[Study of the dynamics of arterial pressure and body composition during manual physical therapy using the method of A.Yu. Shishonin].

Abstract

The most striking and widespread representatives of chronic non-infectious diseases are essential arterial hypertension (EAH) and type 2 diabetes mellitus. Recently, in the pathogenesis of the above-mentioned nosologies, theories have become widespread associated with a violation of the regulation of these processes by the central nervous system, which are a consequence of hypoxia of the reflex regulatory centers of the brain. One of the most promising methods for eliminating hypoxia of brain structures is the method of manual-physical influence (therapy) according to the method of A.Yu. Shishonin.

Objective: To study the effect of manual physical therapy on blood pressure (BP) and body composition in patients with EAH.

Material and methods: The study included 144 patients (mean age 59.9±3.7 years) with EAH or high normal BP (prehypertension), divided into 2 groups. The main group included 110 patients (47 men and 63 women), whose BP was measured according to Korotkov and heart rate was recorded, and body composition was also studied at least three times - before the start of therapy, in the middle of the session and immediately after its completion. The control group included 34 patients (17 men and 17 women), who refused both recommended and alternative treatment methods for various reasons, who were measured at the same time as the main group.

Body composition was studied using bioimpedancemetry.

Results: During therapy using the method of A.Yu. Shishonin, the study group showed a significant decrease in SBP by the middle of the course by 11.3 mm Hg, and after completion - by 22.3 mm Hg. DBP significantly decreased after the middle of the course by 3.4 mm Hg, and by the end of therapy - by 4.4 mm Hg. HR by the end of manual-physical correction sessions significantly decreased by 12 beats/min. The fat mass in the study group by the end of therapy significantly decreased by 3.5 kg, the loss of total fluid by the end of the course was significantly 8.3 kg. An increase in muscle mass was recorded, which did not reach the level of reliability. In patients of the control group, changes in bioimpedance parameters were of a multidirectional nature and did not reach the level of reliability.

Conclusion: The method of manual-physical correction according to A.Yu. Shishonin is an effective method for reducing blood pressure and normalizing body composition. Its effect is probably mediated by improved blood supply to regulatory structures, normalization of eating behavior and sympathoadrenal activity within the framework of the «selfish brain» theory.