Low-temperature plasma is a partially ionized gas obtained at atmospheric pressure and having a macroscopic temperature close to the ambient temperature. The composition of the torch of low-temperature plasma includes charged particles, neutral active particles, including free radicals and particles in metastable states, as well as ultraviolet radiation. The biological effects of plasma are associated with the synergistic effect of the listed factors, each of which has a subliminal concentration that does not cause changes in the biological object. Intensive research on the use of low-temperature plasma in medicine began about 10 years ago, although some pioneering work appeared much earlier, mainly in Russia. Since the mid-2000s. in the world began to actively develop sources of gas plasma, in which the temperature of the plasma torch is reduced to the temperature of the human body. The use of such structures makes it possible to subject the treated surface to direct plasma action and to use the entire spectrum of active plasma components, including photons, electrons, ions, free radicals, and molecules in an excited state. Low-temperature plasma has a number of fundamental advantages, which include high non-specific bactericidal activity, low probability of occurrence of stable forms, the absence of ionizing radiation and highly toxic substances. The described advantages together with a comfortable temperature, relative simplicity and low cost methods, the lack of specific requirements for the treated surface make low-temperature plasma a promising method for the treatment of various pathological conditions.
We conducted an objective and instrumental examination in 79 patients with radical mastectomy in the early postoperative period (2–4days), patients of the 1st group n=23 underwent 10procedures of postoperative suture fluctuation; patients of the 2nd group n=28 underwent 10procedures of fluctuating currents according to the extended technique; and patients of the 3rd group n=28 in addition to the extended technique underwent fluoridation of the forearm muscles by the same parameters. It has been proved that patients have reduced postoperative swelling, reduced pain, reduced the number of postoperative complications in the wound (inflammation, infectious processes, pain, suture divergence), shortened lymphorrhea. There is an increase in the amount and quality of movements, reduced sensitivity disorders in the upper limbs. Thus, the inclusion in the program of medical rehabilitation of various methods of appointment of fluctuating currents in the early postoperative period is appropriate and helps to reduce the time of recovery.
Background.Today, osteoarthritis, in particular its clinical form of gonarthrosis, is the most common degenerative-dystrophic diseases of the joints in practice in all countries.
The objective:of the present study was to estimate the efficacy of local pulsed magnetotherapy on capillary blood flow in patients with osteoarthritis of the knee joint.
Methods.A total of 50 patients aged from 36 to 65 years with IIII stage gonarthrosis. All patients of the main group (n=25) received treatment with a pulsed magnetic field and NSAID therapy (diclofenac 25 mg 3 times a day, course 15 days). Patients in the comparison group (n=25) received only NSAIDs. The functional state of the capillary bed was assessed by biomicroscopy of the vessels of the outer corner of the eye using a fiber optic ophthalmoscope with a Riester Ri-ScopeL diode lamp (Germany). The state of the vessels of the angle of the eye was assessed by capillary (KI1) intravascular (KI2), extravascular (KI3) and general (KIgen) indices.
Results.After a course of local pulsed magnetotherapy, normalization of the ateriol-venular ratio, restoration of blood flow through the capillaries and the disappearance of a cloudy background were noted in all patients of the main group. After 6 months, the found changes were preserved in the patients of the main group, while in patients receiving NSAID mototherapy, all positive changes from the capillary blood flow disappeared.
Conclusions.In recent years, magnetotherapy, both general and local, has been successfully used to treat patients with gonarthrosis. One of the mechanisms of action of magnetic fields is to improve microcirculation in tissues. The therapeutic effect of magnetic fields in gonarthrosis has been studied, and its high efficiency has been proven.
The myofascial pain syndromes (MPS) is ranked among the most frequent clinical manifestations of acute and chronic pain in the lumbar region. The authors of the article undertook the analysis of scientific publications from the Pubmed, Medline, and Scopus databases that appeared during the recent years. The analysis has demonstrate that extracorporeal shock wave therapy (ESWT) can be considered as a method of choice to be used in the framework of the complex programs of the treatment and rehabilitation of the condition of interest. The specific etiopathogenetic features of ESWT are considered in terms of the contemporary views with special reference to their influence on the choice of the treatment strategies and concrete methods for the treatment of the myofascial pain syndromes. It is shown that extracorporeal shock wave therapy makes it possible to enhance the blood flow and circulation and increase the permeability of cell membranes thereby facilitating the activation of the regenerative processes in the structural elements of the vertebral-motor segment undergoing the dystrophic changes. Moreover, ESWT produces the anti-inflammatory effects and causes muscle relaxation. There is strong evidence of the possibility to use such modern modalities of manual needs tlomethods of ESWT and manual therapy in patients with MFBS that requires further research. The expected effects of the combined application of extracorporeal shock wave therapy and manual therapy for the treatment of the patients presenting with myofascial pain syndrome remain to be verified in the further studies.
Background.Plasma medicine is a new direction in science at the intersection of plasma physics and chemistry with biology and medicine low-temperature plasma (LTP) has a number of fundamental advantages, which include high non-specific bactericidal activity, low probability of the appearance of stable forms, the absence of ionizing radiation and highly toxic substances. In addition, LTP stimulates healing of infected wounds at the early stages of exposure, which makes LTP a promising method of treating various pathological conditions.
Clinical case description.Low-temperature argon plasma treatment was performed for a patient with a diagnosis of: cancer of the right breast cancer T2N1M0, IIB stage. Condition after non-adjuvant PCT and radical resection of the right breast. Complication: Abscess in the area of the postoperative scar. After the 3rd treatment with plasma flow, the wound was sutured and while continuing treatment with low-temperature argon plasma, the patient began radiation therapy of the right breast and regional lymph flow zones in the mode of classical dose fractionation. During the follow-up period, the patient showed positive dynamics in the area of the postoperative scar, which did not lead to a long period of rehabilitation in the postoperative period and radiation therapy was started in a timely manner.
Conclusion.Thus, the use of this technique in clinical practice has proven that the period of rehabilitation in the postoperative period is shortened for continuous comprehensive treatment of severe cancer patients with breast cancer.
Authors on the basis of available scientific data and their own clinical observations summarized information concerning the use of peloidotherapy. The historical aspects of mud treatment are described, the classification of the main types of mud is given, indications and contraindications to peloidotherapy are presented. The principles of the purpose and application of resource-saving mud treatment technologies are described in detail. The characteristic of mud preparations of the "TOMED" series is given.
Arthrosis is the most common joint disease in adults worldwide. Its incidence increases with age. In this study, the effectiveness of complex treatment was studied in 50 patients with an established diagnosis of stage I - III knee osteoarthrosis. All patients are non-steroidal anti-inflammatory drugs. Running along a pulsed magnetic field in the area of the affected joint. The obtained clinical effects indicate the advisability of including magnetotherapy procedures in the treatment complex.
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