The clinical and electromyographic examination of musculi quadriceps femoris is performed in 13 patients with extension contractures of the knee joints. The correlation between the pronounced hypotrophy, hypertension and denervational process stage in the muscle is revealed. The pathophysiological mechanisms of the formation of hypertension of the muscles in passive contracture are considered.
The hypothetic approaches to the explanation of pathogenetic variants of not rarely observed syndrome of painful hypotrophy of the arm muscles region are considered in the context of topographic and anatomic interrelations of brachial plexus structures, vessels and scalene muscles.
Based on the analysis of the clinical es- sense of osteochondrosis and concrete - illustration, an important principle of rehabilitation in the acute period of osteochondrosis deautomatization of motility, permanent control-, formation of protective dynamic stereotypes by the physician is postulated.
The fate of some scientists in medicine was unpredictable - the names of many famous people in the past were forgotten for a long time. Among these undeservedly forgotten and outstanding Russian therapist Sergei Vasilievich Levashov...
In the country as a whole, diseases of the nerves and peripheral ganglia (according to the reporting form No. 16) in 1977 ranked fifth in terms of cases and seventh in terms of days of incapacity for work. In 1974-1977, there was a trend towards a decrease in the incidence - in cases by 7.7% and in days by 6.5%. At the same time, there was a slight (by 1.8%) increase in the average duration of incapacity for work (in 1974 it was 11.4 days, in 1975 - 11.7, in 1976 - 11.6 and in 1977 11.6 days). An increase in the average duration of a case with a downward trend in morbidity seems to us to be a positive factor, indirectly indicating an improvement in the quality of treatment of patients. The most important condition for a further decrease in the number of vertebrogenic diseases, obviously, can be hospitalization in a wider range of these patient populations. Treatment of patients with clinical manifestations of lumbar osteochondrosis in the hospital allows, according to our data, to reduce the period of temporary disability by 2-4 times.
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