Vol 17, No 2 (2018)

In the article devoted to the 135th anniversary of the G.A. Albrecht Federal Scientific Centre for the Rehabilitation of the Disabled of The Ministry of Labour and Social Protection of the Russian Federation it is said about the main directions of the activity of the Institute of Rehabilitation and Abilitation of the Disabled. The Centre made a significant contribution to the formation and development of the foundations of medical and labour, and later medical and social expertise, social and labour, professional and social rehabilitation. The researches of the physiological functions of the disabled in the process of their work conditions were holding during many years in the Institute. The scientific potential of the centre in modern conditions consists of the development of two institutions that are part of the centre: the Institute of Rehabilitation and Abilitation and the Institute of Prosthetics and Orthotics. The researches currently are related to the implementation of the rights of the disabled and monitoring the implementation of the Convention on the Rights of the Disabled (UN, 2006), the creation of organizational and legal mechanisms for the functioning of the rehabilitation system for disabled in the Russian Federation, the creation of an early assistance system, the development of methodological foundations for the creation of an accessible environment for life of the disabled.

In 40 patients with patellofemoral pain syndrome, before and after the course of treatment, the strength indices of the hip muscles were studied by isokinetic dynamometry, as well as the severity of the pain syndrome in the knee joint and the lumbosacral spine according to the visual analogue scale. The patients of the main group (n = 20) used the technique of complex correction of the pelvic region and lower limb, which was mainly aimed at stabilizing the lumbosacral spine. Patients of the control group (n = 20) performed therapeutic gymnastics aimed at training the muscles of only the interested lower limb. The treatment was performed on an outpatient basis daily for 21 days. After the course of treatment in patients of the main group, the strengths of the quadriceps femoris were significantly higher (p < 0.05), and the degree of pain in the knee joint and lumbar spine was significantly lower (p < 0.05). The obtained data confirm the necessity and expediency of including exercises for stabilization of the lumbosacral spine in the rehabilitation program for patients with patellofemoral pain syndrome.

Rosacea is a polyethiological disease at the base of it progress is pathologically changed innervation of vessels of the skin of face - angioneurosis and it undergoes several stages of development. Initially, against the background of permanent extension, the vascular wall loses elasticity and the blood plasma penetrates it. Microcirculation disorders lead to hypostasis of tissues. This process leads to change of a biota of the face skin - to the uncontrollable growth of number of a Demodex tick, which is one of the ethyopathogenetics factor of promotion from erythemoteleangiectatic form to papulopustular. Etiological reasonable approach for therapy of papulopustular rosacea is a combination of external and physiotherapeutic methods of therapy. As medicamentous therapy for suppression of excess activity of a Demodex tick and its uncontrollable growth in our research we have taken the cream with 1% of Ivermektin. As a physiotherapeutic influence - the submilisecond Nd:YAG-laser radiation (1064 nm). This radiation influences at expanded vessels, sanifies pustules, moderate temperature increase in a derma to 41-42оС, leads to elimination of puffiness and stage-by-stage restructuring of collagen fibers.

Aims: to study the effectiveness of kinesiotherapy in medical rehabilitation of patients with isolated fractures of the forearm bones. Material and methods. The study was conducted in 44 patients aged 19-85 years with isolated fractures of the forearm bones, who underwent surgical treatment with osteosynthesis. In the control group (n=21), a standard course of medical rehabilitation was conducted in the postoperative period, which included massage, physiotherapy exercises and magnetotherapy. In the main group (n=23), in the postoperative period, the kinesiotherapy of the shoulder and forearm was performed against the background of a standard course of medical rehabilitation. Kinesio tapes were used on the 2nd day after the operation and applied for 72 hours, after which they were changed to new ones. The duration of the study was 12 months. The severity of the pain syndrome, the amplitude of the movement of the wrist joint and the rotational movements of the forearm, the strength of the fist grasp, the function of the upper limb, the quality of life of the patients were evaluated. Results. The use of kinesiotherapy in the period from 1 month after the operation significantly reduced the subjective severity of the pain syndrome by an average of 22.7%, reduced the number of patients with persistent edema by 1.75 times and increased the number of patients without edema by 2.3 times compared with application of a standard course of medical rehabilitation. The parameters of the amplitude of motion in the wrist joint, rotational movements, and the dynamometry of the fist grasp in patients of the main group were slightly higher than those in the control group throughout the observation period. In the long-term period, the number of patients with excellent treatment outcomes in the main group was 1.5 times higher than in the control group, the number of patients with satisfactory results was 1.3 times lower than in the control group. Conclusions. Kinesiotherapy is a promising, simple, non-traumatic method with no side effects and complications, allows to significantly reduce the severity of the pain syndrome, improve the quality of life of patients, contribute to earlier relief of postoperative edema and the most complete restoration of clinical and functional parameters of the wrist joint and can be used as one of the methods in the complex rehabilitation of patients with isolated fractures of the forearm bones.