Physical therapy methods have found wide application in various fields of clinical medicine, including when treating various diseases and pathological conditions of the female body. The vast majority of studies deals with the issues of the drug-free treatments of chronic inflammatory diseases of the lesser pelvis organs, which negatively impact the health of women of reproductive age. It should be noted that the works dealing with the possibility and evaluation of the effectiveness of including physical therapy methods in the combination treatment of the acute stage of nonspecific inflammatory diseases of the lesser pelvis organs are less numerous. A number of works on the use of the hyperbaric oxygenation and general magnetic therapy as components of combination therapy in forming the therapeutic effect deal with this area of research. The article presents the basic principles of using physical therapy modalities in gynecology and the conditions for optimizing the results of treatment of gynecological patients, including the results of combination therapy with the earliest possible integration of physical therapy modalities in the programs of standard anti-inflammatory treatment of patients with acute nonspecific inflammatory diseases of the lesser pelvis organs, allowing to optimize its efficacy.

The Manual presents the possibilities of using the MAVIT device in the combination treatment of patients with benign prostatic hyperplasia. The content of the Manual is consistent with the higher education program for training the highest qualification resident physicians and the professional retraining program for physicians (OD.A.03.2.3 Alternating Currents, Electric, Electromagnetic and Magnetic Fields. High, Ultra-High and Extra-High Frequency) in the specialty 31.08.50 “Physiotherapy” and (B.1.B.1.4.5.1 “Physiotherapy in Urology,” B.1.B.1.6.3.5. “Prostatitis”) in the specialty 08/31/68 “Urology”. The team of authors has, based on the available scientific data and their own clinical observations, summarized the information relative to the use of the MAVIT device in the combination treatment of patients with benign prostatic hyperplasia and outlined its indications and contraindications. The equipments used in performing the procedures are characterized. This Manual was developed and prepared by the workers of the Chair of Urology with Course of Surgical Diseases of the I. P. Pavlov Ryazan State Medical University jointly with the workers of the chairs of urology, surgical andrology, physical therapy, sports medicine and medical rehabilitation, and the workers of the Research Institute of Molecular and Personalized Therapy of the Federal State Budgetary Educational Institution of Further Professional Education Russian Medical Academy of Continuous Professional Education of the Ministry of Health of Russia in accordance with the system of standards for information, library and publishing. ICD-10 code: Chapter XXI. Factors influencing health status and contact with health services.

Intensive introduction of innovative technologies into practice in order to improve the effectiveness of treatment and diagnostic measures and reduce the negative impact on the human body nevertheless contributes to the emergence of adverse events directly related to the provision of medical care. In the complex of anti-epidemic measures aimed at eliminating infection in medical organisations, a major role belongs to the correct organisation and performance of pre-sterilisation cleaning of medical devices. Technologies of processing of medical devices and pre-sterilisation cleaning should be convenient and safe to use, have no damaging effect on the processed items, be highly effective and at the same time not labour-intensive. Today cleaning with the use of ultrasonic units remains promising, with the help of which the standardisation of the treatment process is carried out, the influence of the human factor on the quality of cleaning is reduced, and the control of the main critical parameters of the process is carried out in automatic mode. The purpose of the work is to justify the need to maintain the safety of the patient and staff using the promising use of ultrasonic influences. The results of this literature review reflect information about the safety and effectiveness of the method of ultrasonic pre-sterilization cleaning of medical instruments used in physiotherapy and medical rehabilitation. Basic information is provided about the physical essence of the ultrasonic cleaning process, its effect on biological systems from the standpoint of physical, biological and chemical effects, which ensures the safety of manipulations and procedures in physiotherapy and medical rehabilitation.

Lip contouring with preparations based on synthetic hyaluronic acid is one of the most popular cosmetic procedures. However, in recent years, there has been an explosive increase in the number of complications. There are many physiotherapeutic methods for the treatment of late complications of lip contouring. Nevertheless, currently there are no differentiated approaches to the choice of physiotherapy techniques and their combination, depending on the filler and the clinical and functional picture of the complication. Objective: to develop and evaluate the use of personalized physiotherapy in patients with complications after the administration of lip fillers, taking into account patients’ genetic predisposition. Material and methods. The study involved 51 patients aged 30-42 years with a diagnosis of L57.4 - cutis laxa senilis, who received late complications (local swelling, dry and pale lip skin, filler contouring, soreness, sensitivity change) at the filler injection site. All patients underwent genetic testing on the Cosmetology panel before the start of treatment. There were 3 groups that received physico-pharmacological methods: longidase laserophoresis, collagenase diadinamophoresis, or their combination in the lip area at the filler injection site. Result. When analyzing the data after the course of treatment, the patients with the combined protocol showed a significant improvement in the quality of life, both in the near and long-term research period. This was expressed in a statistically significant decrease in intradermal edema, rapid regression of pain syndrome, and more accelerated biodegradation of the superficially injected filler in the main group compared to other study groups. Conclusion. In patients with late local complications after the injection of hyaluronic acid fillers, the combined protocol with the inclusion of longidase laserophoresis and collagenase diadinamophoresis significantly shortens the recovery period, contributes to a faster reduction of local edema, pain, neuropathy phenomena, and to accelerated biodegradation of the superficially injected filler, as well as ensures a stable clinical result. Personalized physiotherapy is an effective factor in relieving complications after lip contouring.

Magnetic stimulation is a type of well-known method of magnetic therapy in physiotherapy practice. In contrast to electrical stimulation, in which afferent and efferent nerve fibers are directly excited, an alternating magnetic field causes an indirect secondary depolarization of the cell membrane due to the resulting potential difference. Magnetic stimulation for the purpose of correcting the dysfunction of the lower urinary tract symptoms has become widespread since the 90s of the XX century in the form of the method of extracorporeal magnetic stimulation and stimulation of the sacral roots S3 area. Magnetic stimulation of the pelvic floor and the area of the sacral roots is a promising method of rehabilitation with impaired lower urinary tract symptoms function and can be considered as one of the alternative safe measures in the treatment of this category of patients, which reduces the severity of symptoms. The effectiveness of this method is manifested mainly in irritative forms of disorders caused by the neurogenic and psychogenic nature of the lesion.

The term "glaucoma" unites a large group of eye diseases with a characteristic pathogenesis and clinical picture, but different aetiology. Modern classifications group the different forms of glaucoma according to origin, age of the patient, mechanism of intraocular pressure increase and its level, degree of optic disc damage and course of the disease. The disease is a significant medical and social problem, as it affects large population groups worldwide and is the leading cause of irreversible blindness. Every year the number of glaucoma patients of working age increases, and the presence of concomitant diseases in patients complements and complicates the clinical picture and course of the main pathological process. To date, high therapeutic effectiveness of electromagnetic fields in glaucoma treatment has been determined and proved, specific methods of procedures have been developed, and the list of indications for their prescription is expanding. The purpose of the review is to present the possibilities of using transcranial magnetic therapy in the treatment of glaucoma. The authors, based on available scientific data and their own clinical observations, summarizes information regarding the use of transcranial magnetic therapy for glaucoma. Indications and contraindications for transcranial magnetic therapy are outlined. The principles of prescribing various methods of transcranial magnetic therapy are covered in detail. The characteristics of the equipment used for transcranial magnetic therapy procedures are given. In general, physical therapeutic factors play an important role in the overall complex of therapeutic and preventive measures in the treatment of eye diseases. As methods of external influence they have a direct impact on etiological and pathogenetic mechanisms, as well as on the symptoms of the disease.

BACKGROUND: Combined treatment of cancer patients includes a large number of aggressive therapies that lead to a complex of functional disorders. There are no publications on the influence of physical factors on the electrical excitability of the muscles of the shoulder girdle and upper limb from the side of surgery in the early period after surgical treatment of breast cancer. AIM: To determine the physical factor that will most significantly affect the electrical excitability of the muscles of the shoulder girdle and upper limb on the side of the operation after radical surgical treatment of breast cancer. MATERIAL AND METODS: A randomized, placebo-controlled study was conducted in 100 patients in the early postoperative period (24 days after surgery) for breast cancer. All patients underwent medical rehabilitation: individual physiotherapy exercises, balance therapy, sessions with a medical psychologist, physiotherapy treatment with a monofactor. The main group included 34 patients who included an extended method of fluctuorization in the course of medical rehabilitation and additionally underwent fluctuorization of the muscles of the forearm, group 2 (comparisons, n=33) the extended method of local magnetotherapy was included in the rehabilitation program and group 3 (comparisons, n=33) in addition to rehabilitation, general magnetic therapy procedures were performed. Patients underwent a study of the excitability of the neuromuscular system on the apparatus of stimulation and electrotherapy ASEtM-01/6 "Elesculap Med TeKo". RESULTS: It was found that fluctuating currents turned out to be more effective in the early stages, which pathogenetically contribute to the restoration of conduction along the peripheral nerves and the activation and contractility of the muscle fiber. A delayed effect of local and general magnetic therapy on improving the contractility of the muscles of the upper limb and the conductivity of the peripheral nerve fiber was noted. CONCLUSION: The inclusion of monophysical factors in the course of standard medical treatment, a course of physical therapy, exercises on a stabiloplatform and individual psychotherapy in the early stages (on days 24) after surgery contributed to the improvement in the functioning of the upper limb and the restoration of the electrical excitability of the muscles and nerves of the operated limb.

INTRODUCTION. The management of patients with secondary lymphedema of the lower extremities associated with radical treatment of pelvic cancer (Cancer Related Lymphedema) is extremely problematic due to persistent impairment of the draining function of regional lymph nodes due to intraoperative dissection and subsequent radiation therapy. AIM. To compare the effectiveness of complex medical rehabilitation using the kinesio taping method and innovative non-stretchable compression bandages in patients with secondary lymphedema of the lower extremities associated with radical treatment of pelvic cancer. MATERIAL AND METHODS. The study involved 60 patients with stages I-III Cancer Related Lymphedema (according to the classification of Savchenko T.V., Pokrovsky A.V., 2004) who underwent radical treatment for various forms of pelvic cancer (gynecological cancer in women and prostate cancer in men), randomized into 2 groups (30 people each). A comprehensive rehabilitation was carried out in the main group (n=30), including sequential manual lymphatic drainage, skin care, kinesio taping, therapeutic gymnastics in the gym; Adjustable Non-stretchable Compression Bandages (circaid juxtafit, Germany). Meanwhile, a Complex Decongestive Therapy was performed in the comparison group (n=30), which is considered as the gold standard of conservative treatment of lymphedema of the lower extremities, including manual lymphatic drainage, skin care, Multi-layered limb banding using Inelastic compression Bandages. In order to evaluate the anti-edematous effect the dynamics of the circumferences of the lower extremities, waist circumference and hip circumference, the Ankle Range of Motion were examined using goniometry, bio-impedancemetry. Laser Doppler Flowmetry was used to evaluate microcirculatory parameters. RESULTS AND DISCUSSION. There was a decrease in swelling and thickening of the skin in the thigh, a decrease the external genitalia edema in patients with Cancer Related Lymphedema in both groups after a course of rehabilitation. There was a regression of swelling of the feet and lower legs in patients of both groups (p<0.05) after treatment, which was confirmed by a decrease in the circumferences of the lower limbs. There was an increase in the Ankle Range of Motion (dorsiflexion) from 17.50±1.26° to 19.25±1.52° (p<0.05) in the main group and from 17.90±1.44° to 18.59±1.10° (p<0.05) in the comparison group. According to the bio-impedancemetry data, there was a decrease in the extracellular fluid content both in the main group and the comparison group by 2.64% and 2.83%, (p<0.05) respectively. There was also a comparable decrease in the total fluid content by 2.67% in the main group and 1.90% (p<0.05) in the comparison group. There were a decrease in body weight by 2.49% and 1.52% (p<0.001), a decrease in fat mass by 2.62% and 4.01% (p<0.05) in both groups respectively after the course of treatment. According to the Laser Doppler Flowmetry data, there were an improvement in the indicators of myogenic tone of arterioles and secretory activity of the endothelium, as well as elimination of venular congestion in patients of both groups (p<0.05). CONCLUSION. Regression of edema in Cancer Related Lymphedema can be achieved as a result of the use of manual lymphatic drainage which stimulates the outflow of lymph through lymphatic watersheds into adjacent lymphatic territories with intact regional lymph nodes, which was achieved in both groups. The lymphatic drainage effect of manual lymphatic drainage was supported by the daily compression profile of bandages (Multi-layered Inelastic Bandages and Adjustable Non-stretchable Compression Bandages) in patients of both groups. Our study showed that the use of kinesio tapes leveled the difference in compression of approximately 10-15 mmHg between the bandages used (50 mmHg/~60 mmHg).

BACKGROUND: The problem of medical rehabilitation/habilitation of patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays is extremely relevant. The article analyzes the comprehensive care for this category of patients on the basis of the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo". AIM: analysis of the volume and methodology of prescribing physical factors in the provision of medical and social services to patients at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo". MATERIALS AND METHODS: In 2021, based on archival data for 20192020 an assessment was made of the conduct of socio-medical rehabilitation at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo". The observation unit is represented by stationary patient charts. RESULTS: The study revealed a sufficient volume and correct methodology for prescribing physical factors to patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. At the same time, the absence of an adequate goal of rehabilitation/habilitation was noted. The goals that were set for patients were often unrealizable, non-specific, not defined in time, or not related to the needs of the patient himself. CONCLUSION: A unified comprehensive approach is needed to assess the condition, identify needs and implement rehabilitation measures for patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. It has been determined that in this category of patients it is advisable to apply the International Classification of Functioning, which will allow one to concentrate on the necessary areas of diagnostics, select the necessary diagnostic tools, identify and link functional disorders and disability to each other, determine the areas of intervention of different specialists, unite specialists into one team with overall goal of rehabilitation/habilitation.

BACKGROUND: In recent decades, a steady increase in the prevalence of autism spectrum disorders around the world has been reported. It is known that autism spectrum disorders requires early diagnosis and medical intervention. By identifying the risks of autism spectrum disorders, doctors can help the child and family get qualified help as soon as possible. Given the variety of functional disorders in autism spectrum disorders, these patients require special rehabilitation programs and therefore physicians planning work in the field of physical therapy and medical rehabilitation should be oriented in this problem. AIMS: To determine the level of awareness of the problem of autism spectrum disorders among doctors of different specialties planning to work in the field of physical and rehabilitation medicine. MATERIAL AND METHODS: A survey was conducted on the KCAHW questionnaire of 105 doctors of 8 medical specialties who underwent primary retraining in the cycle "Physical and Rehabilitation Medicine" at the Department of Physical Therapy, Sports Medicine and Medical Rehabilitation of the Russian Medical Academy of Continuous Professional Education. RESULTS: According to the results of filling out the KCAHW questionnaire, the median of correct answers was 14 [7; 19] out of 19 possible, which is the average value of the level of knowledge about autism spectrum disorders. Our research shows that there is a lack of knowledge in the relationship between autism and epilepsy and mental retardation, as well as the relationship between the disease and poor nutrition. Among the respondents, there was also a misunderstanding about the age of the child at which the first signs of autism spectrum disorders can be suspected: 60 (57.1%) of the survey participants correctly determined that autism begins in childhood, 35 (33.3%) of the surveyed doctors believed that autism occurs in infancy, and 10 (9.5%) people indicated the neonatal period. CONCLUSION: The KCAHW questionnaire is a reliable tool for assessing health care providers' knowledge of childhood autism. The conducted research allows us to conclude that doctors are not sufficiently knowledgeable in the field of knowledge about autism spectrum disorders. The totality of all the respondents' answers indicates the importance of additional information about modern research on the problem of autism spectrum disorders for all doctors planning further work in the field of physical and rehabilitation medicine.

BACKGROUND: Recently, there has been an increase in early complications after localized exposure to low temperatures (cryolipolysis) for the treatment of localized fat deposition. Carboxytherapy is a method that improves the condition of the microcirculatory bed and reduces swelling. AIM: to develop and evaluate the use of a personalized method of injection carboxytherapy in patients with adverse events (edema and neuropathy) after hardware methods of correction (cryolipolysis) of local fat deposits. MATERIAL AND METHODS: The study involved 45 patients aged 3243 years with a diagnosis of "E65 Localized fat deposition", who received early complications (local edema and a change in sensitivity at the site of exposure to the cryopapillary ― in the sub-umbilical region) after the cryolipolysis procedure (hardware non-surgical correction of local fat deposits). Before the start of treatment, all patients underwent genetic testing according to the "Cosmetology" panel. Three groups were identified, which received injection carboxytherapy locally, paravertebral in the projection of the lumbosacral region, or a combination of both. RESULTS: When analyzing data after a course of treatment, patients with an extended carboxytherapy protocol showed a significant improvement in the quality of life, both in the immediate and in the long-term study period. This was expressed in a statistically significant decrease in intradermal edema and a rapid regression of the pain syndrome in the main group compared to other study groups. CONCLUSION: In patients with early local complications after cryolipolysis, the use of injection carboxytherapy is justified not only locally but also paravertebral, which significantly reduces the recovery period, contributes to a more rapid reduction of local edema and neuropathy phenomena, and also allows obtaining a stable clinical result. Personalized injection carboxytherapy is an effective factor in the relief of complications after cryolipolysis.

BACKGROUND: The use of repetitive transcranial magnetic stimulation as a method of non-drug therapy of Parkinson's disease has been actively studied over the past decades. The prevailing number of repetitive transcranial magnetic stimulation protocols in Parkinson's disease use a high intensity of stimulation (80120% of the value of the threshold of the evoked motor threshold from the muscles of the hand), while the choice of the stimulation intensity parameter was carried out empirically. AIM: to study the effectiveness of low-intensity unilateral repetitive transcranial magnetic stimulation on motor and non-motor symptoms of Parkinson's disease. MATERIAL AND METHODS:An open prospective non-randomized clinical trial included 37 patients with stage IIII Parkinson's disease according to HoehnYahr (1967), akinetic-rigid and mixed (akinetic-rigid-tremor) forms. All patients underwent repetitive transcranial magnetic stimulation according to the protocol: M1 stimulation zone, frequency 5 Hz, intensity 40% of the cortical motor threshold, on 6s, off 8s, total number of pulses per session 3000. The course of treatment is 10 procedures with 2 days (weekend) off. RESULTS: All patients completed the study in accordance with the protocol. When analyzing the results of the UPDRS scale (Unified Parkinson's disease rating scale), positive dynamics was noted in all parts of the questionnaire: part I ― from 2 (0; 3) to 0 (0; 1) points, p 0.05; part II ― from 9 (5.5; 12.5) to 4 (2; 6.5) points, p 0.05; part III ― with 11 (7; 14.5) to 6 (2; 7.5) points, p 0.05; part IV (Schwab and England scale) ― from 80% (70; 95) to 90% (85; 100), p 0.05. There was also a selective effect on non-motor symptoms. CONCLUSION: Low-intensity exposure (40% of the motor threshold) has a significant clinical effect on motor and non-motor symptoms of Parkinson's disease; stimulation of the primary motor cortex can have an antidepressant effect; repetitive transcranial magnetic stimulation has a selective effect on non-motor symptoms of Parkinson's disease: a predominant effect has been demonstrated with respect to olfactory, emotional, cognitive disorders, sleep disorders and hypersalivation; when assessing the dynamics of motor disorders, a more pronounced effect was noted with respect to rigidity, postural disorders, walking speed, and to a lesser extent, the effect on tremor was noted.

The high prevalence of breast cancer and the high complication rate of combined radical treatment make the issue of medical rehabilitation using physical factors in patients after surgery highly relevant and warrant the need to determine the contribution of individual factors.OBJECTIVE:To compare the efficacy of general magnetic therapy and low-frequency electrostatic field on days 2-4 after the radical surgical treatment of breast cancer and 1.0-1.5 months after radiation therapy in combination with therapeutic physical training, motor-cognitive training, and sessions with a psychologist.MATERIALS AND METHODS:Examination and medical rehabilitation of 131 patients after radical surgical treatment of breast cancer were performed. Age ranged from 30 to 75 years. Group 1 included 66 patients who received medical rehabilitation on days 2-4 after the surgery and 1.0-1.5 months later in addition to adjuvant radiotherapy; Group 2 included 65 patients who received medical rehabilitation only after 1.0-1.5 months in addition to adjuvant radiotherapy.RESULTS AND CONCLUSION:It was shown that two courses of medical rehabilitation with the addition of physiotherapeutic treatment on days 2-4 and 1.0-1.5 months after radical breast cancer surgery in addition to radiation therapy contribute to a significant reduction of functional disorders severity in patients versus initiation of medical rehabilitation 1.0-1.5 months after the surgery in addition to radiation therapy. The feasibility of including general magnetic therapy procedures and low-frequency electrostatic field exposure in the medical rehabilitation course was demonstrated as it results in pain relief, postoperative edema reduction, and quicker recovery of the shoulder joint mobility that promotes long-term clinical benefit.

BACKGROUND: In clinical practice, video motion analysis is widely used. It is known that such a higher mental function as creative thinking manifests itself in the motor activity of the body, as a result of which the movement becomes expressive. Since the quality of the images presented affects the organization of movement, it is presumably possible to characterize this psychosomatic connection through an assessment of the expressiveness of movement. AIMS: fixation in graphic and digital format of expressive movement, as well as the identification of spatio-temporal criteria for the quantitative assessment of expressiveness. MATERIAL AND METHODS: The experiment involved 3 healthy volunteers with different levels of acting training. The structure of expressive movement was presented in a graphic and digital format, which made it possible to calculate spatio-temporal indicators and give an objective quantitative assessment of the quality of expressiveness of movements of the participants in the experiment. RESULTS: It has been established that expressive movements arise with the integration of the following components: motor abilities and motor experience, movement image, plastically expressive structure of movement construction. In addition, expressive movements affect deep psychological functions: imagination, creative thinking, emotional control, etc. CONCLUSION: The inclusion in the course of medical rehabilitation of patients with various pathologies of the direction of ergotherapy, based on the analysis and assessment of the expressiveness of movement, will contribute to the complex restoration of the connection between consciousness and movement, correction of psychosomatic deviations, the expansion of movement patterns, improvement of body feeling and movement control.

There are convincing data on the association of psycho-emotional disorders with the degree of bone mineral density (BMD) loss and the risk of fractures on the basis of osteoporosis (OP) but the nature of the causal relationship has not yet been clearly established. The study of this issue is important to substantiate the need and nature of psychological correction within the framework of comprehensive rehabilitation programs in patients with osteoporotic fractures. OBJECTIVE Study of the severity of symptoms of depression and anxiety in patients who have suffered compression fractures of the vertebrae (VF) of osteoporotic genesis who entered the II stage of medical rehabilitation, as well as the contribution to the development of psycho-emotional age disorders, the severity of OP, pain syndrome and the use of orthotics. MATERIAL AND METHODS The study sample consisted of 120 women 50 to 80 years old with an established diagnosis of OP based on the results of bone densitometry. The main group included 60 patients with OP complicated by at least one VF. The control group included 60 patients with OP without a history of osteoporotic fractures comparable in age, body mass index and BMD in the spine with the main group. The complex of examination included the collection of complaints, anamnesis of OP, previous fractures, assessment of pain syndrome according to VAS, BMD study and verification of VF by X-ray methods. To assess the level of depression (DL) we used the Tsung depression scale modified by T.I. Balashova, situational (SA) and personal anxiety (PA) - Spielberger-Khanin questionnaire. RESULTS In the main group in comparison with the control group the proportion of patients without symptoms of depression was lower (66.7 and 88.3%, respectively; p=0.042), as well as the frequency of detection of high degree of SA was higher (85.0 and 73.4%, respectively; p=0.039). In patients with VF it was higher than in the control, DL - 46.0 [42.0; 54.5] (27-70) and 43.0 [38.0; 47.5] (25-65) points, respectively (p=0.0009), as well as the SA degree - 61.5 [54.0; 71.0] (20-75) and 52.5 [43.5; 64.0] (20-68) points, respectively (p=0.0006). Statistically significant direct correlation dependences of DL on age (r=0.317; p=0.00042), the duration of the postmenopausal period (r=0.325; p=0.0003), the number of VFs (g= -0.245; p=0.00013) were established. Moreover, the intensity of pain syndrome (g= -0.234; p=0.00034), as well as feedbacks of this indicator with BMD in the spine (r= -0.342; p=0.00017) and the duration of the use of thoracolumbar orthoses (r = -0.504; p = 0.00016). There were direct dependence of the SA degree on age (r=0.281; p=0.0019) and the intensity of pain syndrome (g=0.258; p=0.0044). Negative correlation of SA with body weight (r= -0.183; p=0.045), BMD in the spine (r= -0.207; p=0.026), duration of orthosis application (r= -0.327; p=0.0095) and the amount of VF in the lumbar spine (g= -0.214; p=0.044) were detected. There was a significant correlation between the degree of PA and BMD in the lumbar vertebrae (r= -0.18; p=0.046) and the intensity of pain syndrome (g=0.137; p=0.039). CONCLUSION The results obtained indicate the need for psychological correction in the framework of the complex rehabilitation of women who underwent VF based on OP due to increased DL and SA especially in older age groups.

The expert consensus of the Russian communities discusses the issues of comprehensive medical rehabilitation of patients with coronavirus disease 2019 (COVID-19). COVID-19 is a contagious infectious disease that can cause pulmonary, cardiac, motor, metabolic, neurocognitive and mental disorders, that is, multiple organ dysfunction. COVID-19 survivors, especially after a severe clinical course, face serious psychological and physical problems, posttraumatic stress, cognitive dysfunction, nutritional deficiencies and exacerbation of concomitant chronic diseases. Some patients, regardless of the COVID-19 severity, have a long clinical course of the disease (“chronic-COVID”, “long COVID”). There is evidence of post-acute COVID-19 syndrome. In this regard, patients after COVID-19 will need rehabilitation measures. The expert consensus of the Russian communities presents general principles, stages and aspects of medical rehabilitation after COVID-19, indications and contraindications for rehabilitation interventions. The paper includes recommendations on comprehensive cardiac and pulmonary rehabilitation, as well as specifics of rehabilitation care for different COVID-19 courses within the national three-stage rehabilitation system.

The modern concept for the treatment of osteoarthritis is based on the complex use of drugs, non-drug methods, medical and social rehabilitation. At the same time, non-pharmacological methods play an important role, given the natural combination of osteoarthritis and serious comorbid diseases, which significantly increase the risk of developing dangerous drug complications. One of the most common non-drug methods that is widely used in inpatient and outpatient treatment of osteoarthritis is magnetic therapy. During the Council of Experts, with the participation of therapists, rheumatologists, rehabilitologists and physiotherapists, the issues of the scientific substantiation of the use of magnetic therapy in clinical practice, the methodology of this method of treatment, the existence of an evidence base for its effectiveness and safety, as well as the advisability of including magnetic therapy in the national recommendations for the treatment of osteoarthritis were discussed.

Background.Plasma medicine is a new direction in science at the intersection of plasma physics and chemistry with biology and medicine low-temperature plasma (LTP) has a number of fundamental advantages, which include high non-specific bactericidal activity, low probability of the appearance of stable forms, the absence of ionizing radiation and highly toxic substances. In addition, LTP stimulates healing of infected wounds at the early stages of exposure, which makes LTP a promising method of treating various pathological conditions. Clinical case description.Low-temperature argon plasma treatment was performed for a patient with a diagnosis of: cancer of the right breast cancer T2N1M0, IIB stage. Condition after non-adjuvant PCT and radical resection of the right breast. Complication: Abscess in the area of the postoperative scar. After the 3rd treatment with plasma flow, the wound was sutured and while continuing treatment with low-temperature argon plasma, the patient began radiation therapy of the right breast and regional lymph flow zones in the mode of classical dose fractionation. During the follow-up period, the patient showed positive dynamics in the area of the postoperative scar, which did not lead to a long period of rehabilitation in the postoperative period and radiation therapy was started in a timely manner. Conclusion.Thus, the use of this technique in clinical practice has proven that the period of rehabilitation in the postoperative period is shortened for continuous comprehensive treatment of severe cancer patients with breast cancer.