[The application of laser therapy for the medical rehabilitation of the children presenting with chronic osteomyelitis].

The objective of the present study was to develop a scientifically sound rationale for the application of infrared laser radiation (IRLR) either separately or in the combination with fluctuation magnetic therapy in the medical rehabilitation of the children presenting with chronic hematogenous osteomyelitis. Another objective was to evaluate the clinical effectiveness of this therapeutic modality. Two achieve these goals, the clinical observations and special research studies were conducted in two directions with the participation of 95 patients at the age varying from 1 to 15 years. The study has demonstrated the effectiveness of the inclusion of IRLR in the medical rehabilitation program for the children with chronic hematogenous osteomyelitis in different periods of the disease. It was shown that the transcutaneous infrared irradiation of the affected area during the exacerbation of chronic osteomyelitis had a well apparent immunostimulatory effect and reduced the activity of the inflammatory process. The application of IRLR in combination with fluctuation magnetic therapy during the period of partial remission, had a more pronounced influence on the microcirculation and stimulated the regenerative and trophic processes.

[Millimeter wavelength electromagnetic irradiation in the complex treatment of patients with extensive bite wounds]. / Elektromagnitnoe izluchenie millimetrovogo diapazona voln v kompleksnom lechenii bol'nykh s obshirnymi ukushennymi ranami.

Patients with extensive bite wounds given conventional treatment and exposed to millimetric electromagnetic waves (MEW) were compared by therapeutic benefit. MEW treatment early after the trauma enhances regeneration in the lesion thus raising therapeutic efficiency of the treatment because the exposure to MEW in hydration phase provides a fast relief of soft tissue edema, lessens intoxication, stimulates adaptation.

[The combined use of interference currents and medical gymnastics in the rehabilitative treatment of patients with injuries to the ligamentous apparatus of the knee joint]. / Sochetannoe primenenie interferentsionnykh tokov i lechebnoi gimnastiki v vosstanovitel'nom lechenii bol'nykh s povrezhdeniiami sviazochnogo apparata kolennogo sustava.

The trial of combined and sequential use of interference currents and exercise therapy in patients with endoprosthesis of knee joint ligaments has shown effectiveness of such treatment as it early after operation relieves pain, edema of soft tissues, improves proprioception, bioelectric activity of the neuromuscular system. This raises intensity of special methods of rehabilitation.

[Therapeutic exercises in the rehabilitative treatment of patients with diaphyseal fractures of the leg bones]. / Lechebnaia gimnastika v vosstanovitel'nom lechenii bol'nykh s diafizarnymi perelomami kostei goleni.

The results of exercise therapy were compared in patients with diaphysial leg fractures operated by standard technique and those operated by the technique of closed blocking intramedullary osteosynthesis (CBIO). After CBIO rehabilitation was more successful and required less time. This arises from the fact that in blocking osteosynthesis soft tissues of the damaged segment are not cut while intraosseous blocking screws exclude shortening of the leg and rotation instability of the fragments. That's why it is not necessary to fix the leg with a circular gypsum bandage which allows early intensification of exercise load.

[Physiotherapeutic methods in the postoperative period in acute pancreatitis patients]. / Fizioterapevticheskie metody v posleoperatsionnom periode u bol'nykh ostrym pankreatitom.

60 patients surgically treated for acute pancreatitis received postoperative physiotherapy which combined transcutaneous electroneurostimulation with exposure to low-energy laser. The results support the effectiveness of combined physiotherapeutic methods of general and reflex action in severe forms of acute pancreatitis because such physiotherapy early after severe forms of acute pancreatitis because such physiotherapy early after severe pancreatitis surgery promotes the decline of pathological symptoms.

[The treatment and prevention of ischemic heart disease in stress states by using laser radiation and transcutaneous electric nerve stimulation]. / Lechenie i profilaktika ishemicheskoi bolezni serdtsa v stressovykh sostoianiiakh s pomoshch'iu lazernogo izlucheniia i chreskozhnoi élektroneirostimuliatsii.

An effectiveness of treatment and prevention of ischemic heart disease (IHD) using laser rays and transcutaneous electroneurostimulation (TENS) in 144 patients who underwent myocardial infarction and in whose clinical characteristics of a disease there prevailed chronic painful syndrome, was studied. An analgesic effect of TENS was achieved by an application of TENS to cardiac area and Zakharin-Head's zones. Low-intensity laser rays were applied for both irradiating projections of the heart and the large vessels and irradiating the biologically active points using unique procedure. All patients had a positive clinical effect resulted from applying laser and TENS which appeared as a decreased number of stenocardia attacks, an increased tolerance to exercise and as positive ECG dynamics. Duration of remission in the main group of patients exceeded the remission length in the control group in 2.7 times which is indicative of the effectiveness of using laser therapy and TENS as a tool of urgent medical aid under stresses induced by the development of life-threatening states. Small-size laser and TENS apparatuses are proposed for use as an onboard medical equipment.