SU1304822A1 - Method of treatment of patients ill with osteochondrosis of the spine with neurologic symptoms - Google Patents

Abstract

To reduce the time to pain relief, electrodes are placed on the projection area of the lesion. Electrocurrent pulses of 2-5 mA of a two-polar form are supplied with a steep front edge of at least 10 A / s and a flat falling front. A part of the reverse polarity pulse is 5-10 times longer, and the energy equal to the part of the forward polarity pulse, the pulses are modulated in amplitude by non-sinusoidal oscillations with a frequency of 50-200 Hz, served 1-2 minutes with pauses of 15-25 seconds . The duration of the procedure is 20-35 minutes daily or every other day. 2 tab. 00 o 4 00 yu

Description

The invention relates to medicine, namely to neurology, and can be used in the treatment of bo. spinal osteochondrosis.

lie.ib invention - reduction of terms | || iro1) pain syndrome due to an increase in the surface of exposure.

The method is carried out as follows.

Electrolytes impose on the projection area of the pathological focus, sacrum, knee joints and thighs, calf muscles (or groans) of both legs and nodal impulses of electric current up to 5 mA of two-sided form with a steep front front not less than 10 A / s and a flat back front, and a part of the inverse polarity has a length of 5–10 times longer; 1ness, and an energy equal to a part of the pulse is a direct zero ppNOST1G. The pulses modulate 110 amplitudes with non-sinusoidal oscillations with frequency

50200 Hz and Nod 1-2 1-2: with pauses

15 -25 s for 20-35 minutes daily or every other day.

The parameters of the pulses are trapezoidal. Modulation. Such a nature of the change of impulses, but this or another law allows to completely exclude the adaptation of an organism to even the most insignificant;

The pulse frequency varies from 50 to 200 Hz. Frequency modulation is produced by a modulator, which is also used in synthesizers for various (iioi4) assignments, including 1e and electronic clocks, mea: 1x calls, and so on.

Example 1. Patient V., 57 years old. Diagnosis: oste (x; o11droz in the lung region; protrusion of the Li-disk Lr ,, Left-sided radicular syndrome.

Suffering from osteochondrosis since 1980. Last exacerbation of asthma 1 month ago, but about what he was treated on an outpatient basis by various physiotherapeutic factors, including electrostimulation in animathe Stimulus-1. No noticeable healing effect was obtained.

Objectively: the measured smoothness over the s1pchnyh lordosis, iravsrtebra мnye nypitsy tense, painful1) G, dvizhesh t ii to the voice of the ogpopennyi borozlepenny. Severe pain in the palpation of the spinous processes of the posterior vertebrae, in the area of the left buttocks, thigh and 1 inch, decreased sensation along the outer-posterior or posterior region (.1 of the left thigh and tibia.

He was advised in the laboratory of pathophysiology and pathology.

Started e.chectrostimuli neuromuscularity of the apparatus of the back, left year, thigh and tibia according to the developed technique. Four flannel gaskets with an area of 600 cm - each, moistened with warm water (without medicinal substances), 1 were placed: one pair - pa but lumbosacral region - 1304822

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the region and the left one; the second - on the posterior-outer surfaces of the left thigh and tibia. Each pair of electrodes was connected to the corresponding channel of the apparatus and for each stimulated segment a selectable optimum current mode. The average current of the first pair of electrodes is 5 mA at the threshold of onset of sensations 4.5 mA, the second pair of electrodes is 5 mA at the threshold of sensations 4.6 mA. Impulses were given with pauses 15-25 s

Q every 1-2 minutes The steepness of the leading edge of the current pulse (when measured on the non-inductive niynT., 0, l Ohm) is 2X A / s. The duration of the EIS procedure is 30 minutes. The patient tolerated the procedures well. Their effectiveness was noted after

5 of the first session: pain in the face and feeling of "numbness in the left leg." Procedures were carried out daily. The duration of anesthetic effect with each procedure increased. By the end of the course (10 sessions), the numbness in the left leg completely disappeared, and in the lumbar region: 1) there remained only weak thuy painful sensations, which did not have much pain.

During the period of EIS, the Bolshoy was not treated with other physical factors. Upon completion of the EIS course, the patient is transferred to ultrasound therapy for underwater massage. In tab. 1 cites the data of biomechanical research in this patient B (tenso-dynamometers).

These tenso-dynamometry show

0 a significant improvement in the functional state of the lower extremity muscles after the treatment - an increase in their strength characteristics.

Electromyography data carried out before treatment and after the course of exposure

5 EIS (10 sessions), also indicate an improvement in the function of the neuromuscular apparatus of the nursing co-operation: -1facilities, which is manifested in an increase in the bioelectric activity of the muscles by an average of 60%.

Example 2. Ill L., 33 years. Diagnosis: osteochondrosis of the lumbar spine with severe pain syndrome. Pain in the respiratory region is constant, aggravated by movements, radiating to both the legs, knees, lower legs and feet. Feeling of "numbness in the left leg.

In February 1986, on an outpatient basis, she conducted a course of ultrasound therapy and electrostimulation on the Stimul-1 apparatus, the effect is insignificant, and therefore she was admitted to the hospital of the Institute.

Objectively: the lateral lordosis is smoothed, the paravertebral muscles are strained, movements in the spine are limited, and diseases.

Palpation: painfulness of the spinous 5 processes and in the region of the vertebral zones along the spokes, as well as along both sciatic nerves in the area of the taiga, femur and tibia, more to the left. Hypostezi spine0

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type in the area of the posterior-outer surface of the left thigh and tibia.

Diagnosis: osteochondrosis with compressive radicular syndrome and bilateral lumbar ischialgia.

Manual therapy was performed, after which the patient received an electropulse stimulation of the neuromuscular apparatus of the back and both lower extremities according to the following procedure. Six flannel gaskets, a plou, adyu 600 cm each, moistened with warm water (without drugs), were superimposed: two - paravertebrally in the lumbosacral region with the capture of the hips, two - circularly on the posterior-outer surfaces of both thighs and knee joints, two - on the legs, partially capturing the foot. Each pair of electrodes was connected to the corresponding channel of the apparatus, and for each segment an optimal current mode was individually selected. The average current of the first pair of electrodes is 4 mA at the threshold of the onset of sensations 3.5 mA-, the second pair of electrodes is 5 mA at the threshold start of sensations 4.5 mA, the third pair is 4.8 mA at the threshold start of sensations 4.3 mA. The pulses were given with pauses of 15-25 s every 1-2 minutes. The steepness of the leading edge of the current pulse (as measured by a non-inductive shunt, 1 Ohm) A / s.

For: - the effectiveness of the procedure is 30 minutes. Already after the first procedure, the patient noted a reduction in pain and tension in the back muscles, after the fourth - a significant decrease in the feeling of numbness in the left foot and lower leg, and posture improved. The duration of the analgesic effect was increased with each subsequent procedure. By the 10th procedure, the feeling of “numbness in the left leg completely disappeared. No other physiotherapeutic procedures were performed during the EIS period. The patient notes a faster and better therapeutic effect as compared with the treatment carried out earlier (in February) on the Stimulus-.

In tab. 2 shows the data of tenzo-dinamo.metrii in this patient L.

The improvement in tensor-dynamometry indices confirms a reduction in the pain syndrome of the E-backbone and lower limbs and an improvement in the functional state of the first limb apparatus.

Example 3. Patient L., 38 years old. He complained of pain in the lumbosacral spine, radiating to both beggars, more to the right leg and foot. Suffering from osteochondrosis for more than 5 years. The last exacerbation is associated with hypothermia and heavy physical exertion.

Objective: flattening of the lumbar lordosis, restriction of movements in the lumbar spine, w. Moderate stress

paravertebral caps, their tenderness to palpation, as well as on the right sciatic nerve in the area of the taiga, femur and tibia. Hyposteses in the posterior-outer surface of the right thigh and tibia. Diagnosis: osteochondrosis in the lumbar spine with bilateral lumboschialgia, more to the right.

Treatment: electropulse stimulation of the neuromuscular system according to the next

0 method: 3 pairs of flannel pads, moistened with warm water, fit: one pair - on the opiate-sacral region of the vertebra. with the seizure of annual areas, the second - on the outer-rear surfaces of the thighs, a third - on the rear-outer surfaces of both tibia. Each pair of electrodes was connected to the corresponding aiinapaTa channels. For each segment, optimal current parameters were selected. The average current of the first pair of electrodes is 2 mA (the threshold onset of sensations in the patient appeared at 1.6 mA), the average current of the second pair of electrodes is 2.5 mA (the threshold onset of sensations is 2 m.4), the average current of the third pair of electrodes is 2 , 8 mA (threshold of onset of impaction 2.3 mA).

5 Pulses were given with pauses of 15-25 seconds every 1-2 minutes. The steepness of the leading edge of the current pulse (when measured on a non-inductive 1 pound .1 ohm) 2 X.

The first EIS session lasted 20 minutes.

0 After the procedure, the patient noted a distinct relief - yMenbnjenHe of pain in the limp and both legs. Subsequent sessions were held for 30 minutes daily. After the 4th procedure, the patient considered himself recovered. The remaining insignificant dull pain and some tiredness of the muscles of the back after a seat did not prevent him from starting his previous work.

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Claims (1)

Invention Formula A method for treating patients with spinal osteochondrosis with neurological manifestations, including an impact on the projection of the lesion with a pulsed current, characterized in that. As a result, reducing the time for stopping the pain syndrome by increasing the surface of the effect, impulse current is additionally applied to the corresponding metamer for 1-2 minutes with pauses of 15-25 sec. of a current from 2 to 5 mA of a two-pole form with a steep front edge of at least 10 A / s and a gentle rear front, with some of the reverse polarity impulse having a duration of 5-10 times, and an energy equal to the part of the pulse of direct polarity, while the pulses are modulated in amplitude by non-sinusoidal oscillations with a frequency of 50–200 Hz. Before treatment with EIS Table 1 table 2