Vol 15, No 6 (2016)

Articles

Physical and rehabilitative medicine: fundamental principles and clinical practice

Ponomarenko G.N.

Abstract

This article was designed to present an overview of experimental and clinical studies making up a basis for the formulation of the fundamental principles of physical medicine. The analysis of the fundamental mechanisms of sanogenesis underlying medical rehabilitation has been undertaken which allowed to define the main lines of scientific and practical developments in physical and rehabilitative medicine as a new field of practical medicine concerned with the action of physical methods and factors on the human body when applied for the treatment and medical rehabilitation of the diseased and disabled subjects. The basic methodological approaches to this work are substantiated in the context of modern personalized and evidence-based medicine taking into consideration the totality of the currently available rehabilitative technologies and the prospects for their further development and introduction into the existing healthcare system applied in Russia.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):284-289
pages 284-289 views

Photodynamic and microcurrent therapy in complex treatment of patients with generalized periodontitis

Gerasimenko M.Y., Lazarenko N.N., Amkhadova M.A., Smirnova S.N., Trunova O.V., Supova M.V., Prikuls V.F., Olesov E.E., Simakova T.G., Pozharitskaya M.M., Zaslavsky S.A., Pankova I.A., Smirnov A.E.

Abstract

The results of the complex treatment of patients with generalized chronic periodontitis, including photodynamic therapy and microcurrent electrical stimulation are presented. Analysis of the immediate and long-term results showed the effectiveness of the impact of this treatment on cerebral hemodynamics and autonomic balance in these patients.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):289-293
pages 289-293 views

The effectiveness of transdermal electrical stimulation used to treat neuropathic and metabolic disorders in the patients with diabetes mellitus

Lazarenko N.N., Smirnova S.N., Trunova O.V., Supova M.V., Prikuls V.F., Filatova E.V., Pankova I.A., Smirnov A.E., Gerasimenko M.Y.

Abstract

World-wide occurrence of diabetes mellitus and its complications in the form of neuropathic and metabolic disorders implies the necessity of development and application of the new methods for their combined treatment, such as the low-frequency transdermal electrical stimulation with the use of the OMRON Е-4 myostimulator. This technique was shown to significantly alleviate the symptoms of pain syndrome and other neuropathic manifestations. Moreover, it facilitated the reduction of body weight and visceral fat content in such patients and thereby considerably decreased the risk of development of diabetic complications.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):293-297
pages 293-297 views

Ultrahigh frequency electromagnetic radiation modulates cardiac rhythm variability in volunteers

Chuyan E.N., Nikiforov I.R., Biryukova E.A., Mironyuk I.S., Ravaeva M.Y.

Abstract

The objective of the present work was to study variability of cardiac rhythms developing under the influence of the 10 day-long course of low-intensity ultrahigh frequency electromagnetic radiation (UHF EMR). It was shown that the courses of UIHF EMR have corrective effect on the cardiovascular system of the volunteers, in the first place by means of reducing the level of centralization of the regulatory mechanisms. The intensity of the influence of this therapy on the cardiac rhythm variability depends on the number of treatment courses and the initial functional state of the volunteers. Moreover, low-intensity ultrahigh frequency electromagnetic radiation decreases the intergroup dispersion of the characteristics of cardiac rhythm variability in the volunteers of different groups.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):297-301
pages 297-301 views

The electrophysiological criteria for the effectiveness of the treatment of idiopathic scoliosis with the use of the Sheno corset and acupuncture

Shmelev V.V., Vorontsova O.I., Goncharova L.A., Rasulov M.D.

Abstract

This article was designed to present the results of the evaluation of the effectiveness of the combined conservative treatment of grade II and III idiopathic scoliosis in 37 patients at the age from 12 to 16 years with the use of the Sheno corset, acupuncture, and therapeutic physical exercises. The evaluation was based on the study of dynamic and electromyographic characteristics and the data obtained before, during and after the treatment with the help of the diagnostic Vicon T40 motion capture system. The study has demonstrated the changes in the nervous-muscular apparatus of the skeletal muscles, such as a significant increase of conductivity, that developed under effect of the treatment. They confirm the effectiveness of the proposed therapeutic modality.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):301-304
pages 301-304 views

The evaluation of the effectiveness of structural resonance therapy in the patients with lupus erythematosus and comorbid pathology of the gastrointestinal tract

Levshin R.N., Kotenko K.V., Kruglova L.S., Korchazhkina N.B.

Abstract

The authors report the results obtained during the combined application of various regimens of structural resonance therapy (SRT) for the treatment of 40 patients presenting with lupus erythematosus (LE) and comorbid pathology of the gastrointestinal tract. The use of this approach in the combination with the standard medicinal treatment made it possible to achieve clinical remission of the disease and to significantly improve the skin process in 100% of the patients as appears from the data on dynamics of the severity index of the cutaneous process. Simultaneously, the general health status of the patients was considerably improved. It is concluded that the proposed combined approach markedly increases the patients’ quality of life being responsible for a 87% reduction of the quality of the dermatology life quality index which allows to recommend this method for the wide application in the clinical practice for the management of the patients with the widespread forms of lupus erythematosus and comorbid pathology of the gastrointestinal tract.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):305-308
pages 305-308 views

Local narrow-band (311 nm) phototherapy of palmar-plantar psoriasis in the children

Turbovskaya S.N., Kotenko K.V.

Abstract

The objective of this article was to report the data concerning the local application of narrow-band (311 nm) phototherapy in the children presenting with palmar-plantar psoriasis. It is concluded that local narrow-band phototherapy using ultraviolet radiation with a wavelength of 311 nm is an efficient method for the treatment of this condition in the children.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):308-310
pages 308-310 views

The effectiveness of UVB (311 nm emission) therapy and cyclosporine treatment in the patients with poor responsiveness to TNF-a blockers

Serov D.N., Kruglova L.S., Ponich E.N.

Abstract

The authors present data concerning the effectiveness of the application of UVB (311 nm emission) therapy and the treatment using low doses of cyclosporine in the patients receiving therapy with TNF-alpha blockers that resulted in the 50% reduction of the Psoriasis Area and Severity Index (PASI 50). The study has demonstrated that the introduction of narrow-band phototherapy into the combined treatment can make it possible to reach the PASI values of 75 and even 100%. Monitoring of the safety of the application of the combined approach has revealed the absence of early adverse reactions within 1 year after the treatment.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):310-314
pages 310-314 views

Palmarplantar erythrodysesthesia in the patients with oncological pathology treated with multikinase inhibitors and the method for its correction

Kruglova L.S., Shatokhina E.A., Kotenko K.V.

Abstract

Introduction. The modern anti-tumour preparations from the group of multikinase inhibitors exhibit the high clinical effectiveness. Courses of therapy with such medications are indispensable and vitally important for the treatment of the patients presenting with oncological pathology but, unfortunately, happen to give rise to the development of a toxic reaction in the form of рalmar-plantar erythrodysesthesia which not infrequently prevents the completion of the full-scale treatment. The determination of the adequate skin condition is an indispensable component of the combined treatment of the oncological patients. Materials and methods. The present study included 9 patients treated with various preparations from the group of multikinase inhibitors. All of them developed toxic cutaneous reactions in the form of grade II-III palmar-plantar erythrodysesthesia which was corrected with the use of thioctic acid-based preparation at a daily dose of 600 mg given during 14 days in the combination with pharmaphoresis of the cream containing 0.1% of betamethasone valerate. Results. The use of the proposed therapeutic modality resulted in the reduction of the severity of the clinical manifestations of palmar-plantar erythrodysesthesia, such as erythema, infiltration, desquamation, fissures, etc. Simultaneously, the treatment eliminated certain subjective symptoms including pruritus, pain, and paresthesia. Taken together, these effects significantly improved the patients’ condition and allowed the course of antitumour therapy to be totally completed. Conclusion. The patients presenting with palmar-plantar erythrodysesthesia should be managed with the use of multikinase inhibitors in the combination with the oral administration of a thioctic acid-based preparation and local pharmaphoresis of the cream containing 0.1% of betamethasone valerate.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):314-317
pages 314-317 views

Terrenkurs and physical training by walking

Badalov N.G., Barashkov G.N., Persiyanova-Dubova A.L.

Abstract

The present review article was designed to discuss the problems associated with the use of terrenkur training for the achievement of therapeutic and prophylactic effects and beneficial results of regular physical load in the form of walking, with special reference to the methods for the choice of walking intensity, calculation of the training pulse rate, the rules for the use of terrenkur, and its specific peculiarities in certain patients presenting with the cardiovascular and pulmonary diseases.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):317-322
pages 317-322 views

The modern possibilities and prospects of physiotherapeutic and balneotherapeutic methods for the treatment and rehabilitation of the patients with diabetic neuropathy

Marchenkova L.A., Badalov N.G., Gerasimenko M.Y., Martynova E.Y.

Abstract

Diabetic neuropathy is the most widespread late complication of diabetes mellitus that considerably deteriorates the quality of life of the patients. The treatment of diabetic neuropathy is a difficult task requiring the multidisciplinary approach that can be adequately resolved by means of the pathogenetically substantiated combined application of the pharmacotherapeutic and drug-free modalities. The article presents the overview of the data suggesting the high effectiveness of the main physiotherapeutic and balneotherapeutic methods for the treatment and rehabilitation of the patients presenting with diabetic neuropathy as well as the prospects for their future applications.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):322-327
pages 322-327 views

Osteoarthrosis: the principles and strategies of the application of the therapeutic physical training techniques

Kulikov A.G., Makarova I.N., Yagodina I.I., Yarustovskaya O.V.

Abstract

The important role in the treatment of diseases of joints, such as osteoarthrosis, belongs to the physical exercises including rhythmic mobilization, movements with the voluntary muscular contractions, alternation of the work of various muscles, and reversion of their antagonists. The inclusion of these exercises into a complex of remedial gymnastics developed on an individual basis results in the considerable alleviation of the symptoms of pain syndrome and the reduction of the time needed to restore normal movements.
Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):328-331
pages 328-331 views

In the memory of Ezhova Viktoriya Aleksandrovna

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Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):332-332
pages 332-332 views

The educational course "The organization of comprehensive rehabilitation of the patients suffering from dizziness"

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Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016;15(6):333-336
pages 333-336 views


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