Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-87-95
A. D. Mironova, Y. Potekhina, A. Kurnikova
Introduction. In the vast majority of sports, joint mobility is a necessary basis for effective technical self-improvement. Insufficient mobility of joints sharply complicates and slows down the process of motor skills mastering, and some of it (mainly the key components of an effective technique for performing competitive exercises) cannot be mastered.Aim of the study is to reveal the features of the active and passive mobility of extremities joints in skiers and skaters athletes.Materials and methods. The study involved 46 athletes, including 27 skiers and 19 skaters. The inclusion criteria for the study were: age 18–24 years; lack of complaints from the musculoskeletal system; experience of constant sports activities for at least 2 years; absence of competitive practice during the research period. The protocol for the study of the joint mobility included 5 types of active and passive movements, the values of which were expressed in angular degrees: flexion and extension in the wrist joint, flexion in the knee joint, plantar flexion and dorsal extension in the ankle joint. The range of motion (both active and passive) in the joints was measured in both limbs using a goniometer.Results. In all the examined joints of all studied subjects, the volume of passive movements statistically significantly exceeded the volume of active ones (p<0,05). Among athletes-skiers, the greatest differences were observed in the ankle joint during dorsal extension (29,4 %), and the smallest — in the knee joint (14,1 %). In the group of skaters, the smallest difference between passive and active mobility was recorded in the ankle joints — with plantar flexion (8,1 %). The maximum differences in passive and active performance of movements were found in the wrist joint — in flexion (29,4 %). Correlation analysis according to Spearman showed strong and moderate negative associations between active mobility and differences in active and passive movements. Conclusion. The amount of passive mobility in the joints always exceeds the amplitude of active movements. This creates the prerequisites for the development of active mobility at the expense of the reserve. This reserve in each joint has its own value and decreases with increased load on the joint, therefore, for different sports, the indicators of the reserve of mobility in the same joints differ due to the movements stereotyped for each sport. The maximum difference in active and passive movements is in the joints with the least load in the training process of athletes of a certain specialization. A decrease in the reserve of mobility increases the risk of injury and disrupts the athlete′s work capacity. Accordingly, the knee joints are the most vulnerable in skiers, and the ankle joints in skaters.
{"title":"Features of active and passive joints mobility of skiers and skaters athletes","authors":"A. D. Mironova, Y. Potekhina, A. Kurnikova","doi":"10.32885/2220-0975-2022-1-87-95","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-87-95","url":null,"abstract":"Introduction. In the vast majority of sports, joint mobility is a necessary basis for effective technical self-improvement. Insufficient mobility of joints sharply complicates and slows down the process of motor skills mastering, and some of it (mainly the key components of an effective technique for performing competitive exercises) cannot be mastered.Aim of the study is to reveal the features of the active and passive mobility of extremities joints in skiers and skaters athletes.Materials and methods. The study involved 46 athletes, including 27 skiers and 19 skaters. The inclusion criteria for the study were: age 18–24 years; lack of complaints from the musculoskeletal system; experience of constant sports activities for at least 2 years; absence of competitive practice during the research period. The protocol for the study of the joint mobility included 5 types of active and passive movements, the values of which were expressed in angular degrees: flexion and extension in the wrist joint, flexion in the knee joint, plantar flexion and dorsal extension in the ankle joint. The range of motion (both active and passive) in the joints was measured in both limbs using a goniometer.Results. In all the examined joints of all studied subjects, the volume of passive movements statistically significantly exceeded the volume of active ones (p<0,05). Among athletes-skiers, the greatest differences were observed in the ankle joint during dorsal extension (29,4 %), and the smallest — in the knee joint (14,1 %). In the group of skaters, the smallest difference between passive and active mobility was recorded in the ankle joints — with plantar flexion (8,1 %). The maximum differences in passive and active performance of movements were found in the wrist joint — in flexion (29,4 %). Correlation analysis according to Spearman showed strong and moderate negative associations between active mobility and differences in active and passive movements. Conclusion. The amount of passive mobility in the joints always exceeds the amplitude of active movements. This creates the prerequisites for the development of active mobility at the expense of the reserve. This reserve in each joint has its own value and decreases with increased load on the joint, therefore, for different sports, the indicators of the reserve of mobility in the same joints differ due to the movements stereotyped for each sport. The maximum difference in active and passive movements is in the joints with the least load in the training process of athletes of a certain specialization. A decrease in the reserve of mobility increases the risk of injury and disrupts the athlete′s work capacity. Accordingly, the knee joints are the most vulnerable in skiers, and the ankle joints in skaters.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114508357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-35-48
E. Bychkova, A. V. Sandakov, Y. Kuzmina
Introduction. Dysarthria is a disorder of motor dynamics, which manifests itself in oral speech in the form of illegibility and indistinctness. Also motor realization is impaired, the mobility of the organs of speech (soft palate, tongue, lips) is limited, and so articulation is difficult. Correction of dysarthria only with the help of exercises with a speech therapist is not always effective enough; therefore, there is a constant search for methods that would make it possible to solve speech therapy problems more efficiently and in a shorter time. In this regard, there is great interest in osteopathic correction. The somatic dysfunctions and the results of osteopathic correction of children with dysarthria are described in sufficient detail in the available literary, but only for the end of treatment. The question of preservation of the achieved osteopathic correction results is practically not covered.Aim is to study the long-term results of osteopathic correction of somatic dysfunctions in children aged 5–6 years with dysarthria.Materials and methods. The study involved children with an established diagnosis of dysarthria at the age of 5–6 years. The study participants were divided into the control (15 people) and the main (26 people) groups. The participants in the control group received speech therapy, the participants in the main group received speech therapy and osteopathic correction. The logopaedic, osteopathic and neurological examinations were performed at the start of the study. The logopaedic examination was repeated 12 months after the completion of the correction. The osteopathic examination was repeated immediately after the completion of the correction, after 6 and 12 months. The neurological examination was repeated 6 and 12 months after the completion of the correction.Results. During the study of the long-term results of the correction performed in the both groups, there was a positive trend in several indicators characterizing the severity of speech impairment, including impaired speech pronunciation and dysarthria. In the main group, the dynamics was statistically significantly (p<0,05) more pronounced than in the control group. In the main group, there was a statistically significant (p<0,05) decrease in the severity of global and regional somatic dysfunctions, as well as a decrease in the detection frequency of local disorders of the craniosacral system and local visceral dysfunctions. Also in the main group there was a significant (p<0,05) decrease in the detection frequency of disorders of several indicators characterizing neurological status, including such indicators as convergence, facial symmetry, pharyngeal reflex, neck muscle tension, Romberg posture, local soreness, maskiness, the location of the tongue in the center, the condition of the muscles of the floor of the mouth, the tension of the muscles of the neck, fi nger-nose test.Conclusion. The study demonstrated not only the clinical efficacy of the combined use
{"title":"Long-term results of combined use of speech therapy and osteopathic correction in 5–6 year old children with dysarthria","authors":"E. Bychkova, A. V. Sandakov, Y. Kuzmina","doi":"10.32885/2220-0975-2022-1-35-48","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-35-48","url":null,"abstract":"Introduction. Dysarthria is a disorder of motor dynamics, which manifests itself in oral speech in the form of illegibility and indistinctness. Also motor realization is impaired, the mobility of the organs of speech (soft palate, tongue, lips) is limited, and so articulation is difficult. Correction of dysarthria only with the help of exercises with a speech therapist is not always effective enough; therefore, there is a constant search for methods that would make it possible to solve speech therapy problems more efficiently and in a shorter time. In this regard, there is great interest in osteopathic correction. The somatic dysfunctions and the results of osteopathic correction of children with dysarthria are described in sufficient detail in the available literary, but only for the end of treatment. The question of preservation of the achieved osteopathic correction results is practically not covered.Aim is to study the long-term results of osteopathic correction of somatic dysfunctions in children aged 5–6 years with dysarthria.Materials and methods. The study involved children with an established diagnosis of dysarthria at the age of 5–6 years. The study participants were divided into the control (15 people) and the main (26 people) groups. The participants in the control group received speech therapy, the participants in the main group received speech therapy and osteopathic correction. The logopaedic, osteopathic and neurological examinations were performed at the start of the study. The logopaedic examination was repeated 12 months after the completion of the correction. The osteopathic examination was repeated immediately after the completion of the correction, after 6 and 12 months. The neurological examination was repeated 6 and 12 months after the completion of the correction.Results. During the study of the long-term results of the correction performed in the both groups, there was a positive trend in several indicators characterizing the severity of speech impairment, including impaired speech pronunciation and dysarthria. In the main group, the dynamics was statistically significantly (p<0,05) more pronounced than in the control group. In the main group, there was a statistically significant (p<0,05) decrease in the severity of global and regional somatic dysfunctions, as well as a decrease in the detection frequency of local disorders of the craniosacral system and local visceral dysfunctions. Also in the main group there was a significant (p<0,05) decrease in the detection frequency of disorders of several indicators characterizing neurological status, including such indicators as convergence, facial symmetry, pharyngeal reflex, neck muscle tension, Romberg posture, local soreness, maskiness, the location of the tongue in the center, the condition of the muscles of the floor of the mouth, the tension of the muscles of the neck, fi nger-nose test.Conclusion. The study demonstrated not only the clinical efficacy of the combined use","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125343890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-96-104
A. A. Safiullina, G. I. Safiullina
Recently, there has been a significant improvement in the methods of diagnosis and treatment of myofascial pain syndrome. The continuing high frequency of occurrence of this pathological condition against the background of numerous scientific studies in the field of its diagnosis, treatment and prevention testifies to the significant scientific and practical relevance of this problem at the present time, and the predominant use of pharmacotherapy, which often entails side effects, significant financial costs against the background of its comparatively low effectiveness, actualizes the use of non-drug methods of influence.
{"title":"Possibility of using osteopathic methods of correction in the treatment of myofascial pain syndrome","authors":"A. A. Safiullina, G. I. Safiullina","doi":"10.32885/2220-0975-2022-1-96-104","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-96-104","url":null,"abstract":"Recently, there has been a significant improvement in the methods of diagnosis and treatment of myofascial pain syndrome. The continuing high frequency of occurrence of this pathological condition against the background of numerous scientific studies in the field of its diagnosis, treatment and prevention testifies to the significant scientific and practical relevance of this problem at the present time, and the predominant use of pharmacotherapy, which often entails side effects, significant financial costs against the background of its comparatively low effectiveness, actualizes the use of non-drug methods of influence.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"480 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132653092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-23-34
V. L. Kamaletdinov, O. V. Kamaletdinova, R. F. Safin
Introduction. Scoliosis is a symptom of scoliotic disease, which is a polyetiological disease characterized by a certain symptom complex of morphological and functional changes in the spine, chest and internal organs. The greatest detectability of the disease occurs at the age of 8–13, during the period of the intensive skeleton growth, and during this period the most dangerous feature of scoliosis manifests itself — its steady and rapid progression in every 3–4th child. Despite the successful development of orthopedics, the treatment of scoliotic disease still remains a rather difficult problem. Osteopathic correction can potentially complement existing treatment schemes and increase their effectiveness.The aim of the study is to substantiate the possibility of osteopathic correction in the treatment of pediatric patients with grade I idiopathic scoliosis.Materials and methods. A prospective randomized controlled trial enrolled 50 patients aged 4 to 11 years with grade I idiopathic scoliosis. The study participants were divided into two groups by simple randomization. The control group participants received standard orthopedic treatment, and the main group participants received osteopathic correction. The osteopathic status and the degree of spinal curvature were assessed at the beginning and at the end of the study.Results. Osteopathic correction of pediatric patients with grade I idiopathic scoliosis is accompanied by a decrease in the number of regional and local somatic dysfunctions and the frequency of detection of regional biomechanical disorders (p<0,05). The decrease of these indicators is more pronounced than in patients receiving standard orthopedic treatment (p<0,05). At the end of the treatment, there was a decrease in the Cobb angle in patients receiving osteopathic correction (from 7,3±0,8 to 4,2±0,8 degrees; M±m, p<0,05), and an increase of this indicator in patients who received standard therapy (from 7,0±0,7 to 9,1±1,4 degrees; M±m, p<0,05).Conclusion. The obtained results make it possible to consider the possibility of recommending of osteopathic correction for childhood patients with grade I idiopathic scoliosis.
{"title":"Investigation of the osteopathic correction effectiveness in the treatment of pediatric patients with idiopathic scoliosis of the first degree","authors":"V. L. Kamaletdinov, O. V. Kamaletdinova, R. F. Safin","doi":"10.32885/2220-0975-2022-1-23-34","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-23-34","url":null,"abstract":"Introduction. Scoliosis is a symptom of scoliotic disease, which is a polyetiological disease characterized by a certain symptom complex of morphological and functional changes in the spine, chest and internal organs. The greatest detectability of the disease occurs at the age of 8–13, during the period of the intensive skeleton growth, and during this period the most dangerous feature of scoliosis manifests itself — its steady and rapid progression in every 3–4th child. Despite the successful development of orthopedics, the treatment of scoliotic disease still remains a rather difficult problem. Osteopathic correction can potentially complement existing treatment schemes and increase their effectiveness.The aim of the study is to substantiate the possibility of osteopathic correction in the treatment of pediatric patients with grade I idiopathic scoliosis.Materials and methods. A prospective randomized controlled trial enrolled 50 patients aged 4 to 11 years with grade I idiopathic scoliosis. The study participants were divided into two groups by simple randomization. The control group participants received standard orthopedic treatment, and the main group participants received osteopathic correction. The osteopathic status and the degree of spinal curvature were assessed at the beginning and at the end of the study.Results. Osteopathic correction of pediatric patients with grade I idiopathic scoliosis is accompanied by a decrease in the number of regional and local somatic dysfunctions and the frequency of detection of regional biomechanical disorders (p<0,05). The decrease of these indicators is more pronounced than in patients receiving standard orthopedic treatment (p<0,05). At the end of the treatment, there was a decrease in the Cobb angle in patients receiving osteopathic correction (from 7,3±0,8 to 4,2±0,8 degrees; M±m, p<0,05), and an increase of this indicator in patients who received standard therapy (from 7,0±0,7 to 9,1±1,4 degrees; M±m, p<0,05).Conclusion. The obtained results make it possible to consider the possibility of recommending of osteopathic correction for childhood patients with grade I idiopathic scoliosis.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121026053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-14-22
A. F. Belyaev, O. Fotina, T. S. Kharkovskaya, A. Yurchenko
Introduction. The new coronavirus infection (COVID-19) pandemic has affected the lives of many people. Any infectious and infl ammatory process in the lungs can lead to adverse consequences for the whole organism. The pathological process affecting the respiratory structures of the lungs, bronchi leads to disruption of various links of the external respiration system; therefore, timely effective rehabilitation for such patients can improve the quality of life, reduce the period of temporary disability, and most importantly, restore the function of external respiration.The aim was to prove the effectiveness of the osteopathic methods application in the rehabilitation of patients after coronavirus pneumonia.Materials and methods. On the basis of the Primorsky Institute of Vertebroneurology and Manual Medicine (Vladivostok) the rehabilitation of patients with coronavirus pneumonia was carried out using osteopathic methods. 63 patients after suffering from coronavirus pneumonia were randomly divided into 2 groups comparable in terms of clinical and functional characteristics. The fi rst group (main) consisted of 34 people (average age 65.5±1.5 years), of which 44.1 % were men and 55.9 % were women. Group 2 (control) included 28 patients (mean age 64.1±1.6 years), of which 32.1 % were men and 67.9 % were women. To assess the function of external respiration, spirometry was performed and the main indicators of the vital capacity of the lungs were assessed (vital capacity — VC, and FVC — forced vital capacity). To measure the saturation of hemoglobin in arterial blood with oxygen (SpO2), pulse oximetry was performed. Rehabilitation included in the main group osteopathic correction (2 procedures), breathing exercises (4 procedures) and chest massage (4 procedures); in the control group there were breathing exercises (4 procedures) and chest massage (4 procedures). The rehabilitation course lasted 14 days. For the statistical analysis of the obtained data the Statistica-10 software package was used.Results. The studies revealed a pronounced change in the function of external respiration in patients who had undergone coronavirus pneumonia. According to the results of spirometry, more than 90 % of patients showed a statistically signifi cant (p=0.006) decrease in VC compared to the physiological norm — both in the main group (VC down to 80.7 %) and in the control group (VC down to 87.6 %), as well as a signifi cant (p=0.0001) decrease in FVC to 77.7 % in the main group and to 79.1 % in the control group. After rehabilitation, patients in the main group showed a statistically signifi cant improvement in the function of external respiration, manifested in an increase in VC by 12.3 % (p<0.0001), FVC by 12.1 %. In patients in the control group (without osteopathic correction), after the rehabilitation, the main indicators of the function of external respiration also improved, but the changes were not statistically signifi cant. As a result of rehabilitation, th
{"title":"The effectiveness of rehabilitation of patients after covid pneumonia with osteopathic methods","authors":"A. F. Belyaev, O. Fotina, T. S. Kharkovskaya, A. Yurchenko","doi":"10.32885/2220-0975-2022-1-14-22","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-14-22","url":null,"abstract":"Introduction. The new coronavirus infection (COVID-19) pandemic has affected the lives of many people. Any infectious and infl ammatory process in the lungs can lead to adverse consequences for the whole organism. The pathological process affecting the respiratory structures of the lungs, bronchi leads to disruption of various links of the external respiration system; therefore, timely effective rehabilitation for such patients can improve the quality of life, reduce the period of temporary disability, and most importantly, restore the function of external respiration.The aim was to prove the effectiveness of the osteopathic methods application in the rehabilitation of patients after coronavirus pneumonia.Materials and methods. On the basis of the Primorsky Institute of Vertebroneurology and Manual Medicine (Vladivostok) the rehabilitation of patients with coronavirus pneumonia was carried out using osteopathic methods. 63 patients after suffering from coronavirus pneumonia were randomly divided into 2 groups comparable in terms of clinical and functional characteristics. The fi rst group (main) consisted of 34 people (average age 65.5±1.5 years), of which 44.1 % were men and 55.9 % were women. Group 2 (control) included 28 patients (mean age 64.1±1.6 years), of which 32.1 % were men and 67.9 % were women. To assess the function of external respiration, spirometry was performed and the main indicators of the vital capacity of the lungs were assessed (vital capacity — VC, and FVC — forced vital capacity). To measure the saturation of hemoglobin in arterial blood with oxygen (SpO2), pulse oximetry was performed. Rehabilitation included in the main group osteopathic correction (2 procedures), breathing exercises (4 procedures) and chest massage (4 procedures); in the control group there were breathing exercises (4 procedures) and chest massage (4 procedures). The rehabilitation course lasted 14 days. For the statistical analysis of the obtained data the Statistica-10 software package was used.Results. The studies revealed a pronounced change in the function of external respiration in patients who had undergone coronavirus pneumonia. According to the results of spirometry, more than 90 % of patients showed a statistically signifi cant (p=0.006) decrease in VC compared to the physiological norm — both in the main group (VC down to 80.7 %) and in the control group (VC down to 87.6 %), as well as a signifi cant (p=0.0001) decrease in FVC to 77.7 % in the main group and to 79.1 % in the control group. After rehabilitation, patients in the main group showed a statistically signifi cant improvement in the function of external respiration, manifested in an increase in VC by 12.3 % (p<0.0001), FVC by 12.1 %. In patients in the control group (without osteopathic correction), after the rehabilitation, the main indicators of the function of external respiration also improved, but the changes were not statistically signifi cant. As a result of rehabilitation, th","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130816774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-60-68
V. G. Kudryashova, N. Chetverikova
Introduction. Attention deficit hyperactivity disorder (ADHD) is becoming more common in modern society being the most common behavioral disorder in childhood and adolescence. Drug treatment for ADHD is often associated with a number of potential adverse events. Recently, the method of ADHD correction under the control of electroencephalogram-dependent biofeedback (EEG-BFB trainings) has become very popular. Based on the complex nature of ADHD and based on the osteopathic concept of cranial bone mobility, it can be assumed that the combination of EEG-biofeedback training and osteopathic correction can achieve a greater effect in a shorter period of time than using only EEG-biofeedback trainings.The aim is to research the effectiveness of the combined use of osteopathic correction and EEG-BFB correction of children with attention deficit hyperactivity disorder.Materials and methods. The study involved 70 children aged 6–9 years, suffering from attention deficit hyperactivity disorder. Two groups were formed by the method of simple randomization: control and main. Participants in both groups received EEG-biofeedback trainings. The participants of the main group additionally received a course of osteopathic correction. Before and after the completion of the course of treatment, the osteopathic status of the participants, the number of behavioral disorders, indicators of the level of attention and concentration were assessed. The obtained results were analyzed by methods of nonparametric statistics.Results. The use of osteopathic correction in addition to EEG-biofeedback training in children with ADHD is accompanied by a statistically significant (p<0,05) decrease in the behavioral deviations amount, an increase of the attention span duration, a decrease of the detection frequency of regional disorders of the dura mater and local disorders of the spinal motion segment C0-I.Conclusion. The obtained results make it possible to recommend the inclusion of osteopathic correction in the complex therapy of primary school children suffering from ADHD.
{"title":"Study of the combined use of osteopathic correction and EEG-biofeedback training in children with attention deficit hyperactivity disorder","authors":"V. G. Kudryashova, N. Chetverikova","doi":"10.32885/2220-0975-2022-1-60-68","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-60-68","url":null,"abstract":"Introduction. Attention deficit hyperactivity disorder (ADHD) is becoming more common in modern society being the most common behavioral disorder in childhood and adolescence. Drug treatment for ADHD is often associated with a number of potential adverse events. Recently, the method of ADHD correction under the control of electroencephalogram-dependent biofeedback (EEG-BFB trainings) has become very popular. Based on the complex nature of ADHD and based on the osteopathic concept of cranial bone mobility, it can be assumed that the combination of EEG-biofeedback training and osteopathic correction can achieve a greater effect in a shorter period of time than using only EEG-biofeedback trainings.The aim is to research the effectiveness of the combined use of osteopathic correction and EEG-BFB correction of children with attention deficit hyperactivity disorder.Materials and methods. The study involved 70 children aged 6–9 years, suffering from attention deficit hyperactivity disorder. Two groups were formed by the method of simple randomization: control and main. Participants in both groups received EEG-biofeedback trainings. The participants of the main group additionally received a course of osteopathic correction. Before and after the completion of the course of treatment, the osteopathic status of the participants, the number of behavioral disorders, indicators of the level of attention and concentration were assessed. The obtained results were analyzed by methods of nonparametric statistics.Results. The use of osteopathic correction in addition to EEG-biofeedback training in children with ADHD is accompanied by a statistically significant (p<0,05) decrease in the behavioral deviations amount, an increase of the attention span duration, a decrease of the detection frequency of regional disorders of the dura mater and local disorders of the spinal motion segment C0-I.Conclusion. The obtained results make it possible to recommend the inclusion of osteopathic correction in the complex therapy of primary school children suffering from ADHD.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122646948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-69-77
E. R. Kryukov, Y. Potekhina, L. V. Vdovina, A. A. Kournikova
Introduction. Pathology of the temporomandibular joints (TMJ) is widespread even among young people, and the frequency of its occurrence increases with the age of patients. In this case, there is violated one of the main characteristics of the joints — mobility, which is measured by the mouth opening width (MOW). There is not enough information in the literature on the age and sex characteristics of the TMJ mobility in individuals without pathology of this joint.The aim of the study is to research the mobility of the TMJ in different age groups in men and women without pathology of this joint.Materials and methods. There were examined 714 patients who applied for dental care, aged 20 to 79 years (504 women and 210 men), without pathology of the TMJ. The range of motion in the TMJ was measured using a caliper with thin lips during the opening of the mouth in a neutral head position. The subjects were divided into age groups: 20–29, 30–39, 40–49, 50–59, 60–69 and 70–79 years old.Results. It was found that the most common MOW value was 4,9 cm (range from 4,5 to 5,2 cm). A distribution of relative frequencies corresponding to the normal Gaussian distribution was observed for this indicator. The mobility of the TMJ changed little with age. Analysis of the distribution of temporomandibular joint mobility by age groups of patients with a step of 10 years showed the similarity of the average MOW values in all groups of subjects, except for the group of 20–29 years. Their average values (4,75 cm) were lower than those of the other groups (4,9 cm, p<0,05). It was found that men have a higher mobility of the TMJ compared to women in all age groups (on average by 0,28 cm, p<0,05).Conclusion. Mouth opening widths of 4,6 to 5,2 cm (average 4,9 cm) can be considered as normal. TMJ mobility is not related to age. Consequently, a decrease in the mobility of the TMJ in persons of older age groups cannot be considered as normal age-related changes. TMJ mobility depends on sex. Men have higher TMJ mobility than women in all age groups. Thus, the TMJ differ from other joints not only in their complexity (two joints always work together), but also in age and sex patterns of mobility.
介绍。颞下颌关节(TMJ)的病理是普遍的，甚至在年轻人中，其发生的频率随着患者的年龄而增加。在这种情况下，违反了关节的主要特征之一-流动性，这是由开口宽度(MOW)来衡量的。文献中没有足够的关于无颞下颌关节病变个体颞下颌关节活动度的年龄和性别特征的信息。本研究的目的是研究不同年龄组的男性和女性颞下颌关节的活动度。材料和方法。本研究共检查了714例申请牙科保健的患者，年龄在20至79岁之间(女性504例，男性210例)，均无颞下颌关节病变。颞下颌关节的活动范围是用一个带有薄嘴唇的卡尺在开口时测量的。受试者年龄分为20-29岁、30-39岁、40-49岁、50-59岁、60-69岁和70-79岁。发现最常见的MOW值为4,9 cm(范围为4,5 ~ 5,2 cm)。该指标的相对频率分布符合正态高斯分布。颞下颌关节的活动度随年龄变化不大。对10岁年龄组患者的颞下颌关节活动度分布进行分析，除20-29岁组外，各年龄组的平均MOW值相似。其平均值(4,75 cm)低于其他组(4,9 cm, p< 0.05)。研究发现，在所有年龄组中，男性的颞下颌关节活动度都比女性高(平均高0.28 cm, p< 0.05)。开口宽度4,6至5,2厘米(平均4,9厘米)可视为正常。颞下颌关节活动度与年龄无关。因此，老年人群的颞下颌关节活动度下降不能被认为是正常的年龄相关变化。颞下颌关节的活动性取决于性别。在所有年龄组中，男性的颞下颌关节活动度都高于女性。因此，TMJ与其他关节的不同之处不仅在于其复杂性(两个关节总是一起工作)，还在于其活动的年龄和性别模式。
{"title":"Age-related and sexual features of the mobility of the temporomandibular joints","authors":"E. R. Kryukov, Y. Potekhina, L. V. Vdovina, A. A. Kournikova","doi":"10.32885/2220-0975-2022-1-69-77","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-69-77","url":null,"abstract":"Introduction. Pathology of the temporomandibular joints (TMJ) is widespread even among young people, and the frequency of its occurrence increases with the age of patients. In this case, there is violated one of the main characteristics of the joints — mobility, which is measured by the mouth opening width (MOW). There is not enough information in the literature on the age and sex characteristics of the TMJ mobility in individuals without pathology of this joint.The aim of the study is to research the mobility of the TMJ in different age groups in men and women without pathology of this joint.Materials and methods. There were examined 714 patients who applied for dental care, aged 20 to 79 years (504 women and 210 men), without pathology of the TMJ. The range of motion in the TMJ was measured using a caliper with thin lips during the opening of the mouth in a neutral head position. The subjects were divided into age groups: 20–29, 30–39, 40–49, 50–59, 60–69 and 70–79 years old.Results. It was found that the most common MOW value was 4,9 cm (range from 4,5 to 5,2 cm). A distribution of relative frequencies corresponding to the normal Gaussian distribution was observed for this indicator. The mobility of the TMJ changed little with age. Analysis of the distribution of temporomandibular joint mobility by age groups of patients with a step of 10 years showed the similarity of the average MOW values in all groups of subjects, except for the group of 20–29 years. Their average values (4,75 cm) were lower than those of the other groups (4,9 cm, p<0,05). It was found that men have a higher mobility of the TMJ compared to women in all age groups (on average by 0,28 cm, p<0,05).Conclusion. Mouth opening widths of 4,6 to 5,2 cm (average 4,9 cm) can be considered as normal. TMJ mobility is not related to age. Consequently, a decrease in the mobility of the TMJ in persons of older age groups cannot be considered as normal age-related changes. TMJ mobility depends on sex. Men have higher TMJ mobility than women in all age groups. Thus, the TMJ differ from other joints not only in their complexity (two joints always work together), but also in age and sex patterns of mobility.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132145852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-24DOI: 10.32885/2220-0975-2022-1-105-120
N. Y. Kolyshnitsyn, D. Mokhov
The article provides an overview of instrumental methods and technical means allowing to evaluate some of the proven effects of osteopathic correction, such as an increase in the range of motion in the joints, normalization of muscle tone, postural balance and walking, anti-inflammatory effect and improvement of blood circulation in patients with amputation defects of the lower extremities. The article provides an overview of instrumental methods and technical means used for diagnostic purposes in the rehabilitation of patients with amputation defects of the lower extremities. The possibility of it to verify some of the osteopathic correction effects, such as an increase in the range of motion in the joints, normalization of muscle tone, postural balance and walking, anti-inflammatory effect, and improvement of blood circulation, has been evaluated.Purpose — to present instrumental methods applicable to assess the results of osteopathic correction in the rehabilitation process of patients with amputation defects of the lower extremities.
{"title":"Instrumental methods and technical means for assessing the results of osteopathic correction in patients after lower limb amputation","authors":"N. Y. Kolyshnitsyn, D. Mokhov","doi":"10.32885/2220-0975-2022-1-105-120","DOIUrl":"https://doi.org/10.32885/2220-0975-2022-1-105-120","url":null,"abstract":"The article provides an overview of instrumental methods and technical means allowing to evaluate some of the proven effects of osteopathic correction, such as an increase in the range of motion in the joints, normalization of muscle tone, postural balance and walking, anti-inflammatory effect and improvement of blood circulation in patients with amputation defects of the lower extremities. The article provides an overview of instrumental methods and technical means used for diagnostic purposes in the rehabilitation of patients with amputation defects of the lower extremities. The possibility of it to verify some of the osteopathic correction effects, such as an increase in the range of motion in the joints, normalization of muscle tone, postural balance and walking, anti-inflammatory effect, and improvement of blood circulation, has been evaluated.Purpose — to present instrumental methods applicable to assess the results of osteopathic correction in the rehabilitation process of patients with amputation defects of the lower extremities.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"277 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132931870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.32885/2220-0975-2021-4-29-38
V. A. Osipov, A. N. Pastukhov, O. I. Kurbatov, Y. Potekhina
Introduction. In recent decades, medical science has accumulated convincing evidence of the fact that the normal activity of a human brain depends on the functional integration of its vascular system, a circulation system of cerebrospinal fluid and biomechanical features of a skull, forming a single structural and functional system.The aim of the study is to research the histological structure of functionally significant cranial synchondroses in the middle and elderly age group, to find possible points of osteopathic influence application in their structure. Materials and methods. The study was performed on cadaver material of 27 persons (7 men — 26 %, 20 women — 74 %) who died at the age from 49 to 66 years (57,5±5,3 years) from various somatic pathologies, but had no history of craniocerebral injuries with fractures of osseous structures. Small bone fragments with sutures of interest/synchondroses (spheno-occipital synchondrosis, petro-jugular synchondrosis, sphenopetrosal synchondrosis) were subjected to standard histological processing followed by microscopy.Results. Evaluating histological specimens of spheno-occipital synchondrosis, we observed the similar pattern: highly mineralized tissues at the edges of the bodies of the sphenoid and occipital bones were connected without elements of cartilagi-nous or connective tissue. In all cases, no fibrous or nerve tissue elements were found during the in situ immunohistochemical reactions. Reactions with the CD34 antibody mark multiple vessels of the Volkmann's or Haversian canals. Evaluating histological specimens of petro-jugular and sphenopetrosal synchondroses, we found the presence of cartilage tissue in the suture in the form of small islands of various sizes (from 20 to 120 microns) with signs of degeneration and a small number of remained chondrocytes. When evaluating specimens with immunohistochemical reactions with antibodies against the S100 protein, no elements of the nervous tissue were detected.Conclusion. Spheno-occipital synchondrosis has a temporary nature. With age, its cartilaginous tissue is replaced by osseous one. According to the histological structure, sphenobasilar synchondrosis demonstrates the complete absence of a cartilaginous component in the middle and elderly age groups. Petro-jugular and sphenopetrosal synchondroses retain the cartilaginous component in their suture throughout lifetime. During histological examination of the petro-jugular and sphenopetrosal synchondroses, the cartilaginous component is represented by variety of small islands. In all synchondroses, there is an absence of vascular and nervous components. At the same time, we revealed the presence of a prominent vascular bed in the bone tissue. The fact requires emphasizing the importance of liquid potency and elastic component in cartilaginous and osseous tissues as an application point for osteopathic techniques.
{"title":"Histological examination of cranial synchondroses as functionally significant elements in the cranial osteopathic concept","authors":"V. A. Osipov, A. N. Pastukhov, O. I. Kurbatov, Y. Potekhina","doi":"10.32885/2220-0975-2021-4-29-38","DOIUrl":"https://doi.org/10.32885/2220-0975-2021-4-29-38","url":null,"abstract":"Introduction. In recent decades, medical science has accumulated convincing evidence of the fact that the normal activity of a human brain depends on the functional integration of its vascular system, a circulation system of cerebrospinal fluid and biomechanical features of a skull, forming a single structural and functional system.The aim of the study is to research the histological structure of functionally significant cranial synchondroses in the middle and elderly age group, to find possible points of osteopathic influence application in their structure. Materials and methods. The study was performed on cadaver material of 27 persons (7 men — 26 %, 20 women — 74 %) who died at the age from 49 to 66 years (57,5±5,3 years) from various somatic pathologies, but had no history of craniocerebral injuries with fractures of osseous structures. Small bone fragments with sutures of interest/synchondroses (spheno-occipital synchondrosis, petro-jugular synchondrosis, sphenopetrosal synchondrosis) were subjected to standard histological processing followed by microscopy.Results. Evaluating histological specimens of spheno-occipital synchondrosis, we observed the similar pattern: highly mineralized tissues at the edges of the bodies of the sphenoid and occipital bones were connected without elements of cartilagi-nous or connective tissue. In all cases, no fibrous or nerve tissue elements were found during the in situ immunohistochemical reactions. Reactions with the CD34 antibody mark multiple vessels of the Volkmann's or Haversian canals. Evaluating histological specimens of petro-jugular and sphenopetrosal synchondroses, we found the presence of cartilage tissue in the suture in the form of small islands of various sizes (from 20 to 120 microns) with signs of degeneration and a small number of remained chondrocytes. When evaluating specimens with immunohistochemical reactions with antibodies against the S100 protein, no elements of the nervous tissue were detected.Conclusion. Spheno-occipital synchondrosis has a temporary nature. With age, its cartilaginous tissue is replaced by osseous one. According to the histological structure, sphenobasilar synchondrosis demonstrates the complete absence of a cartilaginous component in the middle and elderly age groups. Petro-jugular and sphenopetrosal synchondroses retain the cartilaginous component in their suture throughout lifetime. During histological examination of the petro-jugular and sphenopetrosal synchondroses, the cartilaginous component is represented by variety of small islands. In all synchondroses, there is an absence of vascular and nervous components. At the same time, we revealed the presence of a prominent vascular bed in the bone tissue. The fact requires emphasizing the importance of liquid potency and elastic component in cartilaginous and osseous tissues as an application point for osteopathic techniques.","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133673585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.32885/2220-0975-2021-4-63-74
E. V. Basieva, Yu. A. Milutka, N. A. Tarasov, A. Silin, D. Mokhov
Introduction. The influence of the dental apparatus on the balance of the body in an upright position has been widely discussed in the literature for several decades. Examination of the patient taking into account his postural balance makes it possible to clarify the reasons for the low effectiveness of pain syndromes treatment of the craniocervical region caused by malocclusion, as well as ineffective correction of musculoskeletal dysfunction of the temporomandibular joint (MSD TMJ) associated with posture disorders.The aim of the study is to evaluate the effectiveness of treatment of patients with dental anomalies and musculoskeletal dysfunctions of the temporomandibular joint and concomitant somatic dysfunctions (if any) by methods of orthodontic and osteopathic correction.Materials and methods. The study involved 102 patients aged from 18 to 45 years with TMJ. All patients underwent orthodontic and osteopathic examination. 3 groups of patients were formed: № 1 — exclusively with dental anomalies TMJ (occlusive dysfunction), who received only orthodontic treatment, № 2 with concomitant somatic (extra-occlusive) dysfunctions, who received only orthodontic treatment, and №3 with concomitant somatic (extra-occlusive) dysfunctions, who received both orthodontic and osteopathic treatment. Orthodontic treatment of musculoskeletal dysfunction of the TMJ consisted of the occlusive kappa manufacturing. Osteopathic correction was carried out individually, taking into account the identified somatic dysfunctions, on average 3 sessions. Patients also received drug therapy, and they performed myohymnastics for the masticatory muscles. The clinical dysfunction index (Helkimo M.) was used to control the elimination dynamics of the TMJ's musculoskeletal dysfunction symptoms. The assessment of the pain dynamics in the TMJ was carried out by a visual-analog scale (VAS). The evaluation of the osteopathic treatment effectiveness was carried out on the basis of computer stabilometry data and osteopathic examination data. A stabilometric study was performed on the «ST-150» («Biomera») stabiloplatform in the Romberg sample (European foot installation) with open and closed eyes in two positions of the lower jaw: 1) in a state of physiological rest (tooth rows are separated); 2) in the kappa with closed tooth rows.Results. The MSD TMJ symptoms were eliminated 10 weeks after the start of treatment in all (100 %) patients of group № 1 and group № 3. Among the patients in group № 2, only 12,1 % of patients had complete absence of MSD TMJ symptoms, while all patients in this group had a statistically significant decrease in the clinical index of Helkimo dysfunction. In one third of the group № 2 patients on the 12th week of orthodontic treatment, headaches and/or pains in other parts of the musculoskeletal system (neck, back, shoulders, arms) prevailed among complaints and which were previously indicated in the anamnesis. This occurred after the elimination of the MSD TMJ
{"title":"The effectiveness of orthodontic and osteopathic correction in patients with dental anomalies and musculoskeletal dysfunction of the temporomandibular joint in the presence of concomitant somatic dysfunctions and without it","authors":"E. V. Basieva, Yu. A. Milutka, N. A. Tarasov, A. Silin, D. Mokhov","doi":"10.32885/2220-0975-2021-4-63-74","DOIUrl":"https://doi.org/10.32885/2220-0975-2021-4-63-74","url":null,"abstract":"Introduction. The influence of the dental apparatus on the balance of the body in an upright position has been widely discussed in the literature for several decades. Examination of the patient taking into account his postural balance makes it possible to clarify the reasons for the low effectiveness of pain syndromes treatment of the craniocervical region caused by malocclusion, as well as ineffective correction of musculoskeletal dysfunction of the temporomandibular joint (MSD TMJ) associated with posture disorders.The aim of the study is to evaluate the effectiveness of treatment of patients with dental anomalies and musculoskeletal dysfunctions of the temporomandibular joint and concomitant somatic dysfunctions (if any) by methods of orthodontic and osteopathic correction.Materials and methods. The study involved 102 patients aged from 18 to 45 years with TMJ. All patients underwent orthodontic and osteopathic examination. 3 groups of patients were formed: № 1 — exclusively with dental anomalies TMJ (occlusive dysfunction), who received only orthodontic treatment, № 2 with concomitant somatic (extra-occlusive) dysfunctions, who received only orthodontic treatment, and №3 with concomitant somatic (extra-occlusive) dysfunctions, who received both orthodontic and osteopathic treatment. Orthodontic treatment of musculoskeletal dysfunction of the TMJ consisted of the occlusive kappa manufacturing. Osteopathic correction was carried out individually, taking into account the identified somatic dysfunctions, on average 3 sessions. Patients also received drug therapy, and they performed myohymnastics for the masticatory muscles. The clinical dysfunction index (Helkimo M.) was used to control the elimination dynamics of the TMJ's musculoskeletal dysfunction symptoms. The assessment of the pain dynamics in the TMJ was carried out by a visual-analog scale (VAS). The evaluation of the osteopathic treatment effectiveness was carried out on the basis of computer stabilometry data and osteopathic examination data. A stabilometric study was performed on the «ST-150» («Biomera») stabiloplatform in the Romberg sample (European foot installation) with open and closed eyes in two positions of the lower jaw: 1) in a state of physiological rest (tooth rows are separated); 2) in the kappa with closed tooth rows.Results. The MSD TMJ symptoms were eliminated 10 weeks after the start of treatment in all (100 %) patients of group № 1 and group № 3. Among the patients in group № 2, only 12,1 % of patients had complete absence of MSD TMJ symptoms, while all patients in this group had a statistically significant decrease in the clinical index of Helkimo dysfunction. In one third of the group № 2 patients on the 12th week of orthodontic treatment, headaches and/or pains in other parts of the musculoskeletal system (neck, back, shoulders, arms) prevailed among complaints and which were previously indicated in the anamnesis. This occurred after the elimination of the MSD TMJ ","PeriodicalId":110947,"journal":{"name":"Russian Osteopathic Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130929736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：