Zaitsev D. V.1, Kalnish V. V.1, Pyshnov G. Yu.2


1State institution "Institute for Occupational Health of the National Academy of Medical Sciences of Ukraine", Kyiv

2Shupick National Medical Academy of Postgraduate Education, Kyiv

Full article (PDF), UKR

Introduction. People with posttraumatic stress disorder may require long-term comprehensive rehabilitation.

The aim of the study was to determine the effectiveness of volumetric pneumopressing as a restorative means for autonomic nervous system.

Materials and methods. We studied 39 combatants aged 19–60. 15 students of the Military Medical Academy, aged (24,3 ± 2,1) were engaged to the control group. The volumetric pneumopressing device was "Bio-1" (Ukraine). Compression was applied on the head and back and pressure wave moved from the forehead to the coccyx. The heart rate variability was registered before, during and after the volumetric pneumopressing.

Results. Systolic blood pressure significantly reduced in all groups after the procedure. Most of heart rate variability indicators in all groups changed similarly. Combatants’ heart rate variability indicators approached to the control group level. After the volumetric pneumopressing procedure parasympathetic influence increased and regulation of heart rate become more autonomous (significantly in combatants). Total regulatory activity increased (significantly in combatants), primarily due to neurohumoral component (significantly in all groups). The vasomotor center activity also increased due to compensation of forced circulation.

Conclusion. The applied volumetric pneumopressing procedure reduces cardiac load, enhances the activity of regulatory systems and reduce their tensity. Combatants tend to normal blood pressure and heart rate variability parameters.

Key words: ATO participants, posttraumatic stress disorder, volumetric pneumopressing, heart rate variability, functional status


  1. Voloshyn, P. V., Maruta, N. О., Shestopalova, L. F. et al. 2014, Diagnosis, treatment and prevention of medical and psychological consequences of combat operations in modern conditions, Methodical recommendations. Kharkiv, 80 p. (in Ukrainian).
  2. Halatsan, О. V., Siroshtan, G. М., Mykhailov, B. V. et al., 2016, Medical and psychological rehabilitation of participants ATO and temporarily displaced persons, Methodical recommendations. Kharkiv, 27 p. (in Ukrainian).
  3. Zaitsev, D. V., 2015, "Application of volumetric pneumopressing in combination with pharmacotherapy at arterial hypertension", Ukrainian journal of medicine, biology and sport, no. 2, pp. 75 – 78 (in Russian).
  4. Zaitsev, D. V., 2016, "Volumetric pneumopressing impact on night sleep: pilot questioning", Materials of scientific and practical conference "Perspectives of development of medical and physical rehabilitation on different levels of medical care", MoH of Ukraine, Gorbachevsky Ternopil State Medical University, Allukrainian Association of Physiotherapeuts and Balneologists, Ternopil, Ukraine, 6 October 2016, p. 23 (in Ukrainian).
  5. Zaitsev, D. V., Pyshnov, G. Yu., 2014, "Volumetric pneumopressing: theory and practice (review)", Ukrainian medical journal, no. 4 (102), pp. 127 – 132 (in Ukrainian).
  6. Zaitsev, D. V., Karamzina, L. A., 2015, "On the mechanism of action of volumetric pneumopressing", General pathology and pathological physiology, v. 10, no. 1, pp. 99 – 107 (in Russian).
  7. Kaplan, А. Y., 1999, "Short-term variability of heart rate and type of the feedback for results of operator like activity in humans", Journal of higher nervous activity, v. 49, no. 2, pp. 345 – 350 (in Russian).
  8. Korostii, V. I., Polishchuk, V. T., Zavorotnyi, V. I., 2015, "Psychopharmatherapy in comprehensive treatment and rehabilitation of post-traumatic stress disorder", International neurological journal, no. 6 (76), pp. 59 – 71 (in Ukrainian).
  9. Maksymenko, S. D., Koval, І. А., Maksymenko, К. S., Papucha, М. V. 2008, Medical psychology: edited by academician S.D. Maksymenko. Nova Knyha, 520 p. (in Ukrainian).
  10. Moiseyenko, Ye. V., Sukhorukov, V. І., Madiar, S. А. et al., 2006, Physiological support of Antarctic expeditions, Methodical recommendations. Kyiv, 35 p. (in Ukrainian).
  11. Order "On approval and implementation of medical and technological documents for standardization of medical care in PTSD" No 121 of 23.02.2016, Ministry of Health of Ukraine (in Ukrainian).
  12. Napreyenko, О. К., Syropiatov, О. G., Druz, О. V. et al., 2014, Psychological and psychiatric assistance to victims of armed conflicts, Methodical recommendations. Kyiv, 26 p. (in Ukrainian).
  13. Tarshynov, I. V., Zaitsev, D. V. Patent for utility model 38743 Ukraine, IPC A61H7/00, A61H9/00. Pneumatic device for cranio-sacral pressure, req. 05.05.08 ; publ. 12.01.09, bull. no. 1/2009 (in Ukrainian).
  14. Rozhkov, V. S., Afanasiieva, Y. S., Tarshynov ,I. V., Chuprykov, A. P. Patent for utility model 45538 Ukraine, IPC A61H 9/00, A61H 31/00. Method for treating astenic syndrome in urologic patients, req. 26.06.09 ; publ. 10.11.09, bull. no. 21/2009 (in Ukrainian).
  15. Plenova, T., Tarshinov, I., Tarshinova, L., 2009, "Using volumetric pneumopressing in arterial hypertension treatment", Materials of International scientific congress and LXII Session of General Assambly of FEMTEC, Japan, 5-16 November 2009, p. 35 (in Russian).
  16. Pedak, А. А. 2011, Mental and psychosomatic disorders in the clinic of a general practitioner – fam,ily medicine doctor. Nikolaev : Ilion, 695 p. (in Russian).
  17. Аmah, G., Voicu, S., Bonnin, P., Kubis, N. 2016, "Low-pressure sequential compression of lower limbs enhances forearm skin blood flow", Clinical and investigative medicine, no. 39 (6), pp. 204–212 (in English).
  18. Кitayama, S., Maegawa, J., Matsubara, S. et al. 2017. "Real-Time Direct Evidence of the Superficial Lymphatic Drainage Effec of Intermittent Pneumatic Compression Treatment for Lower Limb Lymphedema", Lymphatic Research and Biology, no. 15 (1), pp. 77–86 (in English).
  19. Кwak, H. S., Cho, J. H., Kim, J. T. et al. 2017. "Intermittent Pneumatic Compression for the Prevention of Venous Thromboembolism after Total Hip Arthroplasty", Clinics in Orthopedic Surgery,no. 9 (1), pp. 37–42 (in English).