RESUMEN
In the study performed the authors focused on ICR pathogenesis and symptoms specification, improvement of ICR diagnosis and pathogenetic conservative treatment. Clinical manifestations of the disease were ascertained resting on x-ray, electroneuromyography and thermotopography evidence on 77 ICR patients. A key role of dyscirculatory ischemia in the disease origin is confirmed. The patients were divided into two groups: those with initial manifestations and those with apparent cervical radiculomyelopathy. The authors introduced an original approach to the disease treatment: the exposure of the vertebral arteries to diadynamic current adjusted to the patient's heart rate. The response to the treatment was achieved in all the patients and was confirmed by instrumental findings.
Asunto(s)
Isquemia/diagnóstico , Médula Espinal/irrigación sanguínea , Raíces Nerviosas Espinales/irrigación sanguínea , Diagnóstico Diferencial , Terapia por Estimulación Eléctrica , Electrodos , Electromiografía/instrumentación , Electromiografía/métodos , Humanos , Isquemia/etiología , Isquemia/terapia , Termografía/instrumentación , Termografía/métodosRESUMEN
Using electromyography the authors studied the functional status of the segmentary apparatus of the spinal cord in 58 patients with compression of S1-radicle secondary to vertebral osteochondrosis. The findings obtained included changes in the interferential EMG and reciprocal reflexes and decreased reflectory activity of alpha-motoneurons predominantly on the side of radicular involvement with the simultaneous intensification of gamma-loop effect. Acupuncture was followed by pain alleviation and normalization of the functional activity of the segmentary apparatus of the spinal cord mainly at the expense of this activity reduction on the healthy side. Clinical recovery was observed following the compensation of neuroreflectory activity of the segmentary centres on a new functional level. The advisability of the use of acupuncture in the treatment of the radicular syndrome of lumbar osteochondrosis is justified.