[Metabolism study in patients with the effectiveness of manual physical therapy (method of A.Yu. Shishonin)].

The influence of the brain on blood pressure and metabolic processes are described by the fundamental concepts of the egoistic brain and the theory of aerobic-anaerobic imbalance of the theory of centralized compensation of aerobic-anaerobic energy balance. In this regard, the study of manual-physical influence (therapy) according to the method of A.Yu. Shishonin on improving the functioning of the brain with a decrease in systemic arterial pressure in patients with essential arterial hypertension is of interest.

Objective: To study metabolism in patients with EAG using manual physical therapy according to the method of A.Yu. Shishonin.

Material and methods: A total of 134 patients with EAG were examined, divided into 2 groups. The main group included 102 patients of both sexes (58 women and 44 men; average age 59.8±4.9 years), with signs of clinically significant degenerative-dystrophic changes in the cervical spine. The comparison group (control group) consisted of 30 patients (15 men and 15 women; average age 59.4±3.6 years) with EAG of the same degrees and stages, who, for one reason or another, refused both the recommended pharmacotherapy and the proposed alternative non-drug treatment methods. The patients of the main group used the author's method of A.Yu. Shishonin - manual impact on the cervical region to restore vertebral blood flow with subsequent consolidation of the effect using a special patented system of physical exercises. The main method was gas analysis at rest, and the main indicator was the VCO₂/VO₂ ratio, known as the respiratory exchange ratio (RER).

Results: In the main and control groups, the average respiratory quotient was initially 0.77 and 0.78, respectively, which corresponds to the metabolism of fats and carbohydrates in a ratio of approximately 74 and 26%. Then, in the study group, RER reliably increased to 0.79 after the first therapy session. After the last procedure, a pronounced statistically significant increase in RER to 0.87 was observed, which corresponds to the prevalence of glucose metabolism over fatty acids in a ratio of approximately 38% (fatty acids) vs 62% (glucose). In the control group, RER did not undergo significant changes.

Conclusions: Considering that the main consumer of glucose is the brain, and the impact of the A.Yu. Shishonin method is aimed at eliminating blood flow obstruction and improving the blood supply to the reflex zones of the brain (the theory of aerobic-anaerobic balance), it can be assumed that changes in the respiratory quotient indirectly reflect an improvement in the level of perfusion and metabolism of the brain.