Aim: To analyse and summarise modern scientific research related to the problems of organising the rehabilitation of patients with lower limb amputations due to mine-explosive trauma. Materials and Methods: To achieve this aim, we used the PubMed and Google Scholar databases to identify studies published between 2010 and 2025 related to the organisation of rehabilitation of patients with lower limb amputations due to mine-explosive trauma. A total of 68 sources were reviewed, and 30 were selected as containing relevant information directly related to this topic. Conclusions: Currently, in Ukraine, clinical pathways for patients with amputations and criteria for the stages of medical and rehabilitation care have been developed, reflecting the current amendments to the Law of Ukraine “On Rehabilitation in the Healthcare Sector”. The development and implementation of rehabilitation pathways for patients with lower limb amputations due to mine-explosive trauma are important for the effective organisation of the rehabilitation process. The use of these pathways will ensure consistency and continuity of rehabilitation and facilitate patients’ return to an active life.
Aim: Vestibular rehabilitation therapy (VRT) is recommended for vestibular migraine (VM); however, existing reviews include heterogeneous study designs, limiting the reliability of their conclusions. This systematic review evaluated the efficacy of VRT in adults with VM by restricting the analysis to prospective studies published between 2016 and 2026, with an exploratory consideration of its potential relevance to spa and health resort settings. Materials and Methods: A systematic search of PubMed and the Cochrane Library was conducted for studies published from January 2016 to May 2026. Inclusion criteria comprised adults (≥18 years) with a diagnosis of VM according to the Bárány Society/International Headache Society criteria, prospective study design, VRT as the primary or adjunctive intervention, and reporting of at least one standardized outcome measure. Retrospective studies, case reports, and narrative reviews were excluded. Risk of bias was assessed using the Newcastle-Ottawa Scale. Results: Two prospective studies meeting all inclusion criteria were identified, comprising 311 participants overall, including 58 patients with VM. Both studies demonstrated statistically significant improvements in Dizziness Handicap Inventory (DHI) scores following VRT (p<0.001). Significant improvements were also observed in balance confidence, gait stability, activities of daily living, headache impact, and psychological well-being. Clinical improvements were reported following VRT used both as monotherapy and in combination with pharmacological treatment. Conclusions: Although based on a limited number of prospective studies, the available evidence suggests that VRT may reduce dizziness-related disability and improve quality of life in adults with VM. Future well-designed randomized controlled trials with standardized protocols, larger VM-specific cohorts, and long-term follow-up are urgently needed.
Neuroimmune interactions play a fundamental role in the regulation of anxiety and stress responses, particularly in conditions associated with chronic stress exposure and neuropsychiatric dysregulation. Growing evidence indicates that inflammatory signalling pathways, including cytokine activation, oxidative stress, and neuroendocrine imbalance, contribute to altered emotional regulation, autonomic dysfunction, and sleep disturbances. Dysregulation of the hypothalamic–pituitary–adrenal axis and persistent low-grade inflammation may increase vulnerability to anxiety symptoms and impair adaptive stress responses. From a balneological perspective, spa-based therapeutic strategies may support the modulation of neuroimmune mechanisms through combined thermal, hydrostatic, and environmental stimuli. Balneotherapy, hydrotherapy, climatotherapy, and structured spa rehabilitation programmes may influence autonomic balance, promote parasympathetic activation, and reduce inflammatory burden, thereby contributing to improved psychological resilience and stress adaptation. Exposure to natural environments and relaxation-oriented interventions may additionally support neurobiological recovery and emotional stabilisation. Integrating contemporary neuroimmunology with balneological medicine provides a multidisciplinary framework for non-pharmacological rehabilitation targeting both physiological and psychosocial aspects of anxiety and stress-related disorders. This review highlights the potential of balneotherapy as a complementary strategy within environmental neurorehabilitation and emphasises the need for further clinical studies evaluating neuroimmune biomarkers as outcomes of spa-based interventions.
Aim: To compare the preliminary effects of post-isometric relaxation and proprioceptive neuromuscular facilitation, each added to an identical standardised physiotherapy programme, on pain, disability, and cervical mobility in older women with neck-related arm pain. Materials and Methods: Eight women aged 53–74 years with non-traumatic neck pain radiating to the upper limb were consecutively recruited and allocated, using simple non-randomised sequential allocation, to a post-isometric relaxation group or a proprioceptive neuromuscular facilitation group. Both groups completed ten 60-minute physiotherapy sessions over five weeks; the respective intervention was additionally applied for 10–15 minutes after each session. Outcomes were pain intensity, Neck Disability Index score, and cervical range of motion. Results: Pain decreased in both groups, disability scores improved, and cervical mobility increased after treatment. The observed changes in several range-of-motion parameters and pain reduction were generally greater in the proprioceptive neuromuscular facilitation group, while post-isometric relaxation was also associated with meaningful within-group improvement. Conclusions: Both approaches appear feasible and may support pain reduction and improved cervical mobility in older women with neck-related arm pain. Because of the very small, non-randomised pilot sample, the findings are exploratory and require confirmation in adequately powered randomised trials.
Aim: To determine the effectiveness of constraint-induced movement therapy with functional electrical stimulation in improving motor hand function among post-stroke survivors. Materials and Methods: This experimental study involved 60 stroke patients with middle cerebral artery syndrome, selected based on inclusion and exclusion criteria using convenience sampling. Participants were divided into two groups: constraint-induced movement therapy with functional electrical stimulation and conventional therapy with functional electrical stimulation. Both groups underwent interventions five days per week for four weeks, with sessions lasting 45-50 minutes. The interventions included task-specific exercises such as reach and grasp, object manipulation, and buttoning practice. Functional electrical stimulation targeted the wrist and finger muscles with specific stimulation parameters. Hand function was assessed using the Jebsen-Taylor Hand Function Test before and after treatment. Results: Participants demonstrated significant improvement in hand function following the interventions. In the CIMT group, the JTHFT mean score decreased from 96.73 ± 1.55 at pre-test to 93.37 ± 2.98 at post-test (p < 0.001). The CT group also showed improvement, with scores decreasing from 96.00 ± 1.62 to 95.40 ± 1.77 (p = 0.010). Between-group comparison of post-test values revealed significantly greater improvement in the CIMT group (p = 0.0021). Baseline values did not differ significantly (p = 0.0785), indicating comparability of the groups prior to treatment. Conclusions: Combining constraint-induced movement therapy with functional electrical stimulation improves hand function after stroke more effectively than conventional therapy by promoting use of the affected limb and motor recovery. This approach shows promise for improving motor hand function and functional use of the affected upper limb among post-stroke survivors; however, further research is needed to evaluate its long-term effects and effectiveness across diverse patient populations.
Aim: The aim of this pilot study was to evaluate the effectiveness of early mobilization exercises combined with breathing techniques in improving cardiovascular fitness, quality of life, and functional recovery in patients following myocardial infarction (MI), compared with standard postoperative care. Materials and Methods: A total of 30 patients aged 18–80 years who had undergone CABG or PCI following myocardial infarction were included in this randomized pilot study and allocated to two groups of 15 participants each (group A: 10 men and 5 women; group B: 10 men and 5 women). All participants were hemodynamically stable. The early mobilization protocol included graded physical activities such as bed mobility, sitting, standing, ambulation within the ward, and light limb exercises performed under the supervision of a physiotherapist. The intervention was conducted for two weeks, with 30-minute sessions five days per week. Functional capacity was assessed using the 6-minute walk test (6MWT), and perceived exertion using the Visual Analogue Scale (VAS). Pre-test and post-test assessments were performed on postoperative days 7 and 30, respectively, and outcomes were compared between the intervention and control groups. Results: Patients who participated in early mobilization showed significant improvements in 6MWT distance and VAS scores compared with the control group. Conclusions: Early mobilization appears to be an effective intervention for improving cardiovascular fitness and functional capacity following myocardial infarction. Larger randomized controlled trials are needed to confirm these findings and establish standardized rehabilitation protocols.
This literature review highlights the importance of comprehensive rehabilitation management in patients with hemophilia who experience joint and intramuscular hemorrhages. It also discusses the usefulness of physiotherapeutic interventions, particularly the potential application of laser therapy in patients with hemophilia. The review was based on an analysis of PubMed and Scopus databases concerning the planning and organization of comprehensive rehabilitation for patients with hemophilia, with particular consideration of multicenter studies with high methodological reliability. Properly conducted rehabilitation contributes to reducing the negative effects of hemophilic arthropathy. Laser therapy may be an effective rehabilitation method following both traumatic and spontaneous hemorrhages. This paper presents physiotherapeutic options for patients with hemophilia, taking into account rehabilitation procedures for both spontaneous and traumatic bleeding. Particular attention is paid to rehabilitation management in cases of joint and intramuscular hemorrhages. The presented approaches may support their broader implementation in clinical practice. Early targeted rehabilitation may help improve quality of life and shorten recovery time.
Aim: This paper outlines the basic principles of designing and statistically analysing studies on spa interventions and describes the key steps from formulating a research question to conducting the final statistical analysis. It also highlights common methodological errors that may affect the validity of conclusions in balneological research. Materials and Methods: This narrative review covers hypothesis formulation, study design – including randomisation and control groups – data collection, and the selection of appropriate statistical tests. It also discusses the role of the statistician during the design phase and the need to verify the assumptions underlying statistical models. The review is based on a non-systematic selection of published systematic reviews, meta-analyses, methodological studies, and statistical textbooks concerning clinical research methodology and balneological research. These sources repeatedly identify problems such as inadequate randomisation, poorly defined outcome measures, and insufficient statistical power. Conclusions: Statistical methods are an essential component of clinical research and a key tool for the objective assessment of spa treatment effects. Appropriate study design, adequate statistical analysis, and verification of statistical assumptions are necessary to obtain valid and clinically relevant results. A stronger role for statistics in balneological research can support evidence-based clinical practice and further methodological development in spa medicine.
Trauma-related sensitisation of fear responses is a key mechanism underlying the development and persistence of post-traumatic stress disorder (PTSD) and related stress-associated conditions. Traumatic exposure may increase fear reactivity, impair extinction processes, and contribute to emotional dysregulation, sleep disturbance, cognitive dysfunction, autonomic imbalance, and somatic symptoms that can affect functional recovery. Neurobiologically, these changes are associated with dysregulation of limbic–prefrontal circuits, altered hypothalamic–pituitary–adrenal axis activity, changes in neurotransmitter regulation, neuroimmune activation, oxidative stress, and impaired neuroplasticity. Understanding these mechanisms is important for developing integrative rehabilitation strategies addressing both the psychological and physiological consequences of traumatic stress. From a clinical and balneological perspective, spa-based neurorehabilitation may offer supportive effects through combined thermal, hydrostatic, environmental, physical, and behavioural stimuli. Balneotherapy, hydrotherapy, climatotherapy, therapeutic exercise, and structured spa rehabilitation programmes may support stress regulation, sleep quality, autonomic balance, emotional stabilisation, and functional recovery. Exposure to restorative natural environments and predictable therapeutic routines may additionally facilitate adaptive coping and participation in rehabilitation. Nevertheless, current evidence does not establish balneological interventions as specific treatments for PTSD. Their potential role should therefore be considered complementary to established psychiatric, psychological, and rehabilitative care. Trauma-related sensitisation of fear responses may represent a relevant target for personalised neurorehabilitation strategies integrating contemporary neurobiological knowledge with appropriately selected balneological and environmental interventions.
Aim: The aim of this article was to assess the importance of recreational and sports services in increasing the attractiveness of stays at health resorts. Materials and Methods: This objective was achieved through an expert survey involving deliberately selected physicians working in sanatoriums, primary care clinics and specialist hospitals; physiotherapists working in sanatoriums and specialist hospitals; individuals from local government administration associated with health treatments; and researchers dealing with health resort issues. Results: According to the majority of experts (62%), recreational and sports services increase the attractiveness of stays at health resorts. The availability of information about these services was assessed as sufficient by most experts, although nearly a quarter indicated a lack of information. Experts’ opinions on the level of these services were divided: responses suggesting that the level of these services is good were balanced with assessments that it is poor (40.5%). The presented expert opinions support the hypothesis concerning the importance of recreational and sports services for the attractiveness of stays at health resorts. Conclusions: According to experts, recreational and sports services are an important element in the treatment and recovery process of patients because physical activity has a positive effect on mental and physical health. These opinions should reach facility hosts and managers of sanatorium facilities and health centres, as well as doctors and therapists.
Sleep disturbances are among the most prevalent and clinically relevant symptoms of post-traumatic stress disorder (PTSD) and have been associated with neurobiological and inflammatory dysregulation. Alterations in sleep architecture, circadian rhythm disruption, and insomnia may contribute to heightened stress reactivity, impaired emotional regulation, and the persistence of trauma-related symptoms. Growing evidence suggests that inflammatory mediators, including interleukin-6 and other cytokines, as well as markers of oxidative stress, may be involved in the complex relationship between sleep dysfunction and neuropsychiatric symptom severity. From a balneological perspective, evidence derived predominantly from populations other than patients with PTSD suggests that spa-based interventions may influence sleep-related and psychophysiological outcomes; however, their efficacy in PTSD has not been established. Balneotherapy, hydrotherapy, thermal interventions, and structured spa-based programmes may potentially influence sleep regulation through thermoregulatory, autonomic, neuroendocrine, and inflammatory mechanisms. These mechanisms and their clinical relevance have not been sufficiently evaluated in PTSD-specific trials. Integrating balneological interventions with contemporary understanding of PTSD neurobiology may provide a conceptual framework for future investigation of personalised rehabilitation strategies in patients presenting with sleep disturbances and neuroimmune dysregulation. This narrative review highlights the potential, but as yet insufficiently established, role of balneological rehabilitation in PTSD and underscores the need for well-designed controlled studies evaluating sleep parameters, inflammatory biomarkers, clinical outcomes, and safety.
Aim: To assess gender-specific differences in the effectiveness of cardiac rehabilitation among obese patients after a first myocardial infarction and to identify factors influencing functional recovery. Materials and Methods: A prospective observational study was conducted between 2020 and 2024 at City Hospital No. 1 in Mykolaiv, Ukraine. The main group included 100 inpatients with stage I obesity (BMI 30.0–34.9 kg/m²) who experienced a first acute myocardial infarction, while the control group consisted of 100 normal-weight patients (BMI 18.0–24.9 kg/m²) with comparable clinical and anamnestic characteristics. All patients received standardised revascularisation, pharmacotherapy, and a comprehensive rehabilitation programme comprising physical training, dietary modification, psychological support, and education. Functional status was assessed using left ventricular ejection fraction (LVEF) and the 6-minute walk test. The follow-up duration was 6 months. Statistical analysis included variance and correlation analyses. Results: Obese women more frequently presented with atypical myocardial infarction symptoms and had higher rates of acute heart failure and arrhythmias. At discharge, obese women demonstrated higher VAI values and lower exercise tolerance than obese men and normal-weight women (p < 0.05). After rehabilitation, both groups showed improvement; however, obese women exhibited slower recovery of exercise tolerance and a 15% lower increment in LVEF than men. Clinically significant improvement in the 6-minute walk distance was observed less frequently in obese women. Conclusions: Obesity adversely affects post-infarction recovery, and gender-specific factors may modify rehabilitation outcomes. Obese women demonstrated delayed functional recovery and a smaller improvement in cardiac function. Gender-sensitive rehabilitation strategies and targeted secondary prevention programmes may help optimise outcomes in this high-risk population.
Aim: To evaluate the effects of exergaming added to comprehensive rehabilitation on cognitive, motor, balance, emotional, and selected cerebrovascular haemodynamic outcomes in patients with cerebral small vessel disease (CSVD). Materials and Methods: Sixty-four patients with MRI-confirmed CSVD (mean age, 67.4 ± 5.8 years) were randomized to an intervention group receiving standard rehabilitation plus exergaming or a control group receiving conventional rehabilitation. The exergaming programme consisted of 45–60-minute sessions, three times weekly for 12 months, using a stabilometric platform with motion feedback. Outcomes were assessed at baseline, 6 months, and 12 months using the MMSE, MoCA, Schulte test, Digit Symbol Substitution Test, Berg Balance Scale (BBS), Timed Up and Go (TUG) test, stabilometric indices, Geriatric Depression Scale, Hamilton Anxiety Rating Scale, and transcranial Doppler parameters. Results: At 12 months, the intervention group showed greater improvements than the control group in MMSE scores (+15.0% vs +5.5%; p < 0.001), MoCA scores (+23.1% vs +8.8%; p < 0.001), and balance (BBS: +8.8 vs +3.2 points). TUG time decreased by 20.1% in the intervention group, compared with 5.7% in controls (p = 0.001). CoP sway area decreased by 30.9% in the intervention group and by 10.9% in controls. Depressive and anxiety symptom scores also decreased more markedly in the intervention group. PSV and EDV increased, whereas PI decreased by 11.1%; lower PI values were correlated with greater improvement in MoCA scores (r = −0.57; p < 0.01). Conclusions: Exergaming added to conventional rehabilitation was associated with greater improvements in cognitive function, balance, mobility, postural control, emotional status, and selected cerebrovascular haemodynamic measures in patients with CSVD. It may be a feasible adjunct to comprehensive rehabilitation; larger controlled studies are needed to confirm its long-term effects and underlying mechanisms.
Aim: To assess the early feasibility of the EUKINES prototype plantar-pressure insole system by determining whether stable plantar-pressure data can be acquired during treadmill walking, whether mean foot pressure (MFP) can be derived repeatably, and whether short-duration use is safe and acceptable for adult participants. Materials and methods: This preliminary exploratory study was conducted as an early phase of the EUKINES project. Twenty-five adult volunteers were recruited using convenience sampling without restrictive eligibility criteria. Participants completed standardized treadmill walking trials in athletic footwear at 2 km/h for approximately 60 seconds following familiarization. Measurements were collected using prototype EUKINES insoles with printed plantar-pressure sensors and compared with a commercial in-shoe system (Medilogic). The primary analyzed parameter was mean foot pressure, calculated separately for the left and right limbs as the average plantar pressure during stance and expressed as a normalized, dimensionless index. Safety was assessed through observation and participant-reported discomfort, while perceived safety and comfort were evaluated using a 7-item Likert-scale questionnaire. Results: Technically valid measurements were obtained with a high completion rate and without technical failures requiring session termination. EUKINES and Medilogic showed comparable mean foot pressure values without statistically significant between-system differences. All participants completed the protocol without adverse events; no skin irritation, pain, or gait disturbance was reported. Questionnaire findings indicated high perceived safety and tolerability, with occasional mild discomfort attributed to prototype material and insole folding. Conclusions: The EUKINES system enabled stable plantar-pressure measurement under controlled walking conditions and was well tolerated during shortterm use, supporting progression to preclinical validation and further clinical investigation.
Aim: The aim of the study was to evaluate the effects of physical therapy on symptoms and cervical spine mobility in patients with cervical spine pain syndromes, as well as to assess the influence of selected demographic and clinical factors on treatment outcomes. Materials and Methods: The study was conducted at the Omega Medical Centre in 40 patients with cervical spine pain associated with degenerative disease who underwent a 2-week outpatient rehabilitation programme. Patients were divided into two groups based on symptom characteristics: Group 1 (predominantly acute pain) and Group 2 (chronic pain of mechanical origin with a pronounced muscular component). Both groups received TENS currents, massage, and kinesiotherapy; additionally, Group 1 underwent laser therapy, while Group 2 received ultrasound therapy. Treatment outcomes were assessed based on changes in pain intensity and cervical spine mobility before and after therapy. Results: Physical therapy significantly reduced pain intensity and improved cervical spine mobility in the study patients. Overall clinical improvement was observed after treatment, and a relationship between treatment outcomes and patient age was identified. Conclusions: Degenerative diseases of the cervical spine constitute an important clinical and social problem. Physical therapy significantly reduces pain and improves cervical spine mobility in affected patients. Associations between treatment outcomes and patient age were observed; however, these relationships should be interpreted with caution. Physical therapy should be tailored to the patient’s clinical condition. In particular, patients with paraspinal muscle contractures and neck stiffness may benefit from electrotherapy and ultrasound therapy.
Aim: To evaluate the effects of plyometric training and Swiss ball training on core stability and dynamic balance in collegiate cricket players. Materials and methods: Thirty-eight participants were selected based on inclusion and exclusion criteria and divided into two groups: plyometric training (n = 19) and Swiss ball training (n = 19). Outcomes were assessed using the modified star excursion balance test (MSEBT) and the prone bridge test (PBT). Results: In the Swiss ball training group, MSEBT scores increased from 83.747 to 91.821 for the left leg and from 84.416 to 92.395 for the right leg (p < 0.0001). In the plyometric group, left leg scores increased from 84.279 to 86.105 and right leg scores from 84.884 to 88.642 (p < 0.0001). In the prone bridge test, the Swiss ball group improved from 83.68 to 120.11 seconds, while the plyometric group improved from 82.95 to 104.21 seconds (p < 0.0001). Conclusions: Both plyometric and Swiss ball training significantly improved dynamic balance and core stability. Greater improvements were observed in the Swiss ball training group.
Gait analysis is an essential tool in orthopedic rehabilitation, enabling objective evaluation of locomotion and recovery after surgical procedures such as total hip and knee arthroplasty, osteotomies, and ligament reconstruction. Traditional observational methods often fail to detect subtle asymmetries and compensatory mechanisms, highlighting the need for objective and repeatable measurement technologies. Pressure-based systems and wearable solutions, combined with telemedicine and artificial intelligence, increasingly facilitate continuous monitoring and support personalized rehabilitation. This review aims to present pressure-based gait analysis technologies, describe their applications in orthopedic rehabilitation, and evaluate their potential integration with remote monitoring systems. The concept of the EUKINES system, a low-cost wearable solution for home-based rehabilitation, is also introduced. Pressure measurement systems, including stationary platforms and smart insoles, allow detailed assessment of load distribution, gait symmetry, and biomechanical function. These technologies support monitoring of recovery after arthroplasty, ligament reconstruction, osteotomies, and fractures by identifying compensatory patterns, asymmetry, and abnormal limb loading. Stationary systems provide high precision under controlled conditions, whereas wearable insoles enable continuous monitoring during daily activities and support telerehabilitation. The EUKINES system combines flexible piezoresistive insoles, wireless data transmission, automated analysis, and real-time biofeedback, offering an accessible and scalable solution for remote rehabilitation. Pressure-based gait analysis provides objective, clinically relevant information supporting diagnosis, therapy planning, and long-term monitoring in orthopedic rehabilitation. Mobile wearable technologies and systems such as EUKINES expand access to continuous and home-based rehabilitation, enabling more personalized, data-driven care.
Aim: The aim of this study was to investigate the effects of combined somatosensory training with blood flow restriction training (BFRT) on pain intensity and balance function in individuals with patellofemoral pain syndrome (PFPS). PFPS is characterized by pain around or behind the patella, aggravated during weightbearing activities with knee flexion, and is associated with impaired neuromuscular control and muscle weakness leading to balance deficits. Somatosensory training improves proprioceptive input, while BFRT enhances muscle strength using low loads; however, evidence on their combined effects remains limited. Materials and Methods: A quasi-experimental study was conducted on 40 subjects with PFPS from a private institution in Kancheepuram, Tamil Nadu. Participants included both males and females with an increased Q-angle, positive Ober’s test, and a Kujala scale score of 83/100. Exclusion criteria encompassed prior knee surgeries, lower limb fractures, patellar dislocation/subluxation, muscle tears, degenerative hip or ankle conditions, and systemic disease. Results: SPSS was used to analyse and interpret all data. The intervention led to significant improvements in pain reduction and balance performance. Participants showed increased reach distances in all directions of the Y Balance Test, with reduced standard deviations, indicating enhanced stability, control, and more consistent performance. These findings highlight the intervention’s effectiveness in improving both functional ability and movement reliability. Conclusions: Combining somatosensory training with blood flow restriction (BFR) therapy significantly improved pain and balance in individuals with patellofemoral pain. This low-risk, joint-friendly approach enhances muscle strength without high-intensity stress, making it suitable for those with instability or discomfort.
Aim: The aim of the study is to compare the effects of bright light therapy and combined pectoralis therapy with breast massage and relaxation exercise for stress and cyclic mastalgia. Materials and Methods: This study was conducted at a medical college and hospital in Chennai. 40 subjects were randomly assigned into two groups (n=20). The intervention group received bright light therapy for 30 minutes followed by combined pectoralis therapy for 30 minutes (total 60 minutes per session). The control group received 30 minutes of breast massage followed by 30 minutes of relaxation exercises (total 60 minutes per session). Both groups received interventions 3 times/week for 4 weeks. Outcome measures included daily breast pain charting and perceived stress scale and were measured before and after the intervention. Results: The participants showed a significant reduction in breast pain for bright light therapy group 28.8 +/- 7.8 than for the breast massage group 30.35 +/- 5.72. There was a significant reduction in stress in bright light therapy group 15.7 +/- 6.05 compared to breast massage group 17.45 +/- 7.00. Conclusions: Bright light therapy and combined pectoralis therapy can be considered as effective treatment method for breast pain and stress during primary dysmenorrhea.
Aim: To describe the experience of organizing and implementing multidisciplinary pediatric rehabilitation within a supracluster multi-profile children’s hospital in the Chernivtsi region under martial law in Ukraine. Materials and Methods: The study summarizes the organizational development and clinical activity of the rehabilitation department of the Regional Municipal Non-Profit Enterprise “Chernivtsi Regional Children’s Clinical Hospital” during 2024–2025. Data from electronic medical records and institutional reports were analyzed in accordance with current Ukrainian legislation regulating rehabilitation care for children. Conclusions: After obtaining supracluster status in 2023, the hospital established an inpatient rehabilitation department providing services for children with neurological, orthopedic, somatic, and neonatal conditions. In 2024, 554 children received rehabilitation care, including 113 children under 3 years of age. The department functions as a multidisciplinary center equipped with neurophysiological diagnostic facilities and provides individualized rehabilitation programs within a single institutional structure.The development of pediatric rehabilitation within a multidisciplinary supracluster hospital ensures continuity of care, coordinated multidisciplinary management, and improved organizational efficiency. The described institutional experience may serve as a practical model for further development of pediatric rehabilitation services in similar healthcare settings.
