The role of physiotherapy and balneology in the organization of modern rehabilitation care

Posted on by adminLeave a comment

Assoc. prof. B.A. Rohozhyn 1,2, prof. O.I. Serdiuk 1, assoc. prof. Z.M. Dikhtyarenko 3

1 Kharkiv National Medical University,

2 Ukrainian Academy of the History of Medicine,

3 Ukrainian Humanitarian Institute

The article examines the role of physiotherapy and balneology in the organization of modern rehabilitation care. The mechanisms of action, indications, and clinical effectiveness of these methods are analyzed. The feasibility of a multimodal approach to rehabilitation is substantiated.

The technological features of the application of physiotherapy and balneology that influence the organization of rehabilitation care are identified. In the context of the critically increasing demand for rehabilitation services in Ukraine, associated with the consequences of war and chronic stress, the organization of rehabilitation becomes a key factor ensuring its accessibility and effectiveness. Sanatorium institutions are considered an effective organizational form for providing rehabilitation care.

Key words: physiotherapy, balneology, rehabilitation, effectiveness of medical care, sanatorium institutions.

https://doi.org/10.15407/internalmed2026.01.060

Download.PDF (ukr)

Cite:

Рогожин, Б.А. Роль фізіотерапії та бальнеології в організації сучасної реабілітаційної допомоги / Б.А. Рогожин, О.І. Сердюк, З.М. Діхтяренко // Східноєвропейський журнал внутрішньої та сімейної медицини. — 2026. — № 1. — С. 60-69. doi: 10.15407/internalmed2026.01.060

Rohozhyn BA, Serdiuk OI, Dikhtyarenko ZM. Rol fizioterapii ta balneolohii v orhanizatsii suchasnoi reabilitatsiinoi dopomohy [The role of physiotherapy and balneology in the organization of modern rehabilitation care]. Shidnoevr. z. vnutr. simejnoi med. 2026;1:60-69. Ukrainian. doi: 10.15407/internalmed2026.01.060

References:

  1. World Health Organization. Rehabilitation 2030: A Call for Action. Geneva: WHO; 2017.

  2. World Health Organization. Global report on health equity for persons with disabilities. Geneva: WHO; 2023.

  3. Gutenbrunner C, Negrini S, Kiekens C, et al. The role of rehabilitation in the health system. Eur J Phys Rehabil Med. 2020;56(6):763-773.

  4. Stucki G, Bickenbach J. Functioning: the third health indicator in the health system. Eur J Phys Rehabil Med. 2017;53(1):134-138. https://doi.org/10.23736/S1973-9087.17.04565-8

  5. Vance CGT, Daily DL, Rakel BA, Sluka KA. Using TENS for pain control: update on the state of the evidence. Pain Manag. 2021;11(1):1-12.

  6. Johnson MI, Walsh DM. Pain: continued uncertainty of TENS effectiveness for pain relief. Nat Rev Rheumatol. 2019;15(5):254-255.

  7. Ebadi S, Ansari NN, Naghdi S, et al. The effect of continuous ultrasound on chronic low back pain: a systematic review and meta-analysis. Phys Ther. 2020;100(6):903-915.

  8. Li S, Yu B, Zhou D, et al. The efficacy of low-level laser therapy for musculoskeletal pain: systematic review and meta-analysis. Lasers Med Sci. 2021;36:1-12.

  9. Häuser W, Ablin J, Fitzcharles MA, et al. Fibromyalgia. Nat Rev Dis Primers. 2021;7(1):1-17. https://doi.org/10.1038/nrdp.2015.22

  10. Fioravanti A, Karagülle M, Bender T, et al. Balneotherapy in osteoarthritis: systematic review and meta-analysis. Int J Biometeorol. 2021;65:123-140. https://doi.org/10.1007/s00484-021-02098-w

  11. Antonelli M, Donelli D. Effects of balneotherapy and spa therapy on quality of life: systematic review. Int J Environ Res Public Health. 2018;15(12):1-15.

  12. Nasermoaddeli A, Kagamimori S. Balneotherapy in medicine: a review. Environ Health Prev Med. 2020;25:1-10.

  13. Bender T, Karagülle Z, Bálint GP, et al. Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatol Int. 2020;40:1-13.

  14. Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM&R. 2020;12(12):1269-1276.

  15. Gutenbrunner C, Nugraha B, Frontera WR, et al. Rehabilitation medicine in Europe: future perspectives. J Rehabil Med. 2021;53:jrm00183. https://doi.org/10.2340/16501977-2818

  16. European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine in Europe. 2020.

  17. Sheehy L. Considerations for postacute rehabilitation for survivors of COVID-19. JMIR Public Health Surveill. 2020;6(2):e19462. https://doi.org/10.2196/19462

  18. Wade DT. Rehabilitation after traumatic injury: current approaches. Clin Med. 2020;20(4):371-374.

  19. Ministerstvo okhorony zdorovia Ukrainy. Standarty medychnoi reabilitatsii v Ukraini [Standards of medical rehabilitation in Ukraine]. Kyiv; 2023. Ukrainian.

  20. Kovalenko VM, Kornatskyi VM. Reabilitatsiina medytsyna v Ukraini: suchasnyi stan i perspektyvy rozvytku [Rehabilitation medicine in Ukraine: current state and development prospects]. Ukrainskyi Medychnyi Zhurnal. 2022;4:5-12. Ukrainian.