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APPLICATION MAGNIT LAZER THERAPY WITH LAZER ACUPUNCTURE PATIENTS WITH INFANT CEREBRAL PALSY
Khamroev Farhod Sharafovich, PhD., Deputy Chief Physician of the Republican Children's Psychoneurological Hospital, Tashkent, Uzbekistan E-mail: doctorfarkhod@gmail.com
APPLICATION MAGNIT LAZER THERAPY WITH LAZER ACUPUNCTURE PATIENTS WITH INFANT CEREBRAL PALSY
Abstract: The operated patients with Infant Cerebral Palsy (ICP) Magnit Lazer Therapy (MLT) was appointed on a following formula: capacity - 6 vt, frequency - 80 Hz, an exposition- 32 s, on one field daily, a technique is contact and stable (through a gauze bandage), course of treatment - 10 procedures. The magnetic nozzle by intensity of a magnetic field 50 m Tl is applied. After effecting to the injured area of a skin was carried out laser reflex therapy. For these purposes by the same device with acupuncture nozzle A-2 a following technique was used: capacity - 8vt, frequency of 1500 Hz, an exposition 16 s, on 1 TA, 6-8 TA, daily, course of treatment - 6 procedures. Decrease in percent of early postoperative complications.
Keywords: cerebral palsy, children, laser acupuncture, magnit lazer therapy, treatment.
Surgical treatment is powerful facility in a complex of re- 2003. In total MLT with LA were received by 215 patients,
3440 procedures are released.
MLT on area of stitches with laser acupuncture under the special scheme from device "Mustang-016" is carried out from third day after operation. The laser therapy device (model 016) has a set of fixed frequencies, the timer in an automatic mode, scale indicator impulse capacity of radiation and a set of additional nozzles.
MLT was prescribed on a following formula: capacity -6Bt, frequency - 80 Hz, an exposition 32 s on one field, a technique is contact, stable (through a gauze bandage), daily, and course of treatment - 10 procedures. The magnetic nozzle by intensity of a magnetic field 50 mTI is applied.
Technique of MLT: Before procedure, perform a toilet and surgical management of stitches. A radiator moved above the focus along a neurovascular bunch or a nerve from the center to periphery or on perimeter of the focus from periphery to the center, from healthy sites of a skin. Number of fields is determined by character of operative intervention. For example, at operation myotomy of adductor muscles of a hip with neuroectomy motor portion of n.obturatorius int. effect on 4 fields, at operation Eggers - on 8 fields, at operation Stoffel II in popliteal area - on 6 fields, at Achilles tendon plastics - on 6-8 fields (depending on a technique of operation).
After effect on the focus of damage of a skin, the laser reflex therapy is carried out. For these purposes, the same device with acupuncture nozzle A-2 by a following technique is used: capacity- 8Vt, frequency of 1500 Hz, an exposition 16s on 1TA, 6-8 TA, daily, course of treatment - 6 procedures. Zones of acupuncture are given in order of effect on them:
generative treatment of disturbances of motor functions at patients with infantile cerebral paralysis [5].
The success of operative intervention is connected as with a correct choice of a way of operation, technics of performance, and with postoperative carrying out of patient with ICP. A primary task of the postoperative period is that healing of a wound was without complications for preventive maintenance of cheloid cicatrix. For these purposes, basically, physiotherapeutic methods of treatment are used [1].
Combined application of a constant magnetic field (CMF) and laser radiation has received the name MLT. The combination of these two methods is not the usual sum of affection, and is characterized synergetic-resonant, that renders more expressed effect on an organism (3). Considered joint application of the laser and CMF together increases metabolic processes, stimulates formation of macro power molecules of ATP, mitotic activity of cells, microcirculation, weakens processes of thrombus formation [1; 3; 4]. MLT has a powerful absorptive effect that exceeds effect of lidase [4].
The author believes that laser affective on zones of acupuncture identically to ancient Chinese method of warming up and cauterization with wormwood cigars, and laser reflex therapy in affection on TA during 30-60 s, equivalently to 20-30 minutes of acupuncture.
The aim of the work was to study the effectiveness of MLT and Laser Acupuncture (LA) in patients with ICP.
Materials and methods. Work is based on the analysis of results of application MLT with LA on operated patients with ICP in the Republican Children's Psychoneurological Hospital. In hospital, MLT and LA are being applied since
Section 7. Medicine
- On Monday, Wednesday, Friday: GI 4 (khe-gu), E 36 (tsu san lee) - symmetrically, VG 12 (chjunvann);
- On Tuesday, Thursday and Saturday: MC 6 (nay guan), RP 6 (san inn zsyao),- symmetrically, VG 12 (chjunvann).
To the base recipe 2-3 TA is added depending on character of operative intervention.
At operation tenomyotomy of adductor muscles of a hip with neuroectomy of motor portion of n.obturatorius int. effect on extrameridional and new points: BM 83, BM 85, H 57 that promotes decreasing of a pathological tone of adductor muscles of a hip.
At operation Eggers affect points VB34 (yanleenzuan), E 35 (du bi), BM (khaodeen), E 32 (futuu), RP 9 (inn leenzuan) to stimulate the quadriceps muscle of a thigh, on points V 37 (inn mann), V 38 (fuucee) for a relaxation of flexor muscles of tibia.
After Stoffel-II operation effect on points V 56 (chen-zsen), V 57 (chenshan) promotes relaxation of the triceps muscle of a tibia.
At Achilles tendon plastics effect on new point'sH 84, H 89 is added, that corrects position of feet and improves a support on them.
At all kinds of operative intervention, effect on new points H 81, H 82 is directed to increase strength of lower extremity muscles.
Results and discussion. With application MLT and LA the tone of muscles of hands and somewhat muscles of legs has noticeably decreased. Because of it movements in extremities, and in hands purposeful capture of subjects, manipulation have noticeably improved. With introduction, MLT and LA were noted:
1. Decrease in intensity of pains in the first days after operation that has allowed reducing application of anesthetizing aids;
2. Reduction of an oedema and other signs of an inflammation, period of antibacterial therapy have been reduced from 7 till 5 days;
3. Acceleration of healing of postoperative wounds for 2-4 days is faster;
4. Decreasing in percent of early operational complications (suppurations and suture sinus) up to 4%. According to the literature at operation myotomy of adductor muscles of a hip with neuroectomy motor portion of n. obturatorius int., in connection with defect of tissues after dissection contracted muscles the cavity which is filled with stagnant blood is formed; this long existing hematomas detain healing of a wound and are the good environment for development of an infection;
5. Decreasing of formation of cicatricle contractures and keloidcicatrices;
6. Shortening the period of hospitalization of a patient in surgery department.
MLT is considered ideal in a combination with LA for postoperative rehabilitation of this contingent of children-invalids. The combination of these two methods is not the usual sum of affection, and is characterized synergic-resonant, that renders more expressed effect on an organism. Combined application of the laser and CMP increase metabolic processes, stimulate formation of macroergic molecules ATP, mitotic activity of cells, and weakens processes of thrombus formation. MLT is powerful absorptivemethod that exceeds effect of lidase.
Besides LA has following advantages than acupuncture:
1) Painlessness of a method that is very important for children and their parents;
2) Noninvasive and aseptic;
3) An opportunity of affect through gauze and plaster
bandages;
4) Takes not much time.
Thus, MLT became an integral part of a complex of the postoperative rehabilitation actions affecting result of surgical treatment in patients with cerebral paralyses. The method accelerates process of healing of a postoperative wound and promotes decreasing of period, purchasing of new motor skills in patients with ICP. MLT with LA are tolerable by patients and practically have no contra-indications.
References:
1. Buylin V. A., Moskvin S. V. Low-intensity Laser Therapy of Various Diseases.- Moscow, 2001. - 172 p. (In Russian).
2. Cojevnikova V T. Modern technology in complex of physical rehabilitation of patients with an infantile cerebral paralysis.-M., 2005.- 238 p. (In Russian).
3. Kozlov V. I., Builin V. A. Laser therapy with ALT "MUSTANG".- Moscow: "Engineering", 1998.- 148 p. (In Russian).
4. Kozlov V. I., Buylin V. A., Samoilov N. G., Markov II Basics of laser physio- and reflexotherapy // Ed. O. K. Skobelkina / State Sci. Center Laser. Medicine. Samara: Samar. Med. Un-ty; - Kiev: Healthy. 2002.- 251 p. (In Russian).
5. Khamroev F. S. Neurophysiological evaluation of the efficiency of treatment of botulotoxin of spastic forms of ICP // European science review. 2018; 3-4: 206-10.
