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

{"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":"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":"[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":"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":"[Stabilometry as a tool for assessing postural balance: modern approaches, methods, and standardization issues. (Literature review)].","authors":"E A Mayorov, M R Makarova, D A Somov, E V Kostenko, I V Pogonchenkova","doi":"10.17116/kurort202510204156","DOIUrl":"10.17116/kurort202510204156","url":null,"abstract":"<p><p>Postural balance impairment is associated with an increased risk of falls, reduced daily activity, and a decline in patients' quality of life. Given that balance function is one of the fundamental and most vital functions for life, the objective diagnosis and correction of its pathology remain highly relevant in clinical practice.</p><p><strong>Objective: </strong>To examine modern approaches to the methodology and specific techniques used in stabilometric assessment of postural balance and to analyze the current state of standardization of stabilometry in both clinical practice and scientific research.</p><p><strong>Material and methods: </strong>The review includes studies of varying levels of evidence (randomized controlled trials, systematic reviews, cohort studies, non-systematic reviews, consensus documents) identified through databases such as PubMed, Mendeley, ScienceDirect, eLIBRARY.RU, Google Scholar, and CyberLeninka covering the period from 2000 to 2025. Modern approaches to assessing postural balance are discussed, along with the main reasons for the absence of unified standardized reference values in stabilometric studies.</p><p><strong>Results: </strong>Stabilometry - a method of quantitatively evaluating postural balance by analyzing oscillations of the center of pressure projection on a support surface - is considered a modern tool for diagnosing postural imbalance. However, the diversity of protocols used in stabilometric testing, the lack of uniform standards for data processing and interpretation, and the need to account for variable individual patient parameters limit the application of this method in clinical settings and reduce the informativeness and comparability of scientific studies.</p><p><strong>Conclusion: </strong>To enhance the validity and reliability of stabilometric research, standardization in technical, software, and terminological domains (development of protocols and data processing standards) is required to fully realize the potential of this method.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131758","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":"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":"[Prediction of restoration of functional activity of paretic limbs in patients who have suffered an ischemic stroke].","authors":"N F Miryutova, V A Fokin, N N Minchenko, S V Alaytseva","doi":"10.17116/kurort202510203131","DOIUrl":"https://doi.org/10.17116/kurort202510203131","url":null,"abstract":"<p><p>The World Stroke Organization notes the growing number of strokes worldwide. Motor disorders in the paretic limbs are one of the most common consequences of stroke, which significantly affects the quality of patients' daily lives. The possibility of early prediction of clinical and functional recovery of patients after stroke is an important component of the rehabilitation process.</p><p><strong>Objective: </strong>To develop a model for predicting the restoration of the functional activity of paretic limbs and mobility of patients in the early recovery period of ischemic stroke and to evaluate the results of rehabilitation with a positive and negative prognosis.</p><p><strong>Material and methods: </strong>The prognostic factors used were the results of an assessment of motor disorders, balance function on the Fugl-Meyer scale and interhemispheric brain activity (Brain symmetry indices in standard electroencephalogram leads), as well as the patient's age, prescription of stroke, and level of vital activity at the time of examination. The functional activity of paretic limbs and mobility of patients were assessed using validated scales (Action Research Arm Test, Modified Frenchay scale, Wolf Motor Function Test, Rivermead mobility index, Hauser ambulance index, Functional Independence Measurement). The TIBCO Software Inc. (2017) program was used to build the model, Statistica, version 13. The Mann-Whitney criterion was used to identify differences between subgroups.</p><p><strong>Results: </strong>A new method for predicting the functional recovery of paretic limb activity after ischemic stroke has been developed (patent RU2825714C1, publ. 08/28/2024). The forecast model developed by the logistic regression method is statistically significant (χ²=43.26; <i>p</i><0.001. Operational characteristics of the test (training sample of 91 patients): sensitivity - 84%, specificity - 83%, diagnostic accuracy - 84%. After rehabilitation, a statistically significantly greater increase in the indicators of functional activity of paretic limbs and mobility was revealed in patients with a positive prognosis compared with a subgroup of patients with a negative prognosis.</p><p><strong>Conclusions: </strong>The obtained model makes it possible to predict the recovery of patients' activity in terms of self-care and movement in the first six months after an ischemic stroke in the presence of limb paresis.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 3","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790290","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":"[Study of the dynamics of arterial pressure and body composition during manual physical therapy using the method of A.Yu. Shishonin].","authors":"A Yu Shishonin, V I Pavlov","doi":"10.17116/kurort202510203141","DOIUrl":"https://doi.org/10.17116/kurort202510203141","url":null,"abstract":"<p><p>The most striking and widespread representatives of chronic non-infectious diseases are essential arterial hypertension (EAH) and type 2 diabetes mellitus. Recently, in the pathogenesis of the above-mentioned nosologies, theories have become widespread associated with a violation of the regulation of these processes by the central nervous system, which are a consequence of hypoxia of the reflex regulatory centers of the brain. One of the most promising methods for eliminating hypoxia of brain structures is the method of manual-physical influence (therapy) according to the method of A.Yu. Shishonin.</p><p><strong>Objective: </strong>To study the effect of manual physical therapy on blood pressure (BP) and body composition in patients with EAH.</p><p><strong>Material and methods: </strong>The study included 144 patients (mean age 59.9±3.7 years) with EAH or high normal BP (prehypertension), divided into 2 groups. The main group included 110 patients (47 men and 63 women), whose BP was measured according to Korotkov and heart rate was recorded, and body composition was also studied at least three times - before the start of therapy, in the middle of the session and immediately after its completion. The control group included 34 patients (17 men and 17 women), who refused both recommended and alternative treatment methods for various reasons, who were measured at the same time as the main group.</p><p><p>Body composition was studied using bioimpedancemetry.</p><p><strong>Results: </strong>During therapy using the method of A.Yu. Shishonin, the study group showed a significant decrease in SBP by the middle of the course by 11.3 mm Hg, and after completion - by 22.3 mm Hg. DBP significantly decreased after the middle of the course by 3.4 mm Hg, and by the end of therapy - by 4.4 mm Hg. HR by the end of manual-physical correction sessions significantly decreased by 12 beats/min. The fat mass in the study group by the end of therapy significantly decreased by 3.5 kg, the loss of total fluid by the end of the course was significantly 8.3 kg. An increase in muscle mass was recorded, which did not reach the level of reliability. In patients of the control group, changes in bioimpedance parameters were of a multidirectional nature and did not reach the level of reliability.</p><p><strong>Conclusion: </strong>The method of manual-physical correction according to A.Yu. Shishonin is an effective method for reducing blood pressure and normalizing body composition. Its effect is probably mediated by improved blood supply to regulatory structures, normalization of eating behavior and sympathoadrenal activity within the framework of the «selfish brain» theory.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 3","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790291","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":"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":"[Experience of using peripheral magnetic stimulation to restore diaphragm function in hemiparetic patients after stroke].","authors":"E Yu Starkova, N N Vladimirova, S N Smirnova, E A Melnikova","doi":"10.17116/kurort20251020415","DOIUrl":"10.17116/kurort20251020415","url":null,"abstract":"<p><p>Diaphragm dysfunction as one of the manifestations of hemiparesis, can play a certain role in the persistent respiratory, motor and postural complications of cerebral stroke. This disorder usually proceeds with few symptoms, is underestimated against the background of other manifestations of hemiparesis and may reduce the overall effectiveness of rehabilitation measures.</p><p><strong>Objective: </strong>To evaluate the results of peripheral magnetic stimulation in hemiparetic patients due to stroke in order to restore diaphragm function and its potential influence on postural balance, respiratory function and upper limb motor function.</p><p><strong>Material and methods: </strong>The study involved 106 people aged 31 to 86 years, including 80 patients with hemiparesis in the recovery period of stroke and 26 healthy volunteers demographically similar to the group of patients. Patients were randomly divided into three groups, two main and a control one. The control group of patients received a standard rehabilitation complex, the main group received an additional course of rPMS with the same parameters, but different localization. The effectiveness of the treatment was assessed based on the dynamics of the parameters of instrumental and clinical examination the diaphragm, respiratory function, postural balance and upper limb function.</p><p><strong>Results: </strong>The patient groups were comparable in all baseline parameters. Diaphragm dysfunction was detected in 61.3% of patients, mainly on the hemiparetic side. The inclusion of a course of rPMS in the rehabilitation complex significantly increases the effectiveness of the treatment in terms of reducing ultrasound signs of diaphragm dysfunction (<i>p</i><0.001), restoring postural balance (<i>p</i>=0.002), and upper limb function (<i>p</i><0.0001). Bilateral stimulation of the phrenic nerves is more effective in bilateral and contralateral diaphragm lesions, multiple signs of diaphragm dysfunction (<i>p</i>=0.044). Unilateral stimulation of the deltoid muscle on the hemiparetic side is more effective in increasing the range of motion and reducing pain when moving the upper limb (<i>p</i>=0.009).</p><p><strong>Conclusion: </strong>Inclusion of rPMS in the rehabilitation complex for patients with hemiparesis in the recovery period of stroke significantly improves immediate and long-term treatment results, contributing to a speedy recovery of diaphragm function, restoration of postural balance, upper limb and external respiration function. The method is safe and well tolerated by patients.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132160","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 place of physiotherapy in non-pharmacological treatment of insomnia: modern concepts. (Literature review)].","authors":"O L Kiryukhin, O M Uryasev","doi":"10.17116/kurort202510204136","DOIUrl":"https://doi.org/10.17116/kurort202510204136","url":null,"abstract":"<p><p>Despite the success of cognitive behavioural therapy for insomnia and recent advances in pharmacotherapy, many patients with insomnia do not sufficiently respond to available treatments. This review article aims to present the state of science regarding the use of physiotherapy approaches in treating insomnia. To this end, we searched MedLine, Embase and PsycINFO from inception to 30 May 2024. We evaluated studies that compared conditions of active physiotherapy with a control condition or group. Outcome measures included standardized insomnia questionnaires and/or polysomnography in adults with a clinical diagnosis of insomnia. The search results have been translated accordingly and adapted to Russian evaluation conditions. Many foreign methods correspond to Russian developments, and are even inferior to them in some characteristics, but the lack of evidence often made it impossible to mention them as procedures with proven effectiveness.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"36-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131828","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":"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}