The pandemic caused by the novel coronavirus infection COVID-19 dramatically increased the burden on healthcare, which led to the repurposing and limitation of the bed stock in rehabilitation centers. That served as the basis for the search for new approaches to the treatment and routing of patients, including using remote-controlled rehabilitation. The aim of the study was to evaluate the effectiveness and safety of motor rehabilitation in patients after hip replacement with the use of telerehabilitation technologies. Materials and methods: In a retrospective study, 32 patients aged 40 to 75 years who underwent rehabilitation after hip replacement using telemedicine technologies were examined. After discharge from the surgical hospital, all patients were offered a link to receive a program of motor rehabilitation, including exercise therapy complexes and a video clip on the technique of performing these exercises. In addition, online classes with a physical therapy instructor were conducted for patients with technical capabilities. The rehabilitation program started from the first day after surgery and lasted 90 days. To assess the effectiveness of rehabilitation, all patients underwent testing, including questionnaires and mobility tests, which were conducted on the second day and 3 months after surgery. Results: Rehabilitation with the use of telemedicine for patients after hip replacement demonstrates a positive clinical effect, assessed by mobility tests (TUG and the 6‑minute walk test), the EQ-5D quality of life scale, the SF-36 questionnaire and State-Trait Anxiety Inventory test. Conclusion: The criteria for patient inclusion developed by us, special physical therapy programs, and a routing model with remote rehabilitation treatment can become an effective alternative to the full-time rehabilitation, in case of paramedical difficulties for its implementation.

Relevance: The effectiveness and validity of rehabilitation after endoprosthetics of the lower limb joints is beyond doubt. However, the workload of operating surgeons and the high demand for rehabilitation hospitals and outpatient care limit the possibility of rehabilitation treatment, which impairs the final result of the operation. Taking into account active development of technologies, the introduction of remote-controlled rehabilitation and online questionnaires to assess the effectiveness of postoperative recovery and the quality of life of patients can be considered a promising direction for the organization of a continuous approach to rehabilitation treatment. The aim of the study was to evaluate the effectiveness of the remote rehabilitation forms and the developed questionnaires to determine the routing of patients after hip replacement. Materials and methods: The retrospective study included 30 patients aged 40 to 75 years after total hip replacement surgery. In the surgical hospital, all patients were offered the opportunity to take a survey according to the questionnaire developed by us in order to determine the group and further routing after surgery. The patients of the main group (n=15) who had the technical capabilities to engage in rehabilitation remotely were offered a link to exercise therapy complexes and a video clip on the technique of performing these exercises; online classes with a physical therapy instructor were also conducted. The rehabilitation program started from the first day after surgery and lasted 90 days. The patients of the control group (n=15) underwent classical rehabilitation in a hospital lasting 10–14 days, after which they were discharged with recommendations for outpatient follow-up. To assess the dynamics and satisfaction with postoperative recovery, all patients underwent remote testing to evaluate the quality of life and psycho-emotional state, which was carried out on the second day and 3 months after surgery. Results. The use of remote rehabilitation methods for patients after hip replacement has a positive clinical effect and is characterized by high satisfaction with the outcomes of postoperative recovery. Remote monitoring of the recovery dynamics and the creation of a database contribute to assessing the effectiveness of the treatment. Conclusion. The developed online questionnaires allow determining further routing of patients for rehabilitation treatment after surgery and evaluating the effectiveness of rehabilitation, including by means of remote rehabilitation methods. In case of paramedical difficulties in conducting full-time rehabilitation, a model of using various forms of remote rehabilitation is proposed.

Purpose of the study: to evaluate the effectiveness of the hardware biofeedback video gait reconstruction for training balance and dynamic stereotype in patients of the older age group, in order to prevent the risk of falls. The study included 40 participants, aged 78.2±9.4 years. The patients were divided into two groups: group 1, main (n=20), and group 2, control (n=32). All patients received a standard course of treatment, including group therapeutic exercises and massage according to the relaxing method of the classical therapeutic collar zone massage. The duration of the rehabilitation course in a round-the-clock hospital was 10 days. In addition to the basic course of rehabilitation, the patients of the main group had training using the C–Mill biofeedback sensor treadmill. As a result of the study, a significant improvement in the submetric indicators of the dynamic gait stereotype and the degree of mobility was noted in the patients of the main group, compared to the control group. The obtained results of the effective use of the method of hardware balance training indicate the prospect of including this technology in the rehabilitation programs for elderly patients to improve the dynamic stereotype and increase stability during walking.

Background: Early rehabilitation is an important strategy for the treatment of severe diseases. The study aimed to assess the efficacy of early rehabilitation of patients with mild-to-moderate COVID-19. Methods: The retrospective single-center study with propensity score matching. Results: 180 patients (54 (44 - 62.3) yo) divided into three equal groups: 1 - physical exercises; 2 - physical exercises and chest massage in an electrostatic field; 3 - no rehabilitation. The length of stay (LOS) in the hospital in group 1 was 14 (11-15) days, group 2 - 13 (11-15) days, group 3 - 15 (13-18) days, p=0.0026. Physical exercises for patients with CT-1 improved the quality of life, assessed by the EQ-5D questionnaire, by reducing the level of anxiety and depression. The Hazard Ratio (HR) for desaturation (<93%) was 2.34 (95% Confidence Interval (CI) 1.18-4.63) for group 2, p=0.001. The HR for C-reactive protein level above 50 mg/l in patients with CT-2 was 2.33 (95% CI 1.56-3.47), p=0.0001. Conclusions: Rehabilitation programs are safe for СOVID-19-patients; reduce hospital LOS; improve the quality of life. Continuous monitoring of a patient's condition during rehabilitation is essential. ClinicalTrials.gov ID: NCT0580836

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