Possibilities of increasing the effectiveness of medical and psychological rehabilitation taking into account the prevailing part of the autonomic nervous system in specialists of EMERCOM of Russia

Relevance. Specialists of EMERCOM of Russia are engaged in hazardous activities and, therefore, are at risk of mental and physical health disorders. Further measures are required to recover their borderline functional states, preserve and restore mental and physical health, thus increasing the body’s resistance to adverse occupational factors. Intention. To analyze possible effects of the prevailing part of autonomous (vegetative) nervous system on the effectiveness of rehabilitation measures, the choice of the course duration and content of the proposed programs. Methods. The object of research is a long-term medical and psychological rehabilitation, the subject – functional indices reflecting the state of somatic and mental health. The techniques of detailed psychophysiological research are described. Results and Discussion. The results obtained indicate the need to consider the predominant activity of the autonomic nervous system in specialists of EMERCOM of Russia (sympatheticotonia, normotonia, parasympatheticotonia) when implementing rehabilitation programs. Recommendations were made for adapting the basic standard health-promoting long-term program to the current vegetative status of the Russia EMERCOM specialists in order to normalize neurohumoral regulation and increase adaptive reserves. The results indicate the feasibility of correction techniques in parasympatheticotonia (activating regimen to enhance sympathetic and reduce parasympathetic tone) as well as increased number and intensity of rehabilitation measures. In sympatheticotonia, a light regimen was indicated (to reduce sympathetic activity and increase parasympathetic tone); the number and intensity of rehabilitation measures were also decreased. Conclusion. Knowledge of prevailing activity of the autonomic nervous system in Russia EMERCOM specialists helps to predict the risk of psychosomatic diseases and to develop and implement personalized measures for mastering self-control and coping skills.

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