[The combined application of enhanced external counterpulsation for the rehabilitation of the patients presenting with coronary heart disease].

We have studied the influence of enhanced external counterpulsation (EECP) applied in the combination with gaseous carbon dioxide baths and infrared laser therapy on the dynamics of clinical and functional abnormalities in the patients presenting with coronary heart disease (CHD) including those after surgical myocardial revascularization. The study was conducted on 40 patients of whom 20 suffered from chronic coronary heart disease and FC II-III angina of effort and the remaining 20 ones presented with coronary artery disease following myocardial revascularization (including 5 patients six months after coronary bypass grafting (CBG) and 15 ones three months after translumbar angioplasty (TLAP) in the combination with stenting of the coronary arteries). The study demonstrated that EECP in the combination with gaseous carbon dioxide baths and infrared laser therapy produced anti-ischemic and antianginal effects, stimulated myocardial contractility, contributed to economization of the cardiac activity, increased exercise tolerance, myocardial and coronary reserves. These changes resulted in the improvement of both the psychological status and the quality of life of the patients.

[The estimation of correlation dependences between the results of clinical examination and screening diagnostics of the risk factors of the development of cardiovascular diseases in the women of late reproductive age].

The results of clinical trials give evidence of the close correlation between the data obtained by clinical, biochemical, and instrumental methods and the data of screening studies designed to estimate the risk factors responsible for the development of cardiovascular diseases in the women of late reproductive age.

[Statokinesitherapy in the patients presenting with coronary heart disease associated with arterial hypertension].

The introduction of statokinesitherapy with biological feedback into combined rehabilitative treatment of the patients presenting with coronary heart disease associated with arterial hypertension and clinical manifestations of dyscirculatory encephalopathy and/or vertebrobasilar insufficiency reduced the severity of clinical symptoms of cerebral syndromes. Specifically, it resulted in the decreased frequency of dizziness and shaky walk, improved coordination and sense of equilibrium, enhanced postural stability in the vertical position. The positive dynamics of clinical manifestations was confirmed by the results of stabilometry that suggested decreased deviation from the centre of pressure in the frontal and saggital directions and diminished total area of the statokinesiogram.

[Artificial silicious-carbon dioxide baths for the rehabilitation and secondary prophylaxis in the patients presenting with arterial hypertension associated with coronary heart disease].

The present paper is designed to report the results of a clinical study undertaken to estimate the efficacy of artificial silicious-carbon dioxide baths for the rehabilitation and secondary prophylaxis in the patients presenting with arterial hypertension associated with coronary heart disease. The study included 130 patients whose treatment outcome was compared with that in a group of patients treated with the use of ordinary silicious baths alone. It was shown that artificial silicious-carbon dioxide baths have an advantage over the ordinary silicious baths in that they produce a more pronounced therapeutic effect especially in the patients with the most severe forms of hypertension associated with cardiovascular disorders. This effect is due to the combined action of their constituent components, in the first place water soluble silicates and carbon dioxide. The simultaneous action of the water soluble silicon on the structure and permeability of cellular membranes coupled with the reduction of sensitivity of vascular beta-adrenorecepors to pressor agents and inhibition of aldosterone secretion from the adrenal glands under effect of carbon dioxide accounts for the more pronounced hypotensive, anti-ischemic, and antiarrhythmic effect of artificial silicious-carbon dioxide baths that is associated with the beneficial effect on the quality of life in the majority of the treated patients.

[Topical problems of the diagnosis and rehabilitative treatment of lymphedema of the lower extremities].

The present review of the literature data highlights modern approaches to and major trends in diagnostics and conservative treatment of lymphedema of the lower extremities based on the generalized world experience. Patients with lymphedema of the lower extremities comprise a "difficult to manage" group because the disease is characterized by steady progression and marked refractoriness to various conservative therapeutic modalities creating problems for both the patient and the attending physician. Modern methods for the diagnosis of lymphedema are discussed with special reference to noninvasive and minimally invasive techniques (such as lymphoscintiography, computed tomography, MRT, laser Doppler flowmetry, etc.). During the last 20 years, combined conservative therapy has been considered as the method of choice for the management of different stages and forms of lymphedema of the lower extremities in foreign clinics. The basis of conservative therapy is constituted by manual lymph drainage (MLD), compression bandages using short-stretch materials, physical exercises, and skin care (using the method of M. Foldi). Also reviewed are the main physiobalneotherapeutic methods traditionally widely applied for the treatment of lymphedema of the lower extremities in this country. Original methods for the same purpose developed by the authors are described including modifications of cryotherapy, pulsed matrix laserotherapy, hydro- and balneotherapy. Mechanisms of their therapeutic action on the main pathogenetic factors responsible for the development of lymphedema (with special reference to lymph transport and formation) are discussed. The principles of combined application of physiotherapeutic methods for the rehabilitative treatment of patients presenting with lymphedema of the lower extremities are briefly substantiated. Special emphasis is laid on their influence on major components of the pathological process.

[Current state-of-the-art of rehabilitative treatment of chronic obliterative arterial diseases of the lower extremities].

Up-to-date approaches and methods for balneotherapy of chronic obliterative arterial diseases of the lower extremities are discussed with special reference to their confirmed clinical efficiency. The necessity of differential application of physical agents to the treatment and rehabilitation of the patients with these diseases is substantiated.

[Efficacy of chromotherapy in patients with hypertension].

The article describes the technique of nonpharmacological treatment of hypertension with light. Chromotherapy can be used in outpatient clinics, hospitals, rehabilitation centers and sanatoria.

[Rationale for treating patients with hypertension and atherosclerosis of the lower extremities with iodine-bromine baths containing molecular iodine].

Higher therapeutic efficacy of iodine-bromine baths in conversion of iodine from an ionic form (standard iodine-bromine baths) into a molecular one is registered. This is explained by a 23.8 times increase in precipitation and a 4-times increase in iodine penetration into the body when it is molecular. A more effective function of the cardiovascular system, a stronger corrective effect on lipid metabolism, microcirculation in the absence of changes in a secretory function of the thyroid were registered.

[Physiotherapy in correction of proatherogenic shifts in long-term administration of beta-blockers and thiazide diuretics]. / Metody fizicheskoi terapii v korrektsii proaterogennykh sdvigov pri dlitel'nom prieme beta-blokatorov i tiazidnykh diuretikov.

A physiotherapeutic complex (laser therapy, dry carbon dioxide and iodine-bromine baths) addition to a course treatment with beta-blockers and thiazide diuretics produced positive changes in the levels of triglicerides, total cholesterol, beta- and alpha-cholesterol, lipid peroxidation in patients with proatherogenic shifts in the lipid spectrum and lipid peroxidation system secondary to long-term therapy with beta-blockers and thiazide diuretics, and therefore can be used for partial correction and prevention of the above shifts.

[Effectiveness of manual therapy in rehabilitating patients with ischemic heart disease]. / Effektivnost' manual'noi terapii pri reabilitatsii bol'nykh ishemicheskoi bolezn'iu serdtsa.

Physiotherapy with neuromuscular manual techniques was applied in programs of rehabilitation of IHD patients with reflex pain syndromes or associated osteochondrosis or early after surgery. Elimination of reflex pain syndromes in the above patients raises the treatment efficacy, improves functional state of the cardiorespiratory system.

[Therapeutic complexes of physical factors in mild arterial hypertension]. / Lechebnye kompleksy fizicheskikh faktorov pri miagkoi arterial'noi gipertonii.

Three therapeutic complexes were compared clinically in patients with mild arterial hypertension. Complex 1 consisted of dry air--radon baths, bicycle exercise and exposure of the renal projection area to decimetric electromagnetic field. Its efficacy was 90%, mechanism of the hypotensive action is reduction of enhanced activity of the sympathico-adrenal and renin-angiotensin-aldosterone systems, improvement of water-mineral metabolism and lipid peroxidation. Complex 2 consisted of dry effervescent baths, anaprilin electrophoresis with sinusoidal modulated currents and exposure of the renal projection area to low-frequency alternating magnetic field. Its efficacy was 80%. It affects renin-angiotensin-aldosterone system, water-mineral metabolism and lipid peroxidation. Complex 3 consisted of electric sleep, laser therapy and general sodium chloride baths. Its efficacy was 63%. The effect was due to inhibition of high sympathico-adrenal system.

[Effect of manual therapy on clinico-pathophysiological status and central hemodynamics in patients with ischemic heart disease]. / Vliianie maual'noi terapii na kliniko-patofiziologicheskii status i pokazateli tsentral'noi gemodinamiki bol'nykh IBS.

AIM: To elucidate effects of manual therapy on clinical status, central hemodynamics and parameters of Holter monitoring in ischemic heart disease (IHD) patients with angina of effort. MATERIAL AND METHODS: The examination of 70 IHD patients (functional class II-III) included Kubicek tetrapolar chest rheography in modification of Yu. G. Pushkar, bicycle exercise, 24-h Holter ECG monitoring. The condition of the vertebromotor segments was evaluated at manual tests. RESULTS: The addition of manual therapy to combined treatment of IHD patients improves sympathetic innervation in the cervicothoracic segments, depresses myofascial hypertonicity, diminishes sympathicotonic effects on the heart, enhances myocardial, coronary and aerobic reserves. CONCLUSION: The results of the study allow recommending adjuvant manual therapy in combined treatment of IHD.

[Laser therapy as a method of eliminating tolerance to nitrates and potentiation of their action]. / Laseroterapiia kak metod ustraneniia tolerantnosti k nitratam i potentsirovaniia ikh deistviia.

Infrared laser therapy was examined for the ability to eliminate tolerance to nitrates and to potentiate their action. Laser radiation (0.85 micron) reduced tolerance to nitrates and potentiated nitrates action. This was evident from a rise in threshold load power, less frequent and weaker myocardial ischemia.

[THe development of systems for the early rehabilitation of patients with ischemic heart disease following aortocoronary bypass]. / Razrabotka kompleksov rannei reabilitatsii bol'nykh ishemicheskoi bolezn'iu serdtsa posle aortokoronarnogo shuntirovaniia.

Two rehabilitation complexes are described for coronary heart disease patients early after aortocoronary shunting. The first complex includes "dry" effervescent baths, magnetolaser therapy applied to the heart area, cryomassage of the abdomen. The second complex consisted of the above modalities plus dry air baths. Indications and contraindications to these complexes are specified.