Author: doctor Udovichenko Svetlana. email: email Place of work: municipal health care facility , Department of Surgery. Distributed 's syndrome is not inferior to the prevalence of lumbar pathology. Thus, according to Stockholm, 2.6% of all circulating in outpatient facilities were patients with brahialgiyami - they turned evenmorefrequently than patients ishialgiyami. In one of the clinics in Moscow primary appeal on cervical syndromes accounted for 11.3% with respect to all neurological diseases, whereas treatment at the lumbar syndromes accounted for only 8,4%. All this determines the utility of choice in treating such a diverse and widespread disease. In the cervical spine degenerative disease characterized by a number of differences compared with the same violations of the lumbar level. It is defined as the anatomical and physiological features of the cervical spine, and other static-dynamic loads [2]. Upper cervical level, devoid of discs, often shows joint pathology such as rheumatoid, rheumatic and other inflammatory and degenerative disorders prevail among arthritis. Important role in this area craniovertebral junction malformation and congenital weakness of the joint capsule with I-II. In srednesheynom department, the most mobile, with the most pronounced bending, backward, a significant burden undertake located in the posterior parts of the vertebral articular processes. Here, most early developed arthrosis and periarthrosis phenomenon, whereas the lower cervical level is dominated by degenerative lesions in the discs. In the lower cervical, who, like verhnesheynomu, a transitional,moreoften than in srednesheynom common developmental abnormalities. cervical rarely have the cartilaginous components of the vertebral bodies - at 2%. Insignificant when the compression of roots or the vertebral artery is occupied by the side of hernia. They are formed only 1%. The most important role is played - and this is very specific cervical spine - posterior and posterior-lateral (unkovertebralnye) bony growths of the vertebral bodies. In the first case, they threatened the spinal cord in the second - spines, the vertebral artery and its surroundings. Significant expression of reactive bone growths on the cervical level makes itmoredifficult (than in the lumbar), the distinction between forms of degenerative disease of Schmorl - osteochondrosis, spondiloza and cartilaginous components. They aremorelikely than the lumbar level, are not mutually exclusive of each other forms [5]. combination of one and the same person spondiloza osteoarthritis and cartilage node is observed not only late, but sometimes in the early stages of the process. study of literature data allows us to confirm the conclusion: in many cases it is difficult to determine the type of isolated spondiloza, cartilaginous node or degenerative disc disease. It is noted not only the combination of symptoms of the three forms. Themselves morphological characteristics of each form is not as specific, observed transitional forms. In analyzing the data should take into account that one and the same patient can take place not one but several clinical syndromes (backache, radicular, or brahialgichesky parestetichesky, shoulder-shoulder periatroz syndrome, shoulder, wrist, spinal, kardialgichesky, vertebral artery syndrome) . specific syndrome of the cervical vertebral level, and in particular syndromes cervico-Membrane, and require specific therapeutic approaches [4,5]. Since the basis of cervical osteochondrosis lezhit lesion of the intervertebral disc, the need for a therapeutic effect on the spine in this disease is beyond doubt. The most appropriate method would seem to be surgical: decompression of the roots or the spinal cord, and where possible - remove the precipitated mass. Indications for surgical intervention in cervical and tservikomembralnyh syndromes of cervical osteochondrosis evaluated by different clinicians in different ways. It should be borne in mind common complications both at the front, and at the rear access. This spilled inflammatory membranes and the spinal cord, often aseptic, and violations of repair processes induced by operative trauma, local neurotrophic vascular and lymphatic disorders. In addition to the relevant paresis and other symptoms of central and peripheral nervous system indicate the occasional dysphagia, respiratory failure, gastrointestinal bleeding, esophageal pressure ulcers, osteomyelitis, etc. [3]. Indications for surgical treatment of spinal syndromes of cervical osteochondrosis formulated IM Irgerom (1972) as follows: Lack of effect of conservative therapy Increase spinal symptoms relatively small disease duration Severe spondylosis at one level Clinical and mielograficheskie signs of compression of the spinal cord unit at liquorodynamic samples, especially in the situation pererazgibaniya. We adhere to the principle: the operation is justified, where medical treatment is futile. treatment of the main group of patients with different syndromes cervical degenerative disc disease is carried by a conservative. Regardless of whether the patient is asked in a stage of acute pain or in a different phase, treatment should be started with instasctional guidance on the regime. In the early days required for maximum peace of the cervical spine. The patient should lie with his head resting on a soft, small pillow. Under the neck is recommended underlay flat little warmer. Lying on its side, the patient should leave the shoulder on the mat, and put his head on the pillow, so that was not designed scoliotic posture. Should provide guidance on the inadmissibility of a long stay in the pose with bent or unbent neck. Patients with symptoms osteofibroza of hands needed a long rest of the affected joints. Should be permanently excluded ryvkovye movement. When the shoulder blade and shoulder periarthrosis recommended immobilization in a posture of easy lead, epicondylitis at the shoulder - in a pose of bending at the elbow at a right angle with mild pronation wrist. should beware of cooling and other factors that have a reflex through an adverse effect on neural stasctures and amplifying pain and reflex kontrakturnye phenomenon. Analgesics should be administered on the first day. More benign methods of therapeutic effects on the spine in cervical osteochondrosis are methods of orthopedic - immobilization collar and stretch [5]. Preference is given to a removable collar that is put on the night or day, in situations fraught with traumatization disc and articular stasctures of the neck, under certain kinds of work, jolting transport during the course of gymnastics, etc. Podiatrists tend to prescribe a treatment for prolonged immobilization - up to several months time. stretching of the cervical spine in cervical osteochondrosis is used formorethan 30 years. Dilation in patients with cervical osteochondrosis objectives are: Like the lumbar level, aspire to decompress the spine by increasing the vertical diameter of the intervertebral foramen . Such decompression, albeit brief, helps reduce swelling in the spine - a shift towards the elimination of jet phenomena in the tissue located in the intervertebral foramen. In the presence of subluxation of the intervertebral joints eliminate it in tension also leads to a temporary decompression of the spinal nerve or root. aspire to the effect on ligaments, muscles, tendons and other fibrous tissue of the spine to alter the proprioceptive impulses. stronger and longer rod can only strengthen the pathological proprioceptive, and often painful impulses, especially when there kontrakturnyh phenomena in muscles in spondiloperiatroze. Favorable changes under the influence of tension observed in the first place in the spine and brahialgii nekoreshkovoy, including shoulder-shoulder periatroz, shoulder syndrome - a bassh, as well as subacute and chronic neck pain (tservikalgii) and acute neck pain (backache). There are no less important, the possibility of changing the functional state of muscles - due to their active work with the help of physiotherapy. important testimony to the physiotherapist is the presence of disturbed motor stereotypes. These include, first, cases of pain that are not at rest, appear under load. They also include fatigue, changes in posture, inkoordinatsiya. An example is the pain of contraction of upper retainers shoulder - upper trapezius and levator scapulae and weakness of its fixtures - the lower part of the trapezius and the anterior part of the serratus muscle. Exercising at cervical osteochondrosis of course can not be done without the one hand, the need for peace, the prevention of traumatic receptor and neural stem formations and spinal bone and cartilage stasctures, but on the other - the need to avoid physical inactivity, improve blood circulation in the muscles of the neck and hands and up . to massage start at impending stihaniya spontaneous pain from asbbing, asbbing [1]. Later spend vibrating massage. Recently, an opportunity to conduct vibration massage with vertebral simulator swing Machines [6]. Vertebral electromechanical simulator Swing Machine is designed for use in preventive, health-building and rehabilitation medicine and in sports and cosmetology service. It can be used at home as a family unit. apparatus is approved in Russia (№ ROSS tw IM04.A01944 on 05/22/2000). Registered in the Ministry of Health and Medical Industry of the Russian Federation as a medical products (listed in the State Register under number 98/274). Apparatus Swing Machine is a modern vertebral electromechanical simulator, which allows to remote control the timing of the training. The impact of at least 15 minutes replaces 100 minutes of aerobic exercises, or 1 hour of cycling, 1 hour swimming, 2 hours skiing. Swing Machine increases the level of oxygen in the tissues without physical exertion and effort. Applied in the supine position on the background of complete relaxation of muscles patient while using the principles of physiotherapy effects. Provide comprehensive training of muscles, improves circulation, the heart, lungs, stomach, correcting posture. Dosage effects governed by a sense of the patient, which depends on the functional state of the nervous system, body temperature and subjective factors. In the area of impact marked decrease in pain. This unit promotes recovery of the organism, its mechanism of action is as follows: locally inflict irritation transmitted from the baroreceptors through the conductive fibers in the posterior columns of the spinal cord and hence - in the thalamus and the cerebral cortex of the brain. At the same time stimulation is perceived by cells of nodes sympathetic tasnk. Through the collaterals in the spinal cord and sympathetic regard irritation extends within the respective metamer body, including its constituent organs. When using Swing Machine zone caused by vibration stimuli rather extensive, so include a variety of metamers body, and consequently, the response to stimulation takes a general nature. Due to vibration exposure, vibration with a constant rhythm achieved a complete comprehensive training of muscles, improves heart and lungs, gastrointestinal tract, the microvasculature. This device can help those who suffer: lower mobility of the spine of various origins, chronic pain in the spine, being overweight, constipation or hemorrhoids, chronic venous insufficiency, insomnia, stress, and all there who do not have time to visit the gym several times a week . KEY BENEFITS trainer "SWING MACHINE" Apparatus "Swing Machine" provides training only organism. This unit is available to all - men and women, the elderly and children. There are no restrictions related to time, place and climatic conditions of application of this unit. apparatus used in the supine position. There is not any pressure or stress. No injuries. While during the exercise in the supine position, you can not fall down, stretch your muscles or injure themselves or in any other way. Your heart rate stays the same, as well as blood pressure. All this makes the exercise on the machine swing machine is safe and effective. ease and comfort. Apparatus Swing Machine is extremely simple and easy to use. For modern man, seeking to avoid unnecessary inconvenience, it is the easiest way to develop the habit of regular exercise. 15 minutes of exercise with the device in its salutary effects on the body correspond to 10.000 steps. Vibration therapy can provide pain medication, anti-inflammatory, desensitizing effect, stimulate metabolic processes in muscle, improve the peripheral circulation, with considerable intensity of the stimulus improves tissue trophic factors in the impact zone. Blood pressure while not significantly changing. Manual therapy in degenerative lesions of the cervical spine, probably the most justified in blocking the joint with the I-II after subluxation in it. Manual therapy is one of the most effective methods reflexogcnic impact, ie to the spine - one of the largest reflex zones, and the manipulation of it can affect virtually all organs, stimulating them, or preventing pathology. mechanism of adaptogenic effect of acupuncture can use its methods to enhance the natural protective and adaptive reactions of healthy people. believed that "refleksoprofilaktika" may increase the body's resistance as "reflex influence, as stressful stimuli cause the development of nonspecific adaptation reactions that provide cross-resistance to a variety of potentially pathogenic factors" (Vasilenko AM). possibility of active influence on homeostasis by acting on the reflex points in the process due to the prevailing features of the adaptive evolution of regulatory mechanisms of the functions of somatic and visceral organs: metameric principle of unity of the spinal innervation of visceral and somatic organs, including the integument. uniformity of the stasctural organization of afferent pathways somatic and visceral organs, and as polisegmentary their afferent and efferent innervation. presence at all levels of CNS neurons of associative perceiving information from a genetically different organs: skin, muscles and internal organs. The development of collaterals from all paths brain and spinal cord to the cerebellum, reticular formation and hypothalamus. Formation in the thalamus and the cerebral cortex areas of overlap of the projections of visceral sensitivity of the animal and having a great functional plasticity. great functional importance of the hypothalamic-pituitary-adrenal complex and the neurohumoral and hormonal regulation and limbic-reticular complex in the implementation of psihosomatovegetativnoy integration. Participation opiodergicheskoy system in the mechanisms of neurohumoral regulation. In connection with reflex massage mechanism should also consider other types of reflex therapy. Some authors successfully combine acupuncture with acupressure. When acupuncture is used usually lightweight braking technique with the impact on the point of cervical-collar zone and upper extremities. At the same zones, particularly in outpatient practice, try to influence of electro-, iodine-paste chloroethyl irrigation, bee and snake venom. From physiotherapeutic means the easiest and most affordable is the heat better in the form of electric heating pad on the neck with subsequent mandatory rest in bed. However, in the first days of illness, especially in cases where the pains are expressed by vegetative coloring, thermal procedures usually do not bring relief and can sometimes cause evenmorepain. Also zoned erythemal ultraviolet radiation, which at the lumbar pain are effective in the acute stage, with cervical syndromes are much less effective. Additionally, successfully used diadynamic currents and sinusoidal modulated currents. to influence the degenerative changes of the cervical spine, as well as on the band neyroosteofibroza on hand, used ultrasound, phonophoresis of hydrocortisone, anestezina, analgin. Highlights the best effect of this procedure in patients without marked autonomic disorders. from the resort factors for neurologic manifestations of a degenerative disease of the cervical spine is widely used segmental mud applications on the cervical-collar zone and hand, the radioactive bath, hydrogen sulfide baths. When vegetative syndromes prefer carbon, oxygen and iodobromnym baths. Injection treatment for points based on the recognition of the reflex nature of most syndromes of cervical osteochondrosis. This method gives the best effect in the period of exacerbation. Along with the introduction of dasgs in the first place novocaine in the painful zone, widely used method of infiltration has kontrakturno tight muscles. Dasg therapy non-local effects - is, first, anesthetics. Neurotic patients prescribed tranquilizers if necessary - and antidepressants. Second, designate sympatholytic in the presence of vasospastic and other manifestations of irritation with vasospastic and other manifestations of irritation of the sympathetic nervous system. Third, use vitamins B and C, fourth - anticholinesterase dasgs to influence the motor system in patients with paresis and in the absence of sharp pain. Literature. 1. Verbov AF Fundamentals of therapeutic massage. M. 1966 2. Zharkov PL Osteochondrosis, and other degenerative changes of spine in adults and children. Moscow, 1994 3. Irger IM Rumyantsev, Y. Surgical treatment of neurological complications complications of osteochondrosis of the cervical spine .- In.: Lesions of spinal cord in diseases of the spine. M., 1972, with. 21-218 4. Pathology of the Spine: Sat. nauch.tasdov (Eds. Fomichev NG), St. Petersburg, 1992. 5. Popelyansky Ya.Yu. Vertebral diseases of the nervous system. Kazan, 1981, Vol.2., P.-368. 6. Website "Vertebral Simulator SWING MACHINE" swing.far.com
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