title: Low back pain in athletes, rehabilitation and return to competition
title: ÐÐ¾Ð»Ð¸ Ð² Ð¿Ð¾ÑÑÐ½Ð¸ÑÐµ Ñ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð², ÑÐµÐ°Ð±Ð¸Ð»Ð¸ÑÐ°ÑÐ¸Ñ Ð¸ Ð²Ð¾Ð·Ð²ÑÐ°ÑÐµÐ½Ð¸Ðµ Ðº ÑÐ¾ÑÐµÐ²Ð½Ð¾Ð²Ð°Ð½Ð¸ÑÐ¼
Creators: name: Puzovic, Vladimir
name: "Ð¡Ð¿Ð¾ÑÑ, ÑÐµÐ»Ð¾Ð²ÐµÐº, Ð·Ð´Ð¾ÑÐ¾Ð²ÑÐµ", Ð¼ÐµÐ¶Ð´ÑÐ½Ð°ÑÐ¾Ð´Ð½ÑÐ¹ Ð½Ð°ÑÑÐ½ÑÐ¹ ÐºÐ¾Ð½Ð³ÑÐµÑÑ
Publisher: name: ÐÐÐÐÐ¢ÐÐ¥-ÐÐ ÐÐ¡Ð¡
Year: 2023
Subjects: athletes
disc herniation
low back pain
low back Injury
lumbago
rehabilitation
ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ñ
Ð³ÑÑÐ¶Ð° Ð´Ð¸ÑÐºÐ°
Ð±Ð¾Ð»Ñ Ð² Ð¿Ð¾ÑÑÐ½Ð¸ÑÐµ
ÑÑÐ°Ð²Ð¼Ð° Ð¿Ð¾ÑÑÐ½Ð¸ÑÑ
Ð»ÑÐ¼Ð±Ð°Ð³Ð¾
ÑÐµÐ°Ð±Ð¸Ð»Ð¸ÑÐ°ÑÐ¸Ñ

description: Low back pain (LBP) is widespread today and often has a range of possible underlying causes. According to many studies, almost 30 to 80 % of the adult population has experienced this problem at least once in their lifetime (1, 2). Around 10-30% of the studied patients faced this problem annually, while during the lifespan it increased to 65â 80 % (3, 4, 5). LBP is also one of the most common reasons for visiting the medical doctor (3). Chronic LBP is defined when pain persists for more than 12 weeks (4). LBP is common in athletes as well. In comparison to non-athletes with LBP, athletes support their lives financially through competing in their sports. Therefore, considering changing their occupation, due to LBP, is not an easy option. Assessing the prevalence of LBP in athletes is more complicated due to the following factors: medical treatment is often within closed club systems and athletes often wait for pain to go away by itself and only turn to specialists when the pain becomes unbearable. This may be due to pressure athletes experience from the sports systems or out of fear of possible loss of contract, loss of the opportunity to compete, possible reduction of the time they will spend on the sports field. In addition to the reasons stated above, assessing LBP in athletes may be difficult due to the problem of selection that may arise in research. For example, researchers may have to decide whether to include only professional athletes of senior age, whether to include younger generations of athletes who are in precisely structured and defined systems with the goal of professional sports practice, or whether to include others in categories that can be put under: sports recreation, recreational exercise, school and university sports, workersâ games. While LBP is already known to be the leading cause of absenteeism and time off work in the general public, there is a significant lack of studies in sports that focus specifically on LBP as a cause (2). LBP may originate from many anatomical locations in the low back such as nerve roots, dorsal root ganglia, zygapophyseal joints and from other tissues as well. At the same time many studies assert that the initiator of pain is actually discushernia, which later leads to the entire range of possible pathophysiological and pathomechanical changes. The aim of this study is to show the causes of pain in the lower back, the frequency of their occurrence in athletes, recovery and potential return to the field.
description: Ð Ð½Ð°ÑÑÐ¾ÑÑÐµÐµ Ð²ÑÐµÐ¼Ñ ÑÐ¸Ð»ÑÐ½Ð¾ ÑÐ°ÑÐ¿ÑÐ¾ÑÑÑÐ°Ð½ÐµÐ½Ð¾ ÑÐ²Ð»ÐµÐ½Ð¸Ðµ Ð±Ð¾Ð»Ð¸ Ð² Ð¿Ð¾ÑÑÐ½Ð¸ÑÐµ (LBP), Ð·Ð° Ð½Ð¸Ð¼ ÑÐ°ÑÑÐ¾ ÑÐºÑÑÐ²Ð°ÐµÑÑÑ ÑÐ¸ÑÐ¾ÐºÐ¸Ð¹ ÑÐ¿ÐµÐºÑÑ Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½ÑÑ Ð¿ÑÐ¸ÑÐ¸Ð½. Ð¡Ð¾Ð³Ð»Ð°ÑÐ½Ð¾ Ð¼Ð½Ð¾Ð³Ð¸Ð¼ Ð¸ÑÑÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸ÑÐ¼, Ð¿Ð¾ÑÑÐ¸ 30â 80 % Ð²Ð·ÑÐ¾ÑÐ»Ð¾Ð³Ð¾ Ð½Ð°ÑÐµÐ»ÐµÐ½Ð¸Ñ ÑÐ¾ÑÑ Ð±Ñ ÑÐ°Ð· ÑÑÐ°Ð»ÐºÐ¸Ð²Ð°Ð»Ð¸ÑÑ Ñ ÑÑÐ¾Ð¹ Ð¿ÑÐ¾Ð±Ð»ÐµÐ¼Ð¾Ð¹ (1, 2). ÐÐºÐ¾Ð»Ð¾ 10â 30 % Ð¾Ð±ÑÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð½ÑÑ Ð¿Ð°ÑÐ¸ÐµÐ½ÑÐ¾Ð² ÑÑÐ°Ð»ÐºÐ¸Ð²Ð°Ð»Ð¸ÑÑ Ñ ÑÑÐ¾Ð¹ Ð¿ÑÐ¾Ð±Ð»ÐµÐ¼Ð¾Ð¹ ÐµÐ¶ÐµÐ³Ð¾Ð´Ð½Ð¾, Ð² ÑÐ¾ Ð²ÑÐµÐ¼Ñ ÐºÐ°Ðº Ð² ÑÐµÑÐµÐ½Ð¸Ðµ Ð¶Ð¸Ð·Ð½Ð¸ Ð¾Ð½Ð° ÑÐ²ÐµÐ»Ð¸ÑÐ¸Ð²Ð°Ð»Ð°ÑÑ Ð´Ð¾ 65â 80 % (3, 4, 5). LBP ÑÐ°ÐºÐ¶Ðµ ÑÐ²Ð»ÑÐµÑÑÑ Ð¾Ð´Ð½Ð¾Ð¹ Ð¸Ð· Ð½Ð°Ð¸Ð±Ð¾Ð»ÐµÐµ ÑÐ°ÑÐ¿ÑÐ¾ÑÑÑÐ°Ð½ÐµÐ½Ð½ÑÑ Ð¿ÑÐ¸ÑÐ¸Ð½ Ð´Ð»Ñ Ð¿Ð¾ÑÐµÑÐµÐ½Ð¸Ñ Ð²ÑÐ°ÑÐ° (3). Ð¥ÑÐ¾Ð½Ð¸ÑÐµÑÐºÐ¾Ð¹ LBP ÑÑÐ¸ÑÐ°ÐµÑÑÑ, ÐºÐ¾Ð³Ð´Ð° Ð±Ð¾Ð»Ñ ÑÐ¾ÑÑÐ°Ð½ÑÐµÑÑÑ Ð±Ð¾Ð»ÐµÐµ 12 Ð½ÐµÐ´ÐµÐ»Ñ (4). LBP ÑÐ°ÐºÐ¶Ðµ ÑÐ°ÑÐ¿ÑÐ¾ÑÑÑÐ°Ð½ÐµÐ½Ð° Ñ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð². Ð Ð¾ÑÐ»Ð¸ÑÐ¸Ðµ Ð¾Ñ Ð»ÑÐ´ÐµÐ¹, Ð½Ðµ ÑÐ²Ð»ÑÑÑÐ¸Ð¼Ð¸ÑÑ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð°Ð¼Ð¸ Ñ LBP, ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ñ Ð¶Ð¸Ð²ÑÑ Ð¸ Ð·Ð°ÑÐ°Ð±Ð°ÑÑÐ²Ð°ÑÑ Ð¿Ð¾ÑÑÐµÐ´ÑÑÐ²Ð¾Ð¼ ÑÑÐ°ÑÑÐ¸Ñ ÑÐ¾ÑÐµÐ²Ð½Ð¾Ð²Ð°Ð½Ð¸ÑÑ Ð¸ Ð´ÑÑÐ³Ð¸Ñ Ð¼ÐµÑÐ¾Ð¿ÑÐ¸ÑÑÐ¸ÑÑ. ÐÐ¾ÑÑÐ¾Ð¼Ñ ÑÐ°ÑÑÐ¼Ð¾ÑÑÐµÑÑ Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½Ð¾ÑÑÑ ÑÐ¼ÐµÐ½Ñ Ð¿ÑÐ¾ÑÐµÑÑÐ¸Ð¸ Ð¸Ð·-Ð·Ð° LBP â Ð½ÐµÐ¿ÑÐ¾ÑÑÐ¾Ð¹ Ð²Ð°ÑÐ¸Ð°Ð½Ñ. ÐÑÐµÐ½ÐºÐ° ÑÐ°ÑÐ¿ÑÐ¾ÑÑÑÐ°Ð½ÐµÐ½Ð½Ð¾ÑÑÐ¸ LBP Ñ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð² Ð±Ð¾Ð»ÐµÐµ ÑÐ»Ð¾Ð¶Ð½Ð° Ð¸Ð·-Ð·Ð° ÑÐ»ÐµÐ´ÑÑÑÐ¸Ñ ÑÐ°ÐºÑÐ¾ÑÐ¾Ð²: Ð¼ÐµÐ´Ð¸ÑÐ¸Ð½ÑÐºÐ¾Ðµ Ð»ÐµÑÐµÐ½Ð¸Ðµ ÑÐ°ÑÑÐ¾ Ð¿ÑÐ¾Ð²Ð¾Ð´Ð¸ÑÑÑ Ð² ÑÐ°Ð¼ÐºÐ°Ñ Ð·Ð°ÐºÑÑÑÑÑ ÐºÐ»ÑÐ±Ð½ÑÑ ÑÐ¸ÑÑÐµÐ¼, Ð¸ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ñ ÑÐ°ÑÑÐ¾ Ð¶Ð´ÑÑ, Ð¿Ð¾ÐºÐ° Ð±Ð¾Ð»Ñ Ð¿ÑÐ¾Ð¹Ð´ÐµÑ ÑÐ°Ð¼Ð° Ð¿Ð¾ ÑÐµÐ±Ðµ, Ð¸ Ð¾Ð±ÑÐ°ÑÐ°ÑÑÑÑ Ðº ÑÐ¿ÐµÑÐ¸Ð°Ð»Ð¸ÑÑÐ°Ð¼ ÑÐ¾Ð»ÑÐºÐ¾ ÑÐ¾Ð³Ð´Ð°, ÐºÐ¾Ð³Ð´Ð° Ð±Ð¾Ð»Ñ ÑÑÐ°Ð½Ð¾Ð²Ð¸ÑÑÑ Ð½ÐµÐ²ÑÐ½Ð¾ÑÐ¸Ð¼Ð¾Ð¹. Ð­ÑÐ¾ Ð¼Ð¾Ð¶ÐµÑ Ð±ÑÑÑ ÑÐ²ÑÐ·Ð°Ð½Ð¾ Ñ Ð´Ð°Ð²Ð»ÐµÐ½Ð¸ÐµÐ¼, ÐºÐ¾ÑÐ¾ÑÐ¾Ðµ Ð¸ÑÐ¿ÑÑÑÐ²Ð°ÑÑ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ñ ÑÐ¾ ÑÑÐ¾ÑÐ¾Ð½Ñ ÑÐ¿Ð¾ÑÑÐ¸Ð²Ð½ÑÑ ÑÐ¸ÑÑÐµÐ¼, Ð¸Ð»Ð¸ Ð¸Ð·-Ð·Ð° ÑÑÑÐ°ÑÐ° Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½Ð¾Ð¹ Ð¿Ð¾ÑÐµÑÐ¸ ÐºÐ¾Ð½ÑÑÐ°ÐºÑÐ°, Ð¿Ð¾ÑÐµÑÐ¸ Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½Ð¾ÑÑÐ¸ ÑÑÐ°ÑÑÐ²Ð¾Ð²Ð°ÑÑ Ð² ÑÐ¾ÑÐµÐ²Ð½Ð¾Ð²Ð°Ð½Ð¸ÑÑ, Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½Ð¾Ð³Ð¾ ÑÐ¾ÐºÑÐ°ÑÐµÐ½Ð¸Ñ Ð²ÑÐµÐ¼ÐµÐ½Ð¸, ÐºÐ¾ÑÐ¾ÑÐ¾Ðµ Ð¾Ð½Ð¸ Ð±ÑÐ´ÑÑ Ð¿ÑÐ¾Ð²Ð¾Ð´Ð¸ÑÑ Ð½Ð° ÑÐ¿Ð¾ÑÑÐ¸Ð²Ð½Ð¾Ð¹ Ð¿Ð»Ð¾ÑÐ°Ð´ÐºÐµ. Ð Ð´Ð¾Ð¿Ð¾Ð»Ð½ÐµÐ½Ð¸Ðµ Ðº Ð¿ÑÐ¸ÑÐ¸Ð½Ð°Ð¼, Ð¸Ð·Ð»Ð¾Ð¶ÐµÐ½Ð½ÑÐ¼ Ð²ÑÑÐµ, Ð¾ÑÐµÐ½ÐºÐ° LBP Ñ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð² Ð¼Ð¾Ð¶ÐµÑ Ð±ÑÑÑ Ð·Ð°ÑÑÑÐ´Ð½ÐµÐ½Ð° Ð¸Ð·-Ð·Ð° Ð¿ÑÐ¾Ð±Ð»ÐµÐ¼Ñ Ð¾ÑÐ±Ð¾ÑÐ°, ÐºÐ¾ÑÐ¾ÑÐ°Ñ Ð¼Ð¾Ð¶ÐµÑ Ð²Ð¾Ð·Ð½Ð¸ÐºÐ½ÑÑÑ Ð² ÑÐ¾Ð´Ðµ Ð¸ÑÑÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸Ð¹. ÐÐ°Ð¿ÑÐ¸Ð¼ÐµÑ, Ð¸ÑÑÐ»ÐµÐ´Ð¾Ð²Ð°ÑÐµÐ»ÑÐ¼, Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½Ð¾, Ð¿ÑÐ¸Ð´ÐµÑÑÑ ÑÐµÑÐ¸ÑÑ, Ð²ÐºÐ»ÑÑÐ°ÑÑ Ð»Ð¸ ÑÐ¾Ð»ÑÐºÐ¾ Ð¿ÑÐ¾ÑÐµÑÑÐ¸Ð¾Ð½Ð°Ð»ÑÐ½ÑÑ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð² ÑÑÐ°ÑÑÐµÐ³Ð¾ Ð²Ð¾Ð·ÑÐ°ÑÑÐ°, Ð²ÐºÐ»ÑÑÐ°ÑÑ Ð»Ð¸ Ð¼Ð¾Ð»Ð¾Ð´Ð¾Ðµ Ð¿Ð¾ÐºÐ¾Ð»ÐµÐ½Ð¸Ðµ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð², ÐºÐ¾ÑÐ¾ÑÑÐµ Ð½Ð°ÑÐ¾Ð´ÑÑÑÑ Ð² ÑÐµÑÐºÐ¾ ÑÑÑÑÐºÑÑÑÐ¸ÑÐ¾Ð²Ð°Ð½Ð½ÑÑ Ð¸ Ð¾Ð¿ÑÐµÐ´ÐµÐ»ÐµÐ½Ð½ÑÑ ÑÐ¸ÑÑÐµÐ¼Ð°Ñ Ñ ÑÐµÐ»ÑÑ Ð¿ÑÐ¾ÑÐµÑÑÐ¸Ð¾Ð½Ð°Ð»ÑÐ½Ð¾Ð¹ ÑÐ¿Ð¾ÑÑÐ¸Ð²Ð½Ð¾Ð¹ Ð¿ÑÐ°ÐºÑÐ¸ÐºÐ¸, Ð¸ ÑÐ°ÑÑÐ¼Ð°ÑÑÐ¸Ð²Ð°ÑÑ Ð»Ð¸ Ð´ÑÑÐ³Ð¸Ðµ ÐºÐ°ÑÐµÐ³Ð¾ÑÐ¸Ð¸ Ð´ÐµÑÑÐµÐ»ÑÐ½Ð¾ÑÑÐ¸, ÐºÐ¾ÑÐ¾ÑÑÐµ Ð¼Ð¾Ð³ÑÑ Ð±ÑÑÑ Ð¾ÑÐ½ÐµÑÐµÐ½Ñ Ðº: ÑÐ¿Ð¾ÑÑÐ¸Ð²Ð½Ð¾Ð¼Ñ Ð¾ÑÐ´ÑÑÑ, ÑÐµÐºÑÐµÐ°ÑÐ¸Ð¾Ð½Ð½ÑÐ¼ ÑÐ¿ÑÐ°Ð¶Ð½ÐµÐ½Ð¸ÑÐ¼, ÑÐºÐ¾Ð»ÑÐ½ÑÐ¹ Ð¸ ÑÐ½Ð¸Ð²ÐµÑÑÐ¸ÑÐµÑÑÐºÐ¸Ð¹ ÑÐ¿Ð¾ÑÑ, ÑÐ°Ð±Ð¾ÑÐ¸Ðµ Ð¸Ð³ÑÑ. Ð¥Ð¾ÑÑ ÑÐ¶Ðµ Ð¸Ð·Ð²ÐµÑÑÐ½Ð¾, ÑÑÐ¾ LBP ÑÐ²Ð»ÑÐµÑÑÑ Ð¾ÑÐ½Ð¾Ð²Ð½Ð¾Ð¹ Ð¿ÑÐ¸ÑÐ¸Ð½Ð¾Ð¹ Ð¿ÑÐ¾Ð³ÑÐ»Ð¾Ð² Ð¸ Ð²Ð·ÑÑÐ¸Ñ Ð¾ÑÐ³ÑÐ»Ð¾Ð² Ð½Ð° ÑÐ°Ð±Ð¾ÑÐµ ÑÑÐµÐ´Ð¸ ÑÐ¸ÑÐ¾ÐºÐ¾Ð¹ Ð¾Ð±ÑÐµÑÑÐ²ÐµÐ½Ð½Ð¾ÑÑÐ¸, Ð² ÑÐ¿Ð¾ÑÑÐµ Ð½Ð°Ð±Ð»ÑÐ´Ð°ÐµÑÑÑ Ð·Ð½Ð°ÑÐ¸ÑÐµÐ»ÑÐ½ÑÐ¹ Ð½ÐµÐ´Ð¾ÑÑÐ°ÑÐ¾Ðº Ð¸ÑÑÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸Ð¹, Ð² ÐºÐ¾ÑÐ¾ÑÑÑ Ð¾ÑÐ¾Ð±Ð¾Ðµ Ð²Ð½Ð¸Ð¼Ð°Ð½Ð¸Ðµ ÑÐ´ÐµÐ»ÑÐµÑÑÑ LBP ÐºÐ°Ðº Ð¿ÑÐ¸ÑÐ¸Ð½Ðµ (2). LBP Ð¼Ð¾Ð¶ÐµÑ Ð¸ÑÑÐ¾Ð´Ð¸ÑÑ Ð¸Ð· Ð¼Ð½Ð¾Ð³Ð¸Ñ Ð°Ð½Ð°ÑÐ¾Ð¼Ð¸ÑÐµÑÐºÐ¸Ñ Ð»Ð¾ÐºÐ°Ð»Ð¸Ð·Ð°ÑÐ¸Ð¹ Ð² Ð½Ð¸Ð¶Ð½ÐµÐ¹ ÑÐ°ÑÑÐ¸ ÑÐ¿Ð¸Ð½Ñ, ÑÐ°ÐºÐ¸Ñ ÐºÐ°Ðº Ð½ÐµÑÐ²Ð½ÑÐµ ÐºÐ¾ÑÐµÑÐºÐ¸, Ð³Ð°Ð½Ð³Ð»Ð¸Ð¸ Ð´Ð¾ÑÑÐ°Ð»ÑÐ½ÑÑ ÐºÐ¾ÑÐµÑÐºÐ¾Ð², ÑÐºÑÐ»Ð¾Ð¿Ð¾ÑÐ¸Ð·Ð°ÑÐ½ÑÐµ ÑÑÑÑÐ°Ð²Ñ, Ð° ÑÐ°ÐºÐ¶Ðµ Ð¸Ð· Ð´ÑÑÐ³Ð¸Ñ ÑÐºÐ°Ð½ÐµÐ¹. Ð ÑÐ¾ Ð¶Ðµ Ð²ÑÐµÐ¼Ñ Ð¼Ð½Ð¾Ð³Ð¸Ðµ Ð¸ÑÑÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸Ñ ÑÑÐ²ÐµÑÐ¶Ð´Ð°ÑÑ, ÑÑÐ¾ Ð¸Ð½Ð¸ÑÐ¸Ð°ÑÐ¾ÑÐ¾Ð¼ Ð±Ð¾Ð»Ð¸ Ð½Ð° ÑÐ°Ð¼Ð¾Ð¼ Ð´ÐµÐ»Ðµ ÑÐ²Ð»ÑÐµÑÑÑ Ð¿ÐµÑÐ¸ÑÐµÑÐ¸Ñ, ÐºÐ¾ÑÐ¾ÑÐ°Ñ Ð²Ð¿Ð¾ÑÐ»ÐµÐ´ÑÑÐ²Ð¸Ð¸ Ð¿ÑÐ¸Ð²Ð¾Ð´Ð¸Ñ ÐºÐ¾ Ð²ÑÐµÐ¼Ñ ÑÐ¿ÐµÐºÑÑÑ Ð²Ð¾Ð·Ð¼Ð¾Ð¶Ð½ÑÑ Ð¿Ð°ÑÐ¾ÑÐ¸Ð·Ð¸Ð¾Ð»Ð¾Ð³Ð¸ÑÐµÑÐºÐ¸Ñ Ð¸ Ð¿Ð°ÑÐ¾Ð¼ÐµÑÐ°Ð½Ð¸ÑÐµÑÐºÐ¸Ñ Ð¸Ð·Ð¼ÐµÐ½ÐµÐ½Ð¸Ð¹. Ð¦ÐµÐ»Ñ Ð½Ð°ÑÑÐ¾ÑÑÐµÐ³Ð¾ Ð¸ÑÑÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸Ñ â Ð²ÑÑÐ²Ð¸ÑÑ Ð¿ÑÐ¸ÑÐ¸Ð½Ñ Ð±Ð¾Ð»ÐµÐ¹ Ð² Ð¿Ð¾ÑÑÐ½Ð¸ÑÐµ, ÑÐ°ÑÑÐ¾ÑÑ Ð¸Ñ Ð²Ð¾Ð·Ð½Ð¸ÐºÐ½Ð¾Ð²ÐµÐ½Ð¸Ñ Ñ ÑÐ¿Ð¾ÑÑÑÐ¼ÐµÐ½Ð¾Ð², ÑÐ¿Ð¾ÑÐ¾Ð±Ñ Ð»ÐµÑÐµÐ½Ð¸Ñ Ð¸ Ð¿Ð¾ÑÐµÐ½ÑÐ¸Ð°Ð»ÑÐ½Ð¾Ð³Ð¾ Ð²Ð¾Ð·Ð²ÑÐ°ÑÐµÐ½Ð¸Ñ Â«Ð½Ð° Ð¿Ð¾Ð»ÐµÂ».