INTRODUCTION. Urinary incontinence in children is an interdisciplinary problem. The prevalence of urinary incontinence ranges from3.1% to 8.6% and decreases with age. Urinary incontinence can be caused by both organic (diseases of the genitourinary system,neurological pathology) and functional causes. One of the methods of non-drug correction of urinary incontinence is extracorporealmagnetic stimulation, used in adult patients. At the same time, the effectiveness of the method among the pediatric population hasnot been sufficiently studied. AIM. To study the effectiveness and safety of extracorporeal magnetic stimulation in the comprehensive rehabilitation of children withneurogenic urinary incontinence. MATERIAL AND METHODS. A prospective open randomized controlled clinical study included 75 pediatric patients (from 5 years to 16years and 6 months) with a clinical form of day and night urinary incontinence, who were divided by simple randomization into a maingroup (n=39), who received a standard rehabilitation and extracorporeal magnetic stimulation program for 21 days, and a comparisongroup (n=36), in which the standard rehabilitation program did not include the use of extracorporeal magnetic stimulation. RESULTS AND DISCUSSION. A prospective open randomized comparative study revealed that the clinical effectiveness of theextracorporeal magnetic stimulation method in the comprehensive rehabilitation of children with neurogenic urinary incontinenceis 94.8%, which is 25.4% higher than in the comparison group. After treatment, patients in the main group had a noticeable decreasein urinary incontinence episodes, an increase in the micturition volume, and an improvement in the quality of life. Patients withvarious background neurological pathology responded to treatment, which indicates the common pathogenetic mechanisms of thedevelopment of lower urinary tract symptoms in these conditions and the independence of the final effect from the basic diagnosis. CONCLUSION. The use of the perineal extracorporeal magnetic stimulation method in children with neurogenic urinary incontinenceincreases the effectiveness of rehabilitation and is a promising and safe direction of rehabilitation treatment.

The hydrogalvanic baths provide a tool for the combined application of warm fresh water and low frequency electric current. These procedures are suitable for both systemic and local treatments. The mechanism behind their therapeutic action is based on synergistic effect of two therapeutic agents. This article presents the literature and historical review of the method as well as the current concept of hydrohalvanic therapy. The history of its development is associated with the improvement of the technical equipment and accumulation of clinical experience. Numerous studies carried out up to the present time have demonstrated that hydrohalvanic therapy can be effectively applied for the treatment of diabetic angiopathy, rheumatoid and gouty arthritis, fibromyalgia, ankylosing spondylitis. At the same time, the high potential of this method remains underestimated. At present, one of the most promising approaches to its clinical applications is the treatment of lumbosacral radiculopathy caused by degenerative vertebral disk lesions. The hydrogalvanic baths have analgesic, anti-inflammatory, and decongestant effects, improve microcirculation, and reduce sensory impairment. It is necessary to continue clinical investigations to obtain further evidence of the effectiveness of the method under consideration for the treatment of lumbosacral radiculopathy and to evaluate its short- and long-term effects. Their results will hopefully provide an opportunity to include the hydrogalvanic baths in the programs of medical rehabilitation of the patients presenting with lumbosacral radiculopathy.

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The present study was designed to evaluate the possibilities for the application of aquatherapy in the framework of the therapeutic and health promotion programs. Although the relevant investigations are small in number, their results indicate that aquatherapy provides a powerful tool for the prevention of the cardiovascular diseases (CVD) and the rehabilitation after recovery from this pathology. Under certain conditions, this therapeutic modality is the method of choice for the treatment of a specific group of patients either in combination with the aerobic activity or as an alternative to it. The recognition of the importance of aquatherapy and its further development require the extension and the modification of the currently available scientifically sound evidence base.