Browsing by Author "Morozenko D. 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.
LABORATORY MARKERS FOR OVERLOAD OF THE CERVICAL SPINE
(2025) Leontieva F. S.; Fedotova I. F.; Morozenko D. V.; Danylchenko S. I.
Recently, the number of applications from patients who have significant physical exertion in conditions of prolonged exposure to stress factors has increased significantly. Spinal overload is a rather serious and important factor that contributes to the development of degenerative changes, as well as metabolic disorders of various kinds that occur in conditions of chronic stress. In clinical and fundamental medicine, most of the clinical and pathophysiological changes in the human body that occur under the influence of chronic stress and contribute to the development of metabolic disorders during spinal overload remain incompletely understood. This problem is especially important and relevant today for the military, who, during the difficult fight against armed aggression in conditions of chronic stress, have significant physical exertion, which is reflected in the condition of the spine. The aim of the study is to identify the most modern laboratory markers of metabolic disorders during spinal overload. Materials and methods. The scientific data of the PubMed platform for 2021– 2025 were analysed. Results The dynamics of clinical and functional disorders in the body of patients with cervical spine overload on the background of chronic stress includes a complex of structural, functional changes and neurological disorders, which in the case of a long course lead to the development of degenerative diseases of the spine. The conceptual scheme of the formation of metabolic disorders in patients with cervical spine overload on the background of chronic stress consists in the consistent and gradual development of clinical and metabolic disorders, which are reflected in structural and functional changes and clinical and laboratory indicators of blood and urine. The direction of research on the development of criteria for assessing and preventing the impact of chronic stress on the human body with spinal overload can be considered promising. Among the most informative markers that can be used to examine patients are the following: C-reactive protein (may increase in the blood due to inflammation of muscle tissue and/or ligaments in the neck area), integral leukogram indicators (changes in the ratio of leukocytes – leukocytosis, lymphocytopenia or neutrophilia may be detected in patients as reactions to stress); interleukin-1 (often increases in the blood during chronic stress and is associated with inflammation), as well as interleukin- 10 (has an anti-inflammatory effect and may decrease during chronic stress). Conclusions. The most effective laboratory markers for assessing the condition of patients with cervical spine overload on the background of chronic stress can be considered inflammatory markers, marker enzymes for assessing muscle tissue, indicators of insulin resistance, hormonal metabolism and interleukins.
PERSONALIZED REHABILITATION STRATEGIES FOLLOWING LOWER LIMB AMPUTATION: CLINICAL AND FUNCTIONAL OUTCOMES
(2025) Danylenko A. S.; Danylchenko S. I.; Fursenko A. О.; Morozenko D. V.; Chorna I. O.
Objective. The objective of this study was to evaluate the effectiveness of a physical rehabilitation protocol for patients following lower limb amputation, taking into account prosthetic fitting specifics and gait skill development. Materials and Methods. The study included 20 patients with transtibial amputations. The rehabilitation program integrated therapeutic exercise, physiotherapy, massage, robotic-assisted technologies, and psychological support. Effectiveness was assessed using indicators of muscle strength, balance, coordination, functional mobility, and quality of life. Results. Implementation of the program led to significant improvements in rehabilitation outcomes. Patients demonstrated measurable gains in lower limb muscle strength, enhanced postural control, improved coordination, and better walking parameters. Average gait speed increased by more than 20%, and step length and cadence became more symmetrical compared to baseline. In the 6-Minute Walk Test, patients extended their average walking distance from 260 m at baseline to 320 m after completing the program, indicating greater endurance. Balance performance also improved, with mean Berg Balance Scale scores rising from 42 to 48 points, reflecting more stable mobility. Functional mobility scores increased across all amputation levels, with transtibial amputees showing the most pronounced progress. Importantly, the structured protocol reduced rehabilitation duration by approximately 3 weeks on average and facilitated earlier adaptation to the prosthesis. Psychological support played a crucial role in helping patients overcome fear of falling, enhancing motivation, and promoting consistent use of the prosthesis in daily life. Overall, the combined multidisciplinary approach ensured higher mobility levels, faster reintegration into daily activities, and substantial improvements in self-reported quality of life across both physical and psychosocial domains. Conclusions. The proposed rehabilitation program proved effective for optimizing recovery after lower limb amputation. Its application in clinical practice can improve functional outcomes and quality of life and may be recommended for wider use in rehabilitation services.
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.