Saratov JOURNAL of Medical and Scientific Research

Outpatient medical center "Polyclinic № 201 of the Moscow City Health Department"

Shock-wave therapy in scapularhumeral periarthritis

Summary:

The aim of the present study was to determine the effectiveness of extracorporeal shock wave therapy in treating shoulder-scapular periarthritis. Material and methods. Survey and treatment of 30 patients of 45-67 years old with the diagnosis: shoulder periarthritis (7 women and 23 men). Age of the disease ranged from 1 month to 5 years. All patients were conducted x-ray examination of the cervical spine and the shoulder joint (radiography and/or MRI). To determine the pain activity the Visual analogue scale was used, Dowborn's test, test WAM. Results. The characteristic feature of the shoulder periarthritis is positive Dowborn's symptom: when rotating the shoulder inside (internal rotation) and the side of her moves up to 450-900 there was a pain in the shoulder joint (100% of patients). Conclusion. The appointment of a medical course of ESWT enhances functionality and adaptive responses in patients with shoulder-dorsal periartritom, and may be the method of choice of tactics therapy treatment of patients of this profile. The shock wave therapy is delayed effect. All patients received the ESWT, observed devolution of pain, to a minimum of 6 months to recommend re courses of therapy with a frequency of no more than 2 times a year.

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Laser therapy in cervicogenic headaches

Summary:

Tftea/m of the present study was to determine the effectiveness of laser irradiation of cervical spine in the treatment of cervicogenic headaches. Material and methods. Survey and treatment of 28 patients of 40-60 years with diagnosed cervicogenic cranialgia (15 men and 13 women). Age of the disease ranged from 3 months to 3 years. All patients had cervical spine x-ray examination. To determine the pain activity the Visual analogue scale (VAS) was used, Credo's vegetation index was calculated, Index of functional changes (IFC), test САН [san] (WAM —wellbeing, activity, mood). All patients on standard drug therapy receive course treatment using laser irradiation of cervical paravertebral zones from the HILT (made in Italy), a wavelength of 1064 nm. Results. After a course of therapy there was decrease of pain syndrome in 100% of cases, but it was totally blocked at 82% of the patients. As a result of treatment by the end of the course found unreliable the average ad in 46.5% of people. Conclusion. Studies have shown that laser irradiation therapy of the cervical spine in craniocervicalgia requires a more careful approach to this kind of physical impact, qualitative survey of patients, including the determination of the conditions of vegetative nervous system and the adaptive capacity of the patient's organism. Also during the procedures needed to be monitored in the dynamics of blood pressure in a patient to determine the duration of the course of laser therapy.

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