RU2348433C2 - Method of treatment of arthrosis and/or arthritis accompanied with pain syndrome - Google Patents

Abstract

FIELD: medicine; physiotherapy.

SUBSTANCE: body surface is exposed to multiplate electromechanical head. Herewith two-minute exposure is performed in pulse mode at frequency 10 Hz. The procedure lasts for three-four minutes with smooth frequency step-up to 500 Hz. Then four-minute exposure with galvanic current follows.

EFFECT: higher efficiency of treatment and time of remission.

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Description

The invention relates to medicine, namely to therapy. In medicine, a low-frequency physiotherapy apparatus is used, intended for the therapeutic effect on the patient with modulated sinusoidal currents of sound frequency. This device is equipped with flat, round and plate electrodes, switching wires that are superimposed on the patient and fixed (Amplinulse-5 low-frequency physiotherapy apparatus. Passport 2.893.063 PS Utility Model Patent No. 23569 of June 27, 2002).

The proposed method for the treatment of arthrosis and arthritis, accompanied by pain, is used using the apparatus of electromechanical polyimpulse physiotherapy "Alamat".

Also in medical practice, devices for galvanization are widely used - generators of rectified alternating low-frequency current, converting it into a current of constant direction and voltage. Among them: "Potok-1", "Potok-2" - devices for local galvanization and electrophoresis. When using these devices, for example, for galvanizing the collar zone, one electrode in the form of a collar with a total area of up to 1200 cm ^{2 is} fixed in the region of the patient’s shoulder girdle and connected to the positive pole, and the other in the form of a rectangle with an area of up to 600 cm ² in the lumbar sacral region and connect to the negative pole. The current flowing through human tissue is 6-16 milliamps. Through each procedure, the current increases by 2 mA. The duration of the procedure is 6-16 minutes. The course of treatment of 15-20 procedures conducted daily (Technique and methodology of physiotherapeutic procedures. Reference book. Publishing house "Medicine". Moscow, 1983). The method described in this guide is taken as a prototype.

In addition, it is known that under the influence of current on colloidal solutions of salts that make up the tissues of the human body, they decompose into electrically charged ions, that is, into hydrogen ions H ⁺ and negatively charged hydroxyls (OH ^- ), and inorganic salts, respectively, into ions metals (K ⁺ , Ma ⁺ , Ca ⁺ , Mg ⁺ , etc.) and on acid residues (SO ₄ ^2- , CL ^- , СО ^2- , etc.).

In this case, positively charged ions move to the cathode, and negatively charged to the anode. This process goes on for the entire period of the procedure. Directed electric shock over large areas of the body leads to a rapid depletion of energy resources and tissue adhesion, which leads to a progressive slowdown in regenerative processes. Therefore, the impact in one direction on the same link lasting 10 or more sessions is not advisable (B.S. Briolin and others, 1996).

The essence of electrophoresis is the effect of a constant galvanic current on the tissues of the human body, which is based on the electrolysis process; changes in the concentration of ions in cells, tissues and polarization processes.

The galvanization method has the following disadvantages:

a) the electrodes are attached to the diseased areas of the patient and fixed, which requires the use of additional fixing devices;

b) the current passes to a significant degree not only through the diseased area of the body, but also through other healthy tissues over large areas that do not require treatment, which can cause undesirable processes in the body;

c) in the first 2-5 minutes after turning on the current, its strength independently increases due to a decrease in the skin resistance under the electrodes, therefore, if the technique of the procedures is not followed (errors in setting the exposure time and current value), burns of various degrees can occur. These burns under the electrodes occur due to the formation of acid and alkaline zones;

d) the duration of exposure is from 6 to 20 minutes, the course of treatment of 10-20 procedures is inappropriate and harmful to the body.

The purpose of the invention is electromechanical polyimpulse therapy - to increase the clinical effect in the treatment of patients with arthrosis and arthritis, accompanied by pain.

SUMMARY OF THE INVENTION

To eliminate these shortcomings and improve the physiotherapeutic effect on individual diseased areas of the human body and the treatment of arthrosis and arthritis accompanied by pain, the following method is proposed based on the use of the Alamat apparatus (Fig. 1-2).

Structurally, the Alamat apparatus consists of blocks for generating electrical signals and a set of multi-electrode electromechanical polyimpulse physiotherapeutic heads (MEPFG).

The multi-electrode electromechanical physiotherapeutic head was registered in the State Register of Utility Models of the Russian Federation of Moscow on June 27, 2002. (Certificate No. 23569).

The peculiarity of the Alamat apparatus is the possibility of processing local areas and the entire human body, while mechanical massage of the affected area with ring electrodes and polyimpulse exposure to rectangular pulses occur simultaneously.

MEPFG is a set of ring electrodes isolated from each other, mounted on an axis and able to rotate around an axis. Structurally, it consists of four, six and eight electrodes and the distance between the electrodes is also different. Each electrode, with the exception of the outermost electrodes, is located between two electrodes of the opposite sign (- + -) or (+ - +).

The electromechanical polyimpulse physiotherapeutic device "Alamat" has the following advantages:

a) it makes it possible to process any hard-to-reach areas of the body surface locally;

b) simultaneously with exposure to electric current signals, a mechanical massage of the body surface occurs, which leads to an increase in the physiological activity of the tissues of the human body;

c) due to the redistribution of the electric potential on the ring electrodes on the skin surface and under the skin, local acid-base zones are formed that improve the pH reaction and contribute to the improvement of metabolism in the treated area;

d) burns of the skin surface are excluded due to the fact that the head makes reciprocating movements, and the treated area is constantly visible, and not hidden under the electrodes. The patient himself feels the condition of the affected area;

e) by reducing the area of contact of the MEPPH electrodes with the patient’s body (only the arcs of the ring electrodes are in contact), a smaller current is required to obtain a therapeutic effect with the required results;

f) MEPFG has bactericidal properties (disinfects the surface of the treated area);

g) the head does not require fixation on the human body;

h) the number of procedures necessary for the course of treatment and their duration are reduced;

i) under the influence of weak electrical impulses and mechanical massage, tissues under the electrodes contract, and the effect of a hydrodynamic pump occurs. Under the cathode, the catelectroton process takes place, and under the anode, an anielectroton. Due to these effects, the expansion of some capillaries and the narrowing of other capillaries under the electrodes occur, vascular permeability increases, blood and lymph flow are accelerated, which contributes to the intensive excretion of tissue decay products and at the same time enhance regeneration in damaged tissues. Redox processes in the body improve;

j) high blood pressure decreases after 6-8 minutes of the procedure by 12-15 mm RT. pillar;

k) swelling of the legs, arms subside after 3-4 procedures;

m) the kidneys are cleaned of toxins, sand and protein deposits, they come out with urine;

m) the apparatus "Alamat" promotes the resorption of infiltrates, cicatricial changes;

o) causes a calming and analgesic effect.

Tests of the prototype showed satisfactory results in the treatment of arthrosis and arthritis, accompanied by pain.

Examples of specific performance of the method.

Example 1. Patient S.A., 66 years old, was admitted to the hospital on October 15, 2002 with the diagnosis: “Deforming arthrosis of the hip — stage III and knee — stage II of the joints. Associated: Coronary heart disease, coronary carocardiosclerosis, hypertension II degrees, obesity II degree. "

Sick since 1997. The disease developed gradually, moderate aching pain in the area of the hip and knee joints after physical exertion and at night during sleep disturbed. Treated in the district hospital, there was an improvement. Since 2000, against the background of a gradually increasing moderate pain syndrome, lameness of the "goose gait" type has appeared. The patient was treated inpatiently, received conservative treatment (analgesics. Vit. Gr. B, UHF, electrophoresis with novocaine, paraffin therapy, etc.). The condition improved, but lameness remained almost at admission. Since 2001, against the background of a gradually developing disease, the patient could not stand on her feet due to illness of the hip and knee joints.

On admission, the areas of the hip and knee joints are moderately edematous and the skin is without features, tenderness of the projection of the heads (hip) and along the front-medial surfaces of the (knee) joints is palpated. Movement in the joints is moderately limited and painful, as well as a pronounced crunch. On the radiograph of the hip joints, pronounced changes in the articular surfaces are determined. The heads of the hip surfaces forming the articular surfaces are deformed, flattened, small bone growths are defined along the edges.

The patient underwent a course of treatment using the apparatus "Alamat" for 10 days by the proposed method. Discharged in satisfactory condition.

Examined after 1 year.

The condition is satisfactory. The patient walks on her own, pains do not bother, lameness still lasts with long walking. For the entire observation period, the patient received two courses of treatment according to the claimed method.

Example 2. Patient K.K., 53 years old, was examined on an outpatient basis with a diagnosis of "Gout, gouty arthritis - periarthritis of the joints of both feet."

Sick since 1996, pain, swelling, restriction of movement in the joints of both feet.

He was treated repeatedly, stationary and outpatient with a temporary effect. On the x-ray of the joints, pronounced signs of arthritis - periarthritis are determined. A blood test for uric acid from 05.01.2002 amounted to 0.09 g / liter. The patient underwent a course of treatment using the apparatus "Alamat" for 8 days. Alternately to the diseased joints and to the area of the kidneys from the back, the procedures were carried out according to the proposed method.

At the end of treatment, the patient's condition improved. Pain, swelling and limitation of joint movement have passed. The patient walks freely. A control blood test for uric acid was: 0.06 g / liter. The treatment was carried out on an outpatient basis for 8 days. Examined after 1 year. For the entire observation period, one course of treatment according to the claimed method.

A positive effect of the application of the proposed method is to increase the clinical effect in the treatment of patients with arthrosis and arthritis, accompanied by pain.

Claims (1)

A method of treating arthrosis and / or arthritis accompanied by pain, including the use of electromechanical therapy by acting on the surface of the body using a multi-electrode electromechanical head, characterized in that for two minutes the effect is carried out in a pulsed mode, with a frequency of 10 Hz, then the procedure is continued for three to four minutes, gradually increasing the frequency to 500 Hz, after which they are exposed to a galvanic current for four minutes.

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