[Physical therapy during the Great Patriotic War]. / Fizioterapiya v gody Velikoi Otechestvennoi voiny.

The article presents an analysis of the application of physical therapy methods during the Great Patriotic War in the Soviet Union. It was observed that physical therapy, combined with surgical and other methods, significantly improves the efficacy of patients' treatment, including with battle injuries, as well as with injuries of other etiology, such as frostbite, and also contributes to reducing the incidence of disabilities among the injured. The features of the physical therapy methods' organization sequently from 1941 to 1945, and also the results of active development of physical medicine, have been characterized. The features of physical therapy methods' application both on different bases of healthcare delivery (hospital bases, in the rear) and with regard to various types of pathology have been shown. The importance of involving physical therapy methods in curative measures from the early stages of treatment has been noted.

[The effect of non-invasive brain stimulation on neuroplasticity in the early recovery period after ischemic stroke]. / Vliyanie neinvazivnoi stimulyatsii golovnogo mozga na neiroplastichnost' v rannem vosstanovitel'nom periode ishemicheskogo insul'ta.

The post-stroke cognitive impairment syndrome (PSCI) develops in 10-80% cases of ischemic stroke and leads to a significant patients' quality of life impairment. The standard program of cognitive rehabilitation includes nootropic agents therapy and neuro-cognitive training. The additional various methods of non-invasive brain stimulation (NIBS) application can improve the results of PSCI rehabilitation. PURPOSE OF THE STUDY: Studying the different variants of NIBS influence on synaptic neuroplasticity in the early recovery period after ischemic stroke. MATERIAL AND METHODS: The rehabilitation of 62 patients with PSCI syndrome after ischemic stroke outcomes were studied. The patients were assigned to 5 groups. Patients from the control group underwent standardized nootropic therapy and course sessions with a neuropsychologist. The rest of the patients were divided into 4 groups, in which, in addition to the basic program of cognitive rehabilitation, different options for the course use of NIBS were used: photochromotherapy (PCT) with narrow-band optical radiation (NOR) with a wavelength of 530 nm (green light); rhythmic transcranial magnetic stimulation (rTMS) with a low-intensity high-frequency running pulsed magnetic field; infrared radiation with a wavelength of 1-56 microns, modulated by terahertz frequencies (IRMT); bioacoustic correction (BAC). We analyzed the dynamics of changes in scores of MMSE scales, FAB, Roshchina. In order to assess the effect of NIBS on neuroplasticity, the concentrations of BDNF and antibodies to the NR2 fragment of the NMDA receptor were evaluated before and after the completion of the rehabilitation course. RESULTS: Concentration values of antibodies to the NR2 subunit of the NMDA receptor in all groups remained consistently above the norm (more than 2 ng/ml) throughout the entire course of rehabilitation. Differences between groups in the dynamics of BDNF concentration in the peripheral blood were revealed. There was a significant (p<0.05) decrease in its concentration by almost 2 times by the end of rehabilitation course in control group. In the rTMS and IRMT groups, a decrease in the BDNF concentration was also recorded in dynamics, which, however, did not reach a significant level. There was no decrease in BDNF levels in the BAC group. There was an increase of this level in the PCT group. CONCLUSION: The use of different types of NIBS in the program of cognitive rehabilitation of patients with PSCI syndrome contributes to an increase in the rehabilitation potential due to the activation of neurotrophin-mediated synaptic neuroplasticity. Green light PCT and BAC have the greatest effect on increasing neuroplasticity after ischemic stroke.

Correction of Mitochondrial Dysfunction in the Complex Rehabilitation of COVID-19 Patients.

Objective. To study the efficacy of courses of i.v., Cytoflavin in combination with the standard rehabilitation program for postcovid syndrome for correction of postcovid asthenia. Materials and methods. Follow-up investigations were carried out in 45 patients with postcovid syndrome at the second stage of rehabilitation. Patients were divided into two groups of comparable sex and age. The volume of lung damage was also similar in both groups, at 25-80%. The 24 patients making up the comparison group received standard postcovid rehabilitation: pulsed magnetotherapy, inhalation therapy, aeroionotherapy, infrared laser therapy, courses of aerobic training, rational psychotherapy, and successive drug therapy. The 21 patients of the study group additionally received intravenous Cytoflavin daily for 10 days. The dynamics of increases in scores on the Rehabilitation Routing Scale, the Hamilton Depression Rating Scale (HDRS), the Asthenic Status Scale, and the 6-minute walk test at admission and discharge were also monitored. Results and conclusions. Addition of courses of intravenous Cytoflavin to the complex rehabilitation program for postcovid syndrome significantly improved the general functional state of the body, decreased levels of depression and asthenization, and increased physical exercise tolerance.

[Systemic and pathogenetic approach: a new look at traditional Chinese medicine]. / Sistemno-patogeneticheskii podkhod: novyi vzglyad na traditsionnuyu kitaiskuyu meditsinu.

A mere focused medical specialization and standardization, the lack of a holistic, systemic view of the human body, leads to a deadlock in the further development of modern medicine. P.K. Anokhin's functional systems theory (1935) made a breakthrough in medical science, setting it in a new direction. So far, however, the fundamental aspects of this theory have not been fully applied in practice. Till the present day, there is an endless accumulation of scientific facts that are not united by a holistic ideology. Nevertheless, the truly systemic approach proclaimed in the twentieth century by P.K. Anokhin has been used by mankind since ancient times, particularly in Chinese traditional medicine (CTM). Its basic postulates, the concept of Yin-Yang, Wuxing (system of five primary elements), the idea of acupuncture points and body channels, do not contradict up-to-date scientific data, and every year they draw new confirmations of their relevance. At the same time, they provide a clear vision of the general patterns of the whole body function and the interaction of its parts. The authors propose a transition to a whole new level of knowledge of the human body, called the «systemic and pathogenetic approach.¼ It allows considering an illness according to CTM as a result of dysfunction of an integral system of a body. Properly set medical thinking based on this approach will lead to adequate diagnosis and the choice of the proper treatment for many diseases.

[Correction of mitochondrial dysfunction in the complex rehabilitation of COVID-19]. / Korrektsiya mitokhondrial'noi disfunktsii v kompleksnoi reabilitatsii patsientov, perenesshikh COVID-19.

OBJECTIVE: To study the effectiveness of a course of intravenous administration of cytoflavin in combination with a standard rehabilitation program for post-COVID fatigue syndrome caused by mitochondrial dysfunction. MATERIAL AND METHODS: The dynamic examination of 45 patients with post-COVID syndrome at the second stage of rehabilitation was carried out. The patients were subdivided into 2 groups comparable in gender and age. The volume of lung damage in patients of both groups was also comparable at range of 25-80%. Twenty-four patients of the control group were treated with the standard post-COVID rehabilitation protocol: pulse magnetic therapy, inhalation therapy, aeroion therapy, infrared laser therapy, course aerobic training, psychotherapy, and standard drug therapy. Twenty-one patients of the main group additionally received intravenous administration of cytoflavin daily for 10 days. The dynamics of the scores on the Rehabilitation Routing Scale, HDRS, the Asthenic Status Scale, and the 6-minute walk test was analyzed. RESULTS AND CONCLUSION: The additional intravenous administration of cytoflavin at the complex rehabilitation of post-COVID syndrome can significantly improve the therapeutic results: it significantly improves the overall functional state, reduces depression and fatigue level and increases tolerance to physical exertion.

[Terahertz modulated infrared radiation in the complex treatment of patients in the acute period of ischemic stroke]. / Infrakrasnoe izluchenie s teragertsevoi modulyatsiei v kompleksnom lechenii patsientov v ostrom periode ishemicheskogo insul'ta.

Ischemic stroke (IS) is a serious medical and social problem due to the widespread prevalence, profound and long-term disability of patients. The effectiveness of pharmaceutical neuroprotection in IS remains low which necessitates the investigation of new therapeutic methods in post-stroke patients. OBJECTIVE: The rationale for the use of infrared (IR) radiation with terahertz (THz) modulation in the complex treatment of patients in the acute period of IS. MATERIAL AND METHODS: The results of transcranial application of IR radiation with THz modulation in 112 patients in the acute period of IS are presented. In the main group (38 patients) the infrared radiation with THz modulation was used on the projection of the IS focus in addition to basic drug therapy; in the control group (37 patients) - basic drug therapy; in the placebo group (37 patients) the physiotherapy was mimicked. The data of neurological status and neuro-functional indicators were assessed using the NIHSS, MMSE, Rankin, and Rivermid scales. Cerebral blood flow was examined using duplex scanning of brachiocephalic vessels. RESULTS: The inclusion in the complex treatment of IR radiation with THz modulation on the projection of the IS focus in the acute period contributed to a significant regression of neurological deficit, a complete recovery of cognitive functions and an increase in daily activity due to the restoration of adequate blood supply on the side of the affected hemisphere. CONCLUSION: A pathogenesis justified method of treating acute IS is proposed which can increase the effectiveness of early neurorehabilitation measures. An early improvement in cerebral hemoperfusion led to the creation of optimal conditions for the survival of neural structures and the preservation of their functional activity that demonstrated the neuroprotective feasibility of early inclusion of IR radiation with THz modulation in the complex treatment of patients in the acute period of IS.