Background. To date, the study of respiratory function in the clinic is limited, as a rule, to the determination of bronchial conduction indicators, as well as bronchodilation tests, which at the present stage is insufficient for a deep assessment of the functional state of patients with chronic obstructive pulmonary disease. Aims. The development of personalized medical rehabilitation programs for patients who have undergone ischemic stroke at various stages of rehabilitation, including spa. Materials and methods. The article considers the effectiveness of the new method of treating neurological disorders in patients suffering from acute cerebral circulation disorder and having respiratory system function disorder at different stages of rehabilitation, based on the complex application of physiobalneotherapy, LFC and mechanotherapy in sanatorium and resort conditions. Results. After the course of using physical methods of treatment, patients with comorbid pathology showed improvement in health, relief of breathing, reduction of shortness of breath, cough, sputum production, disappearance of wheezing in the lungs. Conclusion. Patients in the early and late recovery period after acute cerebral circulation disorder with accompanying clinical-functional manifestations of respiratory pathology are shown to include in the rehabilitation complex general gasair carbon dioxide baths, nebulizer inhalations of broncho- and mucolytic preparations, as well as classes on a rowing simulator (rowing) against the background of standard drug therapy and therapeutic exercise in the hall.

Relevance. Vegetative dysfunctions of the cardiovascular system are an actual pathology among the employees of the special agent, while vegetative disorders are not severe. In diagnostics, simple physical methods for estimating are effective, the results of which correlate with the data of instrumental survey. Aticle is devoted to the question of comparing the effectiveness of various schemes of medical rehabilitation of employees of the special agent having manifestations of autonomic dysfunction of the cardiovascular system at the stationary stage. The methods of traditional rehabilitation with the use of physical methods and methods, including complex effects of physical, psychotherapeutic and medicinal methods were compared. It is shown that the complex rehabilitation of the special component. In provides the best performance recovery in the short term and ensures the preservation of good indicators of tolerability of professional factors in the long term. Purpose. Study the effectiveness of various schemes of medical rehabilitation of employees of the special agent having manifestations of autonomic dysfunction of the cardiovascular system Material and methods. Study was conducted in a group of 60 employees who underwent medical rehabilitation and examination of temporary disability at the centers for medical rehabilitation of the Ministry of internal Affairs of Russia after performing special tasks in 20122013. Results. It is shown that complex rehabilitation of a special component C in C provides the best indicators of recovery of working capacity at the short-term stage and ensures the preservation of good indicators of tolerability of professional factors in the long-term period. Conclusions. The results obtained show significant advantages of conducting comprehensive medical rehabilitation of employees after performing special tasks, both immediately after their implementation, and in achieving stable remission in the long term, ensuring the retention of qualified and experienced employees and prolonging professional longevity.

Background. The relevance of the work is associated with the high prevalence and socio-economic significance of chronic pain. The number of analgesics consumed in the world is estimated in the tens of tonns. Hardware effects, including neurosurgical interventions, are not always effective and are associated with many side effects of complications. Existing therapeutic and surgical approaches to the treatment of chronic pain require additions. In this regard, the information and structural theory of pain was developed, revealing the information processes occurring in the Central nervous system against the background of chronic pain, as well as the theory of psychological types and information metabolism. In this case, it is easier not to look for the right solution, but to create a mechanism that will come up with a method for finding the right solution. A neural network is one of the ways to implement artificial intelligence (AI). It studies methods for building algorithms that can learn independently. This is necessary if there is no clear solution to any problem. Aims: based on the comparison of data from neuropsychological, clinical and neurophysiological studies, as well as mathematical (neural network) modeling of chronic pain, to identify information and structural justification and practical application of psychoalgology. Methods. A total of A total of 105 patients diagnosed with Dorsopathy (M54.4; M51.1, M54.1) were studied. 50 men and 55 women, men: average age 49 0.5 years; women: average age 52 1.6 years. Assessment of the level of reactive and personal anxiety using the adapted SpielbergerHanin questionnaire, the SAN test, and the assessment of vegetative status using the vegetative questionnaire by A.M. Wein. Neuroimaging research: CT, MRI of the brain and spine for diagnostic purposes. The neurophysiological study consisted of EEG, TCD, duplex scanning of the craniocervical junction vessels. For a more detailed assessment, a neural network analyzer of lumbar pain was used, which allows predicting its course. Results. A clinical and neurophysiological study of patients with back pain revealed that, along with other disorders of cerebral neurodynamics, a large role is played by lateralization of cerebral neurodynamics (asymmetry), which is manifested by more pronounced changes in the EEG in the contralateral hemisphere. When studying the subjective state of patients, two main types of disorders were distinguished: the type of associated and the type of non-associated mental disorders. As a result of the analysis of mathematical (neural network) algorithms of pain syndromes, clinical and neurophysiological studies, new principles of chronization of the pathological process with the transformation of the pain syndrome into an independent psychological disease were formulated. ALGIC DISEASE is characterized by a pronounced clinical polymorphism due to complex information-structural interactions of dominant and subdominant zones and characterized by: 1) heterogeneity and chaotic spatial parameters of pain in relation to the zones of innervation of nociogenic structures; 2) non-topological time parameters of peripheral and Central sensitization with increased pain from instant to prolonged; 3) mutual suppression, displacement, migration of pain centers; 4) changing the monocausal dependence of the polycausal pain syndrome with the possibility of a reverse process in the process of regional integrative measures with a multidisciplinary approach; 5) the relationship of chronic pain with pronounced cognitive, emotional and vegetative reactions. Conclusions. Based on the information and structural theory of pain, the results of research and the proposed psychoalgological approach, the principles of building a rehabilitation program for patients with chronic pain are formulated, which consists in a complex effect on nociogenic structures of types 1, 2 and 3 in combination with the modification of patient behavior through individually selected psychotherapeutic techniques.

The relevance of the work is associated with the high prevalence and socio-economic significance of neurotic disorders associated with stress. Standards of medical care for patients with neurotic disorders associated with stress do not provide for the use of any physiotherapy or hardware effects. Drug therapy is mainly used, but its use is not always effective and is limited by the risk of developing allergies, drug addiction, toxic manifestations, side effects, etc. Therefore, more and more attention has been paid to non-drug treatment methods recently. Non-invasive neuromodulation is a therapeutic exogenous effect on various parts of the nervous system using an electromagnetic physical factor in the conditions of drug therapy. Purpose. Study the effectiveness of noninvasive neuromodulation in patients with asthenic neurosis. Material and methods. A total of 79 patients with the diagnosis of F48.0 Neurasthenia were studied (59 women and 20 men). The median age was 44 4.5 years. The main group 49 patients, 30 patients made up the control group. The course of non-invasive neuromodulation was performed against the background of medical treatment in accordance with the MES with the use of a pulse generator "TETOS" with feedback in the form of electroencephalography (registration certificate no.FRS2011/11198). Results. Immediately after the end of the course of treatment, 80% of patients manage to achieve a significant improvement in their subjective state. As a result of the proposed method, not only significant, but also persistent improvement in the condition of patients is achieved. Conclusions. The basis of this method is the interaction of two methods of treatment: physiotherapy and medication. As a result of the application of the proposed method, the main cause of the disease (psychotraumatic factor, life circumstances, etc.) is gradually identified, and the patient himself becomes aware of it, with subsequent correction of the condition. As a result, not only significant, but also persistent improvement in the condition of patients is achieved. According to the results of observations of the authors of the application, the disease does not resume for 1.52 years.