Piontkovskyi V. K., Fyk M. I., Ponomaryov V. I., Tkachenko V. V., Sochnieva A. L., Kritsak V. V., Tantsura Ye. O., Tkachenko V. I., Yakovenko S. V., Akhmedova K. M.

BIOPHYSICAL FOUNDATIONS OF GADGET-ORIENTED TELEREHABILITATION: TOWARDS STANDARDIZED MULTIMODAL PROTOCOLS IN MODERN PHYSIOTHERAPY IN UKRAINE

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Piontkovskyi V. K., Fyk M. I., Ponomaryov V. I., Tkachenko V. V., Sochnieva A. L., Kritsak V. V., Tantsura Ye. O., Tkachenko V. I., Yakovenko S. V., Akhmedova K. M.

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METHODS AND METHODOLOGIES

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Scientific article

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Gadget-assisted telerehabilitation has developed rapidly over the past decade, but the heterogeneity of protocols and the focus on individual techniques limit the reproducibility of results and scalability in clinical practice. The aim of this work is to assess the effectiveness of multimodal biophysical telerehabilitation in patients with post-traumatic syndrome. This study summarizes the biophysical foundations, synthesizes clinical data (2019–2025) and develops a standardized multimodal protocol that integrates electrotherapy, PEMF, LIPUS and VR/biofeedback. The systematic review of the PubMed/Scopus databases (2019–2025) was complemented by pilot clinical trials (n=60) conducted using the complex of gadget devices of NTU “KhPI” magnuz-muflon, synchronized with wearable telemetry of smart watches. Key performance indicators: VAS, 6MWT, FEV1, HAM-D, CAPS-5. Clinical cases covered cardiopulmonary, musculoskeletal and neuropsychiatric disorders. The protocols demonstrated stable and clinically significant effects: pain reduction by 32–38%, improvement in mobility by 18–22%, increase in lung function by 12–16%, reduction of psychological symptoms by 25–40%. Patient adherence >85%, frequency of side effects <5%. The study developed step-by-step protocols for the treatment of neurogenic inflammation (analgesia, regeneration, adaptation) and formalized SOPs that include calibration, safety, and telemonitoring using smart watches. Central scientific novelty and practical value. For the first time, a biophysically grounded multimodal model of telerehabilitation based on gadgets, which unifies disparate approaches, has been proposed. The integration of digital twins ensured adaptive dosing and personalized therapy trajectories, while the standardization of SOPs guaranteed reproducibility and readiness for regulatory implementation. This study addresses key methodological gaps by linking medical biophysics to digital health. It offers a baseline for conducting multicenter randomized clinical trials, paving the way for scalable, safe, and effective multimodal telerehabilitation in a variety of clinical contexts.

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Publication of the article:

«Bulletin of problems biology and medicine», 2026 Issue 2, 181, 228-236 pages, index UDC 615.8:616−001−036.88

DOI:

10.29254/2077-4214-2026-2-181-228-236