FIELD: medicine, vertebrology, orthopedics, neurosurgery, traumatology.
SUBSTANCE: one should perform both horizontal and vertical vertebral traction and electrodiagnostics to detect the degree of the impact. Moreover, as electrodiagnostic trial one should apply the technique of electroneuromyography (ENMG) to detect the activity of motoneurons. Traction should be fulfilled due to distractional asymmetric and/or symmetric impact at the level of affected segment of vertebral column and/or spinal cord and its radicles. ENMG testing should be carried out both before and after traction, moreover, the nature, degree and terms of traction should be detected by positive result of motoneurons activity value. Additionally, one should conduct electrostimulation - epidural - of spinal cord at the level of its lesion or percutaneous - in projection of affected areas of spinal cord and/or affected radicles and peripheral nerves. The nature of electrostimulation impact should be determined according to altered activity of motoneurons to be detected during stimulation and after it. The method enables to decrease dystrophic processes in vertebral column and spinal cord and decrease, also, in involved spinal radicles, peripheral nerves and innervated tissues, redistribute the loading in spasmodic muscles and, thus increase stimulation of nervous tissue and activate circulation in affected areas that helps to restore muscular-tonic disorders in vertebral-motor segment and decrease autonomic-vascular disorders, trophic disorders of spinal cord and its radicles.
EFFECT: higher efficiency of therapy.
3 cl, 7 dwg, 3 ex
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Authors
Dates
2005-08-20—Published
2003-07-15—Filed