Archive of the journal Physical rehabilitation and recreational health technologies (2016-2022) http://journals.uran.ua/frir_journal <p><strong>ISSN 2522-1906 (Print)</strong><br /><strong>ISSN 2522-1914 (Online)</strong></p> <p><strong>Parallel title:</strong> Fìzična reabìlìtacìâ ta rekreacìjno-ozdorovčì tehnologìï<br /><strong>Parallel title:</strong> Фізична реабілітація та рекреаційно-оздоровчі технології</p> <p><strong>Publisher:</strong> Kharkiv State Academy of Physical Culture<br /><strong>Country:</strong> Ukraine<br /><strong>Founded:</strong> 2016 <br /><strong>Frequency:</strong> 4 times a year<br />The languages ​​of the publication are Ukrainian, English</p> <p dir="ltr">The journal publishes articles on the following topics:</p> <p><strong>Medicine</strong><br />Complementary and Manual Therapy<br />Occupational Therapy<br />Physical Therapy, Sports Therapy and Rehabilitation<br />Public Health, Environmental and Occupational Health<br />Rehabilitation</p> <p><strong>Health Professions</strong><br />Occupational Therapy<br />Physical Therapy, Sports Therapy and Rehabilitation</p> <p dir="ltr">The materials of the scientific journal are of theoretical and practical interest for doctoral students, post-graduate students, masters, rehabilitation specialists, physical therapists, occupational therapists, physical medicine and rehabilitation doctor, medical doctor, sports doctors, massage therapists, scientific and pedagogical workers.</p> <p><strong>Editor-in-Chief<br />Yuliya Kalmykova<a href="https://orcid.org/0000-0002-6227-8046"><img src="https://sportpedagogy.org.ua/images/ORCIDiD_icon16x16.png" alt="orcid" /></a><br /></strong>PhD (Physical Therapy), Associate Professor.<br />Kharkiv State Academy of Physical Culture (Kharkiv, Ukraine)</p> <p><strong>Administrative Editor</strong><br /><strong>Valeriia Kashtanova</strong><br />Kharkiv State Academy of Physical Culture (Kharkiv, Ukraine)</p> <p><strong>Editorial address:</strong><br />Kharkiv State Academy of Physical Culture<br />room 103<br />street Peremozhna, 21<br />Kharkiv, 61202, Ukraine<br />frirjournals2016@gmail.com<br />+38(057) 336-00-22</p> <p> </p> <p>The articles in this journal are published <strong>open access</strong></p> <p> </p> Kharkiv State Academy of Physical Culture en-US Archive of the journal Physical rehabilitation and recreational health technologies (2016-2022) 2522-1906 <h1 class="page_title"> </h1> <h1 class="page_title"> </h1> Comparative features of the immediate impact of manual therapy traction manipulations on the cardiorespiratory system of men and women http://journals.uran.ua/frir_journal/article/view/269839 <p><strong>Purpose:</strong> the aim of this study was to determine the principal differences of changes in the cardiorespiratory system activity under the influence of traction manipulations in the thoracic spine of men and women.</p> <p><strong>Material &amp; Methods:</strong> the 26 adults were involved in the study, including 18 women aged 39.6±12.1 years and 8 men aged 36.3±8.3 years. All patients were diagnosed with osteochondrosis of the thoracic spine, which was confirmed by radiographic examination. The study of the cardiorespiratory system was conducted in the first procedure of SMT before and after the use of traction manipulations directly in the physician office. The integrated method of studying the cardiorespiratory system defined as spiroarteriocardiorhythmography (SACR) was used. It simultaneously records the heart rate, rhythms of systolic and diastolic pressure at each heartbeat and respiratory rhythms, which provides significant time savings to determine the functional state of the heart, vessels and respiration, as well as to identify the important parameters of their interaction.</p> <p><strong>Results:</strong> characterizing the changes in the cardiorespiratory system as a whole under the influence of traction manipulations on the thoracic spine, it should be noted that men and women had some significant unidirectional changes in HR (min–1), CO (dm3), CI (dm3/m2), IH (n. u.), which are determined primarily by the decrease in HR (min–1) under the influence of traction manipulations. As to the men, the significant effects were more related to the impact on the contractile function of the heart, which was confirmed by the improvement of the electrical systole of the ventricles (QTC, s), the increase in the activity of the effects of the parasympathetic branch of the ANS on the cardiac rhythm (HF, ms2) and a certain increase in the stroke index within the normative values (SI, cm3/m2), then to the women the significant effects were more related to the influence on the breathing pattern and vascular tone. Thus, characteristic and positive effects in women can be considered a decrease in the variability of diastolic blood pressure in the very-low-frequency range (VLFDBP, mmHg2), which is combined with a decrease in the total power of diastolic pressure variability (TPDBP, mmHg2) and an increase in the total peripheral vascular resistance (GPVR, dyn/s/cm−5).</p> <p><strong>Conclusions:</strong> summarizing the results of the impact of traction manipulations in the thoracic spine on the cardiorespiratory system of men and women, it can be stated that their effect is different and has features associated with the use of different mechanisms. For men, the predominant effect is on the heart contractile function, and for women it is on the respiratory system and autonomous regulation of vascular tone.</p> Oleksandr Romanchuk Copyright (c) 2022 https://creativecommons.org/licenses/by/4.0 2022-12-23 2022-12-23 7 4 130 142 10.15391/prrht.2022-7(4).24 The effectiveness of aquatherapy in osteochondrosis of the cervical spine http://journals.uran.ua/frir_journal/article/view/269846 <p><strong>The aim</strong> of this study was to find the most effective aquatherapy for physical rehabilitation of patients suffering from neurological pain in the cervical spine.</p> <p><strong>Material &amp; Methods:</strong> the study involved 86 patients (59 women, 27 men aged 38 to 55 years). Of these, 43 patients (50%) were in the main group and 43 patients (50%) were in the comparison group. The following were used: observation, aquatherapy, special physical exercises, cervical spine traction, electromyotonometry, pain study (VAS), adaptive potential indices and Ruffier-Dixon index, methods of mathematical statistics.</p> <p><strong>Results:</strong> the effect of aquatherapy on pain was the most effective: in the main group there was a significant reduction in pain (disappearance by 83.7%, improvement by 9.3%, minor improvement by 7%). In the control group, significant pain reduction was obtained only in 60.4% of patients (23.3% – improvement, 7% – insignificant improvement, 9.3% – no improvement).</p> <p><strong>Conclusions:</strong> the study showed that the addition of aqua therapy to the main rehabilitation improves the results of treatment of patients with neuralgic manifestations of osteochondrosis of the cervical spine. In the main group there was a significant (p&lt;0.05) decrease in the indices of adaptive potential, Ruffier-Dixon index and diastolic pressure under the influence of aqua therapy, which indicates a decrease in the tension of the cardiovascular system and an increase in the power of the body’s adaptive reserves. Mobility indices of the cervical spine improved, blocks of spasmed muscles were relieved, their tone normalized, and pain decreased.</p> Eduard Feroyan Giorgi Parulava Copyright (c) 2022 https://creativecommons.org/licenses/by/4.0 2022-12-23 2022-12-23 7 4 143 150 10.15391/prrht.2022-7(4).25 Effectiveness of physical therapy of a person with a hemorrhagic stroke during the recovery period: a clinical case http://journals.uran.ua/frir_journal/article/view/269849 <p><strong>Purpose:</strong> to scientifically substantiate and develop a program of physical therapy for a patient after a hemorrhagic stroke (during the recovery period) and check its effectiveness.</p> <p><strong>Material &amp; Methods:</strong> the study was conducted on the basis of the "Skalyansky Clinic" Medical Center. The organization of the study involved conducting a comparative analysis of the dynamics of indicators obtained with the help of clinical tools for assessing the patient’s functional state in the process of applying the author’s physical therapy program. A 71-year-old patient with a diagnosis of "Acute cerebrovascular hemorrhagic disorder: subarachnoid-parenchymal hemorrhage with the formation of a stroke-hematoma of the left temporal-subcortical area of the brain with breakthrough into the ventricular system with right-sided hemiplegia, sensorimotor aphasia" by a multidisciplinary team (doctor, physical therapist, speech therapist and psychologist) an individual program of physical therapy was developed. In order to evaluate the effectiveness of the experimental methodology, a formative experiment was conducted. Clinical tools for assessing the functional state of the patient during the research were domains in the form of the ICF-core-set tool (a set of ICF basic categories) (ICF Research Branch, 2022) for complex stroke: Lovett’s test, Barthel scale, Gait Velocity (GV) tests and Berg Balance scale (BBS), Montreal Scale of Cognitive Assessment (MoCA), Get Up and Go Tests, Trunk Control Test, Functional Independence Measure (FIM). The developed individual program of physical therapy for hemorrhagic stroke in the recovery period is a comprehensive course of physical therapy, occupational therapy, which is carried out in stages and includes the following components: therapeutic gymnastics classes; electrical stimulation of the shoulder, psychological (psychological counseling, psychological support, developmental classes for the recovery of cognitive impairments) and speech therapy (speech therapy gymnastics, articulation exercises, Su-Jok (massage ball and ring) component. After applying the specified author’s individual physical therapy program, qualitatively positive changes in the functional and psychophysical state of the patient, in particular: b7301.4 to b7301.2; d550.2 to d550.1; d510.3 to d510.2; d520.3 to d520.2; d540.3 to d540. 2; d598.3 to d598.2; d4100.3 to d4100.2; d450.3 to d450.2; d469.4 to d469.3; d330.3 to d330.1; d355.3 to d355.3; d998.3 to d998.2.</p> <p><strong>Results:</strong> after applying the author’s program of physical therapy, we found qualitatively positive changes in the functional and psychophysical state of the patient, as evidenced by the positive dynamics of the studied indicators. The psychological and speech therapy work carried out contributed to the improvement in the process of restoring the patient’s cognitive functions (from moderate to mild impairment), stabilization of his emotional state, acquisition of stress resistance skills, harmonization of the patient’s system of relationships with himself,</p> <p><strong>Conclusions:</strong> the effectiveness of using the author’s individual program of physical therapy is confirmed by the dynamics of qualitatively positive changes in the functional and psychophysical state of the patient.</p> Lyudmila Kletsenko Lesia Klevaka Yevgenia Vyshar Anatoliy Levkov Copyright (c) 2022 Lyudmila Kletsenko, Lesia Klevaka, Yevgenia Vyshar, Anatoliy Levkov https://creativecommons.org/licenses/by/4.0 2022-12-23 2022-12-23 7 4 151 162 10.15391/prrht.2022-7(4).26 Effect of the training process of high-class and elite sprint swimmers of both genders on the state of the autonomic nervous system, central hemodynamics and physical working capacity http://journals.uran.ua/frir_journal/article/view/269865 <p><strong>Purpose:</strong> to investigate the influence of the training process of high-class and elite sprint swimmers of both genders on the parameters of the autonomic nervous system, central hemodynamics and physical working capacity.</p> <p><strong>Material &amp; Methods:</strong> in the preparatory period of the training process, 145 sprint swimmers (56 females and 89 males) with sports qualifications from CMS (high-class swimmers) to MS-MSIC (elite swimmers) were examined, of which 56 sprint swimmers (31 females and 25 males) in 2006 and 89 sprint swimmers in 2021 (25 females and 64 males). To assess the autonomic regulation of cardiac activity time- and frequency domain methods of HRV analysis were used. Central hemodynamic parameters were examined by an automated tetrapolar rheography. Physical working capacity was measured according to a common technique on a cycling ergometer using a submaximal PWC170 test and calculating the relative value of physical working capacity, i.e. PWC170/kg.</p> <p><strong>Results:</strong> comparison of the studied parameters in sprint swimmers examined in 2006 and 2021 showed a significant decrease in PWC170/kg in present-day high-class sprint swimmers with sports qualification CMS (both females and males), by 23.84%, (p=0.0003) and 12.68% (p=0.018), respectively, and in elite male swimmers with sports qualifications MS-MSIC by 9.46% (p=0.017), as well as a downward trend in elite female swimmers with sports qualifications MS-MSIC by 18.28% (p=0.154). Differences in HRV and central hemodynamics parameters were statistically insignificant.</p> <p><strong>Conclusions:</strong> in present-day high-class female swimmers, the predominance of the sympathetic arm of the ANS was revealed, the value of PWC170/kg was 23.84% (p=0.0003) lower than in female swimmers of the same level in 2006. There were no significant differences between all the studied indices of elite female swimmers in 2021 and the indices of female swimmers of the same level in 2006. In present-day elite male swimmers and high-class male swimmers, the value of PWC170/kg was lower, respectively, by 9.46% (p=0.017) and 12.68% (p=0.018) than in swimmers of the same level in 2006. A significant decrease in the functional state of modern swimmers-sprinters of both genders against an earlier achievement of qualification standards than their peers in 2006 may be due to a change in the modern methodology of the training process aimed at reducing the training load in the zone of development of general endurance (aerobic orientation) by increasing the load of speed and power (anaerobic) orientation.</p> Yevhen Mykhaliuk Yehor Horokhovskyi Copyright (c) 2022 https://creativecommons.org/licenses/by/4.0 2022-12-23 2022-12-23 7 4 163 170 10.15391/prrht.2022-7(4).27 Functional state of the GH/IGF-1 system in adolescents with type 1 diabetes mellitus http://journals.uran.ua/frir_journal/article/view/269870 <p><strong>Purpose:</strong> to study the level of growth hormone (GH) and insulin-like growth factor type 1 (IGF-1) in patients with type 1 diabetes mellitus (DM1) at the stages of puberty.</p> <p><strong>Material &amp; Methods:</strong> 165 children (85 girls (51.5%) and 80 boys (48.5%), aged 8 to 18 years old, suffering from DM1 and staying in the endocrinology department of the State Institution "Institute of Health for Children and Adolescents”) of the National Academy of Medical Sciences of Ukraine" (State Institution "IOZGP NAMS"). The criterion for inclusion in the study was the duration of T1DM for more than one year (from 1 to 16 years). The level of GH and IGF-1 was determined in 165 children 8-18 years old (85 girls and 80 boys) with DM1, taking into account gender, the level of sexual development at the time of the survey, the duration of DM1 and the level of glycemic control. Study participants were divided into groups depending on the level of sexual development (T1-T4) at the time of the study, assessed by the Marshall &amp; Tanner scale (Marshall, &amp; Tanner, 1969; Marshall, &amp; Tanner, 1970); duration of DM1 (&lt;5 years, 5 to 10 years, &gt;10 years); level of glycemic control (optimal (HbA1c&lt;7.5%), suboptimal (7.5%≤HbA1c≤9.0%), high-risk (HbA1c&gt;9.0%) according to ISPAD 2018 recommendations (DiMeglio, et al., 2018)</p> <p><strong>Results:</strong> in adolescents with DM1, a physiological type of activation of the GH/IGF-1 system was established with an increase in its activity during the period of puberty proper. Sexual characteristics were determined in the levels of GH and IGF-1 at the stages of puberty. Girls had higher levels of IGF-1 than boys, especially during prepuberty. During prepuberty and puberty proper, GH values were higher in boys, and in late puberty, in girls. It has been established that in girls and boys with an increase in the duration of diabetes, there is an increase in the level of GH and a decrease in IGF-1. The nature of the state of GH/IGF-1 in patients with different experience of DM1 is affected by the level of sexual development at the time of the examination and the sex of adolescents. In boys aged 14-18 years (the period of proper and late puberty), with an increase in the duration of the disease, an increase in the level of GH (pk-w&lt;0.05) and a decrease in IGF-1 (p&lt;0.05) occur. In girls, an increase in GH (pk-w&lt;0.05) and a decrease in IGF-1 (pk-w&lt;0.05) with an increase in the duration of DM1 were recorded only in the group of patients aged 16-18 years (late puberty). The relationship between HbA1c and GH and IGF-1 levels has gender specifics: in the state of decompensation, the guys showed a tendency to decrease in GH, and in girls – to increase GH and IGF-1.</p> <p><strong>Conclusions:</strong> the functional state of the GH/IGF-1 system in adolescents with DM1 depends on gender, the level of sexual development, the duration of diabetes and the state of carbohydrate metabolism compensation, which coincides with the data of domestic and foreign studies.</p> Svitlana Turchyna Larisa Nikitina Olga Varodova Yuliya Kalmykova Sergey Kalmykov Copyright (c) 2022 https://creativecommons.org/licenses/by/4.0 2022-12-23 2022-12-23 7 4 171 178 10.15391/prrht.2022-7(4).28 Indicators of body asymmetry in relation to the prevention of scoliosis in first graders http://journals.uran.ua/frir_journal/article/view/269874 <p><strong>Purpose:</strong> the purpose of the study was to increase the validity of the indicator of asymmetry in the frontal plane of the body in relation to the prevention of scoliosis in first graders.</p> <p><strong>Material &amp; Methods:</strong> thirty-four students aged six to seven years – 18 boys (with body length and weight M±SD=118,9±2.1 cm; 21,6±1,1 kg) and 16 girls (118,2±1,8 cm, 21,2±0,9 kg) were randomly divided into the main group and the comparison group. In addition to standard physical education lessons, students of the main group completed a program of physical rehabilitation in order to prevent the development of posture asymmetry. At the beginning (September) and the end of the academic year (May), the students were measuring the curvature of the spine in the frontal plane according to the Moshkov test and bending to the sides.</p> <p><strong>Results:</strong> in addition to the well-known model of the Moshkov rhombus, the asymmetry of the students’ bodies was determined using an improved indicator equal to half the sum of the absolute values of the differences in the lengths of the upper and lower sides of the Moshkov rhombus. There was no statistically significant difference between the boys, both according to the results of the Moshkov test (δ=0,3%; p=0,512), and according to the results of bending to the sides (δ=1,4%; р=0,379). At the beginning of the academic year, the value of the asymmetry indicator in the main group was practically equal to the corresponding value in the comparison group (δ=2,2%; р=0,815). At the end of the academic year, the value of the indicator in the main group was significantly less than its value in the comparison group. (δ=32,8%; р=0,031).</p> <p><strong>Conclusions:</strong> the indicator of asymmetry in the frontal plane of the body proposed in this work, due to taking into account the magnitude of the curvature of both the upper and lower parts of the spine, made it possible to obtain a significantly higher validity (p=0,02) compared to the well-known indicator of the Moshkov rhombus, which in one parts of the spine – upper or lower (р=0,05).</p> Ihor Zanevskyy Olena Bodnarchuk Lyudmyla Zanevska Copyright (c) 2022 https://creativecommons.org/licenses/by/4.0 2022-12-23 2022-12-23 7 4 179 186 10.15391/prrht.2022-7(4).29