A method of treating post-traumatic neuroelectronic dystrophy of the upper limb

 

(57) Abstract:

The invention relates to medicine, traumatology. Carry out the ultraviolet rays on acupuncture points in 1-2 days. In the days free from physiotherapy, massages points brake method. Then give the brush the maximum position of extension. Fix the brush in this position, causing the protein of the egg. The method normalizes phosphoric-calcium metabolism, promotes the formation of vitamin D, normalizes metabolic processes, simple in execution. table 2.

The present invention relates to medicine, namely to traumatology and can be used to treat post-traumatic neuroelectronic dystrophy of the upper limb (Sudeck).

Fractures of the forearm bones make up 25.3% of all injuries to the musculoskeletal system, and among them the proportion of fractures of the distal radial bone in adults account for nearly 90%.

Among the causes of disability, 12.5% of cases are caused by injuries of the hand. Not all patients recovery period runs smoothly. Particular difficulties arise in the rehabilitative treatment of painful contractures with signs angiomata in 10-40% of patients. Especially often it occurs in elderly patients with concomitant injuries to the tendons and nerves.

The time of treatment of Sudeck conventional methods is on average 6-8 months, and 1/3 of the patients out on disability. In this regard, there is a need to develop new, more effective and affordable methods of treatment of Sudeck.

There is a method of treatment neuroelectronic dystrophy of the upper limb, including effects on the body ultrasound in the pulse mode and the additional effects of the acupuncture channels and auricular acupuncture point (A. S. N 1537254, USSR, MKI A 61 H 39/00, 1990). However, this method has the following disadvantages: the method is rather complicated, to make the impact should a specialist acupuncture. In addition, there is a danger of initiation during the procedure. In addition, exposure to ultrasound has contraindications - hypertension, ischemic heart disease, angina, neurotic disorders, endocrine diseases.

The closest technical solution is a method of treating post-traumatic neuroelectronic dystrophy of the upper extremity, including the impact on cacciotti), The owls. medicine 1978, No. 7, S. 122-125).

However, this method is complex, requires special expensive equipment, specialists. In addition, it has side effects and contraindications.

The purpose of technical solution is simpler and cheaper way.

This objective is achieved in that the patient carry out the ultraviolet rays on acupuncture points MC6, TR5, QJ4, JQ3, BT107, MC9 sequentially with 0.5 to 5 minutes on each point of the visual doses of 1-2 days 6-10 times and free from UFO spend days massage these points brake method, and after the massage, tassels give the physiological position and fix, put protein chicken eggs for 2 hours or more.

Comparative analysis of the prototype shows that the proposed method differs from the known fact that the influence exercised by ultraviolet light on acupuncture points MC6, TR5, QJ4, JQ3, BT107, MC9 from 0.5 to 5 minutes on each point sequentially, visual doses of 1-2 days 6-10 times, free from the effects of day massages the same points of the brake means, and after the massage, give the brush a position of maximum extension and fixed it, put chicken protein Jayatilleka "novelty."

The analysis of patent literature showed that the proposed method differs not only from the prototype, but other known solutions in this and related fields.

We have not found ways to treat post-traumatic neuroelectronic dystrophy of the upper limb, where would apply UFO proposed biologically active points on the proposed scheme, and the combination of UFO data points and massage. In addition, we have found methods of treatment in which the treatment position (fixation of the brush in this position) was performed with the help of a protein mask. And the proposed modes allow you to achieve a good clinical response, including the patients of elderly and senile age. The impact on the BAT by way of the UFO, similar to ultraviolet light, normalizes and phosphorus metabolism, promotes the formation of vitamin D in the skin and other biologically active substances, increases the protective forces of an organism, normalizes metabolism and functional status of the sympathoadrenal system, the desensitization of the body and reduce pain sensitivity. The method is simple, affordable, does not require expensive equipment and drugs, virtually no prbi clinic and hospital, in rehabilitation, sports clinics, etc.

Thus, the proposed solution meets the criteria of the invention "inventive step" and "industrial applicability".

The method is as follows. The patient is seated on a chair. Under the brush enclose the pillow, so that the brush was on the same level with the tube. The procedure is carried out using an apparatus OCUP-5 or CES-220R short-wave ultraviolet rays. Irradiated at room temperature. The irradiator install removable tube with a hole diameter of 1 cm and irradiated contact method of biologically active points MC6, TR5, QJ4, QJ3, BT107, MC9 consistently.

Start irradiation with 0.5 biodozy for each biologically active point and bring up to 6-8 biodoses to the end of treatment.

Irradiation is carried out after 1-2 days, starting from 30" to 5' depending on skin reaction on previous exposure, increasing the dosage by 1 biodose on each visit to obtain severe erythema reaction. A course of 6-10 treatments (see diagram irradiation).

Scheme of irradiation by BAHT:

the 1st procedure - 0.5 biodozy

2 - - 1 biodata

3 - - 1 biodozy

4 - - 2 biodozy

5 - - the oz irradiation 3-5-6 of biodoses adults children 3 biodozy 1-2 days. One biodose time corresponds to 2 minutes. The exposure time from 30 seconds to 5 minutes

Between sessions of physiotherapy (free day) spend massage the hand and forearm on these points brake way: "spin spirals clockwise until the sensations provided - feeling aches, pressure, fullness, and are delayed at this point for up to 30 seconds, and then twisting spirals within 30 seconds (up to 9 times for each point), is to improve the circulation of blood and lymphoablative, for pain, prevention of contractures or ankylosis. Point MC6, TR5, JQ3, JQ4, MC 9 used in each procedure, and the points MC6 and TR5 most effective from the subjective complaints of the nature and severity of pain.

After the massage brush give the maximum position of extension, pre eliminating flexion contractures, and fix the achieved position correction, causing the protein of the egg. Beat one egg white. The foam is applied by hand and allowed to dry (2-3 minutes). An egg mask is applied liberally with a soft brush or cotton swab. The hardening time of a protein mask can be accelerated by using a warm air stream (for example, electroa.

To assess the adequacy of the load, which receives the body (medical gymnastics, massage, physiotherapy), the authors have used the methods of determination of coefficient of the adaptive reactions (K) by L. H. Garkavi - count leukocyte formula, where leukocytes are divided into segmented (K = total number of leukocytes/ segmented).

The reaction of a workout, K = 0.3 to 0.4.

When the reaction is calm activated K = 0.4 to 0.8.

When the reaction of increased activation To > 0,8.

When the stress To < 0,3.

Example 1. Patient Kiselev HP, 64, was admitted with a diagnosis of closed displaced fracture of left radial bone with displacement, post-traumatic Sudeck, complicated lymphostasis left hand.

The period of immobilization was 60 days. Clinically and radiographically, the fracture has consolidated. In postmobilization period of emotional tension was noted persistent phenomenon of swelling of the back of the hand and fingers, dryness, cyanosis and glossiness of the skin, pain in the wrist and interphalangeal joints. The function of the fingers and hand is broken: supination incomplete flexion 150o, extension 160o; radiographically: "spotted" osteoporosis of the bones of the wrist. Biomechanical research is ke = 0,3.

The treatment as described above. The patient was determined individual biodose according to the standard technique, using a grid Goryaeva. UV biologically active points (MC6, TR5, QJ4, JQ3, BT107, MC9) was performed after 2 days, starting with 30 seconds (0.5 biodozy) and bringing the end of treatment up to 6 minutes (6 biodoses at each point). The irradiation points are carried out sequentially. Free UFO day massage of these points brake way. After the massage, brush gave the maximum position of extension (pre eliminating flexion contracture) and recorded the brush in the position reached, causing protein chicken eggs for 2 hours. Then wash off the mask with warm water.

The course of treatment consisted of 6 sessions (1.5 months). During treatment, the coefficient adaptation to physical load = 0.5 to 0.6.

As a result of treatment ceased to disturb pains in the wrist and shoulder pain, swelling slept function is normalized. Biomechanical data and laboratory studies have confirmed the restoration of function of the wrist: flexion 120o, extension 135odynamometry brush 18 kg, hematocrit 46%. (See the data table.1).

Example 2. Patient Balmashev,,, 62,, enrolled in OFFD for treatment with a diagnosis of crosseal 70 days. Consolidation of the fracture is confirmed radiographically. In the later stages of treatment, the injury was complicated by Sudeck. Clinically there were pains in the shoulder and wrist joints, swelling of the hand and fingers, Shebalino-flexion contracture of the fingers. Extension in the beam-carpal joint 150oflexing 140o, fist of dynamometry 0 kg). Tong no. Hematocrit = 32%; the coefficient adaptation to physical load = 0,3.

The patient was administered a course of treatment approach: identified individual biodose, then spent UFO biologically active points on the patient's hand (MC6, TR5, QJ4, JQ3, BT107, MC9). Irradiation was carried out after 1 day, ranging from 30 seconds to 3 minutes to end of treatment (1 to 3 biodoses at each point). A day free from UFOs, treatments of massage these points "brake" method. After the massage, giving the maximum position of extension, put a mask of egg whites for 3 hours, then washed it with warm water.

The course of treatment consisted of 10 sessions. During and after treatment coefficient adaptation to physical load = 0,7 - 0,8.

After treatment (1 month) pain decreased edema slept function in the joints restored: flexion 115oonce the ecene was used in 105 patients with Sudeck. The treatment by the proposed method allowed us to achieve a stable climate effect: no pain, swelling, normalized circulation of the limb, has recovered its functions, radiographically phenomenon disappeared "patchy osteoporosis", withdrew autonomic disorders.

The confirmation of results of treatment of the UFO by BAHT served the following methods of objectification: x-ray, EMG study. To estimate the total blood flow was determined by the hematocrit, which is the end of rehabilitation has increased on average to 47; (32-33%; at the beginning of treatment), improved blood of Christ (with K = 0.3 and K = 0.8), increased the carpal dynamometry from 0 to 16-18 kg, range of motion in the wrist joint (from -15% to norms). The treatment efficiency was taken into account in the dynamics after 10 days on the basis of the data of blood pressure, heart rate, dynamometry, angelamarie, measuring the circumference of the limb in comparison with healthy. (See data table. 2).

Thus, from 105 patients by the end of treatment: 1 patient is directed to surgical treatment in 1 patient function recovered, but remained pain (in history: low back pain, concomitant traumatic brain injury).

The average treatment time on the proposed matchdata injury and others) and with concomitant illness - osteochondrosis of the spine. Conventional methods of treatment time was 6-8 months, with 1/3 of the patients out on disability.

On the basis of our observations we can conclude that the proposed method leads to a reduction in treatment time, to a more quick way of getting up to professional responsibilities.

The use of the proposed method in medical practice allows in 98% of cases to achieve lasting positive results of functional and social nature.

A method of treating post-traumatic neuroelectronic dystrophy of the upper extremity, including the effects of the rays on acupuncture points, characterized in that the influence exercised by the ultraviolet rays on a point MC6, TR5, QJ4, JQ3, BT107, MC9 sequentially with 0.5 to 5 minutes on each point erythemal doses of 1 to 2 days 6 - 10 times, and free from physiotherapy spend days massage these points brake way, then give the brush the maximum position of extension and fix the brush in this position, causing protein chicken eggs for 2 or more hours.

 

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