The effectiveness of cranial electrotherapy stimulation in syndromic-oriented health resort medical rehabilitation

Authors:

Mizin Vladimir Ivanovich, Grand PhD in Medical sciences, Associate Professor, Head of the Research Department of Physiotherapy, Medical Climatology and Resort Factors of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail: yaltamizin@mail.ru

Ezhov Vladimir Vladimirovich, Grand PhD in Medical sciences, Professor, Deputy Director for Scientific Work of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail mail: atamur@mail.ru

Dudchenko Leyla Shamilevna, Grand PhD in Medical sciences, Head of the Research Department of Pulmonology of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail: vistur@mail.ru

Yanovskiy Taras Sergeevich, PhD in Medical sciences, senior researcher of the Research Department of Physiotherapy, Medical Climatology and Resort Factors of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail: taras.yanovsky@yandex.ru

Smolyaninova Olga Pavlovna, researcher of the Research Department of Physiotherapy, Medical Climatology and Resort Factors of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail: olga.smolyan@yandex.ru

Ignatova Tamara Borisovna, researcher of the Research Department of Physiotherapy, Medical Climatology and Resort Factors of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail: tamarabi@yandex.ua

Nedopekina Oksana Anatolyevna, MD, neurologist, scientific consultant of the Research Department of Physiotherapy, Medical Climatology and Resort Factors of the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov, 10/3 Mukhina Street, 298603 Yalta, Republic of Crimea, Russian Federation, e-mail: nevrolog.zdorovie@yandex.ru

Annotation:

Introduction. Currently, it is envisaged to include instructions on effective methods of physiotherapy, health resort treatment and medical rehabilitation in clinical protocols for all nosologic forms of diseases. When forming such instructions, it is necessary to take into account the assessment of the effectiveness of physiotherapy methods as part of the syndrome oriented medical rehabilitation at health resort. Recently, more and more attention of physiotherapists has been attracted by cranial electrotherapy stimulation. However, the literature does not provide data on the effectiveness of cranial electrotherapy stimulation according to the criteria of the International Classification of Functioning, Disability and Health.

Aim. Justification for the inclusion of cranial electrotherapy stimulation in the complex syndrome-oriented health resort medical rehabilitation patients, profile for the resort of the South Coast of Crimea.

Materials and methods. A randomized clinical study was carried out in a group of 78 male and female patients aged 32–83 years (mean age is 64.1 years), who underwent a course of health resort medical rehabilitation in the clinic of Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov at the South Coast of Crimea resort. The group included 20 patients with main diseases of the circulatory system, 26 patients with main diseases of the respiratory system and 32 patients with cerebral atherosclerosis. The calculation of the initial value and the dynamics of the values of the International Classification of Functioning domains were carried out in accordance with the methodology developed in the Academic Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov. The complex of health resort treatment and medical rehabilitation included all physiotherapeutic methods traditionally used in the South Coast of Crimea resorts and corresponding to the current standards of health resort care, supplemented in the main subgroup by a course of cranial electrotherapy stimulation.

Results and discussion. In cardiac patients, the inclusion of cranial electrotherapy stimulation in the complex health resort treatment and medical rehabilitation provides significantly greater positive effects in the prothrombin index and pain syndrome, in pulmonary patients — reliably large positive effects in the b440 Respiration function domain, ALT and AST levels, in neurological patients — significantly greater positive effects in complaints of anxiety.
The syndrome-oriented effect of cranial electrotherapy stimulation is manifested in the counteraction of pain, respiratory, stress syndrome and dysmetabolic syndromes.

Summary. The inclusion of cranial electrotherapy stimulation in the complex of physiotherapy effects increases the effectiveness of health resort medical rehabilitation for patients with cardiological, pulmonological and neurological profiles and provides successful syndrome-oriented medical rehabilitation for pain, respiratory, stress syndrome and dysmetabolic syndromes.

List of cited literature:

1. Ponomarenko GN, Vladimirova ON. Kompleksnaya reabilitatsiya i abilitatsiya invalidov v Rossiyskoy Federatsii [Comprehensive rehabilitation and habilitation of persons with disabilities in the Russian Federation] / GN Ponomarenko, ON Vladimirova. Fizicheskaya i reabilitatsionnaya meditsina. [Physical and rehabilitation medicine]. 2019;1(1):9-15. (in Russian). DOI: 10.26211/2658-4522-2019-1-1-9-15.

2. Ulashchik VS. Yeshche raz o sindromno- patogeneticheskoy klassifikatsii fizicheskikh metodov lecheniya [Once again about the syndromic-pathogenetic classification of physical methods of treatment]. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury. [Questions of balneology, physiotherapy and therapeutic physical culture]. 2002;(5):38-41 (in Russian).

3. Ponomarenko GN red. Fizioterapiya: natsional’noye rukovodstvo / SG Abramovich, VV Adilov, PV Antipenko et al. [Physiotherapy: national manual]. Moscow: GEOTAR-Media, 2009:864. (in Russian).

4. Udartsev EYu. Sindromno-patogeneticheskiy podkhod k meditsinskoy reabilitatsii bol’nykh posle total’nogo endoprotezirovaniya tazobedrennogo i kolennogo sustavov [Syndromic-pathogenetic approach to medical rehabilitation of patients after total hip and knee arthroplasty] Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2011;60(2):30-36. (in Russian).

5. Petrov KB. Sindromno-oriyentirovannyy podkhod v vosstanovitel’noy meditsine [Syndrome-oriented approach in restorative medicine]. 2021. — URL: https:// dislife.ru/articles/view/11697 (data obrashcheniya: [date of access]: 04/26/2021) (in Russian).

6. D’Ardes D, Santilli F, Guagnano MT, Bucci M, Cipollone F. From Endothelium to Lipids, Through microRNAs and PCSK9: A Fascinating Travel Across Atherosclerosis. High Blood Pressure & Cardiovascular Prevention. 2020;27(1):1–8. DOI: 10.1007/s40292-019-00356-y.

7. Mizin VI. Sindromno-patogeneticheskiy podkhod k primeneniyu lechebno-profilakticheskikh effektov kompleksa polifenolov vinograda pri patologii serdechno-sosudistoy sistemy. [Syndrom pathogenic approach to application of the therapeutic and prophylactic effects of grape polyphenol complex under pathology of cardiovascular system] / VI Mizin, VV Ezhov, NA Severin, AYu Kruglova. J. of Health Sciences. 2013;16(3):95-108. (in Russian).

8. VOZ. Mezhdunarodnaya klassifikatsiya funktsioniro- vaniya, ogranicheniy zhiznedeyatel’nosti i zdorov’ya. [WHO. International classification of functioning, dis- abilities and health]. Geneva. 2001:342 p. (in Russian).

9. Shoshmin AV (2016) Primeneniye Mezhdunarodnoy klassifikatsii funktsionirovaniya, ogranicheniy zhiznedeyatel’nosti i zdorov’ya: metodologiya, praktika, rezul’taty. [Application of the International Classification of Functioning, Disabilities and Health: Methodology, Practice, Results] / AV Shoshmin, GN Ponomarenko, JK Bessstrashnova, IV Cherkashina. Voprosy kurortologii [Questions of balneology]. 2016;93(6):12-20. (in Russian).

10. Mizin VI. Metodologiya otsenki reabilitatsionnogo potentsiala i effektivnosti meditsinskoy reabilitatsii u patsiyentov s patologiyey kardio-respiratornoy sistemy v sootvetstvii s «Mezhdunarodnoy klassifikatsiyey funktsionirovaniya, ogranicheniy zhiznedeyatel’nosti i zdorov’ya» [Methodology for assessing the rehabilitation potential and effectiveness of medical rehabilitation in patients with pathology of the cardio-respiratory system in accordance with the International Classification of Functioning, Disabilities and Health]. / VI Mizin, NA Severin, LSh Dudchenko, VV Ezhov et al. Aktual’nyye voprosy fizioterapii, kurortologii i meditsinskoy reabilitatsii. Trudy GBUZ RK «ANII im. I.M. Sechenova» [Topical issues of physiotherapy, balneology and medical rehabilitation. Proceedings of the State Budgetary Healthcare Institution of the Republic of Crimea “ANII named after I.M. Sechenov»]. Yalta. 2016;XXVII:1-22. (in Russian).

11. Mizin VI. Ispol’zovaniye oprosnika SF-36 v otsenke effektivnosti meditsinskoy reabilitatsii na osnove kriteriyev «Mezhdunarodnoy klassifikatsii funktsionirovaniya, narusheniya zhiznedeyatel’nosti i zdorov’ya» [The use of the SF-36 questionnaire in assessing the effectiveness of medical rehabilitation based on the criteria of the «International classification of functioning, disability and health»] / VI Mizin, VV Ezhov, AYu Tsarev, TS Yanovsky, AV Ezhov, DA Shilina. Vestnik fizioterapii i kurortologii [Bulletin of physiotherapy and balneology]. 2020;26(4):85-89. (in Russian). DOI: 10.37279 / 2413-0478-2020-26-4-85-89.

12. Dudchenko LSh. Otsenka effektivnosti sanatorno- kurortnoy meditsinskoy reabilitatsii bol’nykh khronicheskoy obstruktivnoy bolezn’yu legkikh s ispol’zovaniyem kriteriyev «Mezhdunarodnoy klassifikatsii funktsionirovaniya, ogranicheniy zhiznedeyatel’nosti i zdorov’ya» [Evaluation of the effectiveness of health resort medical rehabilitation of patients with chronic obstructive pulmonary disease using the criteria of the «International classification of functioning, disabilities and health»] / LSh Dudchenko, VI Mizin, VV Yezhov. Vestnik fizioterapii i kurortologii [Bulletin of physiotherapy and balneology]. 2020;26(4):90-95. (in Russian). DOI: 10.37279 / 2413-0478-2020-26-4-90-95.

13. Zanin SA. TES-terapiya. Sovremennoye sostoyaniye problem [TES therapy. The current state of the problem] / SA Zanin, AKh Kade, DV Kadomtsev, EA Pasechnikova et al. Sovremennyye problemy nauki i obrazovaniya [Modern problems of science and education]. 2017;1. — URL: http://www. science-education.ru/ru/article/view?id=26133 (data obrashcheniya [date of access]: 04/26/2021). (in Russian).

14. Kade AKh., red [ed.] TES-terapiya pri ishemicheskikh insul’takh. Metodicheskiye rekomendatsii. [TES therapy for ischemic strokes. Guidelines]. Krasnodar-Saint Petersburg. 2020:28. (in Russian).