A method for the treatment of scoliotic illness in children

 

(57) Abstract:

The invention relates to medicine, namely to orthopedics. Determine the strength, coordination and neuromodulation changes in the muscles, the function of the motor cells of the spinal cord according to electromyograms (EMG). Then carry out a consistent impact on the region of the spine with the use of biofeedback (BFB), infrared laser radiation and the vibration stimulus. In this first spend electromyographic training patients on initial electromyographic (EMG) signals biofeedback (BFB), causing alternating contraction and relaxation of muscles of the patient to the left and right of the spine, for 15 seconds each process within 30 minutes. Then act modulated low frequency not more than 3.0 Hz infrared laser pulse radiation energy of not more than 50 j, the wavelength of 960 nm paravertebral right and left along the entire length of the spine. Then the vibratory stimulus with a frequency of 10 Hz massages along the spinal roots along the entire length of the spine with a duration of 3 minutes for each segment of the spine. Procedure carry out IED is Stanovlenie coordination, the function of nerve cells in the spinal cord, strengthen ligaments of the spine and the muscular corset" and reduce pain.

The present invention relates to medicine, in particular to orthopedics, and can be used for injuries and diseases of the spine.

Known methods of electrical stimulation of muscles, such as the effects on the spine, where particular importance given the indications of stimulation, the characteristics of electrical stimulation, exercise programs, the characteristics of the electrodes and their location, evaluation criteria and the results of treatment [1, 2].

The closest is a method of treating dysplastic scoliosis in children through exposure to a constant pulse of current. The influence exercised by pulse current frequency of 60-100 Hz amperage 5-15 mA two or four depending on the number of zones of innervation disorders electrodes paravertebral for 6-8 hours during the night, every day, before the onset of maturation of bone tissue of the vertebral column in the background of the traditional complex conservative treatment [3].

However, the known method of treatment is not effective enough because of the lack of impact n the congestion, neuromuscular balance, coordination of muscles, nerve cells of the spinal cord, in metabolism in the spine and surrounding tissues, intervertebral discs and joints of the spine.

Based on the existing level of technology for the treatment of scoliotic illness in children was tasked to improve the effectiveness of treatment through recovery coordination, the function of nerve cells of the spinal cord, metabolism of tissues, strengthening the ligaments of the spine and the muscular corset” and reduce pain.

The set task is solved as follows.

A method for the treatment of scoliotic illness in children is carried out by exposure of pulsed current on the spine. New in the solution of the problem is that determine the strength, coordination and neuromodulation changes in the muscles, the function of the motor cells of the spinal cord according to electromyograms (EMG). Then carry out a consistent impact on the region of the spine with the use of biofeedback (BFB), infrared laser radiation and the vibration stimulus. When you spend electromyography is, is yzva alternating contraction and relaxation of muscles of the patient to the left and right of the spine, for 15 seconds each process within 30 minutes. Then act modulated low frequency not more than 3.0 Hz infrared laser pulse radiation energy of not more than 50 j, the wavelength of 960 nm paravertebral right and left along the entire length of the spine. Then the vibratory stimulus with a frequency of 10 Hz massages along the spinal roots along the entire length of the spine with a duration of 3 minutes for each segment of the spine. Procedures carried out daily for 1.5 hours, the course of treatment 15 days.

Explain any significant distinguishing features of the proposed method.

The definition of the function of motor nerve cells of the spinal cord, power, coordination and neuromodulation changes in the muscles of the back according to electromyograms (EMG) allows you to set the depth of pathological changes in locomotor apparatus in scoliotic illness.

Continuous exposure using the first biofeedback, then infrared laser radiation and the vibration stimulus in the circulation and metabolic processes in tissues, to strengthen “a muscular corset” and ligaments of the spine.

Conducting EMG training patients on initial electromyographic signals biofeedback (BFB), causing alternating contraction and relaxation of muscles of the patient to the left and right of the spine 15 seconds, it is necessary to obtain information about the functional state of the control units of the nervous system and muscles, as well as teaching the patient self-management and directed to change their activities in the right direction [4]. One of the important conditions for the successful application of this technique, is an alternative biofeedback”, which in a few seconds alternating Hyper - and underactive train functions [5, 6]. Hyperactivity of the muscles of the back should be focused on balance and coordination, underactive muscles to their full relaxation, removal of spastic manifestations and myofascial pain.

The modulated low frequency to 3.0 Hz low-intensity infrared laser pulse radiation energy up to 50 j, the wavelength of 960 nm paravertebral left and right along the length of the spine may affect a number of systems organicchem body, their mobilization and greatly enhances adaptive corrective processes, normalizing the overall condition of the body [7, 8]. Crucial in therapeutic result, we have the parameters of laser radiation, and is now firmly established that the laser radiation in the wavelength range of 0.4-1 μm with a power density of from 10 to 1 mW/cm has a stimulating effect on various processes in biological tissues, organs and the organism as a whole [9].

Biological effects of low energy infrared (IR) radiation is of a soft nature, and its impact is not energy, but rather an information control. It is also important that low-intensity laser irradiation has no genetic effect and shall not be transmitted [10].

The radiation of the infrared range having a wavelength of 960 nm and an energy of up to 50 j, has considerable depth of penetration (up to 80 mm) in the human body, because the tissues have to such radiation “transparency window” [11, 12].

Experimental data on laser therapy [7, 9] showed that when the parameters of the biorhythm of the body can achieve greater therapeutic effect [13], Poett rhythm provides accelerated passage of blood through the body, accelerated metabolism and gases between blood and tissue and drain fluid from the intercellular spaces in the lymphatic vessels.

When the intensity passing through the fabric infrared laser radiation with a wavelength of 960 nm and in tight contact with the skin depth of penetration is increased up to 30 times. Thus, the radiation reaches all the dermal and subdermal, nervous and vascular plexus and structures, as well as muscle layers.

Holding segmental vibration with a vibration frequency of 10 Hz provides the following. Given the segmental structure of the spinal cord, massage should be segmental and along the spinal roots. Vibration stimulus primarily acts on heavier fabric, i.e. on the spine. The greatest absorption of vibration energy is observed in the intervertebral discs, joints and ligaments. Thus optimally excited proprioreceptors, improves circulation and metabolism, is a mechanical strengthening of the intervertebral discs, ligaments, and joint capsules. The use of vibration frequency of 10 Hz, which corresponds to physiological tremor, makes the massage more physiological and compliance 61 N 23/00, A 61 N 1/00, 5/00 and analysis of scientific and medical information that reflects the existing level of treatment of scoliotic illness in children, has not revealed any technology that is identical to the one proposed. Thus, the proposed method for the treatment of scoliosis is new.

The relationship and interaction of the essential techniques of the proposed method achieve new technological and medical results in solving the task, namely, to improve the effectiveness of treatment due to the recovery of coordinated contractions of the back muscles, the function of nerve cells of the spinal cord, metabolism of tissues, strengthening the ligaments of the spine and the muscular corset”, reduce pain syndrome.

Thus, the proposed solution involves an inventive step.

The proposed method for the treatment of scoliotic illness in children is industrially applicable in the field of practical health care, as it can be reproduced repeatedly, does not require exceptional resources to implement.

The essence of the proposed method for the treatment of scoliotic illness in children is as follows.

First, according to the muscle electromyograms spermists (power), fatigue, neuromodulation changes in the muscles, coordination of the muscles of the back. Take into account the patient complaints of pain in the back, their localization, General fatigue.

The patient impose electrodes for removal of biopotentials from the back muscles on the right and left in the apex region of the spinal curvature with interelectrode distance of 3-5 cm, and data available on the device for the simultaneous removal of biopotentials back muscles on the right and left and two dial indicators for visual monitoring of the level of activity of these muscles. The device provides biofeedback (BFB) on EMG signals. Include the device and offer the patient, to reduce arbitrarily the muscles of the back, bring the arrow indicators on one level and hold them in that position for 15 seconds, then the maximum relax. Alternating muscle contraction and relaxation should be performed within 15 minutes. Then the patient propose to minimize back muscles to the left of the spine and to achieve the maximum deviation left arrow indicator, and hold this position for 10 seconds. Then, without pause, to do similar actions to the right of the spine. Then offer the patient to relax, and the composition is brilliant relaxation should be performed within 15 minutes.

Next, the patient is placed in the position lying on his stomach”. To the left of the spinous processes of the cervical vertebrae 1-4 have close to the skin of the rectangular laser emitter size 2×4 see Act modulated low frequency up to 3 Hz low-intensity infrared laser radiation energy of not more than 50 j, the wavelength of 960 nm for 1 minute. Then the same results hold to the right of the spine. Further, by changing the position on the length of the laser emitter, affect the spine to the sacrum. The total exposure time is determined by the length of the spine.

Without changing the position of the patient, conduct prosegment (according to the areas Zakharyin-Ged) vibrating massage of the spine with a frequency of 10 Hz. Duration of exposure for 3 minutes on each segment of the spine.

After finishing the above procedures to the patient in the lying position on the back” to impose the electrodes size 3×4 cm and gauze pads moistened with saline solution, in paravertebral thoracic or lumbar spine, depending on the localization of curvature. The electrodes record sacks filled with sand. The impact of the conduct rectangular pulses with a duration of 0.3 Alnost electric shocks on each side of the spine for 15-20 minutes. Complex procedures carried out daily for 1.5 hours, the course of treatment 15 days.

As a result of treatment there was a positive effect: 1) stops the progression of the disease (according to data from longer follow - up 6-8 years); 2) recovering the coordination of the muscles of the back; 3) increases the power of the muscles; 4) reduced their fatigue; 5) avoids the asymmetry of muscular strength; 6) eliminated neuromodulation changes in muscles; 7) improves the function of nerve cells of the spinal cord; 8) strengthening ligaments and “a muscular corset”; disappear subjective pain. The above positive changes typically observed after 15-20 sessions. For the obtained effect spend 6 months a second course of treatment.

The proposed method for the treatment of scoliotic illness in children tested at 135 patients with scoliosis 1-2 degrees: 74 boys and 61 girls aged 8 to 16 years. The follow-up period up to 6 years. As a result of the treatment stopped the progression of the disease in 100% of patients, clinical improvement, including recovery coordination, 92%, elimination of asymmetry in 96%, decrease fatigue in 86% decrease neuromodulation ismho apparatus and “muscular” in 98%. Subjectively observed decrease pain, reduce overall fatigue, more easy portability school loads.

The essence of the proposed method is illustrated by a clinical example.

Patient A-h F., age 11. The diagnosis of dysplastic left lumbar scoliosis of 2 degrees. Before treatment conducted electromyographic study.

According to the EMG value of the tracking error for a certain level of bioelectric activity of the muscles was 0.6 (1.0 equals 100% of errors), a complete violation of coordination of the muscles of the back (the patient could not arbitrarily alternately to reduce back muscles on the right and left), the value of bioelectrical activity at maximum arbitrarily reduce back muscles (muscle strength) was in µv: 389 left, right, 388 (norm 680-725); the average value of the bioelectric activity at 50% reduction from the maximum (muscle fatigue) for 30 s was in µv: left 692, right 887 (norm 1370-1450)the ratio of high frequency to slow EMG(ministrations changes in muscles) were: left to 0.92, right 0,86 (rate of 2.10-2.40 a); the ratio of the average amplitude to the mean frequency of the EMG (function motor nerve cells of the spinal cord) were: ke impose electrodes for removal of biopotentials from the back muscles on the right and left in the field 3-5 thoracic vertebrae with interelectrode distance of 4 cm at a distance of 2 cm from the spinous processes and serves on the device for the simultaneous removal of bioelectric potentials of the muscles on the right and left of the spine and optic control dial indicators for their level of bioelectric activity. Include a device that provides EMG feedback, and offer the patient, to reduce arbitrarily the muscles of the back, bring the arrow indicators on the same a certain level and keep them in that position for 15 seconds, then the maximum relax. Alternating muscle contraction and relaxation was carried out for 15 minutes. Then the patient serves to minimize back muscles to the left of the spine and to achieve the maximum deviation left arrow indicator, and hold this position for 10 seconds. Then, without pause, to do the same steps on the right. Then to relax and stay in this position for 15 seconds. Alternating muscle contraction to the left and to the right, followed by General relaxation was carried out for 15 minutes.

Next, the patient is placed in a position lying on the stomach and close to the skin to the left of the spinous process of the 1st cervical vertebra have a rectangular laser emitter size 2×4 see the modulated low frequency up to 3 Hz low-intensity infrared laser radiation energy of not more than 50 j a wavelength of 960 nm was carried out for 1 minute. Then a similar effect was performed to the right of the spinous OTE up to the sacrum. The total exposure time was 15 minutes.

Next, without changing the patient's position, held psegment, according to the areas Zakharyin-Ged, vibrating massage of the spine with a frequency of 10 Hz. Duration of exposure for each segment of the spine was 2 minutes. The total exposure time was 12 minutes.

After finishing the above procedures, the patient in the lying position on the back” imposed electrodes (3x4 cm) and gauze pads moistened with saline, paravertebral thoracic spine at the level of maximum curvature. The electrodes were fixed sacks filled with sand. Impact conducted a rectangular pulse of current with a duration of 0.3 MS, an intensity of 5.0 mA. Duration of impact shock on each side of the spine accounted for 15 minutes. Complex procedures were carried out daily for 1.5 hours, the course of treatment 15 days.

The achieved therapeutic effect. According to EMG: the magnitude of the tracking error for a certain level of bioelectric activity of the muscles was 0.2, the patient has full control of arbitrary alternating contraction of the muscles of the back to the right and to the left, the value of bioelectrical activity when Maxi is tion activity at 50% reduction from the maximum 30 was in µv: left 1248, right 1387; the ratio of high frequency to slow amounted to: left 1,93, right 1,62; the ratio of the average amplitude to the average frequency was: 28 left, right 37.

Thus, as a result of the treatment the number of errors in the tracking of a certain level of bioelectric activity decreased by 67%, fully recovered coordination of muscles, the strength of the back muscles increased on the left in 1.8 times, to the right in 1.6 times, decreased fatigue of the back muscles on the left in 1.8 times, to the right in 1.5 times, ministrations changes in the muscles decreased on the left in 2.1 times, to the right in 1.9 times, the function of motor nerve cells of the spinal cord has improved to the left by 13%, to the right by 30%, decreased pain and General fatigue. To consolidate the effect of the patient is recommended to repeat treatment after 6 months.

Thus, the Method of treatment of scoliotic illness in children compared with other known technologies provides a qualitatively new therapeutic effect, resulting in stopping the progression of the disease and significantly improve the function of the musculoskeletal system, as well as decrease pain.

Sources Ivanovic. // Sat. scient. Tr. Leningrad. Sri traumat. and orthopedics. - 1980. No. 12. - S. 34-37.

2. Edel H. Stand und Bedeutung neuromuskularer Elektrostimulationsverfahren (NMES) für die Orthopadie / Traumatologie.// Z. Physiother. - 1989. - B. 41.- No. 4. - P. 203-210.

3. Nenasheva T. C., Komarova, T. A., Grigorieva C. D., Sadofyev C. I., Filippov, I. K., Suvorov Century A. a Method for the treatment of dysplastic scoliosis// Pat. 2141851. - BI. No. 33, 1999. S. 148.

4. Vasilevsky N. N. Adaptive self-regulation functions and its relationship with dynamic control of the endogenous biorhythms. // J. of mol. biochem. and Fiziol. - 1973. - So 3. No. 4. - S. 374-382.

5. Butuanon Century Century System analysis and optimization of regenerative processes in patients with spinal cord injury.// Abstract of Prof. Diss. - 1988. - S. 38.

6. Borkovec, T. D., Sides KJ. Critical proceduvariables related to the physiological effects of progressive relaxation. //Behav. Res. And Ther. - 1979. - V. 17. No. 2. - P. 119-125.

7. The use of lasers in science and technology. // Irkutsk: if ILF RAS - 1996. - vol. 8-210 C.

8. Korepanov C. M. Theory and practice of laser therapy// M: LASERMED. - 1992. - 195 C.

9. Vyhovsky Y. N., Lysakov I. C., Malov, A. N., Malov, S. N., Feschenko B. C. Conceptual questions bioptic and laser therapy. //Irkutsk: ILF. - 1997. - 74 S.

10. Chernov, C., Angeber O. P., Caplan M. A., the Influence of low-intensity pulsed HR CLASS="ptx2">11. The use of the laser therapeutic apparatus gallium arsenide (wavelength of 0.9 μm) ALT UZORESHITELNITSA” in medicine. //M: NEILH the USSR Ministry of health. - 1990. - 70 S.

12. Magneto-infrared-laser therapeutic apparatus MILTA. //Manual for physicians. - BPGI 2.087.001. FROM/M: PKP GIT. - 1996. - 120 S.

13. Applied problems of laser medicine. //M: MACDEL. - 1993. - 188 S.

14. Butuanon Century. Century. Second movement as the basis of the activity of the organs and tissues //bull. WSNS SB RAMS. - 2001. №5 (19). - S. 189-185.

A method for the treatment of scoliotic illness in children by action of pulsed current on the spine, characterized in that determines the function of motor nerve cells of the spinal cord, power, coordination and neuromodulation changes in the muscles according to electromyograms (EMG) and implement a consistent impact on the region of the spine with the use of biofeedback (BFB), infrared laser radiation, vibration stimulus, in this first spend electromyographic training patients on initial electromyographic (EMG) signals biofeedback, causing alternating contraction and relaxation of the back muscles is ofanim subsonic frequency not more than 3.0 Hz infrared laser pulsed radiation with an energy of not more than 50 j, a wavelength of 960 nm paravertebral right and left along the entire length of the spine, then the vibratory stimulus with a frequency of 10 Hz massages along the spinal roots along the entire length of the spine duration of 3 min on each segment of the spine, procedures carried out daily for 1.5 h, the course of treatment 15 days.



 

Same patents:
The invention relates to medicine, namely to traumatology and orthopedics, neurology, neurosurgery
The invention relates to medicine and can be used for the prevention of reactive syndrome when conducting linear laser trabeculoplasty
The invention relates to medicine, specifically to gynecology, and relates to methods of treatment of purulent inflammatory diseases of uterine appendages (GSPM)
The invention relates to medicine, namely to pediatric Oncology, and can be used in complex treatment of children with hemangiomas under the age of one year
The invention relates to medicine, namely to laser ENT surgery
The invention relates to medicine and can be used in maxillo-facial surgery, ENT, dental surgery, physiotherapy

The invention relates to medicine, and is intended for the treatment of bronchial tissue wounds in patients with various diseases of the bronchopulmonary system, underwent reconstructive surgery on the trachea and bronchi
The invention relates to medicine, namely to traumatology and orthopedics, and can be used in the conservative treatment of degenerative-dystrophic diseases of large joints

The invention relates to medicine, namely purulent surgery
The invention relates to medicine, particularly cardiology and balneology

The invention relates to medical equipment, namely, devices for vibratory and non-surgical treatment of musculoskeletal system of the person

The invention relates to animal husbandry

The invention relates to animal husbandry

The invention relates to medicine and health, and in particular to methods and devices for therapeutic massage and also for psychophysical rehabilitation of the body and its samoistselimy forces, relaxation, accelerated relaxation
The invention relates to medicine, namely to health psychology

The invention relates to medicine, namely to the treatment of urological, gynecological and andrological, anal and other diseases, as well as balneological practice, and can be used as an additional tool in carrying out relaxation meditation procedures

The invention relates to animal husbandry, in particular measures against mastitis in farm animals
The invention relates to medicine, in particular, neurology
Up!