[Psychoneurological and degenerative-dystrophic disorders in patients with pathology of the temporomandibular joint]. / Psikhonevrologicheskie i degenerativno-distroficheskie narusheniya u patsientov s disfunktsional'nym sindromom visochno-nizhnechelyustnogo sustava.

OBJECTIVE: The aim of the study is to detail neuropsychiatric and degenerative-dystrophic disorders in patients with dysfunctional TMJ syndrome and develop principles for their correction. MATERIAL AND METHODS: 84 patients with complaints of impaired TMJ function were examined: 14 men (16.67%) and 70 women (83.33%) aged 18 to 74 years. The average age of the patients was 63.22±18.82 years. The analysis of the dental status was carried out, the state of the musculoskeletal system and somatic status in patients with dysfunctional TMJ syndrome was studied. Methods of diagnosis of autonomic dysfunction syndrome were used to assess the state of neuropsychiatric status. Occlusive disorders were evaluated in relation to the peculiarities of maintaining posture and autonomic joint dysfunction. RESULTS: Occlusive disorders were assessed in relation to the peculiarities of posture maintenance and autonomic dysfunction of the joint. Pathology of the temporomandibular region was accompanied by psychovegetative disorders in 80% of patients. At the same time, autonomic dysfunction was diagnosed with pathological changes in the autonomic index, the formation of anxiety and depression. CONCLUSION: The adequacy of rehabilitation measures was associated with the preparation of rehabilitation programs, considering the severity of dental pathology, the state of the somatic and emotional-volitional spheres. Elimination of musculo-articular dysfunctions and pain syndrome was of leading importance in the rehabilitation of patients.

[The comprehensive pathogenetic approach to the neuro-orthopedic rehabilitation of the children of different age presenting with cerebral palsy].

OBJECTIVES: The present study was aimed at the improvement of comprehensive neuro-orthopedic rehabilitation of the children of different age presenting with cerebral palsy. MATERIAL AND METHODS: A total of 267 patients with infantile cerebral paralysis at the age from 1 year to 16 years were available for the observation including 158 (59.2%) boys and 109 (40.8%) girls. RESULTS: The orthopedic treatment of locomotor disorders was adjusted for the patients' age, the neuropsychiatric status, and the type of autonomous dysfunction. The conservative treatment was given 104 (39%) patients and the surgical intervention performed on 163 (61%) ones. Vegetative disbalance was the predominant condition in the children aged up to 3 years. Orthopedic alignment of the muscle tone was one of the most common methods of the treatment. We used milestone plaster bandages for immobilization followed by wearing the orthoses and orthopedic shoes in combination with massage and therapeutic physical exercises. The surgical treatment aimed at the normalization of the musculo-ligamentous apparatus was the predominant strategy for the age group of 4-7 years. The conservative treatment was most frequently prescribed for the correction of vegetative dystonia. The physiotherapeutic methods were applied differentially. In the groups of children aged from 8 to 12 years and from 13 to 15 years, the surgical correction was aimed at the elimination of gross deformities. The differentiated treatment and the use of different types of equipment proved highly efficient for the elimination of muscle spasticity and hypotrophy as well as for the correction of corporal deformities. Moreover, it helped to restore and improve the motor ability. The children's physical development and mental capacity have also been stimulated.

[Diagnostics and rational therapy of mild neuro-orthopedic pathology in the children and adolescents].

UNLABELLED: The objective of the present work was to study characteristics of mild neuro-orthopedic pathology in the children and adolescents with special reference to its etiological, pathophysiological and clinical features and to develop the program for the differentiated treatment of this condition. MATERIAL AND METHODS: We have examined 100 children at the age from 3 to 15 years presenting with minor asymmetry of the lower extremity length, primary (idiopathic) pelvic obliquity, and pathology of the locomotor system of the known etiology (secondary). We have conducted topographical and electromyographic studies. In addition, the autonomic dysfunction has been evaluated. RESULTS: Mild neuro-orthopedic pathology develops in the process of the child's growth and development in association with the neuromuscular and autonomic disorders. The targeted conservative treatment in combination with the adequate clinical supervision may prevent the further progression of pathology in question.

[The heart rate variability during the balneotherapeutic treatment of tension-type headache based at the "Ust-Kachka" health resort].

A total of 94 patients suffering tension-type headache were admitted for the treatment at the "Ust-Kachka" health resort. They were divided into three depending on the chosen therapeutic modality. The patients of group 1 were offered bromide-iodine baths in combination with transcranial electric brain stimulation. In the second group, balneotherapy was combined with endonasal electrophoresis of mildronate. The patients of the control group were managed with the use of balneotherapeutic procedures alone. Evaluation of the heart rate variability revealed a significant decrease of the overall spectrum power. The very low frequency (VLF) component proved to be predominant spectral constituent. The results of the orthostatic test reflected the different degree of disturbances of vegetative reactivity in all the three groups; it varied from the excessive sympathetic supply to the paradoxical reaction. The post-treatment period was characterized by well-apparent positive dynamics in the vegetative sphere of the patients in terms of overall power spectrum with evident priority of its parameters in the first group.