[Impact of nordic walking on rehabilitation of the patients after COVID-19]. / Vliyanie skandinavskoi khod'by na reabilitatsiyu patsientov, perenesshikh COVID-19.

In the modern world, one of the biggest challenges to the global health system is the pandemic caused by coronavirus infection. Coronavirus infection (HCoV) is an acute infectious disease of viral nature, which is characterized by severe intoxication and predominant damage to the upper respiratory tract. Therefore, the urgent task is to rehabilitate patients after pneumonia associated with coronavirus infection (COVID-19). The basis of rehabilitation for many diseases, including COVID-19, is therapeutic physical culture (exercise therapy). In order to achieve a more pronounced positive effect of patients recovery and on the basis of the available scientific justification of the positive effect of walking with sticks (Scandinavian walking) on the human body, it was proposed to supplement the rehabilitation of such patients with Nordic walking classes. OBJECTIVE: To study the influence of Nordic walking on some indicators of the somatic status of patients who have had a coronavirus infection. MATERIAL AND METHODS: The study involved 33 people aged 30-70 years, with different stages of the disease. To assess rehabilitation, indicators such as heart rate, oxygen saturation in the blood and peak exhalation rate were selected, and the indicators of the 6-minute walk test (6-minute test), which is the main method for determining exercise tolerance in various chronic diseases, were compared. Changes in indicators were observed in dynamics, before and after the 7-day course of physical therapy, supplemented by Nordic walking classes. RESULTS: Based on the analysis of the data obtained during the 7-day follow-up, 91% of patients showed an increase in oxygen saturation; peak exhalation rate increased by 17% on average; bronchial patency increased. Also, the subjects showed positive dynamics of the results of the 6-minute test, the body's tolerance to physical activity increased, the patients themselves noted a significant improvement in their condition. CONCLUSIONS: Thus, the results obtained can be used to develop rehabilitation programs for patients who have undergone COVID-19 and need restorative treatment.

[Epidural pharmacotherapy in the treatment of the pain syndrome in osteochondrosis complicated by intervertebral discs protrusion of lumbar part of the vertebral column].

Experience of application of intralaminar epidural pharmacotherapy for the treatment of the pain syndrome in the patients, suffering osteochondrosis of lumbar portion of vertebral column, complicated by intervertebral discs protrusion, was summarized. The method introduction permits to escape the operative intervention performance for complicated osteochondrosis.