A method of treatment of scoliosis in children

 

(57) Abstract:

The invention relates to medicine and is intended for treatment of scoliosis of 1 and 2 degrees in children. The patient is exposed to the interference currents with rhythmically changing a frequency of 25-50 Hz, paravertebral on the area of projection of the scoliotic arc from 2 pairs of electrodes, amperage from 5 to 25 mA until you feel a vibration, the exposure time is 7-10 minutes, depending on the child's age, rate of 10-12 daily procedures. The method allows to increase the effectiveness of the treatment of scoliosis 1 and 2 degrees in children.

The present invention relates to medicine, in particular to Pediatrics, namely, orthopedics, and can be used in medical and health institutions for treatment of children suffering from scoliosis.

It is known that at present the treatment of scoliosis in children is complex, aimed primarily at strengthening the muscular system, i.e. the normalization of the function of the neuromuscular system and metabolic and hormonal disorders in connective tissue, leading to pathological changes of intervertebral disks, eliminating decompensation and struggle with the progression of the pathological process. What is it used for orthopedic cured the even muscles of the back and abdomen, various methods of physiotherapy and balneotherapy, etc. (Prevention and treatment of idiopathic and dysplastic scoliosis in children and adolescents. / Ed. by I. I. Kohn, M., 1971; Movshovich I. A. Scoliosis. Surgical anatomy and pathogenesis. M., 1964).

However, the main disadvantages of these methods of treatment are the excessive duration of the treatment with at the same time weighty physical exercise, repeated their frequency of occurrence that requires considerable willpower on the part of the child, and this in turn entails fatigue and the occurrence of unwanted adverse reactions from the child. Decreasing the degree of effectiveness of the treatment.

There are also known methods of treatment of scoliosis in children by use of physical factors, such as the effect of direct current of low frequency and type with it, medicinal substances, such as Calcium-phosphorus electropores on the spine area or according to the method of Vermes. The electrode area of 150 cm2have above and below the arc of the spine, the current density of 0.02 to 0.04 mA/cm2the duration of 15 minutes, daily or every other day, at the rate of 12-15 procedures is expressed irritation under the electrodes, what causes a negative reaction of the child, with this method there are big energy losses during the passage of the epidermis and a significant negative point is the possibility of allergic reactions in the prescription medication means.

To speed up metabolic processes apply ultraviolet irradiation General on the basic scheme (1/4 to two biodoses, the course 16-20 procedures, this training is conducted in the autumn-winter period (Umarov H. T., karachevtseva So Century. Physiotherapy in Pediatrics. 1993). However, in these cases the impact we do not achieve the desired degree of strengthening weakened muscles.

The closest in technical essence of the present invention is a method of treatment of scoliosis in children, based on the use of rectangular and diadynamic currents, which consists in the stimulation of muscles of the back. Procedures carried out from the “Stimulus 1”, frequency 50 Hz, the duration of the parcels current for 10 seconds, pause - 20, current up to feelings expressed, painless vibration, lasting 5-10 minutes, daily or every other day, a course of 10-15 treatments or electrogymnastics using the “Amplipulse-4;5”, where used nevirapine mode 2 type of work, Casiraghi individually before the emergence of the sense of vibration. The course of treatment is 10-15 25-30 procedures (Umarov H. T., karachevtseva So Century. Physiotherapy in Pediatrics. 1993).

The disadvantages of this method is the possibility of addiction through the use of constant frequencies, the most accurate influence the pathological zone, does not exclude the likelihood of irritation under the electrodes and the development of allergic reactions, and it is impossible to completely eliminate the negative reaction of the child to such effect.

The technical result of the proposed method is to increase muscle tone, helping to create a more robust muscular, eliminate pain, improve blood circulation, metabolism and trophic trunk muscles, as well as improving functional indicators of musculoskeletal system, which in turn helps to prevent the progression of the disease.

This technical result is achieved by the impact on patient interference currents with rhythmically changing a frequency of 25-50 Hz, paravertebral on the area of projection of the scoliotic arc from 2 pairs of electrodes, the current from 5-25 mA until you feel a vibration, impact the district currents in this method is based on the use of mid-frequency alternating sinusoidal current with a low frequency amplitude modulations (1-100 Hz) from two independent circuits with 4 electrodes. As a result of such exposure occurs biologically active interference current of low frequency (0-100 Hz) not in the machine, and inside the tissue of the patient that causes 100% absorption interference currents without loss of energy and allows you to limit the scope of the impact, to provide targeted effect, which is especially important for the child's body. The apparatus AIT-01 generates rhythmically changing frequency within 10, 25, 50 and 100 Hz from the carrier frequency. Main operating frequency of the generator 5000 GC%. Within each sub-band interference frequency change automatically with a period of 101 C. the Current in the circuit of the patient is adjustable by means of variable resistors from 0-50 mA and controlled in both circuits, with a relative error of 10%.

In this method of treatment is used rhythmically changing the frequency of 25-50 Hz, which reduces the tonus of sympathetic innervation, has a special trapnest to the neuromuscular tissue, has neuromyotonia effect, improves trophism (Bogolyubov C. M., Ponomarenko, N. General physiotherapy. M-S-P, 1998).

Rhythmically changing the frequency of the interference current in contrast to the constant frequency is used for the prevention of addiction. Low frequencies in inogo or technicheskogo contraction of muscle fibers. These frequencies are used for muscle atrophy (Yasnohorodska Century, Electrotherapy, M., 1987, S. 80). And higher frequency 90-100 Hz have been used in the treatment of chronic pyelonephritis in children (Novikova E. C. treatment of chronic pyelonephritis in children, M., 2001).

In our method uses rhythmically changing the frequency of 25-50 Hz, which is the most appropriate for impact on the projection area of a trapezoidal, widest, longest muscles in children suffering from scoliosis 1-2 degree. This frequency is the most preferable because it is not addictive and discomfort in children, but at the same time providing a stimulating effect on the muscles of the back.

DESCRIPTION of METHOD of TREATMENT

Patient is placed on a wooden couch. Pre-include the device “AIT-01” for 5 minutes to prepare him for the procedure. On the patient's body have 2 pairs of electrodes paravertebral on the part of the pathological process in the area of projection of the scoliotic arc 2x2 cm, from 2 independent circuits with a thin hydrophilic strips, soaked in warm tap water, providing better contact of the electrode with the body and the issue is was radialis in the area of projection of the vertices of the scoliotic arc currents, the current in the other circuit, i.e. to the imaginary line connecting the two pairs of electrodes were possible, perpendicular to each other. Fixation of the electrodes by using rubber straps and bag of sand. The effect is the interference currents with rhythmically changing a frequency of 25-50 Hz, amperage ranges from 5-25 mA until you feel a vibration, duration of treatment is 7-10 minutes depending on the child's age, rate of 10-12 daily procedures.

EXAMPLES of the METHOD

Example 1

Lena K., age 14 he enrolled in the country the Department of children's clinical hospital №19 with a diagnosis of Dysplastic right thoracic scoliosis of 2 degrees. Planovalgus foot.

Complaints on admission to the posture.

'an.morbi: Scoliosis diagnosed in October 2002 For patient care comes first.

'an. vitae: the Girl was born from 2 pregnancies, the second birth in time. Early psychomotor development without features, vaccinated by age. Of illness notes: ARI, measles, scarlet fever, or smallpox. Is the “D” register IRR (periodic headaches, fainting). Allergic reactions have not been identified.

Heredity: radiotelevizionnyi. Skin and visible mucous clean, pale pink color. Nasal breathing is not difficult, lymph nodes are not enlarged. Lung auscultation vesicular breathing, wheezing no. Heart sounds are clear, rhythmic. AD= 105/70 mm RT.article Pulse-86 1 min Belly of the usual form, palpation of soft, painless. The liver is not enlarged. The kidneys without visible changes. Physiological functions are not disturbed.

Orthopedic examination: Height - 168 cm, Weight - 51,5 kg Under examination is determined by the asymmetry of the shoulder girdle, shoulder blades, triangles waist. The torso forward, the girl takes out his hands to the floor, is defined by the rib-muscle bulging right thoracic, left upper-thoracic and thoracolumbar departments. Palpation of the spinous processes of the vertebrae painless. The length of the legs is the same.

Foot: planovalgus.

In R-gr. From 13.01.2003,: arc thoracic kyphosis strengthened shifted Caudalie, the corners of the vertebral bodies are extended, the axis of the spine rejected right thoracic, left - upper-thoracic and lumbar regions.

Data computer-topographic studies from 12.02.03,: Right thoracic scoliosis of 2 degrees with the formation prativadi in the thoracolumbar>RIII>RI PQ-0,12; ORS-0,04; QT-0,38 RII>RIII>RI

Conclusion: sinus rhythm. The vertical position of the electrical axis of the heart.

According to kardiointervalografii determined simpaticotonici type of vegetative nervous system.

The peak exhalation rate correspond to the norms and comprise: 320 (l/min).

The strength endurance of the back muscles and abdomen at admission were respectively

FMS - 0,45; FMG - 0,35 C.

While in office, the girl received: table 15; the discharge mode of the spine; massage of the muscles of the back and abdomen; physiotherapy exercises in the group “scoliosis” x 1 time a day; exercises for flat feet; electrostimulation of muscles of the back; Kalinova 1 t x 3 R/d No. 30.

Electrical stimulation of muscles she received from the office of the interference currents “AIT-01”. On the patient's body include two pairs of electrodes paravertebral on the part of the pathological process in the area of projection of the scoliotic arc 2x2 cm from 2 independent circuits with a thin hydrophilic strips, soaked in warm tap water, providing better contact of the electrode with the body and performing hygienic functions. The electrodes have so that currents flowed down the chain, i.e. that an imaginary line connecting the two pairs of electrodes were possible, perpendicular to each other. Fixation of the electrodes by using rubber straps and bag of sand. The effect is rhythmically changing a frequency of 25-50 Hz, the current during the first procedures amounted to 12 mA, with a gradual increase it to the end of the course up to 25 mA to feeling good vibrations, the total duration of the treatment was 10 minutes, the course of 10 daily procedures.

Portability procedures satisfactory, had no complaints. After treatment were re-implemented:

- computer-topographic survey: results showed a decrease in the angle of deviation Kobu thoracic to 20.3,

- when re-assessing the degree of endurance of the back muscles and abdomen there is a significant increase muscle endurance compared with the original data (thus, the function of the back muscles increased more than 3.5 times, and the performance of the function of the abdominal muscles has increased in 3 times),

- according to ECG examination in dynamics, significant changes were not detected

- according to kardiointervalografii marked improvement in fonksiyonlar in the dynamics revealed improvement in volume peak exhalation rate up to 350 l/min

Example 2

Girl Julia W., 8 years was admitted to our Department with a diagnosis of Dysplastic left thoracolumbar scoliosis of 1 degree. Longitudinal platypodia 2 degrees.

Complaints on admission to the posture.

'an. morbi: Scoliosis was diagnosed 3 years ago. The girl is in the dispensary at the orthopedist since 2002 For patient care comes first. 'an. vitae: child 1, normally proceeding pregnancy, childbirth in time. Birth weight 3200, body length - 52 see Grow and develop accordingly. Of illness note: varicella, rubella. Currently seeing a gastroenterologist about chronic gastritis. Allergic anamnesis: not burdened. Heredity is not burdened. Status presents communes: in response to the General condition is satisfactory, feeling good. Skin and visible mucous membranes clean, pale pink color. Nasal breathing is not impeded. Lung auscultation vesicular breathing, wheezing no. Heart sounds are clear, rhythmic. AD= 85/55 mm RT.article Pulse 96 in 1 min, good filling. The belly of the usual form, palpation of soft, painless, the liver is not enlarged. Urination free, painless. Chair retainage power. Gait is not changed. Posture sluggish. When inspection reveals the asymmetry of the shoulder girdle, shoulder blades, triangles waist. Increased thoracic kyphosis. Marked deviation of the line of the spinous processes of the left, in the thoracolumbar spine. Decompensation no. Arc in the thoracolumbar division shifted to the left. The functions of the spine are not changed. Palpation of the spinous processes of the pain is not defined. The length of the lower limbs are the same. Foot: a longitudinal smoothed.

When conducting computer-topographic survey revealed: the deviation of the axis of the spine to the left, in the thoracolumbar division, with the top Th12, the angle of deviation amounted to 10.7.

Estimates of the strength of the muscles of the back and abdomen, respectively:

FMS - 0,55 C; FMG - 2,55 C.

The peak exhalation rate correspond to the age and amounted to: 180 l/min

- ECG: heart rate 74-83 in minutes sinus Rhythm. The vertical position of the electrical axis of the heart.

According to kardiointervalografii determined simpaticotonici type of vegetative nervous system.

While in office, the girl received: table No. 15; orthopedic conditions; physiotherapy exercises x 2 p/day; massage of the muscles of the back and abdomen; electrostimulation of muscles parathas interference currents “AIT-01”. On the patient's body include two pairs of electrodes paravertebral on the part of the pathological process in the area of projection of the scoliotic arc 2x2 cm, from 2 independent circuits with a thin hydrophilic strips, soaked in warm tap water, providing better contact of the electrode with the body and performing hygienic functions. The electrodes feature so that the currents flowing in the same chain, overlap in the projection of the vertices of the scoliotic arc currents, the current in the other circuit, i.e. to the imaginary line connecting the two pairs of electrodes were, if possible, perpendicular to each other. Fixation of the electrodes by using rubber straps and bag of sand. The effect is the interference currents with rhythmically changing a frequency of 25-50 Hz from 2 pairs of electrodes, the current during the first procedure was 5 mA, and by the end of the course of treatment is 12 mA, duration of treatment 7 minutes, rate - 10 daily procedures. Portability procedures satisfactory, had no complaints.

When conducting follow-up examinations after treatment installed:

- according to a computer-topographic studies Department to 9.2 on cobu;

- when re-assessing the degree of endurance of the back muscles and abdomen revealed a significant increase compared to the original data; thus, the degree of endurance of the function of the back muscles increased 3 times, and abdominal muscles 2 times;

- according to the dynamics of peak flow reading has increased, the peak exhalation rate in comparison with the original data (up to 230 l/min) and bringing them to the age norms;

- according to kardiointervalografii identified the improvement of the functional state of the autonomic nervous system;

- according to the dynamics of ECG study no significant changes noted.

The proposed method of treatment was applied in 60 children with scoliosis 1-2 degrees, ranging in age from 8 to 15 years. The work was carried out on the basis of country branch of children's hospital No. 19. T. S. Zatsepin for children with diseases of the musculoskeletal system. Among the surveyed children were mostly children with scoliosis in the thoracolumbar and lumbar spine 1 and 2 degrees, a smaller group consisted of children with right thoracic scoliosis 1 and 2 degrees. In all the examined children deflection of the main arc was at least 5 Kobu chronic cholecystitis, chronic pyelonephritis in remission. The proposed method of treatment was included in the complex of traditional treatment, which includes the discharge mode of the spine, complex exercises, massage of the muscles of the back and abdomen. All children received the treatment offered by way of adverse reactions were not observed. By the end of treatment in all children improved health, there has been a reduction in overall fatigue, the child grew and became more hardy and active. Patients noted the positive dynamics of clinical symptoms: decrease the severity of the angle of deviation of the spine, reducing torii, significant increase in the degree of endurance of the back muscles and stomach, eliminating decompensation, the disappearance of pain, a positive trend indicator status of the respiratory system, showed improvement of the functional state of the autonomic nervous system.

A method of treating scoliosis of 1-St and 2-nd degree in children through exposure to pulsed currents, characterized in that the patient is exposed to the interference currents with rhythmically changing a frequency of 25-50 Hz paravertebral on the area of projection of the scoliotic arc from 2 pairs of electrodes, si-12 daily procedures.

 

Same patents:

The invention relates to medicine and is intended for complex treatment of patients with spinal vascular disorders

The invention relates to medicine, and is intended to impact on the human body
The invention relates to medicine, and is intended for the treatment of acute myocardial infarction

The invention relates to medicine, namely to addiction
The invention relates to medicine and is intended for treatment of hypotension uterus after abortion
The invention relates to medicine, dermatology
The invention relates to medicine, and is intended for the treatment of pain syndrome
The invention relates to medicine, and is intended for the treatment of dysmenorrhea in women of reproductive age
The invention relates to medicine, therapy
The invention relates to medicine, neurology

FIELD: medicine.

SUBSTANCE: through puncture opening in proximal and distal directions one should perform osseous tunnels being coaxial to osseous log to connect, thus, the cavity of osseous cyst with medullary canal. Through the parts of healthy bone at the distance of 1-2 cm against cyst's edge in oblique direction one should implant rigid electrodes at the angle of 45 deg. against its center by applying beck's needles with dielectric covering. Subcutaneously one should implant elastic electrodes in projection of lesion focus and connect an electrostimulating unit to cutaneous ends of electrodes. Onto intraosseous electrodes one should supply impulse current of negative polarity, and onto elastic ones - of positive polarity at 10-20 mcA power and frequency of 0.5 Hz, of total duration and front of rectangular impulses cut being 200 mcsec, not more.. One should affect with impulse electric currents on the 24-h basis till complete covering the osseous defect observed.

EFFECT: higher efficiency of therapy.

2 ex

FIELD: medicine; cosmetics.

SUBSTANCE: method involves preparing and applying electrically activated cosmetic therapy substance. Preparation process involves passing alternating electric current through electrolyte material. The alternating current is applied for at least 10 min with preferential time being 4-8 h long for changing physical properties of the substance. Then the current is switched off. The active substance is administered as inhalation in pulmonary tract or as injections into human or animal body. The substance properties are retained for some limited time.

EFFECT: enhanced effectiveness of treatment; excluded electric current passage through patient tissues; excluded drug concentration in the vicinity of electrodes.

50 cl, 13 dwg

FIELD: medicine.

SUBSTANCE: method involves concurrently acting with stimulating electric pulses and back pressure pulses upon the prostate from the large intestine side synchronized with the stimulating electric pulses under excessive rinsing solution pressure into posterior urethra region. Device has pneumatic massage unit as elastic shell enveloping hollow cylindrical casing having a row of radial holes for supplying compressed air into the shell and periodic pulsating pressure source having at least one unit for producing electric pulses and pneumo-electromagnetic valve which electromagnet anchor is connected to electric pulse production unit outputs. Unit for electrically stimulating perineal muscles and prostate having stimulating catheter electrode and reservoir containing rinsing solution attached to catheter electrode are available in the device. Electric stimulation unit output is connected to input of unit for producing pressure pulses. Periodic pulsating pressure source is manufactured as elastic pneumatic chamber brought in continuous mechanical engagement with electromagnet anchor of the pneumo-electromagnetic valve and tightly joined via tube, cylindrical tube cavity and radial holes therein to the elastic shell of the massage member.

EFFECT: enhanced effectiveness of treatment; accelerated treatment course.

3 cl, 10 dwg

FIELD: medicine.

SUBSTANCE: method involves carrying out endoscopic operation. SCENAR-therapy is additionally administered with pulsating bipolar electric current being used without constant component as pulses at succession frequency from 10 to 350 Hz including swinging frequency mode within 30-120 Hz bandwidth with 2 to 8 pulses formed as batches at succession rate of 540 Hz to 4.5 kHz. The signal is modulated by varying ratio of action time to pauze duration within 1:1-1:5. 1-3 SCENAR-therapy courses are administered with 1-3 months long pauses. The first course begins at the first menstrual cycle occurred after endoscopic operation. Each course is carried out according to a scheme. 15-20 sessions are administered during the first menstrual cycle and 7-10 sessions are administered during the second menstrual cycle. The 25-40 min long sessions are applied daily.

EFFECT: enhanced effectiveness of treatment.

FIELD: medicine.

SUBSTANCE: method involves concurrently acting upon patient auditory system with acoustic signal produced by a musical composition selected on basis of patient health state and electric signals of the same musical composition acting upon patient skin. The electric signals amplitude-modulated with depth of 15-85%, act upon the patient via adhesive skin electrodes during 15-40 min. Hearing-add device is subjected to acoustic signals amplitude-modulated with depth of 15% and higher. Amplitude-modulation frequency is selected within the limits of 1.2-9.8 Hz. Modulation is carried out with frequency corresponding to patient disease frequency and action power is chosen on basis of subjective patient sensations. Device has unit for performing musical composition, the first and the second power amplifier, matching unit, adhesive electrodes and electroacoustic converter as well as electrostimulation modulator, acoustic modulator, the first and the second modulation depth regulator, the first and the second power control unit. Musical signal reproduction output unit is connected to the first inputs of electrostimulation modulator and acoustic modulator, which second inputs are connected to input of introduced controllable modulation frequency oscillator and modulation depth regulators are connected to their third inputs. Electrostimulation modulator output is connected to adhesive electrodes via the first power amplifier and matching unit. Sound modulator is connected to the electroacoustic converter via the second power amplifier. The first and the second power regulator are connected to the second inputs of the first and the second power amplifier. Unit for recording sessions is additionally introduced for replicating therapeutic sessions, its first input being connected to the electrostimulation modulator and the second one to the sound modulator output.

EFFECT: enhanced effectiveness of treatment.

4 cl, 1 dwg

FIELD: medicine.

SUBSTANCE: method involves specifying disease stage, determining suggestibility degree, programming on abstinence from alcohol consumption for a 6-12 months long period the patient determines on the own free will. Treatment is administered with bipolar electric asymmetric current pulses of 3-5 mA being applied on the background of relaxing melody later on in reanimation room. Assurance in overcoming difficulties of life and becoming free of alcohol addiction is suggested on this background. Placebo is concurrently intravenously administered as drop infusion imitating coding preparation as alcohol receptor blocker. Suggestive accentuation is concentrated on possible complications caused by alcohol consumption after introducing the preparation. The aversion against alcohol is invoked by making drop infusion of medicament mixture causing fever sensation and myorelaxation. The patient swallows 2-3 gulps of alcohol and the provoked responses are associated to them with a cause-effect relation like alcohol-bad health state and fixed with intramuscular placebo injection simulating oil code preparation.

EFFECT: enhanced effectiveness of treatment; prolonged remission period.

6 cl

FIELD: medicine, neurosurgery.

SUBSTANCE: the present innovation deals with surgical treatment of neurological complications in patients with degenerative-dystrophic vertebral lesion and partial disorder of conductor-segmental spinal functions. One should surgically remove spinal compression due to resecting anterior departments of affected osseous-cartilaginous structures of vertebral-motor segment. One should apply electrodes: one pair - intraoperationally epidurally upon dura mater above anterior spinal departments being above the level of its lesion; then another pair of electrodes - by puncturing into area of posterior departments being below the level of its lesion to conduct electrostimulation. Moreover, therapy should be supplemented with phonophoresis with neuroprotector preparations. Electrostimulation of posterior spinal departments starts on the 2nd d, and that of anterior departments - on the 3d or 4th d after operation. Parameters of curative electrostimulation should be matches for every patient individually with the help of electroneuromyography. The innovation enables to decrease postoperative complications.

EFFECT: higher efficiency of therapy.

2 cl,1 ex

FIELD: medicine, traumatology, neurosurgery, microsurgery, neurotraumatology.

SUBSTANCE: one should fulfill autoneuroplasty of nervous defect, implantation of wire electrodes epineurally for both ends of contact areas of nerve's affected part at arranging insulation-free electrodes with their opened active ends along the direction of affected nerve. Moreover, before implantation of wire electrodes one should divide their ends into fibers to obtain filamentous wires and embrace nerve trunk and autoneurotransplant along their circumference. Electrodes should be placed at distal and proximal ends of affected nerve being about 5-10 mm above and below neurorhaphy area to perform electrostimulation. The method enables to accelerate regeneration of nervous fiber and decrease lesions of nervous tissue.

EFFECT: higher efficiency of therapy.

1 cl, 5 dwg, 1 ex

FIELD: medicine, physiotherapy.

SUBSTANCE: at the first stage, one should affect with magnetic field upon vertebral reflexogenic areas - volar surfaces - located at colored plates as straps. At the second stage, one should affect with magnetic field upon the area of vertebral column that helps to improve psychoemotional state in patients.

EFFECT: higher efficiency of therapy.

2 cl, 1 ex

FIELD: medicine, neurology, psychiatry.

SUBSTANCE: one should affect with amplipulsephoresis of "Berlition" preparation in rectified mode. One should apply types III and V of operations at modulation frequency being 130-150 Hz, modulation depth of 50-75%, impact duration for every type of operation lasts for 5-7 min. During the 1st d electrode-cathode should be located in inferior cervical - superior thoracic department of vertebral column, and electrode-anode - at anterior and posterior surfaces of forearms. During the 2nd d - in inferior thoracic - superior lumbar department of vertebral column and at anterior-lateral and posterior surfaces of shins, correspondingly. The present method improves clinico-electrophysiological and biochemical parameters.

EFFECT: higher efficiency of therapy.

5 ex, 8 tbl

Up!