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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vmireaviz</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник медицинского института «РЕАВИЗ». Реабилитация, Врач и Здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-762X</issn><issn pub-type="epub">2782-1579</issn><publisher><publisher-name>РЕАВИЗ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20340/vmi-rvz.2023.6.CLIN.4</article-id><article-id custom-type="elpub" pub-id-type="custom">vmireaviz-799</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Клиническая медицина</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Clinical medicine</subject></subj-group></article-categories><title-group><article-title>О возможности реабилитации спортсменов с переломами костей нижних конечностей (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>About the possibility of rehabilitation of athletes with fractures of the bones of the lower extremities (literature review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6443-0793</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сороковикова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sorokovikova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сороковикова Татьяна Викторовна - Канд. мед. наук, доцент кафедры неврологии, реабилитации и нейрохирургии.</p><p>Ул. Советская, д. 4, Тверь, 170100</p></bio><bio xml:lang="en"><p>Sorokovikova Tat'yana Viktorovna - Cand. Sci. (Med.), Associate Professor of the Department of Neurology, Rehabilitation and Neurosurgery.</p><p>4 Sovetskaya str., Tver, 170100</p></bio><email xlink:type="simple">belyakmariah@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4213-5379</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозов</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozov</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Морозов Артём Михайлович - Канд. мед. наук, доцент кафедры общей хирургии, Тверской государственный медицинский университет.</p><p>Ул. Советская, д. 4, Тверь, 170100</p></bio><bio xml:lang="en"><p>Artem M. Morozov - Cand. Sci. (Med.), Associate Professor of the Department of General Surgery.</p><p>4 Sovetskaya str., Tver, 170100</p></bio><email xlink:type="simple">ammorozovv@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6386-5093</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексанян</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Aleksanyan</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексанян Кристина Артаковна - Студентка 5 курса педиатрического факультета.</p><p>Ул. Советская, д. 4, Тверь, 170100</p></bio><bio xml:lang="en"><p>Kristina A. Aleksanyan - 5th year student of the Pediatric Faculty.</p><p>4 Sovetskaya str., Tver, 170100</p></bio><email xlink:type="simple">belyakmariah@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салманова</surname><given-names>К. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Salmanova</surname><given-names>K. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салманова Камила Гайнудиновна - Студентка 5 курса педиатрического факультета.</p><p>Ул. Советская, д. 4, Тверь, 170100</p></bio><bio xml:lang="en"><p>Kamila G. Salmanova - 5th year student of the Pediatric Faculty.</p><p>4 Sovetskaya str., Tver, 170100</p></bio><email xlink:type="simple">belyakmariah@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-0582-7398</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фисюк</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Fisyuk</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фисюк Екатерина Андреевна - Студентка 2 курса педиатрического факультета.</p><p>Ул. Советская, д. 4, Тверь, 170100</p></bio><bio xml:lang="en"><p>Ekaterina A. Fisyuk - 2nd year student of the Pediatric Faculty.</p><p>4 Sovetskaya str., Tver, 170100</p></bio><email xlink:type="simple">belyakmariah@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6125-7676</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беляк</surname><given-names>М. Ал.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyak</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беляк Мария Александровна - Студентка 5 курса лечебного факультета.</p><p>Ул. Советская, д. 4, Тверь, 170100</p></bio><bio xml:lang="en"><p>Mariya A. Belyak - 5th year student of the Faculty of Medicine.</p><p>4 Sovetskaya str., Tver, 170100</p></bio><email xlink:type="simple">belyakmariah@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Тверской государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tver State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>14</day><month>01</month><year>2024</year></pub-date><volume>13</volume><issue>6</issue><fpage>59</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сороковикова Т.В., Морозов А.М., Алексанян К.А., Салманова К.Г., Фисюк Е.А., Беляк М.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Сороковикова Т.В., Морозов А.М., Алексанян К.А., Салманова К.Г., Фисюк Е.А., Беляк М.А.</copyright-holder><copyright-holder xml:lang="en">Sorokovikova T.V., Morozov A.M., Aleksanyan K.A., Salmanova K.G., Fisyuk E.A., Belyak M.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestnik.reaviz.ru/jour/article/view/799">https://vestnik.reaviz.ru/jour/article/view/799</self-uri><abstract><sec><title>Актуальность</title><p>Актуальность. Занимаясь профессиональным спортом люди довольно часто сталкиваются с травмами. Так, одной из главных проблем современной травматологии и восстановительной медицины является именно спортивный травматизм, доля которого составляет от 2 до 7 % среди всех травм.</p></sec><sec><title>Цель</title><p>Цель: провести анализ доступных и современных методов реабилитации спортсменов с переломами костей нижних конечностей.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В ходе настоящего исследования был проведён обзор литературных данных, отражающих современные взгляды на проблему реабилитации спортсменов с переломами костей нижних конечностей.</p></sec><sec><title>Результаты</title><p>Результаты. Успешное восстановление спортсменов и скорейшее возвращение к тренировочному процессу во многом определяется оптимально подобранными реабилитационными мероприятиями. В реабилитации отсутствует единый алгоритм ведения спортсменов, выбор тактики зависит от ряда факторов, таких как локализация и степень тяжести перелома, проведённое хирургическое и консервативное лечение, индивидуальные особенности спортсмена, а также желаемый результат. Оптимальным алгоритмом является комбинация классических реабилитационных мероприятий, к которым относятся лечебная физкультура, диетотерапия, психотерапия и физиотерапевтические процедуры, такие как массаж, тейпирование, низкочастотная магнитотерапия, ультравысокочастотная терапия в слаботепловых дозировках, электрофорез анальгетиков, препаратов кальция и фосфора и теплолечение.</p></sec><sec><title>Заключение</title><p>Заключение. Все реабилитационные мероприятия направлены на постепенное повышение физической нагрузки на повреждённую конечность и укрепление опорно-двигательного аппарата путём улучшения трофики тканей, повышения тонуса мышц, активации метаболических процессов, а также на снижение болевого синдрома и стимуляцию регенерации травмированных тканей. Адаптационной основой реабилитации является модель контроля движений («control-chaos continuum»), которая обеспечивает профилактику осложнений и возникновения повторных травм. Рациональная диетотерапия способствует увеличению мышечной массы и предупреждению набора жировой массы. Подбирая реабилитационные мероприятия, в первую очередь, учитывают характер выбранного лечения и поставленные цели, в связи с этим подбор реабилитационных мероприятий производят в индивидуальном порядке, для того, чтобы достичь наиболее качественного результата за короткий срок. Адекватно подобранные реабилитационные мероприятия позволяют спортсменам безопасно возвращать первоначальные физические показатели и снижать риск повторных травм.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Relevance</title><p>Relevance. People involved in professional sports quite often encounter injuries. Thus, one of the main problems of modern traumatology and rehabilitation medicine is sports traumatism, which accounts for 2 to 7 % of all injuries.</p></sec><sec><title>Objective</title><p>Objective: to analyze the available and modern methods of rehabilitation of athletes with fractures of the bones of the lower extremities.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. In the course of the present study, we reviewed the literature data reflecting the current views on the problem of rehabilitation of athletes with fractures of lower limb bones.</p></sec><sec><title>Results</title><p>Results. Successful recovery of athletes and early return to the training process is largely determined by optimally selected rehabilitation measures. There is no unified algorithm in rehabilitation of athletes; the choice of tactics depends on a number of factors, such as localization and severity of the fracture, surgical and conservative treatment performed, individual characteristics of the athlete, and the desired result. The optimal algorithm is a combination of classical rehabilitation measures, which include therapeutic physical training, diet therapy, psychotherapy and physical therapy procedures such as massage, taping, low-frequency magnetic therapy, UHF in low-heat doses, electrophoresis of analgesics, calcium and phosphorus drugs and thermotherapy.</p></sec><sec><title>Conclusion</title><p>Conclusion. All rehabilitation measures are aimed at gradual increase of physical load on the injured limb and strengthening the musculoskeletal system by improving tissue trophism, muscle tone, activation of metabolic processes as well as pain reduction and stimulation of regeneration of injured tissues. The adaptation basis of rehabilitation is the model of control of movements ("control-chaos continuum"), which provides the prevention of complications and re-injuries. Rational nutritional therapy contributes to increasing muscle mass and preventing the accumulation of fat mass. When choosing rehabilitation measures, the nature of the chosen treatment and objectives are taken into account, so that the choice of rehabilitation measures is made on an individual basis, in order to achieve the best possible results in a short period of time. Adequately chosen rehabilitation measures allow athletes to safely return to their original physical performance and reduce the risk of re-injury.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>переломы нижних конечностей</kwd><kwd>реабилитация</kwd><kwd>физиотерапия</kwd><kwd>диетотерапия</kwd><kwd>массаж</kwd><kwd>тейпирование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>fractures of the lower extremities</kwd><kwd>rehabilitation</kwd><kwd>physiotherapy</kwd><kwd>diet therapy</kwd><kwd>massage</kwd><kwd>taping</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование проводилось без спонсорской поддержки</funding-statement><funding-statement xml:lang="en">This research received no external funding</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Новикова Т.В. 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