Vol 1, No 2 (2019)

In the Tver region built a three-stage model of medical rehabilitation. Modern methods of motor rehabilitation increase tolerance to physical exertion, reduce spasticity, reduce disability of patients.

The results of psycho-correction speech therapy are analyzed in dynamics in 78 patients with varying severity and various forms of speech disorders in the early and late recovery periods of ischemic stroke. The effectiveness of conducting classes during the stay of patients in a neurological hospital and the positive impact of these exercises in the inpatient period (outpatient classes, classes at home with a speech therapist and trained relatives) are shown. Patients who did not conduct speech recovery classes during the inter-stationary period showed a decrease in speech activity, in some even a negative dynamic.

The article discusses the history of brain neuroplasticity, its effect on the restoration of functions after a stroke. Various mechanisms of neuroplasticity are considered: functions of reorganization, neurogenesis, the effect on neuroplasticity of training, the use of various rehabilitation techniques, and drug therapy.

Currently, increasingly important in medical practice is given to methods and medical devices for rehabilitation. The use of new methods of rehabilitation using robotic mechanotherapy, exoskeleton, expansion of non-invasive stimulation techniques in the field of neuroscience requires more in-depth understanding of the possibilities and prospects for the development of such areas as remote sensing of physiological parameters and telemedicine technology. New information technologies and regulatory framework can significantly improve the efficiency of interaction between the doctor and patient. At the same time, it is necessary to take into account all requirements in the field of safety of operation of modern equipment for the rehabilitation and protection of personal data, as well as other requirements of national and international legislation.

The clinical case of the patient after operational treatment of a backbone and a rehabilitation course in the conditions of a day hospital is described. For assessment of efficiency of the held events pain scales YOURS, Rivermead Motor Assessment Scale were used. The program of a rehabilitation for by classical techniques of treatment included reflexotherapy methods with pharmakopunktura, trainings on the system of "Ekzart", electrostimulation. The patient received 2 rehabilitation courses: in 3 and 5 months after operational treatment, as a result of the executed treatment, at the patient at control survey from the moment of the beginning of therapy reduction of a pain syndrome, increase in independent daily activity, increase in insistence, normalization of indicators of the mental status is noted. The first rehabilitation course allowed to adapt the patient to house conditions, and returned her a possibility of partial self-service. The second year of rehabilitation set the reached effect and allowed the patient to move independently out of the room that significantly increased her standard of living. On the term of 4 months after an operative measure on a backbone at the patient the pain syndrome and restriction of life activity remained. The held complex of rehabilitation actions after backbone operation significantly improved indicators of quality of life and functional independence of rather initial level that speaks about its efficiency in ensuring earlier social reintegration of the patient.

Inflammation, cardiac remodeling, and fibrosis are potentially important pathways in the pathogenesis of cardiovascular diseases. Complications of atherosclerosis are one of the leading causes of death in the world. Effective prevention of cardiovascular disease by adequate control of major cardiovascular risk factors can provide substantial public health gains. However, detection and control of major cardiovascular risk factors continues to be a major challenge because of poor awareness of an individual's status. A solution to this problem is important for an early identification and appropriate correction of cardiovascular risk factors. Atherosclerotic plaque development is regarded as a chronic inflammatory process which involves interactions between lipids, immune cells and the artery wall. Numerous evidence suggests that inflammation plays an important role in all stages of the atherosclerotic process. The study of associations of inflammatory biomarkers has led to the idea that the panel of inflammatory biomarkers can identify people at high risk of developing atherosclerosis and cardiovascular diseases when anti-inflammatory treatment can prevent further unfavorable events. The most common forms of cardiovascular diseases are caused by atherosclerosis, the progressive thinning of blood vessels due to accumulation of lipids within the arterial wall. While many factors are known to influence the development and progression of atherosclerosis, circulating levels of cholesterol and lipoprotein complexes are the most important risk factors and mediators of atherosclerotic disease. Key regulators of lipid metabolism and/or the development of atherosclerosis have diagnostic, prognostic and therapeutic potential for cardiovascular diseases.

Autism Spectrum Disorders are a complex heterogenous group of clinical characteristics of which lack of central coherence and an atypical overall style of inter-personal reactions (forms of vitality) belong to the core symptomatology. Due to the number of individuals diagnosed with ASD that world-wide is growing rapidly, many research projects aim at detecting the underlying causes or mechanism or prevention and early intervention programs. ReAttach is an intervention for children and adults with ASD that facilitates arousal regulation, multiple sensory processing, coherence, social cognitive training and active learning. The method can be defined as a broader spectrum therapy, embracing neurodiversity and aiming at optimal health and personal and inter-relational development. The aim of this paper is to describe the ReAttach procedure and treatment outcome for ASD and to explain why ReAttach the involvement of parents and partners is required. The effects in terms of changes in clinical presentation and Forms of Vitality of individuals with ASD suggest that ReAttach is an accessible and cost-effective tool to overcome the developmental arrest in ASD.

A definition as stated by the American Academy of Physical Medicine and Rehabilitation in 1975 is: "Medical rehabilitation services can be defined as a coordinated multi - disciplinary approach to disability under a qualified physician who directs a plan of management for one or more of the categories of chronic disabling diseases or injuries, specifying realistic goals for maximal recovery". The Main rehabilitation principles include patient and family centeredness, a multidisciplinary approach and holistic attitude towards physical and mental health. From early in its development and until today, rehabilitation is represented as the third phase of medical care - after diagnosis and treatment. Physical and Rehabilitation Medicine (PRM) is a growing and a developing discipline. Gutenbrunner et al wrote: "Various societal and medical trends, including the ageing of populations, the increasing number of people with functional limitations due to improving survival rates in different disease entities (e.g. stroke, spinal cord injury, multiple trauma) and the need of elderly workers to remain integrated in the workforce despite the presence of chronic illnesses, call for an increasing importance of rehabilitation in the future".