The method of treatment of vibration disease

 

(57) Abstract:

The invention relates to medicine, in particular to neurology. Perform acupuncture effect on corporeal point based on the data of acupuncture diagnostic test cyto and palpation studies point channels. The point chosen on the concerned channels. Pain points prick silver needles, and pain points of the shoulder joints and back prick steel needles. Exposure time of 20 minutes per session choose 2-4 corporeal point. Sessions are conducted daily. The course of 8-10 sessions. The method improves the efficiency of recovery of the velocity of propagation of excitation in motor and sensory fibers of the peripheral nerves of the upper and lower extremities.

The invention relates to medicine, in particular, neurology, acupuncture and physiotherapy.

Existing methods of treatment of vibration disease and one of its main manifestations of distal polyneuropathy assume the complex of therapeutic measures, including medication, in combination with a variety of physical factors (galvanization, electrophoresis, baths, electrotherapy). The disadvantages of these methods are protivopokazan is enough efficiency. There are non-pharmacological methods of treatment of vibration disease. There is a method of treatment of patients with this disease, presented in the doctoral thesis Kolesov Century,

"Pathology of the peripheral nervous system and musculoskeletal system of the upper extremities from the effects of local vibration of the workers of the mining industry in Northern and Eastern regions of the country" (Irkutsk, 1994, D 718). The essence of the method is that the use of combined corporale-auricular acupuncture with periosteal acupuncture. The session was used 5-6 corporeal points and 3-4 auricular.

Treatment consisted of 10 treatments carried out daily or every other day. In case of minor pain reduction was applied periosteal acupuncture or pharmacopuncture. The author notes the effectiveness of such methods of treatment, indicating the elimination of chronic pain syndrome during therapy, the positive influence of acupuncture on the repair of skin and vibration sensitivity (duration sensations of vibration increased by 12%).

This treatment, although it increases the effectiveness of the treatment, but still not enough. Method of application cocoabot main common feature is impact on acupuncture points through acupuncture (Kolesov C. G., Barsky C. D. Copyright certificate 1395324. The method of treatment of vibration disease).

The technical result of the proposed method is to increase the efficiency of recovery of the velocity of propagation of excitation in motor and sensory fibers of the peripheral nerves of the upper and lower limbs in patients with vibration disease by corporal acupuncture points silver and steel needles on the method developed by us based on the data of acupuncture diagnosis. The nature of our invention consists in the fact that before the start of treatment is acupuncture diagnosis using test cyto. Identifies channels with the highest asymmetry electrical skin conductivity on the left and right branches, and then a * palpation of points on these channels. Pain points located in the distal upper and lower extremities, were pricked silver needles with exposure time of 20 minutes. Pain in the shoulder joints, spine point was pricked steel needles with exposure time of 20 minutes. When the pain is felt in the hand area in the recipe vklyuchalis point GI 11, PC 123, IG 8, WITH 3. If there are complaints on pain in the forearms in the recipe included point TR 8, MS 5. Pain in the shoulder joints were pricked points 15 GI, GI 14, A-SHI in the area of the joint. Pain in the cervical-thoracic spine was pricked point VG 14, V11, VB-20 VB 21, in the lumbar spine - PN 67, VG 4, VG 3, V 40, VC-4, VC 6, V 23, V 27, point BA Liao. When pain in the knee joints used points E 36, RP 9, VB, 34, 40 V, in the localization of pain in the foot in the recipe included point RP 4 RP 5, F 4, F 3, V 62, 63 V, S 41, S 42, VB 40, pain in the leg region were used point RP 6, VB, 39, F 5.

The session was chosen 2-4 point, the course consisted of 8-10 sessions held daily.

To test the effectiveness of the proposed method were treated 20 patients with vibration disease with distal polyneuropathy.

As tests to evaluate the effectiveness were used:

1. The study of vibration sensitivity.

2. The study of pain sensitivity.

3. The study of the autonomic nervous system with the use of test cyto.

4. The study of the propagation of the excitation (SRV) on afferent and efferent fibers of the upper and lower limbs.

The results lnsane pain syndrome, there was a significant recovery of pain and vibration sensitivity, Vietnam along the afferent and efferent fibers of the upper and lower extremities. When using this method of treatment, after the course, the restoration of sensitivity vibration occurred in 57% (p<0.001), pain - 35% (p<0.001), Vietnam efferent upper extremities by 26% (p<0.01), lower extremities - 15.5% (p<0.05). SRV afferent increased upper extremities by 11% (p<0.05) and lower 21% (p<0.01). According to the test cyto decrease was observed asymmetry indices in the channels with the highest differences in electrical skin conductivity on the left and right branches, the desire of indicators to eatonii.

EXAMPLE 1

Patient S. , 48 years old. Diagnosis: Vibration disease 1-2 tbsp., distal peripheral neuropathy of the upper and lower extremities 2-3 tbsp. mixed type with a predominance of axonopathy.

Experience of working as a miner - 26 years old, diagnosed in 1992. Complains of paresthesias of the upper and lower extremities, sensitivity to cold hands and feet, numbness of hands and feet, pain in the elbow and shoulder joints, reduced muscle strength of the upper extremities, occasional tremors in the hands, and n is the TOZ stop, identified strain interphalangeal joints 3-4 fingers on the right and left hands. Identified gipostesia type gloves.

During examination: pain sensitivity - 20.5 cm, vibration sensitivity is 16 seconds. According to the test cyto determined vagotonic.

According to ENMG SRV efferent upper extremities - 37.5 m/s, lower - 32.1 m/s conduction velocity of afferent upper extremities - 32.14 m/s, bottom - 54 m/s M-the answer is 2 mV.

Patients received a course of acupuncture, which consists of 9 sessions held daily. After treatment, the patient noted improvement in sleep, no pain, paresthesia on the upper and lower extremities. After a course of pain sensitivity - 10 cm, vibration sensitivity is 19 seconds, Vietnam efferent upper extremities - 61.2 m/s, lower - 41.6 m/s conduction velocity of afferent upper extremities - 51.3 m/s, lower - 55.1 m/S. M-response to upper extremities - 4 mV, and the lower 5 mV. According to the test cyto noted reasonable sympathicotonia.

Thus, after a course of acupuncture has been made a pronounced therapeutic effect.

EXAMPLE 2

Patient K., 36 years. Diagnosis: Vibration disease 1-2 tbsp., sensory-motor Palin in 1994. Complains of pain in the hands, arms, pain in the right elbow and shoulder joints, sensitivity to cold hands, heaviness and pain in the lumbar region with irradiation in the lower limbs, poor sleep, headaches. During the inspection: satisfactory condition, pale skin, hyperkeratosis of the feet, nail lesions on the toes. Identified gipostesia type gloves.

During examination: vibration sensitivity is 4 seconds, pain sensitivity - 21.5 cm, SVR efferent upper extremities - 43 m/s, lower - 47.2 m/s SVR afferent upper extremities - 53.7 m/s, lower - 53.1 m/s

After treatment, the patient noted the absence of pain in the lumbar region, a significant decrease in pain in right elbow joint, normalization of sleep. With the re-examination: vibration sensitivity is 10 seconds, the pain - 15 cm, Vietnam efferent upper extremities - 56.4 m/s, lower - 48.6 m/s conduction velocity of afferent upper extremities - 62.3 m/s, lower - 54,3 m/s

therapeutic effect is assessed as a significant improvement.

The treatment results show that the proposed method of treatment provides high efficiency recovery function is x vibration disease.

The associated analysis of the proposed method with the prototype shows that the impact on the functional state of the nerve fiber is more simple and effective way using a small number of corporeal points selected according to the acupuncture diagnosis and palpation examination.

The method of treatment of vibration disease, including acupuncture effect on corporeal point, given acupuncture diagnosis using test cyto and palpation of research points, channels, characterized in that the points chosen on the concerned channels, painful pinch point silver eagle with exposure time of 20 min, and pressure points in the shoulder joints and back prick steel needles with exposure time of 20 min per session choose 2-4 corporeal point, the sessions are conducted daily on the course of 8-10 sessions.

 

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