Pub Date : 2024-03-27DOI: 10.54504/1684-6753-2024-1-24-36
Vladimir Alekseev, S. Novoseltsev
The aim of the study was to increase the effectiveness of treatment of patients with arterial hypertension against the background of anxiety syndrome through the additional use of osteopathic techniques. Having identified the features of the clinical picture of hypertension, the level of anxiety (using the Zung scale), oculomotor reflex, orbital reflex, and changes in blood pressure dynamics, patients with hypertension were randomly divided into two groups: the first group continued to receive selected drug antihypertensive therapy; the second group was additionally treated using osteopathic techniques. Osteopathic treatment was performed exclusively on the sympathetic ganglia of the autonomic nervous system. The total duration of follow-up was 3 months. A significant decrease in the values of indicators on the Zung anxiety scale, the maximum values of systolic and diastolic blood pressure, and heart rate was shown. The use of osteopathic treatment led to the possibility of dose reduction, and, in some cases, the abolition of antihypertensive drugs.
{"title":"Osteopathic correction of arterial hypertension in hypertensive patients with anxiety syndrome","authors":"Vladimir Alekseev, S. Novoseltsev","doi":"10.54504/1684-6753-2024-1-24-36","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-24-36","url":null,"abstract":"The aim of the study was to increase the effectiveness of treatment of patients with arterial hypertension against the background of anxiety syndrome through the additional use of osteopathic techniques. \u0000Having identified the features of the clinical picture of hypertension, the level of anxiety (using the Zung scale), oculomotor reflex, orbital reflex, and changes in blood pressure dynamics, patients with hypertension were randomly divided into two groups: the first group continued to receive selected drug antihypertensive therapy; the second group was additionally treated using osteopathic techniques. Osteopathic treatment was performed exclusively on the sympathetic ganglia of the autonomic nervous system. The total duration of follow-up was 3 months. \u0000A significant decrease in the values of indicators on the Zung anxiety scale, the maximum values of systolic and diastolic blood pressure, and heart rate was shown. The use of osteopathic treatment led to the possibility of dose reduction, and, in some cases, the abolition of antihypertensive drugs.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"34 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373788","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 : 2024-03-27DOI: 10.54504/1684-6753-2024-1-69-81
Anton Kruglov, Demyan Kruglov, Valery Kruglov, S. Novoseltsev
The article presents a review of literature data on the evolution ofconcepts of the structure and functions of the nervous system including the phases of development of the general theory of pathology and pathology of the autonomic nervous system in particular. The phases of understanding the role of the autonomic nervous system in human life and its connection to mental processes have been traced. Throughout the process of understanding somatoform dysfunction of the autonomic nervous system, from primitive ideas of thinkers of the ancient Rome and the Renaissance era to Ehrenburg's discovery of nerve cells in 1833, dialectical correspondence to philosophical laws of cognition ofthe world can be observed. This is further confirmed by deep theories on functional pathology, adaptive-trophic function of the nervous system, integration of neuro-humoral systems, adaptation syndrome, higher nervous activitytheory, adaptation theory, and systemic organization of functions.
{"title":"The evolutionofconcepts of autonomic dysfunction (a review)","authors":"Anton Kruglov, Demyan Kruglov, Valery Kruglov, S. Novoseltsev","doi":"10.54504/1684-6753-2024-1-69-81","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-69-81","url":null,"abstract":"The article presents a review of literature data on the evolution ofconcepts of the structure and functions of the nervous system including the phases of development of the general theory of pathology and pathology of the autonomic nervous system in particular. \u0000The phases of understanding the role of the autonomic nervous system in human life and its connection to mental processes have been traced. Throughout the process of understanding somatoform dysfunction of the autonomic nervous system, from primitive ideas of thinkers of the ancient Rome and the Renaissance era to Ehrenburg's discovery of nerve cells in 1833, dialectical correspondence to philosophical laws of cognition ofthe world can be observed. This is further confirmed by deep theories on functional pathology, adaptive-trophic function of the nervous system, integration of neuro-humoral systems, adaptation syndrome, higher nervous activitytheory, adaptation theory, and systemic organization of functions.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"39 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375182","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 : 2024-03-27DOI: 10.54504/1684-6753-2024-1-11-23
M. Vasilyeva
Introduction Todate, the prevalence of breathing disorders in children and adults makes it necessary to modify diagnostic and therapeutic measures to improve the health status of patients. Currently, the question of whether complex treatment of comorbid patients affects their respiratory function remains open. Purpose To evaluate the effect of osteopathic correction of nasal breathing disorders in orthodontic patients with occlusion pathology. Materials and methods 30 orthodontic patients with concomitant nasal breathing disorders underwent osteopathic correction of the nasal-frontal complex using the author's method (patent application 2023131610). The method of breathing assessment was spirometry with CONTEC SP80B device.The study standardization included the patient's sitting position; a maximal deep breath was taken through the nose with tight lips followed by a complete exhalation through the mouth into the tube of the device. For each patient, the vital capacity of the lungs (VC) was assessed before osteopathic treatment (FVC0), immediately after osteopathic treatment (FVC1) and in 1.5 months (FVC2) in order to assess the delayed outcomes of the osteopathic correction. Friedman's one-way analysis was used to test the statistical significance of differences between the groups, then the groups were compared in pairs with each other using the Nemenyi test. The overall significance level was taken as 0.5. The statistical criteria were calculated using the scipy version 1.9.1 and scikit-posthocs version 0.7.0 packages of the Python 3.10 programming language. Results The overall difference in the medians of all subjects in terms of vital capacity before and immediately after the osteopathic correction (FVC1 and FVC0) was 23%, and it was 26%inthe groups relative to the primary values (FVC2 and FVC0) in 1.5 months after the osteopathic correction.If we consider the male half of the patients, the median increase in vital capacity was 18% in 1.5 months after the intervention,while it was 31% in women.In patients under 20 years old, the median increase in vital capacityimmediately after the osteopathic correctionwas 26%, and in 1.5 months after the intervention, the median increase was another 6%; in patients over 20 years old, the increase in vital capacity was 11% immediately after the osteopathic correctionand another 5%in 1.5 months. Conclusion The osteopathic correction of dysfunctions of the frontal-nasal complex according to the author's method with acomprehensive approach improves nasal breathing, contributes to the normalization of general health status, posture, feet, and psychological state and improves the effect of orthodontic appliances in the treatment of malocclusion pathology.
{"title":"The rationale for the use of osteopathic correction in patients with nasal breathing disorders","authors":"M. Vasilyeva","doi":"10.54504/1684-6753-2024-1-11-23","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-11-23","url":null,"abstract":"Introduction \u0000Todate, the prevalence of breathing disorders in children and adults makes it necessary to modify diagnostic and therapeutic measures to improve the health status of patients. Currently, the question of whether complex treatment of comorbid patients affects their respiratory function remains open. \u0000Purpose \u0000To evaluate the effect of osteopathic correction of nasal breathing disorders in orthodontic patients with occlusion pathology. \u0000Materials and methods \u000030 orthodontic patients with concomitant nasal breathing disorders underwent osteopathic correction of the nasal-frontal complex using the author's method (patent application 2023131610). The method of breathing assessment was spirometry with CONTEC SP80B device.The study standardization included the patient's sitting position; a maximal deep breath was taken through the nose with tight lips followed by a complete exhalation through the mouth into the tube of the device. For each patient, the vital capacity of the lungs (VC) was assessed before osteopathic treatment (FVC0), immediately after osteopathic treatment (FVC1) and in 1.5 months (FVC2) in order to assess the delayed outcomes of the osteopathic correction. Friedman's one-way analysis was used to test the statistical significance of differences between the groups, then the groups were compared in pairs with each other using the Nemenyi test. The overall significance level was taken as 0.5. The statistical criteria were calculated using the scipy version 1.9.1 and scikit-posthocs version 0.7.0 packages of the Python 3.10 programming language. \u0000Results \u0000The overall difference in the medians of all subjects in terms of vital capacity before and immediately after the osteopathic correction (FVC1 and FVC0) was 23%, and it was 26%inthe groups relative to the primary values (FVC2 and FVC0) in 1.5 months after the osteopathic correction.If we consider the male half of the patients, the median increase in vital capacity was 18% in 1.5 months after the intervention,while it was 31% in women.In patients under 20 years old, the median increase in vital capacityimmediately after the osteopathic correctionwas 26%, and in 1.5 months after the intervention, the median increase was another 6%; in patients over 20 years old, the increase in vital capacity was 11% immediately after the osteopathic correctionand another 5%in 1.5 months. \u0000Conclusion \u0000The osteopathic correction of dysfunctions of the frontal-nasal complex according to the author's method with acomprehensive approach improves nasal breathing, contributes to the normalization of general health status, posture, feet, and psychological state and improves the effect of orthodontic appliances in the treatment of malocclusion pathology.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"39 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375232","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 : 2024-03-27DOI: 10.54504/1684-6753-2024-1-82-94
Zoya Nosirova, S. Novoseltsev
The article presents an analysis of the results of 30 randomized trials conducted from 2003 to 2023 on the use of osteopathic treatment for acute and chronic low back pain. It has been shown that osteopathic treatment for this pathology leads to a decrease in pain intensity and an improvement in the quality of life of patients. Pain severity has been demonstrated to correlate with the number of key osteopathic lesions, with direct implications for the use of osteopathic manual therapy (OMT) in patients. OMT can be used as a means to relieve pain in patients who do not use painkillers or to reduce their dose.
{"title":"An osteopathic approach to the treatment of patients with mechanical lumbar pain (a review)","authors":"Zoya Nosirova, S. Novoseltsev","doi":"10.54504/1684-6753-2024-1-82-94","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-82-94","url":null,"abstract":"The article presents an analysis of the results of 30 randomized trials conducted from 2003 to 2023 on the use of osteopathic treatment for acute and chronic low back pain. It has been shown that osteopathic treatment for this pathology leads to a decrease in pain intensity and an improvement in the quality of life of patients. Pain severity has been demonstrated to correlate with the number of key osteopathic lesions, with direct implications for the use of osteopathic manual therapy (OMT) in patients. OMT can be used as a means to relieve pain in patients who do not use painkillers or to reduce their dose.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140376034","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 : 2024-03-27DOI: 10.54504/1684-6753-2024-1-46-57
Victoria Chan
The article proposes a methodologically new approach to the diagnostics and complex treatment of circulatory disorders in the vertebrobasilar system, including clinical and neurophysiological methods that improve the assessment of metabolic regulation of cerebral circulation, methods for assessing the functional state of the segmental division of the sympathetic nervous system and complex treatment with the use of neuroreflex methods (reflexotherapy and manual therapy), which increases the effectiveness of diagnostic and therapeutic measures.
{"title":"Modern aspects of diagnostics and treatment of circulatory disorders in the vertebrobasilar system","authors":"Victoria Chan","doi":"10.54504/1684-6753-2024-1-46-57","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-46-57","url":null,"abstract":"The article proposes a methodologically new approach to the diagnostics and complex treatment of circulatory disorders in the vertebrobasilar system, including clinical and neurophysiological methods that improve the assessment of metabolic regulation of cerebral circulation, methods for assessing the functional state of the segmental division of the sympathetic nervous system and complex treatment with the use of neuroreflex methods (reflexotherapy and manual therapy), which increases the effectiveness of diagnostic and therapeutic measures.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374321","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}
The novelty of the present studylies in the application of manual (osteopathic) approach to the treatment of thermal skin burns in patients in the acute period (1-3 days) of a burn injury. Clinical, osteopathic, and analytical methods were used. The study result is thatthe involvement of the underlying tissues in burn process in the projection of the burn wound zone determines thecourse and the forecast of a thermalskin burn of the II-III degree in patients. Osteopathic treatment can stop the course of typical pathological processes and change the pathogenesis of the wound process. It is advisablethat the method of early physical rehabilitation and exposure to osteopathic treatmentaimed at improvingthe course of the wound process in burn wounds already in the diseaseacute periodshould be introduced in clinical practice.
{"title":"Pathogenetic justification of osteopathic methods in the treatment of thermal skin burns","authors":"Marina Stepanova, Evgeniy Zinov'ev, Irina Barsukova, S. Novoseltsev, Irina Narushak, Irina Egorova","doi":"10.54504/1684-6753-2024-1-3-10","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-3-10","url":null,"abstract":"The novelty of the present studylies in the application of manual (osteopathic) approach to the treatment of thermal skin burns in patients in the acute period (1-3 days) of a burn injury. Clinical, osteopathic, and analytical methods were used. The study result is thatthe involvement of the underlying tissues in burn process in the projection of the burn wound zone determines thecourse and the forecast of a thermalskin burn of the II-III degree in patients. Osteopathic treatment can stop the course of typical pathological processes and change the pathogenesis of the wound process. It is advisablethat the method of early physical rehabilitation and exposure to osteopathic treatmentaimed at improvingthe course of the wound process in burn wounds already in the diseaseacute periodshould be introduced in clinical practice.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"41 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140376782","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 : 2024-03-27DOI: 10.54504/1684-6753-2024-1-58-67
K. Kuzminov, Sergey Kanaev, Alexey Tolstopyatov, Alice Dontsova, Dmitriy Bolotov
The article provides a detailed description of the application of techniques ofultrasound diagnostics of the spine using the L5-S1 intervertebral disc as an example. An assessment was made of the reproducibility and reliable determination of degenerative signs of the structure of the disc four indicators (heterogeneity of the nucleus pulposus, thinning of the fibrous ring, decrease in the height of the intervertebral disc, rupture/damage/"fissure" of the fibrous ring) based on the agreement of ultrasound diagnostic doctors and the application of statistical calculations using the κ criterion (Cohen's kappa).
{"title":"Assessing the agreement between specialists in ultrasound diagnostics of degenerative changes in the L5-S1 intervertebral disc","authors":"K. Kuzminov, Sergey Kanaev, Alexey Tolstopyatov, Alice Dontsova, Dmitriy Bolotov","doi":"10.54504/1684-6753-2024-1-58-67","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-58-67","url":null,"abstract":"The article provides a detailed description of the application of techniques ofultrasound diagnostics of the spine using the L5-S1 intervertebral disc as an example. An assessment was made of the reproducibility and reliable determination of degenerative signs of the structure of the disc four indicators (heterogeneity of the nucleus pulposus, thinning of the fibrous ring, decrease in the height of the intervertebral disc, rupture/damage/\"fissure\" of the fibrous ring) based on the agreement of ultrasound diagnostic doctors and the application of statistical calculations using the κ criterion (Cohen's kappa).","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"37 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374004","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 : 2024-03-27DOI: 10.54504/1684-6753-2024-1-37-45
Timur Bikmullin, Iskander Hismatullin, Nikita Kartashov
This article provides a brief history of replacementof cervical discs and its further development up to the present day, modern provisions, as well as our own experience of cervical disc replacement with demonstration of long-term outcomes of treatment.
{"title":"Cervicaldiscreplacement: long-term outcomes and a literature review","authors":"Timur Bikmullin, Iskander Hismatullin, Nikita Kartashov","doi":"10.54504/1684-6753-2024-1-37-45","DOIUrl":"https://doi.org/10.54504/1684-6753-2024-1-37-45","url":null,"abstract":"This article provides a brief history of replacementof cervical discs and its further development up to the present day, modern provisions, as well as our own experience of cervical disc replacement with demonstration of long-term outcomes of treatment.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"22 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375462","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 : 2024-01-03DOI: 10.54504/1684-6753-2023-3-4-69-76
D. Mansurov, Dina Khaybullina, Yuri Maximov
This study aimed at evaluating the role of pathologic changes in the vertebral motor segment (VMS) of the cervical spine in the development of headache in patients with connective tissue dysplasia (CTD). Materials and methods. The study involved 130 patients, aged 18-59, with complaints of headache. 100 patients (76.9 %) had clinical manifestations of CTD (main group). The control group consisted of 30 patients (23.1 %) without CTD manifestations. The presence of CTD was confirmed by phenotyping according to T.I. Kadurina’s tables. The headache nature, frequency, and intensity were analyzed in all patients, and standard neurological examination, manual testing, and neuroimaging studies of all patients were performed. In the study presented, it was found that chronic migraine, headache associated with temporomandibular joint dysfunction (TMJD) was more common in the group of patients with CTD. Patients with headache on the background of CTD had pathological changes in the cervical spine in the vast majority of cases. Functional blockade of the VMS of the cervical spine with the formation of myofascial trigger zones in the trapezius and pericranial muscles is detected significantly more often in patients with CTD. Thus, it is necessary to take into account the presence of functional disorders in the VMS of the cervical spine when diagnosing and treating headache in patients with CTD.
{"title":"Cervical spine pathology and headache in patients with connective tissue dysplasia syndrome","authors":"D. Mansurov, Dina Khaybullina, Yuri Maximov","doi":"10.54504/1684-6753-2023-3-4-69-76","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-69-76","url":null,"abstract":"This study aimed at evaluating the role of pathologic changes in the vertebral motor segment (VMS) of the cervical spine in the development of headache in patients with connective tissue dysplasia (CTD). \u0000Materials and methods. The study involved 130 patients, aged 18-59, with complaints of headache. 100 patients (76.9 %) had clinical manifestations of CTD (main group). The control group consisted of 30 patients (23.1 %) without CTD manifestations. The presence of CTD was confirmed by phenotyping according to T.I. Kadurina’s tables. The headache nature, frequency, and intensity were analyzed in all patients, and standard neurological examination, manual testing, and neuroimaging studies of all patients were performed. \u0000In the study presented, it was found that chronic migraine, headache associated with temporomandibular joint dysfunction (TMJD) was more common in the group of patients with CTD. Patients with headache on the background of CTD had pathological changes in the cervical spine in the vast majority of cases. Functional blockade of the VMS of the cervical spine with the formation of myofascial trigger zones in the trapezius and pericranial muscles is detected significantly more often in patients with CTD. \u0000Thus, it is necessary to take into account the presence of functional disorders in the VMS of the cervical spine when diagnosing and treating headache in patients with CTD.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"351 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514349","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 : 2024-01-03DOI: 10.54504/1684-6753-2023-3-4-29-36
Marina Stepanova, Evgeniy Zinov'ev, Irina Barsukova, S. Novoseltsev, Irina Narushak
The novelty of this study lies in the application of manual (osteopathic) approach to the diagnosis of thermal skin burns in patients in the acute period (1-3 days) of burn injury in order to study the depth and area of high-temperature skin lesions in burns. Materials and methods: 24 patients with II-III degree thermal burns with a lesion area up to 10% were examined by clinical, osteopathic, and instrumental methods. Clinical (palpation diagnostics), instrumental (laser Doppler fluorometry), analytical, and statistical methods of research were used. The study result is the substantiation of the palpation diagnostics method for determining the true depth and area of the burn wound, the condition of the underlying tissues, the involvement of which in the burn process in the projection of the burn wound affects the course and prognosis of II-III degree thermal burns in patients and their quality of life in the future. The novelty, informativeness, and efficiency of the manual method of diagnosis are shown (Russian Patent for the invention No. 2339300 “A method for diagnosing the depth of a burn wound”)
{"title":"Manual diagnosis of thermal skin burns. The second report","authors":"Marina Stepanova, Evgeniy Zinov'ev, Irina Barsukova, S. Novoseltsev, Irina Narushak","doi":"10.54504/1684-6753-2023-3-4-29-36","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-29-36","url":null,"abstract":"The novelty of this study lies in the application of manual (osteopathic) approach to the diagnosis of thermal skin burns in patients in the acute period (1-3 days) of burn injury in order to study the depth and area of high-temperature skin lesions in burns. Materials and methods: 24 patients with II-III degree thermal burns with a lesion area up to 10% were examined by clinical, osteopathic, and instrumental methods. Clinical (palpation diagnostics), instrumental (laser Doppler fluorometry), analytical, and statistical methods of research were used. The study result is the substantiation of the palpation diagnostics method for determining the true depth and area of the burn wound, the condition of the underlying tissues, the involvement of which in the burn process in the projection of the burn wound affects the course and prognosis of II-III degree thermal burns in patients and their quality of life in the future. The novelty, informativeness, and efficiency of the manual method of diagnosis are shown (Russian Patent for the invention No. 2339300 “A method for diagnosing the depth of a burn wound”)","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"131 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514640","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}
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