Background. The problem of diabetic angiopathy is characteristic of countries even with a high level of development of medicine. The high frequency of complications of diabetes with high biological and social significance determines the need for their correction. The purpose of the work was to increase the effectiveness of rehabilitation treatment for patients with diabetic angiopathy through the combined use of therapeutic exercises and functional electrical stimulation of the lower extremities. Methods. A prospective cohort study was conducted, in which 90 patients (63 men and 27 women) with an established diagnosis of type 2 diabetes took part. Results. It was found that the use of therapeutic gymnastics and training walking on a treadmill and functional neuroelectrostimulation of the lower extremities increase the motor capabilities of patients due to the analgesic effect, improved neurogenic control of vasoconstriction of arteriovenous anastomoses and increased capillary blood flow. Conclusion. Functional electrical stimulation method can be effectively used in physical therapy programs for patients with diabetic lower limb angiopathies at the inpatient and outpatient stages.

22Разработка новых реабилитационных комплек-сов, включающих современные инновационные физические методы, воздействующие на различные звенья заболевания: лимфатический дренаж, лим-фообразование, микроциркуляторные процессы, эндотелиальную функцию -является одним из ос- На основе инновационной методики «Кинезиотейпинга», предложенного японским врачом Кензо Каcе, нами был создан новый физиотерапевтический комплекс, включающий наиболее известные лимфодренажные физиотерапевтические ме-тодики: переменную пневматическую компрессию и подводный душ-массаж. Целью работы явилась оценка эффективно-сти использования кинезиотейпирования в комплексной немедикаментозной реабилитации больных лимфедемой нижних конечностей I-III стадии, а также изучение возможности коррекции эндотелиальной дисфункции у больных лимфедемой под влиянием кинезиотейпирования. В исследование были включены 30 больных с лимфедемой нижних конечностей I-III стадии, рандомизированные на 2 группы: 1-я группа -15 больных получали последовательно аппаратный лимфодренаж, кинезиотейпирование и подводный душ-массаж; 2-я группа -15 больных получали аппаратный лимфодренаж и подвод-ный душ-массаж. В результате проведенного исследования выявлены положительные изменения микроциркуляции у боль-ных 1-й группы, свидетельствующие об улучшении эндотелиальной дисфункции, вазодилатации прекапилляров, увеличе-нии кровотока в нутритивном звене микроциркуляторного русла и уменьшении доли неэффективного шунтирующего кровотока с выключением капиллярного звена. Проведенное исследование подтверждает эффективность нового немеди-каментозного реабилитационного комплекса, включающего инновационный лимфодренажный метод кинезиотейпирова-ния, аппаратную пневмокомпрессию и подводный душ-массаж в лечении больных с лимфедемой нижних конечностей, обусловленную сочетанной стимуляцией лимфатического и венозного дренажа, а также влиянием на процессы микро-циркуляции и формированием положительного эндотелиального ответа. Ключевые слова: лимфедема, кинезиотейпирование, переменная пневмокомпрессия, эндотелиальная дисфункция, меди-цинская реабилитация.Вased on the innovative «kinesio-taping» technique proposed by the Japanese researcher Kenzo Kace, we have designed a new physiotherapeutic complex including the well-known physiotherapeutic methods of lymphatic drainage with intermittent pneumatic compression and underwater massage shower. The objective of our study was to evaluate the efficiency of the application of the «kinesio-taping» technique for the non-pharmacological rehabilitative treatment of the patients presenting with stage I-III lymphedema of the lower sextremities. The secondary objective was to evaluate the possibility of correction of endothelial dysfunction in the patients with lymphedema after the application of the «kinesio-taping» technique. The study included 30 patients with stage I-III lymphedema of the lower extremities randomized into two groups. Group 1 was comprised of 15 patients who were consistently treated by a combination of intermittent pneumatic compression, «kinesio...

A review of literature sources on the use of vibrotherapy in physiotherapy is presented. In the mechanism of action of vibrotherapy, the leading role belongs to vibration sensitivity the main link between the human body and the impact on it of the environment. The patient's tissues are affected using devices for vibrotherapy, using mechanical vibrations with a frequency of 10 to 250 Hz in continuous or pulsed modes. Vibrotherapy has trophic, reflex, neuroprotective, myorelaxing, anti-inflammatory, analgesic, oxygenating, antioxidant effects and is recommended for prevention, treatment and rehabilitation in various nosologies and conditions of the human body. In addition to the above, vibrotherapeutic effects contribute to the formation of protective and adaptive mechanisms.

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We conducted an objective and instrumental examination in 79 patients with radical mastectomy in the early postoperative period (2–4days), patients of the 1st group n=23 underwent 10procedures of postoperative suture fluctuation; patients of the 2nd group n=28 underwent 10procedures of fluctuating currents according to the extended technique; and patients of the 3rd group n=28 in addition to the extended technique underwent fluoridation of the forearm muscles by the same parameters. It has been proved that patients have reduced postoperative swelling, reduced pain, reduced the number of postoperative complications in the wound (inflammation, infectious processes, pain, suture divergence), shortened lymphorrhea. There is an increase in the amount and quality of movements, reduced sensitivity disorders in the upper limbs. Thus, the inclusion in the program of medical rehabilitation of various methods of appointment of fluctuating currents in the early postoperative period is appropriate and helps to reduce the time of recovery.

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Background. Rehabilitation of patients after radical treatment of breast cancer is especially relevant due to the fact that successes in diagnostics and treatment of this disease in recent years have led to an increase in the life expectancy of female patients. Aim. to compare the efficiency of various methods of low-frequency low-intensity magnetotherapy in patients operated on for breast cancer, in the early terms (24 days) after surgery. Methods. Objective and instrumental examination was performed in 78 patients after radical surgical treatment of breast cancer in the early stages (24 days) after surgery. All patients received a course of low-frequency low-intensity magnetotherapy. Results. When applying the extended technique (the effect on the segmental-reflex region and upper limb from the side of the surgery), patients noted an improvement in the quality of life, a decrease in swelling of the upper limb, and a decrease in pain syndrome. A decrease in the number of postoperative complications and the duration of lymphorrhea was noted. Conclusion. Thus, the use of various methods of low-frequency low-intensity magnetotherapy is advisable to use in the early terms (24 days) after surgical treatment, however, the use of the advanced technique provides high function capabilities and enables to get a more pronounced and lasting clinical result.

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