Vol 12, No 6 (2013)

Young and adult rats were subjected to laser irradiation of both gastrocnemius muscles after their in situ autotransplantation either intact or after fragmentation. In addition, thymus conditions and body weight dynamics as indicators of homeostasis were studied. It was shown that the effect of pulsed infrared laser radiation at a wavelength of 890 nm on muscle regeneration (the amount of muscular tissue and its re-innervation) depended on the severity of the previous injury. Laser therapy improved muscle regeneration even after a highly severe injury that resulted in the complete destruction of tissue integrity up to the loss of half of muscular mass. Regenerates contained only small amount of muscular tissue, but it retained functional activity. These effects were more pronounced in young rats than in adult ones. Laser radiation just as well influenced general health condition of the animals. All of them experienced the loss of body weight within 10 days after the injury and its gradual increase by day 30. These changes occurred regardless of the severity of the injury. The lymphoid cells of both young and adult rats undergoing laser irradiation and control ones showed different proliferate activities despite practically equal thymus mass and the amount of cortical matter in these animals. It suggests incompleteness of the regeneration processes in the thymus.

Hereditary Charcot-Marie-Tooth neuropathy (CMTN) is one of the most widespread forms of hereditary neuropathies. The authors report the experience of Russian and foreign physiotherapists in the field of the application of non-medicamental methods for the treatment of CMTN gained during the last 10 years. In addition, the main principles of CMTN treatment with the use of natural and pre-formed physical factors are discussed with special reference to the organization of therapeutic exercises. Recommendations on the spa and resort-based treatment of the patients with CMTN are proposed. Special attention is given to the modified standards of non-medicamental treatment of the patients presenting with CMTN taking into consideration their electromyographic characteristics and vegetative status as well as the type and severity of the disease.

Treatment of the patients presenting with duodenal ulcer diseases remains a challenging problem because of high prevalence of this clinical condition and the short duration of its remission following therapy by standard methods. Laser therapy of this chronic disease has been successfully applied during the past 30 years. Nevertheless, the approaches to optimization of its different modalities and prevention of exacerbation or complications of duodenal ulcer disease with the use of the multifrequency modulation regime synchronized with the patient’s biological rhythms remain to be developed. The present work has demonstrated that the introduction of laser therapy in the multifrequency modulation regime (pulse and respiration rates, 10 Hz) into the therapeutic program for the patients with duodenal ulcer disease substantially improves both the immediate and long-term outcomes of the treatment. It was shown that multifrequency modulation of low-intensity pulsed infrared laser radiation at a wavelength of 890 nm has an advantage over the single-frequency regime and allows the results of laser therapy to be optimized in the majority of the cases. The application of laser therapy in the seasons when exacerbation of the disease is most probable (spring and autumn) practically excludes relapses of duodenal ulcer disease; this gives indirect evidence of the relationship between the processes of regulation of calcium homeostasis and endogenous/exogenous biological rhythms.

The objective of the present work was to study the effectiveness of magnetic therapy for the treatment of vegetative disorders in the children with obesity. The study revealed the disturbances in the function of the vegetative nervous system of all 15 examined children. The parameters measured included BMI, SDS-BMI, and waist circumference. The functional parameters of the vegetative nervous system (BHC) were determined by cardiointervalography (CIG). The psychoemotional status of the patients was evaluated with the help of the “Avtoportret (Self-portrait)” and “Vyyavlenie urovnya trevozhnosti u detei (Detection of anxiety level in the children)” techniques. The obese children were divided into two groups comprised of 30 and 15 patients (the study group and control group respectively). The patients of the study group underwent sympathocorrection (SC) that included the application of electric current evoked by a reversive running alternating magnetic field to the upper cervical ganglia of the sympathetic nervous system. The children of the control group were treated by the placebo physiotyherapeutic procedure (with the turned-off radiating element). All the patients received the hypocaloric diet and were educated in the body weight management school. The treatment program having been completed, the activity of the vegetative nervous system improved in 90% of the children, arterial pressure was normalized in 75%, and appetite impaired in 68%. On the whole, magnetic sympathocorrection made it possible to reduce the number of the children with the high anxiety level and lack of self-confidence. BMI decreased by 12.5% in the study group compared with 12.5% in the control children within 2 months after the termination of therapy. It is concluded that the high effectiveness of magnetic sympathocorrection gives reason to recommend the inclusion of this procedure in the rehabilitative program for the children with obesity.

The author provides the first ever substantiation of the desirability of the application of a pulsed low-frequency electrostatic field for the management of the patients presenting with hypertensive type neurocirculatory dystonia. The data obtained give strong evidence that the clinical effect of the pulsed low-frequency electrostatic field should be attributed to the active modulation of perfusion parameters largely due to the enhancement of the nutritive component of microcirculation, reduction of the intensity of oxidative metabolism in parallel with the activation of the antioxidative mechanisms protecting the structural and functional integrity of plasma membranes, and improvement of regulatory potencies of the neuroendocrine system for the maintenance of vital activities and adaptive capacities of the organism. It has been confirmed that the application of a pulsed low-frequency electrostatic field is a pathogentically sound method for the treatment of the patients presenting with hypertensive type neurocirculatory dystonia that can be recommended for the use in the routine clinical practice.

The objective of the present study was to estimate the effectiveness of various physical factors used for the combined treatment of the children aged from 1 to 17 years having severe concomitant injuries (SCI). The proposed rehabilitation programs make use of the algorithm that envisages the introduction of physiotherapeutic procedures at the early stages (days 2 - 3) of the traditional treatment. The results of the study confirm the possibility to enhance the effectiveness of the rehabilitative measures by means of differential application of physical factors taking into consideration the character and severity of the injury.

The objective of the present work was to estimate the effectiveness of the combined balneotherapeutic treatment of metabolic lesions in the kidneys of the patients with type 2 diabetes mellitus with the use of Essentuki No 4 and Essentuki-Novaya drinking mineral water. The results of the study indicate that the combined spa and resort-based treatment with the use of Essentuki-type drinking mineral water substantially improves the main functions of the liver and its hemodynamics, stabilizes carbohydrate and lipid metabolism, and decreases the severity of insulin resistance. Taken together, these effects give reason to consider the proposed approach as a tool for the prevention of further progress of the pathological process.

This paper presents the results of combined therapy of 46 patients presenting with lumbosacral dorsopathies that included medicamental treatment, physiotherapy, remedial physical fitness training, and shockwave therapy. The proposed therapeutic modalities and research methods are described. It was shown that the inclusion of shockwave therapy in the combined treatment of the patients presenting with lumbosacral dorsopathies improves their quality of life, decreases requirements for non-steroidal anti-inflammatory agents, and reduces the duration of temporary incapacity for work.

The objective of the present study was to estimate the conditions for the combined treatment of the children presenting with oncohematological diseases based at an Evpatoriya health resort. The therapeutic program is proposed envisaging the use of natural physical factors, such as maritime steppe climate, seawater, natural sodium chloride - magnesium chloride brine, and thermal sodium chloride water. The principles of the choice of therapeutic modalities have been developed.