Physical rehabilitation and recreational health technologies最新文献

{"title":"The gender-specific reactions of student's central nervous system to physical loads","authors":"A. Bosenko, N. Orlyk, M. Topchii, Ye. L. Mykhaliuk, Y. Horokhovskyi","doi":"10.15391/prrht.2023-8(1).08","DOIUrl":"https://doi.org/10.15391/prrht.2023-8(1).08","url":null,"abstract":"Purpose: to study the response of the central nervous system and the characteristics of neurophysiological processes in students of both genders during physical load. Material & Methods: in the study participated 58 female and 82 male students. All participants were classified as individuals with high level of physical activity according to survey data. The general health of students and their demand to participate in this study were determined by interview and examination. The reaction of the central nervous system was studied using a reflexometer according to the method proposed by T. Loskutova. The method is based on the analysis of the statistical distribution of multiple measurements of the simple visual-motor reaction time and represents a quantitative characteristic of the functional state of the central nervous system. Reflexometry was carried out at a relative resting state and at the 5th minute of recovery period after a physical load in the bicycle test, carried out according to the method proposed by D. Davidenko et al. The analysis of the obtained data was performed using Microsoft Excel 2016 and SPSS 20.0 statistical package. Results: analysis of the obtained reflexometry data, which reflects the probabilistic and statistical principle of brain function, demonstrate insignificant fluctuations in the functional state of the brain in the majority of the examined students in a relative resting state, which were within the normal range. In accordance with the criteria for assessing the general functional state of the brain, a high and medium level of reaction stability is inherent in 76.8% male and in 84.2% female students. It should be noted that there were students who had indicators pointing to disturbances of the mechanisms of stabilization of nervous processes (3.4% female and 7.3% male students), a high degree of intensity of tonic nonspecific effects (10.3% female and 6.1% male students) and the inability to maintain an appropriate functional level (6.9% females and 9.8% males). A second assessment of the general functional state of the brain of students revealed that the average group values of indicators of the general functional state of the brain are within the age and gender norms. A certain tendency to an insignificant decrease in the stability of the reaction in both groups of subjects was noted (p=0.918 – in male students, p=0.537 – in female students), which indicates the stationary nature of the system. The stability of the functional level of the system (p=0.821) and the level of functional abilities (p=0.748) was maintained in the group of examined students. Indicators of the functional level of the system (p=0.411) and the functional abilities (p=0.467) decreased in the group of female students, indicating a deterioration in the functional state of the nervous system influenced by the dosed physical load. High and medium levels of reaction stability are characteristic of 72.4% female and 75.8% male students. It shoul","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134608635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring the state of health of first-year female students of NUPh in the 2018-2021 academic years","authors":"A. Nevelyka, V. Sutula, L. Karabut, O. Sutula, A. Raid","doi":"10.15391/prrht.2023-8(1).03","DOIUrl":"https://doi.org/10.15391/prrht.2023-8(1).03","url":null,"abstract":"The purpose of this research is to compare and determine the level of health of first-year female students of NUPh in the 2018-2021 academic years. Material & Methods: the research involved 528 first-year female students of National University of Pharmacy (the year of entry 2018 (n=311); the year of entry 2019 (n=107); the year of entry 2020 (n=60); the year of entry 2021 (n=50)). Anthropometric parameters (body weight, standing height, hand muscle strength), physiological parameters (vital capacity of the lungs (VCL), heart rate (HR)) were determined during the examination. Functional breath-holding tests (the Stange and Hench tests) were performed, the level of physical health was determined by the method of Pyrohova, O.A., the express assessment of the level of somatic health was determined by the method of Apanasenko, H.A., and the method of assessing physical work capacity using the Ruffier test was performed. Descriptive statistics were used for the statistical analysis of the data. The comparison of average values of variable indicators was carried out using parametric methods (Student’s t-test) with the normal distribution of these signs expressed in the interval scale. All calculations were performed in StatSoft Statistica 8.1 for Windows. Results: the data obtained in the course of the research allow us to state that the indicators of the Ruffier index are at “satisfactory” (14,1±0,3) and “average” levels (7,5±1,1). The somatic health indicator was also at the “below average” level in 2018 (4 points), it was at the “average” level (7 points) in 2019, and in 2020 and 2021, this indicator was already at the “above average” level (14 and 13 points, respectively). The level of physical health was also at the “average” level in 2018 (0,560), and in 2021 it was at the “above average” level (0,697). Conclusions: the conducted research showed that the somatic health and physical state of first-year female students of NUPh were improving from year to year (starting from 2018), which is reflected in the health level indicator according to the method of Pyrohova, O.A. and Apanasenko, H.A., the Ruffier index, and the results of the Stange and Hench tests. The Romberg test was within the normal range. The obtained results create broad prospects for their involvement in physical culture and sports activities.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126818496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barre-fitness as a modern means of improving the health of women in the first period of adulthood","authors":"Inna Krasova, Alla Semyzorova, A. Deineko, Ihor Beihul, O. Shyshkina","doi":"10.15391/prrht.2023-8(1).04","DOIUrl":"https://doi.org/10.15391/prrht.2023-8(1).04","url":null,"abstract":"Purpose: to determine the effect of Barre-fitness classes on the morphofunctional state and physical fitness of women in the first period of adulthood. Material & Methods: the results of a study of 35 women of the first period of adulthood (21–35 years old) with fitness experience from 6 to 12 months are presented. The female participants, taking into account the age and results of the initial study, were divided into 2 groups: the main group (MG), (n=18) and the control group (CG), (n=17). The women of the control group were engaged in dance fitness, and the women of the main group were engaged in specially designed Barre-fitness exercises. To achieve the set goals, physical development was assessed using anthropometric indicators: body length and weight; waist circumference, hip circumference. To assess the functional capabilities of women, the indicators of the cardiovascular and respiratory systems were studied. Results: during the study, a statistically significant (p<0.05–0.01) improvement was observed in most of the studied morpho-functional parameters of women in the MG, with the exception of hip circumference, systolic blood pressure and diastolic blood pressure (p>0,05). The indicators of women in the CG also had a positive trend, but did not reach statistically significant differences (p>0,05). As a result of the use of Barre-fitness means, there was a significant statistically significant (p<0,05-0,001) improvement in the results of the physical fitness of women in the MG, with the exception of the “Shuttle run 4×9 m” indicator (p>0,05). The indicators of women in the CG also had a positive trend, but did not reach statistically significant differences (p>0,05). Conclusions: the conducted study testifies to the positive impact of Barre-fitness classes on the morphofunctional state, the level of physical fitness and the health of women in the first period of adulthood. The obtained results make it possible to recommend Barre-fitness means for training women in fitness clubs and studios, as well as in the educational process of future specialists in physical culture and sports in higher education institutions.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130934093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indicators of body asymmetry in relation to the prevention of scoliosis in first graders","authors":"I. Zanevskyy, O. Bodnarchuk, L. Zanevska","doi":"10.15391/prrht.2022-7(4).29","DOIUrl":"https://doi.org/10.15391/prrht.2022-7(4).29","url":null,"abstract":"Purpose: the purpose of the study was to increase the validity of the indicator of asymmetry in the frontal plane of the body in relation to the prevention of scoliosis in first graders.\u0000\u0000Material & Methods: thirty-four students aged six to seven years – 18 boys (with body length and weight M±SD=118,9±2.1 cm; 21,6±1,1 kg) and 16 girls (118,2±1,8 cm, 21,2±0,9 kg) were randomly divided into the main group and the comparison group. In addition to standard physical education lessons, students of the main group completed a program of physical rehabilitation in order to prevent the development of posture asymmetry. At the beginning (September) and the end of the academic year (May), the students were measuring the curvature of the spine in the frontal plane according to the Moshkov test and bending to the sides.\u0000\u0000Results: in addition to the well-known model of the Moshkov rhombus, the asymmetry of the students’ bodies was determined using an improved indicator equal to half the sum of the absolute values of the differences in the lengths of the upper and lower sides of the Moshkov rhombus. There was no statistically significant difference between the boys, both according to the results of the Moshkov test (δ=0,3%; p=0,512), and according to the results of bending to the sides (δ=1,4%; р=0,379). At the beginning of the academic year, the value of the asymmetry indicator in the main group was practically equal to the corresponding value in the comparison group (δ=2,2%; р=0,815). At the end of the academic year, the value of the indicator in the main group was significantly less than its value in the comparison group. (δ=32,8%; р=0,031).\u0000\u0000Conclusions: the indicator of asymmetry in the frontal plane of the body proposed in this work, due to taking into account the magnitude of the curvature of both the upper and lower parts of the spine, made it possible to obtain a significantly higher validity (p=0,02) compared to the well-known indicator of the Moshkov rhombus, which in one parts of the spine – upper or lower (р=0,05).","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115390676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the training process of high-class and elite sprint swimmers of both genders on the state of the autonomic nervous system, central hemodynamics and physical working capacity","authors":"Ye. L. Mykhaliuk, Y. Horokhovskyi","doi":"10.15391/prrht.2022-7(4).27","DOIUrl":"https://doi.org/10.15391/prrht.2022-7(4).27","url":null,"abstract":"Purpose: to investigate the influence of the training process of high-class and elite sprint swimmers of both genders on the parameters of the autonomic nervous system, central hemodynamics and physical working capacity.\u0000\u0000Material & Methods: in the preparatory period of the training process, 145 sprint swimmers (56 females and 89 males) with sports qualifications from CMS (high-class swimmers) to MS-MSIC (elite swimmers) were examined, of which 56 sprint swimmers (31 females and 25 males) in 2006 and 89 sprint swimmers in 2021 (25 females and 64 males). To assess the autonomic regulation of cardiac activity time- and frequency domain methods of HRV analysis were used. Central hemodynamic parameters were examined by an automated tetrapolar rheography. Physical working capacity was measured according to a common technique on a cycling ergometer using a submaximal PWC170 test and calculating the relative value of physical working capacity, i.e. PWC170/kg.\u0000\u0000Results: comparison of the studied parameters in sprint swimmers examined in 2006 and 2021 showed a significant decrease in PWC170/kg in present-day high-class sprint swimmers with sports qualification CMS (both females and males), by 23.84%, (p=0.0003) and 12.68% (p=0.018), respectively, and in elite male swimmers with sports qualifications MS-MSIC by 9.46% (p=0.017), as well as a downward trend in elite female swimmers with sports qualifications MS-MSIC by 18.28% (p=0.154). Differences in HRV and central hemodynamics parameters were statistically insignificant.\u0000\u0000Conclusions: in present-day high-class female swimmers, the predominance of the sympathetic arm of the ANS was revealed, the value of PWC170/kg was 23.84% (p=0.0003) lower than in female swimmers of the same level in 2006. There were no significant differences between all the studied indices of elite female swimmers in 2021 and the indices of female swimmers of the same level in 2006. In present-day elite male swimmers and high-class male swimmers, the value of PWC170/kg was lower, respectively, by 9.46% (p=0.017) and 12.68% (p=0.018) than in swimmers of the same level in 2006. A significant decrease in the functional state of modern swimmers-sprinters of both genders against an earlier achievement of qualification standards than their peers in 2006 may be due to a change in the modern methodology of the training process aimed at reducing the training load in the zone of development of general endurance (aerobic orientation) by increasing the load of speed and power (anaerobic) orientation.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133704373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative features of the immediate impact of manual therapy traction manipulations on the cardiorespiratory system of men and women","authors":"O. Romanchuk","doi":"10.15391/prrht.2022-7(4).24","DOIUrl":"https://doi.org/10.15391/prrht.2022-7(4).24","url":null,"abstract":"Purpose: the aim of this study was to determine the principal differences of changes in the cardiorespiratory system activity under the influence of traction manipulations in the thoracic spine of men and women.\u0000\u0000Material & Methods: the 26 adults were involved in the study, including 18 women aged 39.6±12.1 years and 8 men aged 36.3±8.3 years. All patients were diagnosed with osteochondrosis of the thoracic spine, which was confirmed by radiographic examination. The study of the cardiorespiratory system was conducted in the first procedure of SMT before and after the use of traction manipulations directly in the physician office. The integrated method of studying the cardiorespiratory system defined as spiroarteriocardiorhythmography (SACR) was used. It simultaneously records the heart rate, rhythms of systolic and diastolic pressure at each heartbeat and respiratory rhythms, which provides significant time savings to determine the functional state of the heart, vessels and respiration, as well as to identify the important parameters of their interaction.\u0000\u0000Results: characterizing the changes in the cardiorespiratory system as a whole under the influence of traction manipulations on the thoracic spine, it should be noted that men and women had some significant unidirectional changes in HR (min–1), CO (dm3), CI (dm3/m2), IH (n. u.), which are determined primarily by the decrease in HR (min–1) under the influence of traction manipulations. As to the men, the significant effects were more related to the impact on the contractile function of the heart, which was confirmed by the improvement of the electrical systole of the ventricles (QTC, s), the increase in the activity of the effects of the parasympathetic branch of the ANS on the cardiac rhythm (HF, ms2) and a certain increase in the stroke index within the normative values (SI, cm3/m2), then to the women the significant effects were more related to the influence on the breathing pattern and vascular tone. Thus, characteristic and positive effects in women can be considered a decrease in the variability of diastolic blood pressure in the very-low-frequency range (VLFDBP, mmHg2), which is combined with a decrease in the total power of diastolic pressure variability (TPDBP, mmHg2) and an increase in the total peripheral vascular resistance (GPVR, dyn/s/cm−5).\u0000\u0000Conclusions: summarizing the results of the impact of traction manipulations in the thoracic spine on the cardiorespiratory system of men and women, it can be stated that their effect is different and has features associated with the use of different mechanisms. For men, the predominant effect is on the heart contractile function, and for women it is on the respiratory system and autonomous regulation of vascular tone.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117089369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of physical therapy of a person with a hemorrhagic stroke during the recovery period: a clinical case","authors":"Lyudmila Kletsenko, Lesia Klevaka, Yevgenia Vyshar, A. Levkov","doi":"10.15391/prrht.2022-7(4).26","DOIUrl":"https://doi.org/10.15391/prrht.2022-7(4).26","url":null,"abstract":"Purpose: to scientifically substantiate and develop a program of physical therapy for a patient after a hemorrhagic stroke (during the recovery period) and check its effectiveness.\u0000\u0000Material & Methods: the study was conducted on the basis of the \"Skalyansky Clinic\" Medical Center. The organization of the study involved conducting a comparative analysis of the dynamics of indicators obtained with the help of clinical tools for assessing the patient’s functional state in the process of applying the author’s physical therapy program. A 71-year-old patient with a diagnosis of \"Acute cerebrovascular hemorrhagic disorder: subarachnoid-parenchymal hemorrhage with the formation of a stroke-hematoma of the left temporal-subcortical area of the brain with breakthrough into the ventricular system with right-sided hemiplegia, sensorimotor aphasia\" by a multidisciplinary team (doctor, physical therapist, speech therapist and psychologist) an individual program of physical therapy was developed. In order to evaluate the effectiveness of the experimental methodology, a formative experiment was conducted. Clinical tools for assessing the functional state of the patient during the research were domains in the form of the ICF-core-set tool (a set of ICF basic categories) (ICF Research Branch, 2022) for complex stroke: Lovett’s test, Barthel scale, Gait Velocity (GV) tests and Berg Balance scale (BBS), Montreal Scale of Cognitive Assessment (MoCA), Get Up and Go Tests, Trunk Control Test, Functional Independence Measure (FIM). The developed individual program of physical therapy for hemorrhagic stroke in the recovery period is a comprehensive course of physical therapy, occupational therapy, which is carried out in stages and includes the following components: therapeutic gymnastics classes; electrical stimulation of the shoulder, psychological (psychological counseling, psychological support, developmental classes for the recovery of cognitive impairments) and speech therapy (speech therapy gymnastics, articulation exercises, Su-Jok (massage ball and ring) component. After applying the specified author’s individual physical therapy program, qualitatively positive changes in the functional and psychophysical state of the patient, in particular: b7301.4 to b7301.2; d550.2 to d550.1; d510.3 to d510.2; d520.3 to d520.2; d540.3 to d540. 2; d598.3 to d598.2; d4100.3 to d4100.2; d450.3 to d450.2; d469.4 to d469.3; d330.3 to d330.1; d355.3 to d355.3; d998.3 to d998.2.\u0000\u0000Results: after applying the author’s program of physical therapy, we found qualitatively positive changes in the functional and psychophysical state of the patient, as evidenced by the positive dynamics of the studied indicators. The psychological and speech therapy work carried out contributed to the improvement in the process of restoring the patient’s cognitive functions (from moderate to mild impairment), stabilization of his emotional state, acquisition of stress resistance skills, harmonization of the","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115404825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of aquatherapy in osteochondrosis of the cervical spine","authors":"E. Feroyan, Giorgi Parulava","doi":"10.15391/prrht.2022-7(4).25","DOIUrl":"https://doi.org/10.15391/prrht.2022-7(4).25","url":null,"abstract":"The aim of this study was to find the most effective aquatherapy for physical rehabilitation of patients suffering from neurological pain in the cervical spine.\u0000\u0000Material & Methods: the study involved 86 patients (59 women, 27 men aged 38 to 55 years). Of these, 43 patients (50%) were in the main group and 43 patients (50%) were in the comparison group. The following were used: observation, aquatherapy, special physical exercises, cervical spine traction, electromyotonometry, pain study (VAS), adaptive potential indices and Ruffier-Dixon index, methods of mathematical statistics.\u0000\u0000Results: the effect of aquatherapy on pain was the most effective: in the main group there was a significant reduction in pain (disappearance by 83.7%, improvement by 9.3%, minor improvement by 7%). In the control group, significant pain reduction was obtained only in 60.4% of patients (23.3% – improvement, 7% – insignificant improvement, 9.3% – no improvement).\u0000\u0000Conclusions: the study showed that the addition of aqua therapy to the main rehabilitation improves the results of treatment of patients with neuralgic manifestations of osteochondrosis of the cervical spine. In the main group there was a significant (p<0.05) decrease in the indices of adaptive potential, Ruffier-Dixon index and diastolic pressure under the influence of aqua therapy, which indicates a decrease in the tension of the cardiovascular system and an increase in the power of the body’s adaptive reserves. Mobility indices of the cervical spine improved, blocks of spasmed muscles were relieved, their tone normalized, and pain decreased.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116807826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional state of the GH/IGF-1 system in adolescents with type 1 diabetes mellitus","authors":"Svitlana Turchyna, L. Nikitina, O. Varodova, Y. Kalmykova, S. Kalmykov","doi":"10.15391/prrht.2022-7(4).28","DOIUrl":"https://doi.org/10.15391/prrht.2022-7(4).28","url":null,"abstract":"Purpose: to study the level of growth hormone (GH) and insulin-like growth factor type 1 (IGF-1) in patients with type 1 diabetes mellitus (DM1) at the stages of puberty.\u0000\u0000Material & Methods: 165 children (85 girls (51.5%) and 80 boys (48.5%), aged 8 to 18 years old, suffering from DM1 and staying in the endocrinology department of the State Institution \"Institute of Health for Children and Adolescents”) of the National Academy of Medical Sciences of Ukraine\" (State Institution \"IOZGP NAMS\"). The criterion for inclusion in the study was the duration of T1DM for more than one year (from 1 to 16 years). The level of GH and IGF-1 was determined in 165 children 8-18 years old (85 girls and 80 boys) with DM1, taking into account gender, the level of sexual development at the time of the survey, the duration of DM1 and the level of glycemic control. Study participants were divided into groups depending on the level of sexual development (T1-T4) at the time of the study, assessed by the Marshall & Tanner scale (Marshall, & Tanner, 1969; Marshall, & Tanner, 1970); duration of DM1 (<5 years, 5 to 10 years, >10 years); level of glycemic control (optimal (HbA1c<7.5%), suboptimal (7.5%≤HbA1c≤9.0%), high-risk (HbA1c>9.0%) according to ISPAD 2018 recommendations (DiMeglio, et al., 2018)\u0000\u0000Results: in adolescents with DM1, a physiological type of activation of the GH/IGF-1 system was established with an increase in its activity during the period of puberty proper. Sexual characteristics were determined in the levels of GH and IGF-1 at the stages of puberty. Girls had higher levels of IGF-1 than boys, especially during prepuberty. During prepuberty and puberty proper, GH values were higher in boys, and in late puberty, in girls. It has been established that in girls and boys with an increase in the duration of diabetes, there is an increase in the level of GH and a decrease in IGF-1. The nature of the state of GH/IGF-1 in patients with different experience of DM1 is affected by the level of sexual development at the time of the examination and the sex of adolescents. In boys aged 14-18 years (the period of proper and late puberty), with an increase in the duration of the disease, an increase in the level of GH (pk-w<0.05) and a decrease in IGF-1 (p<0.05) occur. In girls, an increase in GH (pk-w<0.05) and a decrease in IGF-1 (pk-w<0.05) with an increase in the duration of DM1 were recorded only in the group of patients aged 16-18 years (late puberty). The relationship between HbA1c and GH and IGF-1 levels has gender specifics: in the state of decompensation, the guys showed a tendency to decrease in GH, and in girls – to increase GH and IGF-1.\u0000\u0000Conclusions: the functional state of the GH/IGF-1 system in adolescents with DM1 depends on gender, the level of sexual development, the duration of diabetes and the state of carbohydrate metabolism compensation, which coincides with the data of domestic and foreign studies.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115431066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the results of pH-metry of the stomach in patients with peptic ulcer of the stomach and duodenum under the influence of a physical therapy program","authors":"Y. Kalmykova, S. Kalmykov, D. Okun, A. Istomin","doi":"10.15391/prrht.2022-7.22","DOIUrl":"https://doi.org/10.15391/prrht.2022-7.22","url":null,"abstract":"Purpose: to investigate and evaluate the secretory function of the stomach in patients with peptic ulcer of the stomach and duodenum under the influence of the use of a physical therapy program.\u0000\u0000Material & Methods: 30 men aged 36 to 45 years were under observation with a diagnosis of peptic ulcer, inactive phase; cicatricial and ulcerative deformity of the duodenal bulb; increased secretory function of the stomach, they were randomly divided into two groups: the main group (MG) – 15 patients and the control group (CG) – 15 patients. The average age of patients MG was 41,5±0,1 years, CG – 42,1±0,2 years. Patients of the main and control groups, patients with peptic ulcer of the stomach and duodenum, underwent a course of physical therapy for 4 months. In the main group, patients were trained according to the developed program of physical therapy, which is based on the use of morning hygienic exercises, kinesiotherapy and self-study with the use of general developmental physical exercises, corrective exercises for the spine and breathing exercises performed at rest; therapeutic massage according to the method of P.B. Efimenko; diet therapy. Patients of the control group were engaged in the program of physical therapy used in medical institutions according to Parkhotik, I. (2003).\u0000\u0000Results: in the initial study, the results of pH-metry of the stomach in patients of both groups did not differ significantly, that is, the phenomena of hyperacidity in combination with continuous acid formation prevailed. After the application of the physical therapy program in the main group according to the author's program, the indicators significantly improved compared to the control group: normalization of the acid-forming function of the stomach on an empty stomach and stimulated was observed, in addition, normal acidity on an empty stomach occurred in 100% of patients.\u0000\u0000Conclusions: in the course of the study of the results of pH-metry of the stomach, the effectiveness of the physical therapy program for patients with dissecretory syndrome in gastric and duodenal ulcers was determined and it was concluded that the developed and applied physical therapy program is effective and contributes to a more stable normalization of the stomach, reduction of clinical manifestations of the disease. The conducted studies confirmed the expediency of using physical therapy in patients with this pathology, depending on the clinical manifestations of the disease, indicators of the secretory function of the stomach.","PeriodicalId":347675,"journal":{"name":"Physical rehabilitation and recreational health technologies","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127221047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}