Vol 21, No 3 (2022)

BACKGROUND: The therapeutic arsenal for the treatment of hypertrophic scars and keloids has expanded significantly in recent years. Traditional methods of treatment, such as intraocular injection of corticosteroids, pressure therapy and cryotherapy, are increasingly supplemented with new methods. The level of evidence for treatment approaches has increased due to the development of systematic reviews and national and international recommendations.

AIM: To study the effectiveness of pneumokinetic micro-jet "needle-free" delivery of corticosteroid drug and fluorouracil in hypertrophic scars.

MATERIAL AND METHODS: We observed 23 patients (with hypertrophic scars. The average age was 31.3±4.3 years. The duration of the existence of hypertrophic scars in the average group was 7.8±2.3 months. Previously, patients did not receive therapy for the correction of scars. All patients were treated with intra-cicatricial administration of durant corticosteroid and fluorouracil. The technology of pneumokinetic micro-jet "needle-free" was used.

RESULTS: A high effect was achieved in all patients. Thus, the total Dermatological symptom scale index decreased with localization of the process on the face by 79.1% (p<0.01), with localization on the neck by 81.2% (p<0.01), with localization on the abdomen by 73.4% (p<0.01).

CONCLUSION: The technology of pneumokinetic micro-jet "needle-free" delivery of corticosteroid drug and fluorouracil subdermally can be considered as the method of choice in this category of patients.

Post-stroke complications include pain in the upper limb, which affects the performance of simple movements, reduces the level of daily life activity and, as a result, the quality of life of patients. Materials and methods. The paper presents data on the effectiveness of the influence of various methods of medical rehabilitation in the late recovery period in 120 patients with ischemic stroke on pain intensity (according to the digital pain rating scale  and the Verbal Descriptive Pain Assessment Scale), activity of daily life and quality of life . All patients were divided into 3 groups comparable in terms of clinical and functional characteristics: group 1 (40 patients), who, in addition to the standard treatment complex, were prescribed massage with a pulsed low-frequency electrostatic field from the Khivamat apparatus and broadband modulation currents (TSM), group 2 ( 40 patients), who, against the background of standard therapy and medical rehabilitation, were included in physiotherapy methods from the Alpha™ LED Oxy Light - Spa™ device, a group of 3-40 patients who received standard drug therapy and medical rehabilitation (exercise therapy, medical massage, mechanotherapy). Results. The data obtained indicate the advantage of including in the standard complex of medical rehabilitation and treatment of patients who have had ischemic stroke with movement disorders in the form of hemiparesis of a pulsed low-frequency electrostatic field and broadband modulation currents (BWM). In the course of the work, it was proved that the use of the developed rehabilitation program contributes to a significant reduction in pain syndrome, and positively affects the assessment of the quality of life of patients after the course of treatment. This was confirmed by the improvement in the index of activity of daily life and data from scales and questionnaires. Conclusions. Inclusion in medical rehabilitation of patients who have had an ischemic stroke with movement disorders in the form of hemiparesis with an increase in muscle tone of pulsed low-frequency electrostatic massage and broadband modulation currents affects the reduction of pain, the expansion of daily activity and the improvement of the quality of life of patients.

Currently, shoulder arthroplasty is being actively introduced into surgical practice, indications for operations are expanding, and the number of patients operated with severe injuries and diseases of the proximal humerus and shoulder joint is growing. The decrease in the effectiveness of restoring the painless functioning of shoulder, household independence and quality of life of patients after surgery may be due not only to the severity of damage to the shoulder’s joint structures of the before surgery, shortcomings in surgical techniques and the development of postoperative complications, but, possibly, the imperfection of medical rehabilitation programs for these patients. To date, the content of the rehabilitation protocol for the early postoperative period has not been sufficiently substantiated, the need for strict immobilization of the operated joint, as well as the long-term benefits and effectiveness of early rehabilitation remains unclear. The article attempts to summarize the available data on the physical rehabilitation of patients after shoulder joint replacement with various types of implants in the early and late postoperative periods.

One of the most urgent and socially significant problems of modern medicine is the widespread occurrence of orthopedic pathology, among which the leading place is occupied by diseases of the spine, accompanied by a steady increase in pain vertebrogenic syndromes that affect the functioning of the child's body as a whole. The prevalence of this nosological form in children, according to various population studies, ranges from 0.42 to 37%. Scheuermann-Mau disease is the most common osteochondropathy in children and adolescents and ranges from 0.4 - 8.3% of the pediatric population. To date, the etiology of osteochondropathy of the spine is still unclear.      Medical rehabilitation of children with osteochondropathy of the spine is aimed at preventing further progression of deformity, normalizing posture, the functions of the cardio-respiratory system and includes: rational motor mode and nutrition, conservative orthopedic measures (corsetting), kinesiotherapy, hydrocolonotherapy, massage, positional treatment, restorative and hardening procedures, physiotherapy (electrical muscle stimulation), sports (skiing, swimming). An important place in the review is given to the description of the stages of medical rehabilitation of children and adolescents with dorsalgia on the background of spinal osteochondropathy who underwent surgical treatment