Method for treating children and teenagers for scoliosis

FIELD: medicine.

SUBSTANCE: method involves exposing motor activity points of injured dorsal muscles to pulsating extremely high frequency noise radiation in bandwidth of 52-78 GHz, duration of 1 mcs, mean power flow intensity of 0.85 mcW/cm2. Their tonus is to be determined in advance. Tonus being initially high, the daily treatment session is 5-8 min long. Tonus being initially low, the daily treatment session is 2-4 min long. The total treatment course is 8-15 procedures long.

EFFECT: enhanced effectiveness of treatment; reduced pain feeling intensity; stable treatment effect.

1 dwg, 7 tbl

 

The invention relates to medicine, namely to Orthopaedics and physiotherapy.

In the Arsenal of modern regenerative medicine has accumulated a significant amount of various methods for the treatment of scoliotic deformities of the spine. Known methods of treatment using special techniques of physiotherapy [1], massage [2].

The most important physical factor in the treatment of neuroorthopedics diseases is stimulation, which is an effective means of improving the tone and contractility of the muscles leads to a noticeable working hypertrophy and a substantial increase in static endurance [3, 4]. Used as methods to skin the electrodes [4, 5], including the use of biological feedback [6], and methods for implantable electrical stimulation of the spinal muscles [7].

The main disadvantage of electrical stimulation is that this procedure is in contrast to other methods of physiotherapy causes painful sensations, as the threshold elektrovojvodina muscles considerably exceeds the threshold of pain sensitivity of the skin. Often patients with a low pain threshold, especially with a history of the electrical trauma and children, the electrical stimulation to hold it can be very difficult because of her severe pain.

Also known is a method of treatment of patients with fu is ctionality forms of scoliosis by sequential stimulation of the Sacro-spinous, external obliques, rhomboid, trapezius electrical rectangular pulses with amplitude of 30-50, the duration of 50-100 μs, a repetition rate of 40-50 Hz with a duration of a series of pulses of 300-500 MS during walking [3]. When using this method is to develop proper motor skills. However, to obtain the desired result of treatment required for 1 session for each muscle to give not less than 2000 economic stimulus packages - this is achieved when walking at a distance of 2 km (treatment time is 40 minutes). Accordingly, the 20-day course of a long painful procedures to children and Teens is not always easy to transfer.

The objective of the proposed method is to improve the portability procedures, the efficiency of treatment of scoliosis in children and adolescents due to the receipt myostimulating effect without pain.

This object is achieved by exposure to a pulsed electric field, and the specified influence carry out noise EHF-radiation in the range 52-78 GHz when pulse frequency 10 Hz, duration 1 µs, average power flux density of 0.85 mW/cm2on the motor points of the affected muscles, and pre-determine their tone and the original high tone effect for 5-8 minutes, and PR is the original low tone - within 2-4 minutes each day on the course 8-15 procedures.

Methods of treatment of children, along with the clinical effect must have minimal side effects. These are the properties of electromagnetic radiation of millimeter-wave-band. The results of numerous experimental and clinical studies have identified therapeutic effects of EHF-waves: analgesic effect, especially in the range 53-78 GHz, anti-stress and antioxidant effects, improvement of microcirculation in the damaged tissues. Currently known facts influence of electromagnetic radiation on morphological and functional state of various parts of the nervous and muscular systems. Such as changing the pulse activity and sensitivity threshold limit of nerve endings, the impact on the state elektrovojvodina areas of nerve fibers, stimulation of regenerative processes in nerves [8, 9]. The action of electromagnetic fields grinevesky frequency on the musculoskeletal system caused by the modulation of the biophysical properties of myosin due to its conformational changes [10, 11, 12]. It is known that the effects of physical factors on excitable tissues is largely associated with changes not so much the absolute excitability of neurons and myocytes as their adaptive capacity. The basis of accommodation are the processes that determine changes is a critical level of depolarization of cell membranes, which in turn depends mainly on sodium and to a lesser extent from the potassium permeability of the latter [11]. One of the mechanisms of action of electromagnetic radiation of extremely high frequencies on the neuro-muscular system is the change in sodium permeability of ion channels of cell membranes. In nerve cells occurs mainly inactivation of the sodium permeability, and in muscle fibers, apparently, the reverse process, although in the latter case, one cannot rule out the participation of CA2+channels in the detected effects [11]. In General, electromagnetic pulses reduce the thresholds of excitation of the muscle tissue (anxiety increases). When using the pulsed emission mode to change the rhythm of endogenous and spontaneous activity of neurons, the efficiency of synaptic conduction, the activation process of repolarization of the nerve tissue quite short (10 NS) impact [13].

We used a noise range of EHF-radiation, as it contains all biologically significant frequency, which increases the probability of the occurrence of resonance phenomena. When exposed to electromagnetic fields EHF-band noise mode cells bioobject begin working as a nonlinear element, corresponding to the natural frequencies [14].

In the reconstructions at different levels of the organization and neuromuscular apparatus under the influence of EHF waves increases the functional activity, changing muscle tone, increases the excitability of the muscle tissue, allowing you to get when using the pulse mode effects myostimulating effect. When this stimulation of the neuromuscular system is achieved in the complete absence of pain.

The method is as follows. Children and adolescents with scoliosis of the spine EHF-therapy was performed using the noise signal MM-radiation with a spectral width of 52-78 GHz in pulsed mode at a frequency of 10 Hz and an average power flux density 1 mW/cm2on the area of the motor points of the affected muscles (trapezius, infraspinatus, the rectifier back). Previously, we determined their tone and the initial low (0.30 kg/cm2the tone was affected within 2-4 min, and when the source increased (>0.60 kg/cm2) within 5-8 minutes Emitters (or electrodes) disposed in the area of motor points of the concerned muscles. The method is stable when exposed to 1 field from 2 to 8 min at total treatment duration 15-30 minutes Course consisted of 8-12 treatments daily. We used the EHF-therapy "Stella-1" (registered in the State register of medical products, № state registration 95/311-198). In our research by using the pulse mode, the radiation power is reduced a million times (average the power was 8.75 · 10-6mW).

The location of the fields depended on the form of scoliosis (drawing). When the S-shaped scoliosis at the height of the convex primary and secondary arcs muscle tone, usually raised, and on the opposite side on the same level there is a decrease in muscle tone. Accordingly fields with similar changes in muscle tone are located relative to each other Phillips: on the area of the fields 1 and 4 of the act for 5-8 min, and region fields 2, 3 is short-term (2-4 min) exposure. When C-shaped scoliosis often found unidirectional muscles with similar changes in muscle tone. For example, often throughout an arc on a convex side registers the increased tone (fields 2, 4) and the exposure time to these areas is 5-8 minutes On the opposite side is marked muscular hypotonia (fields 1, 3) and these areas are exposed for 2-4 minutes

Example 1.

Patient Y. To build, 14 years old, was admitted with a diagnosis of idiopathic S-shaped scoliosis of the thoracolumbar spine of the III degree. Diagnosis exhibited 4 years ago. Twice a year the girl received physiotherapy, exercise therapy, massage, constantly kept motoring sleep on a hard surface and corrective laying in the night.

Upon receipt complained of poor posture as a cosmetic defect, feeling tired the tee back in the second half of the day.

Objective examination revealed pronounced vertebral syndrome: S-shaped curvature of the spine, the asymmetry of the left and right halves of the chest - flattening of the left half and rib-costal hump on the right, hypotrophy of the paravertebral muscles on the left and the strain on the right at the level of the thorax, and, on the contrary, hypotrophy of the paravertebral muscles on the right and hypertrophy of the left in the lumbar spine; rassotojanie corners of the blades and the shoulders (the angle of the right shoulder higher than the left by 1.5 cm, right shoulder higher than the left by 3 cm), the asymmetry of the triangle waist (d>s to 4.2 cm).

Test the endurance of the trunk muscles revealed a decrease in retention time of the lower floor of the abdominals to 10 seconds, top up to 1 minute 15 seconds at the rate of 1.5-2.0 minutes. Dynamometry showed a reduction in muscle strength of the left and right hands up to 11 kg

On radiographs of the spine revealed an S-shaped scoliosis of the thoracic and lumbar spine (thoracic arc right angle 27, lumbar - left angle of 20). The study of muscles using mechanical myotonometry revealed asymmetry of muscle tone m. erector trunci, most pronounced on the tops of the arcs of curvature in the thoracic spine (left 0,33 kg/cm, to the right of 0.65 kg/cm at the rate of 0.45-0.6 kg/cm, and the asymmetry factor was 97%). At the level of singing the border of the spine of the asymmetry factor m. erector trunci equal to 66.7% when muscle tone 0.45 kg/cm2left and 0.27 kg/cm2right (N= 0.3 to 0.43 kg/cm2).

Global electromyography revealed asymmetry of amplitudes. erector trunci thoracic: on the concave side of the arc (left) amplitude 667 MACs, and on the convex side (right) 1200 mV (N=373-720 µv), the asymmetry factor was 80%.

The patient received treatment in accordance with the claimed method. EHF-therapy was carried out in the noise range of the low-frequency modulation 10 Hz stable 4 fields paravertebral. Field 1 corresponded to a concave (left) side of the arc at the level of the thoracic spine (the original muscle tone is reduced to 0.33 kg/cm2), the exposure time was 2 minutes. Field 2 corresponded convex (right) side of the curvature on the same level (initial tone was increased to 0.65 kg/cm2), the exposure time was 8 minutes. Left (convex) side of the arc of scoliosis in the lumbar level corresponded to field 3 (the original tone of 0.45 kg/cm2), the exposure time is 6 minutes. Field 4 - on the concave side of the lumbar arc scoliosis with a significant reduction in muscle tone (up to 0.27 kg/cm2), the exposure time is 2 minutes. The total procedure duration was 18 minutes.

Portability procedures good. After treatment, the girl noted improvement in health: the feeling weary the tee in the back, it became easier to tolerate physical activity. At objective inspection noted improvement in vertebral status: decreased the degree of hypertonicity of the paravertebral muscles at the level of the thorax on the right and left lumbar, increased tone hypotonic muscles at the same level, decreased rassotojanie corners of the blades and shoulder (right shoulder higher than the left 2 cm, when the original difference of 3 cm, the angle of the right shoulder higher than the left by 1 cm (initially 1.5 cm), the asymmetry of the triangle waist equal to 3.5 cm (before treatment 4.2 cm). The test endurance revealed an increase in retention time abdominal muscles: lower floor to 37 seconds, top up to 2 minutes. The registered increase of dynamometry hands from left to 5.5 kg, right on 3 kg

Instrumental examination also reflects the positive dynamics of the functional state of muscles after a course of EHF-influence. So, tone m. erector tronci at the level of the thorax to the right decreased from 0.65 to 0,55 kg/cm2the left has increased from 0.33 to 0.42 kg/cm2the asymmetry factor decreased from 97% to 30.9%; in the lumbar spine to the right tone increased from 0.27 to 0.33 kg/cm2to the left decreased from 0.45 to 0.40 kg/cm2the asymmetry factor was equal to 21.2% (before treatment 66,7%).

The amplitude of the EMG m. erector trunci left increased from 667 to 750 µv µv, right decreased from 1200 to 870 MACs to efficient asymmetry decreased to 16% during the initial 80%.

Example 2.

Patient A. W, 11 years old, was admitted with a diagnosis of S-shaped scoliosis of the thoracic spine I-II degree. With poor posture, flat feet, instability of the segments of the cervical spine occurs from 4 years of age, regular treatment 1-2 times per year, received prior to 1998, In may 2002 identified S-shaped scoliosis of the thoracic spine I-II degree. Spinal deformity were recorded not only in the sagittal, but also in the frontal plane (kyphosis of thoracic). On radiographs of the thoracic and lumbar spine revealed arcuate deformation of the spine to the left until 6-7° with a slight rotation of the vertebrae, thoracic kyphosis strengthened to 45° on top of Th VIII, form bodies and arches of the vertebrae is not changed.

On admission the boy complained of pain in the back, neck, fatigue and headaches.

Objective examination revealed coarse vertebral syndrome: increased thoracic kyphosis, cervical and lumbar lordosis, left S-shaped scoliosis of the thoracic spine, the voltage of the paravertebral muscles on the right, rassotojanie shoulders and corners of the blades (s above d 3.2 cm), the asymmetry of the triangle waist (s>d 3.5 cm), the asymmetry of the thorax (flattened right half is the left). Identified the limited mobility of the spine in fron the real plane up to 7 cm when bending forward (control values 10± 0.9 cm)in the sagittal when tilted to the right mobility 12 cm, left 11 see

The detected change of tone in all tested muscles: increased muscle tone in Wernigerode Department m. erector trunci to 0.95 kg/cm2to the left and up to 0.9 kg/cm2right at the rate of 0.45-0.6 kg/cm2. At the height of the arc of curvature in nijaguna spine asymmetry ratio tone m. erector trunci 70,6%, while on the left were recorded increase muscle tone to 0.58 kg/cm2on the right is reduced to 0.34 kg/cm2(N= 0,37-0,55 kg/cm2). Pronounced asymmetry was observed in m. infraspinatus - left muscle tone was increased to 0.6 kg/cm2on the right is reduced to 0.34 kg/cm2(N=0,35-0,55 kg/cm2), the asymmetry ratio was 76.5%. Reduced muscle tone were also recorded in the lumbar spine m. erector trunci left to 0.28 kg/cm2at the rate of 0.3-0.43 kg/cm2. To the right of the original tone was within normal values - 0.32 kg/cm2.

Global electromyography revealed a significant increase of amplitudes. erector trunci right up to 1260 µv, left 600 µv at the rate 373-720 µv. The values of amplitudes. the infraspinatus were reduced on both sides to 300 µv (N-375-675 MACs).

Test the endurance of the trunk muscles revealed a decrease in retention time of the lower floor of the abdominals - 5 seconds at the rate of 1.5 minutes. Dynamometry identified with irenie muscle strength of the left hand (right - 12.5 kg, left - 9.5 kg).

The patient received treatment in accordance with the claimed method. EHF-therapy was carried out in the noise range with low-frequency modulation of 10 Hz is stable for 8 fields. On fields 1 and 2, located on level vermehrung Department m. erector trunci, worked for 6 minutes, because in this area were recorded maximally increased muscle tone (0,95 kg/cm2left and 0.9 kg/cm2right). Field 3 corresponded to the convex (left) side of the curvature at the level of nizhnegrudnogo Department m. erector trunci, the initial tone here was increased to 0.58 kg/cm2the exposure time was 5 minutes. Field 4 was located on the concave side (right) side of the same Department with a decrease in muscle tone to 0.34 kg/cm2the exposure time of 2 minutes. Fields 5 and 6 corresponded to the lumbar spine, where there was a significant decrease in tone m. erector trunci (up to 0.28 kg/cm2Loew and 0.32 kg/cm2rights), the exposure time for each of them for 2 minutes. Field 7 and 8 were located in the area of motor points m. infraspinatus left and right. On the field 7 worked 5 minutes left, there was an increase of muscle tone (0.6 kg/cm2), and on the field 8 was affected by 2 minutes, because here the tone was reduced (0,34 kg/cm2). The total exposure time is 30 minutes.

A total of 10 daily procedures. Tolerability x is Rosa.

After a course of EHF-therapy, the boy noted subjective improvement: no pain in the neck and back, no feelings of fatigue, was neutralized headaches. At objective inspection noted improvement in vertebral status: more symmetrical positioning of the shoulders and the corners of the blades - the right shoulder and the angle of the right shoulder higher than the left by 1 cm (3 cm initially), there is no asymmetry of triangles waist. The test endurance revealed an increase in retention time abdominals to 7 seconds. Registered the increase of dynamometry hands left 1.5 kg, right 2.5 kg Increased range of motion while bending forward at 3 cm, side 1.5 cm

During instrumental examination also revealed positive dynamics of the functional state of muscles after a course of EHF-influence. Tone m. the infraspinatus was equal to 0.38 kg/cm2symmetrically on both sides: before treatment left 0.6 kg/cm2right 0,34 kg/cm2the asymmetry factor after treatment within reference values. Tone m. erector trunci level vermehrung Department decreased from 0.95 to 0.7 kg/cm2on the left, and from 0.9 to 0.65 kg/cm2on the right at the level nizhnegrudnogo Department left decreased from 0.58 to 0.49 kg/cm2right increased from 0.34 to 0.42 kg/cm2the asymmetry factor has changed from 70.6% to 16.7%. At the lumbar level tone m. erctor trunci increased left from 0.28 to 0.33 kg/cm 2and from 0.32 to 0.35 kg/cm2right asymmetry ratio has decreased from 14.3% to 6%.

The amplitude m. infraspinatus increased from 300 mV to 550 mV to the left and up to 400 µv right. The amplitude of the global EMG m. erector trunci no comparison with the original has declined and is equal to 500 µv from two sides.

Treatment in accordance with the inventive method received 30 patients with idiopathic scoliosis of the thoracic and lumbar spine. In the comparison group (control group) included 33 patients with similar clinical manifestations, which were used electrostimulation single electrical rectangular pulses at a frequency of 10 Hz. Electrical stimulation was performed from the apparatus electrotherapy, electro-stimulation and electrophoresis "eter" (№ of state registration 97/17-193). The electrodes were positioned similarly in the field of motor points of the concerned muscles (trapezius, infraspinatus, the rectifier back). The method is stable when exposed to 1 box 2-8 min at total treatment duration 15-30 minutes Course consisted of 8-12 treatments daily.

In the data analysis of clinical and functional evaluation of patients noted the advantages of the proposed method of treatment.

So under the influence of pulsed short-wave radiation source is reduced tone was increased in all investigated muscles in a state of rest (the Sabbath. the GLA. 1)and the maximum random reduction (table. 2). Miconizole the influence of EHF waves was comparable to similar effect when using electrical stimulation (PL. 1, 2).

One of the important characteristics of the state of the muscles in children and adolescents with scoliosis is the asymmetry of muscle tone. According to literature data the values for this indicator should not exceed 10%. A comparative analysis of the influence of EHF-wave and pulsed electric fields revealed a significant decrease of the asymmetry factor (KA) in both groups (table. 3).

Reducing the asymmetry of muscle tone occurred not only by increasing the initial low tone on the concave side of the scoliosis under the influence of EHF waves, but also due to the reduction of muscle tone, in hypertonicity. In the group of patients with electrical stimulation revealed no significant reduction in tone hypertonic muscles, furthermore registered cases of increase of the initial high tone, but when statsremote material, this trend was not statistically significant (table. 4, 5).

When recording carpal dynamometry marked increase in muscle strength brushes under the influence of EHF-therapy (from 11.5±4,29 to 17.6±3,37 kg), and the use of electrical stimulation (from 13.3±4,71 to 15.9±2.4 kg). It was also noted the improvement of the functional characteristics is eristic muscles of the anterior abdominal wall - the retention time of the abdomen has been increased by the use of EHF-waves with 67.8±3.8 to 95,7±2,1 sec and stimulation from 68.9±2,6 up to 80.3±3.0 seconds.

Essential dynamics of the excursions of the thorax as in the main (1.08±0.5 cm)and control (0.9±0,13 cm) have been identified. Tours of the spine in the sagittal plane (bending back and forth)and in the frontal (tilt left-right) has increased on average 1.5-2.0 cm with the use of EHF-radiation and 0.7-1.5 cm when performing electrical stimulation.

According to the global electromyography to ensure all children were divided into three subgroups - source reduced, normal source and from the source of elevated values of the amplitudes of the global electromyogram.

Mean values in patients with initially reduced the amplitude of the global electromyograms (EMG) at arbitrary voltage horizontal portions of the trapezius muscle has increased from 326,9±80,66 UV to 1050,0±509,1 µv (coefficient dynamics KD=222%), rectifier back with 238,9±63,3 UV to 375,0±28,9 µv (KD=53%). Under the influence of electrical stimulation also registered growth rate, but the normalization values for an arbitrary tension of the back muscles not found in all muscle groups (table. 6). CD of their mean values of EMG amplitude for an arbitrary voltage horizontal portion of the ladder is aveneu muscles amounted to 31%, infraspinatus muscle - 63%, rectifier back to 26%.

When studying the dynamics of the maximum of the amplitude of the EMG under the influence of EHF-radiation in patients with initially reduced the amplitude of the detected increase to 10 the procedure to normative parameters for an arbitrary voltage (in the horizontal portion of the trapezius muscle with 350,0±129,0 UV to 1475,0±789,0 MACs rectifier back with 265,0±41,83 UV to 616,7±for 125.8 µv). Myostimulating the effect of EHF-waves under initial decrease in the amplitude of the global biografii was more pronounced than when using a pulsed electric current: maximum amplitude of the EMG at arbitrary voltage horizontal portions of the trapezius muscle has increased from 318±173, 0mm µv 467±273,0 µv, the vertical portions of the trapezius muscle with 284,0±150,0 UV to 579,0±431,0 µv, infraspinatus muscles with 209,0±84,4 UV to 278,0±161,0 µv rectifier back with 151,0±75,5 UV to 189,0±90,2 µv. The coefficient of the dynamics of the indicator when using EHF waves was 46.4-57,8%, and when exposed to a pulse of current to 18.5-43,4%.

When the initial high amplitude EMG marked normalizing effect of EHF-radiation as in estimating the average (after 10 treatments at arbitrary voltage horizontal portions of the trapezius muscle, the amplitude decreased with 1067,0±1115,0 UV to 625,0±379,0 infraspinatus muscles with 740,0±54,MKV to 510,0± 305,0 µv rectifier back with 866,7±115,0 UV to 416,0±332,9 µv), and maximum values of EMG amplitudes (in arbitrary voltage infraspinatus muscles with 1125,0±250,0 UV to 650,0±369,7 MACs rectifier back with 1475,0±427,2 UV to 512,5±342,5 µv). The factor dynamics indicator was 25-108%. Exchange rate effects of electrical stimulation pulsed electrical current is also marked by a decrease in the average EMG amplitudes at arbitrary voltages of the back muscles, but the value is not decreased to the regulatory factor dynamics averaged 16.7 per cent (table. 7).

Thus, EHF electromagnetic radiation in a pulse mode has a positive effect on the average and maximum values of the amplitude of the electromyogram with arbitrary tension of the back muscles as the initial low tone, and when the initial high tone of the investigated muscles without overloading the functional state of muscles at baseline normal values of their tone before treatment. Impact of pulsed electric current is less effective, since the one-way influence on the effectiveness of the normalization values of the amplitude of the electromyogram was not registered in any of the subgroups, distributed with the original tone of the muscles of the back.

A new method of conservative treatment of scoliosis in children sublattice and the people, different from the known, based on the conduction of electrical stimulation of skin or implanted electrodes, is painless. Differential selection of technical characteristics of the radiation, respectively, the initial state of the affected muscles allows you to get a clear response of the neuromuscular system, not causing the child pain, reduce the degree of asymmetry of tone muscles, deformation of the spine, to ensure the stability of therapeutic effect.

SOURCES of INFORMATION

1. Sklyarenko A.P., Aganan E.K. Therapeutic physical culture in comprehensive sanatorium treatment of scoliotic illness in children and adolescents //Matters. kurortol. - 2002. No. 1. - P.44-46.

2. Samigullin R.Z., Samigullina D.R. method for the treatment of scoliosis in children //Patent RF №2181277 from 20.04.2002.

3. Vitenson A.S., Palamarchuk EE Patent No. 2063781 from 20.07.1996.

4. Herzen GI, Lubenko A.A. Rehabilitation of children with lesions of the musculoskeletal system in sanatorium-resort conditions. - M.: Medicine, 1991. - 270 S.

5. Smurova SO, Demina AM, samochodowa NV, Kalamkarov I.K. Electrostimulation treatment of dysplastic scoliosis /Topical prevention and treatment of scoliosis in children: Mater. All-Union Symposium. - M., 1984. - S-117.

6. Nenko G.M., Kondratyev AS, rocky CENTURIES, Pelevin CENTURIES Multichannel electrical stimulation in the set is STO sanatorium-resort treatment of children, patients with scoliosis /Topical prevention and treatment of scoliosis in children: Mater. All-Union Symposium. - M., 1984. - S-119.

7. Axenovich I.V. Treatment of progressive scoliosis in children by the method of constant stimulation //Methodical recommendations. - Novosibirsk, 1991. - 6 S.

8. Gerashchenko, S. the Influence of non-thermal EHF radiation on bioelectric activity of muscles /Sieraden, Ahipara, Untucking //Millimeter waves of non-thermal intensity in medicine: Sat. Dokl. Mor Symposium. - M., 1991. - 4.2. - S-435.

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0,54±0,03
Table 1.

Dynamics of muscle tone at rest at its original fall under the influence of the proposed method (kg/cm2).
The investigated muscleThe group of patientsThe patient position
Lying
Before the treatmentAfter the treatment
m. trapeziusThe inventive method n=300,32±0,020,39±0,01*
The control group (stimulation) n=330,33±0,060,41±0,04*
m. erector trunciThe inventive method n=300,36±0,030,42±0,03*
The control group (stimulation) n=330,27±0,020,34±0,03*
m. infraspinatusThe inventive method n=300,31±0,020,37±0,03*
The control group (stimulation) n=330,33±0,010,38±0,04*
Note: * - P<0,05.
Table 2.

Dynamics of muscle tone at the maximum arbitrary reduction at its source reduction under the influence of the proposed method (kg/cm2).
The investigated muscleThe group of patientsThe patient position
Lying
Before the treatmentAfter the treatment
m. trapeziusThe inventive method n=300,56±0,020,97±0,08*
The control group (stimulation) n=330,52±0,111,15±0,07*
m. erector trunciThe inventive method n=300,44±0,030,67±0,09*
The control group (stimulation) n=330,48±0,050,78±0,08*
m. infraspinatusThe inventive method n=300,83±0,05*
The control group (stimulation) n=330,49±0,090,74±0,06*
Note: * - P<0,05; ** - P<0,01

Table 3.

The dynamics of the coefficient of asymmetry of muscle tone (%) under the influence of the proposed method.
The group of patientsThe investigated muscleAloneMax. voltage
Before the treatmentAfter the treatmentBefore the treatmentAfter the treatment
The inventive method n=30m. trapezius28,6±2,53,9±5,8**25,4±4,43,7±5,0**
m. erector trunci21,1±4,813,9±3,7*21,7±2,515,1±2,3*
m. infraspinatus18,1±5,95,7±3,1**33,5±5,511,8±3,6**
The control group (stimulation) n=33 m. trapezius26,6±2,310,9±3,5**33,6±3,719,2±4,1*
m. erector trunci21,6±5,16,2±1,6*63,4±2,56,5±2,9**
m. infraspinatus26,6±7,62,9±2,1**52,1±5,232,7±2,5**
Note: * - P<0,05; ** - P<0,01
Table 4.

Dynamics of muscle tone at rest in its initial increase under the influence of the proposed method (kg/cm2).
The investigated muscleThe group of patientsThe patient lying
Before the treatmentAfter the treatment
m. trapeziusThe inventive method n=300,73±0,110,54±0,06*
The control group (stimulation) n=330,79±0,130,59±0,05*
m. erector trunci/td> The inventive method n=300,90±0,040,64±0,05*
The control group (stimulation) n=330,73±0,080,63±0,07
m. infraspinatusThe inventive method n=300,59±0,060,44±0,08*
The control group (stimulation) n=330,69±0,160,62±0,09
Note: * - P<0,05.

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Table 5.

Dynamics of muscle tone for an arbitrary reduction at its source increases under the influence of the proposed method (kg/cm2).
The investigated muscleThe group of patientsThe patient lying
Before the treatmentAfter the treatment
m. trapeziusThe inventive method n=301,85±0,211,08±0,18*
Control gr is the PAP (Fes) n=33 1,35±0,251,13±0,09
m. erector trunciThe inventive method n=301,70±0,351,25±0,09*
The control group (stimulation) n=331,58±0,241,47±0,15
m. infraspinatusThe inventive method n=301,38±0,260,94±0,05*
The control group (stimulation) n=331,56±0,251,20±0,32
Note: * - P<0,05.
Table 6.

Dynamics of average values of the amplitudes of the EMG depending on the source of muscle tone (MACs).
ToneThe investigated muscleEHFElectrostimulation
Before the treatmentAfter the treatmentBefore the treatmentAfter the treatment
DowngradedTG326,9±80,71050,0±509,1240,9±123,0314,0±148,0
220,5±91,8350,0±141,4174,0±80,0358,0±213,0
P235,0±91,4296,7±by 115.7171,0±71,6278,0±161,0
SU238,9±63,3375,0±28,9150,0±73,9189,0±90,2
Not modifiedTG675,0±95,7575,0±318,2571,0±115,0567,3±128,5
TV540,0±126,5355,0±132,2484,0±114,0353,0±175,0
P480,0±83,7700,0±141,4450,0±83,7b,2±123,7
SU500,0±111,8391,7±177,2460,0±89,4498,6±155,6
UpgradedTG1067,0±115,5625,0±379,71100,0±55,6595,6±of 247.5
P740,0±54,7510,7±305,0   
SU866,7±115,5416,7±332,9  
Applications:

TG - horizontal portion of the trapezius muscle,

TV vertical portion of the trapezius muscle,

P - infraspinatus muscle, SU - rectifier back.

Table 7

The dynamics of the maximum values of the amplitudes of the EMG depending on the source of muscle tone (µv)
With initial low toneThe investigated muscleEMR EHFElectrostimulation
Before the treatmentAfter the treatmentBefore the treatmentAfter the treatment
TG350,0±

129,0
1475,0±

789,0
318,0±

173, 0mm
467,0±

251,0
TV320,5±

164,6
byr516.7±

202,1
284,0±

150,0
579,0±

431,0
P191,7±

80,1
361,1±

226,3
209,0±

84,4
278,0±

161,0
SU265,0±
41,8
616,7±

for 125.8
151,0±

to 75.2
189,0±

90,2
With baseline normal toneTGof 838.9±

350,7
1308,0±

988,1
832,0±

217,0
650,0±

141,0
TV768,8±

166,8
443,8±

145,0
750,0±

191,0
500,0±

145,0
P650,0±

of 124.7
700,0±

of 326.0
570,0±

110,0
663,1±

293,3
SU560, 0m±

132,9
600,7±

291,5
494,0±

118,0
498,6±

155,9
With the original high toneTG1438,0±

125,0
1250,0±

353,6
1438,0±

125,0
1250,0±

353,6
TV1260,0±

147,0
1100,0±

173, 0mm
1220,0±

217,0
1150,0±

96,5
P1125,0±

250,0
650,0±

369,7
1125,0±

250,0
659,0±

369,7
SU1475,0±

427,2
512,5±

342,5
1475,0± < / br>
427,2
512,5±

342,5
Applications:

TG - horizontal portion of the trapezius muscle,

TV vertical portion of the trapezius muscle,

P - infraspinatus muscle, SU - rectifier back

A method of treatment of scoliosis in children and adolescents by exposure to a pulsed electric field, characterized in that the impact of implementing noise EHF-radiation in the range 52-78 GHz when pulse frequency 10 Hz, duration 1 µs, average power flux density of 0.85 mW/cm2on the motor points of the affected muscles, and pre-determine their tone and the original high tone effect for 5-8 min, and the initial low tone for 2-4 minutes each day, at the rate of 8-15 procedures.



 

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