PATHOGENETIC BACKGROUND OF PHYSICAL ACTIVITY INCREASE REASONABILITY IN OLDER ADULTS WITH NEUROTIC DISORDERS

The aim of the study was to determine the rehabilitative effect of pathogenetically determined measures to increase physical activity on motor functions and the psychosomatic state of older adults with neurotic disorders. A comprehensive longitudinal examination was conducted in 35 patients aged 63–75 years with neurotic disorders resulting from degenerative-dystrophic brain damage. 18 of them had Parkinson's disease; 17 patients had manifestations of psychomotor disturbances in the late post-stroke period. The selected cohort underwent longitudinal examination, which included a valid assessment of psychosomatic dysfunctions and the degree of deficit in motor abilities. A comprehensive diagnostic examination was conducted before and after the application of targeted physical rehabilitation measures. Physical activity sessions were conducted individually at least 6 times per week and 2–3 times per day, depending on the individual's well-being. The data obtained indicate substantial improvement in motor abilities and motor activity in older adults with neurological disorders across all psychomotor parameters studied. The results obtained highlight positive changes over time, expressed as normalization and restoration of the psychosomatic state of the examined older patients with psychoneurotic disorders following the introduction of physical rehabilitation measures, characterized by improvement in their self-care and performance of various types of operational activities. The clear elimination of motor dysfunctions in individuals with neurotic disorders, as well as marked improvement in psychomotor skills and restoration of the capacity for conditioned-reflex activity following the application of a comprehensive physical rehabilitation intervention, indicate a systemic sanogenetic effect of physical muscular activity on the patients' bodies. The authors consider it appropriate to recommend introducing the developed physical rehabilitation methods for older patients with neurotic disorders, as well as for military personnel and civilians of the country with post-traumatic stress disorders, into the practice of specialized rehabilitation centers, which will help improve their self-care and performance of various types of operational activities through restoration of their fine motor skills and psychosomatic state.