Comprehensive rehabilitation of achillobursitis in young trampolinists with a history of chronic adenoiditis

modern sports, it is crucial to prevent sports injuries, rehabilitate traumas, and treat existing chronic diseases. Purpose. To enhance the effectiveness of the training process and sports performance of young trampolinists by increasing the efficacy of treatment for identified achillobursitis and concomitant chronic adenoiditis and developing a unified rehabilitation complex. Material and methods. A controlled randomized study included 34 trampoline athletes aged 12 to 15 years with a verified diagnosis of achillobursitis obtained during training, with a history of grade 1 adenoid hypertrophy and chronic adenoiditis, who were divided into control (n=15) and experimental (n=19) groups. A rehabilitation complex was applied to all athletes for 5 weeks, including massage procedures with post-isometric relaxation. The athletes of the experimental group additionally took nonsteroidal anti-inflammatory drugs to reduce inflammation of the Achilles tendon area. Preference was given to new generation drugs (meloxicam and celecoxib) as the most effective and safe cyclooxygen ase 2 inhibitors allowed for children. At the same time, endonasal ultrasonic cavitation with isotonic solution was performed for all athletes to prevent exacerbation of chronic adenoiditis. After the massage, the dynamics of changes in skin temperature were moni tored. Results and discussion. The developed rehabilitation complex contributed to the resto ration of the shin muscles along with the Achilles tendon. Thus, 60 % of the athletes of the experimental group showed recovery, and 40 % of the athletes of the control group had residual phenomena in the final stage of rehabilitation. The average skin temperature was 36.5±1.5, demonstrating the positive dynamics of the recovery period after the activation of the rehabilitation complex. Preventive sanitation of the nasopharynx by ultrasonic cavi tation with isotonic solution did not cause an exacerbation of chronic adenoiditis. Conclusion. The developed rehabilitation complex with the inclusion of chondroprotective agents helps to reduce inflammation and pain, improves blood circulation, and accelerates the process of tissue repair, while nasopharyngeal sanitation, i.e. ultrasonic cavitation with isotonic solution, eliminates the exacerbation of chronic adenoiditis.