Aim: to evaluate the corrective effect of a comprehensive physical therapy program on the fall-risk after fractures of the femoral neck in elderly patients with parkinsonism (due to Parkinson's disease) and frailty. Material and methods. We examined 21 elderly patients with Parkinson's disease and frailty in the recovery period after a fracture of the femoral neck. They were divided into two groups: 1 (practiced according to the principles of polyclinic rehabilitation with a predominance of the use of preformed physical factors and general principles of physical therapy) and 2 (practiced according to the developed program of physical therapy with an emphasis on functional training aimed at improving physical qualities and improving motor stereotype, primarily movement, taking into account the signs of parkinsonism). The effectiveness of the program was assessed according to the results of The Short Physical Performance Battery, Berg Balance Scale, Functional Mobility Assessment in Eldery Patients, Falls efficacy Scale International, Parkinson's Disease Quality of Life Questionnaire-39. Results. Elderly patients with parkinsonism and frailty after a fracture of the femur have a high fall-risk, impairment of domestic and social functioning, deterioration in the quality of life, which is shown by the results of all tests performed. A pathogenetically substantiated complex program of physical therapy, created on the basis of functional training, taking into account the specificity of motor manifestations of parkinsonism, revealed a statistically significant positive effect on the fall-risk compared with the general polyclinic rehabilitation program in all its aspects studied (p <0.05). Conclusion. Elderly patients with complex pathology need to draw up pathogenetically based physical therapy programs, taking into account and correcting the specificity of each disease in order to increase the overall effectiveness of rehabilitation.

The aim. The aim of the work was to study the indicators of spermatogenesis in the lake frog, Pelophylax ridibundus (Pallas, 1771), in the zone of the influence of emissions from the Burshtyn Thermal Power Plant (TPP). Materials and methods. Urinal sperm and testes samples were taken from male frogs under conditions of anthropogenic pollution (Burshtyn industrial area). Such parameters as sperm concentration in ejaculate, the number of live spermatozoa, total amount of actively mobile forms, and percentage of spermatozoa with progressive motion were determined by calculations in the hemocytometer. Testis samples were processed for routine histological method. The diameter of seminiferous tubules and histological abnormalities were studied. Results. Studies have revealed that near the Burshtyn TPP industrial site, the sperm concentration in the sperm sample and the total number of motile spermatozoa of the lake frogs significantly decreased. The number of dead spermatozoa increases. Amphibians from polluted sites had histological abnormalities in testes such as dilation of the seminiferous tubules with sparse sperm. At the same time, the diameter of the seminiferous tubules in the animals from polluted site significantly decreased. Conclusions. The impact of the emissions from the Burshtyn thermal power plant has an expressive reprotoxic effect that is manifested by depressive changes in testes tissue and gametes. The reproductive system of the lake frog is quite sensitive to environmental pollution. Sperm parameters and histological changes in testes are informative biomarkers and can be used for bioindication of technogenically transformed territories

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