SU1156687A1 - Method of rehabilitation of patients ill with osteochondrosis of the spine after intradisk papainization - Google Patents

Abstract

METHOD OF REHABILITATION OF PATIENTS WITH OSTEOSHONDRODS OF THE BACKBONE AFTER NONTRIDISKY PAPININIZATION, providing for: D:; characterized by the fact that, with the exception of eu (and side effects, it is carried out, e11; 11: o-radon baths through the flow v ;;;; v with co-concentration of radon 38–40, temperature 38–40 ° C, speed feeding the mixture 140-160 l / min for 14-16 min 3-4 times a week.

Description

01

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This invention relates to medicine and concerns the rehabilitation treatment of patients with spinal osteochondrosis who have undergone neuro-orthopedic intervention (papain chemotherapy) on the spinal column.

The purpose of the invention is the elimination of side effects.

The method of drying is as follows.

The course of treatment is designed for 24 days. The examination and diagnosis clarification (biochemical research, cardiography) are carried out within 2-3 days. Patients are in a sanatorium mode, providing for the correct alternation of physical activity and rest. Treatment procedures are carried out in the first half of the day. The regimen, prescribed at the beginning of the course of treatment, gradually turns into a tonic. After the adaptation period, a toning foot massage is prescribed according to the generally accepted method using methods of stroking, rubbing, kneading in an amount of 10-12 procedures, a complex of physical therapy aimed at strengthening the muscles of the back and legs, stabilizing the ankle joints, developing compensatory mobility in the hip joints, as well as airborne radion baths with a radon concentration of 38-40 nKi / l, a temperature of 38-40 ° C and a duration of 15-17 minutes per course of treatment 11 -13 baths of 3-4 baths per week.

Air radon baths are dispensed in a special installation. The procedure is carried out in a special hermetic box equipped with a capsule slot where the patient's head is placed. Atmospheric air is supplied to the helmet, and an air-radon mixture is supplied to the box. The box design allows the procedure to be taken in a supine position, lying on its side, in a reclining position. Since the deposition of radioactive plaque occurs only in open areas of the body, patients take the procedure lying on its side on the “healthy side with an open wound. Constant flow through the air-radon mixture into the box allows to achieve a fourfold air exchange in one minute, which, with a low content of daughter decay products (2% of radon equilibrium values) and a high content of radon in the air (highest concentration 40 nKi / l) provides an absorbed dose equivalent to a 180 nCi / l water radon bath. The absorbed dose of radiation on the skin (unopened clothing) is 38 mbar in one procedure.

Example. Patient B. Ivan Ivanovich, 47 years old, case history No. 948, 1981.

He entered the P Tigorsky clinic Research Institute of balneology and physiotherapy with complaints

weak pain in the cervical spine, forcing, rarely radiating to the neck. Muscle feeling in the muscles of the shoulder girdle. Numbness in the right hand, occurring at night, pain in the area of the nose, local, moderate, occurring with orthostatic loads (prolonged stay in the sit position). Numbness, “crawling goosebumps on the posterior lateral surface of the right leg from the year-long fold to the popliteal weave. A feeling of discomfort in the area by the scnitsa. From the history of the disease revealed: sick for 17 years. Conservative treatment has been carried out repeatedly with a temporary effect. Last thing

the aggravation was noted at the end of February 1981. He was hospitalized at the Central Research Institute of Herbs, Mathematics and Orthopedics named after I.N. Priorov, in the Department of Vertebral Surgery, where after performing myelography, discovery of degenerative changes in lumbar discs, hernia at level L4 LB, LZ vertebrae. Dereception and papainization of two lower lumbar discs followed by plaster immobilization were performed. After the chemonucleosis of papaimo, the usual pain disappeared gradually within 2 months. Allergic manifestations of the treatment method are not. marked. Wearing a gypsum corset - one month c. A change was made to a polyvik corset. Changing corsets was easy. Entered on

0 treatment after 3 months. after the intervention. Objectively notes. The right physique. The skin is a normal color, turgor is not changed. It is in a polyvic jacket. Heart sounds

with auscultation of the correct rhythm, muffled. Heart rate is 72 per 1 min (pulse 72 beats per 1 min). Blood pressure 120/75 mm RT. Art. In light benign breathing. The belly of the correct form. With superficial and deep palpation painless in all departments. The spine is the correct form. Posture is correct. Walking on ptsy, on toes without violations. On palpation of the interstitial spaces of the spine, pain is determined at the level of C3-C,

5 Sat-Sat, Lz-L4, L4-L5. When percussion along the spinous processes, pain is determined in C4, L4. Asymmetric tonus is found in the paraspinal muscles. Cranial nerves - without pathology.

Q Symptom Lasaga at 70 ° is symmetrical. The lack of forward tilt is 57 cm. The knee jerks are symmetrical, live, the Achilones are absent on the right. The sensory sphere of the hyperpathic by the radicular type in dermatome No. 1 is on the right. Pronounced potlivost

5 foot Additional clinical blood tests have been carried out: 16 mm / h, leukocytes 5.0.10, hemoglobin 142 g / l; Bodansky alkaline phosphatase 1.13 mmol / h / l.

DFA 0.140; Nem-Chok's chondroitin sulfate 0.105; electrocardiography - sinus rhythm, heart rate 60 per 1 min, voltage reduced, electric axis rejected to the left, disturbances of repolarization processes diffuse. After 5 days of acclimatization, a course therapy was prescribed. From the 6th day of staying in the clinic, he began to receive a toning foot massage according to the generally accepted method, physical therapy aimed at strengthening the muscles, with an emphasis on strengthening the right paraspinal muscle, developing compensatory mobility in the hip joints. On the 7th day, I started taking air-radon baths with a radon concentration of 38 nCi / L, a temperature of 40 ° C, and a duration of 15 minutes, for a course of treatment 12 baths, 4 baths per week. The prescribed therapy was well tolerated. After taking air-radon baths, palpitations, hardness in the heart area, severe general sweating, pain in the area of the scalp, and large joints of the limbs were not observed. Finished the course of treatment on the 23rd day of stay in the clinic. Objectively: skin turgor is not changed, the skin is a normal color. Heart sounds at auscultation of a correct rhythm, are slightly muffled. Heart rate 68 per 1 min (pulse 68 beats

in 1 min.) Blood pressure 120/80 mm Hg. Art. In the lungs With auscultation, vesicular respiration. The abdomen with superficial and deep palpation is painless in all departments. Posture is correct. Walking on the toes, pkkah not broken. The spine is the correct form. On palpation of the interstitial spaces of the spine, a slight tenderness is determined at the level of C3-C4. With percussion on the spinous

processes are not detectable. Paraspinal muscles are symmetrical in tone, painless. Cranial innervation is not broken. Symptom Lasega negative on both sides. The lack of an inclination forward is 23 cm. The knee jerks are symmetrical, live, Achilles are absent on the right. No sensitivity disorders are detected. Sweating stop. Conducted additional research. Clinical blood: SoE 10 mm / h, leukocytes 5.0-10,

0 hemoglobin 148; Bodansky silk phosphatase 2.32 mmol h / l, DFA sample 0.160, chondroitin sulfate according to German-Choc 0.042; electrocardiography — sinus rhythm, heart rate 64 per 1 min, electric axis rejected to the left, slight disturbance of repolarization processes. Recommendations for further treatment are given. Discharged with improvement.

Claims (1)

METHOD OF REHABILITATION OF PATIENTS WITH OSTEOCHONDROSIS OF THE SPINE AFTER EXTRADISCULAR PAPAINIZATION, which provides for the passage of radon baths, physiotherapy exercises and massage, characterized in that, in order to eliminate side effects, 38 air-radon-radon concentrations are carried out at a concentration of radon to radon -40 ° C, the flow rate of the mixture 140-160 l / min for 14-16 minutes 3-4 times a week.