RU2445064C1 - Method for correction of disordered bioelectric cerebral processes in patients in intermediate period of slight craniocervical injury - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to neurology, physiotherapy. A method involves taking a radon bath. It is followed by a session of music therapy. Thereafter, the exposure to low-frequency pulse electromagnetic waves with no direct contact of the system and the patient is applied. The Infita apparatus is used. The exposure frequency is 30 Hz, the exposure is 8 to 11 minutes. The therapeutic course is 8-10 procedures every second day. The method improves cerebral blood supply, improves blood oxygen saturation, enhances oxidation-reduction processes and respiratory function.

EFFECT: improved patient's state is manifested in elimination or reduction of headache, dizziness, memory and attention improvement, performance incoordination, normalisation of electroencephalogram values which state elimination of pathological centres, dysrhythmia, higher alpha index, improved cortical responsiveness.

3 ex, 1 tbl

Description

The invention relates to medicine, in particular to neurology. Close to the claimed is a method of treating the long-term consequences of a traumatic brain injury, reflected in the abstract of the dissertation of the candidate Berezhnoy EV The combined use of radon baths and remote exposure to a pulsed low-frequency electromagnetic field in patients with long-term consequences of cranio-cervical trauma. Pyatigorsk Research Institute of Balneology, 2005. It was shown that remote exposure to a pulsed low-frequency electromagnetic field is a method of pathogenetic therapy of patients in the distant period of cranio-cervical trauma, which has a vegetonormalizing, sedative and analgesic effect that improves cerebral hemodynamic and neurodynamics. The combined use of radon baths and a pulsed low-frequency electromagnetic field increases the efficiency of rehabilitation of patients with the consequences of cranio-cervical trauma at the spa stage.

This treatment method in most cases provided a reduction in the main clinical symptoms of the disease, however, in some cases, the treatment results were not effective enough, there was insufficient duration of remission of the clinical symptoms of the disease, which predetermined the search for new pathogenetically substantiated methods for correcting the long-term consequences of cranio-cervical injury.

The increased interest in recent years has been the use of musical accompaniment for therapeutic purposes, which is called music therapy (MT) (Razumov A.N. Methods of music therapy: A manual for doctors. / A.N Razumov, S.V Shushardzhan. - M. , 2002 .-- 27 p.).

Functional music has been shown to have a lasting effect on the central nervous system. So, N.N. Zakharova and V.M. Avdeev (Zakharova N.N. Functional changes in the central nervous system during the perception of music / N.N. Zakharova, V.M. Avdeev. // Journal of Higher Nervous Activity. - 1982. - T. XXXII. - Issue 5. - S.915-929) investigated changes in the central nervous system during the perception of music, recording electroencephalograms in subjects with simultaneous recording of skin-galvanic reactions. The detected data indicated a change in the flow of excitation in corticothalamic and corticolimbic circles. Deeper positive emotions for certain musical works were accompanied by changes in the EEG, indicating a high activity of the cerebral cortex. I.M. Grineva discovered (I. Grineva. Study of the features of musical perception in patients with initial manifestations of inferiority of the blood supply to the brain / I. M. Grineva: Dis .... Candidate of Medical Sciences. - L., 1981.) that listening melodic music at a sports pace (soft sound) had a sedative effect on patients, and a decrease in the frequency spectrum of the alpha rhythm or a noticeable increase in its index, an increase in the amplitude of the alpha rhythm and a decrease in the amplitude of fast vibrations were recorded on the EEG. Analysis of cerebral hemodynamics according to rheoencephalograms showed that in the overwhelming majority of cases, when listening to calm music, there was an improvement in cerebral circulation.

With a positive mood dynamics B.C. Rusinov observed in patients stable changes in the anterior zones of the human brain (B. Rusinov. Research methodology in the physiology of labor / B.C. Rusinov, O.M. Grindel, I.N. Bratina. - M., 1974. - P. 52-80). It has been shown that positive emotional arousal when pleasant melodies sound enhances attention, activates the central nervous system and stimulates intellectual activity.

The technical result of the invention is that after taking the radon bath the patient is given a music therapy session, then pulsed low-frequency electromagnetotherapy is carried out without direct contact of the device with the patient from the Infita apparatus with a frequency of 30 Hz, exposure time from 8 to 11 minutes. On the course of 8-10 procedures taken every other day.

Assessment of the state of bioelectric activity of the brain was carried out according to electroencephalography. The EEG (electroencephalography) picture made up the idea of a balanced interaction of cortical-subcortical formations, the degree of compensated brain functioning, the activity of nonspecific regulatory departments of the limbic-reticular system, revealed the presence of pathological determinate foci, subtle subclinical neurodynamic changes, and monitored the relationship between the processes of excitation and inhibition brain, revealed the presence of asymmetry in the activity of the right and left hemispheres of the brain ozga.

The method is illustrated by the following examples:

Example 1. Patient V., 40 years old, was treated in the neurological department of the Pyatigorsk clinic. Upon admission, she complained of periodic headaches in the frontal and temporal areas of a pulsating nature, aggravated by weather changes, overwork, nausea, irregular dizziness, poor sleep, irritability, memory loss, fluctuations in blood pressure, periodically occurring pains in all parts of the spine, numbness and tingling in the fingers. From the anamnesis it is known that in January 2006 the patient fell on the back of the head (during ice). Short-term loss of consciousness was noted for several seconds, then nausea, headache, dizziness. The above complaints appeared after the injury. According to the EEG, the alpha index is 43%, the cortical activity on functional loads is reduced, and the focus of pathological theta activity is up to 100 μV in the occipital regions. After balneotherapy in the form of taking radon baths and infitherapy (according to the prototype method), headaches, dizziness, irritability, and sleep improved. According to the EEG, an alpha index of 45%, the focus of pathological theta activity in the occipital regions decreased to 80 μV. Thus, a complete restoration of the initially altered EEG indices during this complex was not noted.

Example 2. Patient S., 44 years old, was treated in the neurological department of the Pyatigorsk clinic. Upon admission, she complained of periodic headaches in the occipital areas of a aching character, aggravated by a change in head position, overwork, moderate dizziness, fatigue, superficial sleep, irritability, memory loss, fluctuations in blood pressure. The patient suffered a concussion when falling to the back of the head with a brief loss of consciousness 4 weeks ago. According to the EEG, the alpha index is 45%, the focus of pathological activity is up to 120 μV with focus in the frontotemporal. Balneological treatment was carried out in the form of a course of radon baths, a subsequent session of music therapy, as well as conducting after a session of music therapy pulsed low-frequency electromagnetotherapy with a frequency of 30 Hz, an exposure of 8 minutes in the amount of 10 procedures. According to the EEG, an increase in the alpha index to 80% is noted, the focus of pathological activity in the frontotemporal is not determined.

Example 3. Patient X., 42 years old, was treated in the neurological department of the Pyatigorsk clinic. Upon admission, he complained of recurrent headaches of a diffuse nature without clear localization, dyspepsia, fatigue, irritability, memory loss, mood swings. An injury was noted 1.5 weeks ago. According to the EEG data, the alpha index is 52%, a focus of paroxysmal activity up to 130 μV is recorded at the level of the brain diencephalic structures with functional loads. Balneological treatment was carried out in the form of a course of radon baths and a session of music therapy, followed by low-frequency electromagnetotherapy with a frequency of 30 Hz, exposure time of 11 minutes in the amount of 9 procedures. According to the EEG, there is an increase in the alpha index to 82%, there are no outbreaks of paroxysmal activity at the level of brain diencephalic structures.

The advantage of the proposed method of treatment is associated with the potentiating effect of music therapy and pulsed low-frequency electromagnetic field, as a result of which the blood supply to the brain improves, the processes of excitation and inhibition in the central nervous system are optimized, oxidation-reduction processes are accelerated, and therefore, neurodynamic and hemoliquorodynamic processes in the brain are improved, which finds confirmation in the normalization of indicators of the electroencephalogram.

Balneotherapy in combination with a course of infatherapy was carried out in 30 patients of the control group. Patients in the control group received radon baths with a concentration of 1.5 kBq / l (40 nCi / l), a temperature of 36-37 ° C, lasting 10-15 minutes, with a frequency of 3-4 times a week, for a course of treatment of 8-10 procedures, and also a course of infitherapy without direct contact of the device with the patient from the Infita device with a frequency of 30 Hz, exposure time from 8 to 11 minutes. On the course of 8-10 procedures taken every other day.

In patients with initially "flat" curves or curves with low-amplitude alpha activity, some increase in alpha activity was noted. Paroxysms of slow wave activity and pathological elements (adhesions, sharp waves, wave) decreased. In general, an analysis of the EEG data (table) revealed not so dramatic changes at the end of the course of treatment, which indicates an insufficient effect of radon baths alone and infiatherapy on the reticular formation of the brain stem and the need for additional stimulation, which is achieved by using a music therapy session.

In patients of the main group, which, along with radon and infitherapy according to the described method, received music therapy sessions, the phenomena of dysrhythmia decreased from 33.3 to 7.0%. The number of patients with regular alpha rhythm on EEG increased from 23.3 to 76.7%. Outbreaks of paroxysmal activity decreased from 26.7 to 3.7%. Pathological elements - adhesions, acute waves decreased from 23.3 to 3.3% of patients, high reactivity of the cerebral cortex to functional loads increased from 23.3 to 76.6%. Hemispheric asymmetry decreased from 56.6 to 16.7%.

Table 1
Dynamics of EEG indices in patients of 2 treatment groups Indicators Main group Control group Before treatment,% After treatment, % P Before treatment,% After treatment, % R Lead rhythm Regular alpha rhythm 23.3 76.6 <0.05 16.6 40.3 = 0.05 Dysrhythmia 33.3 7.0 = 0.05 40,0 26.6 = 0.05 Pathological activity Paroxysms of Slow Waves 26.7 3,7 <0.05 thirty 16.6 = 0.05 Sharp waves, commissures 26.3 3.3 = 0.05 26.7 9.0 = 0.05 Interhemispheric asymmetry (frequency, wave) 56.6 16.7 <0.05 56.7 30,0 = 0.05 Degree of reactivity High 23.3 76.6 <0.05 20,0 38,0 = 0.05

The advantage of the proposed method of treatment is associated with the impact on the central nervous system of music therapy, in addition to the complex of radon and infitotherapy, which improves the neurodynamic and hemoliquorodynamic processes in the central parts of the nervous system, normalizes the blood supply to the brain, increases the redox processes, which finds its confirmation in the normalization of electroencephalogram indicators.

The proposed method of treatment is more effective and can be used at the stage of spa treatment.

Claims (1)

A method for correcting violations of the bioelectric activity of the brain in patients who have suffered a mild cranio-cervical trauma by the successive use of radon therapy and exposure to pulsed low-frequency electromagnetic waves, characterized in that the patient first takes a radon bath, then a music therapy session, after which they are exposed to pulsed low-frequency electromagnetic waves without direct contact of the device with the patient from the device "Infita" with a frequency of 30 Hz, exposure from 8 up to 11 minutes, every other day, for a course of 8-10 procedures.