The aim of the study was to estimate rehabilitation efficiency in the sportsmen and physical culture professionals with a shoulder pain syndrome. Materials and methods: 980 patients with a shoulder pain syndrome undergo rehabilitation treatment. The reasons of acute or chronic shoulder pain syndrome were: acute trauma (7% of cases) or chronic microtraumatization (93% of cases) of shoulder tissues during the physical culture activities and sport. Rotary cuff pathology was diagnosed in 88% of patients, long head of biceps pathology - in 5%, acromioclavicular joint pathology - in 4%, the subacromial bursitis in 2% of cases, damage of the glenoid labrum (Bankarta) in 1%. Clinical methods (including the quality of life questionnaire -DASH) and instrumental methods (USD and MRI) were used. The differentiated rehabilitation programs (with the use of modern physical therapy methods) were recommended considering features of shoulder pathology, a patients clinical condition and their physical (including sports) activity. Results: Excellent and good results were stated in 98% of patients with a shoulder pain syndrome. 2% of patients were directed for the surgical intervention (rotary cuff and glenoid labrum restoration). Compensation of a shoulder pain syndrome was stated in 82% of patients; in 16% of patients the pain syndrome had significantly decreased. In 87% of patients function of the injured shoulder joint was restored, in 11% of patients - it significantly improved. Strength of shoulder muscles and a humeroscapular rhythm were restored and the quality of life (according to the DASH questionnaire) improved in 98% of patients. Conclusion. Use of the differentiated programs of rehabilitation using modern physical techniques allows to receive excellent and good results in all patients with a shoulder pain syndrome involved physical culture and sport.
The aims of the study were to develop a vehicle with elements of neural-control for people with limited mobility and to test algorithms for transforming human bioelectric activity into the driving commands. Results. A running model of the first urban electric vehicle (neuro-mobile) with elements of neural-control and neuro-assistance intended for people with motor deficits and the elderly, has been created. The neuro-mobile is an original combination of the car body and asynchronous motor-wheels drives, able to accommodate the pilot on a wheelchair and a second person (passenger). It is equipped with a pilot assistance gear-a technical vision system, which reliably assesses the traffic situation by integrating the sensor data and recommends the correct driving path. Thus, the pilot is advised on possible driving scenarios (e.g., "changing lanes", "staying in this lane", "turning", etc.) presented by the audiovisual information tools. Another component of the neuro-mobile is the neural-control system able to analyze various bio-signals, including the electroencephalogram (brain-computer interface) and electromyogram (neuromuscular interface). The signals reflect the pilot's intention to choose one of the proposed movement options. A combined solution of the assisting electronic systems and the neuro-interfaces is transmitted to the drive control system (motor-wheel, steering wheel, brakes, etc.) to carry out the selected command. Thus, the proposed neuro-mobile may substantially increase the number of individuals with musculoskeletal deficiency, capable of moving with the road traffic.
Medical rehabilitation in our country is under reformation currently and new rehabilitation system model is being created. In this regard, it is particularly important to study path of our predecessors and pioneers of this scientific direction. The article analyzes the experience of organization and establishment of industrial rehabilitation system for patients and disabled persons, created on the basis of Nizhny Novgorod research Institute of traumatology and orthopedics and medical-sanitary unit of Gorky automobile factory in the 70-s of the previous century. The article focused on both medical and socio-economic efficiency issues of the established system, which has been a school of excellence in Russian Federation for many years. Knowledge of this experience could be of great value for current specialists, because, as our compatriot A.M. Gorky said, "Without knowing the past, it is impossible to understand the true meaning of the present and the goals of the future."
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