Introduction. According to Russian and foreign studies, the frequency of clinical manifestations that are character for post-COVID syndrome continues to grow in people who have undergone a new coronavirus infection. In this regard, an urgent task is to increase the volume of available treatment methods, including non-drug ones, and their reasonable inclusion in medical rehabilitation.The aim of the study was to assess the osteopathic status and complaints in people who had a new coronavirus infection 3-6 months after the disease and their changes after osteopathic correction.Materials and methods. In the period from May 2020 to September 2021, a prospective study was carried out at the bases of the medical part of the rotational camp of the Yamal-Nenets Autonomous Okrug and ANO «Tyumen Institute of Manual Medicine», Clinic of Family Osteopathy of Doctor Aptekar′. The work is based on the results of osteopathic correction of 218 patients aged 27–54 years (average age — 42,3±3,2 years) who had a new coronavirus infection 3–6 months before the start of the study and who have clinical symptoms that are character for post-COVID syndrome. All patients underwent an assessment of osteopathic status, and there was an analysis of medical records.Results. During the process of osteopathic diagnosis in the examined group, prior to treatment, there were revealed dominant somatic dysfunctions of the regions of the head, thoracic and lumbar. The following most significant local disorders were diagnosed in regional somatic dysfunctions: compression of sphenobasilar synchondrosis (29,8 %), somatic dysfunction of the dura mater of the Brain sag type (25,2 %), somatic dysfunctions of the abdominal (6,9 %) and pelvic (6 %) diaphragms, sigmoid colon (6,9 %) and pericardial ligaments (15,1 %). At the same time, patients had complaints indicating a violation of cognitive functions, disorders of the nervous, cardiovascular, respiratory systems and the musculoskeletal system. After the completion of osteopathic correction, the detection frequency of the above dysfunctions decreased statistically significantly (p≤0.05), and there was obtained a statistically significant (p≤0,05) positive dynamics in complaints. Positive dynamics persisted 3 months after the completion of the osteopathic correction course.Conclusion. This study made it possible to establish that in people who had a new coronavirus infection, in the period 3–6 months after the disease, the compression of sphenobasilar synchondrosis, somatic dysfunction of the dura mater (according to the Brain sag type), somatic dysfunction of the thoracic and pelvic diaphragms, sigmoid colon and pericardial ligaments were the most often detected. After the osteopathic correction, patients showed a statistically significant (p≤0,05) decrease of the detection frequency of these somatic dysfunctions, and a positive trend in complaints.

The research realized on 20 6-12 month old premature babies (gestation period less than 34 weeks) presenting perinatal encephalopathy showed good potential of combined therapy, which included pathogenetically substantiated physiotherapy (medical massage course and therapeutic exercises) and osteopathic treatment.

The article presents the results of examination and treatment of 34 children aged 7-10 years old with mild myopia. The study showed the efficiency of osteopathic correction of mild myopia in early school aged children.

Introduction. Speech disorders are currently observed in an average of 30 % of children of the fi rst grade of school. It means that objectively during the preschool period, one third of the entire population of children have speech function that does not reach the norm and requires additional correction by specialists. In recent years birth injury has been considered one of the possible reasons for the high frequency of speech disorders. As practice shows, the possibilities of drug therapy for children with speech disorders are very limited. That is why it is relevant to expand non-drug methods for the restoration of speech functions. The goal of research — to justify the use of osteopathic correction of somatic dysfunctions in order to improve sound pronunciation in preschool children.Materials and methods. In the period from 2012 to 2018, a prospective controlled randomized study was performed on the basis of Tyumen Institute of Manual Medicine. The work is based on the results of examination and treatment of 98 preschool children with delayed speech development. 18 people were excluded from the study in accordance with exclusion criteria. Depending on the treatment method used, all patients were divided by simple randomization using the envelope method into two comparable groups (main and control) of 40 people. Patients of both groups underwent a complete speech therapy correction and training course, which included individual lessons. Patients of the main group underwent the same speech therapy, as well as the osteopathic treatment in accordance with the developed algorithm. All patients underwent osteopathic examination and a combined assessment of the severity of speech disorders before and after the treatment.Results. The study showed that the presence of global, regional and local somatic dysfunctions was typical for children of preschool age with a delay in speech development. Somatic dysfunctions of head, neck and thoracic regions were most often observed. In the course of the treatment, patients of the main group showed a statistically significant decrease in the frequency of detection of somatic dysfunctions of head, neck, and thoracic regions, of local somatic dysfunctions of the cranial sutures and the thoracoabdominal diaphragm (p<0,05). In patients of the control group, there was no statistically significant decrease in the number of somatic dysfunctions. In children with impaired speech development who underwent complex therapy, which included osteopathic correction and individual lessons with a speech therapist, there was a significant decrease in the severity of speech disorders compared with patients of the control group (p<0,00001).Conclusion. Osteopathic correction of somatic dysfunctions (with a certain sequence of techniques aimed to treat connective tissue disorders, including decompression, elimination of edema and hypoxia in children with delayed speech development), allows to achieve a statistically signifi cant improvement in children′s condition compared with standard treatment.

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