The method for determining coordination combined reciprocal autonomic reflexes
The invention relates to medicine, in particular to normal and clinical physiology. The method allows to determine the coordination concomitant autonomic reflexes, providing a reciprocal relationship in the projection antagonists of the hands and feet and act of walking. Produce skin irritation in the projection of the flexors and extensors of the right and left hands, and then the right and left stop recording the current frequency, calculate the difference of the frequencies in the projection of the flexors and extensors of the hands and feet and on cross-functional asymmetry of the frequency of the current in the projection of the flexor and extensor brushes and difference frequencies determine the coordination of the combined reciprocal autonomic reflexes, cross-functional asymmetry frequency current separately in the projection of the flexor and separately in the projection of the extensors of the right hand and left foot, left hand and right foot determines divided coordination extensor and flexor and one-way distribution of the quantities of frequency power and difference frequencies determine the lack of coordination combined reciprocal autonomic reflexes, provides for the movement of the hands, feet, and the act of walking. 3 table.
There is a method of determining autonomic reflexes using galvanic skin reflex, leading to the inclusion of motor function (sparrows N. E. Vegetative components in the conditioned reflex motor act in patients with large tumors of the cerebral hemispheres: Diss... Kida. the honey. Sciences: 1959, Smolensk, page 80). The disadvantage of this method is the lack of a definition of coordination combined reciprocal autonomic reflexes, provides for the movement of hands, feet, walking.
The invention is directed to a method of determining the coordinate of the combined reciprocal autonomic reflexes. The method is as follows. The subject is placed in a horizontal position, are invited to relax and produce skin irritation rear right hand, then a similar skin irritation right palm with the help of the device PUNCH - 01 registration frequency autocontinue current at each skin irritation. Then make a similar study of the left hand, the back and the soles of right and left foot.
Compare values of frequencies when the skin irritation, and multidirectional change frequencies rear brushes (projection extensor) and the palms (the projection shibatani frequencies of the hands and feet in the projection of the flexors and extensors.
Then calculate the difference frequency during stimulation of the rear and the palms of the hands, the back and soles of the feet, compare the difference of these frequencies and cross-change frequency increased when the difference right hand corresponds to an increase of the difference of the frequencies of the left foot, and a decrease in the left hand corresponds to the reduction of the right foot, determine the physiological coordination concomitant autonomic reflexes, providing walk.
On cross-functional asymmetry frequency current separately in the projection of the flexor and separately in the projection of the extensors of the right hand and left foot, left hand and right foot determines divided coordination extensor and flexor. And when the one-tailed values of the frequencies of the hands and feet determine the lack of coordination combined reciprocal autonomic reflexes, providing cross-motion of the hands and feet when walking.
The inventive method is developed and clinically tested in the Polenov research neurosurgical Institute them. Professor A. L. Polenov. Using the proposed method is examined 80 patients, of whom 38 identified violations the coordination of autonomic reflexes engaged in the provision of the act of walking, the three surveyed identified the lack of coordination tx2">Example 1. Patient C. N., 30 years, and. b. 892-95, entered the Polenov research neurosurgical Institute on damage of the left brachial plexus, resulting ATP 9.5 months ago. After a General clinical examination conducted instrumental study and the lack of sensitivity on the back of the hand, flexor and extensor function of the left hand are missing. Marked autonomic asymmetry due to deviations relationship sweating and thermoregulation, saved the reciprocal relationships of these indicators. Using the proposed method the measured coordination concomitant autonomic reflexes, providing the act of walking. The survey results are presented in table 1.
The results of measurement of the frequency of autocontinue current revealed normal safety combined autonomic reflexes, both on the hands and on the feet saved the reciprocity functional correlations of frequencies; so on the right hand a larger value of the frequency of the rear of the left hand corresponds to the large value of the frequency of the palm of the right hand, and a larger value of the frequency of the rear of the right foot corresponds to the large value of the left sole. This cross-organization of autonomic reflexes due to zakonomernosti provided concomitant autonomic reflexes, and the difference of these frequencies in the projection antagonists of the hands and feet, it turns out that reflects cross-vegetative management act of walking.
Example 2. Patient B. I., 34 years old, and. b. 873-95, entered the Polenov research neurosurgical Institute them. Professor A. L. Polenov about the damage of the left brachial plexus and damage to the median and radial nerves at the second level - at the level of the fracture of left radial bone, the resulting ADT with loss of consciousness. The examination noted the lack of movement in the left hand with the preservation of the complex sensitivity only in the area of innervation of the ulnar nerve. Pathological autonomic asymmetry with hypothermia left hand, hypohidrosis, the lower reactivity of the tissues of the left hand on ischemia and reactive hyperemia, reduced reactivity left sinocarotid zone. The survey results using the proposed method (table 2) indicate disparate coordination combined reciprocal autonomic reflexes, as in the projection of the antagonists of the right and left hands and feet are no cross-relationships frequencies, but saved the relationship between hands and feet separately in the projection of the extensor and flexor.
Example 3. Patient B. N.,40 years, and. b. 873-95,the wrist region and injury to the tendon, happened 4 years 2 months ago on production. At admission showed that after surgery, and many courses of conservative treatment showed a significant reduction in nerve regeneration, there is no sensitivity in the Autonomous zone of innervation, mild flexion function (1 point) right hand. Registered pathological autonomic asymmetry of the right and left brushes with increasing reactivity of the tissues of the left hand on ischemia 4 times and the development of reactive hyperemia at 90.7%. To assess the development of pathology at the organism level, according to the claimed method was defined coordination concomitant autonomic reflexes, providing a reciprocal relationship in the projection antagonists of the hands and feet and the act of walking. The measurement results are presented in table 3.
Thus, the results of frequency autocontinue current in the projection of the flexors and extensors of the hands and feet revealed unilateral orientation of the frequencies in the leveling of reciprocal relations, and differences of frequencies as the right and left hands and feet, which reflects the lack of reciprocity coordination concomitant autonomic reflexes, providing movement keys is prochnik autonomic reflexes, characterized in that produce skin irritation in the projection of the flexors and extensors of the right and left hands, and then the right and left stop recording the current frequency, calculate the difference of the frequencies in the projection of the flexors and extensors of the hands and feet and on cross-functional asymmetry of the frequency of the current in the projection of the flexor and extensor brushes and difference frequencies determine the coordination of the combined reciprocal autonomic reflexes, cross-functional asymmetry frequency current separately in the projection of the flexor and separately in the projection of the extensors of the right hand and left foot, left hand and right foot determines divided coordination extensor and flexor and one-way distribution of the quantities of frequency power and difference frequencies determine the lack of coordination combined reciprocal autonomic reflexes, provides for the movement of the hands, feet, and the act of walking.
SUBSTANCE: method involves carrying out urological examination for determining hydrodynamic resistance of ureter calculated from formula Z=8Lμ/(πR4), where Z is the hydrodynamic resistance of ureter, L is the ureter length, R is the ureter radius, μ is the urine viscosity. Angle α at which the ureter enters the urinary bladder is determined from formula cosα = 8l1μ/(ZπR4), where l1 is the perpendicular drawn from the upper edge of the ureter to the its exit projection line, μ is the urine viscosity, Z is the hydrodynamic resistance of ureter, R is the ureter radius. Vesicoureteral reflux recidivation is predicted when the angle of α+90° is less than 120°.
EFFECT: enhanced effectiveness in reducing the number of recidivation cases.
2 dwg, 1 tbl
SUBSTANCE: one should measure electric impedance of patient's middle ear. Electrodes should be applied in three localizations: auditory canal, anterior end of lower nasal concha and frontal skin. Electric impedance should be measured at the frequencies of sinusoidal signal being equal to 10, 30, 250 and 1000 Hz, the data obtained should be compared by values of electric impedance in the given area (middle ear) in the group of healthy patients. This method provides the chance to obtain comparative data for diagnostics of middle ear diseases.
EFFECT: higher accuracy of evaluation.
FIELD: medicine; medical engineering.
SUBSTANCE: method involves doing multi-channel recording of electroencephalogram and carrying out functional tests. Recording and storing rheoencephalograms is carried out additionally with multi-channel recording of electroencephalogram synchronously and in real time mode in carotid and vertebral arteries. Electroencephalograms and rheoencephalograms are visualized in single window with single time axis. Functional brain state is evaluated from synchronous changes of electroencephalograms, rheoencephalograms and electrocardiograms in response to functional test. The device has electrode unit 1 for recording bioelectric brain activity signals, electrode unit 2 for recording electric cardiac activity signals, current and potential electrode unit 3 for recording rheosignals, leads commutator 4, current rheosignal oscillator 5, synchronous rheosignal detector 6, multi-channel bioelectric brain activity signals amplifier 7, electrophysiological signal amplifier 8, demultiplexer 9, multi-channel rheosignal amplifier 10, multi-channel analog-to-digital converter 11, micro-computer 12 having galvanically isolated input/output port and personal computer 13 of standard configuration.
EFFECT: enhanced effectiveness of differential diagnosis-making.
11 cl, 6 dwg
FIELD: medical engineering.
SUBSTANCE: device has acting upon skin between electrodes with DC potential of given magnitude for producing temporary breakdown. Skin impedance is measured between measuring electrode first negatively polarized relative to control electrode and the control electrode, and then, DC current resistance is measured once more by means of measuring electrode positively polarized relative to the control electrode. Ratio of the obtained values is used for determining internal organ health state, corresponding to skin area.
EFFECT: enhanced accuracy of diagnosis.
11 cl, 14 dwg, 2 tbl
FIELD: poultry science.
SUBSTANCE: the present innovation deals with visual evaluation in chicken followed by testing them by the value of bioelectric potential. Chickens with bioelectric potential being significantly higher against average values are considered to be stress-resistant ones and those with bioelectric potential being significantly lower against average values in concrete population are concluded to be stress-sensitive ones. The method is very simple in its implementation and efficient for large-scale selection in poultry on stress-resistance.
EFFECT: higher efficiency.
1 cl, 2 dwg, 2 ex, 4 tbl
SUBSTANCE: the method deals with measuring geometric body size and electric impedances of patient's hands, body and legs at their probing with low- and high-frequency current due to current and potential electrodes applied onto distal parts of limbs, and, thus, detecting extracellular, cellular and total volumes of liquid in patient's hands, body and legs. While implementing the method one should additionally apply current electrodes onto left-hand and right-hand parts of neck, and potential electrodes - onto distal femoral parts. Body impedance (Zb) should be measured due to successive measuring the impedance of its right-hand Zrb and left-hand Zlb parts at probing current coming between electrodes of similar sides of patient's neck and legs to detect Zb, as Zb = Ѕ x (Zrb + Zlb), impedance of legs Zl should be detected due to measuring femoral impedance Zf and that of shins Zs, as Zl = Zf + Zs. At detecting the volumes of liquid in body and legs one should apply measured values of Zb and Zl, moreover, as geometric body size one should apply the distance against the plane coming through the upper brachial surface up to the middle of radiocarpal articulation in case of patient's hand being along the body.
EFFECT: higher accuracy of detection.
5 dwg, 2 ex, 3 tbl
FIELD: medicine; medical engineering.
SUBSTANCE: method involves applying electrodes to injured extremity tissue under study. The electrodes are arranged in diametrically opposite points of horizontal plane transaction to extremity surface. Two electrodes are applied to the other extremity. The electrodes are arranged in diametrically opposite points of horizontal plane transaction to extremity surface. An initial point is selected relative to which pairs of electrodes are equidistantly arranged on the extremity. Active and reactive impedance components are measured at the places of electrodes positioning. Viability condition of the injured extremity tissue under study is diagnosed depending on ratio of reactive to active impedance component on injured and intact extremity and difference between reactive impedance component on injured and intact extremity. Device has transducer unit, computer and unit for processing signals having interface units, central subscriber station, autonomous transmission center, commutator which input is connected to transducer unit output and commutator output is connected to central subscriber station input, the first input is connected to autonomous transmission center output.
EFFECT: high accuracy in diagnosing biological object condition.
5 cl, 5 dwg, 4 tbl
FIELD: medicine, psychotherapy.
SUBSTANCE: the method deals with correcting neurological and psychopathological disorders with anxiety-phobic symptomatics due to individual trainings. The method includes evaluation of body reaction to stimulating signals, seances of individual training performed due to the impact of two quasiantipodal stimulating signals of similar physical modality applied in time of sporadic character, and as a signal one should present biological feedback for the altered value of physiological parameter adequately reflecting body reaction to the impact of stimulating signal. At the first stage of training it is necessary to achieve body adaptation to the impact of quasiantipodal stimulating signals, at the second stage it is necessary to obtain conditional reflex for one out of stimulating signals, for this purpose one should accompany this stimulating signal with discomfort impact, during the third stage, finally, due to volitional efforts one should suppress body reaction to stimulating signal. The devise suggested contains successively connected a transformer of physiological parameter into electric signal and a bioamplifier, an analysis and control block with a connected block to present the signals of biological feedback, a block for presenting discomfort impact, an indication block and that of forming and presenting quasiantipodal stimulating signals. The innovation enables to have skills to control one's emotions, decrease sensitivity threshold to environmental impacts and learn to how behave during stress situations.
EFFECT: higher efficiency of training.
15 cl, 8 dwg
FIELD: medicine; medical engineering.
SUBSTANCE: method involves recording multichannel electroencephalogram, electrocardiogram record and carrying out functional test and computer analysis of electrophysiological signals synchronously with multichannel record of electroencephalogram and electrocardiogram in real time mode. Superslow brain activity is recorded, carotid and spinal artery pools rheoelectroencephalogram is recorded and photopletysmogram of fingers and/or toes is built and subelectrode resistance of electrodes for recording bioelectrical cerebral activity is measured. Physiological values of bioelectrical cerebral activity are calculated and visualized in integrated cardiac cycle time scale as absolute and relative values of alpha-activity, pathological slow wave activity in delta and theta wave bandwidth. Cerebral metabolism activity dynamics level values are calculated and visualized at constant potential level. Heart beat rate is determined from electrocardiogram, pulsating blood-filling of cerebral blood vessels are determined from rheological indices data. Peripheral blood vessel resistance level, peripheral blood vessel tonus are determined as peripheral photoplethysmogram pulsation amplitude, large blood vessel tonus is determined from pulse wave propagation time data beginning from Q-tooth signal of electrocardiogram to the beginning of systolic wave of peripheral photoplethysmogram. Postcapillary venular blood vessels tonus is determined from constant photoplethysmogram component. Functional brain state is determined from dynamic changes of physiological values before during and after the functional test. Device for evaluating functional brain state has in series connected multichannel analog-to-digital converter, microcomputer having galvanically isolated input/output ports and PC of standard configuration and electrode unit for reading bioelectric cerebral activity signals connected to multichannel bioelectric cerebral activity signals amplifier. Current and potential electrode unit for recording rheosignals, multichannel rheosignals amplifier, current rheosignals generator and synchronous rheosignals detector are available. The device additionally has two-frequency high precision current generator, master input of which is connected to microcomputer. The first output group is connected to working electrodes and the second one is connected to reference electrodes of electrode unit for reading bioelectrical cerebral activity signals. Lead switch is available with its first input group being connected to potential electrodes of current and potential electrodes unit for recording rheosignals. The second group of inputs is connected to outputs of current rheosignals oscillator. The first group of outputs is connected to current electrodes of current and potential electrodes unit for recording rheosignals. The second group of outputs is connected to inputs of synchronous detector of rheosignals. Demultiplexer input is connected to output of synchronous detector of rheosignals and its outputs are connected to multichannel rheosignals amplifier inputs. Outputs of multichannel bioelectrical cerebral activity signals amplifier, multichannel rheosignals amplifier and electrophysiological signal amplifier are connected to corresponding inputs of multichannel analog-to-digital converter. Microcomputer outputs are connected to control input of lead switch, control input of multichannel demultiplexer, control input of multichannel analog-to-digital converter and synchronization inputs of current rheosignals oscillator and synchronous detector of rheosignals. To measure subelectrode resistance, a signal from narrow bandwidth current generator of frequency f1 exceeding the upper frequency fup of signals under recording is supplied. A signal from narrow bandwidth current generator of frequency f2≠ f1>fup is supplied to reference electrode. Voltages are selected and measured at output of each amplifier with frequencies of f1, f2 - Uf1 and Uf2 using narrow bandwidth filtering. Subelectrode resistance of each working electrode is determined from formula Zj=Ujf1 :(Jf1xKj), where Zj is the subelectrode resistance of j-th electrode, Ujf1 is the voltage at output from j-th amplifier with frequency of f1, Kj is the amplification coefficient of the j-th amplifier. Subelectrode resistance of reference electrode is determined from formula ZA=Ujf2 :(Jf2xKj), where ZA is the subelectrode resistance of reference electrode, Ujf2 is the voltage at output from j-th amplifier with frequency of f2, Jf2 is the voltage of narrow bandwidth current oscillator with frequency of f2.
EFFECT: wide range of functional applications.
15 cl, 10 dwg
FIELD: medical engineering.
SUBSTANCE: device has divider, comparison unit, oscillator, acoustic radiator, controllable current source, stable constant voltage source, perspiration equivalent unit, key member, illumination source, conductivity transducer having two electrodes, the first commutator, delay unit, trigger, inverter, discharge unit, the second commutator and feeding voltage availability indicator unit. The first delay unit inputs and the first commutator inputs are connected to comparison unit output. The first commutator input is connected to the first oscillator input which delay unit, trigger and inverter are connected in series. Inverter output is connected to the second input of the first and the second commutator. The first input of the second commutator is connected to the other conductivity transducer electrode and its output is connected to device body via resistor.
EFFECT: reduced current intensity passing through patient skin; excluded negative influence upon skin during prolonged operation time on patient arm during hypoglycemia attack; low power consumption.
2 cl, 4 dwg