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Topicality. Musculoskeletal pain is the most common complaint from office workers is often associated with repetitive computer work. The topical character of the problem is also due to the high level of disability, behind only respiratory diseases. For the treatment and prevention often recommend physical exercises, but patients Express concerns about physical activity and recommended exercises in the aspect of the fear of strengthening existing pain syndrome. Is of considerable clinical interest the answer to the question: can physical exercise to have an adverse effect on the condition of the patient with chronic pain syndrome. As well as what type of physical exercise the most effective for therapeutic and prophylactic purpose of office workers, mostly working with the computer. Purpose – a literature review on the issue the treatment and prevention of musculoskeletal pain with physical exercise among office workers. Conclusions. Exercise significantly improves physical health parameters, helping to reduce musculoskeletal pain and improve quality of life. Improve the ergonomics of the workplace prevents the development of carpal tunnel syndrome in the dominant hand, but does not affect an existing neck pain, shoulder, lumbar spine, and prevent them. Exercises for relaxation in the workplace reduce the sensitivity pericardialna neck muscles, reduce neck pain, headache. Strength training with weights muscle have high clinical significance and lead to significant prolonged relief of muscular pain in the neck. Total training for fitness (Nordic walking, running, Cycling) showed only a small yet statistically significant acute pain reduction. Exercise General fitness can be recommended for the organization of "life style" and improve employability. Organization of free time of an office worker in physical activity may be one way of reducing the incidence of vertebral pathology office workers. Further study of preventive health the value of physical exercise programs.

SARS-CoV-2 virus affects the central as well as the peripheral nervous system. Peripheral facial palsy is possible as the first and single COVID-19 symptom. The author presents own clinical observation of a 58-year-old patient with peripheral facial palsy. It is known that the patient completed the vaccination 8 weeks ago and also had direct contact with the patient SARS-CoV-2 (the patient's son). Facial nerve palsy was the first and only symptom of coronavirus infection. In the blood there was a moderate lymphocytopenia, increased interleukin-6, C-reactive protein, seromukoids. MRI of the brain and CT of the temporal bones did not reveal focal and diffuse pathology. After treatment, there was a complete recovery on the ninth day of treatment. Treatment included antiviral drugs, vitamins, steroids, kinesiotaping of facial muscles. The author substantiates necessity and demonstrates the results of treatment with endothelioprotective therapy (combination of L-arginine and L-carnitine) , which is aimed at elimination of systemic inflammation, oxidative stress caused by SARS-CoV-2 virus. Conclusions. General practitioner need to be alert when examining patients, including those who have been vaccinated and those who have direct contact with patients with coronavirus infection. Pathogenesis of peripheral facial palsy in COVID-19 multidirectional: neuroinvasive and neurotropic effect of the virus on the nerve, hypercoagulation, ischemia of the peripheral nerve on the background of systemic inflammatory reaction, oxidative stress. Timely detection, careful monitoring and adequate treatment of pathology are necessary to prevent complications (persistent facial contractures, synkinesis). Further in-depth studies are needed on a larger sample of patients to identify the incidence of peripheral facial nerve palsy in COVID-19 and the possibility of a link to vaccination.

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ОСОБЛИВОСТІ ДІАГНОСТИКИ ГОЛОВНОГО БОЛЮ У ОФІСНИХ ПРАЦІВНИКІВ Савицька І. Б. ВСТУП У офісних працівників у результаті ненормованого робочого дня, впливу несприятливих факторів екології офісу (шум, пил, магнітне випромінювання), стресових факторів, гіподинамії, нерегулярного або неякісного харчування, вимушеного положення голови і шиї розвивається «офісний синдром». Офісний синдром включає 1 : 1. М'язово-скелетні болі в спині, шиї, верхніх кінцівках. 2. Головний біль. 3. Тунельний синдром верхньої кінцівки. 4. Серцево-судинні захворювання (атеросклероз, гіпертонічна хвороба, аритмія). 5. Синдром «сухого ока». 6. Захворювання шлунково-кишкового тракту (гастрит, виразка шлунка і 12-палої кишки, хронічний коліт). 7. Захворювання дихальної системи: бронхіальна астма, бронхіт, пневмонія, простудні захворювання. 8. Геморой і тріщини прямої кишки, хронічні запальні захворювання органів малого тазу (хронічний простатит у чоловіків, хронічний ендометрит, сальпінгоофорит у жінок). 9. Ожиріння. 10. Варикозне розширення вен нижніх кінцівок, тромбофлебіт. Один із найбільш частих клінічних симптомів -головний біль м'язової напруги (далі -ГБН). Поширеність ГБН протягом життя в загальній популяції, за даними різних досліджень, варіює від 30 до 78%, що значно перевищує поширеність мігрені (8-20%) 2 . За даними наших попередніх досліджень частота ГБН може становити до 44% 3 .