[Treatment of patients with disorders of spinal circulation using physical factors]. / O lechenii fizicheskimi faktorami bol'nykh s narusheniem spinal'nogo krovoobrashcheniia.

The main clinical syndromes were identified in 136 patients with impaired circulation in the cervical, thoracic and lumbosacral segments of the spinal cord. Using EMG, ENMG and examination of the monosynaptic H-reflex, the authors give a detailed clinico-electromyographic presentation of these syndromes in the process of physiotherapy, aimed at improving the blood circulation in the involved area and at compensation for motor disorders. The study made it possible to determine the effectiveness of the employed therapeutic complexes and to discuss some neurophysiological mechanisms underlying the restoration of motor function under the impact of physiotherapy.

[Effect of combined psychocorrection on dynamics of pain syndrome and psychological status of patients with spinal osteochondrosis]. / Vliianie kompleksnoi psikhokorrektsii na dinamiku bolevogo sindroma i psikhologicheskii status bol'nykh osteokhondrozom pozvonochnika.

AIM: To study effectiveness of a new psychocorrection method (combined use of neuroleptic trifluoperasine and psychorelaxation therapy using biological feedback) in rehabilitation of patients with long-term pain syndrome provoked by spinal osteochondrosis (SOC) to determine predictors of response to this method of psychocorrection. MATERIAL AND METHODS: 132 patients with SOC and associated pain syndrome were examined using pain assessing methods and psychological tests. RESULTS: Psychocorrection including neuroleptic significantly raises the efficacy of SOC treatment and relieves pain, hypochondric fixations and depressive disorders. The reduction of pain syndrome intensity in the course of psychocorrection correlates with attenuation of hypochondric disorders and inclination to fixation. As to predictors of the treatment effect, the strongest relief of pain in psychocorrection was achieved in patients with hypochondric and anxiodepressive disorders. CONCLUSION: Combined psychocorrection comprising minimal doses of neuroleptic trifluoperasine and psychorelaxation is effective in the treatment of SOC patients with long-term pain syndrome.

[The effect of the massage of different areas of the body on the cerebral hemodynamics in patients with a history of acute disorders of the cerebral circulation]. / Vliianie massazha razlichnykh oblastei tela na tserebral'nuiu gemodinamiku bol'nykh, perenesshikh ostrye narusheniia mozgovogo krovoobrashcheniia.

A definite effect is shown of massage conducted in different areas of the body on hemodynamics in 119 patients who have suffered an acute episode of reversible brain ischemia. The techniques of the massage for such patients are detailed.

[Patient psychological characteristics after transient cerebral ischemia under the influence of physical factors]. / Psikhologicheskie osobennosti bol'nykh posle prekhodiashchikh ishemii golovnogo mozga pod vliianiem fizicheskikh faktorov.

Seventy-eight patients with transitory cerebral ischemia (TCI) received a course of physiotherapy (68 subjects) or UHF therapy (10 control subjects). According to the authors' data TCI patients differed from hypertensive subjects as regards psychological status by predominance of psycho-organic and asthenic symptoms. It was found that neurological and mental statuses benefited from physiotherapy. The psychological status underwent less pronounced positive shifts.

[Pain perception and psychological status of patients suffering from spinal osteochondrosis with pain syndrome]. / Osobennosti vospriiatiia boli i psikhologicheskii status bol'nykh osteokhondrozom pozvonochnika s bolevym sindromom.

132 patients suffering from spinal osteochondrosis with pain syndrome were examined for pain perception and psychological status. Pain intensity in such patients showed association with hypochondriac and anxiodepressive disorders combination with rigidity and development of fixations. Deterioration of life quality correlated with severity of pain syndrome and such features as unsatisfaction, tension, anxiety, rigidity, fixation of attention on personal feelings, pessimistic outlook, low stress resistance. Psychological characteristics and quality of life depended on gender and location of vertebrogenic pain syndrome.

[Psychological predictors of rehabilitation efficiency of patients with radiculopathy after neurosurgical correction of compression diskogenic syndrome]. / Psikhologicheskie prediktory éffektivnosti vosstanovitel'nogo lecheniia bol'nykh radikulopatiiami posle neirokhirurgicheskoi korrektsii kompressionnogo diskogennogo sindroma.

Sixty four osteochondrosis patients after neurosurgical correction of the compression syndrome were examined psychologically before and after the course of rehabilitation. It was established that considerable relief of pain in the course of physiotherapy was seen in patients who, before the treatment, had less severe impairment of the psychological status, no significant symptoms of hypochondria, anxiety, depression. Psychologically unfavourable predictors of low efficiency of physiotherapy were psychic tension, excitability, low stress resistance, pessimism, high anxiety, intrapersonality conflicts.

[The methodological aspects of using cryomassage on patients operated on for discogenic neuropathies]. / Metodicheskie aspekty primeneniia kriomassazha u bol'nykh, operirovannykh po povodu diskogennykh neiropatii.

Cryomassage in combined treatment of 100 patients operated for discogenic neuropathy produced a pronounced vasotropic effect. The authors have determined optimal zones for cryomassage application and order of its usage with some physical factors.

[The use of point massage in patients with circulatory encephalopathy]. / Primenenie tochechnogo massazha u bol'nykh s distsirkuliatornoi éntsefalopatiei.

The comprehensive studies involving rheoencephalography and tetrapolar thoracic rheography made in 120 patients with dyscirculatory encephalopathy (DE) indicated that pointed massage caused a noticeable rearrangement of hemodynamic processes, which depended on the clinical cause of the disease and the baseline status of the circulatory system. This makes it possible to consider pointed massage as a therapeutical factor aimed at correcting cerebral circulation, which is indicated particularly in DE patients having a history of transitory ischemic attacks in the vertebrobasilar bed.

[The characteristics of the effect of point and classical massage on the hemodynamics of patients with a history of transient ischemic attacks in the vertebrobasilar system]. / Osobennosti vliianiia tochechnogo i klassicheskogo massazha na gemodinamiku bol'nykh, perenesshikh tranzitornye ishemicheskie ataki v vertebrobaziliarnom basseine.

Clinical and instrumental studies have revealed differences in effects of nerve ending and classic massage on hemodynamics in 41 patients early after transitory ischemic attacks in the vertebrobasilar area. Point massage produced more potent vasotropic effect, contraindications to it are minimal. It can be considered as a pathogenetic therapy aimed at correction of cerebral circulation in patients with vertebrobasilar area applicable early after acute cerebrovascular episodes.

[The dynamics of the cerebral circulation under the influence of laser therapy in patients with circulatory encephalopathy]. / Dinamika mozgovogo krovoobrashcheniia pod vliianiem lazeroterapii u bol'nykh s distsirkuliatornoi éntsefalopatiei.

The cerebral circulation was rheoencephalographically studied in 23 patients before the first session and after a course of pulse laser exposures at 80 Hz and at a wavelength of 0.89 microns. There was a positive dynamics in 42.9 and 56.1% of cases, as evidenced by rheoencephalography of the vertebral and internal carotid artery beds, respectively. Negative vascular responses were likely to occur as impaired intracranial venous circulation. Rheoencephalographic changes were found to be associated with the Doppler ultrasound findings of the capital great vessels and with neurological data.

[The types of traction in osteochondrosis of the lumbar spine]. / Nekotorye vidy traktsii pri osteokhondroze poiasnichnogo otdela pozvonochnika.

The effects of low-intensive tractions were evaluated clinically and electrophysiologically in 148 patients with neurological symptoms of lumbar osteochondrosis. The above tractions were combined with vibration, peloid electrophoresis and sulphide baths. Indications and contraindications for tractions are outlined. The above complexes are recommended for use in the programs of rehabilitation of patients with osteochondrosis of the lumbar spine.

[Laser therapy and cryomassage in rehabilitation of patients with facial nerve neuropathy]. / Lazeroterapiia i kriomassazh v vosstanovitel'nom lechenii bol'nykh s nevropatiei litsevogo nerva.

Cryomassage and its combination with low-intensity infra-red laser radiation have been introduced as a novel treatment of facial nerve neuropathy (FNN) in 32 patients. Electrophysiological investigations (facial thermography, classical electrodiagnosis, electromyography of the mimic muscles) and clinical data including those of long-term follow-up show that neither cryomassage nor infra-red laser radiation studied promote transformation of facial tissues in FNN patients. Use of the above factors is effective in a preclinical stage of forming contracture of the mimic muscles. Special techniques of application of local hypothermia and laser radiation can be used in multimodality treatment of both the established contracture and sluggish paresis of the facial muscles.

[The relaxation psychotherapy of patients with cerebrovascular diseases: its efficacy and predictors]. / Psikhorelaksatsionnaia terapiia bol'nykh s tserebral'nymi sosudistymi zabolevaniiami: éffektivnost' i ee prediktory.

In order to evaluate psychological relaxation therapy (PRT) efficacy and to investigate the possibility of its prediction 52 patients with transitory cerebral vascular disorders and 72 postapoplectic patients were examined by psychological tests. A comparative analysis of the status changes in 59 patients under PRT and 65 patients without PRT, revealed improvement of psychological status in PRT patients: reduction of psychopathological symptoms and improvement of patients' psychological adaptation. According to pathopsychological tests, no influences of PRT on functions of memory and attention were found. The investigation of efficacy predictors revealed that both PRT and physical therapy are more effective in patients with moderate changes of psychological and neurological status. Lack of PRT efficacy can be predicted in patients with more marked changes of psychological status, and lack of physical therapy effectiveness can be predicted in patients with more profound asthenic manifestations which might be intensified under physical therapy with sedative effect.