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The purpose of the work is to evaluate the effectiveness of a comprehensive program of physical therapy in patients after surgical reconstruction of the Achilles tendon. Materials and methods. Subjects population comprises 58 patients (aged 34–57 years), including 39 (67.24 %) males and 19 (32.76 %) females, who were up to the surgical restoration of the Achilles tendon. All patients were divided into two groups: the main group (MG, n = 29) and the control one (CG, n = 29). Research methods embraced a review of scientific literature presented on the Internet; experimental research of ascertaining and formative orientation; pedagogical observation; goniometry, plantodynamometry, modified Romberg test; methods of mathematical statistics. Results. After surgery, the angle of plantar flexion was better (P < 0.01) in MG patients compared with CG patients (4 weeks): 29.1 ± 1.19° and 28.1 ± 1.13°. However, statistically significant differences between MG and CG patients in subsequent measurements were not found (P > 0.05). The percentage values of the load distribution on the operated extremity had improved by the final measurement date (16 weeks), which reduced the difference in the load distribution on the extremities to 9.20 ± 3.09 % in MG patients and up to 14.60 ± 2.98 % in CG patients (Me (25 %; 75 %) ) ‒ 8 (6; 12) % and 16 (12; 18) %). The indicators of the final performance of Romberg test were significantly better in MG patients, making 11.4 ± 2.13 s, which is 2.5 seconds better than in CG patients (P < 0.01). Conclusions. Dynamic characteristics of plantar flexion were restored by the following means: adaptive physical exercises and corrective gymnastics, different walking exercises, exercises with fitball, exercises on an exercise bike and step platforms, hydrotherapeutic exercises, orthopedic shoes, physiotherapeutic methods, and massage. The proposed comprehensive program is effective and can be used for post-surgical physical therapy in patients diagnosed with Achilles tendon rupture.

The aim of the work was to evaluate the effectiveness of a physical therapy program for athletes specializing in team sports games with diaphysis fractures of the shin after intramedullary osteosynthesis. Materials and methods. Experimental studies were conducted with athletes in game sports (n = 58) with diaphyseal fractures of the tibia, who were treated in the Department of Traumatology and Orthopedics of the Clinical Hospital № 7, Kyiv, SI “Institute of Traumatology and Orthopedics NAMS of Ukraine”, sports clinic injuries of NUFVSU during 2014–2019. Methods of analysis and generalization of literature sources were used; method of anthropometric measurements to determine the comprehensiveness of a healthy and injured limb; goniometry method for measuring the available range of motion in the knee joint of a healthy and injured limb; myotonometry method to determine the tone of the quadriceps femoris; testing to calculate the symmetry index of the lower extremities (LSI ‒ Lower Extremity Symmetry Index); methods of mathematical statistics. Results. The developed complex program of physical therapy is a cycle of restorative measures that meet the achievement of previous functionality, meets the requirements for the level of motor skills, general and special physical performance of athletes, and meets their personal ideas about the quality of life. Evaluation of the effectiveness of the physical therapy program allows us to state that in BG the normative values were reached by 25 out of 29 athletes (86.21 %), in CG ‒ 19 athletes out of 29 (65.52 %), which indicates the high efficiency of the proposed physical therapy program. Conclusions. In the process of forming physical therapy programs for patients ‒ athletes with diaphysis fractures of the tibia after intramedullary osteosynthesis, therapeutic exercises should be grouped depending on the specific objectives of rehabilitation measures and their predominant focus: to restore motor function; to restore general physical fitness; to restore special physical fitness; to restore basic motor skills and abilities; to restore special motor skills and abilities in accordance with the specifics of training and competitive activities in sports games.

The aim of the study – to evaluate the psychological approach to the social and psychological rehabilitation of paralympic athletes negatively experienced subjective loneliness. Materials and methods are based on theoretical and empirical data, which include the history of the loneliness phenomenon and its modern understanding study. Negative experiences requiring rehabilitation were determined using psychological methods: “Questionnaire for determining the type of loneliness” (S. Korchaginа), “Methods for the subjective feeling of loneliness” (D. Russell, M. Ferguson), “Methods for diagnosing character accentuations” (Leonhard-Shmishyok in the modification A. Lychko), test “Neuropsychic Adaptation” (S. Korchagina at V. Bekhterev Research Institute) with subsequent computer processing of the results using the software package Statistica 6.0 (StatSoft Inc., USA). The study enrolled 50 paralympic athletes aged 18 to 24, who were engaged in powerlifting. Results. Significant intercorrelations between subjective feelings of loneliness and its varieties were found (r = 0.3–0.5) based on the Pearson correlation coefficient, which allowed to consider subjective loneliness as an independent internal phenomenon. The experience of diffuse loneliness did not reveal a significant correlation (r = -0.153) with the subjective state of paralympic athletes. Two directions, which provide a mechanism of development and rehabilitation taking into account the type of loneliness, were identified. The first was the desire to be with others, identification with them through the correction of their own personality. The second one, as a result of the first, was the coping with feeling of loneliness and lack of meaning in life. Conclusions. It was established that the feeling of subjective loneliness negative experiences was associated with the deterioration of neuropsychiatric adaptation and required the socio-psychological rehabilitation of paralympic athletes who specialized in powerlifting. The significant positive relationship between diffuse loneliness and the emotional type of character accentuation in an athlete was proved. It was determined that in the process of the negative experiences of subjective loneliness rehabilitation for paralympic athletes specializing in powerlifting, it is important to consider the types of loneliness which are associated with the psychological state deterioration, which will allow to broaden the understanding of this phenomenon and increase in efficiency of rehabilitation measures.

Back pain (BP) is an important link in neurological pathology and one of the most common complaints in general medicine practice. The purpose of the research was: scientifically and strategically substantiate and develop a comprehensive physical rehabilitation program of persons with dorsalgia in the thoracic spine and to prove its effectiveness according to the data of the electrospondilography. Materials and methods. The study was conducted on the basis of the sports and rehabilitation club “Fifth Element” in Kyiv, 67 patients (25 men and 42 women) were taking part in our research, of the working-age with BP on the thoracic level. Results. Based on the results of previous studies, we have developed a complex physical rehabilitation program for patients with BP on the thoracic spine, which included various tools and forms of physical rehabilitation, elements of modern fitness techniques, soft tissue and connective tissue manipulative techniques, and a cognitive method -conductive therapy. Conclusion. The effectiveness of the developed program of patients with BP in the thoracic department was evaluated after the completion of the course – after 12 weeks. According to the data of ESG, the positive dynamics of indicators K1, K2, K3, К4 was observed in both the MG and CG. However, only in the MG of changes in K3 and K4 indicators were statistically significant.