Vol 13, No 3 (2014)

In this article the concept of rehabilitation institution creation is stated. The method of rehabilitation activities evaluation is proposed. For effective planning and analysis activities of rehabilitation institutions introduced the concept of rehabilitation services, which is a unified unit of work of the main personnel involved in the rehabilitation and measured in relative units. The algorithm of creation of rehabilitation centers in any subject of the Russian Federation is proposed. This algorithm consists of the following stages: analysis of needs of rehabilitation in the region (or in the specific health organization); determination of the main consumers rehabilitation services; analysis of the existing conditions for the creation of rehabilitation; development of standards of rehabilitation for each category of consumers; calculation of rehabilitation manning table; calculation of the necessary facilities for rehabilitation and their justification; determination of necessary additional rehabilitation equipment; selection of an optimal model of rehabilitation services in medical organizations; calculation of financial indicators for rehabilitation. Practical examples for each step of creating a rehabilitation facility are suggested. The question of rehabilitation financing possible sources in the Russian Federation is discussed.

The stability of the spine provide both passive (bones, ligaments, discs), and active muscle structure. For many years, the problem of an objective assessment of the functionality of muscle stabilizers it attracts attention. Thus, traditional methods in complex evaluation of the functional status of the athlete and the athlete enters the measurement of postural strength using a dynamometer mainstay. In this case, the data are obtained, which are more or less accurately characterize the static force of the extensor muscles of the back. It should be noted that usually measure only the static force and only one muscle group. In recent years, to assess the strength of the flexors, rotators and muscles performing lateral inclination of the trunk began to apply special dynamometers, they are also used as a simulator. The most famous of this type is a simulator Tergumed 3D, which allows measurement of the static strength and muscle training stabilizers of the spine in different planes. It should be noted that muscle stabilizers of the spine usually operate in dynamic mode and extrapolate the data on it is not a static force is legitimate and can only with a significant correction. For testing muscle strength in the dynamic mode in the 60-ies was proposed isokinetic dynamometer. Currently, for these purposes as principle sources-spread system BIODEX (USA), which have a special attachment for measurement and training flexor and extensor muscles of the spine. Our 20 years of experience with the product showed that the most informative indicator is the maximum torque (peak torque), other characteristics of highly variable and do not have significant clinical value. Typically, when an anatomic obstruction, or pain at the time the movement takes place more or less marked reduction in muscle force resulting in undulation or schedule changes torque (mild) or its M-shaped form (marked changes), for example falls sharply when force because of the pain, and then restored. Several years ago, Belgian researchers have proposed the original machine BioniX sim3D Pro, which allows testing of both static and dynamic forces in three planes while standing or sitting. Methodology isometric testing (static power) is similar to that used in the German machine Tergumed 3D. However, the system BioniX Sim3 Pro provides also an opportunity izonineticheskogo testing, ie The motion estimation around three axes: rotation; lean forward / backward; the slopes of the right / left. It should be emphasized that this system allows you to register an effort on all axes of motion simultaneously, ie when bending or straightening (tilt forward \ back) fixed efforts tilting and rotating to the right \ left. Such a possibility is an isometric, and in isokinetic testing. That this provides a unique and previously inaccessible to researchers stabilizers spine information. The paper presents test data stabilizer muscles of the spine by the isokinetic dynamometer. It is shown that its results can identify muscle imbalances even subclinical and create individual rehabilitation program.

The article presents the treatment experience of patients, athletes and ballet dancers with lumbosacral pain caused by disc protrusion, facet syndrome or discopathy by percutaneous surgical interventions. 135 patients underwent laser vaporization disc 114 - radiofrequency denervation of the intervertebral joints, 14 - radiofrequency denervation of the intervertebral discs. Considered indications and contraindications for these operations, techniques of surgery are shown as well. After long-term period examination after surgery in all patients reported a positive effect, resulted in a reduction of pain in the spine and lower extremities, reduction or complete elimination of neurological disorders. Most patients returned to their previous occupation without limitation exercise.

In article are presented results to neurorehabilitations patient with FBSS. The Study was conducted in GBU «Nizhegorodskiy regional rehabilitationscentre for invalid». In base used терапии prescribed principles integrative medicine.

In the article the results of study of the new going are resulted near the increase of efficiency of hospital period of rehabilitation of patients of superannuated - war veterans before and after the operation of total hip arthroplasty on the basis of minimization of functional asymmetry. Substantial positive changes are exposed able patients as result of operating interference and special rehabilitation program with an accent on the increase of vital tone.

One of the most effective treatments for diseases of the joints is the arthroplasty of the lower limbs. The number of operations performed at the lower extremities arthroplasty growing. In this regard, the relevance of the development and implementation of programs of rehabilitation treatment of patients after arthroplasty is not in doubt. In FGBI «Treatment - Rehabilitation Center» has developed and implemented a comprehensive approach to the rehabilitation of patients in the early period after surgery for lower limb arthroplasty, incorporating procedures electromyostimulation operated lower limb muscles, rantinuons passive motion implanted joint, gait training in the system discharge of body weight.

Results of comparative research of efficiency of application of methods of conservative treatment are presented in article, including taping and a dynamic orthosising at pathology of a humeral joint. The assessment of a patognomonichnost of motive tests is carried out at pathology of a humeral joint.

The identify the best markers of heart rate variability (HRV) dynamic of observation young people. Sientific research show non effectiveness works center of healphy of Russia. Specifik eqvipment non adaptation for research of young people. In assessing HRV dynamicswas the most information parameter sinse its dynamics coincided with the temporal and spectral HRV very effectiveness method in young people.

Presents data on the results of the doctors and medical rehabilitation patients after surgical correction of acquired heart disease. The study reflects the clinical features of these patients at a late-hospital stage. Describes the impact and effectiveness of medical rehabilitation with the use of air-ozone baths. The expediency of application of air-ozone baths as a method of rendering of influence on many pathogenetic links underlying disorders and complications arising at patients after surgery correction of acquired heart disease.