Evaluation of the results of pH-metry of the stomach in patients with peptic ulcer of the stomach and duodenum under the influence of a physical therapy program

Abstract

Purpose: to investigate and evaluate the secretory function of the stomach in patients with peptic ulcer of the stomach and duodenum under the influence of the use of a physical therapy program. Material & Methods: 30 men aged 36 to 45 years were under observation with a diagnosis of peptic ulcer, inactive phase; cicatricial and ulcerative deformity of the duodenal bulb; increased secretory function of the stomach, they were randomly divided into two groups: the main group (MG) – 15 patients and the control group (CG) – 15 patients. The average age of patients MG was 41,5±0,1 years, CG – 42,1±0,2 years. Patients of the main and control groups, patients with peptic ulcer of the stomach and duodenum, underwent a course of physical therapy for 4 months. In the main group, patients were trained according to the developed program of physical therapy, which is based on the use of morning hygienic exercises, kinesiotherapy and self-study with the use of general developmental physical exercises, corrective exercises for the spine and breathing exercises performed at rest; therapeutic massage according to the method of P.B. Efimenko; diet therapy. Patients of the control group were engaged in the program of physical therapy used in medical institutions according to Parkhotik, I. (2003). Results: in the initial study, the results of pH-metry of the stomach in patients of both groups did not differ significantly, that is, the phenomena of hyperacidity in combination with continuous acid formation prevailed. After the application of the physical therapy program in the main group according to the author's program, the indicators significantly improved compared to the control group: normalization of the acid-forming function of the stomach on an empty stomach and stimulated was observed, in addition, normal acidity on an empty stomach occurred in 100% of patients. Conclusions: in the course of the study of the results of pH-metry of the stomach, the effectiveness of the physical therapy program for patients with dissecretory syndrome in gastric and duodenal ulcers was determined and it was concluded that the developed and applied physical therapy program is effective and contributes to a more stable normalization of the stomach, reduction of clinical manifestations of the disease. The conducted studies confirmed the expediency of using physical therapy in patients with this pathology, depending on the clinical manifestations of the disease, indicators of the secretory function of the stomach.