Medical Contraindications

Children or adolescents cannot participate in the program if they have any of the following medical conditions:

• Acute diseases or conditions in the exacerbation phase, complicated by purulent processes or non-pulmonary complications, requiring inpatient treatment, including surgical intervention.

• Frequent or severe bleeding of any origin (e.g., hemophilia, von Willebrand disease, thrombocytopenia, thrombocytopathy, etc.).

• Severe anemia with hemoglobin levels below 80 g/L.

• Frequent generalized seizures of any etiology, including epilepsy.

• Acute infectious diseases.

• Echinococcosis of any localization and other parasitic infections.

• Osteomyelitis.

• Acute deep vein thrombosis.

• Dystrophy, stage III.

• All forms of active tuberculosis.

• Malignant neoplasms of any localization.

• Respiratory insufficiency (e.g., bronchiectasis, bronchial asthma, etc.).

• Diseases of the urinary system (congenital kidney anomalies, nephritis, glomerulonephritis, hydronephrosis, etc.).

• Presence of complex comorbid conditions.

• Metabolic disorders (e.g., diabetes mellitus, myxedema, thyrotoxicosis, etc.) or functional insufficiency of the liver or pancreas.

• Venereal diseases.

• Purulent or contagious skin diseases (e.g., scabies, fungal infections, etc.).

• Mental and behavioral disorders.

• Complicated cardiac rhythm disorders (e.g., congenital or acquired heart defects, etc.).

• Various purulent diseases, including pulmonary infections.

• Other comorbid conditions that prevent active participation in wellness or rehabilitation activities for 2–3 hours per day.