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Polypathy (PP) significantly changes the tactics of the use of rehabilitation technologies, has a significant impact on the prognosis and outcome of treatment of patients, while the standards and approaches currently available when choosing one or another physiotherapeutic rehabilitation are not clearly differentiated. Objective. To analyze the structure of PP, as well as to characterize the effectiveness potential of systemic pathogenetic physiotherapy (SPPT) in the age aspect based on the principles of evidence-based medicine, in particular retrospective cohort studies. Materials and methods. SPPT was used in 811 patients with PP: men – 322 (39.7%), women – 489 (60.3%). We identified two cohorts of patients: group 1 – 328 (40.4%) patients aged 45–59 years; group 2 – 483 (59.6%) patients aged 60–74 years. The ratio of middle-aged and elderly patients was 1:1.4. The results of symptom-complex physiotherapy were compared in groups of end point – (-), (+). Results. In group 1 there were 2.5 diseases per 1 patient with PP, in group 2 – 3.5 diseases. In group 1, 79.3% of patients with PP had 2 diseases, while in group 2, 60.6% of patients had 2–3 diseases. In group 2, the proportion of patients with ≥4 diseases was higher by 13.6% compared with group 1, with 3 diseases – by 29%. At the same time, the proportion of patients with 2 diseases in group 1 was higher by 42.7% compared to group 2. Conclusion. The Lazebnik index was 3.1 diseases per 1 patient. PP is more common in elderly patients than in middle-aged patients; In elderly patients, the so-called "organotopic" pathology more noticeably exceeded that in middle-aged patients.
Polypathy (PP) significantly changes the tactics of the use of rehabilitation technologies, has a significant impact on the prognosis and outcome of treatment of patients, while the standards and approaches currently available when choosing one or another physiotherapeutic rehabilitation are not clearly differentiated. Objective. To analyze the structure of PP, as well as to characterize the effectiveness potential of systemic pathogenetic physiotherapy (SPPT) in the age aspect based on the principles of evidence-based medicine, in particular retrospective cohort studies. Materials and methods. SPPT was used in 811 patients with PP: men – 322 (39.7%), women – 489 (60.3%). We identified two cohorts of patients: group 1 – 328 (40.4%) patients aged 45–59 years; group 2 – 483 (59.6%) patients aged 60–74 years. The ratio of middle-aged and elderly patients was 1:1.4. The results of symptom-complex physiotherapy were compared in groups of end point – (-), (+). Results. In group 1 there were 2.5 diseases per 1 patient with PP, in group 2 – 3.5 diseases. In group 1, 79.3% of patients with PP had 2 diseases, while in group 2, 60.6% of patients had 2–3 diseases. In group 2, the proportion of patients with ≥4 diseases was higher by 13.6% compared with group 1, with 3 diseases – by 29%. At the same time, the proportion of patients with 2 diseases in group 1 was higher by 42.7% compared to group 2. Conclusion. The Lazebnik index was 3.1 diseases per 1 patient. PP is more common in elderly patients than in middle-aged patients; In elderly patients, the so-called "organotopic" pathology more noticeably exceeded that in middle-aged patients.
Objective. To highlight the systemic information representation of the problem of complex physical therapy (CPT) in the practice of KNIIKiVL with the determination of the treatment and rehabilitation potential of the CPT carried out in it. The Kyrgyz Scientific Research Institute of Balneology and Rehabilitation Treatment (KSRIBRT) is the main institution of balneology, physiotherapy and medical rehabilitation in the Kyrgyz Republic, whose main tasks are to carry out fundamental and applied scientific research in the relevant field, as well as to provide specialized physiotherapy and rehabilitation assistance to the population. It should be noted that one of the main functions of the KSRIBRT is to make proposals on the formation of state policy in the field of balneology, physiotherapy and medical rehabilitation. In this regard, the institution has its own 65‑year history, an established tradition, a verified style of scientific and practical activity, a great potential for comprehensive rehabilitation treatment, and an appropriate staff. In the context of the fact that physiotherapeutic rehabilitation is adopted by the strategy of the XXI century, it is necessary to ensure that the rehabilitation goal and objectives of the KSRIBRT should become planned, specific, measurable, realistically achievable, determined in time. To do this, it was first necessary to have a general understanding of the evidence-based effectiveness of complex physiotherapy (CPT) in patients with polypathies (PP).
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