completed showed that the patient’s pains and difficulty walking had been removed.

Organizational and Legal Principles of Providing Medical Assistance for the Rehabilitation of Servicemen of the Armed Forces of Ukraine

Abstract: Aim: To investigate the organizational and legal principles of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine. Materials and Methods: During the conducted research, a following complex of general scientific and special scientific methods was used: the formal legal method was used to analyze the organizational and legal principles of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine; the comparative legal method helped to clarify the approaches of national legislation and international standards to the provision of medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine; the method of forecasting and modeling was used to develop practical recommendations for the provision of medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine in connection with the escalation of the Russian-Ukrainian armed conflict; the method of system analysis allowed to investigate the organizational and legal principles of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine; the historical and legal method made it possible to reveal the peculiarities of the evolution of the organizational and legal regulation of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine. Conclusions: Rehabilitation is an important component of clinical/medical assistance in situations of armed conflict and emergency and is necessary to mitigate the significant amount of disability that follows the surge of traumatic injuries and exacerbation of chronic diseases with devastating consequences for individuals, families and communities, resulting from insufficient access to rehabilitation.

The Effectiveness of the Gastro-esophageal Reflux Disease Treatment in Persons who have Completed Successful Chronic Hepatitis C Antiviral Therapy at the Rehabilitation Stage

Abstract: Aim: To assess the effectiveness of the physiopharmacological treatment of GERD in persons who successfully completed a full course of CHC therapy with direct antiviral drugs no more than 6 months ago. Materials and Methods: 67 people with GERD who completed a course of CHC therapy with direct antiviral drugs no more than 6 months ago were under observation. The patients were divided into: 1 group (n=20) – received rabeprazole 20 mg in the morning 40 minutes before meals, 2 group (n=23) – rabeprazole 20 mg in combination with taking mineral water “Polyana Kvasova” according to the proposed scheme, group 3 (n=24 patients) – took rabeprazole 20 mg in combination with MV«Polyana Kvasova» for 24 days, and with a course of magnetic therapy procedures. Results: Under the influence of treatment, on the 24 th day of observation, all 100% of patients in the 3rd group had positive dynamics: the elimination of heartburn (p<0.001), pain in the epigastrium (p<0.001), and manifestations of dysphagia (p<0.001), which were confirmed by fibrogastroscopy - disappearance of esophagitis (p<0.001) and gastroesophageal reflux (p<0.001). In 80% of the patients of the second group, positive dynamics of the clinical and endoscopic picture was also observed (p<0.005), and in the rest of the patients, the improvement was unreliable (p>0.05). After the treatment, a decrease in manifestations of asthenovegetative and dyspeptic syndromes, cholestatic syndrome was recorded in all groups of patients, with a predominance in group 3. Conclusions: The use of complex physiopharmacological treatment has a reliable advantage over standard pharmacological treatment, as it has a positive effect not only on GERD manifestations, but also on clinical and laboratory manifestations of CHC and improves the quality of life.

Evaluation of the Effectiveness of Methods of Rehabilitation Assistance to Children with Disabilities in the Case of Musculoskeletal Disorders According to the Data of Parents’ Questionnaire

Abstract: Aim: An analysis of data from a questionnaire of parents whose children underwent rehabilitation for disability due to musculoskeletal disorders and an assessment of the effectiveness of the rehabilitation program for children’s health. Materials and Methods: A survey of 280 parents was conducted to assess the social-psychological, correctional-pedagogical and physical rehabilitation of children with disabilities, children with cerebral palsy and other lesions of the central nervous system with disorders of the musculoskeletal system with the involvement of a multidisciplinary team of rehabilitation specialists . Results: 280 children in the age of 4 to 14 years with disabilities due to cerebral palsy and other lesions of the central nervous system were under observation. Each child received 10 comprehensive classes according to the standard of social services. The rehabilitation event included the following classes: physical rehabilitation, language and speech correction classes, correctional teacher classes, psychologist classes, and group classes: role-playing and didactic games. 280 persons were interviewed. The key audience consisted of mothers (or fathers) of children undergoing rehabilitation therapy. Conclusions: Non-medicinal methods have substantial prospects for the effectiveness of the rehabilitation of sick children. An individual rehabilitation program for a child with disability can be fully and timely implemented with the participation of a multidisciplinary team of specialists, step-by-step control of the effectiveness of the program and its timely correction.

Technology of Increasing Physical Activity of University Students

Abstract: Aim: To check the effectiveness of authors’ technology of increasing physical activity of university students. Materials and Methods: The research involved 369 students (including 197 males and 172 females). All students were divided into control (CG) and experimental groups (EG). The EG included 188 students (105 males, 83 females), the CG – 181 students (92 males, 89 females) respectively. The effectiveness of authors’ technology was assessed by the following indicators: the amount of physical activity; the dynamics of students’ physical fitness during four years of studying. Results: The results of the experiment show that authors’ technology contributes to increasing the amount of students’ physical activity and improving the level of their physical fitness. The students (both males and females) of the EG were recorded to have significantly better indicators than the CG. Conclusions: The experimental work confirmed the effectiveness, functionality and adaptability of the authors’ technology of increasing physical activity of university students. A high level of physical activity of students will contribute to strengthening their health and improving the efficiency of their future professional activities.

Effectiveness of Preventive Measures in the Inactive Course of Chronic Parenchymatic Mumps in Children

Abstract: Aim: To study the effectiveness of preventive measures in the inactive course of chronic parenchymal mumps in remission. Materials and Methods: In the dynamics of precautionary measures, aimed at preventing of exacerbation of chronic processes in the parotid glands, were examined 29 children aged from 2 months to 16 years with inactive mumps in remission and 10 control persons aged from 7 to 15 years. Results: According to the assessment of the cellular composition of parotid secretion before anti-relapse measures in 9 patients out of 19, it was possible to detect the presence of latent chronic inflammation in symmetrical glands in the absence of classical clinical symptoms and clear secretion. After the completion of the treatment-and-prophylactic complex, the number of inflammatory cells and the degree of its contamination with microorganisms decreased significantly. Conclusions: The study of the composition of parotid secretion with taking into account of the results of ultrasound examination and sialography in the dynamic monitoring of chronic parenchymal mumps indicate its high diagnostic informativeness and allows a rational approach to planning preventive measures. The methodological approach, which was developed and tested by us and which was used in the active course of mumps, showed its high efficiency and inactive form of the disease, for the first year of observation the number of exacerbations decreased by 10 times, and for 5 years term- by 16 times, which allowed to prolong the remission period and improve the rheological properties of parotid secretion.

Preventive Model of Formation of Health-save Competence of Student Youth with the Use of Natural Physiotherapy

Abstract: Aim: The aim of the study is to determine the basic conceptual, methodological and organizational-methodological aspects of the process of forming health competence of students using natural physiotherapy, to formalize them in the form of a preventive model. Materials and Methods: The pedagogical experiment lasted during 2019-2021 in Sumy State Pedagogical University named after A.S. Makarenko. The pedagogical research was attended by 128 first- and second-year students majoring in «Physical Education», «Physical Therapy, Occupational Therapy» Sumy State Pedagogical University named after A.S. Makarenko. The research methods were as follows: analysis of special and scientific literature, pedagogical observation, pedagogical experiment, pedagogical testing, methods of statistical data processing. Results: In order to organize and systematize this theoretical and practical experience, we have developed a preventive model of forming health-save competence of students, which allows to form an idea of the determinants of health, ways to strengthen it, guide students to follow the rules of healthy living and application of a wide range of natural physiotherapeutic means. Conclusions: The pedagogical model of formation of health-save competence orients students on observance of rules and norms of a healthy way of life with application of natural physiotherapeutic means (physical exercises, water procedures, air, solar heat and light), systematizes and formalizes representations of integral, multilevel, integrative, interdisciplinary educational process in the conditions of educational institution.

Comparison of the Effects of Systemic Cryotherapy and Kinesiotaping on the Trunk Muscles of Men Practising Targeted Physical Training

Abstract: Aim: was to compare the effects of systemic cryotherapy and kinesiotaping on the flexibility and strength of trunk muscle of men practising, due to their job, targeted and specialized physical training. They were members of special groups: Government Protection Bureau, Anti-Terrorist Organization Bureau and Grom group. Materials and Methods: The study group consisted of 30 men [age 27-55 (AVG 40 +/- 7)]. Motor fitness assessment recognized in the Health-related fitness system: flexibility – measured by the depth of the trunk forward bend from a straight sit. A positive result was defined as a value measured in centimeters below the toes, and a negative result, when the subject did not reach the toes, the better result from two attempts was accepted for analysis. Dynamic strength of the abdominal muscles – this feature was determined by the number of scull sit-ups performed from the supine position within 30 seconds Taping of the rectus abdominis muscle was performed using the supine position muscle method. Base - above the pubic symphysis (above the hairline), abdominal tension through inhalation, tail to the cartilage of the fifth rib, parasternal. On the other side , the same way of application, then the test was performed. Taping of the dorsal extensor muscle, using the muscle method – standing position, base - on the sacrum, bending the torso forward, tape tails along the spine, then the test was performed. After a week’s break, each subject received a series of 10 treatments at -130°C, each treatment lasted2 minutes. Treatments took place once a day – from Monday to Friday, excluding Saturdays and Sundays. After each cryostimulation treatment, the patient exercised on a stationary cycloergometer for 20 minutes. Results: The use of kinesiotaping and systemic cryostimulation improves flexibility. The increase of the motoric feature was greater after the treatments at the applied cryogenic temperature -130°C. The dynamic strength of the abdominal muscles increased after both types of therapy, i.e. Kinesiotaping and systemic cryotherapy. Statistically significantly more sculling sit-ups were performed after cryostimulation treatments. Conclusions: The conducted pilot studies showed statistically significant differences in flexibility and dynamic strength of abdominal muscles after the taping and systemic cryostimulation. It is reasonable to continue research that varies in terms of the number of treatments and cryogenic temperatures. Studies of other human motor characteristics should also be carried out.

Issues of Depression and Comorbidity in Rehabilitation

Abstract: Aim: To analyze data on the presence of comorbidity in patients with depression and to determine the strength of the relationship between the degree of depression and related diseases. Materials and Methods: The study involved 67 women with depression. We determined the level of depression according to the Patient Health Questionnaire-9 (PHQ-9). Correlation relationship was assessed by Spearman’s rank correlation coefficient (r) at significance level of p≤0,01. Results: According to the obtained data, only 17.9% of depressive patients with depression had no concomitant diseases. The most frequent ones were: diseases of the traumatic organs (32.8%), neurological disorders (22.4%), and respiratory disorders (19.4%). Two or more comorbidities were found in 44.8% of depressed patients. The study of the interdependence between the degree of depressive disorders and related diseases revealed a positive correlation of significant strength between significant depressive disorders and respiratory diseases (r=0,59); positive correlation of significant strength to a mild degree of depression and respiratory disorders (r=0,36) as well as to significant depressive disorders and protein exchange disorders (r=-0,36). Conclusions: Comorbidity occurs in the majority (82,1%) of depressive patients. Correlations of varying strength between the degree of depressive disorder and related diseases were found. The findings confirm the importance of taking into account the presence of concomitant pathology when planning a course of treatment and rehabilitation. Moreover, the necessity of screening for depression is confirmed when depressed patients ask for medical treatment.