Vol 18, No 4 (2019)

Cover Page

Full Issue

Original studies

Complex medical rehabilitation of the military with erosive ulcer-bearing area and duodenum

Efimenko N.V., Gordienko D.N., Chalaya E.N.

Abstract

The purpose of the study is to study the possibility and expediency of using methods of endoecological rehabilitation (EER), drinking mineral waters (MW) and dynamic electro-neuro-stimulation (DENS) against the background of standard anti-ulcerous drug therapy for the military suffering from erosive ulcer-bearing area and duodenum.

Material and methods. 154 male military men have been examined. They were under treatment in military hospitals of North Caucasian Federal District (NCFD) concerning recrudescence of gastric ulcer (GU) and duodenum. By simple randomization method 4 treatment groups were formed where the effectiveness of anti-ulcer pharmacotherapy was carried out in comparative aspect. We defined the control group (CG), the 1st group of comparison based on its combination with EER methods (CG1), the 2nd group of comparison (CG2) based on DENS, and the main group (MG) based on a complex of EER and DENS.

Results. In the MG there were significant improvements in clinical laboratory and endoscopic indicators as well as quality of life in 92.9% cases; on application of anti-ulcerous pharmacotherapy and EER methods (GC1) in 81.5%; on application of anti-ulcerous pharmacotherapy and DENS (GC2) in 84.2%; in mono-pharmacotherapy (CG) in 66.8% of cases in total.

Conclusion. The developed method of complex medical rehabilitation of the military with erosive ulcer-bearing area and duodenum using EER and DENS methods against the background of anti-ulcerous pharmacotherapy has higher clinical effectiveness.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):220-226
pages 220-226 views

Justifcation for the usage of mineral water of Teberda deposit in the treatment of patients with focal pulmonary tuberculosis

Gerbekova D.Y.

Abstract

The purpose of the research is scientifically substantiate the use of drinking mineral waters (MW) of Teberdinskiy deposit in sanatorium and spa treatment of patients suffering from focal pulmonary tuberculosis (FPT).

Material and methods. The study included 80 patients with FPT in the resorption and carnification phase. By random sampling, we formed 2 groups: the control group (CG; 40 people) that received inhalations with 1% dioxidin solution and a standard drug anti-tuberculosis chemotherapy; the patients of the group of comparison (GC; 40 people) additionally received drinking MW "Teberda."

Results. The analysis of clinical symptom dynamics did not show any significant differences between the groups: by the end of sanatorium-and-spa treatment the leveling of clinical symptoms in the MG was with 98.3% of the cases, in the CG – with 88.8%. The patients of the MG had a normalization of related T-lymphocyte subpopulations, immunoregulatory index decreased by 39.2% (p < 0.01), there was a drop in intensity of free radical oxidation by 30.2% (p < 0.01), an increase in activity of antioxidant protection system by 17.2% (p < 0.05). The CG had only a tendency to improvement of laboratory indicators.

Conclusion. In order to achieve a higher therapeutic effect having FPT in the resorption and carnification phase, it is advisable to include drinking MW in the treatment program, which expands and complements the possibilities of rehabilitation and rehabilitation assistance to the given group of patients.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):227-230
pages 227-230 views

Resort factors and system magnetic therapy at ischemic heart disease associated with type 2 diabetes mellitus

Demchenko A.P., Efimenko N.V., Chalaya E.N., Akhubekova N.K., Dzhioeva A.S.

Abstract

The purpose of the research is to develop a new method of medical rehabilitation of patients suffering from ischemic heart disease (IHD) associated with type 2 diabetes mellitus (DM2) in the conditions of Essentuki resort.

Materials and methods. The study included 60 patients between the ages of 35 and 65 years old suffering from IHD associated with DM2 who took a course of sanatorium rehabilitation in sanatorium "Metallurg" (Essentuki). By simple randomization 2 groups of patients were formed. In the comparison group there were 40 people. They were prescribed: internal intake of mineral water Essentuki-Novaya, carbon dioxide mineral baths; in the main group there were 42 people. They were prescribed systemic magnetic therapy in addition. All the patients went through clinical-laboratory and functional studies, assessment of quality of life.

Results. Under the influence of system magnetic therapy there is a significant positive dynamics of coagulation hemostasis which is accompanied by the improvement of lipid metabolism, central hemodynamics and quality of life of this category of patients.

Conclusion. The significant positive dynamics of coagulation hemostasis, central hemodynamics and quality of life indicates the expediency of including system magnetic therapy in the complex of resort treatment of IHD complicated by DM2.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):231-236
pages 231-236 views

Application of noninvasive neuromodulation in patients with asthenic neurosis

Voropaev A.A., Gerasimenko M.Y.

Abstract

The relevance of the work is associated with the high prevalence and socio-economic significance of neurotic disorders associated with stress. Standards of medical care for patients with neurotic disorders associated with stress do not provide for the use of any physiotherapy or hardware effects. Drug therapy is mainly used, but its use is not always effective and is limited by the risk of developing allergies, drug addiction, toxic manifestations, side effects, etc. Therefore, more and more attention has been paid to non-drug treatment methods recently. Non-invasive neuromodulation is a therapeutic exogenous effect on various parts of the nervous system using an electromagnetic physical factor in the conditions of drug therapy.

Purpose. Study the effectiveness of noninvasive neuromodulation in patients with asthenic neurosis.

Material and methods. A total of 79 patients with the diagnosis of F48.0 — Neurasthenia were studied (59 women and 20 men). The median age was 44 ± 4.5 years. The main group — 49 patients, 30 patients made up the control group. The course of non-invasive neuromodulation was performed against the background of medical treatment in accordance with the MES with the use of a pulse generator "TETOS" with feedback in the form of electroencephalography (registration certificate no.FRS2011/11198).

Results. Immediately after the end of the course of treatment, 80% of patients manage to achieve a significant improvement in their subjective state. As a result of the proposed method, not only significant, but also persistent improvement in the condition of patients is achieved.

Conclusions. The basis of this method is the interaction of two methods of treatment: physiotherapy and medication. As a result of the application of the proposed method, the main cause of the disease (psychotraumatic factor, life circumstances, etc.) is gradually identified, and the patient himself becomes aware of it, with subsequent correction of the condition. As a result, not only significant, but also persistent improvement in the condition of patients is achieved. According to the results of observations of the authors of the application, the disease does not resume for 1.5–2 years.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):237-241
pages 237-241 views

A new combined method for the treatment of involutional changes in the periorbital region

Khaliullin R.I., Surkichin S.I.

Abstract

Background. The solution to the problem of correction of involutional changes in the periorbital region requires a multidisciplinary approach, as this location can comprise a broad range of problems that need to be addressed. For so many years, laser therapy methods have been the standard for correcting age-related changes. However, many issues concerning combined methods remain open, and the search and development of the most effective protocols for their use is therefore an urgent task of modern medicine.

Objective. The goal of the study was to develop a combined method to correct involutional skin changes in the periorbital region in young and middle-aged patients using a fractional Nd:YAG and CO2 laser in conjunction with lower transconjunctival blepharoplasty, based on the study of clinical efficacy results and taking into account the indicators of the qualitative characteristics of the skin, as well as microcirculation.

Material and methods. The study enrolled 108 patients with involutional changes in the skin of the lower eyelid. These patients were classified into groups based on the method of treatment. In the study, relevant methods were used, namely, the study of the qualitative characteristics of the skin (cutometry, TEVA-metry, and corneometry) and microcirculatory processes using laser flowmetry.

Results. The effectiveness of the developed combined method is based on a substantial positive impact on active and passive hemodynamic mechanisms at all levels of the microvasculature, as demonstrated by an increase of 45.92% in the integral indicator of microcirculation compared to 26.35% and 5.77% in the comparison groups, while the coefficient of variation in the microcirculation indicator increased by 33.02% compared to 24.19% and 6.46% following the use of the method components. The use of the combined treatment method restores the qualitative characteristics of the skin, namely, the moisture index increased by 27% (p < 0.05) compared to 14.1% and 7.8% in groups 1 and 2, respectively; the rate of transepidermal water loss decreased by 47% (p < 0.05) compared to 35% and 12.7% in groups 1 and 2, respectively; and the elasticity index Ua/Uf increased by 23.2% (p < 0.05) compared to 18.4% and 16.4% in groups 1 and 2, respectively.

Conclusion. Based on the study, it can be concluded that the combined treatment method developed is highly effective.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):242-247
pages 242-247 views

Selective ablative laser technologies in the correction of involutional skin changes

Yusova Z.Y., Baranova E.L.

Abstract

Using a combined application of surface and deep fractional ablation allows you to solve a wider range of problems in the correction of aesthetic deficiencies in the case of involute skin changes. The study examined the clinical efficacy of the interference of the superficial and deep fractional ablation on epiflourescent and ultrasonic parameters of the skin. There were 52 patients under observation, who were divided into 2 groups according to the treatment regimen. Surface fractional ablation was performed in group 1, and interference of surface and deep fractional ablation was performed in group 2. The analysis of clinical data and the degree of satisfaction with the procedures showed a more pronounced clinical effect when performing combined exposure.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):248-251
pages 248-251 views

Review

The method of phoresis in the prevention and treatment of hyperpigmentation: theoretical and practical aspects of application

Ikonnikova E.V., Avgumyan M.A.

Abstract

Physiotherapy methods of treatment are widely used in modern cosmetology. High tolerance and safety, combined with the absence of skin injuries, make it possible to include this method in the combined protocols for the prevention and treatment of age-related skin changes and aesthetic deficiencies, including hyperpigmentation. The review provides a detailed description of the milling method, as well as its mechanism of action and application features. This article is of interest to practicing dermatologists, cosmetologists and physiotherapists.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):252-256
pages 252-256 views

Non-medical technologies in medical rehabilitation of patients with chronic pancreatitis (literature review)

Bilyukin S.Y., Makhinko A.N., Kaisinova E.K., Akhkubekova N.K., Dzhioeva A.S.

Abstract

The authors conducted a literature review of foreign and domestic researches on medical rehabilitation of patients with chronic pancreatitis in stationary (stage 2) and sanatorium-and-spa (stages 2 and 3) conditions. There have been presented non-medical methods of rehabilitation using natural therapeutic factors, modern instrumental physiotherapy, and therapeutic physical education.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):257-263
pages 257-263 views

Clinical Guidelines

Extracorporeal magnetic stimulation of the pelvic floor neuromuscular system in urological practice

Pushkar D.Y., Kulikov A.G., Kasyan G.R., Kupriyanov Y.A., Romikh V.V., Zakharchenko A.V., Voronina D.D., Yarustovskaya O.V., Zaytseva T.N.

Abstract

This study aimed to systematize data on the possibility of using extracorporeal magnetic stimulation of the pelvic floor neuromuscular system in urological practice.

Materials and methods. Based on the available scientific data and our own clinical cases, information regarding the use of extracorporeal magnetic stimulation in the treatment of urological diseases has been summarized. The historical aspects of the application of magnetic stimulation are presented, along with the physical and biological essence of the method, and indications and contraindications to the procedures. The principles of prescribing extracorporeal magnetic stimulation of the pelvic floor neuromuscular system have also been described in detail, and international and Russian data concerning the clinical application of this method in urological practice have been summarized.

Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2019;18(4):264-276
pages 264-276 views


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