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Effectiveness of osteopathic treatment of bilateral stage II gonarthrosis 整骨治疗双侧II期膝关节病的疗效
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-11-20
I. Egorova, Evgeniy Svirin, A. Dyupin, A. Chervotok
The paper presents the materials of the study of the influence of osteopathic treatment on the "starting pains" and the volume of knee joint movements in patients with bilateral stage II gonarthrosis. Forty-two patients aged 45 to 55 years participated in the study. According to results of the study against the background of combined (osteopathic + allopathic) treatment an increase in flexion-extension amplitude in the knee joints (by 17.5º in the right knee and 20º in the left knee joint) was registered compared to the group receiving only allopathic treatment. There was a statistically significant decrease in the level of pain in both groups.
本文介绍了整骨治疗对双侧II期膝关节病患者“起始痛”和膝关节运动量的影响的研究材料。42名年龄在45至55岁之间的患者参与了这项研究。根据联合(整骨+对抗疗法)治疗背景下的研究结果,与仅接受对抗疗法治疗的组相比,膝关节屈伸幅度增加(右膝17.5º,左膝20º)。两组患者的疼痛程度均有统计学意义的降低。
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引用次数: 0
REFLECTIONS ABOUT THE INTRACRANIAL HYPERTENSIA FROM THE POINT OF VIEW OF OSTEOPATIC AND MANUAL MEDICINE 从骨科和手工医学角度对颅内高压的思考
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-38-52
Nadezhda Krasnoyarova
In article value of somatic dysfunctions in pathogenesis of intracranial hypertensia is proved and results of application osteopathic and manual medicine for their correction at 215 patients are presented. Rationality and efficiency of these methods is shown at intracranial hypertensia.
本文证明了躯体功能障碍在颅内高压发病机制中的价值,并介绍了215例患者应用整骨和手法治疗的结果。这些方法在颅内高压时是合理有效的。
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引用次数: 0
CLINICAL FEATURES OF ACUTE REFLEX AND COMPRESSION SYNDROMES OF CERVICAL OSTEOCHONDROSIS 颈椎病急性反射和压迫综合征的临床特点
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-58-67
V. Smirnov, Anna Lyudagovskaya, M. Savvova, Viktor Smirnov
Pain syndromes of cervical osteochondrosis are among the most common in neurological practice. The complex anatomic and physiological features of the cervical spine result in a variety of clinical syndromes in case of cervical osteochondrosis. The clinical features of the formation of refl ex and compression syndromes of cervical steochondrosis were identifi ed as a result of the examination. In patients with refl ex pain syndromes, the distribution of pain over the sclerotome and myotome areas (myosclerotome pain) and the absence of motor and sensory disorders were characteristic. Patients with compression radicular syndrome featured the distribution of pain sensation over dermatome areas, motor disturbances in the form of muscle paresis or hypotonia, corresponding myotome, decrease or absence of corresponding tendon refl exes, and sensory disturbances in the dermatome area of the aff ected radicle.
颈椎骨软骨病的疼痛综合征是神经学实践中最常见的。颈椎复杂的解剖和生理特征导致颈椎骨软症的临床症状多种多样。作为检查的结果,确定了颈硬软骨病的反射和压迫综合征形成的临床特征。在反射性疼痛综合征的患者中,疼痛分布在硬膜和肌组区域(肌硬膜疼痛),没有运动和感觉障碍是其特征。受压神经根综合征患者的特点是疼痛感觉分布在皮节区域,运动障碍表现为肌肉轻瘫或张力下降,相应的肌收缩,相应的肌腱反射减少或缺失,受累神经根皮节区域的感觉障碍。
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引用次数: 0
CLINICAL AND NEUROLOGICAL DISORDERS IN PATIENTS WITH REFLEX AND COMPRESSION SPONDYLOGENIC SYNDROMES IN CASE OF LUMBAR OSTEOCHONDROSIS 腰椎软骨病伴反射和压迫性椎体病综合征患者的临床和神经系统疾病
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-68-74
V. Smirnov, M. Savvova, Anna Lyudagovskaya, V. Smirnov
An analysis of the clinical and neurological fi ndings showed that the main diff erence between refl ex spondylogenic syndromes and compression syndromes was the presence of prolapse symptoms in the form of signifi cant prevalence of the loss of tendon and periosteal refl exes as well as sensory and motor disorders of the segmental type. Moreover, autonomic-trophic disturbances with lateralization toward the pain syndrome in the form of sympathetic and angiospastic disturbances were defi nitely more frequent (p < 0.05) in refl ex spondylogenic pain syndromes, while in compressive ones, neurodystrophic disturbances prevailed. Lumbar spine pathology was signifi cantly more common in men. The leading risk factors were weight lifting and uncoordinated movement (36% and 11.5%, respectively). Clinical manifestations of compression radicular syndromes were defi nitely more frequent (p < 0.05) in the lumbar spine. At the same time, compression syndromes featured greater severity of clinical manifestations in the form of the predominance of pain, muscle-tonic and statodynamic, autonomic and trophic disorders. The level of radicular compression syndrome corresponds to the level of the pathomorphological substrate. The presence of the pathomorphological substrate may remain clinically insignifi cant for a long time and manifest itself only under certain conditions (venous stasis, edema, aseptic infl ammation).
对临床和神经系统结果的分析表明,椎间盘突出综合征和压迫综合征之间的主要区别是存在脱垂症状,表现为肌腱和骨膜椎间盘突出缺失以及节段型感觉和运动障碍的显著患病率。此外,以交感神经和血管痉挛紊乱形式向疼痛综合征侧化的自主神经营养紊乱在反射性脊椎型疼痛综合征中明显更常见(p<0.05),而在压迫性疼痛综合征,神经营养不良紊乱占主导地位。腰椎病变在男性中更为常见。主要危险因素是举重和运动不协调(分别为36%和11.5%)。压迫性神经根综合征的临床表现在腰椎中明显更常见(p<0.05)。同时,压迫综合征的临床表现更为严重,主要表现为疼痛、肌肉强直和稳态、自主神经和营养障碍。神经根压迫综合征的水平对应于病理形态学基质的水平。病理形态学基质的存在可能在很长一段时间内保持临床上的不显著性,并且只有在某些情况下才会表现出来(静脉淤滞、水肿、无菌性炎症)。
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引用次数: 0
A PROBABILISTIC MODEL OF CEREBROSPINAL FLUID CIRCULATION IN THE CRANIAL REGION 颅区脑脊液循环的概率模型
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-53-57
A. Zverev, Svyatoslav Novosel'cev, O. Yakimenko
The article off ers a pattern for describing hemodynamics and cerebrospinal fl uid circulation of the CNS on the basis of modern studies of the CSF dynamic parameters. This description, in familiar terminology of the heart function, relies on the evolutionary foundation of the organism, the CSM, and provides insight into the complex interrelationships of the CNS control.
本文在现代脑脊液动力学参数研究的基础上,提出了一种描述中枢神经系统血流动力学和脑脊液循环的模式。用熟悉的心脏功能术语来说,这一描述依赖于生物体的进化基础CSM,并深入了解中枢神经系统控制的复杂相互关系。
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引用次数: 0
Evaluation of the effectiveness of osteopathic treatment of neonatal distress syndrome 骨科治疗新生儿窘迫综合征的疗效评价
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-10-17
I. Egorova, R. Ibragimov, A. Dyupin, A. Chervotok
The article presents materials of a study of the effect of osteopathic treatment on the parameters of hemodynamics, respiratory function, and the duration of the respiratory support for newborns with respiratory distress syndrome. The study involved 28 children in need of respiratory support and surfactant administration. According to the results of the study, against the background of osteopathic treatment, a significant reduction in the duration of respiratory support and newborns' stay in the intensive care unit was observed.
本文介绍了一项关于骨科治疗对新生儿呼吸窘迫综合征的血液动力学参数、呼吸功能和呼吸支持持续时间影响的研究材料。这项研究涉及28名需要呼吸支持和表面活性剂治疗的儿童。根据研究结果,在骨科治疗的背景下,观察到呼吸支持的持续时间和新生儿在重症监护病房的停留时间显着减少。
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引用次数: 0
THERAPEUTIC POSSIBILITIES OF MANUAL THERAPY IN PATIENTS WITH CHRONIC TENSION-TIPY HEADACHE 手法治疗慢性紧张性头痛的可能性
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-3-9
T. Guseva, O. Artukhov
The article presents the research materials of the manual and drug treatment effect on the pericranial muscles in patients with chronic tension-type headache. The study involved 60 patients. Average age was Me 36 (24-50) years. Duration of treatment - 5 weeks. An analysis of the total tenderness score, total bioelecrtric activity of the pericranial muscles before and after the treatment course, was performed. Definitely, the manual treatment leads to a decrease the intensity of headache and bioelectrical activity of the pericranial muscles.
本文介绍了手法和药物治疗慢性紧张型头痛患者颅周肌的疗效研究资料。这项研究涉及60名患者。平均年龄为36岁(24-50岁)。治疗时间-5周。对治疗前后的总压痛评分、颅周肌的总生物电活动进行分析。毫无疑问,手法治疗可以降低头痛的强度和颅周肌肉的生物电活动。
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引用次数: 0
POSSIBILITIES OF MANUAL TECHNIQUES IN COMPLEX REHABILITATION IN PATIENTS WITH TEMPOROMANDIBULAR JOINT MYOFASCIAL PAIN SYNDROME 手法技术在颞下颌关节肌筋膜疼痛综合征患者复杂康复中的可能性
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-25-37
S. Moskvicheva, Svyatoslav Novosel'cev, Tatjana Guseva
Manual therapy, as a type of rehabilitation for TMJ pain, should be considered as an effective technique due to the low risk of complications at all stages of medical rehabilitation.
手工治疗作为TMJ疼痛的一种康复方式,在医学康复的各个阶段并发症的风险都很低,应被认为是一种有效的技术。
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引用次数: 0
AN INTEGRATED APPROACH FOR REHABILITATION OF PATIENTS WITH CHRONIC TENSION-TYPE HEADACHE 慢性紧张性头痛患者康复的综合方法
Pub Date : 2023-01-24 DOI: 10.54504/1684-6753-2023-4-18-24
I. Guseva, O. Artukhov
The article presents the research materials of the pharmacotherapy and manual treatment in combination with shock wave therapy effect on the pericranial muscles and pain intensity in patients with chronic tension-type headache. The study involved 60 patients. Average age was Me 35 (24-49) years. Duration of treatment - 5 weeks. An analysis of the numeric rating scale, total bioelecrtric activity of the pericranial muscles before and after the treatment course, was performed. Definitely, an integrated approach with the manual treatment and shock wave therapy leads to a decrease the intensity of pain and total bioelectrical activity of the pericranial muscles.
本文介绍了药物治疗和手法治疗结合冲击波治疗对慢性紧张型头痛患者颅周肌肉和疼痛强度的影响的研究资料。这项研究涉及60名患者。平均年龄为35岁(24-49岁)。治疗时间-5周。对数字评定量表,即治疗前后颅周肌的总生物电活动进行了分析。毫无疑问,手法治疗和冲击波治疗相结合的方法可以降低疼痛强度和颅周肌肉的总生物电活动。
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引用次数: 0
A biomechanical model of the correction of osteogenesis in cranial sutures in case of non-syndromic posttraumatic craniosynostoses in young children 儿童创伤后非综合征性颅缝闭合术中颅骨缝合成骨矫正的生物力学模型
Pub Date : 2022-10-16 DOI: 10.54504/1684-6753-2022-41-55
O. Biketov
The article offers a description of an urgent medical problem that has been actively considered for several years as an interdisciplinary problem. By considering the formation of non-syndromic craniosynostosis in young children as a version of disorder of the bone tissue modeling/remodeling process [3], the author describes methods of solving the problem of osteogenesis management in cranial sutures in young children. Their distinctive feature is that this problem is formulated and solved from the position of biomechanics as a problem of strain control over the entire body volume or a part of it only.
这篇文章描述了一个紧急的医学问题,作为一个跨学科的问题,已经被积极地考虑了好几年。考虑到幼儿非综合征性颅缝闭合的形成是骨组织建模/重塑过程紊乱的一种形式[3],作者描述了解决幼儿颅缝成骨管理问题的方法。它们的独特之处在于,这个问题是从生物力学的角度来表述和解决的,作为整个身体体积或部分身体体积的应变控制问题。
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引用次数: 0
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Manual Therapy
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