The effectiveness of the use of ozone in the form of an application of oil-ozonide intragastric in combination with the administration of ozonated distilled water in the complex treatment of 60 patients with peptic ulcer of the stomach and duodenum was studied. An improvement in the morphological and functional state of the gastric mucosa with ulcerative epithelialization was revealed in all patients after a course of ozone therapy, and in 70 % of patients in the control group on the background of basic drug therapy.

Mineral water, when used internally, has both a stress-inducing and a stress-limiting effect, which manifests itself at the first stage by activation of prooxidant reactions (increased level of malondialdehyde), increased production of cortisol and inhibition of insulinemia, while antioxidant enzymes (catalase) are activated somewhat later and hormonal regulation of carbohydrate metabolism. In experimental animals and patients with metabolic syndrome, the intake of mineral waters of different compositions increases the activity of antioxidant enzymes, reduces insulin resistance, and reduces the severity of dyslipidemia. The presence of magnesium ions in mineral water increases its therapeutic effectiveness.

Halotherapy, which provides anti-inflammatory, draining, mucolytic, immunomodulatory action, is an effective technology for medical rehabilitation of children with respiratory diseases. High efficiency of various methods of carrying out haloaerosol therapy has been established: in halocamera, galocabinet, in the form of haloingalations. Halotherapy has a favorable effect on clinical course of diseases, pulmonary ventilation function, hemogram and immunological indices, functional state of the central nervous system, has a pronounced draining, anti-inflammatory, rehydration, sanogenetic action.

Medical rehabilitation is one of the leading directions of development of medicine in the XXIcentury. The theoretical basis for determining the strategy of medical rehabilitation is the international classification of functioning, disability and health. This article describes a clinical case of a patient with ankylosing spondylitis in order to demonstrate the possibility of applying the international classification of functioning, disability and health in the formation of a rehabilitation diagnosis for further work of a multidisciplinary team to organize effective rehabilitation care for patients of this profile.

Summary. Symptoms of photodamage represent an aesthetic problem, worsen the quality of life of patients and are the reason for contacting aesthetic medicine specialists. The main symptoms can be distinguished from them: increased dry skin (xerosis), thickening of the epidermal-dermal structures, pigmented disorders, microcirculatory disorders in the form of persistent vascular changes, the presence of small superficial and gross deep wrinkles. Correction of signs of photoaging stands out as a promising trend in modern aesthetic medicine and physiotherapy. Material and methods. The study involved 18 women in the age group of 35–45years. At the first stage, biorevitalization was carried out, at the second stage, laser therapy was performed from an erbium laser, at the third stage, the exposure was carried out from a neodymium long-pulse laser with a wavelength of 1064nm. The interval between the stages was 2 weeks. Results. After therapy, there was a decrease in the severity of clinical symptoms of photoaging, regardless of the initial severity: for grade 1 — 74%, for grade 2 — 71%, for grade 3 — 39%. After the combined injection and physiotherapeutic treatment, normalization of LDF values was observed. In patients with the atonic type of MC, the microcirculation index significantly improved 1,45times (p<0,01) and corresponded to normal values. In patients with spastic type of MC, the index of the efficiency of microcirculation processes increased 2,3times (p<0,001). Conclusions. The developed phased therapy complex allows affecting several links of pathogenesis, and the efficiency is based on the restoration of the qualitative characteristics of the skin and a positive effect on hemodynamic processes with the restoration of active and passive mechanisms of microcirculatory processes.

In this work, a clinical case on the effectiveness of acupuncture in the treatment of a pharmacoresistant form of facial neuropathy is demonstrated.

In addition to pain syndrome more or less pronounced, the clinical manifestations of dorsopathy include a violation of the functional mobility of the corresponding segment of the spine or the entire spine as a whole. The aim of the work is to identify the symptoms that determine the main clinical manifestations in a particular patient with dorsopathy, which formed the basis for the development of an algorithm for choosing the tactics of physiotherapy in various clinical manifestations of dorsopathy. 115maps of ambulatory patients with various manifestations of dorsopathy were analyzed: muscle-tonic, pain syndrome of different severity and localization. Taking into account the multifactorial pathogenesis and multilevel development of functional disorders affecting innervation, motor activity of muscles, microvascular support, the degree of degenerative changes in the joints of the spine, an algorithm for selecting rehabilitation techniques depending on the severity of the underlying clinical symptoms was developed.

Injections of intradermal fillers are one of the most common procedures in aesthetic medicine, but despite the fact that the safety profile is favorable, undesirable effects (AE) of varying severity may occur. Objective: to analyze the literature on the complications associated with injections of intradermal fillers. To study the effectiveness of the combined method, including low-intensity laser therapy and hyaluronidase pharmaphoresis in case of complications of this technique. Material and methods: There were 12female patients under observation (mean age 38,9±2,6) with complications after the administration of hyaluronic acid fillers with localization in the administration area. Diagnosis: granuloma of the skin and subcutaneous tissue, associated with the presence of a foreign body (filler). All patients underwent low-intensity infrared laser therapy procedures locally on the lesions and pharmatophoresis with hyaluronidase 3000ME. Conclusions: Although the introduction of intradermal fillers is the most popular type of minimally invasive facial rejuvenation, physicians should be aware of the possibility of the occurrence of serious ones. The combined use of low-intensity infrared laser therapy locally to the lesions and pharmaphoresis with hyaluronidase 3000ME with complications of intradermal administration of hyaluronic acid fillers is a highly effective treatment method, as confirmed by the relief of clinical symptoms and improving the quality of life of patients.

The results of sanatorium treatment of 108 patients with metabolic syndrome and arterial hypertension using hypobarotherapy in combination with sulfide baths and drinking mineral water are presented. It was established that the course of sanatorium therapy improves parameters of carbohydrate, lipid, oxidative metabolism, hemorheological, hemodynamic and clinical parameters with preservation of results up to 6 months.

Treatment of air traffic controllers’ vegetative nervous system disorders is an issue of serious concern since their work is rather stressful and responsible. It can lead to the chronic stress and the development of various pathological processes in the form of dysregulation of cortical-subcortical impulses, the formation of borderline neurocardial and neuroendocrine disorders and impaired mental deadaptation. Thus, professional activity deteriorates. The article contains survey data of 120 air traffic controllers who were treated with psycho correctional music therapy and color-light-therapeutic technologies to recover from vegetative disorders. As a result of the study, it was proved that the use of color-light-therapeutic technologies, together with psycho-correctional music therapy, helps to eliminate the vegetative imbalance, regardless of the initial disorders. According to the statistics in “Questionnaire for identifying the signs of vegetative changes” and the results of ortho-clinostatic tests and skin dermographism this type of treatment also improves the condition of the vegetative nervous system. Due to hypersympathicotonia and elimination of vagotonia, the adaptation process is normalized and physical health is improved dramatically, besides that the cardiovascular system of the researched air traffic controllers turned out to be meliorated as well.

Stroke ranks first among the causes of primary disability and second among the causes of death, and the high social importance of treatment is due to the fact that as a result of its occurrence, the quality of life not only of the patient, but also of the family of the patient, due to the fact that he needs the help of relatives In this regard, in recent years, there has been a significant increase in interest in improving rehabilitation. The article presents the data of treatment of 120patients with post-stroke spasticity of the upper limb in the early recovery period after stroke using photo-vibro-acoustic therapy. It is shown that the inclusion in the rehabilitation program of the course integrated use of photo-vibro-acoustic therapy in combination with botulinum toxin type A promotes more rapid regression of complaints and clinical symptoms than monophospate photos vibro-acoustic therapy, a significant decrease in the severity of pain syndrome, reduction of increased muscle tone of the affected limb and increase muscle strength and range of motion in patients with post-stroke spasticity of the upper limb in the early rehabilitation period after stroke, as well as increasing the degree of functional independence and expanding the scope of self-service and, as a result, improving their quality of life.

The incidence of the musculoskeletal system is steadily growing all over the world. At the same time, the deterioration of the ecological situation is accompanied by a violation of the immunological homeostasis, which creates the prerequisites for aggravating this pathology with age. Among the diseases of the musculoskeletal system, the adhesive capsulitis is of the greatest interest. Multifactority of its etiopathogenesis creates great difficulties in the rehabilitation of these patients, which requires an integrated approach to treatment. In modern conditions, a characteristic feature is the presence in patients of a large number of concomitant diseases, including diabetes. In our previous works, the glycolytic and lipolytic effects of pulsed currents were shown. So, in this study, we observed two groups of patients with adhesive capsulitis, against the background of subcompensated type 2diabetes mellitus. The first group of patients (control, n=30) received standard drug therapy, and the second (main, n=120) received additional electrical neurostimulation. All patients had limited movement in the shoulder joint, pain, the presence of trigger points in the muscles of the shoulder girdle. To determine the violation of muscle function, we used the method of classical electrodiagnostics, with the definition of electroexcitability of the subacute and supraspinous muscles. The state of electrical excitability of the muscles in question, having trigger points, reflected the presence of spasticity in them, which was accompanied by an increase in the indices of all types of currents used. At present, a large arsenal of medicines is known, the effectiveness of which is limited by their side effects. Therefore, in this study, for the second group of patients, electroneurostimulation of muscles from the OMRON E-4 apparatus was additionally included in the standard treatment. It has a wide range of frequencies, creating in the treatment: analgesic effect, normalization of electrical excitability of the neuromuscular apparatus, increasing the volume of movements in the shoulder joint. Comparative analysis of the effectiveness of treatment in two groups of patients revealed the advantage of the course of complex treatment (with the use of this electrostimulation) with compensation in 86.7% of patients in the 2 nd group, which was confirmed by clinical, electrodiagnostic and regression analysis, with a positive outlook in the long-term period.

The review article presents data on scientific studies conducted in recent decades on the use of various physiotherapeutic factors in the complex treatment of patients with purulent-inflammatory diseases of the maxillofacial area