[Dynamics of blood flow in the vessels of the vertebral arteries under the influence of manual-physical correction of essential arterial hypertension (method of A.Yu. Shishonin)].

Abstract

Recently, there is increasing evidence of the relationship between degenerative-dystrophic processes of vertebral structures and cardiovascular pathology, including the development of essential arterial hypertension (EAH).In this regard, one of the methods of EAH therapy being developed is step-by-step manual-physical correction with the formation of a stable muscular corset in the cervical spine (method of A.Yu. Shishonin), to prove the effectiveness of which, an assessment of changes in blood flow in the vessels of the vertebral arteriesusing ultrasound was used.

Objective: To study dynamics of blood flow in the vessels of the vertebral arteriesunder the influence of the author's method of manual-physical correction of A.Yu.Shishonin.

Material and methods: 144 patients with EAH and significant manifestations of cervical osteochondrosis, including varying degrees of vertebrobasilar blood flow disorderswere examined. The main group included 112 patients (mean age 63.0±5.1 years) with EAH,who were treated using the method of A.Yu. Shishonin. The control group included 32 patients (mean age 52.6±4.9 years) with EAH, who did not receive treatment.Blood flow studies in the cervical vertebral arteries were conducted using the method of ultrasound Dopplerography of the brachiocephalic arteries.

Results: During therapy, all patients in the study group, on average, at least, showed an improvement in blood flow in the cervical segments of the vertebral arteries, accompanied by normalization of blood pressure.In patients in the control group, no significant changes occurred.The dynamics of the severity of changes in specific indicators of vertebrobasilar blood flow indicated, first of all, a decrease in peripheral resistance (ED initially 1.2±0.5 cm/s vs ED post-therapeutic 16.6±6.4 cm/s; TAMEAN initially 1.8±0.8 cm/s vs TAMEAN post-therapeutic 15.2±4.0cm/s). A parallel decrease in systolic blood pressure and heart rate was most likely mediated by a decrease in sympathetic activity.

Conclusions: In the process of manual-physical correction according to the method of A.Yu.Shishonin, a significant stable improvement in the blood supply to the structures of the brain located in the perfusion zone of the vessels of the vertebrobasilar basin is achieved, largely due to the reduction of increased peripheral.