Проведен обзор отечественной и зарубежной литературы о применении психотерапии и психологических методов воздействия в системе лечения и реабилитации больных рассеянным склерозом (РС). Основными показаниями для назначения психотерапии при РС являются депрессивные и тревожные расстройства, астенические явления, двигательные нарушения, когнитивный дефицит, нарушения сна. Применяемые психотерапевтические методы могут быть отнесены к поведенческому, когнитивному, гуманистическому, комбинированному или альтернативному подходам. Наиболее часто психотерапия при РС проводится в индивидуальной и групповой формах. Ее позитивный эффект подтвержден результатами рандомизированных контролируемых исследований и нейровизуализации. Наиболее оправдано включение психотерапии в комплексные мультидисциплинарные программы лечения и реабилитации больных РС.

Aim. The study of virtual reality technology in the rehabilitation of patients with cerebral stroke and influence on post stroke affective disorder. Materials and methods. The study included 88 patients with ischemic stroke: 59 men (67%) and 29 women (33%). The average age of the patients was 62,05 ± 11,74 years. In the study group included 46 patients, 44 patients in the control group. The groups were matched by age, time from the begin of disease, severity of disease, the severity of motor, affective and cognitive impairments. In addition, in the study group to the program of early rehabilitation to use individual training with virtual reality technology (BTS NIRVANA). The duration of the training was 21 days, 3 times a week for 40 minutes. Results. On the background of rehabilitation in the study group patients had a significant reduced of neurological deficit (p <0,05). Significantly improved neurodynamic and executive cognitive function (p <0,01). In the study group was a statistically significant decrease symptoms of depression on a scale of BDI was 31,7% vs. 20.9% in the control group, anxiety on a scale of HADS was 18,46% (p <0,05) vs. 12,23% (p <0,05) in the control group. Increase motivation and decrease symptoms of apathy in the study group of patients on a scale of AES-C was 13,78% (p <0,05) vs. 1,01 % in the control group. On the background of rehabilitation patients in the study group was no difference between the rates of pathological muscle and mental fatigue. On the background there is rehabilitation of the quality of life due to mobility and activities of daily living. Conclusion. The study showed the positive effect of virtual reality technology for the correction of post-stroke mood disorders.
Maslyuk О.А., Smolentseva I.G., Amosova N.A., Shevchenko N.S., Milagina V.S. Using of virtual reality technology in acute cerebral stroke and their influense on post-stroke affective disorders // Saratov Journal of Medical Scientific Research, Vol. 10, Issue 4, 2014, pp. 824-827

The study aims the research of morbidity in Moscow and the Moscow Region in those diseases rates for which it had been required further rehabilitation and restorative treatment, against the background of the analysis of similar indicators in the whole of the Russian Federation in the dynamics for eight years. The necessity of enlargement restorative treatment and rehabilitation for citizens, including databases of major medical centers had been reasoned.
Shapovalenko Т.V. Analysis of major trends of morbidity of population as a base of necessity for organizing rehabilitationc // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 4, 2013, pp. 995-999

The study aimed to create an organizational model of medical rehabilitation of patients with Parkinson's disease (PD). Material and methods. In medical institutions of Closed Administrative-Territorial Units of Russia (Seversk, Za-rechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk) in clinical and diagnostic rooms for providing care to patients with movement disorders there was created an organizational model of medical rehabilitation. Results. The organizational model of medical rehabilitation allowed to cover 100% of all PD patients. The main phases in the model were diagnosis and follow up care on the base of specialized clinical and diagnostic room, creating and performance of individual rehabilitation program with recreation therapist, educational sessions for patients and their relatives, evaluation effectiveness of rehabilitation measures, condition monitoring, assessment of antiparkinsonian therapy. Effectiveness of the rehabilitation in inpatient and outpatient settings was comparable. Conclusion. Creation and implementation of the organizational model of medical rehabilitation was possible only in specialized clinical and diagnostic rooms for diagnosis and treatment of movement disorders. There were introduction of the phasing and basic directions rehabilitation program for PD patients have been worked.
Krivonos О.V., Smolentseva I.G., Amosova N.A., Gubaydullina R.F. Organization of medical rehabilitation in Parkinson's disease in a specialized clinical diagnostic room // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 4, 2013, pp. 927-931

The aim of the article is to examine the impact and justify the use of hyperbaric oxygenation in the complex rehabilitation of patients after surgery for penile urethral strictures. Material and Methods. A group of 37 patients were examined who underwent various reconstructive operations on the urethra, 16 of which in the postoperative period in addition to conventional therapy conducted hyperbaric oxygenation. Results. It is shown that the use of hyperbaric oxygenation in the early postoperative period in patients undergoing replacement plastic of urethra can reduce the incidence of postoperative complications, and reduced the time of urethral drainage. Conclusion. An integrated approach with the use of hyperbaric oxygen therapy in the rehabilitation of patients undergoing extended replacement plastic of penile urethral strictures, reduces the amount of potential effect-dependent postoperative complications, which generally leads to shorter hospital stay after surgical treatment.
Kotenko К.V., Matkevich S.V. Application of hyperbaric oxygen therapy in the rehabilitation of patients after surgical correction of the penile urethral strictures // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 4, 2013, pp. 909-912

The Objective is to develop new simulators available that increase the effectiveness in therapy in patients with cerebral palsy. The inspection and rehabilitation of 70 patients with Children Cerebral Paralysis in spastic form have been carried out. Objects and methods. In basic group (35 children) complex treatment has been improved by the trainings with help of authors. Results. The results of therapy by such categories as contact, movement, self-service, playing activity have been more evident in the group where training complexes have been used. Conclusion. It has been proved that therapeutic and rehabilitation strategies for disabled children should be developed.
Rogov A.V. Rehabilitation of patients with cerebral palsy using simulators // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 4, 2013, pp. 687-691

Research objective is to determine the influence of adaptation method to periodic pressure chamber hypoxia on dynamics of systolic and diastolic functions of myocardium in patients with early stages of chronic heart failure. Materials and Methods: 100 men with post-infarction cardiosclerosis at the age of 40-65 years with I and IIA stages and l-ll functional classes (NYHA) of chronic heart failure have been examined. Results: Positive dynamics of systolic and diastolic cardiac functions and other parameters of echocardioscopy under the influence of the hypoxic therapy in comparison with classical physical rehabilitation have been obtained. Furthermore, a more significant effect has been observed in patients with CHF IIA. Conclusion: Improvement in the geometry of the heart has proved that adaptation method to periodic pressure chamber hypoxia could be recommended for rehabilitation of patients with heart failure of early stages.
Dmitrieva М.К. Adaptation to periodic pressure chamber hypoxia and its influence on systolic and diastolic functions in chronic heart failure // Saratov Journal of Medical Scientific Research, Vol. 8, Issue 2, 2012, pp. 247-251

The article presents the scheme of main teaching aspects in health disciplines. It shows the importance of their role in patients health restoring. The improvement of quality of specialist training is marked by modern computer and Internet technologies practice in the educational process
Khramov V.V., Tolstokorov S.A., Kolesova O.G., Shpitalnaya V.P. Educational process realization in disciplines of health paradigmatic direction at the department of kinesitherapy, sports medicine and physiotherapy // Saratov Journal of Medical Scientific Research, Vol. 7, Issue 1, 2011, pp. 168-171

Effects of functional motor regulation method have been measured using the spectral and coherent EEG. Obtained results have fully confirmed the hypothesis that the clinical effectiveness of the method is associated with the formation of new regulatory links in the CNS with inclusion of such deep structures as the limbic and diencephalic systems
Balabanova V.A., Kiselev D.A., Laisheva О.А., Gubanov V.V. Efficacy evaluation of functional motor regulation method with mathematical analysis of EEG // Saratov Journal of Medical Scientific Research, Vol. 7, Issue 1, 2011, pp. 39-44

The aim of the research was to develop a new rehabilitation method for patients with congenital dislocation of hip in the late postoperative period. It is based on anatomical, physiological, pathogenetic, functional and ontogenetic foundations and prevents coxarthrosis development and progress. Materials. The data from examination and treatment of 71 patients are presented. The main group consisted of 48 children and the comparison group consisted of 23 children. Methods. Data processing was made by «Statistica 6,0» programme. Normalcy of distribution was estimated by the Shapiro-Wilktest. Hypothesis proof of two means equality was provided by the Wilcoxon signed-ranktest. Correlation analysis was made by definition of the Pearson correlation coefficient and the Spearman»s rank correlation coefficient. Rate difference was considered as a reliable rate if p<0,05. Results. According to the results, a proper short-term gait stereotype formation has been attained as opposed to the routine rehabilitation methods. Conclusion. Due to advantages of the new method, therapy efficiency is extended and reoperation risks are decreased
Pozdniakova О.N., Kiselev D.A, Laisheva О.A., Gubanov V.V. Differentiated method of physiotherapy for patients with congenital hip dislocation in postoperative rehabilitation period // Saratov Journal of Medical Scientific Research, Vol. 7, Issue 2, 2011, pp. 505-510