Browsing by Author "Golovchenko I. V."

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COMPREHENSIVE REHABILITATION OF OLDER ADULTS FOLLOWING ACUTE STROKE: EMPHASIS ON THERAPEUTIC EXERCISES AND THE MULTIDISCIPLINARY APPROACH
(2025) Salii A. O.; Danylchenko S. I.; Golovchenko I. V.; Tarasova O. O.; Morozenko D. V.
Background. Stroke remains one of the leading causes of long-term disability worldwide, especially among older adults. Given the increasing incidence of CerebroVascular Accidents (CVAs) in the aging population, there is a growing need for comprehensive, individualized reha- bilitation programs that address the specific physical, cognitive, and emotional needs of elderly patients. Aim. To evaluate the effectiveness of therapeutic exercise as part of a multidisciplinary reha- bilitation approach in elderly patients following an acute stroke. Materials and Methods. The study included 21 patients aged 62 to 79 years who were under- going rehabilitation following an acute CVAs in a district hospital setting. The rehabilitation pro- cess featured a seven-stage individualized program consisting of physical therapy, occupational therapy, speech and language therapy, cognitive training, and psychosocial support. The effec- tiveness of the interventions was evaluated using standardized scales: the Modified Rankin Scale, Barthel Index, Montreal Cognitive Assessment, Visual Analogue Scale, and Borg Rating of Per- ceived Exertion. Results. 76% of the participants (n=16) showed significant improvement in their overall con- dition, including reduced neurological symptoms (aphasia, hemiplegia), enhanced motor skills, better balance, improved emotional well-being, and increased independence in daily activities. The remaining 24% of patients (n=5) also demonstrated positive changes but required additional rehabilitation cycles due to limited recovery potential and complex comorbidities. Conclusions. Individualized therapeutic exercises, integrated within a multidisciplinary reha- bilitation framework, are effective in improving the physical and cognitive outcomes of elderly patients after stroke. Early initiation of rehabilitation, combined with continuous assessment and support from a multidisciplinary team, enhances functional recovery and improves the overall quality of life in this vulnerable population.
INTEGRATION OF PSYCHOLOGICAL REHABILITATION INTO THE PHYSICAL THERAPY SYSTEM FOR MILITARY PERSONNEL AFTER AMPUTATION
(2025) Tkachuk A.V.; Danylchenko S. I.; Babkina O. P.; Golovchenko I. V.; Korsunskyy O.Yu.
Since the beginning of the full-scale war in Ukraine in 2022, the issue of rehabilitation for military personnel has become particularly relevant. Medical rehabilitation for service members includes a range of measures aimed at restoring physical health after injuries and wounds, as well as addressing post- traumatic stress disorder. The aim of this study is to analyze the role of psychological support in the process of physical rehabilitation of military patients after limb amputation who show signs of post-traumatic stress disorder. Materials and Methods. The study focuses on the rehabilitation process of military personnel after limb amputation accompanied by post-traumatic stress disorder, based on the analysis of scientific literature related to psychophysical rehabilitation, psychological support, and physical therapy for service members. Results. Psychological assessment of military personnel who have undergone limb amputation and prosthetic fitting is a critical stage in their rehabilitation process. Such assessment allows for the identification of post-traumatic stress disorder, depression, and other psycho-emotional conditions that may complicate the adaptation to a new way of life. This diagnostic process is aimed at detecting and evaluating these psychological states, which can affect the effectiveness of recovery and the overall well-being of the patient. Psychological evaluation is an integral part of the rehabilitation process for amputee veterans. It provides a deep understanding of the patient’s emotional state and enables the development of an individualized support plan aimed at optimal recovery and improved quality of life. Resocialization of military personnel after amputation involves returning to active social life and professional activity. This may include vocational retraining, participation in community events, and support in maintaining or re-establishing social connections. Conclusion. A comprehensive approach to the rehabilitation of military personnel after limb amputation includes physical therapy, psychological support, and resocialization measures. These components together contribute to full recovery and reintegration into active life. Psychological support enhances self-esteem, life satisfaction, and overall social functioning.
PHYSICAL ACTIVITY AND REHABILITATION STRATEGIES IN THE COMPREHENSIVE MANAGEMENT OF TYPE 2 DIABETES
(2025) Voitenko D. O.; Golovchenko I. V.; Tarasova O. O.; Morozenko D. V.; Danylchenko S. I.
Type 2 diabetes mellitus is one of the most common non-communicable diseases worldwide and is linked to high risks of complications, disability, and reduced quality of life. Consequently, there is an increasing need for effective non-drug treatment options, especially physical rehabilitation and personalized physical activity. Aim. To summarize current scientific evidence on the role of physical activity and rehabilitation technologies in the comprehensive management of patients with Type 2 diabetes mellitus and to analyze the effectiveness of existing approaches considering clinical, functional, and age-related factors. Materials and Methods. An analytical review of 36 scientific publications from international databases (PubMed, Scopus, Web of Science) was conducted. The selected studies focused on the use of physical therapy in Type 2 diabetes mellitus, were of high methodological quality, and provided data on the effects of physical activity on metabolic, functional, and psycho-emotional indicators. Results. This article summarizes current approaches to the use of therapeutic exercise, kinesiotherapy, massage, hydrotherapy, diet therapy, and phytotherapy in the treatment of Type 2 diabetes mellitus. Special attention is given to the importance of individualized exercise programs based on disease compensation level, cardiovascular comorbidities, physical fitness, and coexisting conditions. It has been shown that moderate-intensity physical activity (60–75% HRmax) improves insulin sensitivity, reduces body weight, normalizes glycemia, and prevents complications. Emphasis is placed on the gradual increase in physical load, glycemic control before and after exercise, and the importance of psycho-emotional support. Conclusions. Integrating physical rehabilitation methods into the treatment of Type 2 diabetes mellitus significantly enhances therapy effectiveness, improves patients' quality of life, and reduces the risk of complications. A promising direction is the development of differentiated rehabilitation programs tailored to individual clinical and physiological characteristics.
PHYSICAL THERAPY IN GERONTOLOGY: OPPORTUNITIES FOR ENHANCING QUALITY OF LIFE AMID POPULATION AGEING
(2025) Khan A. Yu.; Tarasova O. O.; Danylchenko S. I.; Golovchenko I. V.; Morozenko D. V.
This review article examines current approaches to physical therapy in gerontological practice aimed at preserving functional independence and improving quality of life in adults aged 65 and older. Demographic trends toward an increasing proportion of older individuals present healthcare systems with new challenges, notably the prevention of non-communicable diseases, the reduction of fall risk, and the mitigation of rapid functional decline. Regular adaptive physical activity – including aerobic, resistance, balance, and yoga exercises – has been shown to significantly lower the risk of cardiovascular disease, osteoporosis, and type 2 diabetes, while also enhancing cognitive function and psycho emotional well-being (SMD (Standardized Mean Difference) ≈ 0.5 for cognitive reserve; SMD ≈ –0.6 for anxiety reduc- tion). Individualized exercise programs that combine aerobic and strength training yield sta- tistically significant improvements in functional status, reductions in depressive symptoms, and increases in self-esteem. A dedicated section addresses non-pharmacological modalities such as therapeutic massage, physical agents (galvanic current, electrophoresis, ultrasound, magnetotherapy), respiratory and inhalation techniques, short wave diathermy, and low am- plitude electrical stimulation. These interventions effectively relieve pain, improve microcir- culation, reduce muscle tension, and promote tissue healing in degenerative dystrophic con- ditions. Significant attention is given to emerging technologies – tele physiotherapy, wearable sensors, virtual reality, biofeedback, and transcranial magnetic stimulation which facilitate remote monitoring, personalize interventions, and expand rehabilitation access for individuals with limited mobility. A multidisciplinary team approach is essential for developing compre- hensive plans that address patients’ physical, cognitive, and psychosocial needs. The article concludes by emphasizing the need to integrate innovative physiotherapeutic strategies into primary care, strengthen the evidence base, and enhance professional training.