Method of correction of speech in stuttering

 

(57) Abstract:

The invention relates to medicine, physiotherapy. Conduct speech therapy classes, psychotherapy, drug therapy. Exercise effects on the patient by conducting transcranial micropolarization. The current strength of 0.8 to 1.5 mA. The exposure time is 25-30 minutes Method increases the remission period.

The invention relates to medicine, more specifically, neurology, and may find application in the treatment of speech disorders of various etiologies.

Stuttering is a speech of a convulsive character, widespread in all countries of the world among children and adults. Throughout the long history of research and treatment of stuttering representatives of various schools and trends expressed different opinions about the etiology and pathogenesis of this speech disorder. As etiological factors most authors recognized hereditary constitutional and assogenerici. Both etiological factor only cause a predisposition to stuttering. Often the basis for the predisposition to stuttering is the combination of these two factors. The immediate cause of stuttering is disharmonious development rejecteda stuttering as transient functional impairment of the Central nervous system, many authors consider this form of speech disorders as a variant of neurosis - logoneurosis.

If the etiology of stuttering is currently known, the pathogenesis of specific cerebral mechanisms of speech convulsions) at the present time not yet studied. In particular, it is not clear morphological and functional failure which cerebral structures is based speech disorders, convulsive character. What is certain is that stuttering is not limited to recidivating disorders, but usually develops on the background of already existing emotional-autonomic dysfunction and often leads to the formation of secondary psychogenic disorders. Hence, the most competent specialists in favour of an integrated approach, taking into account the peculiarities of the personality and character of related neurotic and residual organic syndromes.

The most widespread type of correction of speech in stuttering outpatient care remains traditional speech therapy method, which is a set of speech exercises aimed at the rehabilitation of speech disorders [1]. Speech therapy classes include exercises, nproj muscles, the production of expressive speech intonation.

In the initial stages of logopedic correction to reduce speech convulsions fulfill the stereotype itemizedoverlay speech, at the same time carry out the normalization of speech breathing. After running out itemizedoverlay speech conduct exercises on relaxation pathologically tense muscles. Then, as the assimilation of sick tricks arbitrary and automated speech relaxation of the muscles, producing a gradual transition to free speech. During this period, improve the skills of expressive intonation. Lessons are conducted individually and in a group, usually 2-3 times a week for 1.5-2 hours total duration of 2-8 months.

The main disadvantage of this method is the lack of psychiatric care, which is the reason for the frequent recurrence of stuttering [1].

There is a method of correction of speech in stuttering [2], which consists in conducting therapy sessions itemizedoverlay speech with a frequency determined based on the analysis of EEG particular patient. Pre EEG allocate zone residually lesions speech and related structures, determine the main or her brief frequency of communication between the affected whom affect the patient during the session logopedic correction. Treatment is supported psychopharmacologically means (respiratory analeptic - atimetool) before and during treatment and suggestive psychotherapy. These healing sessions are conducted in the form of group and individual lessons at least 3 times for 2-4 hours each total duration of 20-25 sessions. This method of treatment allows to obtain a positive therapeutic effect in 90% of cases. The disadvantages of this method are the need for long-term (after treatment) communication exclusively with itemizedoverlay speech, which is extremely unnatural and often cause unwanted reactions from others. Self-transition of the patient in the usual form of speech often may cause stuttering relapse [2].

Closest to the present invention is a method of treatment of stuttering on methodological recommendations, approved by the USSR Ministry of health in 1980 [3]. This method is taken as a prototype. It consists of 4 stages of treatment, for a total duration of 2 months.

The first, preparatory phase aims at the adaptation of patients to the hospital and the clinical and laboratory examination to determine nosological forms of psychopathological disorders, according to the uniform treatment of stuttering by lookalikey, psychotherapy, pharmacotherapy and physiotherapy.

Pharmacotherapy perform differentially in accordance with defined at the first stage nosological form accompanying stuttering disorders, assigning this sedatives, and/or dehydration means, and/or antipsychotics and/or antidepressants and all patients vitamins of group B.

Physiotherapy includes one of the usual physiotherapeutic procedures.

Psychotherapy consists of individual (4 times a week for 1-1 .5 hours) and group (2 times a week for 2 hours) lessons aimed at helping the patient confidence in the ability to speak correctly. Preferred at this stage is the use of rational psychotherapy (an explanation of the pathogenesis of stuttering and mechanisms of logomarca in an accessible form), autogenic training (training the patient to manage emotional States), direct and indirect suggestions.

Lookalike is to carry out progressively more sophisticated training speech in the form of 20 individual and 20 group sessions lasting 1.5 hours.

At the third stage - active training under the supervision of psychotherapists and Novoportovskoye and reinforcing skills free dialogical speech in a real situation - the phone conversations with passers-by on the street, in a shop, post office, etc.

The fourth stage contains the most sophisticated voice load - individual and collective performances in front of an audience. Psychotherapy built on the skills of autogenic training. Speech therapy classes devoted to the learning of complex texts, poems and songs. Voice load does not exceed the capabilities of the patient.

This method provides for the formation of free speech and rehabilitation of patients within 2 months. The disadvantage of this method of treatment of stuttering is unsustainable received treatment and correctional results [1, 2]. In repeated surveys in 1.5-2 years not more than 54% of the cases observed retention remission (30% of cases) or a slight deterioration of speech (24% of patients). In 26% of cases there is a significant deterioration in speech, requiring re-treatment, and not less than 20% of patients who received integrated treatment, the full recurrence or further aggravation of stuttering. However, 10% of all stuttering relapse is observed already after 2-4 months after completion of the course of complex treatment [2, 4].

The technical result of the present from which Itachi (TCMP).

This result is achieved by the fact that speech therapy classes, psychotherapy and pharmacotherapy is complemented by transcranial micropolarization (TCMP) amperage 0,8-1,5 mA through 4 electrodes, which impose one cathode on the right forehead area corresponding to the projection of the orbital cortex of the frontal lobe, the other on the fronto-temporal region of the right hemisphere, corresponding to the projection of the lower 1/3 precentral gyrus, and the anodes of one in the area of the right mastoid process, the other on the forehead, the corresponding projection of the cortex of the left frontal lobe, and such micropolarization conduct sessions for 25-30 minutes every, 1-2 days for 25-30 days.

Doing a long time of practical activities for the diagnosis and correction of various speech disorders, as well as on the basis of studying the peculiarities of cortical activity by computer methods of analysis of background EEG in patients with various nosological forms of speech disorders (Allie, dysgraphia, dysarthria, dysgraphia) we found that patients suffering from stuttering observed specific changes in topography of the functional activity of the cerebral cortex. On the basis of correlation and coherence analysis of background EEG in patients with stuttering neprezentare gyrus - Broca's area). Noted they have a pathological increase in the activity of fronto-temporal cortex of the left hemisphere, according to our observations, was accompanied by a decrease in functional tone of fronto-temporal cortex of the right hemisphere and frontal areas of the cortex of both hemispheres. Comparison of EEG data with clinical manifestations of convulsive disorders speech helped to identify a direct relationship between the level of left-hemispheric asymmetry activity of fronto-temporal divisions of the cortex and the severity of speech convulsions. The degree of functional failure of the frontal sections of the cortex of the left hemisphere was correlated with the severity of secondary neurotic disorders - anxiety, emotional imbalance and fear speech. Underactive frontal cortex of the right hemisphere, as a rule, was associated with impaired speech rate, speech intonation (expressive speech), increased motor excitability. Based on these observations, we hypothesized that normalization of relief activity of brain cortex via activation of functionally impaired brain structures in patients with stuttering may facilitate the implementation of its own compensatory mechanisms of the brain and, thus, to contribute to reducti is Delov crust we chose transcranial micropolarization. Method of transcranial micropolarization currently used in the clinic for treatment and rehabilitation of children suffering from mental retardation, mentally retarded and cerebral palsy. This method at the given pathology allows to correct the behavior, emotional disturbances, attention, memory, movement disorders [5] . Based psycho effect of this method is sustainable local activation of the polarizable structures of the cortex, the function of which was previously disturbed due to the influence of perinatal exogenous-organic factors. In the literature there is no indication of the existence of this method of contraindications and side effects.

We tried to apply transcranial micropolarization (TCMP) in children suffering from stuttering in the complex therapy, namely in combination with psychotherapy, speech therapy classes and pharmacotherapy.

It turned out that the conduct of the TCMP has a positive effect on the reduction of speech cramps, lowers anxiety and fears, which has a positive effect on treatment results.

The polarization of the right frontal region corresponding to the projection of the orbital cortex of the right prosodic to the weakening of speech convulsions, depending on the emotional saturation of speech.

The polarization of the right fronto-temporal division corresponding to the projection of the lower 1/3 precentral gyrus causes reciprocal inhibition of the contralateral structures - zone Brock, characterized by increased activity in patients with stuttering. This prevents speech convulsions, normalizes the rate of speech increases its expressiveness.

The polarization of the left frontal region corresponding to projection convexities surface of the prefrontal cortex, as we have noted, facilitates articulation, improves speech activity, reduces the fear of speech, thus providing a rapid formation of free of speech. In addition, the polarization of this area, according to the EEG, increase the threshold of convulsive readiness in the presence of organic brain damage.

Holding TCMP amperage 0,8-1,5 mA, as we have shown in the treatment of patients, provides a soft activation of the polarizable us Department of cortex without causing adverse reactions. The current is less than 0.8 mA not provided in our research the sustainability of activation, the power voltage higher than 1.5 mA cause skin irritation when applying electrodes.

Execution modes TCMP we found empirically. The duration of the TCMP is 25-30 minutes for 1 session with an interval between them 1-2 days. The optimal duration of treatment, as we have shown, is 25-30 days. Long duration may lead to a state of nervousness.

The method consists in the following. In the first 3 days patients spend in clinical and laboratory examinations for diagnostic purposes nosological forms neuropsychiatric disorders associated with stuttering. During the examination the patient adapts to the hospital.

Treatment includes speech therapy classes, psychotherapy, pharmacotherapy and transcranial micropolarization.

At stage 1, preparation, duration of 5-7 days is speech therapy patients, identifies individual characteristics of speech disorders. To quench pathological speech stereotypes introduced a low speech activity are pantomimic exercises that promote physical and emotional freedom. The duration of this stage 5-7 days.

2 stage (5-7 days) - formation technique normative speech. During this period, conduct relaxation exercises for speech muscles, form itemizedoverlay speech, speech breathing, soft holospace and fusion voicings, clarity of articulation, vowel sounds.

stage 3 (5-7 days) - active voice training. At this stage, carry out the skills organized fused fluently speech on progressively more sophisticated speech material. In groups the t speech under the metronome.

stage 4 (5-7) - final. At this stage, fixed previously obtained skills, but its main purpose is to reduce the sensitivity to stressful situations and changing conditions of speech communication. The focus is on spontaneous emotional speech, improvisation, functional training.

Psychotherapy is conducted in stages, the duration of the relevant stages of lagomarsino work. Throughout the course of conduct individual sessions (4 times a week for 1.5 hours) and group sessions (2 times a week for 2 hours).

At stage 1 conduct activities to adapt to the clinic. Exercise psychodiagnosis of personality, identify features related neuropsychiatric disorders. Form a psychotherapeutic group nosological forms. In the individual lessons are conducted dynamic psychotherapy and start rational therapy aimed at reducing fear of speech. Group classes teach pre-speech communication using facial expressions and gestures.

stage 2. In individual sessions with the aim of further reducing the fear of speech extend the range of techniques of rational therapy. Group practice PR is ulali global muscle tone, conduct relaxation exercises, by contrast with the tension.

stage 3 is devoted to the automation of reduced emotional techniques and muscle relaxation. Together with the speech therapist conduct speech training outside the hospital, in a real situation (shops, metro, mail and so on).

4 stage training to individual and collective performances in front of the audience. Individual and group sessions dedicated to developing the ability to transfer skills of auditory training in situations that require high voice load.

Pharmacotherapy spend phenibut [6] and Valerian root in pill form. Phenibut give together with Valerian 2 times a day, morning and evening. Patients under the age of 10 years shall 0,125 grams of phenibut and 1 tablet Valerian at the reception. 10 years and older - 0.25 phenibut and 2 tablets of Valerian for 1 admission. Tranquilizers and neuroleptics do not apply.

Traditional physical therapy not prescribed.

TCMP spend the second half of the day, giving you the ability to improve performance logocontainer practice.

High efficiency of complex treatment of stuttering using TCMP us who stutter severely. From the anamnesis: the Pregnancy the mother was uneventful. Delivery term. Psychomotor and physical development without deviation. My aunt and cousin on the maternal side suffer from stuttering. Stuttering began in 3 years, the period of intensive development of speech. Early stuttering was preceded by another quarrel between the parents, accompanied by the rapid scandal, which, preferably, has served as provoking psychogenic factor. The speech was a sinuous evolution, as a rule, increases in autumn, under the influence of psychogenic factors. In the summer there has been little improvement. Repeated treatment by speech therapists and neurologists significant had no success. Came very quickly relapse. Stuttering gradually progressed, probably under the influence of the emerging secondary neurotic disorders. During the first 3 days of stay at the Institute was held clinical, speech therapy and psychological examination, which revealed that the patient has a severe stuttering tono-clonic type of neurotic forms, extremely difficult speech communication. Define the generalization of speech convulsions voice muscles, vyrajenii clinical psychological examination revealed features of sensitivity, impressively, sense of samoletostroenie, self-doubt on the background of severe emotional and autonomic lability. Ascertained the presence of logophobia presented as secondary neurotic reaction to severe stuttering. Microsociology (residual organic) symptoms is not defined.

Data EEG: Desynchrony type curve. In all areas of the cortex are registered flattened polymorphic activity predominantly theta range. Alpha rhythm is poorly defined. Regional differences are smoothed. According to a coherent analysis of background EEG is observed irritative dysfunction of the motor cortex of the left hemisphere and decrease in the functional activity of the contralateral structures sensorimotor cortex of the right hemisphere.

Data REG: poor circulation in dystonic type of Central origin.

Clinical diagnosis: Stuttering tono-clonic type severe. Secondary neurotic reaction.

Assigned to comprehensive treatment, including lagomarsino classes, farmacoterapia, psychotherapy and transcranial micropolarization, which started to get a 4 day stay in the hospital.

Lagomarsino lesson nibut 0.25 to 2 times after meals, morning and evening, the Valerian extract 1 table. 2 times, morning and evening, during the whole course.

Psychotherapy: individual psychotherapy sessions for 1.5 hours 4 times a week and group therapy for 1.5 hours, 2 times per week.

Transcranial micropolarization (TCMP): 7 sessions of 25 minutes, with an interval of 1-2 days. Time for the second half of the day. The areas of overlap of the electrodes were following. The cathode 1 was applied to the right half of the forehead corresponding to the area of the projection of the orbital cortex of the right hemisphere, the cathode 2 is on the right fronto-temporal region corresponding to contralateral region of the cortex area Broca, the anode 1 is the area of the right mastoid process, the anode 2 to the left frontal region, corresponding convexities surface of the frontal cortex of the left hemisphere.

During the first week of stay in the clinic with patients were conducted 4 sessions of individual psychotherapy and session 2 group games psychotherapy in the first half of the day, which were focused on reducing the fear of speech and development of skills of self-regulation state of muscle relaxation, elements of rational psychotherapy with the psychological features of the patient. Lagomarsino classes were aimed at the interviewer is of the same schema.

The first session TCMP was held in the afternoon, power supply, installed by the feeling of "pins and needles" and amounted to 0.8 mA. Procedure the patient underwent fine. Any unpleasant feelings and sensations do not arise. Sleep was peaceful. During the first weeks were spent another 2 session TCMP with an interval of 1 day with no side effects.

On day 5 after the start of the course of complex treatment began to weaken logophobia, improved mood, increased spontaneous speech activity. The boy became more sociable with their peers.

In the second week of stay in hospital lagomarsino classes were devoted to the development of speech skills of relaxation and the formation of fluently speech. Continued studies on the normalization of speech breathing and correct holospace. On the practice of psychotherapy, individual and group, continued the skills of emotional and muscle relaxation, as well as carried out a reasonable treatment in order to restore feelings of self-confidence and eliminate fear of speech.

Sessions TCMP continued in the same mode, gradually increasing force polarizing current to 1.0 mA. Side effects after holding% the Chi disappeared completely. At the same time, he was diagnosed with normalization of emotional and autonomic reactivity, a significant decrease of sensitivity, impressively. The boy appeared cheerful, confidence, weakened sense of samoletostroenie.

On the third week of stay in hospital speech therapy sessions were focused on the formation of correct speech intonations and improvement fluently articulation in dialogical and monological speech. In the classroom with therapist practiced reduction options emotional and muscle relaxation was conducted functional training focused on Dialogic speech in real situations. 18 day stay in the Institute, the patient received the 7th session TCMP.

On the fourth week psychotherapy sessions were focused on consolidating skills free speech, the right holospace, normal speech breathing, intonation in real, emotionally intense situation.

The phenomenon of stuttering significantly decreased at the end of the first week of treatment and then gradually weakened. The most distinct decrease in the degree of stuttering was found at 12-14 day: decreased intensity, rnia in the clinic, 27-30 day the patient was observed only individual speech stumbling when statements emotionally meaningful content. Thus, secondary neurotic manifestations (logophobia) was absent.

According to EEG shows positive dynamics of the decrease of excitability of the sensorimotor areas of the cortex of the left hemisphere and increased activity of the sensorimotor cortex of the right hemisphere.

Data REG: improvement of cerebral circulation phenomenon dystonia vessels less pronounced.

Due to the significant improvement of the patient the treatment was completed.

Was discharged on 27.05.97. To monitor the condition of the patient after discharge, parents are encouraged to maintain a telephone connection through 1 year to come to inspection.

With the parents of the patient were maintained telephone: 1 time per month were held intersirovina parents to assess speech therapy and psychological status of the patient.

After 1 year exercised control the appearance of the patient in the clinic. During the inspection stated the sustainability of the achieved therapeutic result: there are still only infrequent speech hesitation at the height of emotional reaktywacja speech activity and control emotional reactions. Data EEG and REG: diagnostic parameters of cortical activity and cerebral blood flow correspond to the values obtained at discharge from the hospital.

Parents are invited to seek to the clinic in case of recurrence of stuttering. Within 0.5 years of treatment followed. Remission is currently 1.5 years.

Example 2. Ill Ivan R., age 8, was admitted to the hospital 26.05.96 with a diagnosis of Stuttering moderate severity. From the anamnesis: the Pregnancy of the mother proceeded with severe toxicosis 2 half of pregnancy, the mother had deposited, the child asphyxia at birth. Was observed by a neurologist regarding perinatal encephalopathy, received courses of appropriate treatment. In the genus stuttering is not revealed. The boy began to stutter with 3 years without apparent external cause, against the background of the beginning of phrase speech. Since birth he was emotionally excitable, exhibited increased locomotor activity. Psychomotor and physical development in accordance with age. Stuttering was manifested in waves: exacerbation were usually in the spring and in the background of somatic weakness (colds).

When clinical, speech therapy and psychological examination of you who OIG) of moderate severity, related movements, impaired speech breathing, accelerated pace of speech, violation of pronunciation is slurred due to sluggish articulation. Stuttering is amplified in a state of excitement, including the presence of positive emotional background. Behavioural characteristics: increased motor activity, restless, unstable focus, emotional and autonomic lability, predominantly euphoric emotional background. Speech defect is ignored. Logophobia no. General intelligence level corresponds to the age. The neurological examination revealed microecology symptoms.

Data EEG: a moderately severe diffuse dysrhythmia organic type, the characteristics of lowering the threshold of convulsive readiness - in the right occipital-parietal departments are recorded spontaneous paroxysmal complexes sharp wave - slow wave.

Data REG: ischemic stroke due to the difficulty of venous outflow in the vertebrobasilar system.

Clinical diagnosis: Stuttering clone-tonic type of medium gravity. Neurosis-like form. Minimal brain dysfunction.

With a 4 day stay in the Kli is cranially micropolarization.

Lagomarsino classes according to the scheme outlined in example 1.

Pharmacotherapy: phenibut 0,125 2 times a day, morning and evening, Valerian extract 1 table. 2 times a day during the course.

Psychotherapy according to the scheme outlined in example 1.

Transcranial micropolarization was carried out according to the scheme outlined in example 1. The power of the polarizing current during the course of 0.8 to 1.0 mA. Procedures TCMP well tolerated. No side effects were.

Distinct improvement of the speech was celebrated on the 7th day after the start of the course of complex treatment: decreased severity of speech convulsions, their frequency of occurrence and duration. 27-30 day from the beginning of the course stuttering has almost stopped. Normalized rate of speech is much improved articulation. There was a clear improvement in the emotional-volitional sphere. The boy became generally more emotionally Mature, critical. Attention became more stable, the statements more consistent, informative. Stabilized emotional-autonomic background. Decreased locomotor hyperactivity.

According to EEG 24.06.96 positive dynamics - degenerate paroxysmal companychatline fell, the activity of the contralateral structures of the cortex increased.

Re-REG from 24.06.96: reducing the effects of venous congestion.

Discharged 25.06.96. To control the stability of the achieved clinical results 1 once a month with parents were conducted by intersirovina on the phone about speech therapy and psychological status.

23.09.97 was implemented control turnout in the clinic. Noted no recurrence of stuttering. Marked rare hesitation. From the emotional-volitional sphere of negative dynamics is also not defined: main parameters of behavior correspond to the age norm. Parents are asked to contact the clinic in case of recurrence of stuttering or the occurrence of behavioural disorders. After 1 year the boy was invited to the clinic for a medical examination. When examining psychological and speech status unchanged. Deterioration no. Data EEG and REG on the day of the examination without change. It is recommended to contact the clinic in case of resumption of stuttering or the occurrence of behavioural disorders. Within 1 year of treatment was not followed. Now 2.5 years without recurrence.

This method developed at the clinic violated.

These follow-up monitoring: 1.5-2.5 years of observation relapses were absent in 86 people, the partial resumption of stuttering - 14 people.

The proposed method is compared with the known has the following advantages.

1. The method provides a relatively stable remission of up to 2.5 years without recurrence, 86 people out of 100.

2. There is a positive impact on the accompanying neurological symptoms.

3. There is an increase in the threshold of convulsive readiness in the presence of organic brain damage.

Bibliography

1. Vlasova N. A., Becker K. P. / Monograph/, M, 1983.

2. Suckers M. I. /Monograph/, St. Petersburg, 1994.

3. Methodical recommendations of the Ministry of health of the USSR for the integrated treatment of stuttering, M., 1980.

4. Kiselev M, /Monograph/, M, 1967.

5. Pinchuk D. Y. /Autorepair. Prof. dessert./, M., 1997.

6. Mashkovsky M. D. /Handbook/, M., 1992.

Method of correction of speech in stuttering, including speech therapy classes, psychotherapy, pharmacotherapy and physiotherapy, characterized in that as physiotherapy using transcranial micropolarization amperage 0,8 - 1,5 mA through four electrodes that n is on the fronto-temporal region of the right hemisphere, the corresponding projection 1/3 precentral gyrus, and the anodes of one in the area of the right mastoid process, the other on the forehead, the corresponding projection convexities cortex of the left frontal lobe, and such micropolarization conduct sessions for 25 to 30 minutes every 1 to 2 days for 25 - 30 days.

 

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FIELD: medicine.

SUBSTANCE: method involves carrying out transcranial micro polarizations once a week during 4-6 weeks in 15-20 min long sessions with 80-200 mcA large current over 2 electrodes. Anode is applied to the boundary of posterior region of superior temporal convolution and inferior parietal zone of the left hemisphere. The electrode is applied in later sessions to the boundary of inferior frontal region and anterior regions of superior temporal convolution and to projection of motor area of the left hemisphere cortex. The cathode is applied to the inferior regions of the left occipital area. Logopedic lessons are combined with psychological training during and between the transcranial micro polarization sessions. The treatment course is repeated when needed not more than 2-3 times a year.

EFFECT: enhanced effectiveness of treatment.

FIELD: medicine, neurology, reflexotherapy.

SUBSTANCE: the method deals with affecting biologically active points out of the following row: VB44, TR1, TR17, TR23, E1, GI20, E7, E6, E2, CI19, E4. Then comes pharmacopuncture due to applying the solution of hydrocortisone succinate. Impact should be performed with direct current through needles introduced into biologically active points.

EFFECT: shortened terms of therapy.

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EFFECT: higher efficiency of therapy.

2 dwg, 1 ex

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EFFECT: increased treatment efficiency due to improved vegetative nervous system condition as well as general hemodynamic and biochemical and hormonal investigation characteristics.

5 cl, 7 tbl, 3 ex

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EFFECT: reduced degree of disintegration in the structures of the limbic-reticular complex producing an optimizing action on the neurodynamics.

3 cl, 5 ex, 2 dwg

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EFFECT: higher efficiency of therapy.

FIELD: medicine, gynecology.

SUBSTANCE: one should carry out galvanization during 15 min due to applying electrodes along abdominal-sacral technique. Just before galvanization one should introduce 15 ml 2%-chitosan ascorbate gel containing metronidasol at the dosage of 2 mg/ml gel, intravaginally at 36-38° C. Procedures should be carried out once daily, therapy course lasts for about 7-8 d. The innovation suggested provides total curative effect of antibacterial remedies and galvanization at decreased dosage of metronidasol and, thus, enables to obtain stable remission of salpingo-oophoritis.

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1 ex, 1 tbl

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EFFECT: higher efficiency of therapy.

1 ex, 3 tbl

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