Vol 19, No 1 (2016)

There has been presented information about social-hygienic description of 356 invalids with lower limbs atherosclerotic arterial disease with taking into account gender, age-related groups, severity of disability. There were investigated individual programs of rehabilitation of the given contingent ofpatients, dynamics has been followed up for the period from 2010 to 2014 with the analysis of the need for measures of rehabilitation.

In the work there are presented results of the investigation offeatures of the alteration of thresholds of the post-stimulus pain and its subjective characteristics in patients with phantom pain syndrome and psychogenic pain in the process of empatho-technique. There was studied the role ofpsychophysiological autoregulation in the restoration of sensitivity in patients undergone to amputation of lower extremities. The use of empatho-technique was found to allow not only to significantly reduce the intensity ofphantom, and psychogenic pain, but to fully restore sensitivity to ultrasonic stimuli in the psychogenic pain and significantly eliminate cases of its disturbance in the phantom pain. It is assumed that the reducing influence of empatho-technique on the intensity of the perception ofpain can be realized by means of activation of the antinociceptive system, enhancement of its inhibitory effect on the painful stimulus, as well as decline in the activation of the nociceptive system, with a subsequent decrease in the intensity of sensations ofpain and restoration of sensitivity.

Cancer rate remains to be one out of the highest in Siberian Federal District for many years and it significantly exceeds the mean data across Russian Federation. Besides, it obviously tends to increase. This type of disease has become the first cause of primary disability since 2013 leaving behind cardio-vascular diseases and this ratio is still increasing. Disability caused by cancer is characterized by both the high severity (the share of I-II group disability amounts for 83.9%) and significant percentage of working-age people (37.9%). In spite of high mortality rate caused by cancer, in case of the implementation of the definitive therapy at early stages of the disease rehabilitation indices in these patients remain to be the highest that necessitates for the improvement of the rehabilitation system of cancer patients, including their efficient job placement.

There was performed a study of the cohort of persons re-recognized to be disabled (PRRD) due to the eye and adnexa diseases in the adult population of the Altai region over 2004-2013. In the structure of occasional disability in PRRD the first four ranking places are occupied by such nosological forms as complicated myopia, optic nerve disease, glaucoma and retinal degeneration. Their proportion in the total structure amounted to 71.9%. In the structure ofPRRD according to disability groups with taking into account the gender and nosology,amongpersons having group III and II disability there were dominated male cases with glaucoma (68.7%) and diseases of the optic nerve (64.1%) and female cases with myopia (63.5%). In the structure of PRRD in terms of the age and nosology there were prevailed retirement age patients disabled due to glaucoma (64.9%) and young and middle age patients disabled due to complicated myopia (32.9% and 42.8%, respectively), diseases of the optic nerve (49.8% and 29.9%) and retinal degeneration (34.1% and 26.4%, respectively).

Atherosclerotic involvement of lower limbs arteries is a common disorder associated with a high risk of cardiovascular morbidity and mortality, requiring an early start of the comprehensive therapy. Typical clinical manifestations of this disease are found only in some patients that encumbers to make timely diagnosis. Determination of ankle-brachial index (ABI) is a reliable approach of the assessment of the state of blood flow in the lower extremities, but the classical technique requires the participation of specially trained personnel and expensive equipment. In the article there is discussed the use of widely available oscillometric blood pressure monitors for the determination of ABI. In a group of 39 patients with high risk of the development of atherosclerosis there was performed a comparison of the results of the determination of ABI with the help of oscillographic blood pressure monitors and ABI evaluated by the method of volumetric sphygmography. There was shown the sufficient accuracy of the determination of ABI with the aid of oscillographic blood pressure monitors and the interrelationship of this index with the risk of detection ofsignificant atherosclerotic involvement of lower limbs arteries according to Doppler ultrasound data. There was demonstrated that this method can be used at the stage of outpatient examination of patients with a high risk for atherosclerotic involvement of lower limbs arteries.