Treatment of children with sci form of polio

 

(57) Abstract:

The invention relates to pediatric neuropathology and physiotherapy. The impact of the conduct of the device, "SET-1" using two inductors with a diameter of 104 mm first and 59 mm for the second. Inductors are coils placed in the cylindrical housings. The impact of the conduct on paretic muscles and segmental on the affected section of the spine. The exposure time of 5-10 min, the intensity of 0.5 to 1 T, the frequency of the pulse packet - 45 in 1 min, the number of pulses in a packet - 4, the time interval between pulses - 50 MS, for a course of 10 treatments, daily. The method allows to actively affect neuromotor apparatus, to increase the functional activity of the affected neurons, increase range of motion of the paretic limb, increase muscle tone, strength of the affected muscles and improve their bioelectric activity. 3 table.

The invention relates to medicine, in particular to pediatric neuropathology and physiotherapy.

Closest to the claimed is a method of treating an alternating magnetic field of low frequency ("guidelines for physiotherapy and physioprophylactics childhood diseases" edited by A. N. Hamilton-Jacobi equations, and So B. Karachevtseva//M.: Medicine, Alz-1" using paravertebral located inductors intensity 10 mltl, duration 10 min, in the course of treatment - 10 sessions.

Under the influence of magnetic fields in living tissues induced eddy currents of low frequency, enhances metabolism, improves trophic function. But this impact is not enough to improve the functional state of the nerve cells of the spinal cord, located in paraliticescom condition after acute polio.

The invention consists in the following: the impact of the conduct from the office of pulse induction therapy "SET-1" using two inductors with a diameter of 104 mm first and 59 mm in the second inductors are coils placed in cylindrical housings). The exposure was conducted on the paretic muscle on the affected segmental spine. The exposure time of 5-10 min, the intensity of 0.5 to 1 T, the frequency of the pulse packet - 45 in 1 min, the number of pulses in a packet - 4, the time interval between pulses - 50 MS, in the course of 10 daily procedures. Procedures can be released in sitting and lying down.

The method is illustrated by the following example.

Patient Tamila B., 2 years, 10 months. (history N 9), was admitted to children's psychoneurological Department of Pyatigorsk clinic 28. the D. Ill acute polio in July 1995 was Treated stationary, after which he was sent in Pyatigorsk clinic.

Objectively: the child of low power, somatically healthy. The pulse was 100 beats per 1 minute In neurological status: H. M. I. - intact, moves independently, but on a very limited distance. Muscle tone and strength of the right hand, the pelvic girdle and lower extremities is reduced. The strength of the muscles of the right arm was 3 points, gluteus, the leading and lateral muscles as well as muscles of the left femur and right tibia - 2-3 points. Passive movements in joints in full, active - limited in the left leg, recurvate left knee. Tendon reflexes of the upper extremities S > D, the knee is reduced, D > S, right ankle is reduced, on the left is missing.

EMG data: the amplitude of the oscillations of the flexor brush d - 200,0 Áv, s - 250 Áv, extensor brush d - 200,0 Áv, s - 200,0 Áv, anterior tibial muscles d - 450,0 Áv, s - 300,0 Áv, calf d - 250,0 Áv, s - 150,0 Áv.

Were assigned to the treatment: physical therapy - individual development, toning massage of the back muscles, abdomen, buttocks, limbs, mud applications on the paretic limb and the spine: the temperature of the mud 38-39oC, food is remodels apparatus of the "SET-1" on the lumbar spine and paretic muscles, the intensity at the first procedure, 0.5 T, in the future, bringing to 1 T, the frequency of the pulse packet 45 in 1 min, the number of pulses in a packet - 4, the interval between pulses - 50 MS, the duration of procedures - 5 min daily, only 10 treatments.

The procedure was well tolerated. The focus of the treatment was done on more paretic left leg.

After the treatment, marked improvement in General condition, increase body weight 1.1 kg, the increase in the volume of active movements in left ankle joint, on average, 15, increase strength in the muscles of the femur and tibia at 1 point. Significantly improved gait, the child began to travel long distances on their own. On electromyogram registered an increase of potential oscillations in the thigh muscles 200-250 Macs in the calf muscles on 240-350 Áv compared with the initial data.

The child was discharged with significant improvement.

The treatment by the proposed method was conducted in 40 patients undergoing spinal form of polio (primary group), and 13 children with the same pathology (control group) were treated according to the method prototype. Both groups of patients according to the main clinical characteristics in the interest of the persons revealed positive dynamics of clinical and electrophysiological parameters in children of both groups, but more significant, it was in patients who were treated by the proposed method (table. 2).

As the data table. 2, the patients of the main group significantly increased the number of children who have appeared qualitatively new features: 5 of 21 steel stand, and 6 out of 23 patients to walk without support. Among children in the control group 2 of 8 has learned to sit without support and only 1 child out of 8 was to move independently. The size of the circumference of the paretic limb was significantly increased only in children of the main group, on average, 0.8 mm Muscle strength was significantly increased in children treated with the proposed method. The performance of electromyography confirmed the improvement of the bioelectric activity of the paretic muscle. The amplitude of the oscillations EMG of the gastrocnemius and anterior tibial muscles increased by an average 45.0+5,4 Áv (P<0,01). In children of the control group also noted the tendency to increase the amplitude of the oscillations in the average 27.5+4,2 Áv. Estimating the dynamics of clinical and functional parameters of children in both study groups, we noted the following results of treatment (table. 3).

Thus, the treatment efficiency of the proposed method amounted to 83.5%, known LSA intensity, which has a complex effect on segmental spinal cord, and peripheral neuromuscular apparatus that allows, on the one hand, to stimulate neuroregulatory synaptic transmission, on the other hand to contribute to the improvement of the functional status of spinal neurons. Apparently, this type of physiotherapy is more appropriate for children in the early recovery period polio.

Treatment of children with sci form of polio by exposure to a magnetic field of low frequency, characterized in that the exposure is performed in a pulsed mode of the device, "SET-1" on the paretic muscle on the affected segmental spine with two inductors, the intensity of 0.5 to 1 Tesla and a frequency of the pulse packet 45 min, the number of pulses in 1 bundle - 4, the interval between pulses - 50 MS, a duration of 5 to 10 minutes daily for a course of 10 treatments.

 

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