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Biomedical subjects

N I Strelkova

Publications and source records attributed to N I Strelkova.

At least 19 recordsLinked to original sources

[The use of pulsed and continuous UHF electrical fields in the rehabilitation of patients with the Guillain-Barré syndrome and other peripheral myelinopathies].

120 patients with Guillain-Barre syndrome and other peripheral myelinopathies were randomly assigned to three treatment groups. One of the group was exposed to pulsed high frequency electric field (47 patients), the other group to continuous current (52 patients), and the third group received the imitation of therapy (21 patients). Pulsed current therapy caused the greatest regress of the neurological deficit (45 from 47 cases). The electroneuromyography of paretic limbs nerves showed that the acceleration of remyelinization process turn to be the background of pulsed high frequency electric field medical action. Both the rheovasography and isotope muscle flow measurements did not confirm the hypothesis about preferential mediation of the healing potency of pulsed short wave diathermy through vascular mechanism. It was suggested the direct influence of pulsed short wave diathermy on protein synthesis process in the spinal alpha-motoneurone and myocyte.

Adolescent↗

[Use of oxygen baths in the early rehabilitation of patients with transient disorders of cerebrovascular circulation].

As many as 75 patients with a history of transitory disorders of cerebral circulation, minor brain strokes and brain strokes with minimum residual symptomatology were examined. Multimodality rehabilitation treatment of these patients included oxygen baths which were administered early (starting from the 4th-5th week since the moment of disorder onset) or in the long-term period. The conclusion is made that balneotherapy can be included into a complex of treatment measures along with antiaggregation remedies as early as possible, leading to improvement in 90% of patients together with recovery of normal function of hemostasis both in persons with the latent DVC syndrome and in those with hypercoagulation. It has been established that oxygen baths do not produce any angiospastic effect or material changes in the lipid content of blood serum. The treatment with the use of oxygen baths administered in the long-term period turned out less effective since only 46% of patients improved.

Adult↗

[Electroneurophysiologic studies of patients with reflex syndromes of cervical osteochondrosis].

In 21 patients with reflex syndromes of cervical osteochondrosis aged 24-63 years the authors studied short latent somatosensory evoked potentials (EP) in response to stimulation of the median nerve, the rate of impulse conduction along the efferent fibers of the ulnar and median nerves determined with the help of the P wave. The findings obtained by both methods showed a bilateral (on the side of pain and contralaterally) decrease in the rate of impulse conduction along the ulnar and median nerves. The study of the somatosensory systems by registration of EP on the side of pain revealed an increased amplitude and diminished latency of the P9 component which reflects manifestations of irritation of cervical cerebrospinal nodes.

Adult↗

[Effect of decimeter waves on the functional status of spinal alpha-motor neurons in patients with neurologic syndromes of lumbar osteochondrosis].

Patients with neurological syndromes of lumbar osteochondrosis were subjected to clinico-electromyographic examination to study whether it is possible to regulate the function of spinal alpha-motoneurons by decimetric waves (DMW). The effect of DMW on the excitability of alpha-motoneurons was found to depend on their initial function. The neurophysiological mechanisms underlying the therapeutic action of DMW in this pathology are analyzed.

Adult↗

[Treatment of patients with disorders of spinal circulation using physical factors].

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.

Adult↗

[Role of ultrasonic dopplerography in monitoring the effectiveness of treatment of patients who have sustained a stroke with decimeter-range electromagnetic waves].

The data on the high therapeutic efficiency of the local use of decimeter electromagnetic waves (DEMW) in stroke survivors are presented (a course of therapy consisted of 10-12 procedures). Doppler sonography proved to be a highly effective method of monitoring the treatment results. The technique makes it possible to ascertain some aspects of the mechanism of DEMW therapeutic action and provides the researcher with complete information on the intensity and the rate of the collateral circulation development.

Adult↗

[Neurologic and x-ray aspects of osteochondrosis and diskosis (khondrosis) of the spine].

A certain disparity between the neurological and pathomorphological manifestations of osteochondrosis is reviewed. The authors substantiate the necessity of dividing the dystrophic process in the motor lumbar segment into two phases: 1) the involvement of the disk alone ( diskosis or chondrosis ) and 2) the involvement of both disk and adjacent vertebrae (osteochondrosis). The roentgenological diagnosis of these pathological phases is offered. The question of differentiating the mechanical injuries to the intervertebral disk from osteochondrosis is discussed.

Cervical Vertebrae↗

[Treatment of patients with neurologic syndromes of cervical osteochondrosis by electrophoresis of papaverine and nicotinic acid using sinusoidally-modulated and diadynamic currents].

The authors describe the time course of some biochemical and hemodynamic parameters in patients suffering from cervical osteochondrosis with neurological symptoms treated by electrophoresis of papaverine and nicotinic acid with sinusoidal modulated and diadynamic currents. Under treatment there were 124 patients aged 16 to 76 years. The electrophoresis was performed by the method developed by the authors. All the patients showed a reduction of the prothrombine, cholesterol and beta-lipoproteid levels and a rise of the lecithine-cholesterol index. This pointed to a favourable effect of the treatment on lipid metabolism. An improvement of some central hemodynamic parameters and of peripheral circulation in the zone of the forearms was also noted.

Administration, Oral↗

[Effect of sinusoidally modulated currents on the dynamics of echoencephalographic indices in children with cerebral palsy and dysarthrias].

The echo-encephalographic parameters and their changes induced by sinusoidal modulated currents applied to the external muscles of the tongue and the neck are analysed in 57 children with infantile cerebral paralysis (ICP) and dysarthrias. In these children, the indices of the cerebral and ventricular mantel were found to be increased and differing considerably from the respective indices of control children. This was considered to be an evidence of greater content of cerebrospinal fluid in the cerebral ventricles in the children with ICP. In the course of treating these children with sinusoidal modulated currents a tendency to normalization of the echo-encephalographic parameters and an improvement of the functional potentialities of the paretic muscles were noted. This is favourable for subsequent logopedic training of the children.

Cerebral Palsy↗

[Status of cerebral circulation in patients with hemiplegia of vascular and traumatic origin treated with decimeter therapy and an alternating magnetic field].

Results of treating 181 patients for hemiparesis after a cerebral stroke or a craniocerebral injury by local exposure of the pathological focus to decimeter electromagnetic waves (DW) and alternating magnetic field (AMF) are presented. It is shown that these treatment methods improve the cerebral circulation and contribute to earlier restoration of the motor functions, especially, if used in combination with sulfide baths, therapeutic physical exercises and massage. The therapeutic effectiveness of the DW- and AMF-therapy is confirmed objectively by so informative examination methods, as rheoencephalography, ultrasonic dopplerography, and thermography.

Adult↗