Vol 11, No 1 (2012)

Documents in data bases “Konsultant Plus”, “Garant”, site Minzdravsotsrazvitiya of Russia “Data bank” with the use of words “specialties nomenclature”, “medical specialties nomenclature”, positions nomenclature have been analyzed. The availability and the place of medical specialties in the field of rehabilitation treatment and medical rehabilitation was determined in the documents. The enlargement of main specialties list and specialties, requiring postgraduate professional education or additional education for training physicians in the specialty of “Rehabilitation medicine” was substantiated

In article the psychological picture of changes revealed at wounded men with a fighting trauma of the top extremities at a late stage of medical rehabilitation in terms from 1,5 till 2 years after wounds is analyzed. Results of kliniko-psy- chological inspection of 534 military men with consequences of a fighting trauma of the top extremities are resulted. In 70 % of supervision steady changes in psycho-emotional sphere have been noted. In research the depressive reactions, shown by the suppressed mood, elements of intellectual and motor block, or in the form of the latent depression are revealed.

A total presents the results of treatment of 101 children presenting with bronchial asthma. Positive influence of the combined use of deep oscillation and physical rehabilitation on clinical and functional condition of the patients was improved during the investigation. Dynamics of falling of the bronchial obstruction was apprized by analyzing of function of respiratory system and peak expiratory flow measurement. A rationale has been developed for the application of the proposed therapeutic strategy to the treatment of children with bronchial asthma.

We observed 202 patients with dorsalgia and gastroesophageal reflux disease. Patients were randomized into two groups. The first group received standard therapy, the second group received pharmacopuncture and manual therapy. pharmacopuncture and manual therapy can help cure back pain and gastroesophageal reflux disease. Catamnesis 6 months

The article is devoted to the examination, treatment and rehabilitation of patients with the presence of denervation changes of pelvic floor muscles in disorders of urination and erection. On the basis of their own material with a needle electromyography in 14 healthy volunteers, designed regulatory framework for the electromyographic activity of pelvic floor muscles and the corticospinal tract conduction. A total of 72 patients: lower urinary tract diseases with disorders of urination - 29, idiopathic erectile dysfunction - 28 and 15 patients who applied with erectile dysfunction and urinary arising after previous surgery for prostate diseases. The needle EMG changes were observed in patients with chronic inflammatory changes in lower urinary tract symptoms in the experimental muscle denervation are minimal and no significant alteration of MUP. Patients with pelvic pain and erectile dysfunction detected changes of MUP and the state of muscle fibers in neuretic type, as evidenced by the increase in the average values of the amplitude and duration on the background of the current denervation process. Similar results were obtained in patients with urinary incontinence - in most cases there were signs of the current denervation process. The group of patients undergoing surgery revealed gross disturbances as the conduction of spinal tract and disorders of the contractile ability of pelvic floor muscles. Denervation revealed changes in the pelvic floor muscles need to be considered in the overall assessment of patients with erectile dysfunction and urination, as well as in the choice of treatment. In the treatment of patients, we are widely used drugs that enhance the nutrition and conductivity of nerve tissue, as well as extracorporeal magnetic stimulation of the muscles of the perineum. In the studied patients groups an increase in the velocity urination parameters on average 13.3% decrease in residual urine volume by 25 - 50%. In neurophysiological study stated improving the conductivity of corticospinal tract by 13.5%, reducing the number of polyphase MUP.

In work results catamnestic analysis of influence of various methods of treatment sick of an ischemic heart trouble on risk of development of a repeated myocardial infarction are presented. The analysis of risk of development of a repeated myocardial infarction was carried by results of investigation of 298 men who have transferred a myocardial infarction. Patients accepted various classes of medicinal preparations and passed a course of rehabilitational treatment with use of adaptation to periodic altitude chamber hypoxia or employment by physiotherapy exercises. It was fixed factors of high risk at the patient diabetes mellitus, an arterial hypertensia, dislipidemia (including rising VLDL-C), presence painlessness and a painful ischemia of a myocardium at daily monitoring, depression of a stroke output less than 60 ml, augmentation of mass of a myocardium of a left ventricle more than 180 g, fraction of emission less than 55 %. A method of adaptation to periodic altitude chamber a hypoxia it is essential more than usual physiotherapy exercises, influences improvement of the forecast of patients transferred a myocardial infarction.

The paper presents data on the characteristics of the pre-menopausal woman's life, depending on individual constitutional peculiarities of reproductive system, in particular, from stereofunctional and chronophysiological its organization. Established hormonal predictors of menopause syndrome, and showed decrease melatonin levels in daily urine. In 96% patients who have used in addition to traditional treatment of menopausal symptoms, therapy with light deprivation, prolonged treatment results is provided. The proposed method to prevention and treatment neurovegetative form of climacteric syndrome, helped to reduce the pharmacological stress in the women, to accelerate the remission time, and improve the woman's life.

In the review experimental and clinical data about reflexotherapy efficiency in neonates are presented. The effect of reflexotherapy preconditioning in antagonizing cerebral hypoxia-ischemic injury may be related to its action in inhibiting the neuron apoptosis induced by the immediate genes at early stage of injury. Reflexotherapy is used as the means for intraventricular brain pressure correction in newborns with asphyxia. There has been evidence that reflexotherapy caused rapid positive clinical, laboratory and functional changes. Acupuncture may provide an effective nonpharmacological approach for the treatment of pain in neonates, even moderate or severe pain. Study of reflexotherapy gives more possibilities for rehabilitation of newborns.