World-wide occurrence of diabetes mellitus and its complications in the form of neuropathic and metabolic disorders implies the necessity of development and application of the new methods for their combined treatment, such as the low-frequency transdermal electrical stimulation with the use of the OMRON Е-4 myostimulator. This technique was shown to significantly alleviate the symptoms of pain syndrome and other neuropathic manifestations. Moreover, it facilitated the reduction of body weight and visceral fat content in such patients and thereby considerably decreased the risk of development of diabetic complications.
The article is devoted to the medical rehabilitation of children with neurogenic bladder dysfunction. Medical rehabilitation of children with neurogenic bladder dysfunction includes behavioral therapy, medication, biofeedback, and physical therapy. The popularity of physiotherapy methods is explained by the influence on the main links of pathogenesis, the absence of side effects and the possibility of use in young children.
The aim of the study was to study the effectiveness of complex application of laser radiation and interference currents in the medical rehabilitation of children with PDMP.
Materials and methods. Clinical observations and special studies were conducted in 40 children with hyperactive bladder aged 3 to 10 years. The main group consisted of 20 children who received laser therapy and interference currents, 20-a comparison group (without physical therapy).
Results. Positive dynamics was observed by the middle of the course of medical rehabilitation, a third of patients showed a decrease in urgency and urgent urinary incontinence, there was a tendency to normalize the number of urinations per day, by the end of the course of medical rehabilitation, the dynamics of clinical symptoms was more pronounced and reliable. The favorable influence of interference currents and laser radiation on the clinical course of neurogenic bladder dysfunction, the state of urodynamics and speed characteristics of the act of urination was revealed.
The feasibility of including interference currents and laser radiation in the medical rehabilitation of children with neurogenic bladder dysfunction is scientifically proved.
Conclusion. Medical rehabilitation of children with neurogenic bladder dysfunction with the inclusion of laser radiation and interference currents has a favorable effect on the symptoms of hyperactivity of the bladder, indicators of uroflowmetry, cystometry and helps restore the normal rhythm of urination. As a result of the research, the effectiveness of medical rehabilitation with the inclusion of laser radiation and interference currents was 85.0 %, in the comparison group only
60.0 % (p < 0.05).
The issue of compression ischemic syndromes, in particular, carpal tunnel syndrome, is currently extremely relevant. Prolonged compression of the nerve leads to irreversible consequences and degeneration of its fibers, followed by neurogenic muscle atrophy and permanent loss of function. Standard medical and physical therapy methods of treatment do not always achieve a positive effect. The paper considers the results of the use of phonophoresis of hydrocortisone and fermenkol in 35 patients with carpal tunnel syndrome. Positive dynamics was noted in both groups, which increases the possibility of treatment tactics selection for patients of this profile.
The present study included 40 children presenting with acute hematogenic osteomyelitis and exacerbation of chronic osteomyelitis. It was shown that a course of laser therapy resulted in the positive dynamics of the inflammatory process, the improvement of blood circulation in the inflamed regions, stimulation of immunity, acceleration of the wound healing, and the reduction of the hospital stay by 3 or 4 days. Other beneficial effects of the treatment included the decreased duration of the severe and febrile conditions, alleviation of inflammation, normalization of the hematological status, and the increase of sensitivity of microflora to antibiotics.
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