[Physical rehabilitation for degenerative-dystrophic diseases of the hip joint in elderly and senile people (stage 1).]

Changes in the age structure of the planet's population are leading to an increase in the number of geriatric patients requiring replacement of large joints. Age-related weakness, loss of muscle mass, testosterone deficiency, excess weight, and the presence of concomitant diseases make the process of rehabilitation treatment labor-intensive and lead to various complications. The purpose of our work was to evaluate the effectiveness of the modernized method of physical therapy at the first stage of rehabilitation treatment in elderly and senile patients with osteoarthritis of the hip joint. All patients received standard complex therapy, including orthopedic treatment methods, drug therapy, myostimulation, massage, and manual therapy. For patients in the main group, in addition to the traditional complex, the method of physical therapy according to the stated method was added and it was recommended to wear compression hosiery (stockings) while performing the exercises. The advantage of the technique is the absence of complications and side effects, which is an important component compared to other methods of restorative treatment. Minimum costs, general availability and autonomy of performing exercises, high results achieved during the treatment process confirm the value and importance of creating similar techniques for other large joints. The developed method of physical therapy has shown its effectiveness and relevance among elderly patients and can be recommended for use among different population groups as a method of restorative treatment of osteoarthritis of the hip joint.

[Physical rehabilitation for ankle joint injuries in the elderly and senile (stage 3).]

Ankle injuries are among the most common musculoskeletal injuries in the elderly. However, among the new scientific publications, both foreign and domestic, there are almost no examples and algorithms for conducting rehabilitation exercises for elderly patients, which prevents the introduction of these practices into rehabilitation measures. The purpose of our study is to evaluate the created technique of physical rehabilitation and, with a reliable result, to introduce it into the daily work of doctors of various profiles who provide assistance to patients with ankle joint injuries. The patients of the comparison group received standard complex therapy, including orthopedic methods of treatment, drug therapy, myostimulation, and massage. Patients of the main group, in addition to the traditional complex, was added to the exercise therapy technique according to the claimed method. For the entire period of the study, no complications and side effects were identified, which is an advantage compared to other methods of rehabilitation. The minimum costs, the general availability and autonomy of the training, the high results achieved during the experiment confirm the value and necessity of creating similar techniques for other injuries of the musculoskeletal system. The developed method of physical therapy exercises has shown its effectiveness and relevance among elderly patients according to goniometry data and can be recommended for use among other population groups as a rehabilitation method after ankle joint injuries.

[Physical rehabilitation for ankle joint injuries in elderly and elderly people (Stage 1).]

A multidisciplinary approach to recovery after injuries of the ankle joint in elderly and senile people by specialists of various profiles using drug and non-drug methods is especially relevant today. It is required to develop and put into practice various options for the combined use of physical rehabilitation means at different stages of the rehabilitation treatment of elderly and senile patients with this pathology. The study revealed no significant complications and side effects when using this technique, which allows us to recommend it as a means of secondary prevention and injuries of the ankle joint, especially with contraindications to the use of non-steroidal anti-inflammatory drugs and glucocorticosteroids. A significant difference was found in goniometry parameters after the recovery period in patients in the main and comparison groups. Despite the fact that in both groups the difference in values was probably significant, but in the main group it was much larger (almost 1,5 times). The technique can be recommended for use in fitness centers, athletic halls and medical and physical education dispensaries.

[Physical rehabilitation for ankle joint injuries in elderly and elderly people (Stage 2).]

The main part of the injuries of elderly and senile patients as a result of physical activity falls on the lower limbs, due to the increased load during movement. Ankle injuries have a multifactorial etiology involving the interaction of compensatory spinal and leg biomechanics, environmental factors, and shoe selection. In this regard, it is necessary to prepare a complex of rehabilitation measures, including physical therapy, with the possibility of implementing the recovery process not only on an outpatient basis, but also at home, thereby improving the quality of life and preventing disability. The patients of the comparison group received standard complex therapy, including orthopedic methods of treatment, drug therapy, myostimulation, and massage. For patients of the main group, in addition to the traditional complex, the exercise therapy technique according to the claimed method was added. The study revealed no significant complications and side effects when using this technique, which allows us to recommend it as a means of secondary prevention and injuries of the ankle joint, especially when conservative and targeted therapy is contraindicated. A significant difference was found in goniometry parameters after the recovery period in patients in the main and comparison groups.

[Physical rehabilitation for osteochondrosis of the cervical and thoracic spine in elderly and senile people (Stage 2).]

The main and most frequently used means of physical rehabilitation for osteochondrosis of the cervical and thoracic spine is motor rehabilitation. The goals of physical rehabilitation of persons suffering from osteochondrosis are to strengthen the muscles of the back, reduce the load on the intervertebral discs, improve blood circulation, restore a normal motor stereotype and, as a result, reduce pain. The use of means of motor rehabilitation is scientifically substantiated, the mechanisms of their effect on the functional state of the body have been studied, and the effectiveness of their use is beyond doubt. However, the lack of multidisciplinary programs, at the heart of rehabilitation measures specifically for elderly and senile people with osteochondrosis of the cervical and thoracic spine, in practice leads to the widespread use of drug and targeted therapy, involving the use of only drugs that reduce pain and muscle tension. The lack of an individual approach, group exercises for physical therapy, handing out to patients advertising brochures, schemes for physical therapy, without practicing exercises in practical classes, lead to negative consequences and relapses of diseases and a negative attitude of patients towards the discipline as a whole. In this regard, it is necessary to develop and introduce into practice various complexes of physiotherapy exercises for elderly and senile patients with osteochondrosis of the cervical and thoracic spine.

[Physical rehabilitation for osteochondrosis of the cervical and thoracic spine in elderly and senile people (Stage 3).]

The concept of a multidisciplinary approach to the treatment of osteochondrosis in elderly and senile patients by specialists of various profiles using medicinal and non-medicinal methods is especially relevant today, therefore, it is necessary to develop and put into practice various options for the combined use of physical rehabilitation means at different stages of rehabilitation treatment of elderly and senile patients with osteochondrosis of the cervical and thoracic spine. The dynamics of clinical manifestations of osteochondrosis after rehabilitation treatment relative to the age of patients in groups showed that the effectiveness of the technique is much higher in elderly patients, in contrast to senile patients and centenarians. The study revealed no significant complications and side effects when using this technique, which allows us to recommend it as a means of secondary prevention of diseases of the cervical and thoracic osteochondrosis, especially in the presence of contraindications to the use of non-steroidal anti-inflammatory drugs and glucocorticoids. The technique can be recommended for use in fitness clubs, athletic halls and medical and physical education dispensaries.

[Evaluation of the efficiency of therapeutic gymnastics for knee joint injuries in athletes of the senior age groups.]

The introduction and scientific substantiation of methods for organizing sports events with optimal motor loads for citizens of middle and senior age groups should be based on two principles: general (pedagogical) principles of physical education and sports training, adapted to the specifics of health-related training; analysis of physiological and psychophysiological effects that are created by physical activity of various types and directions in the human body. The importance of this topic is due to the fact that knee injuries occupy a special place in the sports of veterans, and severe injuries and injuries in this area can restrict an athlete in his professional activities. The problem of rehabilitation of athletes of older age groups with knee injuries is not only a medical problem, but also has an important socio-economic significance. The results obtained in the work will make it possible to more objectively approach the creation and implementation of rehabilitation treatment programs without surgical interventions. Therefore, the assessment of the effectiveness of the complex of medical gymnastics for the rehabilitation and prevention of traumatic injuries of the knee joint (ICD-10: S80.83, M17.23, M94.2) in comparison with the traditionally used exercise therapy exercises for patients of older age groups on the first stage of rehabilitation treatment is an urgent task.

[Efficiency of rehabilitation in persons of middle and elderly age with knee joint injuries.]

Traumatic injuries of the knee joint of middle and elderly age account for the majority of injuries of the lower limb. There is a large number of developments in the rehabilitation of the knee joint after injuries, but unified approaches to the rehabilitation algorithm have not been formed. The purpose of this work was to evaluate the effectiveness of a set of physical exercises for the treatment and prevention of traumatic injuries of the knee joint in middle-aged and elderly patients (ICD-10: S80-S89). The claimed complex has been tested in 148 patients in whom the duration of remission was 12-36 months. The early use of physical exercises for injuries of the knee joint in middle-aged and elderly people is associated, first of all, with the anticipation of probable complications, stimulation of compensatory-adaptive reactions of the activity of organs and systems of the body.

[Evaluation of the effectiveness of the third stage of rehabilitation after a knee joint injury in persons of older age groups by means of physiotherapy exercises.]

The main task in the rehabilitation of athletes with traumatic injuries of the knee joint and surrounding soft tissues is effective and painless recovery at all stages of treatment. The aim of this work is to introduce a set of physical exercises for the treatment and prevention of traumatic injuries of the knee joint in middle-aged and elderly patients at the third stage of rehabilitation treatment (ICD-10: S80-S89). To date, there is no single regulated program for the management of middle-aged and elderly patients at the outpatient stage. The article describes the third stage of the organization of medical rehabilitation assistance in the late rehabilitation period, the period of residual symptoms of the course of the disease, without relapses. Physical exercises, presented in this complex, give the patient independence in everyday life in the implementation of self-service, independent movement, in the presence of the prospect of restoration of function (rehabilitation potential) confirmed by the results of the examination. The proposed technique was tested on 148 patients who underwent all 3 stages of rehabilitation treatment, in whom the duration of remission was 12-36 months.