Наукові праці. Кафедра спортивної, фізичної та реабілітаційної медицини, фізичної терапії, ерготерапії
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Item Possibility of rehabilitation of patients with cognitive dysfunction and impairment of critical thinking in mild traumatic brain injuries(2025) Horoshko, V.; Pavlova, T.; Markovska, O.; Samoilova, H.; Cherniaiev, M.; Shapkin, A.Abstract. Background. Studying the impact of mild traumatic brain injury (TBI) on cognitive functions and critical thinking is an important task in modern neurology and rehabilitation medicine. The aim of this study is to analyze the impact of mild TBI on cognitive functions and critical thinking, and to evaluate the possibilities of rehabilitation to restore these functions. Materials and methods. Clinical, neuropsychological and instrumental methods were used for assessing the state of cognitive functions in mild TBI. The study involved 36 patients aged 28 to 35 years, including 20 men (55.56 %) and 16 (44.44 %) women, maintaining gender equality. They had a diagnosis of mild TBI according to the International Statistical Classification of Diseases and Related Health Problems (10th revision) under the code S06.9X9, confirmed by medical documents. Results. The study showed that 29 people (80 %) with mild TBI had memory and attention impairments, which manifested themselves through a decrease in the ability to remember new information and concentrate. Patients with severe cognitive impairments were found to have structural changes in the brain on magnetic resonance imaging, such as hippocampal atrophy and enlargement of the cerebral ventricles. In 15 of 36 patients, these changes correlated with worse results on all neuropsychological tests (significance level p < 0.01). Conclusions. 1. Cognitive impairment: 29 patients (80 %) with mild TBI demonstrate significant memory and attention impairment, as evidenced by a 15% decrease on Wechsler Memory Scale scores compared to the control group (p < 0.05). 2. Slowed information processing: 23 patients (63.8 %) have a slow speed of information processing, as indicated by a 20% increase in the time to complete tasks of the Trail Making Test compared to the control group (p < 0.01). 3. Impaired critical thinking: 26 patients (72 %) with mild TBI demonstrated difficulties in critical thinking and executive functions, as evidenced by an 18% increase in the number of errors on the Wisconsin Card Sorting Test compared to the control group (p < 0.01). 4. Gender differences: women have more cognitive impairment than men, including a 12 % lower average score on the Wechsler Memory Scale (p < 0.05). 5. Age differences: older patients (32–35 years) show more significant cognitive deficits than younger ones (28–31 years), in particular, the average time to complete the Trail Making Test was 25 % longer in older individuals (p < 0.01). 6. Neuroimaging findings: 15 of 36 patients had structural brain changes on magnetic resonance imaging, such as hippocampal atrophy and enlargement of the cerebral ventricles, correlating with worse results of neuropsychological tests (p < 0.01). 7. Multidisciplinary approach combining cognitive rehabilitation, physical activity, potential pharmacological treatments, and psychological support offers promising opportunities for restoring cognitive functions and critical thinking abilities in individuals with mild traumatic brain injuries.Item Program: «Healing the wounds of war»(2024) Karvatska, Savastiana; Astapova, ІanaIntegrating affected citizens into international aid systems, including rehabilitation programs, provides additional resources for national governments and helps create sustainable platforms for healing.Item Rehabilition of patients after joint replacement: the role of physical therapy methods(2025) Buriachenko, Vadym; Buriachenko, Nadiia; Astapova, YanaThe effectiveness of rehabilitation methods at the beginning of rehabilitation is essential for the restoration of human activity.Item Synergy of manual therapy and kinesiotaping: a new approach to rehabilitation methods(2025) Buriachenko, Vadym; Buriachenko, Nadiia; Astapova, YanaManual therapy and kinesiotaping are effective methods of physical rehabilitation used to reduce pain, improve joint mobility and normalize muscle tone. The combination of these two techniques allows to create a comprehensive approach to the treatment of patients with musculoskeletal diseases and neurological disorders.Item Comprehensive approach to the treatment of intervertebral hernias the synergy of manual therapy and therapeutic exercise for effective pain relief and restoration of movement function(2025) Buriachenko, Vadym; Buriachenko, Nadiia; Astapova, Yana; Markovska, OlenaAn intervertebral hernia is one of the most common spinal pathologies that occurs as a result of damage to the intervertebral disc and its protrusion beyond the normal position. This can cause compression of the nerve roots, which leads to pain, impaired sensation, and motor function in the corresponding parts of the body. Intervertebral herniations can manifest as back pain, limited mobility, and sometimes loss of ability to perform daily physical activities. According to the data, statistics show that intervertebral hernias occur in 2-3% of the adult population, with the highest incidence in the age group of 30 to 50 years.Item Integration of biofeedback into physical therapy(2025) Buriachenko, Vadym; Buriachenko, Nadiia; Astapova, YanaBiofeedback is a modern physical therapy method that allows patients to consciously control their body's physiological processes. Biofeedback therapy is effective in treating various conditions, including chronic pain, anxiety disorders, hypertension, and migraines. It is also used in rehabilitation after injuries, helping to restore muscle function and improve motor skills.Item Vasyl Yakovych Danylevskyi's lecture on the doctor, the patient, and the successes of medicine (1921): annotated translation(2024) Biletska, O.; Korneyko, I.; Markovska, O.; Shevchenko, А.; Aleksanian, K.; Cherkova, N.; Dushyk, L.Unlike a mechanic, in front of a doctor there is a human being with all the manifestations of the feelings, with a painful soul, with aggravated egoistic intentions. The public easily forgives great failures and blunders of a quack but not a doctor. The doctor's duty is to forget about his personal troubles for the sake of his weak patient and to instill in him cheerfulness, spiritual fortitude, and optimistic expectations. In functional nervous disorders, the doctor can limit himself to psychotherapy only. A family doctor deserves greater respect and trust. A profound knowledge of all medicine is absolutely necessary for any specialized doctor. The doctor is obliged to serve public health – to supervise schools, factories, markets, railways, etc. The success of scientific medicine is not always known to the low-cultural public due to their insufficient popularization by the doctors. However, over the past 50 years, scientific medicine and medical practice have made tremendous progress: local and general anesthesia for operations, antisepsis and asepsis have been applied in surgery, organ transplant operations have been performed, vaccinations against cholera and bubonic plague in humans have been introduced, a new science – medical bacteriology has been founded, a successful fight against epidemic contagious diseases has been carried out, diagnostic reactions to typhoid fever, syphilis, Pasteur institutes have been established; fluoroscopy, chemotherapy are carried out, salvarsan has been invented to treat syphilis and relapsing fever; the therapeutic use of light rays and electrotherapy has begun; study of immunity, innate and acquired, anaphylaxis, study of immunity both innate and acquired, anaphylaxis, scientific psychiatry and psychotherapy is being developed, etc.Item Improvement of physical rehabilitation of patients with ischemic stroke taking into account pathogenetic mechanisms of its occurrence(2024) Markovska, O.; Biletska, O.; Samoilova, H.Ischemic stroke (IS) is one of the significant social and medical problems in Ukraine and the whole world. About 140,000 cases of strokes occur in Ukraine annually. 40% of people with a stroke die within 30 days. In our country, twice as many patients die of stroke compared to the countries of Western Europe. The creation of a state stroke treatment program will be one of the focuses of the Ministry of Health of Ukraine in the coming years. Despite the theoretical achievements in medicine, the clinical issue of ischemic stroke remains an unsolved problem. It is known that thrombolysis and thromboextraction are performed in developed countries only in 10-15% of patients with IS, which leads to improvement of the results of treatment of this contingent of patients by only 20-30%.Item Public health factors in inclusive education(Харківський національний медичний університет, 2023-11-23) Астапова, Яна Валеріївна; Astapova, Iana; Пристюк, Катерина Денисівна; Pristyuk, KaterynaУ тезах статті аналізується багатокомпонентний підхід до поняття здоров’я, його сучасна концепція та вплив факторів громадського здоров’я на формування стратегії інклюзивного освітнього середовищаItem Biomechanical justification for external fixation of the pelvis using rods with different thread hands(2021-04-11) Istomin, A.; Kovalyov, S.; Zhuravlyov, V.; Istomin, D.; Karpinsky, M.