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

{"title":"[Promising models of sanatorium-resort provision organization in the Armed Forces of the Russian Federation].","authors":"A A Kirsanova, A F Sukhoterin, S V Dolgikh, D V Kovlen","doi":"10.17116/kurort20251020115","DOIUrl":"https://doi.org/10.17116/kurort20251020115","url":null,"abstract":"<p><p>The article discusses the need for development of a modern system of sanatorium-resort treatment and medical rehabilitation in the Armed Forces of the Russian Federation. It is proposed to consider different models of sanatorium-resort provision organization in order to accommodate the requirements of different categories of military personnel and their families. This concept will contribute to the improvement of efficiency and quality of provided services. Development of infrastructure, implementation of modern technologies, improvement of staff qualification and creation of conditions for recreation and treatment are the key aspects of successful organization of sanatorium-resort provision.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693764","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":"[Possibilities of vibroacoustic therapy application in patients with chronic bronchopulmonary pathology].","authors":"A M Schikota, I V Pogonchenkova, E A Turova, I M Rud', M A Rassulova","doi":"10.17116/kurort202510201112","DOIUrl":"https://doi.org/10.17116/kurort202510201112","url":null,"abstract":"<p><p>Chronic bronchopulmonary diseases are a frequent concomitant pathology which potentially affects the clinical and functional status of patients of different profiles undergoing rehabilitation in hospital, that should be taken into account in planning treatment.</p><p><strong>Objective: </strong>To study the influence of vibroacoustic pulmonary therapy (VAPT) on clinical status and spirometry values of patients undergoing in-patient rehabilitation and with comorbid bronchopulmonary pathology.</p><p><strong>Material and methods: </strong>We examined 60 patients (18 men (30%) and 42 women (70%)) aged between 18 and 75 years (median age 62 [56; 68] years) with chronic lung diseases (chronic bronchitis, chronic obstructive pulmonary disease), undergoing an in-patient rehabilitation for disorders of the central nervous and musculoskeletal systems. The study group consisted of 30 patients who had a 5-day course of VAPT in the individual medical rehabilitation program; the control group included 30 patients who did not underwent VAPT. Qualitative and quantitative characteristics of respiratory symptoms and parameters of spirometry before and after VAPT course were studied.</p><p><strong>Results: </strong>In this study 37 (62%) of subjects underwent rehabilitation regarding pathology of the central nervous system, 23 (38%) - regarding musculoskeletal pathology, 40 (67%) had concomitant cardiovascular diseases among all patients. Complaints of dyspnea were presented by 96.7% of patients in the study group and 90% of patients in the control group, mean value of dyspnea intensity on the mMRC scale amounted to 2.1±0.89 and 2.1±0.8 scores, respectively. Cough occurred in 83% of patients in the study group and 80% of patients in the control group, mean value on the 6-score daily and night cough scale was 2.0±1.3 and 1.9±0.84 scores, respectively. There has been a decrease in the number of patients with dyspnea and cough to 83.3 and 66.7%, respectively, a decrease in the dyspnea degree on the mMRC scale by 19% (<i>p</i><0.05) and the cough severity by 22.3% (<i>p</i>≤0.001) in the study group after VAPT. An increase of the peak expiratory flow rate by 5% (<i>p</i>≤0.05) has been revealed according to spirometry data. No significant improvement of the studied indicators has been achieved in the control group of patients. No serious cardiovascular adverse events and complications have been registered during rehabilitation, the results of the patients' questionnaire survey characterize the method positively.</p><p><strong>Conclusion: </strong>The performed study's results, that showed a regression of respiratory symptoms and improvement of pulmonary function during the in-patient rehabilitation of subjects with comorbid chronic bronchopulmonary pathology, allow to consider VAPT as a promising non-drug treatment method in this category of patients.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693832","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":"[Rehabilitation of patients with post-COVID syndrome depending on C(159)T polymorphism of SD-14 gene].","authors":"L Sh Dudchenko, V A Beloglazov, S N Belyaeva, I A Yatskov, E A Solovyova, G N Andreeva, I V Shulyak","doi":"10.17116/kurort202510201142","DOIUrl":"https://doi.org/10.17116/kurort202510201142","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Researchers are interested in studying the genes that regulate immunocompetent molecules. Genetic polymorphism has an impact on morbidity, mortality and the reserves of the body's recovery in communicable diseases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To study the possibilities of rehabilitation of patients with post-COVID syndrome (PCS) in the conditions of a sanatorium-resort organization depending on the genetic polymorphism of the &lt;i&gt;CD-14&lt;/i&gt; monocytes receptor gene.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;The study included 97 patients with COVID-19 past history and PCS diagnosis, who underwent rehabilitation in the Department of Pulmonology of the I.M. Sechenov Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation (Yalta). Comprehensive clinical, laboratory and functional examinations of patients were performed. Questionnaires for assessment of dyspnea, psychological state and quality of life were additionally used. Determination of genotype variants was done using sets of the «Lytech» company (Russia) according to the manufacturer's instructions. The detection of amplification products for C(159)T polymorphism of the &lt;i&gt;SD-14&lt;/i&gt; gene was performed by means of horizontal electrophoresis in 3% agarose gel. Patients received comprehensive rehabilitation including: climatotherapy, physical therapy, massage, aromatherapy, respiratory therapy and pharmaceutical treatments as medically indicated. The treatment course was 21 days. Evaluation of the efficacy of therapy was carried out on the basis of studying the dynamics of the investigational indicators before and after the rehabilitation course.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Patients were divided into 3 groups according to the data of performed analysis: with variants of homozygous distribution of CC alleles - 30 (30.9%) patients and TT - 22 (22.7%) patients, as well as with heterozygous variant of CT - 45 (46.4%) patients. It has been established that the most pronounced respiratory symptoms, degree of dyspnea, low grade by questionnaires of dyspnea, low value of the indicators of pulmonary function tests, laboratory abnormalities, as well as more significant reduction of life quality, development of anxiety, low assessment of the level of one's own health are characteristic for CC genotype. Patients with this genotype's variant were more likely to have obesity and dyslipidemia, which exacerbated respiratory symptoms. The heterozygous CT variant of genotype, in which more indicators had a significant positive dynamics during rehabilitation, proved to be more sensitive to rehabilitative exposure.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The state of PCS depending on the genotypes of the &lt;i&gt;SD-14&lt;/i&gt; gene was studied. The most pronounced symptoms were revealed in CC159 genotype. The best dynamics during the rehabilitation period in the sanatorium-resort organization has been noted in the heterozygous variant of CT159 genotype of the &lt;i&gt;SD-14&lt;/i&gt; gene, s","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"42-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693765","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":"[Natural mineral waters of the «Seregovo» sanatorium of the Komi Republic].","authors":"S I Bulatov, N G Varlamova, A V Kuchin, E R Boyko","doi":"10.17116/kurort202510201158","DOIUrl":"https://doi.org/10.17116/kurort202510201158","url":null,"abstract":"<p><p>Improvement of sanatorium-resort treatment system is among the priority tasks of healthcare. Balneotherapeutic methods occupy one of the first places in terms of the effectiveness of treatment of many diseases, that is especially relevant for the population living in harsh natural climatic conditions of the North.</p><p><strong>Objective: </strong>To assess the physiological action of natural mineral waters of the «Seregovo» sanatorium of the Komi Republic.</p><p><strong>Material and methods: </strong>An analysis of publications from databases of electronic sources (WOS, Scopus, PubMed, eLibrary) over the last 20 years, in which the results of mineral waters application are presented, was performed. The results of the study of composition and quality of mineral waters of the «Seregovo» sanatorium of the Komi Republic are presented (conclusion of the National Medical Research Center for Rehabilitation and Balneology (NMRC RB) and materials obtained by Institute of Geology of the Komi Scientific Center of the Ural branch of the Russian Academy of Sciences).</p><p><strong>Results: </strong>Distribution and diversity of mineral waters of the territory of the «Seregovo» sanatorium of the Komi Republic are presented. Mineral water from the 1K well refers to the subcategory of brines (over 35.0 g/dm3 but not more than 150.0 g/dm3), is of sodium-chloride composition (Cl^- 100, Na⁺+K⁺79 mg eq.%), with total mineralization of M100.9 g/dm3, with pH equal 6.22, with conditioned content of bromine and boron according to the balneological conclusion №7-1372 from 24.05.2022 by the NMRC RB of the Ministry of Health of Russia. Physiological and therapeutic effects of sodium chloride mineral waters have been shown according to the literature.</p><p><strong>Conclusion: </strong>The diversity of natural mineral waters and dynamic change of their composition over time require periodic controlled study of their impact on human body. Evaluation of available literature data can serve as a basis for clarification of indications and contraindications to balneotherapy, that contributes to improvement of the effectiveness of sanatorium-resort treatment in health care centers of the Komi Republic.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"58-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693831","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":"[Dynamics of blood flow in the vessels of the vertebral arteries under the influence of manual-physical correction of essential arterial hypertension (method of A.Yu. Shishonin)].","authors":"A Yu Shishonin, V I Pavlov","doi":"10.17116/kurort202510201137","DOIUrl":"https://doi.org/10.17116/kurort202510201137","url":null,"abstract":"<p><p>Recently, there is increasing evidence of the relationship between degenerative-dystrophic processes of vertebral structures and cardiovascular pathology, including the development of essential arterial hypertension (EAH).In this regard, one of the methods of EAH therapy being developed is step-by-step manual-physical correction with the formation of a stable muscular corset in the cervical spine (method of A.Yu. Shishonin), to prove the effectiveness of which, an assessment of changes in blood flow in the vessels of the vertebral arteriesusing ultrasound was used.</p><p><strong>Objective: </strong>To study dynamics of blood flow in the vessels of the vertebral arteriesunder the influence of the author's method of manual-physical correction of A.Yu.Shishonin.</p><p><strong>Material and methods: </strong>144 patients with EAH and significant manifestations of cervical osteochondrosis, including varying degrees of vertebrobasilar blood flow disorderswere examined. The main group included 112 patients (mean age 63.0±5.1 years) with EAH,who were treated using the method of A.Yu. Shishonin. The control group included 32 patients (mean age 52.6±4.9 years) with EAH, who did not receive treatment.Blood flow studies in the cervical vertebral arteries were conducted using the method of ultrasound Dopplerography of the brachiocephalic arteries.</p><p><strong>Results: </strong>During therapy, all patients in the study group, on average, at least, showed an improvement in blood flow in the cervical segments of the vertebral arteries, accompanied by normalization of blood pressure.In patients in the control group, no significant changes occurred.The dynamics of the severity of changes in specific indicators of vertebrobasilar blood flow indicated, first of all, a decrease in peripheral resistance (ED initially 1.2±0.5 cm/s vs ED post-therapeutic 16.6±6.4 cm/s; TAMEAN initially 1.8±0.8 cm/s vs TAMEAN post-therapeutic 15.2±4.0cm/s). A parallel decrease in systolic blood pressure and heart rate was most likely mediated by a decrease in sympathetic activity.</p><p><strong>Conclusions: </strong>In the process of manual-physical correction according to the method of A.Yu.Shishonin, a significant stable improvement in the blood supply to the structures of the brain located in the perfusion zone of the vessels of the vertebrobasilar basin is achieved, largely due to the reduction of increased peripheral.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693801","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":"[Biological mechanisms of radon therapy: experimental and clinical aspects. (Literature review)].","authors":"V F Reps, V V Kozlova","doi":"10.17116/kurort202510201166","DOIUrl":"https://doi.org/10.17116/kurort202510201166","url":null,"abstract":"<p><p>Application of radon baths with natural and artificial radon-containing waters is one of the common methods of non-drug therapy in the treatment of inflammatory and degenerative diseases of different origin in sanatoriums and wellness centers in many Russian and foreign health resorts. Radon therapy is most often used as an additional method in the structure of multimodal health resort treatment in diseases of the musculoskeletal system. The article presents an analysis of Russian and foreign experience in the application of radon-containing mineral waters and evidence-based approaches in the study of cellular and molecular mechanisms of radon action. Experimental data on the quantification of intake and excretion of radon and its daughter products after the application of mineral water with different radon concentrations are provided on the biokinetic models. According to the literature, radon procedures have analgesic and anti-inflammatory effects, affecting osteoclastogenesis and bone resorption. The authors associate this therapeutic effect of radon with contribution of the immune system and change in the Th17/Treg-cell ratio after receiving balneotherapy. It has been noted that a deeper study of the development of therapeutic effects from radon procedures application within the framework of high-quality placebo-controlled biomedical studies in experiment and clinical setting is needed in order to increase the evidence level of therapy using radon as well as for assessment of potential side effects and risks of carcinogenesis.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"66-73"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693784","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 muscles' preoperative preparation for reconstruction of anterior cruciate ligament of knee].","authors":"R R Akhmetyanov, E V Davydova","doi":"10.17116/kurort202510201151","DOIUrl":"https://doi.org/10.17116/kurort202510201151","url":null,"abstract":"<p><p>The most common knee injury in professional athletes is anterior cruciate ligament (ACL) trauma, requiring surgical intervention and subsequent long-term rehabilitation. Arthrogenic muscle inhibition, immediately following injury in some cases, leads to quadriceps muscle hypotrophy and weakness, that further embarrasses the athlete's good-quality rehabilitation.</p><p><strong>Objective: </strong>To assess clinical and functional effectiveness of passive electrical myostimulation (EMS) as a muscle preoperative preparation to autotransplantation of knee anterior cruciate ligament.</p><p><strong>Material and methods: </strong>The study involved 47 male athletes with ACL injury. Summarized surface electromyography (EMG) was performed in all participants at admission, as a result of which 28 patients with reduced EMG parameters were selected. Among them, 14 patients received a course of passive EMS of quadriceps on physiotherapeutic <b>INTELECT Advanced</b> (Chattanooga (DJO), USA) hardware. All patients got passive EMS for 2 weeks after surgery and started active muscle training since 3rd week. Clinical and functional effectiveness was evaluated in dynamics in 2 and 7 weeks after surgery.</p><p><strong>Results: </strong>The 10-day preoperative course of EMS made it possible to significantly increase values of mean amplitude (MA) of muscle contraction before surgery and improve indicators of clinical and functional tests in 7 weeks after surgery up to level of healthy subjects and patients group with normal MA values at baseline compared to patients who did not have preoperative passive myostimulation.</p><p><strong>Conclusion: </strong>The obtained data allow to recommend the inclusion of passive EMS method of quadriceps as a preoperative training of patients with ACL injury and reduced EMG.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"51-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693806","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 effectiveness and safety of aerobic cyclical trainings in children after surgical correction of congenital heart diseases and features of short-term adaptation depending on the type of pathology].","authors":"E M Savova, A Yu Zavarina, V N Shvedunova, M L Ermolenko, F A Barseyan, L I Yakubova, A A Tokovenko, D I Moiseeva","doi":"10.17116/kurort202510201119","DOIUrl":"https://doi.org/10.17116/kurort202510201119","url":null,"abstract":"<p><p>Aerobic cyclical trainings in children with congenital heart diseases (CHDs) are insufficiently covered in the literature. Nevertheless, they are the most effective and safe for improvement of aerobic capacity in case of individually adjusted intensity of the load and with a strict pulse control during the exercises.</p><p><strong>Objective: </strong>To evaluate the effectiveness and safety of aerobic cyclical trainings on cycle ergometers in children in the long term after surgical correction of CHDs and to study the features of short-term adaptation of the child's body to exercises on stationary bicycles in setting of rehabilitation center depending on the type of CHD.</p><p><strong>Material and methods: </strong>The study included 80 children with CHDs aged between 10 and 17 years in the long term after Fontan procedure, aortic valve replacement, surgical correction of aortic coarctation or septal defects hospitalized for rehabilitation course in 2023. Intensity of exercises on stationary bicycles was determined based on clinical examination results in the absence of contraindications. The trainings were performed under the control of electrocardiography, tonometry and oxygen saturation; the intensity of exercises was automatically adjusted depending on the reaction of the cardiovascular system to the load.</p><p><strong>Results: </strong>Anthropometric and anamnestic data of the studied group were analyzed. Low physical activity was characteristic of most children with CHDs, that has affected the results of exercise tolerance test. A number of trainings equal from 6 to 9 (Me=6) were performed during the course of cardiac rehabilitation. A statistically significant increase in the load in training sessions during hospitalization, comparing the first exercise both with the last training (<i>p</i>=0.05) and with one with the maximum capacity (<i>p</i><0.001), has been found. The dynamics of load in trainings according to the type of CHD was analyzed, including a deeper analysis of subgroups of children after Fontan procedure, as well as individual clinical examples of examinations and trainings of children with different CHDs in case of re-hospitalization were presented. No adverse events were noted during the study.</p><p><strong>Conclusion: </strong>Aerobic cyclical trainings on cycle ergometer are safe for children with CHDs with adequately selected intensity of trainings. The performed study allowed to indicate the features of «urgent» adaptation to exercises on cycle ergometers in adolescents with different CHDs and to develop the theme of formation of adaptive mechanisms to physical load.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"19-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693819","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":"[Static delay exercises for improvement of proprioception and movements control in children with impaired intelligence (on the example of walking pattern correction)].","authors":"D V Fedulova, K A Berdyugin","doi":"10.17116/kurort202510201132","DOIUrl":"https://doi.org/10.17116/kurort202510201132","url":null,"abstract":"<p><p>Children with mental retardation, due to the inertia of cortical processes, have changes in the motor sphere development, which are reflected in both mechanisms of motion control and postural disorders of the musculoskeletal system.</p><p><strong>Objective: </strong>To evaluate the effectiveness of static delay exercises in improving motor control and development of proprioception in children with mental retardation.</p><p><strong>Material and methods: </strong>The study involved 80 children aged 12-14 years. For comparison, 4 groups of 20 patients in each were formed: the 1st, the 2nd groups - children with a mild degree of impaired intelligence; the 3rd, the 4th groups - healthy children. Completion of two courses of exercises throughout the academic year was proposed to experimental groups. The emphasis of static exercises performed with rubber expander was focused on strengthening the core muscles as a main segment, providing the body's stability and participation in locomotions.</p><p><strong>Results: </strong>Significant differences in the changes of the indicators of dynamic and biomechanical disorders of movement patterns in children with impaired intelligence, primarily related to the improvement of movement coordination and motor act regulation mechanisms were identified.</p><p><strong>Conclusion: </strong>Static delay exercises are effective for improving proprioception and movements control in children with impaired intelligence. Correctional work should be continued.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693840","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":"[Neurophysiological substantiation and validity assessment of manual muscle testing in clinical practice. (A literature review)].","authors":"M A Spirina, T I Vlasova, A V Sitdikova, A V Sergachev, V V Chatkin, A E Mezhnov","doi":"10.17116/kurort202410104170","DOIUrl":"https://doi.org/10.17116/kurort202410104170","url":null,"abstract":"<p><p>The relevance of the study of neuromuscular dysfunction's causes and mechanisms is undeniable, considering the large number of nosologies accompanied by malfunction of muscles. Adequate diagnosis and correction of these disorders is impossible without understanding of their pathogenetic mechanisms. Currently, manual muscle testing (MMT) is a widespread technique. MMT is an agile diagnostic tool used by physiatrists, doctors in sports medicine, osteopaths and rehabilitation physicians to assess the functional status of muscles. Unconditionally, this method attracts with its low cost, which will optimize the financial costs of hospital and the healthcare system as a whole. In addition, there is no clear substantiation of the objectivity and validity of the MMT to date. The article considers the issues of neurophysiological principles, classification of methods and approaches, assessment criteria of repeatability and accuracy of MMT. Understanding of the pathophysiological mechanisms of MMT effectiveness will allow to timely correct the therapy and improve the results of treatment and rehabilitation of patients with neuromuscular dysfunction.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"70-77"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156218","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}