RU2723735C1 - Method of therapeutic effect on human body - Google Patents

Abstract

FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to physiotherapy, and concerns medical treatment for human body. That is ensured by vacuum therapy using vacuum jars. Thus cyclically changing pressure force on the short-term increase to a maximum value of -0.2 to -1.0 kgf/cmwith exposure of 3–20 seconds, followed by a sharp decrease in the magnitude of the vacuum to values below -0.2 kgf/cm. Each procedure includes at least three such cycles on the problematic area of the body. Pulse vacuum therapy procedure is repeated every 1–3 days, up to 13 procedures per course.EFFECT: implementation of vacuum therapy in the above mode provides effective treatment or prevention of various diseases related to disturbed structural-functional state of locomotorium by improving microcirculation in the problem area and function of blood and lymphatic systems in general.5 cl, 2 tbl, 2 ex

Description

The invention relates to medicine, namely to the field of physiotherapy, and can be used for the prevention and treatment of various diseases associated with violations of the structural and functional state of the spine, joints, musculo-ligamentous formations, blood vessels of the circulatory and lymphatic system and peripheral nervous system.

It is known that for the prevention and treatment of various injuries and diseases they use can massage, which is based on the reflex mechanism associated with irritation of the skin receptors by a vacuum formed inside a medical can (Dubrovsky V.I. All types of massage. M., 1993, pg. 305 and 306).

A known method of therapeutic and recreational effects on the human body through the use of medical vacuum jars in the implementation of static vacuum therapy, vacuum acupuncture (RF patent 2005496, IPC. Class A61M 1/08, publ. 1994).

There is also known a method of vacuum massage, in which the effect on the body is carried out by placing on the body a set of vacuum jars connected to each other by flexible connections and equipped with replaceable massage elements, with which you can produce a pulsating pinpoint effect on different parts of the body simultaneously (ed. USSR 1692575, IPC. A61H 9/00, A61M 1/08, publ. 1991).

The disadvantages of the known methods include the limited possibilities for their use and very low efficiency.

A known method of therapeutic and recreational effects on the human body according to patent No. 2179431 of 02.20.2002, IPC. A61H 9/00, including a vacuum therapy session by applying several vacuum jars to the patient’s skin.

In one session, a combined effect is carried out sequentially by the methods of static and kinetic vacuum therapy.

At the stage of static vacuum therapy, vacuum is set in banks in the range from 200 to 600 mm. Hg. Art. The exposure of cans in the process of static vacuum therapy is from 30 s to 3-10 minutes or more. At the same time, at the stage of static vacuum therapy, a horizontal-vertical differential pressure is created on the surface of the soft tissues by simultaneously placing several vacuum jars having a different neck diameter and the amount of vacuum installed in them, which does not change during the entire exposure time. Cans with an increasing neck diameter are applied to the areas of exposure on the patient’s skin along the course of the venous outflow, and then, after persistent hyperemia and / or extravasation occurs at the can’s location, they weaken the effect of the cans and carry out the stage of kinetic vacuum therapy by alternately moving the cans along the way venous and lymphatic outflows also have a physical effect by manual massage techniques on body parts exposed to vacuum therapy.

Several vacuum jars (usually 5–9) with different calibres are simultaneously applied to the surface of the body to be exposed: small — with a neck diameter of 0.5–4 cm, medium — with a neck diameter of 4.5–8 cm, large — with neck diameter 8-12 cm or more.

The optimal number of vacuum gradient therapy procedures is 7-11, carried out after 1-3 days.

The present invention is directed to the development of a highly effective method of treating the circulation of blood in the systemic vessels and vessels of the microvasculature of the multilayer soft tissues (it is in the depths of the tissues that the foci of ischemia and venous stasis are located, causing dystrophic changes in the soft tissues in the form of seals).

The technical result consists in increasing the therapeutic effectiveness of the impact on the hemodynamics of systemic vessels and the microvascular bed of multilayer soft tissues

The technical result is achieved by the fact that the method of therapeutic and recreational effects on the human body, including carrying out a vacuum therapy procedure by applying vacuum jars to the patient’s skin, is characterized by the fact that a cyclic local impulse of pressure force is performed, consisting in a short-term increase in pressure force with its subsequent decrease to minimum values, by changing the amount of vacuum in the bank, to the upper values in the range from -0.2 to -1.0 kgf / cm ² with a short exposure of 3-20 seconds and followed by a sharp decrease in the value of vacuum to values below -0, 2 kgf / cm ² , with cycle repeatability in one procedure at least 3 times on a problematic local area of the body surface.

The possibility of using local pulsed vacuum therapy on almost any part of the body surface: from 5 mm to 180 mm.

The pulsed vacuum therapy procedure is repeated with an interval of 1-3 days with the total number of procedures per treatment course in the amount of 1-13

The pulsed effect on a local area of the body surface is carried out in at least one vacuum jar.

At the beginning of the pulsed vacuum therapy procedure, vacuum cans are installed on problematic local parts of the body surface, after which they switch to a pulsed regime with certain exposure parameters: upper and lower limits of vacuum values, exposure (exposure duration) at the indicated upper limits and the number of cycles (repetitions) at least 3 times.

Based on experimental data, the minimum effective exposure time t _min (sec) at the upper values of the vacuum value is determined on the basis of the following dependence:

t _min = Jef / Pv, where

Pv - the upper value of the value of vacuum kgf / cm ²

Jef is the effective specific impulse of the pressure force acting on the unit area of the body surface area, (kgf⋅c) / cm ²

In this case, the minimum effective value of the specific impulse of the pressure force is obtained empirically = 3 (kgf⋅s) / cm ²

The values of tmin determined by the formula tmin = J eff / Pv = 3 / Pv for various upper values of the vacuum are shown in table. 1

Table 1

The upper value of the magnitude of the vacuum, RV, kgf / cm ² The minimum effective exposure time at the upper values of the vacuum, t _min , sec - 02 15 -0.3 ten -0.4 8 -0.5 6 -0.6 five -0.7 4 -0.8 4 -0.9 3 -1.0 3

The specific impulse of the pressure force is equal to the product of the vacuum force F applied to the unit area S by the time t

J = F / S x t (kgf x c / cm2), where

F - vacuum force, kgf

S - the area of the body surface area on which the impact is made, cm ²

The ratio of the vacuum force to the area affected by this force is the magnitude of the vacuum

F / S = Rv (kgf / cm ² ), where Rv is the vacuum value,

Therefore, for the same vacuum, whatever the body area under the can, for every cm2 we get the same force of exposure to vacuum kgf.

Each vacuum corresponds to a minimum exposure time at which an effect will be achieved, expressed as "... in increasing the therapeutic effectiveness of the action on the hemodynamics of systemic vessels and the microvascular bed of multilayer soft tissues."

Jef = Pв⋅ t _min (kgf ⋅c / cm ² ), where

t _min is the minimum effective exposure time at the upper values of the vacuum. Thus, a significant effect when using the developed method is achieved when the exposure time values (corresponding to the upper values of the vacuum) are as close as possible and exceed the values of t _min (as shown in the examples).

On the surface of the body exposed, at the same time can be installed one or more vacuum jars having a different caliber, with a neck diameter of 5 mm to 180 mm or more. Each can is equipped with an air outlet and a supply tube, through which they are connected to a vacuum apparatus that creates a vacuum in the cans. The vacuum and exposure are regulated both manually with visual control by a manometer, and in automatic mode with the parameters specified before the procedure and with the possibility of their adjustment during the procedure.

Vacuum cans are made of medical glass, ceramics and stainless steel. They have different linear dimensions and shape, congruent to the corresponding areas of the body, which expands their use in pathology of various localization.

The linear dimensions of the cans are highly variable and include a diameter of 5 to 180 mm. Small-caliber vacuum cans with a diameter of 5 to 40 mm - used in procedures on small areas, narrow anatomical spaces (face, nose, lips, eyelids, fingers).

Medium-sized vacuum cans - with a diameter of 45 - 80 mm - are used in vacuum therapy for almost the entire surface of the body.

Cans of large caliber - with a diameter of 90 to 180 mm - are necessary in vacuum therapy procedures mainly on large arrays of muscles of the back, gluteal region, and thighs, especially in people with large body weights.

Vacuum banks have a different configuration - round, oval, longitudinal, etc., i.e. functionally congruent form.

The penetration depth of the therapeutic effect of vacuum on multilevel vascular networks located in multilayer structures of soft tissues depends on 2 parameters: the magnitude of the vacuum and the area of the cans. Due to this, a pressure differential (force difference) is created in multilevel layers of tissues. On the one hand, the edges of the cans exert pressure on the multilayer vascular tissue, and on the other hand, the tissue is simultaneously drawn into the can by the force of vacuum. This is a vertical pressure gradient. The pressure force of the flange of the can and the reverse suction of the vacuum are approximately the same. At the same time, the force of vacuum, attracting a huge amount of arteriovenous blood, leads to the creation of mixed hyperemia in the site of exposure, and extravasates arising under the banks are indicators of venous stasis. Along with this, a horizontal pressure gradient is simultaneously established between tissue sites that are affected by banks of different strengths. The created horizontal-vertical differential pressure leads to the appearance of shear stress effect in the vessels. Shear stress in peripheral vessels means an increase in blood flow in multilevel tissues and an increase in blood pressure in the vessels.

The dependence of the force of action of vacuum cans on the diameter of the neck of the cans and the magnitude of the vacuum installed in them is shown in Table 2

table 2

The dependence of the pressure force of vacuum jars on the linear dimensions and the magnitude of the vacuum (kgf)

The magnitude of the vacuum, kgf / cm ² Diameter of cans, mm ten thirty 45 60 70 80 90 one hundred 150 180 -0.1 0.08 0.7 1,6 2,8 3.8 5.1 6.4 7.8 17.7 25,4 -0.2 0.16 1.4 3.2 5,6 7.7 10.0 12.7 15.7 35.3 50.9 -0.3 0.24 2.1 4.8 8.5 11.5 15.1 19.1 23.6 53.0 76.3 -0.4 0.3 2,8 6.4 11.3 15.4 20.1 25,4 31,4 70.7 101.8 -0.5 0.4 3,5 7.9 14.1 19.2 25.1 31.8 39.3 88.4 127.2 -0.6 0.5 4.2 9.5 16.9 23.1 30,2 38,2 47.1 106.0 152.7 -0.7 0.55 4.9 11.1 19.8 26.9 35.1 44.5 55.0 123.7 178.1 -0.8 0.6 5.7 12.7 22.6 30.8 40,2 50.9 62.8 141.4 203.6 -0.9 0.7 6.4 14.3 25,4 34.6 45,2 57.3 70.7 159.0 229.0 -1.0 0.8 7.1 15.9 28.3 38.5 50.3 63.6 78.5 176.7 254.5

Pulse vacuum therapy through decompression in each cycle promotes the movement of blood and other body fluids from the low-pressure region to the high-pressure gradient region.

As a result of this, according to the laws of classical pathophysiology, the kinetic energy of working arterial hyperemia “flushes” stagnant foci, washing and activating the endothelium of the vascular structures, each time filling with a fresh portion of arterial blood.

Vacuum banks push and pump numerous microcirculatory modules of the branches of blood and lymph vessels, while collecting blood, saturating and creating arteriovenous blood vessels in the area of pathological foci.

After removing the vacuum can, a wave of arterial blood supply with a powerful stream flushes the stagnant venous blood of the microvasculature into the veins of systemic hemodynamics. Under the influence of pulsed vacuum therapy, there is an increase in blood flow in numerous vessels located at different levels in the thickness of multilayer tissues, and a decrease in peripheral resistance to blood flow. One of the important mechanisms of pulsed therapeutic effect is the stimulation of the release of nitric oxide and prostacyclin by the endothelium. In this case, the fibrinolytic activity of the blood increases. This is the result of the so-called shear stress effect (an increase in blood flow and intravascular blood pressure) that occurs when pulsed blood vessels are exposed to pressure.

Thus, a pulsed vacuum therapy method has been developed that can be used to prevent and treat a wide variety of diseases of the musculoskeletal system

The positive therapeutic effect of this approach is due to a powerful increase in blood supply to local dystrophic foci (densities) in the soft tissues, relaxation of muscle structures and activation of the synthesis of endogenous opiates, which provide a pronounced analgesic effect.

The invention is illustrated by specific examples.

Example 1

Patient A., 35 years old. Upon admission, she complained of severe pain in the right gluteal region, with radiation to the thigh and lower leg, numbness in the right leg. A feeling of heaviness in both lower limbs. Suffers for about 1.5 years. Exacerbation of pain occurred after intense physical activity associated with hopping elements. After that, she was treated on an inpatient and outpatient basis, took analgesics, vitamins, electrophoresis, paravertebral novocaine blockade, amplipulse, acupuncture. After treatment, there was some improvement, but the muscle pain syndrome resumed with the same intensity. Objectively: with deep palpation in the gluteal region in the area of the sciatic nerve exit, a 3.0 × 5.0 cm thick seal was found on the right, very painful, as well as severe muscle tension of the lumbar region and limitation of spinal mobility, pain when pressing on the spinous processes of L4-5 and S1-2 vertebrae and at paravertebral points on the right and left, a positive symptom of Laseg at 35-40o. Radiography of the lumbosacral spine revealed narrowing of the gap L4-5 vertebrae, degenerative changes of the vertebrae L1-L5, osteochondrosis of the disk L1-L2.

Diagnosis: lumbar osteochondrosis, discogenous lesion of L5-S1 roots on the right, acute muscular-fascial pain syndrome of the gluteal region on the right.

In the process of therapeutic and recreational exposure, the patient was treated according to the method of pulsed vacuum therapy. Initially, preliminary preparation was carried out by using gentle techniques for manual massage of the back surface, gluteal region and legs. During the vacuum therapy procedure, the back, lumbar and gluteal regions on the right and left, as well as directly on the region of the spinous processes of the L1-5 and S1-2 vertebrae, used a set of vacuum jars of different caliber. A pulsed effect was applied in the working range of vacuum values up to -0.7 ... 0.9 kgf / cm ² in several banks, with an exposure of 15-20 seconds (in the upper range of values) and 7-10 seconds in the lower value of the range -0, 15 ... -0.20 kgf / cm ² . On the lower extremities, vacuum cans were applied simultaneously over the entire length of the posterior and posterolateral surfaces of the limb. At the site of maximum pain (gluteal region on the right)

In this mode, the procedures were carried out in repeatable cycles 3-5 times on a problematic local area of the body surface, changing their configuration. The treatment was performed on an outpatient basis. Immediately after the procedure, the patient noted a significant decrease in pain, relief came in both lower limbs, there was a feeling of lightness, "airiness" of the legs. On the next day after the HBV procedure, the patient completely disappeared the phenomenon of pain in the lumbar region and right gluteal region. To consolidate the results of treatment, 3 more procedures of AHT were performed. Objectively, on the 13th day there are no complaints, the movement in the lumbar spine is free, there is no pain during palpation of the spinous processes of L4-5 and S1-2 vertebrae and at paravertebral points, there are no symptoms of muscle tension, the sensations of numbness in the right leg disappeared. When re-examined after 1 and 6 months after treatment - no complaints.

Example 2

Patient Z., 55 years old. He complained of tingling, numbness of the 1st, 2nd and 3rd fingers of the right hand, sharp pain when moving with a brush, weakness and awkwardness in the brush when picking up objects. Often bothered by night pain in the hand, which did not stop with painkillers. Sick about 1 year. He was treated on an outpatient basis, took analgesics, vitamins, electrophoresis, massage, ultrasound, acupuncture. As a result of treatment, there was a short-term improvement, the intensity of the pain decreased, but they continued to bother, especially at night.

Radiography of the cervical and thoracic spine showed: the presence of pronounced signs of osteochondrosis at the level of CV-CVII and ThIII-ThVI vertebrae (thickening and unevenness of the end plates, anterior and posterior marginal osteophytes).

Diagnosis: osteochondrosis of the cervicothoracic spine. Tunnel syndrome (carpal tunnel syndrome). Myofascial pain syndrome of the right hand and wrist joint.

The patient was prescribed outpatient treatment with pulsed vacuum therapy. The procedure was performed on the entire surface of the right hand: the region of the shoulder joint, forearm, region of the wrist joint, back and palmar surfaces. A symmetric left arm was also vacuum applied. A combination of static and pulsed vacuum therapy was used. In the static mode, congruent-shaped vacuum banks were set in the range of vacuum values of -0.2 ... -0.4 kgf / cm ² with a total exposure of 30 s to 5 minutes.

In this case, an impulse effect was carried out directly on the area of the pain syndrome on the problematic local area of the body surface using the range of vacuum values:

- 0.9 ... -1.0 kgf / cm ² at the upper limit of values, with an exposure of 7-10 seconds,

- 0.15 ... -0.2 kgf / cm ² at the lower boundary of the values of 3-5 seconds,

Repeatability of cycles in one procedure 5-7 times on a problematic local area of the body surface.

During the procedure, the configurations for setting vacuum jars were changed. After the procedure, the patient noted a decrease in pain in the arm, wrist joint and hand, and after 1 hour - the complete disappearance of the pain syndrome. In the future, after 3 days, the absence of pain, numbness, tingling was noted, the function of the arm and hand was restored, sleep was stabilized. In order to consolidate the positive results, 2 more procedures were performed. The patient was observed for 1 year, the condition is stably good.

As can be seen from the above examples, the therapeutic effectiveness of the effect on the hemodynamics of systemic vessels and the microvascular bed of multilayer soft tissues is enhanced.

Claims (10)

1. A method of therapeutic and health-improving effects on the human body, including carrying out a vacuum therapy procedure by applying vacuum jars to the patient’s skin, characterized in that a cyclic local impulse of pressure force is performed, consisting in a short-term increase in pressure force with its subsequent decrease to minimum values, by increasing the vacuum in banks to upper values in the range from –0.2 to –1.0

with a short exposure of 3-20 seconds and with a subsequent sharp decrease in the value of vacuum to values below –0.2

, with cycle repeatability in one procedure at least 3 times on a problematic local area of the body surface. 2. The method of medical and health impact on the human body according to claim 1, characterized in that the minimum effective exposure time at the upper values of the vacuum value tmin is determined based on the following relationship: tmin = J eff / Pv, s, Where J ef is the effective specific impulse of the pressure force acting on a unit area of a body surface area,

, the minimum effective value of the specific impulse of the pressure force was obtained empirically = 3

, Pv is the upper value of the vacuum value,

. 3. The method of therapeutic and recreational effects on the human body according to claim 1, characterized in that the pulse vacuum therapy procedure is repeated at intervals of 1-3 days with the total number of procedures per course of therapeutic and recreational effects in the amount of 1-13. 4. The method of therapeutic and recreational effects on the human body according to claim 1, characterized in that they apply local pulsed vacuum therapy on a portion of the body surface from 5 mm to 180 mm. 5. The method of therapeutic and improving effects on the human body according to claim 1, characterized in that the pulsed effect on the local part of the body surface is carried out in at least one vacuum bank.