RU2576788C1 - Method of complex restoration and maintenance of the skin, subcutaneous fat, muscle and connective tissue in cosmetology (optional) - Google Patents

Abstract

FIELD: cosmetology; physiotherapy.

SUBSTANCE: group of inventions can be used for long-term preservation of the effect of skin beauty treatments. Carry electric lymphatic drainage for positive electrodes which is positioned on the rear side of the stop, and the negative - in interscapulum on the spine, electrophoresis is carried out during a session terrilitine directly during the procedure press therapy simultaneously with it. When conducting electric lymphatic drainage a positive electrodes over predetermined areas of the body and the negative electrode - along the path of lymph drainage from the art, and is carried out galvanizing or amplipulse therapy using rectified mode exposure genus works I or IV, the modulation frequency of 50 Hz, the modulation depth of 50%, current strength - to call light sensations at the site of impact. Electric effect during a session also carried out directly during the pressure therapy procedures, simultaneously with it.

EFFECT: develop options for ways to provide a synergistic improvement in the efficiency of future skin beauty treatments, as well as the general condition of the patients, including the skin and underlying tissues of the functions of the visceral organs, allow you to save the effect for six months without additional treatment measures.

2 cl

Description

The invention relates to medicine, cosmetology, physiotherapy and can be used to increase efficiency, long-term preservation of the effect of cosmetic care procedures.

Aging processes change the appearance of a person. Over time, the tissues lose their elasticity, ptosis of the cheeks and nasolabial folds is observed, wrinkles appear, face statics change, etc. This is largely due to a change in muscle tone, blood circulation, including a deterioration of the lymphatic flow, which performs a drainage function in relation to tissues, transports toxins, glucose, lymphocytes. The deterioration of these processes leads to metabolic disorders, accelerates the aging process.

At the same time, both superficial tissues - the skin, and the underlying ones suffer: subcutaneous tissue, muscles, ligaments, fascia of the body. In cellulite, the trigger for the development of a chain of pathological changes is a violation of microcirculation, as a result of which the permeability of the walls of the capillaries and the diffusion of plasma into the connective tissue increase. Edematous tissue compresses blood vessels and further increases the imbalance between filtration and reabsorption in the circulatory and lymphatic systems.

The arterial system transports nutrients, oxygen, and solutions to tissues. Venous - serves for the rapid evacuation of fluids and the resulting CO ₂ , maintains the stability of osmotic and oncotic pressure in the tissues. The walls of the venous vessels are predominantly composed of elastic fibers; smooth muscles are practically absent here. This system cannot operate independently. External factors causing contraction of striated peripheral muscles increase blood pressure, thoracoabdominal aspiration during breathing and allow this system to function.

The lymphatic system, acting much slower than the arterial and venous, serves to remove metabolic products and update the composition of the plasma, regulates fluid distribution, transport, excretion of metabolic products, promotes the function of the immune system. In the interstitial fluid, metabolic products, ions, fragments of decayed lipids accumulate. Lymph, collecting in larger vessels, flows into the regional lymph nodes. Lymphatic vessels consist of segments, each of which ends with a valve and does not contain smooth muscle fibers in its walls. To improve lymph outflow, the pressure in the lymphatic vessels should be low, which is only possible with tonic muscle contraction: then the valve flaps are stretched, and the lymph flows well to the lymph nodes, collecting in large ducts, and then returns to venous blood.

Antibodies are produced in the lymph nodes, antigens, fragments of dead own molecules and cell structures are phagotized. Swelling, increased body weight, the phenomena of vascular insufficiency, venous stasis that occur with obesity, cellulitis, aging in general and constitute the phenomena of lymphostasis, which require correction.

Therefore, any program for the correction of these changes in the skin, body shape, cellulite treatment should begin with drainage procedures, in which the distribution of fluid, transport and excretion of the main metabolic products, and the function of the immune system are normalized. This leads to the restoration of normal functioning of the tissues, and they become more sensitive to other therapeutic factors.

To create favorable conditions, lymph outflow before lymphatic drainage procedures should be surged by pressing on different groups of lymph nodes 3-7 times before the procedure to open the path for the lymph to move from top to bottom. After the procedure, the lymph nodes are surged in the reverse order, which allows you to "close" the outflow of lymph.

Lymphatic drainage can be manual and hardware. With manual lymphatic drainage, the central part adjacent to the lymph node is initially released, and then the peripheral part.

Effects of lymphatic drainage of the body and face: stimulation of skin regeneration, improvement of cell nutrition due to increased oxygen supply, light muscle toning. In cellulite zones, tissue swelling disappears, the body is cleansed and the immune system is stimulated. Bags under the eyes disappear on the face, age-related dry skin is eliminated, wrinkles and acne are partially smoothed out. The overall metabolic level of the functioning of the body rises.

Indications: general recovery and removal of toxins from the body, treatment of stage I-IV cellulites, edema and venous insufficiency, stimulation of the immune system; swelling under the eyes, pasty skin, poor complexion, "suffocated", aging skin with reduced turgor.

Contraindications: exacerbation of chronic dermatoses, acute infections, diseases of the lymphoid system, malignant tumors, tuberculosis, kidney disease; pregnancy, facial paralysis, ophthalmic and trigeminal neuralgia, condition after chemical peeling (at least 3 months), gold threads.

Known lymphatic drainage technique: after surge of the lymph nodes, depending on the area requiring treatment, apply electrodes or carry out the procedure by the vacuum method using drainage tubes. The course of treatment usually uses 6-10 procedures 2 times a week, duration from 15-20 minutes to 1 hour.

Based on the analysis of cosmetology equipment available on the market, knowledge of the basic lymphatic drainage techniques and practical experience, we can say that lymphatic drainage in therapeutic cosmetology is carried out at two levels - superficial and deep.

With superficial lymphatic drainage (for example, microcurrent and vacuum), the effect of reducing the volume of tissues is achieved by increasing the tone of the capillaries of the microvasculature located in the skin and activating the neuroreceptors that go to the smooth muscle structures of the surface vessels. Deep lymphatic drainage (for example, when applying electrodes to the projection area of large lymphatic vessels, during the myostimulation procedure, when walking, swimming, etc.) is carried out at the level of deeply located lymphatic vessels, collectors and major lymph nodes, as well as with active muscle contraction.

Some companies offer hardware lymphatic drainage techniques in which two physical factors work simultaneously:

- continuous galvanic current (iontophoresis, myostimulation) and alginate (algal) or thermomask;

- pulsed vacuum and ultrasound;

- pulse (constant) vacuum and mechanical stress;

- infrared radiation and traveling magnetic field;

- red light radiation and pulsed current of peripheral action.

Such techniques have a pronounced lymphatic drainage effect, require careful selection of patients and parameters of the procedure, as they are, from a medical point of view, stressful for the human body.

Depending on the type of acting physical factor, lymphatic drainage can be divided into temperature (high, low temperature), mechanical (mechanical factors), electrotherapy (electric current) and pressure therapy (atmospheric pressure).

Lymphatic drainage methods are nonspecific, have a systemic effect. With complex therapy, they form the basis to which other methods of hardware cosmetology can be connected in various combinations.

For the implementation of lymphatic drainage, currents of up to 600 μA - microcurrent lymphatic drainage, and currents of more than 600 μA - electrolyte lymph drainage are used. When conducting electro-lymph drainage in places of application of electrodes, subthreshold sensations arise - muscle fibrillation.

The effect of accelerating the outflow of lymph and venous blood during sequential lymphatic drainage is achieved due to a number of factors:

- contraction of muscles accelerates the outflow of blood and lymph, due to the activation of the valve apparatus of blood vessels;

- currents of a certain frequency cause an increase in the tone of the vascular wall (due to the effect on smooth muscle elements);

- the lymphatic drainage process intensifies from the positive to the negative pole, which makes it possible to influence local areas due to various electrode application, and to carry out local or general lymphatic drainage procedures.

These procedures are carried out with caution in patients taking diuretics, suffering from arterial hypertension, since the redistribution of fluid from interstitium into the bloodstream causes an increase in blood pressure. Half an hour before the procedure, the patient is recommended to drink a glass of mineral water or natural juice.

The current strength is set according to the comfortable sensations, without the visible effect of muscle contraction. The frequency is selected depending on the desired exposure depth (superficial or deep lymphatic drainage).

There is a method of treating chronic prostatitis and related sexual disorders by improving regional hemodynamics and controlling interstitial humoral transport (IHT) and lymphatic drainage (LD) due to the combined effects of etiotropic therapy with pyobacteriophage, mud treatment at Staraya Russa resort, pathogenetic therapy with electrophoresis with electrophoresis terrilitin to the inguinal lymph nodes and lumbosacral region 200 proteolytic units (PE) 8-15 times, alternating electrophoresis with monitor cleansing of the intestines of the RA mineral water creates "Old Russ," as well as performing rational therapy, with elements of suggestion (RU 2214814 C1, 27.10.2003). This method is not applicable in cosmetology, is long-term, includes many effects, however, there is no data on the duration of preservation of the positive effect obtained during its implementation.

It is known that a complex of various physical factors (mechanical, electrical effects, etc.) affects the treatment of upper limb lymphedema in patients with breast cancer (RU 2479301 C2, 04/20/2013, where it is described. However, the efficacy with the achievement of the ultimately total result of the cosmetic procedure is not shown.

A known method of healing and rejuvenating the skin of the head and neck of a person (RU 2201193, 03/27/2003) by multichannel electrical stimulation with a low-frequency pulsed current of muscle fibers with a bipolar asymmetric pulse shape with a trapezoidal envelope. The stimulation frequency is 10-150 Hz, the period is 2-32 s, the current strength is 0.1-100 mA. Additionally, massage along the lymphatic vessels from the regional lymph nodes of the head distally and backward by pressing-rolling movements at least 4 times. In the region of regional lymph nodes of the head and neck, massage is performed with pressing movements at least 7 times. A course of 14-15 procedures for 5-30 minutes. The method allows to improve lymph flow, suppress the formation of adhesions, promotes the formation of collagen. However, the authors did not indicate how long the preservation of the positive effects of such a complex of effects is.

A known method of rejuvenating the skin of a person, including exposure to electric shock on the muscles with the capture of motor points and using a helium mask (RF Patent 2033141, IPC A61H 39/00, publ. 1995). However, when exposed to an electric current on a mask consisting of a number of drugs, some of them may acquire toxic properties. In addition, when the gel is transferred to the molten state, the possibility of destruction of the protein, vitamins, biostimulants and other substances that make up the gel is not ruled out.

A known method of skin rejuvenation and healing (RF Patent 2021800, IPC A61H 39/00, publ. 1992), including exposure to biologically active points by electric current, followed by a fixing massage of the face and neck. However, it does not have a pronounced complex and long-term positive effect, it is technically difficult.

Known methods aimed at enhancing the effect of electrolymphodrainage by combining this procedure with other procedures that have a similar effect (Bezugly A.P. et al., ANTA-MED Clinic, Moscow, Russia) Electronic lymphatic drainage activates the muscle and venous function pumps. Having high penetrating ability, it affects the entire volume of soft tissues, and without significant mechanical stress, and also provides muscle tissue strengthening. They recommend the use of this method at the beginning of a course of 5-6 sessions in combination with ultrasound therapy (increased tissue density with cellulite), or magnetotherapy (pronounced stagnation). At the next stage, it is rational to combine electronic and vacuum lymphatic drainage.

Prior to lymphatic drainage, stimulation is performed in the area of large lymphatic collectors with the help of special two-cavity cups. Vacuum drainage promotes the activation of blood supply to the internal organs, connected segmentally with the metamer in the area of impact.

This method is also advisable to combine with ultrasound and thalassotherapy. At the end of the course, it is most logical to use pressotherapy, which is the final stage and is combined with thalassotherapy, balneotherapy and peloid therapy.

The method of pressotherapy is based on the use of multi-chamber cuffs that are worn on the limbs and trunk of the patient. Consistent increase in pressure in the cuff chambers from 20 to 120 mm Hg leads to increased venous and lymphatic outflow. The hydrostatic pressure gradient in the microvasculature decreases for a short time and the fluid filtration rate decreases, which creates favorable conditions for drainage of the intercellular space.

The method of automatic pneumatic massage (intermittent pneumatic compression (IPC) - intermittent pneumatic compression (PPC), lymph press. This intermittent compression of tissues in a sequential direction from the periphery to the center creates the conditions for the displacement of stagnant lymph from the interstitial space and the microvasculature into the lymphatic vessels, increases the lymphatic flow in the central direction and removes edematous fluid from the soft tissues of the limb.

Various devices and methods for pneumatic compression have been created, which differ both in the duration of the procedure (from 1 to 6 hours), pressure parameters (from 30 to 180 mm Hg), and the number of procedures (from 3 days to 2-3 weeks) .

In our country, pneumatic compression devices are used: “Flowtron plus” (Huntleigh Healthcare, England), “Lympha-E” (IIC “Aquita”, Moscow), “Lympha-mat” (Digital Gradient, Germany), etc.

A significant reduction in limb circumference occurs in 4-5 sessions of intermittent pneumocompression. After this, the rate of reduction of edema slows down, which is primarily associated with the displacement of the main volumes of lymphatic fluid from the tissues in the first half of the course of treatment.

From a pathogenetic point of view, pneumocompression allows:

- reduce the formation of lymph by reducing capillary filtration;

- reduce hydrostatic pressure and tissue tension, which improves venous and lymphatic drainage, especially in the capillary and precapillary segments of the channel;

- maintain the elasticity of the skin and subcutaneous fat, which is important for the operation of the capillary pump.

To improve lymph transport before the pneumocompression procedure, it is possible to perform manual massage of the limb with stroking and light stretching techniques for 15-20 minutes, starting from the proximal sections.

After manual massage, a pneumatic massage sleeve is put on the limb of the patient. In this case, to exclude deterioration of the venous outflow, the limb should not be in the abduction position. The impact is carried out in the "growing wave" mode, with sequential injection of air in the cuff sections in the direction from the distal to the proximal sections with compression soaking over the entire limb for a predetermined time, followed by pressure release in all sections of the cuffs, pause and repeat the cycle.

When choosing a working pressure, it is necessary to take into account subjective tolerance (lack of discomfort and pain), the stage of edema, the presence of concomitant diseases. Typically, the set working pressure should be in the range of 40-60 mm Hg, and the first 2-3 procedures - 30-40 mm Hg, air injection time in each section is 15-20 sec, pause 10-15 sec, the duration of the procedure is not less than 30 minutes, but not more than 1 hour. The procedures should be carried out daily (possibly on an outpatient basis). The course is determined individually and averages 10-14 procedures. After the procedure, it is recommended to conduct a short-term (5-10 min) gymnastics exercise - strong finger squeezing and unclenching, slow limb flexion and extension, lifting and abduction (Yermoschenkova MV et al. Federal clinical guidelines for the diagnosis and treatment of post-mastectomy syndrome, M ., 2013).

Thus, to increase the effectiveness of lymphatic drainage procedures, it was previously known to use a sequential change in the methods of lymphatic drainage during the course of treatment, depending on their mechanism of action, intensity and specificity with respect to target tissues. To normalize physiological processes, it is advisable to use low-intensity and more targeted methods of drainage at the beginning of the course, gradually moving to more intensive with a greater mechanical load.

The present invention relates to increasing the effectiveness of lymphatic drainage procedures carried out before the start of cosmetic skincare procedures, which is provided in the form of a long (up to six months) preservation of the effect of cleansing the body, maintaining skin turgor, muscle tone, and the patient's emotional state.

For this, options are proposed for this method of complex restoration and maintenance of the skin, subcutaneous fat, muscle and connective tissue in cosmetology, including electrolysis.

In this case, according to the first variant of the method, for the procedure of electrolysis, the positive electrodes are placed on the back of the feet, and the negative electrode is placed in the interscapular space on the spine and electrophoresis of terrilitin is carried out, and electrophoresis during the session is carried out directly during the pressure therapy procedure, simultaneously with it.

According to the second variant of this method, for the electrolytic drainage procedure, the positive electrodes are placed over a given area of the body, and the negative electrode is placed along the path of lymph outflow from this area, and galvanization or amplipulse therapy is carried out using the rectified exposure mode, type of work I or IV, modulation frequency 50 Hz, modulation depth 50%, current strength — until light sensations are caused at the site of exposure, moreover, the electrical effect during the session is carried out directly during the pressotherapy procedure, simultaneously enno with it.

Medicinal electrophoresis (LEF) is a method of combined exposure of an organism to direct current and drugs introduced with its help. The proportion of the introduced substance during electrophoresis does not exceed 5-10% of the electrode applied to the gasket. In the exposure zone after the procedure, a “depot” is formed, from which the drug penetrates the cells gradually. The period of excretion of various substances from the skin “depot” is from 3 to 15-20 hours, which leads to a prolonged stay of active substances in the body and a prolonged effect. The following parameters affect the amount of substance introduced and the depth of its penetration: current strength, drug concentration, duration of the procedure, physiological condition of the skin. During the procedure, the patient should feel a slight tingling (tingling) under the electrodes. The appearance of a burning sensation serves as a signal to reduce the density of the input current.

A significant advantage of LEF is the effectiveness of the action of subtherapeutic doses of a drug substance. So, with LEF, the substance enters the body in ionic form and acts on the electroactive environment of tissues, which enhances the interaction of the drug substance with the substrate. The activation of IHT and LD considered above is significant. This mechanism, apparently, is involved in ensuring such effects of LEF as improving tissue trophism, accelerating the removal of metabolic products, resorption of infiltrates, reducing swelling of tissues, softening and resorption of scars, regeneration of damaged tissues, etc.

The development of electrophoretic effects in order to influence IHT and LD was greatly facilitated by the experience of using this method for other purposes - electrophoretic administration of drugs such as enzymes (trypsin, chymotrypsin, lidase, terrilithin, papain), anticoagulants (heparin), antiplatelet agents (butadione, indomethacin, aspirin), fibrinolytics, immunomodulators, etc. The introduction of these substances can be combined with the introduction (electrophoretic or other methods) of anti-inflammatory, antimicrobial, desensitizing, anesthetic x and other drugs.

Terrylitin, a proteolytic drug, the vital product of the fungus Aspergillus Terricola, was created to combat thrombosis (Imshenetskiy A.A., 1981). Levin Yu.M. et al., 1983, its anti-lymph-clotting and lymphogon effect was established. This side of the action of terrilithin has been thoroughly studied by Y.D. Mamedov (1985), and then his employees.

Terrylitin is readily soluble in water, an isotonic sodium chloride solution, in a 0.25% novocaine solution. Virtually insoluble in alcohol; pH of 1% aqueous solution: 4.8-6.5. Easily inactivated under the influence of acids and alkalis. Release form: in hermetically closed bottles with the maintenance of 200 PE in a bottle. Activity is expressed in proteolytic units (PE); 1 mg contains at least 2 PE. In clinical practice, terrilithin is used as an external agent in the treatment of wounds and for inhalation in diseases of the respiratory system.

In the experiments, Levin, Yu.M. et al. studied the effect of terrilitin electrophoresis on IHT and LD of rat tissue. Terrylitin causes a pronounced acceleration of IHT and LD (p <0.01) within three hours after electrophoresis. It has been shown that terrilitin electrophoresis is a powerful stimulator of lymphatic drainage current, improves blood circulation, activates trophic processes, has anti-inflammatory and absorbable effects, and stimulates bone tissue regeneration. Contraindications are: hypersensitivity to the drug, bleeding ulcers and wounds, ulceration of malignant tumors, pregnancy, lactation.

For the LEF procedure with terrilithin, the patient is placed in a convenient position. The skin in the treatment area is cleansed. A spacer attached to the negative electrode is applied to the interscapular region, and spacers to which the positive electrodes are applied are applied to the back side of the stop. During the procedure, slight itching is noted. The duration of the procedure is 20-30 minutes (http://pushkino.blizko.ru/products/elektroforez_terrilitina_31197558).

In addition to terrilithin, detralex can be used as conductors for LEF for lymphatic drainage, or caripazim is a papaya enzyme that is administered only from the “+” pole. Preparations are previously diluted in water for injection. Electrophoresis is carried out before lymphotropic therapy; for example, a Potok-1 galvanizer is used. However, the most effective for the purposes of the proposed method, as established by our studies, terrilithin should be considered.

In addition to LEF, for the purposes of lymphatic drainage, in the variant of the proposed method, galvanization can be used - the use of a constant continuous electric current of low voltage (30-80 V) and a small force (up to 50 mA), called galvanic. Intact human skin has a high ohmic resistance and low electrical conductivity, so the current penetrates into the body mainly through the excretory ducts of the sweat and sebaceous glands, intercellular gaps. Since their total area does not exceed 1/200 of the skin surface, most of the current energy is spent on overcoming the epidermis with the highest electrical resistance. Therefore, the most pronounced physicochemical reactions to direct current exposure develop here, and irritation of nerve receptors is more pronounced. The passage of current through tissues is accompanied by physicochemical shifts that underlie the therapeutic effect of the factor. The expansion of capillaries and an increase in the permeability of their walls due to local neurohumoral processes occurs not only at the site of application of the electrodes, but also in deeply located tissues through which direct current passes. Along with increased blood and lymph circulation, increased resorption capacity of tissues, there is a normalization of muscle tone, increased excretory function of the skin, a decrease in edema in the focus of inflammation, in the area of injury. A constant electric current enhances the synthesis of macroergs in cells, stimulates metabolic and trophic and neurohumoral processes in tissues, increases phagocytic activity, accelerates the regeneration of nerves, bone and connective tissue, epithelializes lethargic wounds and trophic ulcers, enhances the secretory function of the salivary glands, stomach and intestines.

The methods of low-frequency electrotherapy, which can be used in the present method for lymphatic drainage in combination with pressure therapy, also include amplipulse therapy (APT) - the therapeutic effect on the body with sinusoidal modulated currents (SMT), which are low-frequency amplitude pulsations (10-150 Hz ) mid-frequency currents (5000 Hz), which freely pass through the skin, almost without being absorbed in it, and have an exciting effect on the neuromuscular structures.

APT (SMT) is accompanied by a number of important therapeutic effects: neurostimulating, analgesic, vasodilating, trophic, activates venous outflow of blood, delivery of nutrients to affected tissues and organs, promotes their absorption, activates metabolism in tissues, promotes resorption of infiltrates, reduces edema, enhances repair . SMT cause a rhythmic contraction of myofibrils, smooth and striated muscles; increase the tone of the intestine, biliary tract, ureter and bladder; improve the function of external respiration and drainage function, relieve bronchospasm, increase lung ventilation; stimulate the secretion of the pancreas, adrenal glands, stomach, activate the metabolism in the liver.

For APT, several types of currents are used, the effect on 1-6 fields in one procedure is permissible. Dosing is carried out according to the density and strength of the current, frequency, duration of the packages and the depth of modulation, the duration of the procedure. The current density should not exceed 0.1 mA / cm ² . Sensations during the procedure - slight, painless vibration or contraction of the muscles under the electrodes. On one field, the duration of the CMT can be 10-20 minutes, the total duration of the procedure is 20-30 minutes. In the course of treatment 6-10 procedures daily or every other day.

For the treatment of diseases: a) internal organs are used: I mode, I type of work (PP) 2-3 min + IV PP 3-5 min (or I PP 2 min + III PP 3-4 min + IV PP 3-4 min ), the modulation frequency is 100-75 Hz, the modulation depth is 25-75%, the duration of the parcels is 2-3 s, the course of treatment is up to 10 daily procedures; b) the musculoskeletal system and nervous system: I mode, III PP 3-5 min + IV PP 3-4 min, frequency 120-100 Hz (frequency difference for IV PP should be small), the duration of the parcels is 2-3 s, modulation depth 25-50%, a course of 8-12 daily procedures, you can repeat in 7-15 days.

SMT is also used to administer drugs - amplipulse phoresis (ACE). To do this, a medicinal pad (gauze or filter paper) moistened with a solution of the drug is placed between the patient’s skin and the hydrophilic pad. The most commonly used drugs are local anesthetizing, anti-inflammatory, vasodilating and absorbable action. Duration - at least 10-15 minutes, observing all methodological approaches to conducting LEF with galvanic current. Various combinations of currents are acceptable for ACE: a) II mode, I PP, 100 Hz, 50-75%, 10-15 min; b) II mode, I PP 10 min, III PP 3-5 min, 100 Hz, 50-75%, the duration of the parcels is 2-3 s; c) II mode, III and IV PP for 5-7 minutes, 100 Hz, 50-75%, the duration of the parcels is 2-3 s.

SMT can be used in combination with other therapeutic factors:

- on the same day as magnetotherapy, ultrasound, electrophoresis of drugs, laser therapy; the optimal interval between procedures is 1-2 hours;

- in one day, on one field, SMT is combined with high-frequency therapy, after 30-60 minutes or more after these procedures;

- in the treatment of pain syndromes before SMT, darsonvalization can be carried out with an interval of 15-30 minutes, currents are used 30-60 minutes before massage and exercise therapy to reduce the severity of pain;

- APT is carried out for 30-90 minutes before hydrotherapy, thermal procedures or alternate them every other day.

SMT is indicated in the treatment of, in particular, chronic limb circulation disorders; diseases of the eyes, ENT organs; diseases of the nervous system with motor disorders in the form of paresis and paralysis.

In the inventive method for enhancing and maintaining the therapeutic and cosmetic effect of lymphatic drainage at the same time as the electric procedure according to one of the generally accepted methods, the pneumocompression procedure is carried out during the same session, placing electrodes for electric exposure (LEF, galvanization or APT (SMT)) immediately before placing the pneumatic compression cuffs. You can use the apparatus for pneumocompression "Lymph-E".

The claimed method, combining a complex of simultaneous effects of electrolysis and pressure therapy, provides a synergistic technical result in relation to the complex effect of recovery and long-lasting up to six months to maintain the condition of the skin and underlying tissues: subcutaneous fat, muscle and connective tissue (fascia, ligaments), and also an additional unexpected effect in the form of resorption of long-existing adhesions, chronic scars. Moreover, the duration of the entire course of exposure (3 sessions) is significantly less than with a separate or sequential application of the same procedures (5-6 or more).

This technical result is achieved due to a certain order of known procedures of electroexposure in the form of electrophoresis with terrilitin, or galvanization, or APT (SMT) simultaneously with pressure therapy - in the same session. Sufficient to ensure such a pronounced effect is a total of three procedures (daily or every other day) of the claimed complex, simultaneous effects (electrotherapy + pressure therapy).

To prove a synergistic effect when implementing the proposed method, the data below are presented for several groups of patients (54 women in total) of the middle age category who had similar cosmetic problems before the procedure: reduced turgor of the skin of the face and body, excess subcutaneous fat in the abdomen and thighs , decreased muscle tone of the limbs, anterior abdominal wall, back, as well as a number of combined functional visceral disorders in the form of chronic gastritis, chronic pancreatitis, moat, biliary dyskinesia (all - is exacerbations), vascular dystonia, diurnal variations of blood pressure, reduced emotional background, irritability, manifestations of osteochondrosis.

Studies of the effectiveness of the proposed methodology were carried out on the basis of a cosmetology center for a year and a half.

The first group (5 women) was subjected to electrophoresis with terrilithin for three sessions every other day according to the generally accepted technique (Levin Yu.M., see above).

The second (4 women) - only pressure therapy, 3 daily sessions.

The third (6 women) - the sequential effect of electrophoresis and pressure therapy in the course of one session, in total - 3 sessions.

The fourth (7 women) - the simultaneous effect of electrophoresis and pressure therapy in one session, only three sessions every other day, according to the proposed method.

Fifth (5 women) - three galvanization sessions.

Sixth (6 women) - three sessions of amplipulse therapy (SMT, straightened mode, occupation I or IV, modulation frequency 50 Hz, modulation depth 50%, amperage - until light sensations are caused at the site of exposure).

Seventh (4 women) - the sequential effect of galvanization and pressure therapy in the course of one session, in total - 3 sessions.

The eighth (4 women) - the simultaneous effect of galvanization and pressure therapy in one session, only three sessions, according to the proposed method.

Ninth (5 women) - the sequential effect of amplipulse therapy and pressure therapy in the course of one session, in total - 3 sessions.

Tenth (4 women) - the simultaneous effect of amplipulse therapy and pressure therapy in one session, only three sessions, according to the claimed method.

Eleventh (4 women) - control, without any effects.

After carrying out the complex procedures of lymphatic drainage mentioned above, all women (except the 11th group) underwent usual cosmetic procedures twice a month. A special diet, exercise, and additional drug therapy were not used, i.e. patients continued to lead a usual, habitual way of life for them.

Examinations of women to assess the changes included visual examination, clinical and laboratory examination (heart rate, blood pressure, biochemical blood test for lipids, sugar level, liver enzymes), anthropometry (assessment of circumference, limb volume, waist circumference, hips), calculation of the amount of fat tissues in the body, thermal imaging and impedance measurements. Examinations were carried out before the impact, 1, 3 and 6 months after the course of procedures.

In general, in all groups subjected to a particular physiotherapeutic effect up to 1 month, positive changes were noted: wrinkles on the face and neck were noticeably smoothed, tissue lifting occurred, muscle tone was noticeably improved, there was a decrease in the volume (respectively, swelling) of the limbs (by 30-47%), waist (20-35%), hips (22-37%), manifestations of cellulite, a decrease in the amount of fat by 10-15%.

After 3 months, this effect persisted, however, only in groups of patients exposed to the variants of the claimed method (i.e., those who received two procedures: electric locomotive + pressotherapy at the same time). In the remaining groups there was a decrease of 3-5% of these previously achieved performance indicators.

By the 6th month of observation in patients who received exposure according to the variants of the proposed method, the effects of exposure also tended to persist (did not significantly decrease), while in the remaining groups, all indicators almost returned to their original values.

Similar results were applied to the estimated laboratory blood parameters listed above. At the same time, subjectively, positive changes in the emotional status persisted for half a year, and blood pressure and heart rate in patients exposed under the variants of the proposed method stabilized. For the remaining groups, marked fluctuations in these indicators throughout the entire observation period were noted.

Additionally, it is worth noting that in three patients from the groups exposed to the claimed method, a month after the procedures there was a significant decrease in the severity of scarred tissues (scar after cesarean section on the anterior abdominal wall, scar on the face after an injury in childhood, keloid scar on the forearm after an old burn), visually the scars became almost invisible.

At the same time, in one patient from the group who received sequential effects of electrophoresis with terrilitin and pressure therapy, and who also had a scar on the forearm after a long-standing mechanical injury, there was no decrease in it.

All of the above indicates that it is precisely the simultaneous, simultaneous conduction of two well-known lymphatic drainage methods in the course of one session: electro-exposure and pressotherapy synergistically improves the effectiveness of subsequent cosmetic care procedures, as well as the general condition of patients, including the condition of the skin and all underlying tissues, and the functions of visceral organs , allows you to maintain this effect for six months without any additional therapeutic measures.

Claims (2)

1. A method for the comprehensive restoration and maintenance of the skin, subcutaneous fat, muscle and connective tissue in cosmetology, including electrolyte drainage, for the procedure of which positive electrodes are located on the back of the feet, and negative - in the interscapular space on the spine and carry out terrilitin electrophoresis during the session directly during the pressotherapy procedure - simultaneously with it. 2. A method for the comprehensive restoration and maintenance of the skin, subcutaneous fat, muscle and connective tissue in cosmetology, including electrolyte drainage, for the procedure of which positive electrodes are placed over a given area of the body, and a negative electrode along the path of lymph outflow from this area, and they conduct galvanization or amplipulse therapy using the rectified exposure mode, type of work I or IV, modulation frequency 50 Hz, modulation depth 50%, current strength until light sensations are invoked in places e impact, moreover, the electrical effect during the session is carried out directly during the pressotherapy procedure - simultaneously with it.