RU2342117C1 - Method of organism adaptic opportunities increase - Google Patents

Abstract

FIELD: medicine; physiotherapy.

SUBSTANCE: on the background of internal mineral water intake and mineral baths reflex-segmentary fangotherapy is applied. Mud application is put on the cervical-collar area during carrying out of the first procedure. During carrying out of the second procedure - on the cervical-collar area and backbone zone; during the third procedure - on the above zones as well as feet and also lower one-third shin area. During carrying out of the fourth procedure and all subsequent ones mud application is put on the zones specified in the third procedure, and also on brushes and a distal part of forearms. Procedures are carried out in a day, mud temperature is 38-40, procedure duration - 15 minutes, the course of treatment is 10 procedures.

EFFECT: improvement of clinical condition and adaptic processes of patients which have chronic fatigue syndrome.

5 tbl, 3 ex

Description

The invention relates to medicine, namely to the section of internal diseases, and relates to increasing the effectiveness of rehabilitation treatment of patients by increasing the adaptive capabilities of the body by therapeutic physical factors.

A known correction adjustment method, in particular in patients with chronic fatigue syndrome, consists in the fact that, against the background of a sparing or sparing-training regimen of motor activity, diet is prescribed according to diet No. 5, ingestion of a slightly carbonic, low-mineralized sulfate-bicarbonate calcium-sodium mineral water from the Slavyanovsky source (Zheleznovodsk type of mineral water) 200-250 ml per dose, as well as mineral baths of low-mineralization, low-carbonate, sulphate-bicarbonate calcium-sodium ineral water at a water temperature of 36-37 ° C for 10-15 minutes, for a course of treatment of 8-10 procedures (patent No. 2256456 dated 07/20/2005, authors: Tovbushenko MP, Anashkin VV, Didkovsky N. BUT.).

This method causes favorable shifts in the state of adaptation and energy metabolism, reduces the clinical manifestations of the disease. However, this method is not effective enough for significant violations of the adaptation processes, does not always allow to achieve the desired effect. An analysis of the nature of adaptive disorders, their relationship with the development of the pathological process, the nature of the influence of physiotherapeutic effects on the body allowed us to assume that mud therapy using a special technique for influencing the human body will increase its adaptive capabilities and the effectiveness of treatment in general.

The technical result of the proposed method is to increase the adaptive capabilities of the body, which contributes to greater treatment effectiveness - the disappearance or reduction of the clinical manifestations of the disease, improve well-being, activity and mood, increase the working ability of patients.

The specified technical result is achieved by the fact that patients against the background of internal intake of mineral water and mineral baths use reflex-segmental mud therapy according to the following method: during the first procedure, mud application is applied to the cervical-collar zone; during the second procedure - to the cervical-collar area and the spine; the third procedure - on the above areas, as well as the area of the feet and lower third of the legs (“socks”); during the fourth procedure and all subsequent mud application is carried out on the areas indicated in the third procedure, as well as on the area of the hands and the distal part of the forearm (“gloves”); the procedures are carried out every other day, the temperature of the mud is 38-40 ° C, the duration of the procedure is 15 minutes, a total of 10 procedures per treatment course.

The method is as follows: patients are assigned a sparing or sparing-training regimen - nutrition according to diet No. 5, ingestion of low-carbonated, low-mineralized sulfate-bicarbonate calcium-sodium mineral water of Slavyanovsky source of 200-250 ml per dose, and also mineral baths from a low-mineralized, low-carbonated sulfate-bicarbonate calcium-sodium mineral water at a water temperature of 36-37 ° C for 10-15 minutes, the course of treatment is 8-10 procedures. In addition, patients with chronic fatigue syndrome (CFS) underwent mud therapy according to the reflex-segmental technique developed in the research process.

Mud applications of silt sulfide mud were carried out on segmental reflex zones according to the following procedure: during the first procedure, mud application was applied to the cervical-collar zone; during the second procedure - to the cervical-collar area and the spine; the third procedure - on the above zones, as well as the area of the feet and lower third of the legs (“socks”). During the fourth procedure and all subsequent mud application is carried out on the zones indicated in the third procedure, as well as on the area of the hands and the distal part of the forearm (“gloves”); the procedures are carried out every other day, the temperature of the mud is 38-40 ° C, the duration of the procedure is 15 minutes, a total of 10 procedures per treatment course.

The method can be illustrated by the following examples.

Patient B-va, 49 years old, and b / w No. 522, was treated at the Zheleznovodsk clinic from 03.25.06 to 04.17.06 for the syndrome of chronic fatigue of moderate severity, secondary immunodeficiency. On admission, they were worried about weakness, fatigue, decreased ability to work, low-grade fever, muscle pain, and headaches. About 15 years has been observed for chronic gastritis with reduced secretory function. She was treated on an outpatient, inpatient and sanatorium-resort basis. Over the past 4 years, there has been observed about chronic fatigue syndrome, the diagnosis was made at Altai Medical University. She underwent tonsillectomy in childhood. Sent to the Zheleznovodsk clinic for spa treatment. On examination, the patient is of proper physique, satisfactory nutrition, pulse 76 beats. per minute, rhythmic, blood pressure 110/70 mm Hg, above the lungs - auscultatory vesicular breathing, cardiac sounds are rhythmic, moderately muffled, the limits of relative cardiac dullness are normal. The tongue is moist, the stomach is of the correct form, evenly participates in the act of breathing, is painless on palpation in all departments. The examination blood count: Hemoglobin 124 g / L, leukocytes 4,8 ^{× 10} September, EOZ. 3.5, fallen. 2, seg. 60.5, lymph. 30, mon. 4, ESR 4 mm / h, clinical analysis of urine without pathological changes. Biochemical blood test: cholesterol 5.1 mmol / L, lactate 1.44 mmol / L, pyruvate 0.049 mmol / L, a-GFDH 560 units, ЩФ215.1 U / L, MDA in plasma 1.153 mmol / L, in erythrum . 10.24 μmol / L, ATP 496 μmol / L, ADP 168 μmol / L, AMP 72 μmol / L, energy charge 0.79 units, ATP / AMP 6.88, total nucle. 736 μmol / L. ECG - sinus rhythm, 75 beats. in minutes, the EOS is not rejected, the voltage is normal, the ECG is within the normal range. Health indicators - 2.73 units, activity 2.82 units, mood 3.68 units. The state of adaptation of an organism is the stress of adaptation processes. According to the anamnesis, clinical, laboratory, instrumental and functional studies, the diagnosis was established: chronic fatigue syndrome of moderate severity with reduced rates of energy metabolism, stress of adaptation processes. In the clinic, the patient was assigned a sparing regimen of physical activity, diet nutrition according to diet No. 5, drinking treatment with mineral water from the Slavyanovskiy source 200 ml 3 times a day 45-50 minutes before meals, mineral baths, slightly carbonated, sulphate-bicarbonate calcium-sodium at a water temperature of 36 -37 ° C for 15 minutes, 10 procedures per treatment course, mud therapy according to the scheme of reflex-segmental effects. Upon repeated examination after treatment, a decrease in general weakness, the disappearance of myalgia, headaches were noted. Complete blood count: hemoglobin 124 g / l, leukocytes 4.4 ^× 10 ⁹ , eos. 2.5, fell. 2, seg. 52, lymph. 38, mon. 5.5, ESR 3 mm / h, clinical analysis of urine without pathology. Biochemical blood test: cholesterol 5.2 mmol / l, lactate 1.2 mmol / l, pyruvate 0.053 mmol / l, a-GFDH 550 units, alkaline phosphatase 161.3 U / l, MDA in plasma 1.186 μmol / l, in erythrocytes 10.208 μmol / L, ATP 574 μmol / L, ADP 168 μmol / L, AMP 40 μmol / L, energy charge 0.84 units, ATP / AMP 14.35, total nucle. 782 μmol / L. ECG - sinus rhythm 75 beats. in minutes, the EOS is not rejected, the voltage is normal, the ECG is within the normal range. Health indicators - 5.11 units, activity 5.17 units, mood 5.41 units .; the state of adaptation processes is satisfactory. Thus, as a result of the treatment, there is a positive dynamics of both subjective symptoms and the data of functional and laboratory research methods, indicating an improvement in the clinical condition and adaptation processes.

Patient A-32 years old, and / b No. 590, was treated at the Zheleznovodsk clinic from 04/05/06 to 04/04/06 with a moderate chronic fatigue syndrome against a background of chronic herpes virus infection caused by herpes simplex virus and severe immune dysfunction ( secondary immunodeficiency). Considers herself a patient for 3-4 years, associates the development of the disease with psychoemotional overloads. The disease is characterized by general weakness, fatigue, decreased ability to work, and low-grade fever. Since 2002, he has been observed at the Research Institute of FHM (Laboratory of Clinical Immunology, Moscow), where the examination was diagnosed with chronic fatigue syndrome. Sent for spa treatment in the Zheleznovodsk clinic. Upon admission to the clinic, they were worried about weakness, increased fatigue, fatigue, dizziness, and a sharp decrease in working capacity. Patient with proper physique, low nutrition, skin pink, mucous pink, pulse 70 beats. in minutes, rhythmic, blood pressure 100/60 mm Hg Above the lungs - auscultatory vesicular breathing, cardiac sounds are rhythmic, moderately muffled, the boundaries of relative cardiac dullness are within the normal range, the tongue is moist, the abdomen of the correct form, evenly participates in the act of breathing, painless on palpation. During the examination: a general blood test - hemoglobin 112 g / l, leukocytes 4.4 ^× 10 ⁹ , eos. 4, fell. 2, seg. 54, lymph. 36, mon. 4, ESR 2 mm / h, wedge. an. urine beats weight 1010, clear full reaction acidic, no protein, no sugar, flat small epithelium, white blood cells 2-4 p / zren., mucus nezn. qty. Biochemical blood test: lactate 1.01 mmol / L, pyruvate 0.067 mmol / L, plasma MDA 0.89 mmol / L, in erythra. 8.8 μmol / L, ATP 560 μmol / L, ADP 139 μmol / L, AMP 68 μmol / L, energy charge 0.82 units, ATP / AMP 8.2, total nucle. 767 μmol / L. ECG - sinus rhythm, 66 beats. in minutes, the EOS is not rejected, the voltage is normal. Health indicators - 2.81 units, activity 2.9 units, mood 3.46 units .; state of adaptation - stress of adaptation processes. According to the anamnesis, clinical, laboratory, instrumental and functional studies, the diagnosis is established - a syndrome of chronic fatigue of moderate to severe course with reduced rates of energy metabolism, tension of adaptive capabilities. In the clinic, the patient received a sparing regime of physical activity, diet, drinking treatment with mineral water of the Slavyanovsky source, 200 ml 45-50 minutes before a meal, mineral baths, slightly carbonated, sulphate-bicarbonate calcium-sodium at a water temperature of 36-37 ° C for 15 minutes , 8 procedures per treatment course, mud therapy according to a reflex-segmental technique. After the treatment, he notes an improvement in well-being, a decrease in general weakness, fatigue. When the re-examination after treatment Hemoglobin 126 g / L, leukocytes 6,7 ^{× 10} September, EOZ. 3, fell. 2, seg. 66, lymph. 25, mon. 4, ESR 6 mm / h, general urine analysis without pathology. Biochemical blood test: lactate 2.0 mmol / L, pyruvate 0.086 mmol / L, plasma MDA 2.92 μmol / L, in erythra. 8.0 μmol / L, ATP 584 μmol / L, ADP 176 μmol / L, AMP 62 μmol / L, energy charge 0.82 units, ATP / AMP 9.4, total nucle. 823 μmol / L. Health indicators - 5.1 units, activity 4.89 units, mood 5.2 units, the state of adaptation of the body is satisfactory. As a result of the treatment, there is a positive dynamics of subjective symptoms, as well as data from functional and laboratory research methods, indicating an improvement in the patient's condition as a whole.

Patient K-ko, 45 years old, and / b No. 567, was treated at the Zheleznovodsk clinic from 03/31/06 to 04/23/06 with a moderate-severe chronic fatigue syndrome against the background of secondary immunodeficiency, chronic herpes virus infection. On admission, they were worried about weakness, fatigue, decreased ability to work, joint pain, muscle pain, headaches. The patient considers himself over the past 5 years, in 2004, when examined at the Research Institute of FHM (Moscow), he was diagnosed with chronic fatigue syndrome. Sent to the Zheleznovodsk clinic for spa treatment. On examination, the patient is of proper physique, satisfactory nutrition, pulse 72 beats. per minute, rhythmic, blood pressure 130/80 mm Hg, above the lungs - auscultatory vesicular breathing, heart sounds are clear, rhythmic, the boundaries of relative cardiac dullness are within normal limits, the tongue is moist, the stomach is of the correct form, it evenly participates in the act of breathing, is painless by palpation. in all departments. During the examination, a general blood test: hemoglobin 128 g / l, leukocytes 4.6 ^× 10 ⁹ , eos. 3, pal. 2, seg. 61, lymph. 28, mon.6, ESR 6 mm / h, clinical analysis of urine without pathological changes. Biochemical blood test: cholesterol 5.0 mmol / l, lactate 1.34 mmol / l, pyruvate 0.052 mmol / l, a-GFDH 580 units, alkaline phosphatase 216.4 U / l, MDA in plasma 1.13 μmol / l, to erythro. 9.2 μmol / L, ATP 516 μmol / L, ADP 176 μmol / L, AMP 82 μmol / L, energy charge 0.8 units, ATP / AMP 6.29, total nucle. 742 μmol / L. ECG - sinus rhythm, 76 beats. in minutes, the EOS is not rejected, the voltage is normal, the ECG is within the normal range. Health indicators - 2.82 units, activity 2.9 units, mood 3.41 units .; state of adaptation - tension of adaptation of the body. According to the anamnesis, clinical, laboratory, instrumental and functional studies, the diagnosis was established: chronic fatigue syndrome of moderate severity with reduced rates of energy metabolism, stress of adaptation processes. In the clinic, the patient was assigned a sparing regimen of physical activity, diet nutrition according to diet No. 5, drinking treatment with mineral water from the Slavyanovskiy source 200 ml 3 times a day 45-50 minutes before meals, mineral baths mildly acidic sulphate-bicarbonate calcium-sodium at a water temperature of 36 -37 ° C for 15 minutes, 10 procedures per treatment course, mud therapy according to the technique of reflex-segmental effects. Upon repeated examination after treatment, a general blood test: hemoglobin 126 g / l, white blood cells 6.4 ^× 10 ⁹ , eos. 2, fell. 2, seg. 52, lymph. 38, mon. 6, ESR 4 mm / h, clinical analysis of urine without pathology. Biochemical blood test: cholesterol 5.0 mmol / l, lactate 2.2 mmol / l, pyruvate 0.05 mmol / l, a-GFDH 560 units, alkaline phosphatase 160.2 U / l, MDA in plasma 1.26 μmol / l, in erythr. 10.2 μmol / L, ATP 687 μmol / L, ADP 178 μmol / L, AMP 50 μmol / L, energy charge 0.8 units, ATP / AMP 13.7, total nucle. 882 μmol / L. ECG - sinus rhythm 70 beats. in minutes, the EOS is not rejected, the voltage is normal, the ECG is within the normal range. Health indicators - 5.14 units, activity 5.17 units, mood 5.17 units .; the state of adaptation of the body is satisfactory. Thus, as a result of the treatment, there is a positive dynamics of both subjective symptoms and the data of functional and laboratory research methods, indicating an improvement in energy and adaptation processes.

The method was tested in the conditions of the Zheleznovodsk Clinic of the Federal State Institution Pyatigorsk State Research Institute of Health and Social Development of Roszdrav on two groups of patients — the main group (40 people) and the control group — control group (30 people) who received treatment according to the new method and prototype of the invention.

Patients were sent to the Zheleznovodsk clinic after diagnosis at the Research Institute of Physicochemical Medicine (Moscow) or Altai State University (Barnaul).

The clinical characteristics of the patients are shown in table 1.

Table 1 Clinical characteristics of the main and control groups of patients Indicators Main group Comparison group Total Number (%) n = 40 Number (%) n = 30 Number (%) n = 70 Floor Male 16 (40.0) 13 (43.3) 29th (41.4) Female 24 (60.0) 17 (56.7) 41 (58.6) Total 40 thirty 70 Age up to 30 years 6 (fifteen) 5 (16.6) eleven (15.7) from 31 to 50 years old eighteen (45) fourteen (46.7) 32 (45.7) from 51 and> years 16 (40.0) eleven (36.6) 27 (38.6) Social status Student 2 (5.0) 2 (6.7) four (5.7) Employee 26 (65.0) 24 (80.0) fifty (71.4) Working 9 (22.5) 7 (23.3) 16 (22.9) A place City 31 (77.5) 23 (76.6) 54 (77.1) of residence Village 9 (22.5) 7 (23.3) 16 (22.9) Disease duration up to 3 years 13 (32.5) 9 (30.0) 22 (31.4) up to 5 years 8 (20.0) 7 (23.3) fifteen (21.4) over 5 years 19 (47.5) fourteen (46.7) 33 (47.2) Accompanying illnesses The presence of focal infections 9 (fifteen) 5 (16.6) eleven (15.7) Of cardio-vascular system 7 (17.5) 6 (20.0) 13 (18.5) Digestive organs thirty (70.5) eighteen (60.0) 48 (68.5) Genitourinary sphere 5 (12.5) four (13.3) 9 (12.8) Allergic manifestations 3 (7.5) 2 (6.6) 5 (7.1)

Myalgia was noted in 62.3% of patients, joint pain - in 67.3% of patients, periodic numbness in the limbs - in 38.7% of patients. In some patients, allergy manifestations were also noted in the form of intolerance to various odors and skin rashes (17.8% of patients). Periodic pain in the heart was noted by 27.5% of patients. There were also mildly expressed dyspeptic manifestations (heartburn, nausea, bitterness in the mouth), aching pains in the epigastric region, right hypochondrium.

However, disorders of the cardiovascular system and dyspeptic manifestations were periodic and in themselves could not be the cause of severe general weakness and fatigue and symptoms of CFS, they can be considered as signs of impaired autonomic regulation in patients with CFS. With additional studies in patients, a pronounced pathology of these systems was excluded.

According to the development of the indicators of the questionnaire on a five-point scale for the studied patients, the average indicators were: health - 2.83 ± 0.1 points, disability - 2.73 ± 0.1, physical exercise tolerance - 2.54 ± 10.13, psychological tolerance loads - 2.4 ± 10.13 points. A significant part of patients (62%) subconsciously or consciously avoids, limits themselves from excessive loads, spares themselves in everyday life. According to a five-point assessment, patients note the degree of psychological comfort by only 2.6 ± 0.1, the presence of psychological discomfort in the form of feelings of anxiety, depression, tension or apathy, the majority of people note frequent mood swings (87.3% of patients). More often it manifests itself in the form of increased anxiety, depressive manifestations.

There is a significant narrowing of the circle of interests (by the presence of hobbies, meetings with friends, sociability, etc.) - 3.1 ± 0.1 for a 5-point assessment, which may be the result of increased fatigue and a decrease in the body's reserve capabilities, a subconscious desire get away from additional loads.

Physical activity in everyday life, patients with CFS evaluate only 2.66 ± 0.15 points, psychological at 3.09 ± 0.15 points, the general mood level is estimated at 2.95 ± 0.1 points, and the overall assessment of the quality of life is 3.11 ± 0.15 points.

The dynamics of the main clinical manifestations in the observed patients with impaired adaptation processes are shown in tables 2 and 3.

table 2 The dynamics of clinical manifestations during treatment of patients in the comparison group (number /%) (n = 30) Indicator The presence of a sign Characteristic Dynamics Number of patients Disappearance Decrease No change Worsening R General weakness 30 (100) 8 (26.6) 21 (70) 11 (36.6) - <0.05 Headache 22 (73.3) 5 (22.7) 10 (45.4) 7 (31.8) - <0.05 Dizziness 11 (36.6) 5 (45.4) 4 (36.3) 2 (18.9) - <0.05 Irritability 19 (63.3) 6 (31.5) 7 (36.8) 6 (31.5) - <0.05 Sleep disturbance 24 (80) 5 (20.8) 12 (50) 7 (29.1) - <0.05 Depressive symptoms 14 (46.6) 3 (21.4) 6 (42.8) 5 (35.7) - <0.05 Myalgia 17 (56.6) 4 (23.5) 7 (41.1) 6 (35.2) - <0.05 Joint pain 18 (60) 6 (33.3) 7 (38.8) 5 (27.7) - <0.05 Dyspeptic symptoms 11 (36.6) 6 (54.5) 3 (27.2) 2 (18.1) - - Epigastric pain 9 (30) 4 (44.4) 3 (33.3) 2 (22.2) - <0.05 Pain in the right hypochondrium 7 (23.3) 3 (42.8) 3 (42.8) 1 (14.2) - > 0.05 Pallor of the skin 12 (40) 4 (33.3) 6 (50) 2 (16.6) - <0.05 Enlarged cervical lymph nodes 5 (16.6) 1 (20) 2 (40) 2 (40) > 0.05 Subfebrile condition 4 (13.3) 4 (100) - - - - Pharyngitis 18 (60) 2 (11.1) 9 (50) 7 (38.8) - > 0.05 Palpation tenderness 14 (46.6) 5 (35.7) 6 (42.8) 3 (21.4) <0.05

A comparative analysis of clinical manifestations in two groups of patients (the main and the comparison group) indicates that a number of clinical signs more often disappear or decrease when applied in the treatment complex of mud procedures in the form of reflex-segmental applications according to our methodology.

Table 3 The dynamics of the clinical manifestations of the disease in the treatment of patients of the main group (number /%) (n = 40) Indicator The presence of a sign Characteristic Dynamics Number of patients Disappearance Decrease No change Worsening R General weakness 40 (100) 1 8 (45) 20 (50) 2 (5) - <0.01 Headache 24 (60) 9 (37.5) 11 (45.8) 4 (16.6) - <0.01 Dizziness 16 (40) 9 (56.2) 6 (37.5) 1 (16.3) - <0.05 Irritability 14 (60) 10 (41.7) 10 (41.7) 4 (16.6) - <0.01 Sleep disturbance 38 (95) 18 (47.3) 15 (39.5) 5 (13.2) - <0.05 Depressive symptoms 21 (52.5) 10 (47.6) 9 (42.8) 2 (9.5) - <0.01 Myalgia 28 (70) 11 (39.3) 13 (46.4) 4 (14.3) - <0.05 Joint pain 28 (70) 17 (60.7) 9 (32.1) 2 (7.1) - <0.01 Dyspeptic symptoms 15 (37.5) 9 (60) 5 (33.3) 1 (6.6) - <0.05 Epigastric pain 12 (30) 8 (66.7) 4 (33.3) - - <0.01 Pain in the right hypochondrium 11 (27.5) 6 (54.5) 5 (45.4) - - <0.01 Pallor of the skin 18 (45) 11 (61.1) 7 (38.9) <0.01 Enlarged cervical lymph nodes 8 (20) 4 (50) 3 (37.5) 1 (12.5) <0.05 Subfebrile condition 7 (17.5) 7 (100) - - - <0.01 Pharyngitis 26 (65) 14 (53.8) 10 (38.5) 7 (7.7) - <0.01 Palpation tenderness 19 (47.5) 11 (57.9) 76 (36.8) 1 (5.3) <0.01

So, in the main group, symptoms such as general weakness, headache, irritability, sleep disturbances, myalgia and arthralgia, pharyngitis, epigastric pain and abdominal tenderness on palpation in the same zone more often disappeared or decreased (<0.05).

After the spa treatment, according to the assessment of the functional state of the body, the indicators of well-being, activity, and mood of the patients significantly increased (table 4).

Table 4 Dynamics of indicators of well-being, activity, mood in patients during treatment Group of patients Indicator Before treatment After treatment Significance of difference, P I group Feeling well 2.86 ± 0.13 4.97 ± 0.13 <0.001 (comparisons) Activity 3.37 ± 0.12 5.02 ± 0.11 <0.001 Mood 3.72 ± 0.16 5.35 ± 0.12 <0.001 II group Feeling well 2.87 ± 0.12 5.28 ± 0.12 <0.001 (main) Activity 3.44 ± 0.14 5.15 ± 0.12 <0.001 Mood 3.78 ± 0.16 5.59 ± 0.14 <0.001

The data indicate that in both groups of patients significantly improved health, activity and mood. However, a more pronounced dynamics of indicators in the main group of patients with the use of reflex-segmental mud therapy was noted. So, in the main and control groups of patients after treatment, the state of health was 5.28 ± 0.12 and 4.97 ± 0.13 points, respectively, and activity was 5.15 ± 0.12 and 5.02 ± 0.12 points, respectively , moods 5.59 and 5.35 ± 0.12 points, respectively.

Conducted a comprehensive assessment of the state of adaptation of the body in both groups of patients according to cardiorhythmography, hematological parameters, lipid peroxidation, the results are shown in table 5.

Table 5 Adaptation state of patients before and after treatment Body adaptation state Main group (%) Comparison group (%) Significance of Differences Satisfactory 14.2
46.6 13.8
26.8 p <0.01 Voltage 11,2
34.3 10,4
35,4 p> 0.1 Overvoltage 50.3
14.8 51.3
27.3 p <0.05 Failure adaptation 25,4
4.3 24.1
10,2 p <0.05 Note: in the numerator - indicators before treatment, in the denominator - after treatment.

Thus, in patients of the main group, when applying reflex-segmental mud therapy, a more pronounced favorable dynamics of the state of adaptation of the body was noted, which is confirmed by a significant increase in the number of patients with a satisfactory state of adaptation of the body, a decrease in the number of patients with overstrain and a breakdown of adaptation processes (p <0.05). These data are consistent with the dynamics of the clinical manifestations of maladaptation of the patient’s body, which are given above.

Claims (1)

A method of increasing the adaptive capabilities of the body, including the use of physiotherapeutic treatment factors, characterized in that against the background of internal intake of mineral water and mineral baths, reflex-segmental mud therapy is used according to the following method: during the first procedure, mud application is applied to the cervical-collar area; during the second procedure - to the cervical-collar area and the spine; the third procedure - on the above areas, as well as the area of the feet and lower third of the legs (“socks”); during the fourth procedure and all subsequent mud applications are carried out on the zones indicated in the third procedure, as well as on the area of the hands and the distal part of the forearms (“gloves”), the procedures are carried out every other day, the mud temperature is 38-40 ° C, the duration of the procedure is 15 minutes , in all, 10 treatments per course of treatment.