O.A. Panchenko, Zbigniew Śliwiński, S.M.Radchenko, A.V. Kabantseva

O.A. Panchenko, Z. Śliwiński, S.M.Radchenko, A.V. Kabantseva: Hardware-software medical rehabilitation complex for vertebral diseases patients. Fizjoterapia Polska 2015;15(3);6-11

Abstract
The distinctive feature of modern medical rehabilitation procedures is a high information level of diagnostic and therapeutic techniques, new diagnostic tools for external manipulation with a human body (rehabilitation equipment, hardware – software complexes and so on) based on the most advanced cybernetic and electronic microtechnology methodologies, programming etc.
All of those systems are focused on accurate dosing parameters provision, maintaining of its values in terms of patient’s physiological characteristics variability, and so on.
So called biofeedback complex plays the most important role in all these systems. Its purpose is to aim development and improvement processes and self-regulation mechanisms for physiological functions in various pathological conditions. Such systems in Ukrainian rehabilitation facilities are still rare, but our experience proved their practice effectiveness and promoted our own promising rehabilitation method.
The aim of our investigation is to research and analyze multi-functional hardware-software system EN-TreeM in vertebral diseases patients’ rehabilitation course.
According the results of our investigation we can make a conclusion, that single session kinesitherapy effect on musculoskeletal system disorders for patients of both sexes is characterized by muscle strength increase and endurance. Kinesitherapy stimulating effect on the human body improves the functional state of the neuromuscular system. Qualitative characteristics of strength value for female and male patients as a result of rehabilitation session increased by an average of 1 (95% BI 0; 2) kgs (p < 0.05); muscle endurance for female patients varied by an average of 2 (95% ВІ 1; 3), for male patients 1 (95% ВІ 0, 4) (p < 0.05). Rehabilitation course showed an increase muscular endurance of male patients by an average of 4 (95% CI 2, 6), statistically significant differences for female patients’ endurance parameters before and after were not recorded.
Miographical studies have shown that the value of chronaxia by kinesitherapy rate remained stable for female and male patients, varied by 70 ± 16 (95% BI 60; 123) ms. This shows the lability of muscle tone for male ones due to the high proportion of striated muscle.
Clinical observations showed good kinesitherapy procedures tolerability and lack of adverse reactions. All patients reported pain reduction or initial pain relief. The improvement occurred even after the first procedure. When rehabilitation course was finished, there was significant reduction in pain and inflammation and even complete relief of pain and destructive inflammatory responses. Range of motion was increased. Vertebrogenic pain relief was observed after 2-5 days of treatment, radicular pain relief was observed after 4-6 days of treatment.
Kinesitherapy and cryotherapy usage in treatment of musculoskeletal system disorders for patients of both sexes are well tolerated. There are no side effects, such treatment promotes inflammation regression, reduces the severity of pain and reflex tonic syndromes.

Key words:
Hardware-software, medical rehabilitation, vertebral diseases