SU1736510A1 - Method of treating post-trauma contractures of soft tissue structures - Google Patents

Abstract

The invention relates to methods for the conservative treatment of patients with post-traumatic contractures of various joints associated with injury to the fibrous structures of the limbs. In order to improve the functional performance of the injured joints and shorten the treatment time, the pathology zone is affected by an induced electric field with a frequency of 0.8-2.5 Hz, a strength of 0.05-0.1 V / m with a duration of voltage fronts and a drop in impulses. 50 ± 10% of the total pulse duration. The duration of the procedure is not more than 60 minutes; The course of treatment is 5-25 procedures. 1 tab. (L with

Description

The invention relates to medicine, in particular, to methods for the conservative treatment of patients with post-traumatic contractures of various joints associated with damage to soft tissue structures.

Methods for treating this pathology are known, consisting in applying electrophoresis with various preparations.

The above methods of treating contractures are applied at a rather late time from the moment of injury (after 1-3 months), since this effect is based on deep warming and mechanical stimulation of soft tissues and in the early stages such therapy promotes fibrosis (scarring) and ossification of tissues in the joints.

Every attempt to reconstruct with traditional methods

entails the aggravation of the pathological process.

The development of contractures is based on processes that lead to muscle ischemia of the surrounding joints. Therefore, for the prevention and treatment of contractures, it is advisable to use factors that normalize blood circulation in the damage zone.

Closest to the invention is a method of treating post-traumatic contractures by electrophoresis with lidaza.

However, deep warming of soft tissues in the joint area in a known manner can lead to fibrosis and ossification in a given area.

In addition, additional medical devices (lidaza, ronidaza) are necessary for the procedure, and to achieve positive results

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a long course of treatment is several months.

This indicates the possibility of allergic reactions to the drug in the form of skin manifestations, which requires interruption of the course of treatment.

The disadvantages of this method are the impossibility of carrying out in the acute period due to the threat of complications (fibrosis and ossification) and the impossibility of direct contact with the skin in the joint area, since the latter is covered with immobilizing straps.

In the development of joints, painful sensations of varying severity are possible, and the start of the application of the method is possible only after removing the immunizing dressing.

The purpose of the invention is to improve the functional performance of the joint and reduce the duration of treatment.

The goal is achieved by the fact that, according to the method, an induced electric field is applied to the pathology zone with a frequency of 0.8-2.5 Hz, with a intensity of 0.05-0.1 V / m, with a duration of voltage fronts and a fall of field pulses 50 ± 10% of the total pulse duration of 15-30 minutes with a course of 15-20 procedures.

Depending on the operating modes and configuration of the acting part of the CASCADE apparatus, bioelectric signals are generated that are adequate to occur in bones, in the reference period of the step; in the wall of a blood vessel - during the passage of a pulse wave. Such potentials are significant for the functioning of many body systems, their compensation in various pathological conditions due to the source of external electromagnetic influence gives a pronounced pathogenetic therapeutic effect, which is based on improved regional blood circulation and blood rheological properties, remission of edematous effects and anesthetic effect, a decrease in blood vessel tone, an increase in POA and a decrease in PC02 in tissues.

It has been found that during exposure, an increase in blood flow occurs due to a decrease in arterial vascular resistance, and then due to a decrease in venous vascular resistance. This pattern is preserved at different parameters of the EME, only the time and the severity of the phases are measured.

New in the proposed method is that relatively low frequencies (0.8-2.5 Hz) are used for therapy, since

It was found that the most pronounced increase in the stroke volume of blood in the limb segment occurs in the frequency range 0.8–2.5 Hz.

In addition, during treatment

procedures, the amplitude of the intensity of the induced electric field ranged from 0.05 to 0.1 V / m, since it was found that the maximum value of the excess

0 volume of blood during the procedure is achieved in this range of amplitudes of intensity.

The duration of the treatment procedure itself should not exceed 15-30 minutes, since

5, it has been established that the pronounced maximum of positive changes in the stroke volume of the patient’s blood during an EMV session is observed in this time interval.

0 Proved to be of great importance

form (parameters of the pulse itself - the ratio of the duration of the rise and fall of the current pulses in a solenoid system of 1: 1 is applied).

5 Example 1. Sick E., 6 years. Diagnosis:

flexion-extensor contracture of the left elbow joint after suffering Mantej damage (dislocation of the radial head and fracture of the diaphysis

0 ulna). The duration of injury 2.5 months.

The reposition was closed and the plaster longget was applied. After removing the plaster splint after 1.5 months. started a course of physical therapy in conjunction with the mass. This treatment was carried out for 1 month. When contacting hospital number 13 named. N.F. Filatov flexion angle of the left elbow joint is 90 ° (at a rate of 35 °), the extension angle is 160 ° (at a rate of 180 °), which is

0 physiologically disadvantaged position, because the patient can not serve themselves.

A course of electromagnetic action on the left elbow joint was conducted (a course of 10 sessions daily for 20 minutes with

5 with a frequency of 0.8 Hz, a floor intensity of 60-80 mV / cm). After completing the course, the bending angle is 50 °, the extension is 175 °. After a month of observation, the angle of flexion is 40 ° and extension to 180 °. No additional treatment was performed; the regimen was common.

Example 2. Patient D., 12 years. Diagnosis: flexion-extensor contracture of the right elbow joint after a fracture of the capitate elevation of the right

5 humerus. He suffered an injury 4 months ago, Lechils 3 weeks in a plaster longuet. After the gypsum splint was removed, a course of exercise therapy and massage was performed, as well as electrophoresis with lead number 10. Despite the intensive rehabilitation therapy, the range of movements

remained insufficient: flexion of 60 ° and extension of 120 ° (at a rate of 180 °). There was pronounced hypotrophy of the muscles of the right forearm. A course of electromagnetic action on the area of the right elbow joint No. 14 was conducted daily for 50 minutes, the frequency of exposure was 2.5 Hz, the intensity of the electromagnetic field was 40-60 mV / cm. After the end of treatment, flexion of 45 ° and extension of 170 °. After a month of observation, 40 and 175 °. Common mode. When viewed through 2 months. movement in full. Additional treatment was carried out after EMW.

Example 3. Patient F., 9 years. Diagnosis: post-traumatic contracture of the left elbow joint. For 2 months suffered a fracture of the left ulnar process before treatment. A 3-week plaster cast was applied. Due to the lack of consolidation osteosynthesis was performed. After removal of the Kirschner spokes, flexion to 80 ° (norm is 35 °) extension of 50 ° (norm is 180 °). Conducted 7 sessions of EME daily for 20 min with a frequency of 2.5 Hz and an EMF intensity of 40-60 mV / cm. After termination of EMW

0

flexion to 50 °, extension 175 °, through the month c movement in full. There was no additional treatment after EMW, the general regimen.

This method is applied in the treatment of 28 patients. No child has any complications. The effectiveness of therapy in the treatment of contractures is 100%, the prevention of contractures was carried out in 6 patients.

Claims (1)

The invention The method of treatment of post-traumatic contractures of soft tissue structures, including the effect of an electric field, is due to the fact that, in order to improve the functional performance of the joint and shorten the treatment time, the effect is carried out on the pathology zone by an induced electric field with a frequency of 0.8- 2.5 Hz with a voltage of 0.05–0.1 V / m, with a duration of voltage fronts and a pulse decay of 50 ± 10% of the total pulse duration of 1530 min with a course of 5–25 procedures. Comparison of the distinguishing features of the prototype and the proposed method Comparison Sign A few months Deep warming Impossible and contraindicated Deepening Cicatricial Contractures Enzymes and other scarce drugs The possibility of allergic reactions Direct contact with the skin of the electrodes is necessary. Only after the removal of plaster casts. The procedure is possible only with intact skin. Prototype Proposed method 10-15 sessions No Possible and shown No Not Required No, I don't need Immediately after entering the sick The presence of a wound is not a contraindication.