RESUMO
A total of 200 patients with discogenic lumbosacral radiculoischemias were investigated and treated. The radiculoischemia was most common in the 5th lumbar radiculus with less frequent involvement of the 1st sacral radiculus. The isolate affliction of the latter was seldom. This is the first experience of treating these patients with manual therapy and postisometric myorelaxation. Besides, the therapy comprised a number of other interventions: drugs (vasodilators, anticholinesterase, dehydrating, group B vitamins), balneo- and fangotherapy, electrostimulation using "Myoton-2" device. The therapy yielded positive results which were verified electroneuromyographically.
Assuntos
Isquemia/terapia , Vértebras Lombares/irrigação sanguínea , Massagem , Osteocondrite/terapia , Radiculopatia/terapia , Sacro/irrigação sanguínea , Adulto , Idoso , Terapia Combinada , Feminino , Humanos , Isquemia/etiologia , Masculino , Pessoa de Meia-Idade , Osteocondrite/complicações , Radiculopatia/complicaçõesRESUMO
The authors propose a method for combined treatment of patients with varying neurologic syndromes of cervical osteochondrosis which includes manual therapy, traction of the cervical portion of the vertebral column and some physiotherapeutic procedures (hydrocortisone phonophoresis and various baths). The use of drugs was limited. The above treatment was given to 330 patients with reflectory and radicular syndromes of cervical osteochondrosis. The results of the treatment proved significantly better as against those observed in patients receiving conventional treatment.
Assuntos
Vértebras Cervicais , Manipulação Ortopédica , Osteocondrite/terapia , Nervos Espinhais , Terapia por Acupuntura , Adulto , Banhos , Feminino , Humanos , Hidrocortisona/uso terapêutico , Masculino , Pessoa de Meia-Idade , Bloqueio Nervoso , Manejo da Dor , Doenças do Sistema Nervoso Periférico/terapia , Síndrome , TraçãoRESUMO
Manual therapy without any additional therapeutic means was given to 325 patients with reflex syndromes of lumbar osteochondritis in an acute stage or in the stage of exacerbation of recurrent osteochondritis. A series of 454 patients in the stationary stage of exacerbation of the disease with a chronic recurrent course received a multiple modality treatment including manual therapy. Efficacy of the treatment in both groups of the patients considerably exceeded that in patients treated with the conventional (medicamentous and physiotherapeutic) methods. A considerable economic effect was achieved as a result of reducing the period of treatment and cutting down on drugs in a substantial part of the patients.
Assuntos
Vértebras Lombares , Manipulação Ortopédica , Osteocondrite/terapia , Raízes Nervosas Espinhais , Adulto , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Manejo da Dor , Doenças do Sistema Nervoso Periférico/terapia , Reflexo Anormal/terapia , Doenças da Coluna Vertebral/terapia , SíndromeRESUMO
As a result of clinico-physiological examinations 643 patients suffering from cerebral atherosclerosis were divided into 3 groups by the severity of atherosclerosis of the cerebral vessels. These patients also exhibited atherosclerosis of the coronary and retinal vessels. Mathematical methods have been used to study the relationship and severity of atherosclerosis of the cerebral, coronary and retinal vessels. The findings obtained indicate that despite a systemic nature of the atherosclerotic process the involvement of various vascular areas is individual and asynchronous. With the development of cerebral atherosclerosis its correlation with atherosclerosis of other localizations becomes closer.
Assuntos
Arteriosclerose/patologia , Artérias Cerebrais/patologia , Vasos Coronários/patologia , Vasos Retinianos/patologia , Adulto , Doença das Coronárias/complicações , Doença das Coronárias/patologia , Feminino , Humanos , Arteriosclerose Intracraniana/complicações , Arteriosclerose Intracraniana/patologia , RiscoRESUMO
Results of complex neuroophthalmological examinations of a group of patients with transient disturbances of the cerebral circulation are considered and discussed. On the basis of clinical, rheoencephalographic, electroencephalographic, ophthalmocalibrometric, ophthalmodynamometric, biomicroscopic (of the conjunctiva vessels) and other ophthalmoscopic findings it has been concluded that the transient disturbances of the cerebral circulation can be differentiated both topically and pathogenetically: this may serve as a basis for individualized pathogenetic therapy.
Assuntos
Manifestações Oculares , Ataque Isquêmico Transitório/diagnóstico , Adulto , Artéria Basilar , Doenças das Artérias Carótidas/diagnóstico , Circulação Cerebrovascular , Túnica Conjuntiva/irrigação sanguínea , Eletroencefalografia , Feminino , Fundo de Olho , Humanos , Hipertensão/diagnóstico , Arteriosclerose Intracraniana/diagnóstico , Masculino , Microscopia , Pessoa de Meia-Idade , Oftalmodinamometria , Pletismografia de Impedância , Artéria Vertebral , Transtornos da VisãoAssuntos
Departamentos Hospitalares/organização & administração , Hospitais de Distrito/organização & administração , Hospitais Públicos/organização & administração , Doenças do Sistema Nervoso Periférico/terapia , Registros Hospitalares , Humanos , Massagem , Métodos , Neurite (Inflamação)/terapia , Osteocondrite/terapia , Traumatismos dos Nervos Periféricos , Doenças da Coluna Vertebral/terapia , Tração , UcrâniaAssuntos
Aracnoidite/diagnóstico , Região Lombossacral , Dor/diagnóstico , Adolescente , Humanos , MasculinoRESUMO
The report analyses some results of a neuro-ophthalmological study of 82 patients from 34--76 years (37 males and 45 females) with transient disorders of cerebral circulation. Besides clinical studies the authors applied EEG and REG registrations, studies of the lipid metabolism, coagulative and anticoagulative blood systems. Ophthalmological studies included the assessment of visual acuity with and without correction, quantitative perimetry, the determination of a genuine intra-ocular pressure, ophthalmodynamometry, biomicroscopy of the conjunctiva and episclera, biomicro-ophthalmoscopy, ophthalmoscopy with the use of electro-ophthalmoscopy, a large nonreflex ophthalmoscope, ophthalmocalibrometry. By means of ophthalmocalibtometrical studies the authors established an existence of expressed pathology of microcirculation in the form of a marked narrowing of arterioles and a dilatation of the venoules with a significant decrease of the arterio-venous correlations. The achieved data are analyzed with consideration of the etiology, development and topography of transient disorders of cerebral circulation.