Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury最新文献

{"title":"[Systemic mechanisms of premature aging and their correction by complex physiotherapy application].","authors":"N B Korchazhkina, A A Mikhailova, K V Kotenko, S N Nagornyev, V K Frolkov, A V Badimova, I V Reshetova","doi":"10.17116/kurort202410106260","DOIUrl":"10.17116/kurort202410106260","url":null,"abstract":"<p><p>Rationale: Human aging is accompanied by various somatic diseases that increase the biological age and reduce the period of active longevity. For the development of effective methods of premature aging prevention it is necessary to expand the search of predictors of forming pathological reactions, their system analysis and selection of the factors of influence capable to activate the processes of sanogenesis.</p><p><strong>Objective: </strong>System analysis of pathological changes in various functional systems of the organism, formed in the process of ontogenesis, and evaluation of the effectiveness of the preventive potential of polymodal physiotherapy in terms of preserving the level of health in elderly patients.</p><p><strong>Material and methods: </strong>The studies were conducted on the basis of the Scientific and Clinical Center 1 of the Russian National Cancer Center named after Acad. B.V. Petrovsky with the participation of 80 patients (46 men and 34 women) aged from 20 to 90 years. After signing a voluntary informed consent for a special study with the processing of their personal data, all patients underwent a comprehensive clinical, laboratory and functional examination. Patients were divided into two groups by simple fixed randomization method. The comparison group (<i>n</i>=40) received moderate physical activity, reduced caloric intake and vitamin therapy. Patients of the main group (<i>n</i>=40) additionally received physiotherapeutic complex, which included multimodal influences using Alpha LED Ohu Light-Spa apparatus, hyper-hypoxitherapy, pressotherapy, dry carbon dioxide baths. Preventive courses were repeated twice with an interval of 6 months. All studies were performed before and 6 months after the completion of the preventive course.</p><p><strong>Results: </strong>In the process of aging, disorders develop in various systems of the human body, which leads to an increase in biological age and aging rate, while in women these processes are formed more slowly. Pathological reactions in elderly patients were characterized by disturbances in carbohydrate and lipid metabolism, activation of pro- oxidant and inflammatory reactions, smaller relative telomere sizes. It has been established that the problems preventing active and healthy longevity are formed early enough and preventive measures should be started at a young and early adulthood. In patients of the comparison group, the twofold application of the preventive course had no noticeable favorable effect, moreover, the severity of lipid metabolism disorders even increased. Additional to standard recommendations application of a complex of physiotherapeutic procedures had a pronounced prophylactic effect, which was manifested in reduction of biological age, optimization of carbohydrate and lipid metabolism, reduction of activity of inflammatory reactions.</p><p><strong>Conclusion: </strong>The leading role of metabolic reactions disorders, which are based on insulin r","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6. Vyp. 2","pages":"60-70"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The effectiveness of wellness programs in correcting risk factors for atherosclerosis in a sanatorium].","authors":"L T Gilmutdinova, A M Ivanov, B R Gilmutdinov, R R Kudayarova, E N Galimulina, A R Gilmutdinov, V E Illarionov, E R Faizova","doi":"10.17116/kurort2024101062102","DOIUrl":"10.17116/kurort2024101062102","url":null,"abstract":"<p><p>Atherosclerosis is the main cause of mortality and disability in the adult population. One of the reasons for the high mortality from atherosclerosis is the lack of effective measures to prevent cardiovascular complications that ensure timely detection and correction of risk factors for the development of atherosclerosis, primarily lipid metabolism disorders with high values of proatherogenic lipids. In the restorative correction of dyslipidemia, the most promising is the use of health programs based on therapeutic physical factors, the combined use of natural (mineral waters, kumiss, climate) with physical training, training in health schools, with their implementation in sanatorium-resort conditions.</p><p><strong>Objective: </strong>Development and evaluation of the effectiveness of health programs of varying intensity based on therapeutic physical factors in the correction of risk factors for the development of atherosclerosis in a sanatorium.</p><p><strong>Material and methods: </strong>The study included 75 men aged 38 to 48 years with risk factors for atherosclerosis and atherogenic cardiovascular diseases. In compliance with the principles of randomization, the patients were divided into groups. The health program for the 1st group (<i>n</i>=25) included drinking mineral water, kumiss from mare's milk, a hypolipidemic diet with limited animal fats, terrain cure, therapeutic exercises, and climatotherapy. The health program for patients in the 2nd group (<i>n</i>=25) in addition to the program for the 1st group included hydrogen sulphide baths and Nordic walking, with further continuation for 3 months. For patients in the 3rd group (<i>n</i>=25), the health program included, in addition to the program for the 2nd group, physical training on an exercise bike, with further continuation for 3 months.</p><p><strong>Results: </strong>The effectiveness of the health program is most pronounced in patients of the 3rd group: after the course of health improvement in the sanatorium, an improvement in the blood lipid profile is noted with a decrease in the level of total cholesterol by 8.22% (<i>p</i><0.05), triglycerides by 7.61% (<i>p</i><0.05), low-density lipoprotein cholesterol by 9.94% (<i>p</i><0.05), an increase in high-density lipoprotein cholesterol by 6.66% (<i>p</i><0.05) from the initial values. Improvement of peroxide metabolism and antioxidant system with decrease of malonic dialdehyde, catalase and superoxide dismutase activity was revealed. Against the background of prolongation of physical training for 3 months, enhancement of hypolipidemic and antioxidant effects with increase of physical performance and adaptation potential was noted.</p><p><strong>Conclusion: </strong>To correct risk factors for the development of atherosclerosis and atherogenic cardiovascular diseases, it is advisable to use health programs based on therapeutic physical factors: drinking mineral water, kumiss, therapeutic gymnastics, climatotherapy, hydrog","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6. Vyp. 2","pages":"102-109"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The long-term observation period of pregnant women after acute gestational pyelonephritis].","authors":"A A Fedorov, M R Gaitova, M A Franc, E V Telegina, E V Dzyubinskaya, N V Efimenko, E N Chalaya, E N Zhumanova, V V Moiseev","doi":"10.17116/kurort202410106233","DOIUrl":"10.17116/kurort202410106233","url":null,"abstract":"<p><p>Urinary tract infections, in particular acute gestational pyelonephritis (AGP) determine a high risk of developing various complications of pregnancy and childbirth. The development of new medical technologies for the treatment of AGP remains relevant. It has not only high direct effectiveness, but also shows a distinct impact of secondary prevention of pyelonephritis exacerbations and a fetoprotective effect. An objective evidence for these effects is the study of long-term treatment outcomes.</p><p><strong>Objective: </strong>To evaluate the general condition of pregnant women in a randomized controlled study of the long-term observation period who underwent acute gestational pyelonephritis, birth results, quality of life of the patients and vitality of the newborns.</p><p><strong>Material and methods: </strong>The study included 93 women at the age of 16 to 40 years old who underwent AGP. They were divided into two groups by simple randomization: the main/MG (46 people) and the control/CG (47 people). The control group of the patients was prescribed the drug standard; the main one had intravenous ozone therapy (OT) in addition to it.</p><p><strong>Results: </strong>In the MG the patients had significant differences (<i>p</i><0.05-0.001) with women of the CG in such indicators as: repeated relapses of gestational pyelonephritis (4.5 times), late gestational toxicosis (2.6 times), the number of newborns with normal growth and weight parameters (1.9 times), bacteriuria (3.0 times), leukocytouria (4.0 times), medical care for the main disease (5.0 times), outpatient treatment (8.0 times) and quality of life indicators - physical and social activity as well as general health.</p><p><strong>Conclusion: </strong>An additional prescription in the standard of care for patients with AGP based on intravenous administration of an ozone-oxygen mixture significantly improves the long-term results of the therapy and the quality of life of patients who have undergone AGP, and also has a distinct fetoprotective effect. The absence of adverse reactions with all the patients including in the long-term follow-up period indicates the safety of a new complex of restorative treatment for AGP.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6. Vyp. 2","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of manual-physical correction method on aerobic metabolism processes in patients with essential arterial hypertension].","authors":"A Yu Shishonin, V I Pavlov","doi":"10.17116/kurort202410106112","DOIUrl":"https://doi.org/10.17116/kurort202410106112","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Essential arterial hypertension (EAH) is a chronic non-communicable disease (CNCD), that develops in parallel with other pathologies of the CNCD group, the presence of which is promoted by hypodynamia with consequent disturbance of aerobic energy supply processes. These disorders include, in particular, degenerative-dystrophic processes of the locomotor system, comprising of the cervical spine. In turn, development of these processes can additionally worsen hemodynamics with disturbance of the oxygen transfer processes. Thus, comprehensive exposure on all the components of EAH pathogenesis seems logical. The author's method of manual-physical correction developed by A.Yu. Shishonin is one of the therapy techniques, including such focus.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate the impact of manual-physical correction method by A.Yu. Shishonin on aerobic metabolism processes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;The study group included 60 patients (mean age 46.0±8.0 years) with EAH and significant manifestations of cervical osteochondrosis, including disturbances of the vertebrobasilar blood flow of different severity. All patients had high normal arterial pressure (AP) (pre-hypertension) or stage 1 EAH. The control group included 22 patients (mean age 52.6±4.9 years) with EAH without signs of target organ damage. Patients of the study and control groups had persistent dyscompliance in regard to prescribing pharmacotherapy. EAH was the major disease in patients of the study group, they were treated with the use of A.Yu. Shishonin's method. Patients of the control group were at the clinic for other nosologies, treatment of which included non-pharmaceutical correction methods, while EAH was a concomitant disease requiring hemodynamic indicators' control without performance of targeted therapy. Investigation of aerobic metabolism processes and hemodynamics in the study and control groups was carried out during the maximum gradually increasing exercise testing with gas analysis (ergospirometry).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The method of manual-physical correction, without significant influence on the aerobic capacity (VO&lt;sub&gt;2max&lt;/sub&gt;), has significantly improved aerobic efficiency (increase of oxygen consumption at the level of anaerobic exchange threshold from 72.15±5.39 to 84.84±5.40% of VO&lt;sub&gt;2max&lt;/sub&gt; has been noted; &lt;i&gt;p&lt;/i&gt;&lt;0.001), cardiovascular compliance (increase of oxygen consumption per one cardiac beat from 14.99±4.24 to 16.83±3.91 ml; &lt;i&gt;p&lt;/i&gt;&lt;0.05) and reduced the pronouncement of hypertensive response to exercise (peak systolic AP before treatment 202.92±17.27 mm Hg versus 184.64±15.16 mm Hg after therapy; &lt;i&gt;p&lt;/i&gt;&lt;0.001) in patients of the study group.&lt;/p&gt;&lt;p&gt;&lt;p&gt;Patients of the control group also had no significant aerobic capacity dynamics (VO&lt;sub&gt;2max&lt;/sub&gt;), as well as no significant change in aerobic efficiency and hemodynamics indicators (peak systolic AP before treatment 204.01±10.12 mm Hg versus 205.3","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Physical medical rehabilitation of patients with dystrophinopathies: dynamics of the disease's course considering clinical anthropometric indicators].","authors":"V M Suslov, L N Liberman, D I Rudenko, D O Ivanov, G A Suslova, V V Kiryanova, A D Suslova","doi":"10.17116/kurort202410106131","DOIUrl":"https://doi.org/10.17116/kurort202410106131","url":null,"abstract":"<p><p>Dystrophinopathies - a group of hereditary X-linked neuromuscular diseases characterized by worsening fibrofatty degeneration of skeletal muscles, muscular weakness, low exercise tolerance, as well as orthopedic, cardiovascular and respiratory complications. Study of the effectiveness of physical medical rehabilitation in patients with neuromuscular diseases, evaluation of the influence of external and internal factors on functional capabilities and effectiveness of the conducted rehabilitation are highly relevant.</p><p><strong>Objective: </strong>To evaluate the effectiveness of physical medical rehabilitation of patients with dystrophinopathies at the outpatient stages of the disease's course and the influence of anthropometric characteristics and functional status of patients' motor capabilities.</p><p><strong>Material and methods: </strong>The study included 47 patients with genetically confirmed Duchenne muscular dystrophy (DMD) (the 1st group - 32 patients at an early outpatient stage, mean age 7.0±0.2 years; the 2nd group - 15 patients at a late outpatient stage, mean age 9.0±0.2 years) and 17 patients with Becker muscular dystrophy (BMD) (the 3rd group, mean age 12.0±1.2 years). All patients performed aerobic exercises 3 times a week, the duration of rehabilitation course was 4 months. The distance of 6-minute walk test (6MWT) with fatigue assessment on the visual analogue scale, the speed of rising from the floor with assessment of the functional class on a 6-point scale, the functional capacities on the Motor Function Measure (MFM) scale, dimension D1 (standing and transfers) were evaluated at baseline and after 2 and 4 months.</p><p><strong>Results: </strong>Positive dynamics has been revealed in the form of elongating 6MWT distance, increasing speed of tests for time performance with increase of test's functional class, improvement of motor functions on the MFM scale at the end of case follow-up in the 1st and 3rd groups (<i>p</i><0.01). A high correlation of the patients' motor capabilities with reduction of strength and speed indicators, moderate relationship with age and anthropometric indicators have been found (<i>p</i><0.01).</p><p><strong>Conclusions: </strong>Performance of aerobic exercises without weight combined with exercises on an ergocycle allows to improve motor capabilities in patients with DMD at the early stages and in patients with BMD. Exercising at the late stages of DMD can slow down the disease's progression. The dynamics of motor capabilities' indicators in regular performance of dynamic aerobic exercises are more influenced by the initial functional status, less - by age and concomitant overweight and high body mass index.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"31-39"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Professor Stanislav Iosofatovich Zalesky - founder of hydrogeochemical and balneological study of natural resources of Siberia].","authors":"I A Perederina, E N Tveryakova, Yu Yu Miroshnichenko, M V Zykova, S A Leschik","doi":"10.17116/kurort202410106174","DOIUrl":"https://doi.org/10.17116/kurort202410106174","url":null,"abstract":"<p><p>Stanislav Iosofatovich Zalesky - the first head of the Department of General Medical Chemistry of the Imperial Tomsk University (currently the Department of Chemistry of the Siberian State Medical University), a versatile scientist and public figure, acknowledged expert in medical, chemical, hydrogeological and balneological sciences. Professor S.I. Zalesky participated in the creation of health resorts of international importance In Russia and performed a great research and practice aimed at making the richest natural therapeutic factors of Siberia available for treatment. Investigation of the waters and muds of the Siberian region for a purpose of creating resorts for the health improvement of people is one of the most important aspects of his scientific activity. S.I. Zalesky developed a scientific approach to sampling and determination of the chemical composition of natural objects, the therapeutic effect of which he associated with the iron compounds contained in them. Professor S.I. Zalesky successfully combined the hard work in expeditions with teaching activities primarily in the Imperial Tomsk University, then in the Saint-Petersburg Women's Medical Institute as a professor in the Department of General, Analytical and Physiological Chemistry. Stanislav Iosofatovich was deeply involved in educational activities. He founded the «Samoobrazovanie» popular science magazine in 1901 and edited the «Recept» pharmaceutical journal since 1902. Russian translations of textbooks were published under his editorship. He compiled a number of popular books and brochures in the sphere of balneotherapy and hygiene in addition to «Samoobrazovanie», «Narodnoe zdorov'e», «Sputnik zdorov'ya» and separately. Tireless research, educational and public activities of the scientist, his scientific foresight have initiated the development of balneological health resorts in Siberia, Altai, Caucasus and Ukraine. The search and study of archival materials on the multi-faceted activity of professor S.I. Zalesky allowed to establish an invaluable contribution of the scientist in the development of health resorts of Russia.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Influence of cardiorespiratory training program on the intercellular adhesion molecule level in patients with postmastectomy syndrome].","authors":"V V Krasnikova, O V Fionik, M L Pospelova, N S Trofimov, T A Zhorova, A E Nikolaeva, S N Tonyan, A M Makhanova, K A Samochernykh, A O Konradi, M S Voinov, M V Vagaitseva, E A Demchenko","doi":"10.17116/kurort202410104145","DOIUrl":"10.17116/kurort202410104145","url":null,"abstract":"<p><p>Postmastectomy syndrome (PMS) is a complex neurovascular set of symptoms that develops in most patients after breast cancer (BC) treatment and significantly reduces the quality of life. One of the potential mechanisms of its occurrence is considered to be an endothelial dysfunction. The possible method of reducing manifestation of endothelial dysfunction is systematic aerobic dynamic training.</p><p><strong>Objective: </strong>To evaluate the influence of 12-week aerobic dynamic training program of moderate intensity on the endothelial dysfunction laboratory markers and life quality in patients with PMS.</p><p><strong>Material and methods: </strong>Single-center prospective randomized trial included 40 patients with PMS divided into study (20 patients) and comparative (20 patients) groups, as well as 20 healthy female volunteers. The expression level of soluble intercellular adhesion molecule-1 (ICAM-1) and platelet endothelial cell adhesion molecule-1 (PECAM-1) were evaluated in all participants at baseline by enzyme-linked immunosorbent assay method, and additionally psychological and physical component of health by SF-36 questionnaire were assessed in patients with PMS.</p><p><p>Patients of study group received a course of 12-week partially controlled aerobic dynamic training of moderate intensity lasting 45 minutes with frequency equal 5 times per week. Patients with PMS were re-evaluated for ICAM-1 and PECAM-1, as well as for life quality.</p><p><strong>Results: </strong>The group of patients with PMS after BC treatment had increased level of ICAM-1 in long-term period, that may indicate endothelial dysfunction. Statistically significant decrease of endothelial dysfunction laboratory markers was revealed in patients with PMS, who underwent the course of cardiorespiratory training. In the same time, the dynamics of changes in ICAM-1 was higher in the study group than in comparative group. Further, improvement of physical and psychological components of health by SF-36 questionnaire was found.</p><p><strong>Conclusions: </strong>The program of cardiorespiratory trainings of moderate intensity in patients, who had BC treatment a year ago, decreases intercellular adhesion molecules level that may show an improvement of endothelial dysfunction.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Electromagnetic stimulation in diaphragm dysfunction: repetitive peripheral magnetic stimulation as a method of choice during the rehabilitation period after stroke. (Literature review)].","authors":"E Yu Starkova, N N Vladimirova, E M Tsvetkova, V Yu Litau, E A Melnikova","doi":"10.17116/kurort202410105157","DOIUrl":"https://doi.org/10.17116/kurort202410105157","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Diaphragm dysfunction develops in central nervous system damage, chest injuries, complications of cardiac surgery, long-term artificial lung ventilation, respiratory diseases. Anatomical morphological features of phrenic nerves allow to effectively use electromagnetic stimulation methods for functional recovery of the diaphragm in different pathological conditions. Invasive and non-invasive, electric and magnetic methods of stimulation are used depending on the severity of manifestations of the diaphragm dysfunction and its genesis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To perform a review and comparison of modern methods of electromagnetic stimulation of the diaphragm; to determine the role of repetitive peripheral magnetic stimulation (rPMS) in the diaphragm dysfunction as a result of stroke.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;An analysis of publications from the Pubmed and Elibrary databases for 2008-2024 years was conducted. The search was done by the following keywords: diaphragm dysfunction, repetitive peripheral magnetic stimulation of phrenic nerve, stroke, hemiparesis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There is a real possibility of effective diaphragm stimulation for recovery of its function due to the innervation of the diaphragm strictly by the phrenic nerves, their large diameter, presence of myelinated fibers as well as anatomical location of the phrenic nerves. Direct electric stimulation of the phrenic nerve is usually applied in the case of long-term continuous support of respiratory function. Non-invasive techniques of electric or magnetic stimulation of the phrenic nerve or directly of the diaphragmatic muscle are used in the case of temporary respiratory support or recovery of diaphragm function. The motor neurons of the brain and peripheral nerves are activated, thus a peak strength of the variable magnetic field usually reachs 1-2 T in rPMS. Application of rPMS affects the efferent nerve fibers, causing muscle contractions, and activates sensory afferent fibers, creating a stimulating effect on the superjacent nervous structures. It is advisable to use rPMS of the phrenic nerve in the cervical segment or rPMS of one of the segments of the diaphragmatic muscle in the case of unilateral diaphragm lesion during the recovery period after stroke. It is important to consider the frequency of exposure in the 10-30 Hz range, the closest location of the coil to the stimulation area, the choice of the coil shape depending on the localization when adjusting parameters of rPMS.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The use of rPMS of the phrenic nerve and diaphragm allows to preserve and recover motor and contractile functions of the diaphragm in different pathological conditions, including its unilateral lesion as a result of stroke. The method of rPMS of the phrenic nerves has a number of advantages over electric stimulation and repetitive transcranial magnetic stimulation, since it allows to achieve an effective motor response","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 5","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Influence of the method of manual-physical correction on autonomic regulation in patients with essential arterial hypertension].","authors":"A Yu Shishonin, A A Vetcher, V I Pavlov","doi":"10.17116/kurort202410105123","DOIUrl":"https://doi.org/10.17116/kurort202410105123","url":null,"abstract":"<p><p>One of the methods of non-drug treatment of essential arterial hypertension, is manual, osteopathic effects on the spine, primarily the cervical spine. Despite the absence of these methods in clinical guidelines for essential arterial hypertension, they continue to develop and improve. One of the promising areas is manual-physical correction with an effect on the cervical spine and subsequent strengthening of the muscle corset with the help of physical exercises (method of A.Yu. Shishonin). One of the supposed mechanisms for reducing blood pressure (BP) in this case is the effect on the autonomic nervous system (ANS). In the course of the study, which was based on the study of heart rate variability (HRV), the presence of pronounced signs of a decrease in sympathetic influences and activation of the parasympathetic nervous system was shown. The parameters of statistical linear analysis (standard deviation of NN intervals; stress index, etc.) and the wave spectrum shifted towards sympathicotonia during therapy using the method of A.Yu. Shishonin. The HRV data were obtained against the background of a decrease in blood pressure and a decrease in heart rate (HR), which suggests the impact of manual physical correction on the ANS as one of the key mechanisms mediating its effect.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 5","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Spinal manipulation techniques in the treatment of arterial hypertension. (A literature review)].","authors":"A Yu Shishonin, I Bekkushe, A A Vetcher, V I Pavlov","doi":"10.17116/kurort202410104152","DOIUrl":"https://doi.org/10.17116/kurort202410104152","url":null,"abstract":"<p><p>There is a long-observed relationship between the pathology of the spine and arterial hypertension. There are a number of explanations for this, including one based on reflex effects and obstruction of blood flow to the cerebral vasodilatory centre localized in the rhomboid fossa projection. Obstruction can be absolute and relative, preventing the increase of blood flow during stress, when the brain turns on additional energy demand (phenomenon of «selfish brain»). In conditions of insufficient blood supply anaerobic metabolism is included, requiring in the future, the addition of anaerobic glycolysis products. This leads to the persistence of an elevated level of AD and is part of the theory of centralized compensation of aerobic-anaerobic balance (theoretical aerobic-anaerobic energy concept, TAAEBC). The existing methods of manual manipulation and physical action on the spine, mainly the atlantoacral section of the cervical spine, have, according to existing publications, varying degrees of effectiveness. The modern approach to treatment of arterial hypertension and correction of metabolic disorders by A. Shishonin is promising. It is based on the TAAEBC concept and assumes a system approach and long-term effect through a consistent three-step manual and physical interventions aimed at restoring, retaining and long-term support of the vertebral blood flow.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"102 4","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}