Method of prevention and treatment of inflammatory and degenerative dystrophic locomotorium diseases
SUBSTANCE: within predetermined exposure area, blood supply is increased locally without applying pantohematogen-containing preparations. Then exposure area is applied at least once with pantohematogen-containing preparation applicable for massage. Manual or apparatus massage of exposure area follows using this preparation with further additional massage without using pantohematogen-containing agents.
EFFECT: extended range of products applied for prevention and treatment of inflammatory and degenerative dystrophic locomotorium diseases.
10 cl, 2 tbl, 5 dwg
The invention relates to medicine, namely to Wellness and therapeutic massage and physiotherapy and can be used in the prevention and treatment of inflammatory and degenerative diseases of the musculoskeletal system.
Known methods of treatment and prevention, using as the main active element pantogematogen, such as "Method of secondary prevention of ischemic heart disease, angina, I-III functional classes" EN 2128494 . According to the way daily at 12-13 h ill spend a shared bath with 0.9 to 1.0%solution of pantogematogen in the amount of 500 ml per procedure, lasting 10-12 minutes in the first two procedures and 13-15 min in the following procedures, in the course of 10-12 treatments.
The disadvantage of this method is the low efficiency of the treatment.
Closest to the claimed method of treatment and prevention is the way (see Dubrovsky VI Massage for injuries and diseases of the musculoskeletal system. - Therapeutic massage, M.: Medicine, 1995, S. 109-141). A known method of prevention and treatment of inflammatory and degenerative-dystrophic diseases of musculoskeletal apparatus includes manual hardware or massage with the use of appliqués therapeutic agents (drugs).
The disadvantage of this method is the bottom of the th effectiveness of treatment and prevention. The low efficiency is due to the fact that the described techniques technical execution of the massage is not designed specifically for pantogematogena drugs and do not provide sufficient penetrating power to the active components of pantogematogen.
The technical result of the present invention is to increase the effectiveness of treatment and prevention.
The technical result is achieved by the fact that pre-determine the scope of the impact on pathogenic zones, produce the procedure a local increase of blood supply to the area of impact without the use of pantogematogena drugs, and then produce at least one application on the scope of the impact pantogematogena drug, made in the form, suitable for massage, produce hand-made hardware or massage the area of impact with the drug and then hold additional massage without the use of products containing pantogematogen.
To verify the effectiveness of the proposed method of treatment and prevention conducted a joint study GU NIIKI WITH the RAMS and JSC Sanatorium "Russia" resort Belokurikha, Altai Krai, an extract from the report of which is given below. In the extract below shows massage pantogematogena drugs in gel base (Pantanassa) P-1 and P-2, to the which differ in concentration of pantogematogen (preparation a-2 concentration is higher than in the product P-1).
The aim of this work was to evaluate therapeutic effectiveness of gel preparations pantogematogen on the clinical course of osteochondrosis in the introduction of drugs through massage.
The study design. The study was conducted double-blind method is randomized and placebo-controlled.
The research program approved by the medical Research Council and Ethics Committee NIIKI WITH the RAMS.
The study was conducted at the sanatorium "Russia" resort Belokurikha, Altai Krai.
The objectives of the study were: 1. Assessment of therapeutic effectiveness of gel preparations pantogematogen (GHG) in the treatment of patients with osteochondrosis of the spine with the introduction of drugs through massage; 2. Assessment of tolerance of complex therapy with gel drugs pantogematogen in patients with osteochondrosis with the introduction of drugs through massage.
Methods of research. In the main group of the study included 100 patients with intervertebral osteochondrosis, as shown in table 1.
Before treatment, all patients were informed about the purpose of the study and gave consent to participate signed the informed consent sheets). The group surveyed included men and women aged 35-65 years without severe comorbidities with osteo what narosa the cervical or lumbosacral spine, complicated reflex and/or compression-radicular syndrome, with disease duration of at least 5 years. Exclusion criteria were expressed radiculopathy, spinal and radicular-spinal syndromes, destructive, traumatic and primary inflammatory lesions of the spine. The diagnosis is verified by physical examination and x-ray. Laboratory studies were performed according to indications.
Treatment: Pantanassa performed with gels PG, which was applied at 3-5 ml on the affected area after warming massage and creeping soft massaging movements for 3-4 min until fully absorbed, then massage ended with a neutral ointment on fat basis. Rate Pantanassa - 1 times a day for 10 sessions per course. Placebo similarly used biologically neutral gel Alcogel (Geltech). Immediately prior to his appointment course to avoid a severe allergic reaction patients were asked to assess possible changes in their health in response to the smell of the drug; then with the same purpose smear of drug was applied to the skin of the inner surface of the forearm. In the absence of unpleasant sensations of smell, as well as redness, swelling, burning and other skin preparations were prescribed for use.
The survey was carried out before, middle and after the course of the treatment. The efficacy was assessed quantitatively by analyzing subjective data, results of physical examination and results of laboratory tests. To this end consider each symptom, depending on the severity was assigned a certain number of points and was filled individual Protocol of the research participant (Table 2). In addition to the severity of the symptoms, it was recorded the date of examination, testing, treatment, age and sex of the patient, as well as subjective tolerability (0 - good, 1 - medium, 2 - bad 3 - very bad) and (if performed) results of additional studies.
When assessing the severity of the disease took into account the severity of pain syndrome and reflex symptoms, neurodystrophic and autonomic disorders. Pain was assessed on a 5-point scale (0 - no pain; 1 - slight pain, endangered alone; 2 - moderate pain at rest, increasing when moving; 3 - constant pain with periodic amplification and selectoptions shade; 4 - sharp constant pain with forced body position of the patient). Reflex syndromes accounted for mythicism, neurovascular and neurodystrophic syndromes. Mythicise syndrome was assessed on a 3-point scale; when the assessment took into account muscle tone and the presence of pin the Aktur (0 - Muscle tone is not changed, the muscle is soft, finger easily immersed in its thickness; 1 - muscle moderate density, to dive into the seal requires moderate effort; 2 - muscle stony density, it is impossible to deform). Neurovascular syndrome was assessed by 2-point scale (absence-presence of vasomotor disorders associated with cooling or hot weather or sugase-pricking pain, trophic disorders of the skin). Neurodystrophic syndrome was assessed by 3-point scale (0 - absent, 1 - moderately painful to palpation foci osteomyelofibrosis in 1-2 anatomical areas, 2 - very painful lesions in 2 or more areas).
Compressive radicular syndromes (radiculopathy) were included in the study when they are of lesser severity. For their characteristics commonly used for sensitive, reflex and motor disorders 4-point scale (0 - absent, 1 - weak in the area of innervation of a single spine, 2 - moderate in zone 1-2 roots, 3 - strong in zone 1-2 or more roots). Characteristic compressive disorders included an assessment of muscle strength, symptoms of tension (Neri, Lasaga, Wasserman) and static disorders; with the defeat of the lumbosacral auxiliary criterion was the trial of Sober.
Each patient before treatment, in the middle of the URSA treatment and after treatment were calculated severity index (it) and the coefficient of clinical effectiveness (OE). It was calculated according to symptomatology as the sum of all points taken into account symptoms, and e is the quotient of the difference (when it arrives - it at the time of accounting for it upon receipt.
Statistical processing of data was performed by methods of variation statistics, the significance of differences was assessed using t-student criterion when the accepted confidence level of P<0.05.
The results of the study
Only in the group of examined patients treated with massage, comprised of 100 people. Between subgroups treated with drugs pantogematogen (GHG) and placebo, no significant differences in disease severity, age distribution, sex, body mass index.
In General, the tolerability of the drugs was very good. Bounce from GHG drugs was not.
The results are shown in figure 1-5. From them it follows that the use of all songs, including drug placebo, has a therapeutic effect. However, the PG-containing preparations, the effect is more pronounced and causes an earlier reduction of symptoms during treatment.
Figure 1 presents the dynamics of the severity index in patients of different groups, which describes the average change in the severity of patients under the action of pandateria (it - severity index). Data shown is for the treatment of PG-containing gel P-2. the other GHG-containing gels had similar effects.
It is evident from Fig. it is clear that the most rapid improvement of the patients occurs under the action of Pantanassa with gel preparations, and Pantanassa procedure in increasing blood circulation in pathologically active zones (Pantanassa-2) causes the most rapid therapeutic effect. Differences in the rate of therapeutic effect with the different methods of application pantogematogena gels especially pronounced in the first half of the course of treatment, and then somewhat toned down. The slow effect has therapy massage with drug placebo.
The coefficient of effectiveness of different treatments is shown in figure 2. Comparison of the effectiveness of treatment with the different methods of receiving the drugs in the middle of treatment confirms that the most rapid and high therapeutic effect is achieved when Pantanassa.
Considering the data of this study, it can be concluded that the effectiveness of the gel preparations increases with the introduction by Pantanassa.
Palindromic analysis of efficacy is presented in Fig.3-5. Figure 3 shows the effect of investigational uses of drugs against pain syndrome, which was assessed by visual analogue scale with a factor of 0.5. The analysis shows that the dynamics of pain syndrome under the action of Asnah methods of therapy in General similar to that for the severity index. Obviously, one of the main mechanisms of therapeutic action of the applied combination therapy is the relief of pain.
It is shown that the increased muscle tone in the affected area most quickly removed pentominium with drug pantogematogena gel P-2 (figure 4). Given the location of Pantanassa in reducing severity index after a full course of adjuvant therapy, it can be assumed that mythicise syndrome patients in our study to some extent secondary to pain syndrome.
With mythicism syndrome pathogenetically associated with the formation in the myofascial structures of the so-called trigger points, which often determine the brunt of the disease. Figure 5 shows how different ways of treatment in our study lead to a decrease in activity and the number of trigger zones. It is evident from Fig. it is obvious that therapy with the drug, placebo almost no effect on this process, while pantogematogena gel drugs induce the disappearance of trigger points, and do it more efficiently when Pantanassa.
Considering the pathogenesis of the formation and persistence of trigger zones, as well as the composition and basic mechanisms of action pantogematogena gel, most likely triggeraction action Pantanassa related what about with induced abolition of nociceptive activity, improvement of microcirculation and tissue trophism zones, reduction of local hypoxia.
Clinical effect of basic therapy with the drug, placebo, and significant therapeutic effects of velvet antlers therapy revealed by the analysis of the dynamics of the severity index and palindromes analysis suggests different mechanisms of sanogenesis with classic therapeutic massage, antiapplication and Pantanassa. It can be argued that Pantanassa has its own clinical content, because different mechanisms of therapeutic action of massage and pantotheria are nonadditive and induce vzaimozacitivalis synergistic therapeutic effect.
1. Gel preparations PG for outdoor use in the introduction by Pantanassa well tolerated and virtually no local or systemic side effects.
2. Gel preparations PG for outdoor use in the introduction by Pantanassa have reliable therapeutic efficacy in patients with osteochondrosis of the cervical and lumbosacral spine.
3. The introduction of gel preparations GHG by massage, greatly enhances the effectiveness of pandateria in patients with osteochondrosis of the spine and in turn the use of pandateria dramatically enhances the effectiveness of the massage.
4. Given the good Pere is usemost investigated gel drug GHG a sharp increase in the effectiveness of treatment, as well as a significant reduction in the duration of treatment, method of application of Pantanassa may be recommended for inclusion in the complex therapy of spinal osteochondrosis.
Thus, given the above report it can be stated that the claimed in the claims is a method of treatment provides the claimed technical effect.
For further improvement of the claimed method of treatment can be recommended for vertebral pathology of the impact area to determine palpation, visual and/or hardware method for localization of trigger points, myotonica, neurovascular and neurodystrophic manifestations, and localization of pain.
When articular pathology of the impact area can be defined palpation, visual and/or hardware method for localizing enthesopathy, synovitis and periarticular swelling.
The local increase of blood flow can be performed using manual massage by transferring heat and using local applications of substances with a physiological warming effect.
After application pantogematogena drugs and end manual hardware or massage the affected area to further enhance therapeutic effect can be produced thermal insulation of the patient's body is rock for 10-100 minutes.
It is also possible after the end of the manual or the hardware massage with pantogematogena drugs to produce additional massage using a carrier oil, and then to produce the insulation body of the patient for a period of 10-100 minutes, for example, wrapping the patient in blankets.
To further enhance therapeutic action may apply balneotherapy procedures.
Industrial application. The proposed method for the treatment of inflammatory and degenerative diseases of the musculoskeletal system has high efficiency and can be applied with success in medical practice.
The method of prevention and treatment of inflammatory and degenerative diseases of the musculoskeletal system
Group of patients in the study of therapeutic action gel drugs pantogematogen in patients with osteochondrosis of the spine with the introduction of drugs by massage
|The GROUP of PATIENTS||The SUBGROUP of PATIENTS||The NUMBER of PATIENTS|
|Control massage||Classic massage with gel placebo||10|
|Applications||Cutaneous application of gel P-1||15||Cutaneous application of gel P-2||15|
|Pantanassa||Massage with gel P-1||15|
|Massage with gel P-2||15|
|Staging Pantanassa covering pathological zones||Massage with gel P-1 a preliminary determination pathologically active zones and procedure of the local increase of blood flow in the area of impact||15|
|Same with gel P-2||15|
Individual Protocol participant research to assess therapeutic effect of Pantanassa in patients with osteochondrosis
|Clinical diagnosis||Osteochondrosis of the lumbar spine, relapsing course, the stage of exacerbation, lumbodynia (or lumboischialgia)|
|The pain intensity||YOUR×0,5|
|Mythicise syndrome||3-point scale|
|Neurovascular disorders||2-point the Kala|
|Neurodystrophic syndrome||3-point scale|
|Radicular sensory impairment, reflex, motor||4-point scale|
|The results of additional studies|
1. The method of prevention and treatment of inflammatory and degenerative diseases of the musculoskeletal system, which includes manual hardware or massage with the use of pantogematogena preparations, characterized in that pre-determine the scope of the impact, make the procedure a local increase of blood supply to the area of impact without the use of pantogematogena drugs, and then produce at least one application on the scope of the impact pantogematogena drug, made in the form, suitable for massage, produce hand-made hardware or massage the area of impact with the drug and then hold additional massage without the use of products containing pantogematogen.
2. The method according to claim 1, characterized in that when vertebral pathology in the area of impact determine palpation, visual and/or hardware method for localization of trigger points, myotonica, n is rosasophistic and neurodystrophic manifestations, and localization of pain.
3. The method according to claim 1, characterized in that when the articular pathology of the impact area to determine palpation, visual and/or hardware method for localizing enthesopathy, sinovoice and periarticular swelling.
4. The method according to claim 1, characterized in that the local increase in blood flow produced by manual massage.
5. The method according to claim 1, characterized in that the local increase in blood flow produced using local applications of substances with a physiological warming effect.
6. The method according to claim 1, characterized in that the local increase in blood flow produced by transfer of heat.
7. The method according to claim 1, characterized in that after application pantogematogena drugs and end manual hardware or massage the affected area to produce the insulation body of the patient for a period of 10-100 minutes
8. The method according to claim 1, characterized in that the additional massage is carried out with the use of a carrier oil.
9. The method according to claim 1, characterized in that after the completion of additional massage produce the insulation body of the patient for a period of 10-100 minutes
10. The method according to claim 1, characterized in that additionally used in balneotherapy treatments.
FIELD: medicine; cellular technologies.
SUBSTANCE: method of production of skin cell culture includes skin explants sampling and placing of fragments thereof into Petri dish, filling with culture medium, followed by cultivation and removal of produced culture. Herewith explant pieces are fixed, pressing it to Petri dish surface with glass plate inserted in brace of Petri dish. Pressing plate area is 40-70% of Petri dish area, and number of fixation points (plate angles) is at least three, with plate thickness at least 0.5 mm. Grown cell culture is collected not only from Petri dish surface, and also from pressing plate surface. Invention allows for produced skin cell culture in great volume for short time period.
EFFECT: reliable fixation of explants fragments, higher efficiency and acceleration of skin call cultivation.
1 ex, 1 dwg
SUBSTANCE: skin equivalent is produced that represents extracellular protein matrix, with mesenchymal cells within it and epidermal cells on its surface. As a matrix collagen or fibrin gel is used. As epidermal cells previously selected keratocyte population with stem cell character is used. Application of the invention allows producing skin equivalent, containing cells in active initial growth stage. Skin equivalent is intended for cutaneous cover regeneration in patients with extensive burns, trophic ulcers, bedsores, and other kinds of wound.
EFFECT: prolonged stimulating effect on patient's cells migration and proliferation.
4 cl, 4 ex
SUBSTANCE: invention refers to therapeutic kit for diseases caused by pathologically altered cartilaginous and/or osseous tissue, including preparation of hydrolysed collagen in the form of CollAmine-80 or Epidermate-O as active components, cosmetic clay and application instructions, and method of application thereof.
EFFECT: provides high therapeutic treatment and it can be used in home conditions.
4 cl, 9 ex
SUBSTANCE: invention relates to medicine, to cosmetology in particular and can be used for cosmetic procedures conduction. For this purpose, clarification, warming and massage of the skin are conducted. Therapeutic medicine is also applied by way of abundant watering of bibulous napkin in dags concentrate, warmed up to 20-50 degrees. The concentrate shall be prepared on the basis of 3-50 g of fresh frozen dags per 1000 g of water at the temoerature of 60-98 degrees C during 45-240 minutes. Henceforth the napkin shall be applied directly on cultivated skin area and held during 5-30 minutes. In the course of procedure the napkin at leas two times shall be short-termed (for 5-30 seconds) influenced with vaporous dags concentrate, heated up to the temperature of 30-60 degrees, or water vapour, or the napkin can be moistened by way of selective application of dags concentrate to its surface. For preservation and maintenance of conditions of temperature, the napkin shall be covered with damp- and airproof material. This method provides effectivization of synteric therapeutic cosmetic procedure, reduces the time of skin inflammation after clarification, gives good results on skin rejuvenescence, eliminates mimic wrinkles and develop technological capabilities of carrying out the procedure.
EFFECT: effectivisation of synteric therapeutic cosmetic procedure.
1 ex, 44 cl
FIELD: medicine; pharmacology.
SUBSTANCE: invention refers to processing of reindeer products, specifically to method of biologically active product making of antler reindeer tails. Method implies that raw material is milled to make particles 150-400 mcm, extracted with followed filtration of end product, at that distilled water is used as extracting agent; extraction is performed at temperature 120-126°C during 1.5-2.5 hours at ratio water - raw material 5:1-6:1.
EFFECT: production of aqueous extract having high biological activity and applicable for patients with contraindication to alcohol-containing medicinal agents.
3 tbl, 1 ex
FIELD: medicine; pharmacology.
SUBSTANCE: invention relates to the method of treatment of diseases caused by abnormality of cartilaginous and/or bone tissue; the method includes the treatment course of applications of hydrolysed collagen and cosmetic clay to the painful area, when the KollAmin-80 or Epydermat-0 are rubbed into the painful area, and then the diluted cosmetic clay is applied, the area is covered with the polyethylene film or compressor paper and warmth-keeping for 30-40 min once daily, with course of 30-60 days 3-6 times annually.
EFFECT: high therapeutic efficiency is achieved.
2 cl, 9 ex
FIELD: medicine, proteins, preparative biochemistry.
SUBSTANCE: invention relates to method for preparative methods for preparing collagen. Method involves preparing collagen from biological material by its mechanical milling, treatment with alkaline solution, washing out with water, dissolving in acetic acid followed by isolation of the end product. Method involves cutting the biological material for pieces of size 0.5-1 cm2, and their treatment is carried out with 10-20% alkaline solution for 1 h, and collagen dissolved in acetic acid is added to acetone at the constant stirring. Invention provides decreasing time for preparing collagen, and economy of reagents.
EFFECT: improved preparing method.
SUBSTANCE: the present innovation deals with obtaining a preparation for mesotherapy to be applied for correcting age-induced alterations of facial skin at aging. It has been suggested the method to isolate human allogenic fibroblasts for their intradermal injection to the patient. Isolation of allogenic fibroblasts should be carried out of neonatal's umbilical cord. It has been suggested the method for isolating a patient's own autologous fibroblasts to be mixed with allogenic fibroblasts from neonatal's umbilical cord. The suggested preparation for mesotherapy contains allogenic fibroblasts obtained out of neonatal's umbilical cord. The preparation for mesotherapy has been suggested that contains the mixture of allogenic fibroblasts obtained out of neonatal's umbilical cord, and autologous fibroblasts, out of a patient's own skin. The innovation enables to improve the quality of the obtained preparation and provides enhanced rejuvenation effect.
EFFECT: higher efficiency.
5 cl, 4 dwg, 2 ex, 1 tbl
FIELD: animal science.
SUBSTANCE: it is necessary to introduce "Chitosan" together with the feedstuff as 3.0-3.5% gel solution prepared upon 1-2%-acetic acid solution to be injected at 3.0 ml/kg body weight every day for 45 d once daily. The innovation enables to decrease the accumulation of cesium and strontium in the body of animals and, also, increase body weight in animals.
EFFECT: higher efficiency of fattening.
FIELD: chemical engineering.
SUBSTANCE: method involves pretreating bone tissue of stock-farm animals, comminuting it, precipitating the end product and drying it by lyophilizing. The bone tissue is degreased with alcohol-ether mixture. Demineralization 0.5 and HCl is carried out after grinding during 20 h. Non-resolvable matrix is subjected to proteolysis in HCl of pH=2.0 in pepsin presence at 37°C during 18 h. Then it is centrifuged at 40000g. The end product is precipitated from supernatant with ammonium sulfate to 25% saturation and centrifuged at 6000g. The precipitate is lyophilized against distilled water and chromatographically purified using CM-Sephadex at pH=4.8 and dried with lyophilization.
EFFECT: low cost collagen production; high purity cosmetic preparation production.
FIELD: medicine; cosmetology.
SUBSTANCE: treatment is session, every second day. The first session involves skin cleansing with antiseptic gel, combined with vaporisation, manual cleansing, preparation with antiseptic lotion, d'arsonvalisation, pressure point and lymph drainage massage, and application of an anti-inflammatory mask and protective cream or serum, followed by cryomassage. The second session after skin cleansing includes application of anti-inflammatory mask and resolving and peeling mask, deep massage, d'arsonvalisation and cryomassage, and night preparation of acne regions with lotion containing 70% alcohol, camphor, salicylic acid, Streptocid, chloramphenicol, borax. The third session after skin cleansing includes application of anti-inflammatory mask, antiseptic mask, Jacques massage, local d'arsonvalisation and cryomassage of inflamed elements. Anti-inflammatory mask is composition containing magnesium oxide, talc, starch, kaolin (white clay), camphor, boric acid, sulphur. Resolving and peeling mask is mixed kaolin and fresh-water sponge. Antiseptic mask is composition containing 5% synthomycin emulsion, sulphur, chloramphenicol, norsulfazole and/or Streptocid, salicylic acid, benzoic acid, boric acid, citric acid, brilliant green. The specified sessions are used in the sequence depending on acne severity. Initial stage of disease implies sequential 1st session, 2nd session and 3rd session. The second severity level requires 1st session, 2nd session, 3rd session, 2nd session, 1st session, 2nd session, 3rd session. The third severity level requires sequential 1st session, 2nd session, 3rd session, 2nd session, 1st session, 2nd session, 3rd session, 2nd session, 1st session, 2nd session, 3rd session, 3rd session. And 3-4 acne severity and empyemas and infiltrates found implies 2nd session, 3rd session, 2nd session, 1st session, 2nd session, 3rd session, 2nd session, 1st session, 2nd session, 3rd session, 2nd session, 1st session, 2nd session, 3rd session, 3rd session.
EFFECT: stable positive effect.
FIELD: medicine; gastroenterology and physiotherapy.
SUBSTANCE: method includes diet No 5, baths, manual massage, taking of herbal mixture, application of peloid onto 'broad waist' zone, in combination with magnetic therapy. Additionally electrophoresis of 2% dibasol solution at collar zone and pearl bath are applied. Treatment is performed in the period from March to May. Pearl bath, manual massage, taking of herbal mixture are performed since the first day of treatment. Electrophoresis of 2% dibasol solution at collar zone is performed in the first five or six course days. Starting from the fifth or sixth day of treatment, peloid application to broad waist zone is performed affecting liver zone in 15 minutes after beginning of magnetic therapy procedure at magnetic induction value of 30 mTl.
EFFECT: reduced term of treatment due to performance of procedure complex with regard to chronobiological rhythms.
2 ex, 1 tbl
FIELD: medicine; physiotherapy.
SUBSTANCE: method includes remedy exercise, thorax massage, mineral water inhalation, peloid application. Additionally two zones are exposed to supertonic frequency current in turns by days. On one day head and collar zone are affected for 7-10 minutes at power up to 3 W, on the second day current with power up to 4-6 W is applied to thorax zone, to lower thorax compartments for 2-3 minutes from paravertebral to medium axillary line paravertebrally, along spine upside from down for 2-3 minutes from each side, along 6-8 intercostal space for 2-3 minutes. The whole course comprises 14-16 procedures. Peloid applications are performed on two areas in turn by days. On one day application is made at collar zone at +35°-+36°C, on the second day application is made at lower thorax part starting from shoulder blade corners at +38°-+40°C, application time is 20-30 minutes. The course comprises 6-7 procedures for each zone.
EFFECT: improved treatment efficiency and tolerance, reduced medicine strain, simultaneous effect on leading patogenetic links of both diseases.
2 ex, 10 tbl
FIELD: medicine; endocrinology.
SUBSTANCE: lowered caloric content diet #5 is prescribed, in combination with fasting days 2 times a week with caloricity of 1000-1200 kilocalorie per day. Therapeutic physical training with individual exercise dosage is carried out daily in the first half the day for 30-40 minutes, within 21-24 days. The general manual massage is alternated by days with Charcot's douche, during the course of 8-10 procedures. A Charcot's douche effects the back thigh surface , buttocks, frontal abdominal wall - clockwise at pressure of 1.5-2 atmospheres, water temperature of 36°C, 0.5-1 minute per zone, total effect time is 4 minutes. The procedure is caried out in the second half of the day, in the course of 10-12 procedures. Electrosleep is carried out by oculo-cervical method at frequency of 10-20 Hz, current intensity up to 1-2 mA, exposure time is 30 minutes. Besides the procedure is carried out in the middle of the day, daily, in the course of 10-15 procedures. Group and individual appointments with the psychologist are carried out on the daily basis, during 45-60 minutes, within 21-24 days. Patients with combination of obesity and struma in addition are provided with iodide-bromine baths with iodine concentration of 10 mg/l, Bromum of 25 mg/l, water temperature is 37°C, procedure duration is 8-10 minutes, alternating by days with Charcot's douche, in the course of 8-10 procedures. The general massage is carried out at the same day with iodide-bromine baths, iodbalance intake is 100-200 mkg/per day, daily, after meal. In case of psychocorection additional activities are done for formation of motivation, loss of weight and long-term iodine drugs intake, reduction of anxiety, aggression and increase of self-appraisal.
EFFECT: body weight reduction, normalisation of arterial pressure, increase of exercise tolerance, correction of metabolic, hormonal and vegetative status parameters.
7 tbl, 2 ex
FIELD: medicine; neurology.
SUBSTANCE: physical exercises performed on the child are taken consistently in seven stages. Thus the initial impact stage is determined in compliance with the motoric age of the child which depends on his motor skills. At the first stage development of a protective reflex is stimulated, a labyrinthine righting reflex by performance of classical and acupressure massage of neck and back extensors muscles, carrying the child which is on a stomach on the forearm bracing him for femur, passive turnover by hands and legs from back to stomach and vice-versa, tractions by the top hand with a small abruption from a surface when the child is in lateral position, tractions by hands of the child laying at an angle of 45 degrees with an abruption of a head from a surface. At the second stage all the exercises are carried out on stomach putting a wedge or platen under chest, thus alternate serial massage of arms, passive carrying out of hands forward, drawing hands asides, abduction upwards with keeping head in the lifted position. At the third stage the child is taught how to turn from back to side and to crawl on his stomach. At the fourth stage the child is taught how to sit with legs spead forward, to stand up and to stand on all fours. At the fifth stage crawling on all fours is taught. At the sixth stage the child is taught how to rise on his feet by the support. At the seventh stage walking skills are taught. In case of spastic form of cerebral infantile paralysis, starting from the second stage intramuscular injections of type A botulotoxin preparation are made at the rate of 30 units per 1 kg of the child weight with a 8-12 week interval.
EFFECT: extension of the range of treatment methods of the movement disorder in children.
3 cl, 15 dwg, 2 ex, 1 tbl
SUBSTANCE: perform examination, pharmacotherapy and a complex including medical gymnastics and massage to children with disease of nervous system. Use passive-active and active physical exercises: respiratory, exercises on coordination, on a relaxation, on normalisation of poses and positions of a head and limbs, on correction of a posture and walking, exercise with use of balls at rate of performance of exercises, from slow to an average, the maximum amplitude of movements, a starting position - laying on a back, stomach, knee-elbow position, sitting, kneeling and standing. The pharmacotherapy includes introduction of Biovital gel, RINITOLA EDAS.
EFFECT: raises efficiency of treatment at the expense of creation of conditions for adaptation improvement.
3 ex, 8 dwg, 3 tbl
SUBSTANCE: patient lies on his stomach, providing the comfortable relaxed position of the trunk and the head in the lowered condition on the massage table having an aperture for it. Enclose the platen under ankle joints on height of 30-40 cm. Begin influence on a body of the patient in a zone of a costal angle from the side opposite to the side of the masseur location. Make slight pushing movements aside from the masseur with accruing amplitude. One arm of the masseur - in a zone of a costal angle, the masseur moves another hand on a body of the patient, passing from a zone of a costal angle to the lats and back, observing response of a body of the patient to rocking with a rhythm of 30-40 jerks in a minute. Fix amplitude of movement of zones of processed sites in reply to jerks of the masseur. After 10-15 mines change a site of the masseur near the table for an opposite side. Repeat the above-mentioned actions from this side and finish influence at achievement of backlog of movement of a pelvis from movement of the top part of a trunk from the second side. Time of full massage influence is not more than 30-40 minutes, not supposing negative implications of weariness of the patient in the form of giddiness and disturbance of coordination of movement; and the massage cycle makes 4-5 sessions.
EFFECT: allows to assist the patient even with strong painful sensations at the cliped nerve root endings.
FIELD: medical equipment.
SUBSTANCE: massage mat has massage convexities uniformly situated across the plane. The mat is manufactured in form of flexible corrugated plastic sheet with fine crimping, covered with thick cloth on both working sides and edges. One working side of the plastic sheet is covered with cloth by all curvilinear surface, another working side is upholstered with cloth by convexities tops. The cavities formed between the sheet surface and the cloth are filled with light porous pebbles of metallurgical slag mixed with high-coercivity permanent magnet elements.
EFFECT: functional properties development of the device owing to universal physiotherapeutic effect on patient, with different intensiveness regimens.
SUBSTANCE: method involves carrying out balneotherapy, foing physiotherapy exercises and intaking iodomarine and/or L-tiroksin. In first half of the day, physiotherapy exercises are performed, general artificial radon baths being performed in the second half of the day. Manual massages of a collar zone are perform in days free from baths. From November till March phonophoresis of Traumel S ointment on a thyroid gland projection is also performed with an intensity of 0.05 W/cm2, continuous regimen, duration of influence of 3-5 minutes on the right and at the left, general time of influence of 6-10 minutes, in a day with a magnetotherapy on a projection of palatine tonsils, size of a magnetic induction being 6-9 mT, for 5-6 minutes from each party, general time of 10-12 minutes, in a course of 8-10 procedures. At treatment during the period from April till October, patients are additionally prescribed a group galotherapy in the second half of the day, in a course of 10-15 procedures, and phototherapy of red range at a wavelength of 660-675 nanometers, densities of power of radiation of 1 mW/cm2 and an infra-red range at a wavelength of 840-950 nanometers, densities of power of radiation of 2.7 mW/cm2 to biologically active points: VC-20, VC-22, E-36 symmetrically on the right and the left, Gi-4 symmetrically on the right and the left. Time of influence for one point is 1.5-2 minutes, general time of influence being 9-12 minutes, daily, in 10-12 procedures, with duration of treatment making up 21-24 days.
EFFECT: decrease of exacerbations of chronic centres infection frequency; normalising action on the immunologic status during the most adverse periods of a year and maintenance of a condition of euthyroidism within all year.
3 tbl, 2 ex
SUBSTANCE: organism undergoes complex action of craniosacral therapy techniques combined with psychotherapy in narrowed consciousness environment created by hypnosis. Each session of craniosacral therapy lasts for 10-30 minutes. The method allows achievement of high treatment efficiency, particularly: improved state of health and working capacity, especially for chronic fatigue, stresses, anxiety, neuroses, depression, fears, irritability, uncertainty, internal recovery after irritable bowel syndrome, chronic pains, heartbeat muscular tension, dry mouth, muscular twitching, lump in throat, gastritis, bronchial asthma, impotence and other disorders of psychogenic nature. Efficiency of the method is sustained by destruction of undesirable barriers evolving both during psychotherapy treatment and craniosacral therapy sessions.
EFFECT: improved treatment efficiency.
6 cl, 9 ex
SUBSTANCE: table has frame, desk with the opening, support of jack with the traverse provided with members for massage and gymnastics, which can be moved with respect to the opening in the desk. The table is additionally provided with electromagnetic therapy. Each therapy block is connected with the power source, programmer, timer, and commutating device.
EFFECT: improved design.
2 cl, 12 dwg, 2 ex