Вивчення вегетативного забезпечення м'язової діяльності у спортсменів дає можливість оцінити внесок вегетативної нервової системи в досягнення високих спортивних результатів у різні вікові періоди, виявити закономірності взаємодії відділів вегетативної нервової системи у процесі короткотривалої та довготривалої адаптації до м'язових навантажень, встановити особливості вегетативної регуляції серцево-судинної системи у спортсменів, які тренують різні фізичні якості.Мета роботи -дослідити зміни варіабельності серцевого ритму (ВСР) у спортсменів залежно від спрямованості тренувального процесу.

The purpose of the study was to evaluate the effectiveness of the developed physical therapy program based on the dynamics of indicators characterizing the limitation of life activities due to lumbopelvic pain in women with an endoprosthetic hip joint who underwent cesarean section. 9 women aged (28,5±1,6) years were examined 1 month after childbirth, which took place by caesarean section. The developed program of physical therapy lasted 1 month. Therapeutic exercises were applied; functional training, proprioceptive neuromuscular facilitation; massage of lower limbs, back. Movement limitations associated with an incompletely formed scar after cesarean section and the presence of an endoprosthesis were taken into account; safe strategies of movements related to child care were created. Determined The degree of restriction of vital activity according to the Oswestry Disability Index, Pelvic Girdle Questionnaire, Pregnancy Mobility Index was determined. During the initial examination, women were found to have a deterioration in their daily life activities and activities according to all the investigated indicators. During the re-examination, the improvement of vital activity in women according to the Oswestry Disability Index was 54.8 % compared to the initial result, according to the Pelvic Girdle Questionnaire – 58.6 % (р<0.05). The dynamics of the Pregnancy Mobility Index results showed a statistically significant improvement in the condition of the examined women relative to the initial result in the subscales of daily home mobility (by 54.1 %), household activity (by 60.9%), and non-household activity (by 54.6 %). Based on the results of the study, it was concluded that physical therapy should be prescribed in the complex recovery of women with an endoprosthetic hip joint who underwent cesarean section to reduce the limitation of the degree of vital activity due to lumbopelvic pain. Keywords: rehabilitation, postpartum period, abdominal delivery, lower extremity joint endoprosthesis.

Psychosocial rehabilitation for patients with mental disorders is one of the priority areas of scientific research in modern psychiatric discourse. The key to solving this problem is a multidisciplinary approach, within which it becomes possible to select congruent rehabilitation and psychoeducational techniques, taking into account the clinical and psychopathological content of this nosological form. In this context endogenous procedural mental disorders deserve special attention, as they are characterized by the highest level of social and labor maladjustment. Aim. To investigate the effectiveness of the developed model of complex psychosocial rehabilitation for patients with schizophrenia. Materials and methods. On the basis of Municipal Non-Commercial Enterprise “Regional Clinical Institution for Provision of Psychiatric Care” of Zaporizhzhia Regional Council, 80 patients with a simple form of schizophrenia were selected at the outpatient stage of treatment for the purpose of further examination. Clinical diagnostics of the studied mental pathology was carried out in accordance with the differential diagnostic criteria of the International Classification of Diseases 10 revision (ICD-10). The inclusion criteria for the study contingent were: informed consent to participate in the study, the absence of severe somatic pathology and information about craniocerebral trauma. In order to analyze the effectiveness of the developed model, the study contingent was randomized into the study group (SG) – 40 patients who received complex therapy within the framework of the developed model of psychosocial rehabilitation, and the comparison group (CG) – 40 patients who received treatment in accordance with the current protocols. Results. Based on the formed principles of psychosocial rehabilitation for patients with a simple form of schizophrenia, a comprehensive model of psycho-rehabilitation support for this patient contingent was generated including four stages: psychopharmacological, family intervention, cognitive-behavioural and ergotherapeutic. Analysing the effectiveness of the developed model, statistically significant differences (P < 0.05) were established between the average indicators in the studied groups according to the criteria “socially useful activity, including work and study” (4.18 ± 0.25 and 3.33 ± 0.27 points in SG and CG, respectively) and “relationships with family and other social relations” (4.35 ± 0.24 and 3.60 ± 0.25 points in SG and CG, respectively) in the absence of statistically significant differences in the criteria for “self-care” and “bothering others and aggressive behaviour”. Conclusions. The effectiveness of the complex model of psychosocial rehabilitation for patients with a simple form of schizophrenia in the areas of socially useful activities (study and work) and social relations was developed and proved, which made it possible to increase the effectiveness of therapy for this contingent of patients.

Studies on endothelial dysfunction and its relationship with adaptive disorders in highly skilled athletes are few in number and mainly carried out in cyclic kinds of sports due to larger volumes and higher intensities of training loads associated with endurance performance gain. Stress and sex hormones and growth hormone play an important role in the regulation of endothelial function, but factors, which can stimulate negative vascular changes, remain a matter of debate. It is also unclear, whether changes in the vascular system depend on the type, mode or intensity of physical activity. The aim of the work was to perform a comparative assessment of endothelial function and to study the role of some hormones in its regulation in highly qualified athletes in the process of adaptation to various training loads. Material and methods. After signing a written informed consent, the study involved 104 athletes (80 men and 24 women) qualifying from the First-Class athletes to Masters of Sports of International Class (MSIC): 63 – athletes, who mainly trained endurance performance (triathletes, swimmers, long-distance runners, rowers), 31 – strength performance (weightlifters, powerlifters, kettlebell lifters), 10 – speed performance (sprinters). The mean age of the examined athletes was 21.75 ± 3.32 years. Among them, there were Masters of Sports of International Class (MSIC) – 2 athletes, Masters of Sports (MS) – 25, Candidates Master of Sports (CMS) – 48, First-Class athletes – 29. Plasma levels of endothelin-1, 6-keto-PG, erythropoietin, growth hormone, testosterone, free testosterone were determined by enzyme-linked immunoassay on a Seac ELISA-Reader Sirio S (Seac Radim Company, Italy). Results. There was no statistically significant difference in endothelin-1 levels between the endurance and strength athletes, but the strength-trained athletes showed a tendency towards endothelin-1 level predominance (0.77 ± 0.04 fmol/ml vs. 0.72 ± 0.06 fmol/ml; P = 0.176) and 2 times (P = 0.017) higher levels of 6-keto-PG. The endothelin-1 and 6-keto-PG levels did not differ significantly between the endurance and speed athletes. The strength-trained athletes exhibited 5.2 % (P = 0.016) higher endothelin-1 levels than speed-trained athletes. However, these athletes did not differ statistically in the 6-keto-PG (292.30 ± 70.38 pg/ml against 106.92 ± 74.44 pg/ml; P = 0.834) level. A positive correlation was found between the levels of erythropoietin and 6-keto-PG in the endurance-trained (r = 0.57; P = 0.00001) and strength-trained (r = 0.46; P = 0.013) athletes. Analysis of testosterone and free testosterone levels did not reveal statistically significant differences between endurance-, strength- or speed-trained athletes. At the same time, there was a trend towards higher levels of testosterone and free testosterone in the strength-trained athletes as compared to those in the endurance- or speed-trained athletes. The strength athletes showed a positive correlation (r = 0.46; P = 0.013) between the levels of free testosterone and endothelin-1. The highest level of somatotropic hormone was in the speed-trained athletes (11.74 ± 3.13 mIU/l), 2 times less - in the endurance-trained athletes (5.69 ± 1.19 mIU/l), and the lowest one – in the strength-trained athletes (2.66 ± 1.32 mIU/l). A positive correlation between the growth hormone and erythropoietin levels (r = 0.29; P = 0.038) was revealed in the endurance athletes. Conclusions. The endurance and speed athletes did not differ in the levels of endothelin-1, 6-keto-PG, erythropoietin, and testosterone. The strength-trained athletes showed signs of endothelial dysfunction: higher endothelin-1 levels with significantly reduced growth hormone and a tendency of increase in the serum testosterone level, as well as a compensatory increase in 6-keto-PG to maintain the balance between vasoconstrictors and vasodilators.

Issues of improving the functional training (different orientation of the training process) of athletes due the development of the respiratory system, including the respiratory system, as well as increasing the body's resistance to hypoxic stress remain extremely relevant at the present stage of sport development. The aim of the study is to investigate the peculiarities of the reaction of the external respiratory system in athletes, depending on the orientation of the training process. Materials and methods. The study involved 104 athletes (84 men and 20 women) skill level from CMS to IMS: 63 – athletes, who developed mainly endurance quality (triathletes, swimmers, long-distance runners, rowing), 31 – strength quality (weightlifters, powerlifting, weightlifting), 10 – speed quality (runners sprinters). The mean age of the athletes under study was 21.75 ± 3.32 years. Among them there are international masters of sports (IMS) – 2 athletes, masters of sports (MS) – 25, candidates for master of sports – 48, athletes of 1 degree – 29. Computer spirometric examination was performed for all athletes using the spirographic complex “Spirocom” produced by LLC “KHAI-Medica” in Kharkiv in accordance with existing recommendations. Research results. Analysis of computer spirometry showed, that athletes, who developed the quality of strength had 18.2 % (P = 0.014) greater vital capacity of the lungs, due to the predominance of respiratory volume by 29.9 % (P = 0.017) and by 42.1 % (P = 0.001) inspiratory reserve volume, but less by 22.4 % (P = 0.019) expiratory reserve volume, than athletes, who improved the quality of endurance. Athletes, who developed the quality of endurance in contrast to athletes, who improved the quality of speed had a higher forced vital capacity of the lungs by 14.9 % (P = 0.031), due to the predominance of a inspiratory reserve volume by 9.8 % (P = 0.049) and expiratory reserve volume by 28.5 % (P = 0.044). Athletes, who improved the quality of speed had lower vital capacity of the lungs by 26.1 % (P = 0.003), forced vital capacity of the lungs by 20.2 % (P = 0.016), due to a decrease of inspiratory reserve volume by 34.2 % (P = 0.008), than athletes, who improved the quality of strength. Athletes, who developed the quality of speed, had greater resistance to air flow in the bronchi of small caliber in the exhalation phase, as evidenced by a lower rate of forced expiratory volume1 by 21.1 % (P = 0.015), the volume of forced expiratory to reach the peak expiratory flow by 30.2 % (P = 0.016), MEF 75 by 22.9 % (P = 0.036), FEF 75–85 by 22.8 % (P = 0.035), than athletes, who developed the quality of strength. Conclusions Athletes, who have developed a quality of strength have a greater vital capacity of the lungs, due to the predominance of respiratory volume and inspiratory reserve volume, but less expiratory reserve volume, than in athletes, who improved the quality of endurance. Athletes, who developed endurance quality, in contrast to athletes, who improved the quality of speed, have a higher forced vital capacity of the lungs, due to the predominance of inspiratory and expiratory reserve volumes. The function of external respiration of athletes, who improved the quality of speed is characterized by lower vital capacity of the lungs, forced vital capacity of the lungs, due to reduced inspiratory reserve volume, and greater resistance to airflow in the bronchi of small caliber in the expiratory phase, than in athletes, who developed the quality of strength.