Vol 16, No 4 (2017)

One of the challenging problems for modern cosmetology is the cosmetic correction of the cutaneous scars of the skin that arises in the first place from the high prevalence of this condition and the lack of reliable and safe methods for its treatment The application of laser technologies including selective laser therapy as the method of fractional photothermolysis and the use of a neodymium (1064 nm) laser is considered to be a promising approach to address this problem. The present study included 18 patients presenting with hormone-dependent atrophic scars. All the patients were assigned for the treatment by selective photothermolysis (at the rate of 2 sessions per each treatment course performed with a 4 week interval) and irradiation by the neodymium laser (at the rate of 6-8 sessions conducted after fractional photothermolysis). The use of combined laser therapy in patients with hormone-dependent atrophic scars produced a pronounced effect as evidenced by the improvement of the clinical picture and was accompanied by the 78.1% reduction of the symptom index according to the DISC symptom scale and the 76.5% improvement of the dermatology life quality index (DLQI). The use of the combined method for the correction of atrophic cutaneous scars helps to restore the epidermal-dermal and epidermal structures of the skin in the association with the 1.4-fold, 1.7-fold, and 1.6-fold increase in the thickness of the epidermis, dermis, and hypodermis respectively; simultaneously, the acoustic density of the tissues increased by 1.8 times which corresponded to the improvement of the ultrasound picture by almost 75% when estimated in accordance with the Vancouver scar scale.

The objective of the present study was to evaluate the effectiveness of pathogenetically substantiated rehabilitation of sensorimotor disorders in the patients who had experienced ischemic stroke. Material and methods. A total of 220 patients presenting with hemiparesis following ischemic stroke were available for the examination. The control group was comprised of 35 healthy subjects. All the patients underwent the rehabilitative treatment which included robotized mechanotherapy, stabilography, neuro-muscular stimulation, physical therapy, ergotherapy, massage, etc. Before and after the course of rehabilitation therapy, transcranial magnetic stimulation (MS) was applied and the characteristics of somatosensory evoked potentials (SSEP) were measured in all the patients. Results. Rehabilitation with the use of a personified, pathogenetically grounded approach contributed to a better replenishment of the neurological deficit. In those patients who received the personalized neurorehabilitative treatment significant changes of TMS parameters (central motor conduction time at rest and TMS facilitation test) but not SSEP were registered. Conclusions. The effectiveness of the model of pathogenetically substantiated rehabilitation of sensorimotor disorders in patients after ischemic stroke was confirmed. We have demonstrated a higher effectiveness of restorative therapy of sensorimotor deficit. The somatosensory functions less efficiently responded to the treatment which suggests the necessity of identification of the sensory deficit and taking it into consideration together with neurophysiological monitoring of the rehabilitation process with the use of TMS and SSEP for the enhancement of the effectiveness of ongoing rehabilitation in this category of the patients.

The authors proposed an original method for the rehabilitation of the patients presenting with disturbances in the oculomotor system including the saccadic eye movements and different types of strabismus associated with the craniocerebral injuries, cranial surgeries and stroke. The most important condition for the achievement of the positive results of the compensatory and restorative processes including the patients’ visual functions, such as binocular vision and their further preservation within the bounds of physiological optimum is the creation and maintenance at an adequate level of the specific motivational dominance in the course of corrective treatment.

This article was designed to report our original results and share the experience with the application of low-intensity polychromatic incoherent polarized radiation for the treatment of the patients presenting with onychodystrophies associated with lichen ruber planus. The clinical effectiveness of phototherapy was evaluated taking into consideration the dermatological index and dynamics of structural changes in the nail. In the patients treated by the medication therapy alone, the dermatological index reflecting the severity of the pathological process decreased by 74% within 4 months after the onset of therapy whereas it fell down by 96% on the average during the same period in the patients in whom the medication therapy was supplemented by the application of low-intensity polychromatic incoherent polarized radiation. It is concluded that the combined pharmacophysiotherapeutic method produces more pronounced effect on the ultrastructure of the nail apparatus than pharmacotherapy alone; its application is pathogenetically substantiated.

This article deals with the problem of physical rehabilitation of the children suffering from infantile cerebral paralysis. It is shown that the process of walking correction in such patients should be focused on the development of the ability to relax skeletal and respiratory muscles and the formation of the novel physical sensations, concurrence and coordination of movements. The author has elaborated the program for the rehabilitative treatment of the children suffering from infantile cerebral paralysis including therapeutic physical exercises and hydrokinesitherapy. The program is designed to promote the enhancement of the muscular strength, the formation of the new locomotor stereotype, and the development of the walking skills.