RU2266760C2 - Method for determining electric pulse scenar-therapy optimum localization zones - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves applying primary treatment using pulsating SCENAR current sequentially arranging the device in zone of complaint and additionally in zone arranged symmetrically to the zone of complaint and horizontally equidistant from vertebral column line. Sequential positioning is carried out with initial SCENAR response values being determined until a value differing from the previous ones is detected. Individually dosed SCENAR treatment factor value is determined in position distinguished by maximum value of initial SCENAR response value from passed positions. The initial SCENAR response values measurement is continued in determining individually dosed SCENAR treatment factor values in positions distinguished by growing initial response values. Current SCENAR response values are determined in the positions characterized by growing individually dosed SCENAR treatment factor values where organism response to pulsating SCENAR current vanishes when electric skin tissue impedance stops changing. Zone of maximum current SCENAR response value characterized in organism response to pulsating SCENAR current action vanishing is selected as optimum for applying SCENAR therapy. The same is done in one of two positions having individually dosed SCENAR treatment factor values characterized in organism response to pulsating SCENAR current action vanishing. The position is distinguished by greater value of individually dosed SCENAR treatment factor. Zone of maximum current SCENAR response value characterized in organism response to pulsating SCENAR current action vanishing is selected as optimum for applying electric pulse SCENAR therapy.

EFFECT: enhanced effectiveness in determining zone localization optimum for applying electric pulse SCENAR therapy.

2 cl, 6 tbl

Description

The group of inventions relates to medicine and can be used to treat diseases of the nervous system, musculoskeletal system, respiratory, genitourinary, digestive systems by electro-pulse therapy, namely, non-invasive exposure to pulsed current on parts of the skin of the person according to the SCENAR method ( with the ability to be monitored e nergo eyro n and p daptivnoy egulation) - therapy.

Known methods for determining the localization of zones optimal for electropulse therapy, developed for the SCENAR electric stimulator (see Appendix 1 - Instructions for use of SCENAR devices (SCENAR - 032, SCENAR - 033, SCENAR - 033M, SCENAR - 035-1, SCENAR - 035- 3), recommended by the commission on physiological instruments and apparatus of the Committee for New Medical Technology of the Ministry of Health of the Russian Federation, protocol No. 3 dated June 9, 1993, p. 9-32, see Appendix 2 - Methods for the correction of clinical manifestations of somatic, surgical, neurological diseases neuroadaptive electron “SCENAR” stimulator, Manual for Doctors. M., 2000, p.3-5, 7-9).

The determination of the localization of zones optimal for SCENAR-therapy is carried out by exposure to SCENAR pulse current in the complaint area and determining the values of indicators of individually-dosed SCENAR-effect. As the optimal for electropulse therapy based on SCENAR-therapy, the zone with the highest value of the indicator of individually-dosed SCENAR exposure is chosen. Moreover, the “complaint area” is understood to mean:

- projection of a pathological focus or pathologically altered system,

- peripheral areas containing biologically active points of the meridians responsible for the functional state of this organ or system,

- symmetrical to the pathological focus of the body area,

- areas of increased pain sensitivity,

- areas of the skin, according to some characteristics that differ from the rest of the skin surface (including rash, scars, age spots, wounds, erosion, etc.),

- areas of increased or decreased muscle tension,

- areas of general impact,

- areas indicated in the instructions for certain diseases.

However, the known methods for determining the localization of zones that are optimal for SCENAR-electric pulse therapy are associated with the need to apply SCENAR pulse current to large areas of human skin, which increases the time and reduces the accuracy of determining the localization of zones that are optimal for SCENAR-electric pulse therapy.

The technical problem solved by the claimed group of inventions is to reduce the time to determine the localization of zones that are optimal for SCENAR-therapy and increase the accuracy of determination.

The stated technical problem is solved due to the fact that in the method (option 1) to determine the localization of zones that are optimal for electric pulse SCENAR-therapy, which includes the initial exposure to the pulse current of the SCENAR in the complaint area with the determination of the values of the indicators of individually-dosed SCENAR exposure, according to the invention, the primary exposure to the pulse SCENAR current is conducted with sequential positioning of the device in the complaint area and additionally in the area symmetrical to the complaint region and equidistant along the horizon the hoists from the line of the spine, sequential positioning is carried out with the determination of the values of the initial SCENAR reaction indicators until a value different from the previous ones appears, the value of the indicator of individually dosed SCENAR effect on the positions with the highest value of the initial SCENAR reaction indicator from the passed positions is continued, the values of the initial reaction indicators are continued to be determined SCENAR, while simultaneously determining the values of indicators of individually dosed effects of SCENAR at positions with age The values of the initial SCENAR reaction indicators, and at the positions with increasing values of the individually scenar exposure indicators, determine the current SCENAR reaction parameters, at which the body stops responding to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, and as optimal for the SCENAR electropulse -therapies choose the zone with the highest value of the current SCENAR reaction indicator, at which the organ reaction stops SCENAR impulse current impact due to the cessation of changes in the electrodermal tissue impedance.

On an outpatient basis, SCENAR CENTER in Yekaterinburg determined the localization of zones that are optimal for electric pulse SCENAR-therapy according to the claimed method (option 1).

1. Patient M., 56 years old. Complaints of weakness in the right hand, inability to straighten it (the brush hangs), numbness of the fingers. Sensory impairment in the area near the fingers. Ill acutely. The diagnosis of a neurologist: "Radial nerve neuritis", is aimed at SCENAR-therapy.

The localization of the zone that was optimal for the electric pulse SCENAR-therapy was determined initially in the complaint area - on the outer surface of the right hand. For this, the SCENAR pulse current was applied to ten positions (brush area) in the direction of the fingers in accordance with the scheme shown in table 1.

Table 1
The arrangement of positions on the outer surface of the brush Position 1 Position 3 Position 5 Position 7 Position 9 Position 2 Position 4 Position 6 Position 8 Position 10

The electrode was installed sequentially at each of the indicated positions and did not come off until the reaction indices were determined. Initially, the value of the initial SCENAR reaction indicator was determined at the position, then the electrode was detached from the skin and moved to the next position. If at a new position a greater value of the initial SCENAR reaction index was determined than the previous ones, then at this position an impact was carried out until the value of the individually measured dose of SCENAR was reached. The values of the initial SCENAR reaction indicators, the indicators of individually dosed SCENAR exposure (marked *) and the current SCENAR reaction indicators, at which the body stops responding to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance (marked **), in accordance with scheme (see table 1) are given in table 2.

The processing time of the entire zone was 153 seconds.

table 2
The values of the initial SCENAR reaction indicators, the indicators of individually dosed SCENAR exposure, and the values of the current SCENAR reaction parameters, at which the body stops responding to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance when exposed to the complaint Position 1
21 Position 3
21 Position 5
23/38 *
49 ** Position 7
22 Position 9
24/36 * Position 2
twenty Position 4
22/31 * Position 6
nineteen Position 8
twenty Position 10
23

The value of the current SCENAR reaction index, at which the body's reaction to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance stops, was determined at position 5, which has a higher value of the individually-dosed SCENAR exposure indicator (38 *) compared to position 4 (31 *) . The value of the current SCENAR reaction rate, at which the body reaction to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, stops at position 5 is 49.

Next, we determined the location of the region symmetrical to the complaint region and equidistant horizontally from the line of the spine, on the outside of the left hand in the direction of the spine (from the fingers). Due to the existing deformation of the shoulder and elbow joints of a healthy limb, the region symmetrical to the complaint region and equidistant horizontally from the spinal line has an offset of 18 mm from the fingers. The values of the initial SCENAR response indicators, indicators of individually dosed SCENAR exposure, and current SCENAR reaction indicators, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, were determined similarly to the complaint region.

The values of the initial SCENAR response indicators, the indicators of individually dosed SCENAR exposure (marked *) and the current SCENAR reaction indicators, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance (marked **), in the region the symmetrical region of the complaint and equidistant horizontally from the spinal line are shown in table 3.

Processing time was 167 seconds.

Table 3
The values of the initial SCENAR reaction indicators, the indicators of individually-dosed SCENAR reaction, and the values of the current SCENAR reaction parameters, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance when exposed in a region symmetrical to the complaint region and horizontally equidistant from the line of the spine Position 1 Position 3 Position 5 Position 7 Position 9 23 23 21 22 32/42 * Position 2 Position 4 Position 6 Position 8 Position 10 21 12 eighteen ZP43 * 33/47 * 56 **

The value of the current SCENAR reaction rate, at which the body's reaction to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance stops, was determined at position 10, which has the highest value of the SCENAR individually-dosed effect indicator (47 *). The value of the current SCENAR reaction index, at which the body reaction to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, stops at position 10 is 56.

The zone with the highest value of the current SCENAR reaction parameter, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, namely, the position 10 zone of the region, the symmetrical complaint area and horizontally equidistant from line of the spine.

The total determination time was 320 seconds.

Note

The treatment was carried out in accordance with the definition on the outer surface of the left hand. Procedures were carried out every day. The course was 10 procedures. The processing order was repeated. The duration of exposure and the duration of the procedure were selected individually. Movement in the brush is fully restored.

2. Patient K. with a similar pathology was used to determine the localization of zones that are optimal for electric pulse SCENAR-therapy according to the method taken as a prototype, by primary exposure to an SCENAR pulse current in the complaint region and determining the values of indicators of individually dosed SCENAR exposure. We made 10 determinations of the values of indicators of individually dosed SCENAR exposure. The total diagnostic time was 643 seconds. The course of treatment amounted to 18 procedures. Movements in the brush are partially restored.

As can be seen from the above example, the application of the claimed invention reduces the time for determining the localization of zones that are optimal for electric pulse SCENAR-therapy, from 643 seconds to 320 seconds. In addition, the effectiveness of treatment based on the diagnostics increases (10 procedures instead of 18), which indicates an increase in the accuracy of the determination of the localization of zones that are optimal for SCENAR-electric pulse therapy.

The stated technical problem is solved due to the fact that in the method (option 2) for determining the localization of zones that are optimal for SCENAR-electric pulse therapy, which includes the initial exposure to the SCENAR pulse current in the complaint area with the determination of the values of the indicators of individually-dosed SCENAR exposure, according to the invention, the primary pulse effect SCENAR current is conducted with sequential positioning of the device in the complaint area and additionally in the area symmetrical to the complaint region and equidistant along the horizon the hoists from the line of the spine, sequential positioning is carried out with the determination of the values of the initial SCENAR reaction indicators until a value different from the previous ones appears, the value of the indicator of individually dosed SCENAR effect on the positions with the highest value of the initial SCENAR reaction indicator from the passed positions is continued, the values of the initial reaction indicators are continued to be determined SCENAR, while simultaneously determining the values of indicators of individually dosed effects of SCENAR at positions with age The values of the initial SCENAR reaction indices, and at one of every two positions with indicators of individually dosed SCENAR exposure, determine the values of the current SCENAR reaction indices, at which the organism stops responding to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, and this position has a greater the value of the indicator of individually dosed SCENAR exposure, and as optimal for electric pulse therapy based on SCENAR-tera FDI selects the zone with the highest value of the current SCENAR reaction rate, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electric skin impedance of tissues.

On an outpatient basis, the SCENAR CENTER of Yekaterinburg determined the localization of the zones that are optimal for the electric pulse SCENAR therapy according to the claimed method (option 2).

3. Patient P., 47 years old. The diagnosis of a neurologist: "Intercostal neuralgia on the left, level T-7. Osteochondrosis of the spine, scoliosis of the 2nd degree. "

On examination, an area of pain under the left scapula was revealed. Scoliosis from youth to the right, in the thoracic region, the right shoulder is slightly higher, the angle of the scapula is turned to the side and raised, the tension of the long muscles of the back on the left.

The determination of the localization of the zone optimal for the electropulse SCENAR-therapy was carried out by primary exposure to the SCENAR pulse current in the complaint area. For this, in the area of the left scapula, the SCENAR pulse current was applied to nine positions in accordance with the scheme shown in Table 4. The point area of pain is localized at position 5.

Table 4
The arrangement of positions in the region of the left shoulder blade Position 1 Position 4 Position 7 Position 2 Position 5 Position 8 Position 3 Position 6 Position 9

The electrode was installed sequentially at each of the indicated positions and did not come off until the reaction indices were determined. At positions 1–9, the value of the initial SCENAR reaction index was determined. At the same time, the values of the indicators of individually dosed SCENAR exposure were determined at positions with increasing values of the initial SCENAR reaction indicators, namely at positions 3. 4. 5. 6. 8. The values of the current SCENAR reaction indicators at which the body's reaction to the impact of the SCENAR pulse current stops due to cessation of changes in electrodermal tissue impedance was determined at one of every two positions with indicators of individually-dosed SCENAR exposure, and this position had a greater value the value of the individually dosed SCENAR effect, namely position 3, 6. The values of the initial SCENAR reaction indicators, the individually dosed SCENAR reaction indicators (marked *) and the current SCENAR reaction indicators, at which the body stops responding to the SCENAR pulse current due to termination changes in the electrodermal tissue impedance (marked **), in accordance with the scheme (see table 4) are shown in table 5. The processing time was 236 seconds.

Table 5
Values of the initial SCENAR indicators, indicators of individually dosed SCENAR effects and current SCENAR reaction indicators, at which the body stops responding to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance when exposed to the complaint Position 1 Position 4 Position 7 26 29/40 * 26 Position 2 Position 5 Position 8 25 31/39 * 33/49 * Position 3 Position 6 Position 9 28/41 * / 58 ** 32/47 * / 63 ** twenty

Next, we determined the location of the region of the symmetrical region of the complaint and equidistant horizontally from the line of the spine, on the right half of the chest. Due to the existing deformation of the spine and chest, the area symmetrical to the complaint and equidistant horizontally from the line of the spine is not a symmetrical anatomical zone, but is shifted from the line of anatomical symmetry by 30 mm vertically upwards and 20 mm horizontally to the right. The values of the initial SCENAR reaction indicators, the indicators of individually dosed SCENAR exposure, and the values of the current SCENAR reaction parameters, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, were determined similarly to the complaint region.

The values of the initial SCENAR reaction indicators, the indicators of individually dosed SCENAR exposure, and the values of the current SCENAR reaction parameters, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance in the region symmetrical to the complaint region and horizontally equidistant horizontally from the line spine are shown in table 6.

Processing time was 130 seconds.

Table 6
The values of the initial SCENAR reaction indicators, the indicators of individually-dosed SCENAR reaction, and the values of the current SCENAR reaction parameters, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance when exposed in a region symmetrical to the complaint region and horizontally equidistant from the line of the spine Position 1 Position 4 Position 7 24 22 17 Position 2 Position 5 Position 8 24 21 26/34 * Position 3 Position 6 Position 9 25/37 * / 44 ** 24 twenty

The zone with the highest value of the current SCENAR response indicator, at which the body stops responding to the action of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance upon exposure, namely the position 6 zone of the complaint area, was selected as the optimal one for electropulse SCENAR-therapy.

The total determination time was 366 seconds.

Note

The treatment was carried out in accordance with the above definition in the complaints area - on the left side of the chest. Procedures were carried out every day. The processing order was repeated. The duration of exposure and the duration of the procedure were selected individually. Conducted 6 procedures. The pains decreased significantly, spinal mobility increased, pain during palpation of the intercostal space still remains.

Patient F with a similar pathology (without scoliosis of the spine) was used to determine the localization of zones that are optimal for SCENAR electric pulse therapy according to the method taken as a prototype, by first exposure to SCENAR pulsed current in the complaint region and determining the values of indicators of individually dosed SCENAR exposure. Made 18 definitions. The total diagnostic time was 590 seconds. 12 treatment procedures were carried out to a comparable clinical result.

As can be seen from the above example, the use of the claimed invention reduces the time for determining the localization of zones that are optimal for SCENAR-therapy, from 590 seconds to 366 seconds. In addition, the effectiveness of treatment based on the diagnostics increases (6 procedures instead of 12), which indicates an increase in the accuracy of the determination of the localization of zones that are optimal for SCENAR-therapy.

The application of the proposed method provides the following technical and economic advantages:

- reducing the time to determine the localization of zones that are optimal for SCENAR-therapy,

- improving the accuracy of determination,

- increasing the effectiveness of subsequent treatment while reducing the cost of its implementation.

Claims (2)

1. A method for determining the localization of zones that are optimal for SCENAR-electric pulse therapy by first exposure to SCENAR pulse current in the complaint area with determining the values of indicators of individually-dosed SCENAR impact, characterized in that the initial SCENAR pulse current exposure is carried out with sequential positioning of the device in the complaint area and additionally in the area symmetrical to the complaint area and equidistant horizontally from the spinal line, sequential positioning is carried out with dividing the values of the initial SCENAR reaction indicators until a value different from the previous ones appears, determine the value of the individually-dosed SCENAR effect indicator on the positions with the highest value of the initial SCENAR reaction indicator from the passed positions, continue to determine the values of the initial SCENAR reaction parameters, while simultaneously determining the values of the individual SCENAR reaction SCENAR impacts at positions with increasing values of initial reaction indicators, and at positions with increasing Using the values of the indicators of individually dosed SCENAR exposure, the values of the current SCENAR reaction parameters are determined, at which the body's reaction to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance is stopped, and the zone with the highest value of the current SCENAR reaction rate is selected as the optimal one for the SCENAR therapy at which the body's reaction to the impact of the SCENAR pulse current is stopped due to the cessation of the change in electric electrodermal tissue impedance. 2. A method for determining the localization of zones that are optimal for SCENAR-electric pulse therapy by first exposure to SCENAR pulse current in the complaint region with determining the values of indicators of individually-dosed SCENAR impact, characterized in that the initial SCENAR pulse current exposure is carried out with sequential positioning of the device in the complaint area and additionally in the area symmetrical to the complaint area and equidistant horizontally from the spinal line, sequential positioning is carried out with dividing the values of the initial SCENAR reaction indicators until a value different from the previous ones appears, determine the value of the individually-dosed SCENAR effect indicator on the positions with the highest value of the initial SCENAR reaction indicator from the passed positions, continue to determine the values of the initial SCENAR reaction parameters, while simultaneously determining the values of the individual SCENAR reaction SCENAR impact on positions with increasing values of initial reaction indicators, and on one of every two positions with indicators of individually dosed SCENAR exposure determine the values of the current indicators of the SCENAR reaction, at which the body stops responding to the impact of the SCENAR pulse current due to the cessation of changes in the electrodermal tissue impedance, and this position has a higher value of the index of individually dosed SCENAR exposure, and as optimal for of an electric pulse SCENAR-therapy, select the zone with the highest value of the current SCENAR reaction index, at which Xia reaction to the impact pulse current changes due to cessation SCENAR electrodermal impedance tissues.