Адаптивний теніс як засіб фізичної та психосоціальної реабілітації осіб з інвалідністю

The study of migration processes, caused by the Russian invasion of Ukraine on February 24, 2022, is a rather relevant scientific problem. The main territorial directions of migration processes in Kharkiv region and their impact on the demographic situation in the oblast are defined in the article. Attention is focused on the essence of the terms war fugitives – forced migrants (internally displaced persons) in Ukraine and Ukrainian refugees abroad. At the end of February 2022 yet, the offensive of the Russian invaders on Kharkiv has been stopped thanks to the heroic resistance of the Armed Forces of Ukraine and the Territorial Defense troops. Therefore, Kharkiv has been included in the list of the first cities of Ukraine to receive the title of Hero City (March 21, 2022). Temporal differences in migration flows are determined and the peculiarities of the territorial placement of internally displaced persons (IDPs) in the Kharkiv region and other oblasts of Ukraine are defined on the base of the analysis of statistical data provided by the Kharkiv Regional Military-Civil Administration. The scale of these forced migrations is described, primarily in the city of Kharkiv. Its population has been decreased from 1,400,000 people on the eve of the Russian invasion to 300,000 people in April, 2022. According to the estimations of the Kharkiv city authorities, 600,000 people have been evacuated from Kharkiv by railway alone in the spring of 2022. It has been impossible to evacuate from the northern and eastern areas of Kharkiv region in the first months of the war. A significant part of the region territory (territories of 5 out of 7 districts) is under occupation. Attention is focused on the wave of return (re-evacuation) of the population to Kharkiv, which has started in May, 2022 after the liberation of the city’s nearest surroundings from the Russian occupiers and lasted until the spring of 2023, when the population of Kharkiv reaches 1.1 million people. Almost the whole territory of the Kharkiv region has been liberated in September-October, 2022. The ethnic structure of the population of Kharkiv region at the early 21st century is also revealed. It is indicated that a significant part of the forced migrants who have adapted to the new areas will remain there. This applies not only to Ukrainian migrants abroad, but also to Kharkiv residents who live currently in the other regions of Ukraine, especially among those who have lost their homes and jobs in the Kharkiv region. This will objectively negatively affect the already difficult demographic situation in Kharkiv region in the near future.

To assess the clinical utility of 5 physical therapy (PT) outcome measures in quantifying functional changes in pediatric lower extremity chronic pain treated at a hospital-based interdisciplinary rehabilitation center. This was a cross-sectional study with retrospective review of 173 individuals, 8 to 18 years old, treated from June 2008 to 2013. The measures used were the Timed Up and Go, Timed Up and Down Stairs, Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, 6-minute walk test, and Lower Extremity Functional Scale. Participant performance was correlated with demographic characteristics, the Functional Disability Index, Multidimensional Anxiety Scale for Children, Child Depression Inventory, and Canadian Occupational Performance Measure. Scores from all 5 PT measures showed significant improvement following treatment. Functional Disability Index correlated to every PT measure except the 6-minute walk test. This study supports the clinical use of these PT measures to track functional progress after rehabilitative treatment of lower extremity chronic pain-related disability.

Musculoskeletal pain (MP) is common among workers, especially for health-care professionals. Paradoxically, many of those rehabilitating patients for pain-that is, physical therapists (PTs)-also have pain. Adequate levels of physical activity are recommended for cardiovascular and musculoskeletal health. However, the association between physical activity and MP among PTs remains unknown. This study aims to determine the association between moderate and vigorous leisure-time physical activity levels and MP in PTs. Cross-sectional study. Workplace. Nine hundred eighty-one PTs. Data on MP and leisure-time physical activity were collected using an online survey. The odds for having lower level of MP as a function of physical activity were estimated using binary logistic regression controlled for various confounders. Performing ≥75 min/week of vigorous leisure-time physical activity increased the odds of experiencing lower levels of neck-shoulder pain (odds ratio = 1.43, 95% confidence interval, 1.05-1.94). No association was found neither between vigorous nor between moderate leisure-time physical activity and MP in the arm-hand or back. Performing ≥75 min/week of vigorous leisure-time physical activity is associated with lower levels of MP in neck and shoulders among PTs. No associations were found between vigorous or moderate leisure-time physical activity and MP in arm-hand and back.

Weak hip muscles lead to poor hip motion, and poor hip motion can cause knee, hip, and back pain. By exercising to strengthen the hip muscles that control how your hip moves, you can reduce your pain in these parts of your body. However, it is often difficult to strengthen these muscles without also strengthening a muscle called the tensor fascia lata, which is located toward the front of the hip. Too much activation of that muscle may create unwanted hip motion that may worsen knee, hip, or back pain. A study published in the February 2013 issue of JOSPT provides information intended to help physical therapists and their patients select exercises that target the buttock muscles without causing other unwanted muscle actions. J Orthop Sports Phys Ther 2013;43(2):65. doi:10.2519/jospt.2013.0501

ObjectiveTo determine the effect of live environmental music therapy (EMT), prerecorded music (same music as EMT), and a control condition on state anxiety, stress, pain, and well-being levels in patients and caregivers in the emergency department (ED) waiting areas of 2 general hospitals in Colombia, South America.MethodsThis was a pragmatic, multicenter randomized clinical trial with 3 arms: standard care + EMT, standard care + prerecorded music, and standard care only. Participants included 256 adult patients and 174 caregivers. Primary outcome was the six-item State-Trait Anxiety Inventory. Secondary outcomes were stress and pain levels, assessed with Visual Analog Scales (Visual Analog Stress Scale and Visual Analog Pain Scale), and well-being, assessed with the Well-Being Numerical Rating Scales.ResultsResults indicated that both music therapy interventions were associated with statistically significant reductions in anxiety, stress, and pain levels in patients and caregivers. Improvements in psychologic well-being were observed primarily in the group receiving live music therapy. Overall, live EMT showed better improvements across the emotional and physical outcomes.ConclusionThe results of this study indicate that live EMT and prerecorded music implemented by trained music therapists can be effective strategies for improving mental health and reducing pain in patients and caregivers in the ED waiting area.

To determine the effects of physical therapy and exercise programs that was performed after anterior cervical discectomy and fusion (ACDF) surgery on patient?s pain treatment, a retrospective study was designed. Of the 127 patients without neurological deficit who underwent ACDF surgery in our clinic in 2019 and 2020 for single-level cervical disc herniation, 40 patients (including 23 men and 17 women) were enrolled. The mean age of the patients was 45.5 years. The patients were separated into two groups. Group A comprised 20 patients who did not apply for a post-ACDF physical therapy and exercise program. Group B comprised 20 patients who applied for a 6-month post-ACDF physical therapy and exercise program and complied with it. The Oswestry Deficiency Index (ODI), visual analog pain scale (VAS), and C2-7 cervical lordosis angle were evaluated. The C2-7 cervical lordosis angles were individually calibrated and calculated for each patient using Surgimap. The relationships between the results were compared using Wilcoxon biostatistics test. The ODI, VAS, and C2-7 cervical lordosis angle parameters of Groups A and B were statistically compared. No significant differences in the ODI, VAS, and C2-7 cervical lordosis angle 2 days after surgery and C2-7 cervical lordosis angle 6 months after surgery were observed between the two groups; however, significant differences were observed in VAS and ODI values 6 months after physical therapy in Group B and in VAS and ODI values 6 months after surgery in Group A. No significant difference in C2-7 cervical lordosis angle 6 months after surgery was observed between post-physical therapy Group B and postoperative Group A. Physical therapy and exercise program performed early after ACDF enhances and improves pain management and does not cause any changes in the restoration of cervical misalignment.

Plantar fasciitis (PF) is the most common cause of heel pain today impacting on the patient’s walking ability, work tolerance, and ability to participate in active sport. Two million people in the United States (US) are treated for PF yearly with heel pain accounting for 11 to 15% of visits to medical professionals. It is estimated that 10% of the US population will develop PF during their lifetime. Treatment for PF may include a variety of interventions ranging from conservative treatment to surgical interventions. One of the suggested treatments for PF is the use of extracorporeal shockwave therapy (ECSWT). ECSWT is a relatively new therapeutic modality that has been used in the treatment of PF and a variety of other musculoskeletal disorders with some success reported. Normally healthcare providers do not treat with the use of only one modality or treatment approach but rather a combination of treatments in an attempt to obtain a desired positive effect on the patient. The research available on the use of ECSWT is limited in that it has not been determined whether this modality used in isolation, or in combination is the most effective. Research has been conducted comparing ECSWT to placebo and a variety of controls but the effectiveness of combinations of treatment has not been studied. Therefore, the purpose of this study was to compare the effects of ECSWT alone, to ECSWT and joint mobilization, and ECSWT and exercise, on heel pain in patients with PF, as measured by the visual analog scale (VAS) and Lower Extremity Functional Scale (LEFS). Subjects (N=75) were randomly assigned into 3 groups: ECSWT, ECSWT and joint mobilizations to the talocrural, subtalar, and first metatarsophalangeal (MTP) joint, or ECSWT and stretching for the gastrocnemius, soleus, and plantar fascia and strengthening for the ankle. Subjects received three treatments in total spaced one week apart. A VAS for pain and LEFS were measured pre-treatment and three months post-treatment. All groups demonstrated statistically significant improvement over time in all VAS scores and in the LEFS (P

Purpose: During the past two years, in most institutions worldwide, educational activities were remodeled for remote delivery, due to the COVID-19 pandemic. The purpose of this study is to assess the effects of two-year distance learning on the physical activity and musculoskeletal health of university students.Methods: This was a national, cross-sectional study using data collected via an online questionnaire distributed through university communication platforms, which included questions on online education routines, musculoskeletal health, and physical activity of university students.Results: In total, 1,366 students (65% female, 35% male) from 11 universities took part in the survey. The most common sites of reported pain were the neck (59.5%), shoulders (22.8%), back (29%), and low back (66.7%). Musculoskeletal pain significantly increased during the lockdown, according to the visual analog scale (VAS) for pain (before: 2.7 ± 1.6; during: 5.5 ± 2.2, p<0.001). Everyday pain was referred by significantly more students during the lockdown (4.5% vs 36.1 %, p<0.001), while the percentage of asymptomatic students was significantly decreased (40.5% vs 6.1%, p<0.001). Concerning physical activity, the percentage of students who did not exercise significantly increased during the lockdown (15.1% vs 23.2%, p<0.001). Distance learning and total screen time were positively correlated with VAS for pain scores. On the contrary, an increased frequency of ergonomic position, walking intervals, and physical activity was associated with significantly decreased VAS for pain scores.Conclusions: Distance learning and limited physical activity led to a significant increase in musculoskeletal pain in university students, while exercise and ergonomic body position were considered protective factors. Interventions to encourage physical activity and healthy studying habits should be developed by universities, since distance learning may be again necessary for the future.

Determining the effect of an individually selected complex of special physical exercises in archery and physical rehabilitation means on the functional state of the cardiovascular, neuromuscular, and sensory systems and sports achievements of Paralympic athletes. Material. To achieve the goal and solve the tasks of the study, the following methods were used: theoretical – search and bibliographic methods; empirical – medical-pedagogical and medical-biological research methods; methods of mathematical statistics. Results. The analysis of scientific and methodological literature on practically healthy archery athletes allowed us to establish the important role of the nervous, muscular, and sensory systems in the realization of the archer’s sports results. Physical loads in archery are static and well-studied in practically healthy athletes, but in Paralympic athletes, they have not yet been studied sufficiently, and the effect of physical rehabilitation and special physical exercises in archery on recovery processes in the post-training and post-competition periods has not been studied, so a scientific study of Paralympic athletes was conducted. It was found that the Paralympians of the experimental and control groups at the firing line before and after the first training session of the first stage (background indicators) had no significant differences between all studied indicators. Significant differences between the first and second stages of the study and between the first and third stages of the study were determined only in the experimental group. The positive influence of the use of a complex of special physical exercises in archery and physical rehabilitation means on increasing psycho-emotional stability and improving sports performance has been proved. It was proved that Paralympians of the experimental group were more stable in performing shots and outperformed Paralympians of the control group by the results of shots, which is also an argument for the application of the proposed changes to the plans of educational and training sessions. Conclusions. In order to improve and stabilize sports results, increase psycho-emotional stability in the preparatory part of training sessions of the preparatory and competitive periods, apply a set of special physical exercises in archery and in the final part of physical rehabilitation – back muscle massage, massage of the muscles of the shoulder girdle and upper extremities and, on a free day, recreational swimming.

The leading role in rehabilitation belongs to the methods of physical influence, and the further from stage to stage it advances, the more importance they acquire, ultimately forming a direction or type called "physical rehabilitation". Physical rehabilitation is a system of measures to restore or compensate for physical capabilities and intellectual abilities, improve the functional state of the body, improve physical qualities, psycho-emotional stability and adaptive reserves of the human body by means and methods of adaptive physical culture, elements of sports and sports training. Physical rehabilitation is the use of physical exercises and natural factors for therapeutic and preventive purposes in the complex process of restoring health, physical condition and working capacity of patients and disabled people. It is an integral part of medical rehabilitation and is used at all its periods and stages. Physical rehabilitation is used in social and professional rehabilitation. Its means are therapeutic physical culture, therapeutic massage, physiotherapy, mechanotherapy, occupational therapy. The purpose of physical rehabilitation means, the sequence of application of its forms and methods are determined by the nature of the disease, the general condition of the patient, the period and stage of rehabilitation, the motor regime. Physical culture is a sphere of social activity aimed at maintaining and strengthening health, developing human psychophysical capabilities in the process of conscious motor activity. Physical culture is a part of culture, which is a set of values, norms and knowledge created and used by society for the purpose of physical and intellectual development of human abilities, improving their motor activity and forming a healthy lifestyle, social adaptation through physical education, physical training and physical development. In rehabilitation for the restoration of lost capabilities of the motor function, complexes of physical exercises aimed at recovery and return of t he amplitude of movement are actively used.

The purpose of the study is to determine the dynamics of pain intensity in different parts of the spine in women of the first mature age under the influence of pilates. Materials and methods. 64 women took part in research. The women were divided into two groups, each of which included 32 people. The study was carried out at the Sokol sports club and the Olimp fitness club in Kiev. We used the questionnaire “Visual analogue scale of pain”. Results. We measured the level of pain in the cervical, thoracic and lumbar spine of women of the first mature age. It was found that only 4.69 % of women do not have pain. It was found that women of the first mature age the most often feel painin the cervical region. The women of the control group were engaged in a typical Pilates program. The women of the experimental group were engaged in the author’s program, a feature of which was the use of large equipment during classes. In addition, women who could not attend classes were offered the Pilates computer program. For the experiment, no statistically significant difference between the level of pain in different parts of the spine of women was established. After the experiment, a statistically significant decrease in the level of pain in the lumbar section of women in the experimental group was recorded compared with women in the control group. Conclusions. The results indicate the effectiveness of large equipment to reduce the level of pain in the back of a woman.

The article reveals the system features of planning corrective measures for the formation of the balance function of preschool children with musculoskeletal system disorders. The innovative planning concept implies a harmonious combination of a correction strategy, that should be responsible for the long-term vector of achieving the desired target result, with the corrective tactics of overcoming specific children’s disorders. The strategy reflects a constant component of the correction process and is relatively unchanged, whereas the corrective tactic is based on the variability of individual planning, followed by appropriate methodological support for the implementation of this program for a particular child. The author analyzes the existing approaches in the planning physical education and physical rehabilitation. The analysis revealed the insufficient methodological foundations for the planning of corrective measures to improve the balance function in preschool children with musculoskeletal system disorders. The general principles of planning adaptive physical education for preschool children with musculoskeletal system disorders are considered. The general planning principles (phylogenetic principle, age, calendar, intra-cycle, repetition, the principle of "steps") of adaptive physical education for preschool children with musculoskeletal system disorders were revealed, they were proposed in the technique of N.Efimenko and P.Bochkov. On this basis, a methodology for the phased planning of the targeted formation of the equilibrium function was developed, which reflects the logic of stimulating the five channels of the postural aplomb system and takes into account the peculiarities of postural deficiency in each case. In the conclusions the algorithm of the system for planning correctivee measures to improve the balance function in this category of children is presented. The prospects for research of effective ways of overcoming the postural deficiency in children with musculoskeletal disorders is outlined.

Increasing evidence suggests that musculoskeletal disorders are common in workers in the United States health care industry. Physical therapists, who commonly treat patients with these disorders, are also at risk for work-related musculoskeletal disorders (WMD) in the upper limbs and low back. The purpose of this study was to determine the prevalence of WMD during a 12-month period and the job factors that may be associated with these disorders in physical therapists. A four-page questionnaire was mailed to physical therapists (N = 1,160) who attended The University of Iowa between 1943 and 1993. Nine hundred twenty-eight questionnaires were returned (80% response rate) from physical therapists in 46 states. Based on a literature review and pilot study of physical therapists, a survey instrument was constructed consisting of a symptom survey, a job-factor survey, and various demographic information. The highest prevalences of WMD among physical therapists were in the following anatomical areas: low back (45%), wrist/hand (29.6%), upper back (28.7%), and neck (24.7%). The job factor rated most likely to contribute to job-related musculoskeletal disorders was "lifting or transferring dependent patients." The prevalence of WMD in physical therapists also was affected by work setting, practice specialty, age of patient, and gender of therapist. Specific strategies should be developed to reduce WMD in the practice of physical therapy.

Hip fractures become more common as people age. If they occur when someone is 65 years of age or older, there are a number of things that can ensure a good outcome. Once hip fractures are treated, usually by surgery, rehabilitation begins. This should include physical therapy. The JOSPT published a clinical practice guideline titled "Physical Therapy Management of Older Adults With Hip Fracture" in the February 2021 issue. In this Perspectives for Patients article, we share what the experts found and what it means for you or someone for whom you may be caring. J Orthop Sports Phys Ther 2021;51(2):62. doi:10.2519/jospt.2021.0502.

Background: Cardiac implanted pacemaker technique and therapies play an essential role in the treatment of some clinical heart disease. These disorders include bradyarrhythmias resulting from dysfunction of the sinus node or the atrioventricular node; implantable pacemakers consider as a life-sustaining devices that can return patients to a normal quality of life. Shoulder pain and disability in the first year after implant one of the complications can occur with implanted pacemaker. Aim: The aim of the study was to assess the effect of nursing guidelines on the severity of frozen shoulder among patient with artificial implanted pacemaker, through measuring: 1.The knowledge of patient with artificial implanted pacemaker pre and post implant. 2. The visual analog scale for pain before and after the implant. 3. The disabilities of arm shoulder and hand before and after the implant. Design: A quasi-experimental research design with two groups (control and study) was used to conduct this study. Setting: The study was conducted at outpatient of coronary care unit at EL-Hussein University Hospital. Subject: A purposive sample: The sample size calculated by using Open Ebi version 3. It indicated the sample size was 60 adults patients based on comparing 2 means- 30 for control group and 30 for study group. Tools: Four tools were utilized to collect data in the current study. 1. Patient demographic characteristics 2. Interview questionnaire to assess patients' knowledge (pre-post) 3. A visual analog scale for pain assessment and 4. DASH (disabilities of the arm, shoulder and hand) tool) it was standardizes. Results: high significant positive difference between pre and post test which reveals improvement in both groups knowledge regarding pacemaker implantation, indication, complication, and follow up at p-value 0.000**. Also study indicates that, an improvement in the measurements of all visual analog scale in both groups but there is a significant improvement in study group which return to mild level of pain at 6 month measurement while the control group still in high moderate level of pain and an improvement in the measurements of all DASH scale in both groups but there is a significant improvement in study group at 6 month measurement with a maximum score 8 /30 which indicate minimum disability. Conclusion: The findings of this study concluded that, there is the frozen shoulder and arm discomfort was improved after implementing arm exercise, so practicing simple educational technique can prevent many of complications can occur to patient with implanted pacemaker. Recommendations Based on the results of the current study the following recommendations are suggested; 1. Designing educational guidelines for nurses, patient and their family about arm exercise and 2. Recommended continuous education for such patient in outpatient clinic