10 research outputs found

    Relationships between changes in parameters of the manual function and electroencephalogram, heart rate variability as well as gas discharge visualization in children with spastic cerebral palsy caused by the Kozyavkin method

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    Introduction. It was reported earlier that in children with spastic forms of cerebral palsy (SFCP) after two-week course of rehabilitation by the Kozyavkin method the neural component of muscle tone (NCMT) was reduced in 79,3% cases, while in 13,8% cases changes were not detected and in 2 children even increased. It was assumed that such a variety of changes in NCMT is due to differently directed changes in the background activity of the nerve centers. Objectives. To analyse the relationships between changes (Ch) in NCMT as well as manual functional tests on the one hand, and parameters of EEG, HRV and Gas Discharge Visualization (GDV) on the other one. Material and Methods. The object of observations were 14 children (6 girls and 8 boys) aged 8÷15 years with SFCP. The state of motor development at GMFCS was on II÷IV level. The functional status of the hand with MACS was on II÷III level. The estimation of hand function was carried out by Dynamometry (D), Box and Block Test (B&B) and Nine Hole Peg Test (NHP). NCMT was also registered by the device ‘NeuroFlexor’ (Aggero MedTech AB, Sweden), HRV and EEG were tested simultaneosly by the hardware-software complex ‘Cardiolab+VSR’ and ‘NeuroCom Standard’ respectively (KhAI Medica, Kharkiv, Ukraine) as well as GDV by ‘GDV Chamber’ (‘Biotechprogress’, St-Pb, RF). Results. After two-week course of rehabilitation NCMT was reduced in 9 children from 19,8 ± 3,4 to 12,3 ± 2,8 Newtons (Ch: -7,5 ± 2,0 N), in 3 children NCMT was 8,2 ± 3,3 before and 7,9 ± 3,5 after rehabilitation (Ch: -0,3 ± 0,3 N) while in one girl NCMT increased from 15,1 to 17,9 N and in one boy from 6,1 to 19,4 N. Manual functional tests also changed ambiguously. The Ch in NCMT are correlated with Ch in parameters HRV&EEG (R2=0,786) as well as GDV (R2=0,556). The Ch in functional tests for the left hand are correlated with Ch in parameters HRV&EEG to the stronger extent (R2=0,931) and for the right hand the correlation is maximal (R2=0,997). As to GDV parameters, connections are weaker but they are also stronger for the right hand. Conclusion. In children with spastic forms of cerebral palsy caused by the Kozyavkin method, changes in manual functional tests and the neural component of the muscle tone are determined by changes in parameters of EEG and HRV as well as GDV which is a completely suitable non-invasive method for assessing the effectiveness of rehabilitation

    Caused by Kozyavkin© method changes in hand function parameters in children with spastic form of cerebral palsy and their EEGs, HRVs and GDVs accompaniments

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    Background. Earlier we reported that in children with spastic forms of cerebral palsy (SFCP) after two-week course of rehabilitation by Kozyavkin© method the hand function tests changed ambiguously and such a variety of changes is due to differently directed changes in the background activity of the nerve centers. Aime: to identify the peculiarities of changes in the parameters of EEG, HRV and GDV in children with favorable and unfavorable changes in the parameters of the functions of the hands. Material and research methods. The object of observations were 14 children (6 girls and 8 boys) aged 8÷15 years with SFCP. State motor development at GMFCS was on II÷IV level. Functional status of the hand with MACS was at II÷III level. The estimation of hand function carried out by Dynamometry (D), Box and Block Test (BB) and Nine Hole Peg Test (NHP). We registered also components of muscular tone by device “NeuroFlexor” (Aggero MedTech AB, Sweden), HRV and EEG parameters simultaneosly by hardware-software complex “Cardiolab+VSR” and “NeuroCom Standard” respectively (KhAI Medica, Kharkiv, Ukraine) as well as GDV parameters by “GDV Chamber” (“Biotechprogress”, St-Pb, RF). Results. The method of cluster analysis retrospectively highlighted two distinct groups-clusters. In 9 children, rehabilitation led to favorable changes in the parameters of the function of the hands, while in 3 children they turned out to be unfavorable. The method of discriminant analysis revealed that unfavorable changes are accompanied by a decrease in the asymmetry of the θ- and δ-rhythms, the spectral power density (SPD) of β-rhythm in loci F8 and Fp1, instead, it increases in loci O1 and T3, leading to left-sided lateralization of the β-rhythm. At the same time, the SPD of the α-rhythm in locus O1 and the θ-rhythm in locus F4 rises as well as its Deviation. These changes in the EEG are accompanied by a reduction in vagalis and an increase in sympathetic tones. Among the GDVs parameters, an increase in the area of the GD Image in the frontal projection, coupled with a decrease in its Entropy in the frontal and left projections, was found. Instead, favorable changes in the parameters of the hand function are accompanied by opposite changes in the listed EEGs, HRVs and GDVs parameters or their absence. Conclusion. Among 14 observed children with spastic forms of cerebral palsy caused by Kozyavkin© method changes in functional tests of hand are favorable in 11. Adverse changes in 3 children are accompanied by characteristic changes in a number of EEGs, HRVs and GDVs parameters, which in the long run will be corrected by electrostimulation of the corresponding nervous structures

    Web-based home rehabilitation gaming system for balance training

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    Currently, most systems for virtual rehabilitation and motor training require quite complex and expensive hardware and can be used only in clinical settings. Now, a low-cost rehabilitation game training system has been developed for patients with movement disorders; it is suitable for home use under the distant supervision of a therapist. It consists of a patient-side application installed on a home computer and the virtual rehabilitation Game Server in the Internet. System can work with different input gaming devices connected through USB or Bluetooth, such as a Nintendo Wii balance board, a Nintendo Wii remote, a MS Kinect sensor, and custom made rehabilitation gaming devices based on a joystick. The same games can be used with all training devices. Assessment of the Home Rehabilitation Gaming System for balance training was performed on six patients with Cerebral Palsy, who went through daily training sessions for two weeks. Preliminary results showed balance improvement in patients with Cerebral Palsy after they had completed home training courses. Further studies are needed to establish medical requirements and evidence length.Peer Reviewe

    Gas Discharge Visualization (Electrophotonic Imaging, Kirlianography). Theoretical and Applied Aspects, 189 s.

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    The monograph highlights the results of priority clinical-physiological studies of the relationships between gas discharge visualization (electrophotonic imaging, kirlianography) parameters, on the one hand, and electroencephalograms, heart rate variability, immunograms, phagocytosis, the content of the main adaptation hormones (cortisol, aldosterone, testosterone, triiodothyronine, calcitonin) in the blood as well as acupuncture points - on the other hand. It is shown that the GDV/EPI method reliably reflects the state of the body's neuro-endocrine-immune complex as well as others parameters and has the right to take its place in the arsenal of physiological/biophysical methods. For biophysicists, physiologists, psychophysiologists, endocrinologists, immunologists, medical rehabilitation specialists. INTRODUCTION Advances in biophysics, biology, functional genomics, neuroscience, psychology, psychoneuroimmunology, and other fields suggest the existence of a subtle system of “biofield” interactions that organize biological processes from the subatomic, atomic, molecular, cellular, and organismic to the interpersonal and cosmic levels. Biofield interactions may bring about regulation of biochemical, cellular, and neurological processes through means related to electromagnetism, quantum fields, and perhaps other means of modulating biological activity and information flow. The biofield paradigm, in contrast to a reductionist, chemistry-centered viewpoint, emphasizes the informational content of biological processes; biofield interactions are thought to operate in part via low-energy or “subtle” processes such as weak, nonthermal electromagnetic fields (EMFs) or processes potentially related to consciousness and nonlocality. Biofield interactions may also operate through or be reflected in more well-understood informational processes found in EEG and ECG data. Recent advances have led to the development of a wide variety of therapeutic and diagnostic biofield devices, defined as physical instruments best understood from the viewpoint of a biofield paradigm [Muehsam D et al, 2015]. Biofield devices comprise physical instruments that may be most clearly understood from the viewpoint of a biofield paradigm, and a large and diverse number of devices have been developed to measure or manipulate biofield interactions. These include both diagnostic devices (to measure biofield properties) and therapeutic devices (to manipulate biofield interactions). The study of biofield devices is at a nascent stage of development, and much further research is needed to determine clinical efficacy and elucidate the underlying mechanisms of action for many of the devices mentioned here. The biofield devices operate through a variety of modalities rather than a single mechanism. Some biofield devices function through well-understood mechanisms and are already widely used in clinical settings: for example, electroencephalography (EEG)- and electrocardiography (ECG)-based heart rate variability (HRV). Other devices appear to operate through mechanisms that are novel or incompletely understood. However, all of these devices share a common property: rather than functioning primarily in a reductionist, chemistry-centered manner, biofield devices function via the informational content of biological processes and can interact via low-energy or “subtle” processes, including those potentially related to consciousness and nonlocality [Muehsam D et al, 2015]. Here Muehsam D et al [2015] provide a brief overview of the broad categories of biofield devices, with the goal being to stimulate further discussion and research. Authors describe those devices for which thay deemed that sufficient evidence exists to warrant mention. They chose to focus upon devices for which peer-reviewed scientific reports suggesting efficacy are available rather than conference proceedings or manufacturers' white papers. However, in the few cases that specific devices with sufficient promise and relevance lacked a peer-reviewed basis, authors have presented whatever evidence was available. Here, devices are organized according to mode of operation and these modalities include electromagnetic field (EMF)-light, EMF-heat, EMF-nonthermal, electrical current, vibration and sound, physical and mechanical, intentionality and nonlocality, gas and plasma, and other (mode of operation not well understood). Muehsam D et al [2015] deemed that gas discharge visualization (GDV) is an important example of the use of plasma in biofield science. Back in 1880 Nikola Tesla demonstrated that when placing the man in the high-frequency field around the body there is a bright glow [cit. by Korotkov KG, 2001]. In 1892 Nardkevych-Yodko YO recorded glow human hands on photographic plate [cit. by Ciesielska I, 2009]. However, a well-known method of "high-frequency photography" was due to spouses Kirlian SD&VH who in 1939 independently discovered this phenomenon [Kirlian SD & Kirlian VKh, 1961], later called "Kirlian’s effect". This technique has been called corona discharge photography [Boyers DG & Tiller WA, 1973], electrophotography [Earle L, 1975], electrography [Konikiewicz LW, 1979], GDV [Bankovskii NG et al, 1986]. In 1996 Korotkov KG created a new scientific approach, based on the digital videotechnics, modern electronics and computer processing quantitative data, called as method gas discharge visualization (GDV bioelectrography). Parallel uses the terms Kirlianography and Electrophotonic imaging (EPI) [Korotkov KG, 2001; 2007; 2014; Korotkov KG et al, 2002; Wisneski LA & Anderson L, 2009; Jakovleva E & Korotkov K, 2013]. Method of GDV, essence of which consists in registration of photoelectronic emission of skin, induced by high-frequency electromagnetic impulses, allows to estimate integrated psycho-somatic state of organism. The first base parameter of GDV is Area of Gas Discharge Image (GDI) in Right, Frontal and Left projections registered both with and without polyethylene filter. The second base parameter is a coefficient of form/shape (ratio of square of length of external contour of GDI toward his area), which characterizes the measure of serration/fractality of external contour. The third base parameter of GDI is Entropy, id est measure of chaos. It is considered that GDI, taken off without filter, characterizes the functional changes of organism, and with a filter characterizes organic changes. Program estimates also Energy and Asymmetry of virtual Chakras [Korotkov KG, 2001; 2007; 2014]. Nearly 1000 papers have been published (mostly in Russian) on GDV research and a few hundred more in the West. These intriguing data suggest that informatics based upon biofield measurement devices such as the GDV may be useful for gaining deeper understanding of disease states and guiding practitioners and their patients towards states of greater wellness [Muehsam D et al, 2015]. Without regard to the wideuse enough of method in medicine, psychology, valeology and others like that, he yields to the just criticizing for an insufficient physiology ground. There fore we put before itself sweep to analyse relationships between the parameters of GDV - from one side, and by the row of neurodynamics, endocrine, immune. psychophysiological, and other parameters - on the other hand

    Аналіз засобів фізичної реабілітації дітей із спастичними формами дитячого церебрального паралічу

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    Summary. The article deals with the physical rehabilitation of children with cerebral palsy, which is an actual problem and is being dealt with by scientists from different countries of the world. Cerebral palsy is a disease of the central nervous system that occurs as a result of organic damage to the brain and is accompanied by non-progressive motor syndromes, often combined with mental and speech disorders, epileptic seizures, fluid-dynamic changes, pathology of hearing, vision, organs and systems or without them. Cerebral palsy is one of the most common causes of childhood disability. Despite the violation of the musculoskeletal system, children with cerebral palsy often have disorders of psycho-emotional development, which significantly reduces their contact, often have problems with the cardiovascular and respiratory systems, which require additional control of vital functions on the side of physical rehabilitation, epileptic seizures can be observed, as well as vision often worsens due to a change in the tone of the ciliary muscles. The problem of physical rehabilitation of children with cerebral palsy is extremely important. The aim of the study – to expand and deepen knowledge of physical rehabilitation of children with spastic forms of cerebral palsy. Materials and Methods. With the help of Internet search databases, a bibliographic review of information sources and analysis of materials on new and often used means of physical rehabilitation of children with spastic cerebral palsy was carried out. Results. As a result of a bibliographic review of literary sources, it was established that the effectiveness of physical rehabilitation of children with cerebral palsy depends on their personal rehabilitation potential, which is influenced by accompanying somatic pathology, general psychophysical condition, autonomic regulation, etc. Physical rehabilitation of children with cerebral palsy is necessary to identify disorders of somatic health, disorders of psychophysical development, peculiarities of the functional activity of the body of children with cerebral palsy in the first year of life in order to increase the rehabilitation potential. In the works "Bibliosemantic analysis of modern methods of physical rehabilitation of children with cerebral palsy" and "Analysis of the latest methods of physical rehabilitation in children with cerebral palsy" it is indicated that the physical rehabilitation of children with cerebral palsy is regulated by the orders of the Ministry of Health of Ukraine dated October 8, 2007 “On the approval of the forms of the individual program of rehabilitation of a disabled child and the order of their preparation” No. 623 (https://zakon.rada.gov.ua/laws/show/z1197-07#Text), No. 214 of October 11, 1993. “On the improvement of neurological care for children” (https://zakon.rada.gov.ua/rada/show/v0214282-93#Text), № 79/10 від 26.02.01. “On the approval of the plan for the implementation of additional measures to ensure the implementation of the National Program "Children of Ukraine" for the period until 2005”. (https://ips.ligazakon.net/document/MOZ1078), No. 889 of December 1, 2009 “On the approval of the clinical protocol of sanatorium-resort rehabilitation of children with cerebral palsy” (https://zakon.rada.gov.ua/rada/show/v0889282-09#Text). Treatment of children with cerebral palsy is complex, and physical therapy and massage are of particular importance in the physical rehabilitation of such children. The main means of therapeutic physical culture are breathing and physical exercises of various directions, as well as games. The effectiveness of the use of therapeutic physical culture in the physical rehabilitation of children with cerebral palsy has been described by many scientists who developed their rehabilitation programs based on its means of physical rehabilitation (therapeutic exercises and rehabilitative massage). Conclusion. The results of a bibliographic review of literary sources indicated that a large complex of means and methods of rehabilitation is used in the physical rehabilitation of children with cerebral palsy. Basically, a larger percentage of authors pointed to the effectiveness of the use of physical rehabilitation tools (therapeutic exercises and rehabilitative massage) and methods of physical rehabilitation of children with cerebral palsy.Резюме. У статті розглянуто фізичну реабілітацію дітей із дитячим церебральним паралічем (ДЦП), яка є актуальною проблемою і якою займаються науковці різних країн світу. ДЦП – це хвороба центральної нервової системи, що виникає унаслідок органічного ураження головного мозку та супроводжується не прогресуючими руховими синдромами, часто поєднаними з психічними та мовленнєвими порушеннями, епілептичними нападами, ліквородинамічними зрушеннями, патологією слуху, зору, органів і систем чи без них. ДЦП є однією із найчастіших причин інвалідності з дитинства. Попри порушення опорно-рухового апарату в дітей із ДЦП часто наявні порушення психоемоційного розвитку, що значно знижує їх контактність, нерідко виникають проблеми серцево-судинної і дихальної систем, що потребує додаткового контролю вітальних функцій збоку фізичної реабілітації, можуть спостерігатись епілептичні напади, а також за рахунок зміни тонусу війкових м’язів нерідко погіршується зір. Проблема фізичної реабілітації дітей із ДЦП є надзвичайно важливою. Мета дослідження – розширити та поглибити знання з фізичної реабілітації дітей зі спастичними формами ДЦП. Матеріали і методи. За допомогою пошукових баз даних мережі «Інтернет» здійснено бібліосистематичний огляд джерел інформації та аналіз матеріалів про нові й часто застосовані засоби фізичної реабілітації дітей зі спастичними формами ДЦП. Результати. У результаті бібліосистематичного огляду літературних джерел встановлено, що ефективність фізичної реабілітації дітей із ДЦП залежить від їх особистого реабілітаційного потенціалу, на який впливає супутня соматична патологія, загальний психофізичний стан, вегетативна регуляція тощо. Фізичної реабілітація дітей із ДЦП необхідна для виявлення порушень соматичного здоров’я, психофізичного розвитку, особливостей функціональної діяльності організму дітей з ДЦП у 1-й рік життя для підвищення реабілітаційного потенціалу. В працях «Бібліосемантичний аналіз сучасних методів фізичної реабілітації дітей з ДЦП» та «Аналіз новітніх методів фізичної реабілітації при дитячому церебральному паралічі» вказано, що фізична реабілітація дітей із ДЦП регламентується наказами МОЗ України від 08.10.2007 «Про затвердження форм індивідуальної програми реабілітації дитини-інваліда та порядку їх складання» № 23 (https://zakon.rada.gov.ua/laws/show/z1197-07#Text),  № 214 від 11.10.1993. «Про удосконалення неврологічної допомоги дітям» (https://zakon.rada.gov.ua/rada/show/v0214282-93#Text), № 79/10 від 26.02.01; «Про затвердження плану реалізації додаткових заходів щодо забезпечення виконання Національної програми «Діти України» на період до 2005р.» (https://ips.ligazakon.net/document/MOZ1078), № 889 від01.12.2009; «Про затвердження клінічного протоколу санаторно-курортної реабілітації дітей з церебральним паралічем»(https://zakon.rada.gov.ua/rada/show/v0889282-09#Text). Лікування дітей із ДЦП комплексне й особливе значення у фізичній реабілітації таких дітей мають лікувальна фізична культура та масаж. Основними засобами лікувальної фізичної культури є дихальні та фізичні вправи різної спрямованості, а також ігри. Ефективність застосування лікувальної фізичної культури у фізичній реабілітації дітей із ДЦП описало багато науковців, які розробляли свої реабілітаційні програми на основі її засобів фізичної реабілітації (терапевтичні вправи та реабілітаційний масаж). Висновки. Результати бібліосистематичного огляду літературних джерел вказали на те, що у фізичній реабілітації дітей із ДЦП застосовується великий комплекс засобів та методів реабілітації. В основному більший відсоток авторів вказали на ефективність застосування засобів фізичної реабілітації (терапевтичні вправи та реабілітаційний масаж) і методів фізичної реабілітації дітей із ДЦП

    Комунікаційна складова закладів відновного лікування в Україні: питання методології аналізу

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    The current situation with a communication component of rehabilitation establishments in Ukraine requires a detailed study. Firstly, the process of reformation of a health care system in Ukraine is not possible without improvement of a quality of social communications and doctors’ ability to speak common language with patients. The second important part of treatment is to establish a dialogue between a doctor and a patient. Thirdly, a comprehensive approach to study becomes valuable in terms of process of physical and psychological rehabilitation of soldiers, which are returning from armed conflict zone in the East of Ukraine.The purpose of the research is to find out the current state of the methodology of studying and outline the prospects for development of communication component of the rehabilitation institutions in Ukraine. Study of professional communication of rehabilitation centers’ workers has been conducted on a basis of national legal documents, new draft bills and works of researchers from connected spheres. According to the researchers, rehabilitation is a complex of medical measures aimed at the functional restoration of the human body with a subsequent adaptation to everyday life. Moreover, a communication component is important within health care institutions between health care providers (nurses), other medical representatives (doctors) and / or with subjects of their professional activities (patients, relatives of patients). Professional communication regulates and determines not only the requirements of doctor’s competence in terms of knowledge and skills, but also clears ethical standards in view of the higher level of responsibility then other people of such profession have.As a result, there is a number of specific features in communication component of rehabilitation establishments. Firstly, a rehabilitation program is the first step in rehabilitation process. Effectiveness of its drafting and implementation is defined by an ability to make a contact and communication between doctor and patient. Secondly, communication and interaction between doctor and patient should continue from the beginning of treatment and even after person’s return to home life. Thirdly, a phenomenon of «therapeutic alliance» and a principle of «peer to peer» become meaningful in mentioned institutions as well as a growing role of practical nurses and other professionals in rehabilitation process.В статье рассмотрены методологические вопросы анализа коммуникационной составляющей учреждений восстановительного лечения в Украине с точки зрения специфики процесса реабилитации, медицинской деонтологии и медицинского дискурса, где описаны дискретный и недискретные виды коммуникации между врачами и пациентами. Особое внимание обращается на автокоммуникации, ее специфические черты, главные стратегии и соответствующие им тактики, используемые на различных этапах диалога врача с пациентом. Рассматривается также сущность понятия «терапевтический альянс», которое имеет непосредственное отношение к коммуникациям в процессе реабилитационного лечения человека по принципу «равный-равному». Акцентируется, что в науке и практической деятельности восстановительных заведений будет расти внимание к взаимодействию между медицинской сестрой и пациентами, к привлечению специалистов немедицинских сфер (психологов, социологов и педагогов) к процессу реабилитации.У статті розглянуто методологічні питання аналізу комунікаційної складової закладів відновного лікування в Україні під кутом зору специфіки процесу реабілітації, медичної деонтології та медичного дискурсу, де описано дискретний та недискретний види комунікації між лікарями та пацієнтами. Особлива увага звертається на автокомунікацію, її специфічні риси, головні стратегії та відповідні до них тактики, що використовуються на різних етапах діалогу лікаря з пацієнтом. Розглядається також сутність поняття «терапевтичний альянс», яке має безпосереднє відношення до комунікацій у процесі реабілітаційного лікування людини за принципом «рівний-рівному». Акцентується, що у науці та практичній діяльності відновних закладів буде зростати увага до взаємодії між медичною сестрою та пацієнтами, до залучення спеціалістів немедичної сфери (психологів, соціологів та педагогів) до процесу реабілітації

    A Biosymtic (Biosymbiotic Robotic) Approach to Human Development and Evolution. The Echo of the Universe.

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    In the present work we demonstrate that the current Child-Computer Interaction paradigm is not potentiating human development to its fullest – it is associated with several physical and mental health problems and appears not to be maximizing children’s cognitive performance and cognitive development. In order to potentiate children’s physical and mental health (including cognitive performance and cognitive development) we have developed a new approach to human development and evolution. This approach proposes a particular synergy between the developing human body, computing machines and natural environments. It emphasizes that children should be encouraged to interact with challenging physical environments offering multiple possibilities for sensory stimulation and increasing physical and mental stress to the organism. We created and tested a new set of computing devices in order to operationalize our approach – Biosymtic (Biosymbiotic Robotic) devices: “Albert” and “Cratus”. In two initial studies we were able to observe that the main goal of our approach is being achieved. We observed that, interaction with the Biosymtic device “Albert”, in a natural environment, managed to trigger a different neurophysiological response (increases in sustained attention levels) and tended to optimize episodic memory performance in children, compared to interaction with a sedentary screen-based computing device, in an artificially controlled environment (indoors) - thus a promising solution to promote cognitive performance/development; and that interaction with the Biosymtic device “Cratus”, in a natural environment, instilled vigorous physical activity levels in children - thus a promising solution to promote physical and mental health

    Реабілітаційні та фізкультурно-рекреаційні аспекти розвитку людини (Rehabilitation & Recreation), № 5

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    У науковому журналі подано окремі положення розвитку фізичної терапії, рекреації, фізичного виховання, оздоровчих технологій різних груп населення. Охарактеризовано сучасні методи та засоби відновлення здоров’я, особливості проведення діагностичних та реабілітаційних заходів, ефективність яких підтверджується педагогічними, психологічними, реабілітаційними та медико-біологічними дослідженнями

    Proceedings of the 9th international conference on disability, virtual reality and associated technologies (ICDVRAT 2012)

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    The proceedings of the conferenc
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