[Modern approaches to the use of neurotropic physical therapy in arterial hypertension]. / Sovremennye podkhody k primeneniyu transtserebral'noi magnitoterapii pri arterial'noi gipertenzii.

The development and introduction into clinical practice of non-pharmacological methods for the prevention and treatment of arterial hypertension is a primary objective of modern physical therapy, especially as regards the neurotropic influences. This article was designed to report the results of the investigation into the hypotensive effect of transcerebral magnetic therapy obtained during the treatment of 60 patients presenting with arterial hypertension. The study included the comparative examination of two randomly formed groups containing 30 patients each. The patients of the main group received transcerebral magnetic therapy (to the frontal region) while those in the group of comparison were given magnetotherapy at the collar region. The study has demonstrated that transcerebral magnetic therapy given to the patients of the main group was a more efficient treatment than magnetotherapy at the collar region since it produced a more pronounced hypotensive effect irrespective of the initial hemodynamic type.

[The application of invasive and non-invasive reflexotherapeutic methods for the improvement of tolerance to the influence of seasonal meteorological factors and correction of bronchial asthma].

The present study included 94 patients presenting with bronchial asthma (BA) who underwent the controlled treatment during one year. The treatment consisted of basal anti-asthmatic therapy in combination with acupuncture reflexotherapy or a complex of non-invasive reflexotherapeutic methods (CNIRTM) designed to increase the effectiveness of correction of asthma, to improve the clinical status of the patients, to decrease by more than two-fold the frequency of unstable episodes of the disease showing the well-apparent seasonal dependence, and to diminish the consumption of pharmaceuticals (reduction of the mean daily dose of prednisolone by 31% and 37% in comparison with its 79% increase in the patients receiving the standard treatment). Moreover, it was shown that the achievement of clinical and preventive effect of the application of non-pharmacological methods may be associated with the activation of the mechanisms of adaptation to the stress factors (such as correction of the cortisol blood level and parameters of the immune status, etc.) and the increase of the patient's tolerance to their influence.

[The prospects for the development of regenerative physical therapy].

The review is concerned with the investigations into the influence of physiotherapeutic factors on the regeneration of the muscular, nervous, bone, and epidermal tissues; also, it analyses the publications pertaining to the influence of low-intensive physiotherapeutic modalities on the migration rate, proliferative activity, and differentiation of stem cells as well as physiological stability and viability of these cells following their transplantation. The currently available data give evidence of the possibility in principle of the combined application of physiotherapeutic factors and cellular technologies in regenerative medicine and the prospects opening for the development of the new direction of research in modern biomedicine, namely regenerative physical therapy. The importance of interdisciplinary basic and clinical investigations in this direction becomes especially evident in the light of the recent achievements and rapid progress in the development of modern regenerative medicine.

[The major achievements and future directions of the development of instrumental physiotherapy].

During the recent years, the multifaceted investigations have been conducted with the purpose of the development and practical application of novel therapeutic and health-promoting technologies with the use of the methods of instrumental physiotherapy. To name but a few, these include optimization of pulsed impacts, realization of immunomodulatory action of various physical factors, introduction of new physico-pharmacological modalities and neurotropic physiotherapy, the use of laser Doppler flowmetry for the estimation of the effectiveness of physiotherapeutic treatment, and elucidation of the influence of physical factors on microcirculation. At present, the main lines along which physiotherapy develops include acquisition of new information necessary to formulate the theoretical basis for instrumental physiotherapy, comprehensive estimation of the influence of the new and traditional preformed physical factors on the general health-maintaining mechanisms (adaptation, compensation), investigations into pathogenesis of various diseases, development of effective therapeutic and health-promoting modalities with the elaboration of indications and contraindications for their prescription, elucidation of the possibility and expediency of joint or combined application of various physical factors. The great importance is attached under present-day conditions to the development of personalized approaches to the choice of physiotherapeutic modality for the treatment of concrete patients on an individual basis taking into consideration the known predictors of efficiency of a given method. One of the most rapidly developing directions is regenerative physiotherapy, i.e., a multidisciplinary branch of biomedicine that studies the mechanisms of action and the effectiveness of natural preformed physical factors for the restoration of damaged tissues and disturbed functions of the organs. Of special value are investigations devoted to the elucidation of the possibilities for the combined application of cellular technologies and physiotherapeutic techniques. However, very much remains to be done for the creation of the scientific basis of biologically controlled (feedback-regulated) physiotherapy. Much attention should be given to the creation of new up-to-date physiotherapeutic instrumentation to be employed for the development of innovative technologies designed to enhance the therapeutic effectiveness of health-promoting, curative, and prophylactic measures in wide clinical practice.

[The adaptive mechanisms of cardio- and angioprotective action of reflexotherapy].

The adaptive mechanisms of action of reflexotherapy are analysed. It was shown in physiological and biochemical experiments on the whole organism, the isolated hearts and strips of resistive arteries of animals that stimulation of acupuncture points by different physical factors increased the activity of opioid, antioxidative, and other stress-limiting systems, reduced secretion of corticosteron during stress, stimulated biosynthesis of stress proteins, induced cyto- and cardioprotective effects, prevented or limited functional and structural hyperadrenal damages. Clinical investigations demonstrated significant hypothensive, anti-ishemic and anti-arrhythmic effects of reflexotherapy, improved resistance of healthy subjects and patients with cardiovascular diseases to physical and emotional loadings.

[Application of the pulsed low-frequency electrostatic field in the early rehabilitative treatment of patients following surgery for the correction of valgus deformation of the first toe].

This paper describes the method and results of application of the pulsed low-frequency electrostatic field (PLFESF) to the lower extremities of the patients who underwent surgical treatment for the correction of valgus deformation of the first toe. The efficiency of the method used in the early period of rehabilitative treatment was estimated at 93.3% compared with 96.7% in the patients who were managed by the same therapy in combination with polyoxdonium.

[The application of trans-auricular low-frequency electrical puncture for the treatment of arterial hypertension].

Clinical studies involving 67 patients with arterial hypertension (AH) have demonstrated that a single course of trans-auricular low-frequency electrical puncture produced a marked stress-relieving effect that was manifested as the decreased anxiety level, normalization of neurohumoral regulation of arterial pressure and central hemodynamics, improved tolerance of controlled psycho-emotional loading, beneficial effect on cerebral blood circulation, lipid and electrolyte metabolism. In addition, the proposed therapeutic modality resulted in substantial reduction of arterial pressure. Taken together, these observations give reason to consider it as a promising tool for the treatment of patients presenting with arterial hypertension.

[Amplipulse-magnetotherapy and iodine-bromine waters in combined treatment of patients with chronic nonspecific salpingo-oophoritis].

Amplipulse-magnetotherapy was used as monotherapy and in combined treatment of 110 patients with chronic nonspecific salpingo-oophoritis (CNSO). Clinical assessment shows that transcerebral amplipulse-megnetotherapy (TAMT) has a positive effects on the course of CNSO, reproductive system and psychoemotional status of the patients. The addition of physical and balneological factors to TAMT enhances and prolongs neurotropic, endocrine, analgetic and anti-inflammatory effects of TAMT.

[Using combined magnetotherapy in patients with acne]. / Primenenie sochetannoi magnitoterapii u bol'nykh ugrevoi bolezn'iu.

Laser Doppler flowmetry discovered microcirculatory disorders in acne patients. Affected are arterioles as well as capillaries and venules. Combination of magnetotherapy with medication improves microcirculation in acne patients. More marked positive changes occurred in the microcirculatory system due to combined treatment compared to medication therapy only. Thus, laser Doppler flowmetry is a new, noninvasive method of assessing microcirculation in acne patients and can serve an objective criterion of treatment efficacy.

[The characteristics of the hypotensive effect of combined cryo- and interference therapy in arterial hypertension patients]. / Osobennosti gipotenzivnogo éffekta sochetannoi kriointerferentsterapii u bol'nykh arterial'noi gipertoniei.

Cryotherapy was combined with interference currents in the treatment of 93 patients with mild and moderate hypertension. Compared to single use of these factors, their combination potentiates hypotensive effect, i.e. lowers systolic and diastolic pressure already after the first procedure, stabilizes it after 3-4 procedures.

[Nondrug methods for the rehabilitation of participants in the cleanup of the aftermath of accident at the Chernobyl Atomic Electric Power Station who have neurocirculatory dystonia and hypertension]. / Nemedikamentoznye metody reabilitatsii uchastnikov likvidatsii posledstvii avarii na Chernobyl'skoi AES s neirotsirkuliatornoi distoniei i gipertonicheskoi bolezn'iu.

Among cardiovascular diseases registered in the Chernobyl wreckers neurocirculatory dystonia and hypertension occur most frequently. Combined treatment including electric sleep, iodinebromine baths, therapeutic exercise, massage relieves clinical symptoms, promotes positive rearrangement of hemodynamics, a decrease in myocardial hyperkinesis and vegetative dysfunction, an increase in cardiovascular reserves, correction of hypersympathicotonia and immune disorders.