RESUMEN
A total of 200 patients with discogenic lumbosacral radiculoischemias were investigated and treated. The radiculoischemia was most common in the 5th lumbar radiculus with less frequent involvement of the 1st sacral radiculus. The isolate affliction of the latter was seldom. This is the first experience of treating these patients with manual therapy and postisometric myorelaxation. Besides, the therapy comprised a number of other interventions: drugs (vasodilators, anticholinesterase, dehydrating, group B vitamins), balneo- and fangotherapy, electrostimulation using "Myoton-2" device. The therapy yielded positive results which were verified electroneuromyographically.
Asunto(s)
Isquemia/terapia , Vértebras Lumbares/irrigación sanguínea , Masaje , Osteocondritis/terapia , Radiculopatía/terapia , Sacro/irrigación sanguínea , Adulto , Anciano , Terapia Combinada , Femenino , Humanos , Isquemia/etiología , Masculino , Persona de Mediana Edad , Osteocondritis/complicaciones , Radiculopatía/complicacionesRESUMEN
The authors propose a method for combined treatment of patients with varying neurologic syndromes of cervical osteochondrosis which includes manual therapy, traction of the cervical portion of the vertebral column and some physiotherapeutic procedures (hydrocortisone phonophoresis and various baths). The use of drugs was limited. The above treatment was given to 330 patients with reflectory and radicular syndromes of cervical osteochondrosis. The results of the treatment proved significantly better as against those observed in patients receiving conventional treatment.
Asunto(s)
Vértebras Cervicales , Manipulación Ortopédica , Osteocondritis/terapia , Nervios Espinales , Terapia por Acupuntura , Adulto , Baños , Femenino , Humanos , Hidrocortisona/uso terapéutico , Masculino , Persona de Mediana Edad , Bloqueo Nervioso , Manejo del Dolor , Enfermedades del Sistema Nervioso Periférico/terapia , Síndrome , TracciónRESUMEN
Manual therapy without any additional therapeutic means was given to 325 patients with reflex syndromes of lumbar osteochondritis in an acute stage or in the stage of exacerbation of recurrent osteochondritis. A series of 454 patients in the stationary stage of exacerbation of the disease with a chronic recurrent course received a multiple modality treatment including manual therapy. Efficacy of the treatment in both groups of the patients considerably exceeded that in patients treated with the conventional (medicamentous and physiotherapeutic) methods. A considerable economic effect was achieved as a result of reducing the period of treatment and cutting down on drugs in a substantial part of the patients.
Asunto(s)
Vértebras Lumbares , Manipulación Ortopédica , Osteocondritis/terapia , Raíces Nerviosas Espinales , Adulto , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Manejo del Dolor , Enfermedades del Sistema Nervioso Periférico/terapia , Reflejo Anormal/terapia , Enfermedades de la Columna Vertebral/terapia , SíndromeRESUMEN
As a result of clinico-physiological examinations 643 patients suffering from cerebral atherosclerosis were divided into 3 groups by the severity of atherosclerosis of the cerebral vessels. These patients also exhibited atherosclerosis of the coronary and retinal vessels. Mathematical methods have been used to study the relationship and severity of atherosclerosis of the cerebral, coronary and retinal vessels. The findings obtained indicate that despite a systemic nature of the atherosclerotic process the involvement of various vascular areas is individual and asynchronous. With the development of cerebral atherosclerosis its correlation with atherosclerosis of other localizations becomes closer.
Asunto(s)
Arteriosclerosis/patología , Arterias Cerebrales/patología , Vasos Coronarios/patología , Vasos Retinianos/patología , Adulto , Enfermedad Coronaria/complicaciones , Enfermedad Coronaria/patología , Femenino , Humanos , Arteriosclerosis Intracraneal/complicaciones , Arteriosclerosis Intracraneal/patología , RiesgoRESUMEN
Results of complex neuroophthalmological examinations of a group of patients with transient disturbances of the cerebral circulation are considered and discussed. On the basis of clinical, rheoencephalographic, electroencephalographic, ophthalmocalibrometric, ophthalmodynamometric, biomicroscopic (of the conjunctiva vessels) and other ophthalmoscopic findings it has been concluded that the transient disturbances of the cerebral circulation can be differentiated both topically and pathogenetically: this may serve as a basis for individualized pathogenetic therapy.
Asunto(s)
Manifestaciones Oculares , Ataque Isquémico Transitorio/diagnóstico , Adulto , Arteria Basilar , Enfermedades de las Arterias Carótidas/diagnóstico , Circulación Cerebrovascular , Conjuntiva/irrigación sanguínea , Electroencefalografía , Femenino , Fondo de Ojo , Humanos , Hipertensión/diagnóstico , Arteriosclerosis Intracraneal/diagnóstico , Masculino , Microscopía , Persona de Mediana Edad , Oftalmodinamometría , Pletismografía de Impedancia , Arteria Vertebral , Trastornos de la VisiónAsunto(s)
Departamentos de Hospitales/organización & administración , Hospitales de Distrito/organización & administración , Hospitales Públicos/organización & administración , Enfermedades del Sistema Nervioso Periférico/terapia , Registros de Hospitales , Humanos , Masaje , Métodos , Neuritis/terapia , Osteocondritis/terapia , Traumatismos de los Nervios Periféricos , Enfermedades de la Columna Vertebral/terapia , Tracción , UcraniaAsunto(s)
Aracnoiditis/diagnóstico , Región Lumbosacra , Dolor/diagnóstico , Adolescente , Humanos , MasculinoRESUMEN
The report analyses some results of a neuro-ophthalmological study of 82 patients from 34--76 years (37 males and 45 females) with transient disorders of cerebral circulation. Besides clinical studies the authors applied EEG and REG registrations, studies of the lipid metabolism, coagulative and anticoagulative blood systems. Ophthalmological studies included the assessment of visual acuity with and without correction, quantitative perimetry, the determination of a genuine intra-ocular pressure, ophthalmodynamometry, biomicroscopy of the conjunctiva and episclera, biomicro-ophthalmoscopy, ophthalmoscopy with the use of electro-ophthalmoscopy, a large nonreflex ophthalmoscope, ophthalmocalibrometry. By means of ophthalmocalibtometrical studies the authors established an existence of expressed pathology of microcirculation in the form of a marked narrowing of arterioles and a dilatation of the venoules with a significant decrease of the arterio-venous correlations. The achieved data are analyzed with consideration of the etiology, development and topography of transient disorders of cerebral circulation.