SU1268163A1 - Method of rehabilitation of patients having cerebral pareses and paralyses - Google Patents

Abstract

This invention relates to medic. cine. The purpose of the invention is the reduction of rehabilitation time. Stimulation of the motor zone of the scalp and auric zones is carried out with bipolar impulses of duration 0.5-2 ms, frequency 5-12 Hz, current density 0.8-1.0 mA / cm. The time of exposure to a burst of pulses is 1-2 s, pause 4 s. During the pause, paretic limbs are stimulated. In this case, the current alternately for 3-5 s is supplied to the muscle groups of agonists and antagonists to a noticeable reduction in them. Bipolar pulses with a duration of 0.5–2 ms, a frequency of 20–100 Hz, and a current density of 0.8–2 mA / cm are also used. A session lasts 20-30 minutes. A course of treatment is 20 procedures. 1 tab. to about 00 o5 her

Description

This invention relates to medicine and can be used in neurological, neurosurgical, and physiotherapeutic practice. The purpose of the invention is the reduction of the terms of rehabilitation due to the tranks of the Cranial and Auricular Electro; Stimulations of the motor zones of the brain and paretic limbs. . The method is carried out as follows. After establishing a clinical diagnosis, the motor area of the scalp is determined by known methods. Acupuncture needles 6 cm long are inserted into the homolateral motor zones of the rock. One needle is inserted from the midline of the hollow downward (along the outlined line) and the other from the temporal region upwards. On the side of the paresis or paralysis, according to the topographic map. On the auricle, zones corresponding to the paretic limbs are defined, where acupuncture needles are subcutaneously inserted through the entire zone of the limb. Thus, the hand zone captures 64, 65, 66, 67 auric points and, through them, protrude one acupuncture needle. The Foot Zone includes 46, 48, 49, 50 aypHKy blues and a needle is also drawn through them. After this, the needles are connected in pairs to the stimulus torus. The berhnuya needle in the scalp is connected to the auricle with a needle inserted into the foot zone, and the lower needle in the scalp with the needle in the hand zone. At the same time, the lamellar electrons are fixed on the paretic end-points for stimulating the mpps agonists and antagonists of the legs, thighs, and also the muscles of the shoulder and the forearm. Stimulation of the motor zone of the scalp and auric zones is carried out with bipolar pulses with a duration of 0.5–2 ms, a Hz frequency, and a current density of 0, 0 mA / cm. The time of impact of a burst of pulses is 1-2 pause 4 s. During the four-second pause of drainage, stimulation of the paretic limbs is activated. In this case, the current is alternately applied for 3-5 s to the muscle groups of the agonists and antagonists, to noticeably reduce them. Bipolar pulses of 0.5–2 ms, frequency 20–100 Hz, current density 0.8–2 mA are also used. / cm “The procedure as a whole is as follows. Within 2 seconds, the motor zone of the scalp and auricular zones are simultaneously irritated, then 2 seconds are sent by electrical impulses to / agonists and antagonists, then again the motor zone of the scalp (2c) and auricular zones, paretic limbs and TD. A session lasts 20-30 minutes, and an average of 20 procedures are required for a course of treatment, especially in severe cases. Up to 30 procedures are carried out in one course. Example 1. Freestyle R., 30 years old, a disabled person of group I, was admitted for treatment at the neurological department of a clinical hospital with complaints of marked weakness in the right extremities, speech disorders. During a sore throat with a high temperature, 3940 lost consciousness and developed right-sided hemiplegis over several days. The treatment in the district hospital was 1.5 months, then was sent to the Research Institute of Neurosurgery to conduct contrasting research on the Data for the brain tumor process was not obtained. After that, he was transferred to the regional hospital - the neurological department, where he received the usual treatment. The condition of the patient has not improved significantly, the 1st disability group has been established. Further, the patient was treated annually in the n 2urology department, however, no noticeable improvement was noted. The diagnosis for this admission: residual effects of transferred encephalitis in the form of right-sided deep hemiparesis and motor aphasia. On examination: significantly pronounced elements of motor aphasia and, to a lesser extent, sensory aphasia, right-sided deep spastic hemiparesis, predominantly of the brachiofacial type with pathological reflexes of Babinsky, Rassolimo, Oppenheim. Pathological reflexes are also caused on the left, but they are less clear. The gait is paretic with Wernicke-Mann elements ,, Strength n leg 3.5 points, arm 3 points. On ZEG: at the time of examination of convulsive readiness was not revealed (in the past, the patient had generalized convulsive seizures). Predominantly cerebral changes in the bioelectric activity of the brain are noted.

3

Rheoencephalographic: REG - curve-wah is regular, waveform is slightly changed. There are signs of venous congestion, as well as a decrease in the blood supply of the cerebral vessels in the turbus basilar system without asymmetry on both sides. The functional capacity of the vessels of this division is reduced; Echoencephalographic marked dilation of the third ventricle to 10 mm.

A patient, in addition to drug therapy, had previously used lice (bioquinol, B vitamins, glutamic acid, prozerin, pirace there, benzonal, cerebrolysin), and the treatment according to the proposed method was started.

The motor zone of the left scalp, auricular points, stimulation zones of the paretic muscles, etc., are determined.

The following electrical parameters are used: pulses and auric points feed pulses with a length of 1 ms, a frequency of 5 Hz, current density of 0.9 mA / cm, pulses with a length of 1 ms, a frequency of 80 Hz, and a density of 1 ms. 1.5 mA / cm current

The first day of the procedure lasted 10 min., On the following days, a min. In total, 15 sessions of combined electro-stimulation were given.

It is characteristic that, after each session, a pronounced decrease in tone in the paretic limbs, on average per hour, occurred. The patient at that time was able to do physical exercise more freely. It is noteworthy that the disruption of speech disorders was also gradually restored, which exerted a special, but strong emotional impact on the patient, which made him exercise physical activity with redoubled energy.

After 15 sessions of this electrostimulation were carried out in an objective status, it was noted that the decline in tone in the paretic limbs, while walking, the position of Vernica Mann was hardly noticeable, the pathological symptoms on the left (healthy) leg disappeared. The vocabulary increased during the stay in the hospital by 25 words. Significantly improved REG - indicators: increased blood supply to the brain and decreased venous congestion

68163

The follow-up period of 7 months is re-examined by VTEK. The II group of disability is established. He is intensively engaged in physical therapy, vocabulary increased to 120 words.

Example 2. Patient Y, 43 years old, disabled ll group, was admitted for treatment at the neurological department of the regional clinical hospital

10 regarding residual effects of acute cerebrovascular accident in the form of right-sided hemiparesis, elements of motor aphasia. Medium diabetes mellitus,

15 Use the proposed method of treatment, affect the motor area of the scalp on the left, the auricle on the right. And on the paretic limbs. Electrical signal parameters at

20 auricular zone and scalp zone: impulse 2 ms long, frequency 10 Gd, current density 0.8 mA / cm. On the muscles of the paretic limbs serves pulses of a length of ms, a frequency of 60 Hz

25 at a current density of 2.0 mA / cm,

A total of 15 procedures. A practical recovery of speech was noted, and the strength in the paretic limbs increased considerably. Discharged from

30 divisions. Examination after 4 months, feels satisfactory. Started to perform the duties of the watchman, a disabled person of group III,

The table shows the treatment time.

- and the results of rehabilitation of patients with cerebral paresis and paralysis by the known and proposed method.

Claims (1)

Invention Formula A method for the rehabilitation of patients with cerebral paresis and paralysis by acupuncture needles, 5 characterized in that, in order to shorten the rehabilitation period, the needles are inserted into the homolateral scalp motor zones and auricular points specific to the lesion and pass bipolar electric points through them impulses with a duration of 0.5-2.0 ms at a frequency of 5 - 12 Hz and a current density of 0.8-1.0 mA / cm for 1-2 seconds, then the same pulses at a current of 0.8-2.0 mA / cm through the skin electrodes on the paretic mass for 3-5 seconds. Pr “for long” in (lOOr) 48,, 926 (29.21) t, -2.07 f ,, i 0.05 no. “l.trosting- (, OOH) 66, hi6,827 (I7,1Z) H. -2.20 R, 0.05 And..sgmy 80 (100X) | 97.9.12,415 (18.8X) It, .. 3.64 I,., 0, OOG I (1.11) X - 9.2 P,., 0.01 2 (1.2X) Xj :, - 7.7 P,., 0.01 5 (6.2Х) Xj., 26.5 Р „," 0.001