{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:53:35Z","timestamp":1782820415739,"version":"3.54.5"},"reference-count":25,"publisher":"Practical Medicine Publishing House","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prob. Balneo. Physio. Exer. Therapy"],"published-print":{"date-parts":[[2024,1,31]]},"abstract":"<jats:p>Sanogenetic effects of physical factors that have an activating effect on the adaptation-compensatory mechanisms of the body are known. On the other hand, their comparative effect on the pathogenetic links of the disease has been proven. It is advisable to use them in comorbid pathology of the digestive system to increase the effectiveness of rehabilitation measures. Objective. To study the effectiveness of the developed complex of exercise therapy (ET) in outpatient medical rehabilitation programmes for patients with colorectal cancer (CRC) in combination with chronic pancreatitis (CP). Material and methods. There have been observed 84 patients with CRC after surgical treatment in combination with CP. The patients were divided into 2 groups by simple randomization: the comparison group (CG; 40 people) underwent a diet therapy, standard exercise therapy, psychocorrection, pharmacotherapy (Pinaveria bromide), and internal intake of mineral waters of low mineralization; in the main group (MG; 44 people) the patients had rehabilitation therapy according to the original method (RU 143601 from 20.05.2024). The effectiveness of the outpatient rehabilitation was assessed by indicators of the quality of life (Gastroenterological Quality of Life Questionnaire GSRS and European Quality of Life Questionnaire EQ\u20145D), bioelectrical activity of rectus abdominis muscles. Results. After implementing the rehabilitation course, it was stated on repeated electromyography that the total amplitude of bioelectrical activity of the rectus abdominis muscle with the patients of the MG has improved relative to the initial value by 1.9 (p&lt;0.01) with between-group differences (p&lt;0.05). A positive dynamics of GSRS quality of life indicators showed that a more significant (p&lt;0.05) decrease in the intensity of clinical manifestations was observed in the MG. According to the EQ\u20145D questionnaire, the quality of life indicators according to the scales \u00abMobility\u00bb, \u00abPain and discomfort\u00bb and \u00abAnxiety and depression\u00bb also improved more significantly in the MG with between-group differences (p&lt;0.05). Conclusion. The inclusion of the original exercise therapy technique in the outpatient medical rehabilitation programmes for CRC after surgical treatment in combination with CP helps to restore the impaired functions of the digestive organs and improve their quality of life.<\/jats:p>","DOI":"10.17116\/kurort20241010625","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T02:08:31Z","timestamp":1738548511000},"page":"5","source":"Crossref","is-referenced-by-count":3,"special_numbering":"Vyp. 2","title":["Exercise therapy in outpatient rehabilitation programmes for patients with comorbid digestive pathology in colon cancer and chronic pancreatitis. (Open randomized controlled trial)"],"prefix":"10.21320","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1199-3303","authenticated-orcid":false,"given":"A.S.","family":"Kaisinova","sequence":"first","affiliation":[{"name":"North Caucasian Federal Scientific and Clinical Centre of the Federal Medical and Biological Agency","place":["Essentuki, Russia"]},{"name":"Pyatigorsk Medical and Pharmaceutical Institute \u2014 branch of Volgograd State Medical University","place":["Pyatigorsk, Russia"]},{"name":"North Caucasian State Academy","place":["Cherkessk, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4375-0640","authenticated-orcid":false,"given":"A.B.","family":"Achabaeva","sequence":"additional","affiliation":[{"name":"Kabardino-Balkarian State University named after Kh.M. Berbekov","place":["Nalchik, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0077-9013","authenticated-orcid":false,"given":"M.B.","family":"Uzdenov","sequence":"additional","affiliation":[{"name":"North Caucasian State Academy","place":["Cherkessk, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7911-7892","authenticated-orcid":false,"given":"A.A.","family":"Dzhanibekova","sequence":"additional","affiliation":[{"name":"North Caucasian State Academy","place":["Cherkessk, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8192-3731","authenticated-orcid":false,"given":"M.M.","family":"Kaitova","sequence":"additional","affiliation":[{"name":"Kabardino-Balkarian State University named after Kh.M. Berbekov","place":["Nalchik, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6416-7836","authenticated-orcid":false,"given":"V.E.","family":"Illarionov","sequence":"additional","affiliation":[{"name":"Petrovsky National Research Centre of Surgery","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4901-2208","authenticated-orcid":false,"given":"A.Yu.","family":"Suvorov","sequence":"additional","affiliation":[{"name":"Federal Centre for Brain and Neurotechnology of Federal Medical and Biological Agency","place":["Moscow, Russia"]},{"name":"Russian National Research Medical University named after N.I. Pirogov","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8834","reference":[{"key":"key-10.17116\/kurort20241010625-1","doi-asserted-by":"publisher","DOI":"10.31146\/1682-8658-ecg-199-3-107-114"},{"key":"key-10.17116\/kurort20241010625-2","doi-asserted-by":"publisher","DOI":"10.15829\/1728-8800-2019-2-65-69"},{"key":"key-10.17116\/kurort20241010625-3","doi-asserted-by":"crossref","unstructured":"Tlish MM, Kuznetsova TG, Naatyzh ZhYu, Nesterenko IA. Comorbid pathology: mutual aggravation and difficulties of therapy. Clinical dermatology and venereology. 2022;21(5):599-605. (In Russ.)","DOI":"10.17116\/klinderma202221051599"},{"key":"key-10.17116\/kurort20241010625-4","unstructured":"Vertkin AL, Rumyantsev MA, Sotnikov AS. Comorbidity in clinical practice. P. 1. Archives of Internal Medicine. 2011;1:16-20. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-5","doi-asserted-by":"publisher","DOI":"10.15829\/1728-8800-2019-1-5-66"},{"key":"key-10.17116\/kurort20241010625-6","unstructured":"Korchazhkina NB. The third stage of medical rehabilitation in the conditions of sanatorium-resort organizations. Further development of sanatorium-resort treatment after the provision of specialized, including high-tech medical care. Resort medicine. 2013;3:69-72. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-7","unstructured":"Epifanov VA, Korchazhkina NB. Medical and social rehabilitation of patients with various pathologies. In 2 parts. Part II. Moscow: GEOTAR-Media; 2019. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-8","doi-asserted-by":"publisher","DOI":"10.17816\/1681-3456-2019-18-2-103-106"},{"key":"key-10.17116\/kurort20241010625-9","unstructured":"Kotenko KV, Uyba VV, Korchazhkina NB, Petrova MS, Kish AA, Mikhailova AA. Increasing the functional capabilities of the body of athletes in cyclic sports. Occupational Medicine and Industrial Ecology. 2013;9:42-44. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-10","unstructured":"Voskanyan SE, Kotenko KV, Korsakov IN, Naidenov EV. Prediction of development of acute pancreatitis as a complication after surgical interventions on the pancreas. Experimental and clinical gastroenterology. 2014;9(109):61-68. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-11","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/351086"},{"key":"key-10.17116\/kurort20241010625-12","unstructured":"Epifanov AV, Epifanov VA, Aukhadeyev EI. Sports medicine. 2nd edition, expanded. Moscow: GEOTAR-Media; 2019. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-13","unstructured":"Epifanov VA, Kotenko KV, Korchazhkina NB, Mikhailova AA, Zhumanova E, Nazaryan SE, Petrova MS. Medical rehabilitation in obstetrics and gynecology: a guide. 2nd edition, revised and supplemented. Moscow: GEOTAR-Media; 2023. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-14","unstructured":"Epifanov VA, Korchazhkina NB. Medical rehabilitation for diseases and injuries of the urinary organs. Moscow: GEOTAR-Media; 2019. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-15","unstructured":"Set of schemes \u00abProgram of therapeutic physical training for patients with colorectal cancer (CRC) in combination with chronic pancreatitis at various stages of medical rehabilitation\u00bb. Patent for industrial design RU 143601 dated 20.05.2024. Suvorov AYu, Uzdenov MB, Achabaeva AB [and others]. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-16","unstructured":"Lychkova AE. Serotonergic regulation of motor function of the colon. Therapeutic archive. 2013;2:89-92. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-17","doi-asserted-by":"crossref","unstructured":"Cherepanin AI, Fadeeva YuV, Nosenko NS, Negrebov MG, Sherov RR. Possibilities of morphofunctional assessment of the state of abdominal muscles in patients with hernias of the anterior abdominal wall. Evidence-based gastroenterology. 2021;10(3):29-37. (In Russ.)","DOI":"10.17116\/dokgastro20211003129"},{"key":"key-10.17116\/kurort20241010625-18","unstructured":"Tkachev MN, Skorobogach MI, Tatyanchenko VK. Myofascial syndrome of the anterior abdominal wall in patients with ventral hernias. Russian Journal of Pain. 2019;17(1):34-40. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-19","unstructured":"Korchazhkina NB, Goloborodko EV, Kapitonova NV, Petrova MS. Application of complex non-drug methods in chronic fatigue syndrome. In the collection: Sanatorium-resort health improvement, treatment and rehabilitation of patients with socially significant and professional diseases. Sochi; 2012. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-20","unstructured":"Kotenko KV, Epifanov VA, Epifanov AV, Korchazhkina NB. Back pain: diagnostics and treatment. Moscow: GEOTAR-Media; 2016. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-21","unstructured":"Kotenko KV, Kovalev SA, Abuseva GR, Antipenko PV, Arkov VV, Badtieva VA, Barsukov AV, Boyko EV, Batysheva TT, Bulankov YuI, Bukhtiyarov IV, Voitenkov VB, Golovin MA, Didur MD, Dovgan IA, Dudchenko LSh, Ezhov VV, Ekusheva EV, Ermolenko TV, Efimenko NV, et al. Physical and rehabilitation medicine. National leadership. 2nd edition, revised and expanded. Moscow: GEOTAR-Media; 2023. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-22","doi-asserted-by":"crossref","unstructured":"Kotenko KV, Frolkov VK, Nagornev SN, Korchazhkina NB, Gusakova EV, Chelombitko EG. Prospects for the use of drinking mineral waters in the rehabilitation of patients with coronavirus (COVID-19) infection: analysis of the main sanogenetic mechanisms. Problems of balneology, physiotherapy and exercise therapy. 2021;98(6-2):75-84. (In Russ.)","DOI":"10.17116\/kurort20219806275"},{"key":"key-10.17116\/kurort20241010625-23","doi-asserted-by":"publisher","DOI":"10.17816\/1681-3456-2019-18-6-408-411"},{"key":"key-10.17116\/kurort20241010625-24","unstructured":"Dzhafarov FG, Kachetygin VM. Therapeutic physical training for diseases of the digestive organs: A teaching aid. Bishkek: Kyrgyz-Russian Slavic University; 2003. (In Russ.)"},{"key":"key-10.17116\/kurort20241010625-25","unstructured":"Ermilova OYu. Therapeutic physical education for diseases of the digestive system: methodological recommendations for full-time students and teachers of the Department of Physical Education and Sports. Voronezh: Voronezh State Technical University; 2014. (In Russ.)"}],"container-title":["Problems of Balneology, Physiotherapy and Exercise Therapy"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:31:42Z","timestamp":1782819102000},"score":1,"resource":{"primary":{"URL":"https:\/\/mediasphera.ru\/issues\/voprosy-kurortologii-fizioterapii-i-lechebnoj-fizicheskoj-kultury\/2024\/6-2\/1004287872024062005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,31]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,1,31]]}},"alternative-id":["10.17116\/kurort20241010625"],"URL":"https:\/\/doi.org\/10.17116\/kurort20241010625","relation":{},"ISSN":["0042-8787"],"issn-type":[{"value":"0042-8787","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1,31]]}}}