Theoretical foundations of medical rehabilitation
In modern medicine, medical rehabilitation technology successfully developed and are an integral part of the effectiveness of the treatment of most diseases. The main objective in this case is to restore the structural and functional organization of organs and tissues to restore directed by discount...
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| Date: | 2015 |
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Фізико-хімічний інститут ім. О.В. Богатського НАН України
2015
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| Cite this: | Theoretical foundations of medical rehabilitation / E.A. Gozhenko, I.Yu. Badin, A.I. Gozhenko // Актуальні проблеми транспортної медицини. — 2015. — № 2 (40). — С. 7-13. — Бібліогр.: 6 назв. — англ. |
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Digital Library of Periodicals of National Academy of Sciences of Ukraine| _version_ | 1860266848522600448 |
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| author | Gozhenko, E.A. Badin, I.Yu. Gozhenko, A.I. |
| author_facet | Gozhenko, E.A. Badin, I.Yu. Gozhenko, A.I. |
| citation_txt | Theoretical foundations of medical rehabilitation / E.A. Gozhenko, I.Yu. Badin, A.I. Gozhenko // Актуальні проблеми транспортної медицини. — 2015. — № 2 (40). — С. 7-13. — Бібліогр.: 6 назв. — англ. |
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| container_title | Актуальні проблеми транспортної медицини |
| description | In modern medicine, medical rehabilitation technology successfully developed and are an integral part of the effectiveness of the treatment of most diseases. The main objective in this case is to restore the structural and functional organization of organs and tissues to restore directed by discount disease functionality of an organism. It should be emphasized that the stimulation of the pathology of the compensation of disturbed functions in rehabilitation of existing technologies is always based on the inclusion of urgent adaptation mechanisms by increasing the intensity of functioning structures which, through subsequent actions (processes) are activated processes of hypertrophy and regeneration to ensure an increase in the number of functioning structures the basis of morphological changes are the basis of long-term mechanisms of adaptation / compensation, which are the basis of clinical adaptation. One of the promising methods of adaptation can be external bioprogramming.
У сучасній медицині технології медичної реабілітації успішно розробляються і є невід’ємною частиною ефективності лікування більшості захворювань. Основним завданням при цьому є відновлення структурно-функціональної організації органів і тканин неправленое на відновлення знижених при хворобі функціональних можливостей організму. Стимуляція процесів компенсації порушених при патології функцій в існуючих реабілітаційних технологіях завжди заснована на включенні термінових механізмів адаптації за рахунок збільшення інтенсивності функціонуючих структур, які за допомогою наступних дій (процесів) активують процеси гіпертрофії і регенерації забезпечують збільшення кількості функціонуючих структур на основі морфологічних змін, що виявляють базою довготривалих механізмів адаптації / компенсації, які є основою клінічної адаптації. Одним з перспективних методів адаптації може бути зовнішнє біопрограммірованіе.
В современной медицине технологии медицинской реабилитации успешно разрабатываются и являются неотъемлемой частью эффективности лечения большинства заболеваний. Основной задачей при этом является восстановление структурно-функциональной организации органов и тканей неправленое на восстановление сниженных при болезни функциональных возможностей организма. Стимуляция процессов компенсации нарушенных при патологии функций в существующих реабилитационных технологиях всегда основана на включении срочных механизмов адаптации за счет увеличения интенсивности функционирующих структур, которые посредством последующих воздействий (процессов) активируют процессы гипертрофии и регенерации обеспечивающих увеличению количества функционирующих структур на основе морфологических изменений, являющих базой долговременных механизмов адаптации / компенсации, которые являются основой клинической адаптации. Одним из перспективных методов адаптации может быть внешнее биопрограммирование.
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ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
7
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
Medical rehabilitation is by far the
actual direction of modern medicine, which
is due to its great social importance. De�
spite the development of modern technolo�
gies rehabilitation questions of theoretical
frameworks and mechanisms of formation
of the effects of rehabilitation treatment is
practically described. Accordingly, the WHO
definition of rehabilitation ( fr. Rehabilitation
from lat. Re again + habilis comfortable fit)
is a set of coordinated activities carried out
by the medical, physical, mental, social, pro�
fessional and pedagogical nature, aimed at
possibly achievable for a given individual’s
recovery of health, physical, mental and
social (including health) status, due to the
lost illness or injury to restore autonomy,
disability and health of persons with phys�
ical and mental disabilities as a result of
postponed (rehabilitation) or congenital (ha�
bilitation) diseases as well as a result of
injuries. Medical rehabilitation (MR) � a
system of measures aimed at the recovery
of the patient, compensation and restora�
tion of disturbed body functions and sys�
tems, prevention of recurrence of the dis�
ease, its complications.
УДК 615.82(075.8)
THEORETICAL FOUNDATIONS OF MEDICAL REHABILITATION
Gozhenko E.A., Badin I.Yu., Gozhenko A.I.
Ukrainian Research Institute for Medicine of Transport, Odessa
In modern medicine, medical rehabilitation technology successfully developed
and are an integral part of the effectiveness of the treatment of most diseases. The
main objective in this case is to restore the structural and functional organization of
organs and tissues to restore directed by discount disease functionality of an organism.
It should be emphasized that the stimulation of the pathology of the compensation of
disturbed functions in rehabilitation of existing technologies is always based on the
inclusion of urgent adaptation mechanisms by increasing the intensity of functioning
structures which, through subsequent actions (processes) are activated processes of
hypertrophy and regeneration to ensure an increase in the number of functioning
structures the basis of morphological changes are the basis of long�term mechanisms
of adaptation / compensation, which are the basis of clinical adaptation. One of the
promising methods of adaptation can be external bioprogramming.
Keywords: medical rehabilitation, external bioprogramming, adaptation.
Обзорные статьи Review Articles
Perhaps MR should be represented
as linear network structure based on the
holistic nature of the response to injury.
Thus, in fact, formed pathological process�
es largely determines the state of the dis�
ease. However, at the same time in the
body triggered numerous adaptive mecha�
nisms, ie, included, and then picking up and
there are even “replacement power” (by VV
Podvysotskiy). Adaptive mechanisms to vary�
ing degrees affect the course of patholog�
ical processes, reduce the extent of the
damage, that is to modulate the course of
disease, contributing to the recovery of the
body. The combination of these predomi�
nantly compensatory adaptive mechanisms
can be defined as sanogenesis.
Sanogenetic mechanisms are essen�
tial to the completion of the period of the
disease, when there is incomplete recovery
of previously lost functions. The set of health
interventions aimed at restoring the adap�
tive capacities of the organism and is the
essence of rehabilitation medicine.
When exposed to sanogenesis possi�
ble stimulation:
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
8
� The intensity of the functioning of the
damaged organ (system) � functional,
metabolic;
� The intensity of the functioning of other
organs and systems, followed by
“unloading” of the damaged organ � a
functional, metabolic;
� Formation of a new dynamic stereotype
adaptation functions like, metabolic;
� Increasing the number of elements in
the functioning of organ damage �
hypertrophy, hyperplasia, stem cells,
gene therapy;
� Replacement of the affected organ or
part of it � the replacement heart valve,
kidney transplants, etc.
Important to forecasting and evaluate
the effectiveness of rehabilitation is rehabil�
itation potential (RP) � a set of biological
and psychological characteristics of the
person, as well as social and environmental
factors that allow a greater or lesser extent
to realize his potential ability. Evaluation of
RP involves determining somatic�personal
abilities of the individual, preserved in spite
of the disease and a prerequisite for the
restoration of the status, as well as the pos�
sibility of predicting the level of restoration
or compensation of limitations. It includes
the definition of the level of physical devel�
opment and physical endurance, level of
mental and emotional development and
sustainability, the definition of social � psy�
chological status, taking into account the
overall development, personality, status and
sustainability of mental processes. In deter�
mining the RP are three levels that charac�
terize patient rehabilitation opportunities for
certain types of activity. High RP � provides
a full recovery or a high degree of recovery
of the specific form of life in the process of
rehabilitation. Moderate RP � suggests a
partial restoration of the specific form of
life in the rehabilitation process. Low RP �
indicates the absence or slight recovery of
a particular kind of life as a result of reha�
bilitation. The influence of physical factors
should head to optimize the reactivity and
correction processes of excitation and inhi�
bition in the central nervous system.
Interconnection and interdependence
of the etiology and pathogenesis substanti�
ates the possibility of pathogenetic therapy
affect to some extent the cause of the dis�
ease. Eliminating the symptoms of patho�
logical syndromes under the influence of
treatment, is the basis of syndromic treat�
ment. In this regard, it is necessary to
analyze the clinical picture of the syndrome
of the disease with the release of the dom�
inant (leading) syndrome, based on identi�
fied clinical syndromes pathogenetic choose
optimal rehabilitation factors.
Important in the MR is the principle
of individual treatment. On the basis of it,
the use of physical factors, the doctor must
take into account the reactivity of the or�
ganism and its form factors: age, sex, pres�
ence of comorbid conditions, the degree of
training of its adaptive and compensatory
mechanisms biorhythmic activity of the major
functions of the body. Optimal therapeutic
effect of physical factors in patients occurs
due to conducted a course of treatment.
Only reflex�humoral mechanism of action of
physical factors provides orientation reac�
tions systemic nature closely related to the
initial functional state system (s), as you can
see an improvement in self�regulation mech�
anisms of homeostasis. The patient should
be treated by bringing the disease to the
optimal variant thereof depending on the
mechanism and the degree of deviation from
it. Solve local objectives must be based on
the leading syndrome, in ways that do not
conflict with the global goal of optimal vari�
ant of the disease. Therapeutic measures
should be correlated with the state of health
of the patient and his changes.
Among the many pathophysiological,
and pathomorphological pathobiochemical
factors and processes that make up the
nosologic forms of diseases, dysmetabolic
syndrome is not only typical, but has a
universal meaning in the formation of any
and all disease. Correction of metabolic
disorders should be differentiated and de�
fined by their type, compensation, electro�
lyte disturbances, and clinical manifestations.
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
9
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
In modern medicine, medical rehabil�
itation technology successfully developed and
are an integral part of the effectiveness of
the treatment of most diseases. The main
objective in this case is to restore the struc�
tural and functional organization of organs
and tissues to restore directed by discount
disease functionality of an organism. It is
known that the state of health and disease
is different levels of adaptive abilities of the
organism. Increase healthy human adapta�
tion to a constantly changing environment
is the primary measure of health and made
the main measure of health and at the
expense of adaptation mechanisms. Adap�
tation to the conditions of the sick person
carried out due to the existence of com�
pensation mechanisms. Adaptive and com�
pensatory mechanisms are based on the
identical nature of the functional, biochem�
ical and morphological properties and reac�
tions of the organism. This conclusion has
already been formulated by R. Virchow and
lies in the fact that the disease does not
appear in the body is nothing new, and
there are any changes in the number of
operating elements, and they can vary in
time and location, which is manifested in
disease diagnosed in quantitative morpho�
logical functions and biochemical changes.
Thus, the development of both adaptation
and compensation is based on increasing
the functionality of the existing structures
and functions. Over thirty years ago FZ Mey�
erson described two possible mechanisms
for increasing the power of any functioning
structure. Firstly s, improving body functions
(tissue), possibly by increasing the intensity
of functioning structures e.e. thus increas�
ing the adaptive capacity of the organism
by increasing the functions of existing struc�
tures. This series provides adaptive response
in the first place, immediate coping mech�
anisms of the organism to external and
internal factors in health, but they are the
same as the trigger mechanism for imme�
diate compensation for pathology.
Morpho�functional basis of the reac�
tions of urgent adaptation compensation are
on the one hand the inclusion of functional
response increases the device, structures
previously not functioning (or little). So well
known that in the lungs, kidneys and other
organs in a functional rest works only some
of the structural and functional elements.
On the other hand, the function of elements
working body at rest, ie, basic functional
state usually is not maximal, so the force
of cardiac contraction may increase largely,
though always engaged during the entire
cardiac muscle. However, the strength of
the interaction of actin and myosin in car�
diomyocytes varies widely.
Increasing input Ca++ in cardiomyocytes
is the signal that increases the interaction of
myofibrils and increases the power of the
heartbeat. Due to urgent adaptation
mechanisms can increase the specific
functionality of virtually any body at least
twice that evolutionarily incorporated as one
of the most important mechanisms for the
adaptation of the organism. In physiology
and diagnosis, there is the concept of func�
tional reserve, which characterizes the max�
imum functionality of the body. This con�
cept is widely used in functional diagnostics
in cardiology and in recent years � kidney.
Inclusion and stimulation intensification
functioning structures engaged by the rele�
vant regulatory authority for each signal
(neurogenic, endocrine), which is usually
accompanied by an adequate increase in
blood supply to the organ or tissue. How�
ever, intensification of functioning structures
provides only short�term adaptation mecha�
nisms (compensation) due to the fact that
the energy and the plastic possibilities par�
enchymatous cells vigorously functioning,
exhausted.
Along with the intensification of the
structures begin to form stable long�term
adaptation mechanisms. Morpho�functional
basis of these mechanisms is to increase
the number of functioning structures that
occurs either in hypertrophy, when the num�
ber of structures increases strongly func�
tioning cell (increase in the number of mi�
tochondria, myofibrils, lysosomes, etc.) or
an increase in the cells themselves � hy�
perplasia. Due to hypertrophy and hyper�
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
10
plasia formed the foundations of long�term
morphological adaptations, thus ensuring
long�term adaptation in the health status of
or compensation for an illness.
It should be noted that the term ad�
aptation mechanisms are preferably volatile
to (ergotrophic) reactions, while the long�
formed on the basis of reactions with in�
creasing trophotropic synthesis of proteins
and other polymeric biostructures. In this
connection, the first switch occurs almost
immediately after the regulator signal, and
to generate second must usually 7 to 12
days, and that way, and determines the
period of rehabilitation, as the time required
to form the structural basis of the physio�
logical mechanisms of adaptation and com�
pensation in pathology.
The notion of stress�limiting systems,
their role in the modulation of the stress
response, providing resistance of the or�
ganism and its prevention of stress and
other damage is the ideal point in this book.
It is necessary to take into account, re�
spectively, under emotional stress, which
arose under the influence of the new com�
plex situation, the device determines the
emotions of at least two interconnected link
holistic response. With Tresses�limiting mod�
ulatory systems of the body ensure the
effectiveness of behavioral reactions, warn�
ing him of stress damage, and consequently,
the major non�communicable diseases in the
pathogenesis stress plays a crucial role. This
combination of problems of stress�limiting
systems is one of the many great exam�
ples of how evolution generates economi�
cally regulatory mechanisms of the body.
The first link, turned into the environ�
ment of the patient, it is � emotional behav�
ior and thinking � energetically wasteful and
chaotic at first glance, the processes actu�
ally provide the search for new solutions,
new mode of behavior and, thus, are of
primary biological importance. The second
link is realized “inside” of the body, mani�
fested by activation of adrenergic and pitu�
itary�adrenal systems, which cause standard
set of metabolic and physiological changes
necessary to ensure that the energy and
structural search behavior, ie. E. Ultimately to
the formation of a new structural fixed
functional system responsible for adaptation.
Currently, it is obvious that stress�limit�
ing systems simulate both link constituting
being emotional stress, thereby limiting re�
dundancy vector and specify how behavior�
al reactions and standard stress reaction,
deployed inside the body. It is this that
determines the adaptive biological signifi�
cance of stress�limiting systems.
The adaptation process consists of two
steps:
· Stage 1 of urgent adaptation;
· 2nd stage of stable and long�term adap�
tation.
Special adaptation � Is an immediate
response of the organism in the form of
enhancing the function of a system to the
action of some external factor without sig�
nificant morphological changes. This func�
tional adaptation. In the case of acute ex�
posure to it and the lack of preparedness
of the body has to function at maximum
capacity, so it is not always able to cope
with the stresses arising. Such is often the
case when to participate in sports compe�
titions, sports and recreational activities for
the delivery of standards for physical edu�
cation allowed poorly trained or even un�
trained persons. If the impact is much more
than functionality, the special adaptation may
result in breakdown or even damage to the
body. For example, not enough trained ath�
lete or groups, even a relatively small load
can lead to over�development of infarction
and congestive heart failure.
It should be noted that it is always
sufficiently strong impact special adaptation
is accompanied stress reaction, ie. Activa�
tion of the pituitary�adrenal system with in�
crease in the blood concentration of adren�
aline, noradrenaline, corticosteroids, and
other hormones that facilitate the adapta�
tion of the organism to the new conditions
of operation. L is affixed to a sufficiently
strong influence of the environment causes
the formation of a specific dominant func�
tional system responsible for the mainte�
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
11
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
nance of homeostasis. For example, when
exposed to cold, in addition to the ther�
moregulatory system, in reactions include
additional mechanisms, such as activation
of the cardiovascular system, the redistri�
bution of blood between the separate ar�
eas, and others. Furthermore, regardless of
the specificity factor arises nonspecific stress
reaction, whose role is primarily to mobilize
energy reserves.
To go urgent adaptation into sustain�
able, long�term need to within a specific
functional system structural changes took
place that would have increased the reserve
capabilities of the system to the required
level, which would allow the body to suc�
cessfully and long cope with the effects of
the environment. And this is possible only
through prolonged or repeated exposure of
a given factor. Thus, the long�term adapta�
tion � is gradually evolving body’s response
to repeated or prolonged exposure to ex�
ternal factors, leading to an expansion of
the functional capacity of the organism due
to morphological changes. At the heart of
this process is the activation of the synthe�
sis of nucleic acids and proteins in the cells
of organs and systems responsible for the
adaptation, which leads to structural chang�
es in the formation of a system of structur�
al trace and ultimately is the material basis
of reliable and sustainable improvement of
body functions.
Single brief exposure and load limited
time only, predominantly functional changes
in the body in the form of urgent adapta�
tion responses; under the influence of suf�
ficiently long or repeated exposure to cell
structures of bodies responsible for the
adaptation, there is a constant activation of
the synthesis of nucleic acids and proteins
that gradually provides enhanced function�
ality of organs and systems. So urgent
adaptation is gradually transformed into a
long�term with the formation of a system of
structural trace.
Proteins are synthesized in the cell
structures � ribosomes � the matrices�RNA
samples, which are obtained by copying a
single gene with DNA. In gene contains a
set of models for all kinds of cellular proteins,
and in addition, the mass of special genes that
control the synthesis of certain proteins,
depending on the activity of cells in a given
period. “Broken” genes are disabled. They
include activated only by signals coming from
the working cell elements and from the regu�
latory systems of the organism, acting through
specific hormones. That is, there must be a
“request for synthesis.”
Consequently, one of the main mecha�
nisms of transition to long�term adaptation is
existing in the relationship between the
function of cells and genetic machinery. In
connection with this regularity any function�
al biological load, any sufficiently strong
effects leading to activation of the genetic
system, which, in turn, causes increased
synthesis of nucleic acids and proteins,
forming the basic cell structure. As a re�
sult, the growth of these cell structures
formed structural system track which leads
to an increase in the functional capacity of
the system responsible for adaptation. In
turn, the presence of the relationship be�
tween the function and the genetic appara�
tus may lead to the opposite eventuality.
Thus, the termination of the influence of
environmental factors on the adapted or�
ganism leads to a fairly rapid decrease in
the activity of the genetic apparatus of cells
in the system responsible for adaptation.
This is followed by an adaptive decay pro�
tein, the disappearance of the structural
system track constituting the basis of the
adaptation, which leads to maladaptation,
ie. a decrease of functional, adaptive capa�
bilities of the organism.
It has been established that all living
proteins naturally break down into simpler
molecules at a constant speed. Its value is
defined as a “half�life”. For example, for
cardiac muscle proteins it is about 30 days.
This means that 200 grams of protein a
month there will be only 100, and a month
later � only 50 grams, and so on. G., If
during that time no new molecules are
synthesized. Thus, in the cell, and accord�
ingly in the body, two processes. In the
case of training (enhancing the function of any
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
12
organ or system) is sufficiently strong external
stimulus causes the molecule to function all
“workers” elements of the cell with a maximum
voltage, maximum of them is “Request for
synthesis” in the DNA of the ribosome, and
they synthesize new protein. The “old” protein
which continues to decay at a constant rate.
However, as a result of sufficient load synthesis
overtakes decay and weight of the protein
increases. Of course, increases and power
functions. In the case of a sharp weakening
of external influences occurs corresponding
reduction function and a decrease in “request
for the synthesis of” new protein molecules.
At the same time The accumulated weight
of the protein previously continues to decay
at the same rate. Decay begins to overtake
synthesis, reduced protein mass (atrophy),
and the ability to function decreases.
These mechanisms of training and
detraining are universal for all cells (mus�
cle, nerve, and others.) And for all func�
tions. There is an increase in heart weight,
capacity of coronary arteries, the masses
of the respiratory muscles, developing phe�
nomenon of hypertrophy and hyperplasia of
the lung alveoli, the respiratory center neu�
rons, increased affinity for oxygen CNS.
Activated neurohumoral mechanisms of ad�
aptation, in particular, the hypothalamic�pi�
tuitary�adrenal system, which increases the
level of endurance and the body’s resis�
tance to various stresses. Normalized neu�
rohumoral response to traumatic exposure,
increases resistance to psychoemotional
factors.
In MR is to eliminate all the patholog�
ical symptoms, correction of homeostasis
autonomic tone and reactivity of the organ�
ism requires a differentiated approach de�
pending on the shape of their violations.
Based on the above set out the mecha�
nisms of adaptation and compensation
modern medical rehabilitation rehabilitation
based on the methodology of management
of adaptation and compensation. Moreover,
it should be emphasized that the restora�
tion of functionality based on the fact that
the disease is always the case damage
(violation) of organs and tissues, which causes
The decrease of physiological functions, and
hence the level of adaptation to the environ�
ment, ie level of health.
Of course, these mechanisms restore
the body’s adaptive capabilities and achieve
a state of complete recovery is only a first
attempt to systematize the theoretical prin�
ciples of rehabilitation medicine. In summa�
ry, it should be emphasized that the stim�
ulation of the pathology of the compensa�
tion of disturbed functions in rehabilitation
of existing technologies is always based on
the inclusion of urgent adaptation mecha�
nisms by increasing the intensity of func�
tioning structures which, through subsequent
actions (processes) are activated process�
es of hypertrophy and regeneration to en�
sure an increase in the number of function�
ing structures the basis of morphological
changes are the basis of long�term mech�
anisms of adaptation / compensation, which
are the basis of clinical adaptation.
References
1. Саногенез � теоретическая основа меди�
цинской реабилитации / А.И. Гоженко, Е.А.
Гоженко // Медична гідрологія та реабі�
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6. Manoj Sharma Theoretical Foundations of
Health Education and Health Promotion /
Manoj Sharma, John Albert Romas – Jones
& Barlett Learning, LLC, 2012. – 170 р.
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ACTUAL PROBLEMS OF TRANSPORT MEDICINE �# 2 (40), 2015
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АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 2 (40), 2015 г.
// Medical Hydrology and Rehabilitation. —
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counseling. Directions of Rehabilitation
Counseling / F. Chan, J. Chronister, D.
Catalana, A. Chase, L. Eun�Jeong � 2004.
– 15. – Р. 1�11.
4. Bruce E. Becker Aquatic Therapy: Scientific
Foundations and Clinical Rehabilitation
Applications / Bruce E. Becker // American
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Rehabilitation – 2009. � Vol. 1. – Р. 859�
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& Barlett Learning, LLC, 2012. – 170 р.
Резюме
ТЕОРЕТИЧЕСКИЕ ОСНОВЫ
МЕДИЦИНСКОЙ РЕАБИЛИТАЦИИ
Гоженко Е.А., Бадин И.Ю.,
Гоженко А.И.
В современной медицине техноло�
гии медицинской реабилитации успешно
разрабатываются и являются неотъемле�
мой частью эффективности лечения боль�
шинства заболеваний. Основной задачей
при этом является восстановление струк�
турно�функциональной организации орга�
нов и тканей неправленое на восстанов�
ление сниженных при болезни функцио�
нальных возможностей организма. Сти�
муляция процессов компенсации нару�
шенных при патологии функций в суще�
ствующих реабилитационных технологиях
всегда основана на включении срочных
механизмов адаптации за счет увеличе�
ния интенсивности функционирующих
структур, которые посредством последу�
ющих воздействий (процессов) активиру�
ют процессы гипертрофии и регенерации
обеспечивающих увеличению количества
функционирующих структур на основе мор�
фологических изменений, являющих базой
долговременных механизмов адаптации/
компенсации, которые являются основой
клинической адаптации. Одним из перс�
пективных методов адаптации может быть
внешнее биопрограммирование.
Ключевые слова: медицинская реаби�
литация, внешнее биопрограммирова�
ние, адаптация.
Резюме
ТЕОРЕТИЧНІ ОСНОВИ МЕДИЧНОЇ
РЕАБІЛІТАЦІЇ
Гоженко Е.А., Бадин І.Ю., Гоженко А.І.
У сучасній медицині технології
медичної реабілітації успішно
розробляються і є невід’ємною частиною
ефективності лікування більшості
захворювань. Основним завданням при
цьому є відновлення структурно�
функціональної організації органів і тканин
неправленое на відновлення знижених при
хворобі функціональних можливостей
організму. Стимуляція процесів
компенсації порушених при патології
функцій в існуючих реабілітаційних
технологіях завжди заснована на
включенні термінових механізмів адаптації
за рахунок збільшення інтенсивності
функціонуючих структур, які за допомогою
наступних дій (процесів) активують
процеси гіпертрофії і регенерації
забезпечують збільшення кількості
функціонуючих структур на основі
морфологічних змін, що виявляють базою
довготривалих механізмів адаптації /
компенсації, які є основою клінічної
адаптації. Одним з перспективних методів
адаптації може бути зовнішнє
біопрограммірованіе.
Ключові слова: медична реабілітація,
зовнішнє біопрограммірованіе, адапта�
ція.
Впервые поступила в редакцию 17.04.2015 г.
Рекомендована к печати на заседании
редакционной коллегии после рецензирования
|
| id | nasplib_isofts_kiev_ua-123456789-136521 |
| institution | Digital Library of Periodicals of National Academy of Sciences of Ukraine |
| issn | 1818-9385 |
| language | English |
| last_indexed | 2025-12-07T19:01:29Z |
| publishDate | 2015 |
| publisher | Фізико-хімічний інститут ім. О.В. Богатського НАН України |
| record_format | dspace |
| spelling | Gozhenko, E.A. Badin, I.Yu. Gozhenko, A.I. 2018-06-16T13:15:10Z 2018-06-16T13:15:10Z 2015 Theoretical foundations of medical rehabilitation / E.A. Gozhenko, I.Yu. Badin, A.I. Gozhenko // Актуальні проблеми транспортної медицини. — 2015. — № 2 (40). — С. 7-13. — Бібліогр.: 6 назв. — англ. 1818-9385 https://nasplib.isofts.kiev.ua/handle/123456789/136521 615.82(075.8) In modern medicine, medical rehabilitation technology successfully developed and are an integral part of the effectiveness of the treatment of most diseases. The main objective in this case is to restore the structural and functional organization of organs and tissues to restore directed by discount disease functionality of an organism. It should be emphasized that the stimulation of the pathology of the compensation of disturbed functions in rehabilitation of existing technologies is always based on the inclusion of urgent adaptation mechanisms by increasing the intensity of functioning structures which, through subsequent actions (processes) are activated processes of hypertrophy and regeneration to ensure an increase in the number of functioning structures the basis of morphological changes are the basis of long-term mechanisms of adaptation / compensation, which are the basis of clinical adaptation. One of the promising methods of adaptation can be external bioprogramming. У сучасній медицині технології медичної реабілітації успішно розробляються і є невід’ємною частиною ефективності лікування більшості захворювань. Основним завданням при цьому є відновлення структурно-функціональної організації органів і тканин неправленое на відновлення знижених при хворобі функціональних можливостей організму. Стимуляція процесів компенсації порушених при патології функцій в існуючих реабілітаційних технологіях завжди заснована на включенні термінових механізмів адаптації за рахунок збільшення інтенсивності функціонуючих структур, які за допомогою наступних дій (процесів) активують процеси гіпертрофії і регенерації забезпечують збільшення кількості функціонуючих структур на основі морфологічних змін, що виявляють базою довготривалих механізмів адаптації / компенсації, які є основою клінічної адаптації. Одним з перспективних методів адаптації може бути зовнішнє біопрограммірованіе. В современной медицине технологии медицинской реабилитации успешно разрабатываются и являются неотъемлемой частью эффективности лечения большинства заболеваний. Основной задачей при этом является восстановление структурно-функциональной организации органов и тканей неправленое на восстановление сниженных при болезни функциональных возможностей организма. Стимуляция процессов компенсации нарушенных при патологии функций в существующих реабилитационных технологиях всегда основана на включении срочных механизмов адаптации за счет увеличения интенсивности функционирующих структур, которые посредством последующих воздействий (процессов) активируют процессы гипертрофии и регенерации обеспечивающих увеличению количества функционирующих структур на основе морфологических изменений, являющих базой долговременных механизмов адаптации / компенсации, которые являются основой клинической адаптации. Одним из перспективных методов адаптации может быть внешнее биопрограммирование. en Фізико-хімічний інститут ім. О.В. Богатського НАН України Актуальні проблеми транспортної медицини Обзорные статьи Theoretical foundations of medical rehabilitation Теоретичні основи медичної реабілітації Теоретические основы медицинской реабилитации Article published earlier |
| spellingShingle | Theoretical foundations of medical rehabilitation Gozhenko, E.A. Badin, I.Yu. Gozhenko, A.I. Обзорные статьи |
| title | Theoretical foundations of medical rehabilitation |
| title_alt | Теоретичні основи медичної реабілітації Теоретические основы медицинской реабилитации |
| title_full | Theoretical foundations of medical rehabilitation |
| title_fullStr | Theoretical foundations of medical rehabilitation |
| title_full_unstemmed | Theoretical foundations of medical rehabilitation |
| title_short | Theoretical foundations of medical rehabilitation |
| title_sort | theoretical foundations of medical rehabilitation |
| topic | Обзорные статьи |
| topic_facet | Обзорные статьи |
| url | https://nasplib.isofts.kiev.ua/handle/123456789/136521 |
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