[Comprehensive rehabilitation of the subjects presenting with occupational muscular-skeletal abnormalities]

The methodological approach to the rehabilitative treatment of the subjects presenting with occupational muscular-skeletal abnormalities in the upper limb girdle associated with their occupational activities implies the combined application of a pulsed magnetic field, therapeutic peloids and ultrasound therapy to the neuromuscular apparatus and tendinous-capsular structures of the rotator cuff undergoing dystrophic degeneration. This therapeutic modality makes it possible to improve the biomechanical conditions of the patients by broadening the range of active painless movements in the affected shoulder joint by 42% (p < 0.05), normalizing tonal and load-bearing characteristics of the muscles (increase of the initially reduced muscular tone at rest by 27% (p < 0.05) at a maximum voluntary tension (16%, p > 0.05), changing trophicity of periarticular tissues (elevation of the pain sensitivity threshold of tendons and painful indurations in the functionally active muscles of the thoracic girdle of the upper extremity by 76% (p < 0.05). It is concluded that these changes contribute to the improvement of professional activities of the patients.