Euromedica 2011 A.G. Polyakova I.E. Malisheva ehf-puncture in rehabilitation of paitients with orthopedic pathology"

A.G. Polyakova I.E. Malisheva	EHF-PUNCTURE IN REHABILITATION OF PAITIENTS WITH ORTHOPEDIC PATHOLOGY
	Research Institute of Traumatology and Orthopedics, Nizhni Novgorod, Russia

Introduction: Among the orthopaedic chronic disease the hip joint pathology and scoliosis are the most common. The majority of patients with this pathology become disabled and this determines social signiﬁcance of this problem. In rehabilitation of patients with orthopaedic pathology an important place is occupied by correction disorders of microcirculation and regional blood ﬂow. At present one of the modern methods of acupuncture EHF-puncture (extremely hi frequency) are widely used in treatment.

Aim of the study: to ﬁnd out the inﬂuence of EHF-puncture on the processes of microcirculation and regional blood ﬂow in experiment and clinic among other methods of the complex treatment of the patients with orthopedic pathology.

Set of patients: we studied EHF-puncture in experiment (10 volunteers) and in rehabilitation of 65 patients with joint pathology and 45 children with crania-vertebral pathology (aged 4-76).

Methods: EHF-radiation frequency range was 53-78 MHz, radiation power was 0,2-I,0 mcWt. The EHF-puncture was performed at acupuncture points under control of electropuncture diagnostics.

Microcirculation was studied using thermodiagnostic methods. The blood ﬂow state was estimated by the results of rheoencefulography.

Results and discussion: no complications were observed. Symmetric increase of luminescence on the average 1,5° was registered since the ﬁrst minute of EHF-radiation, the maximal warming up (on the average 3°) was marked 15 minutes after the beginning of EHF- radiation. In 70 % of patients a signiﬁcant decrease of blood ﬂow gradient between healthy and sore hemispheres and neutralization of reduced blood supply of vertebrabazilar zone after the course of EHF-puncture (p < 0,02) were registered.

Conclusion: EHF-radiation produces a homeostatic effect on the organism, processes of microcirculation and regional blood ﬂow in particular. As the results of rehabilitation including EHF-puncture in patients with orthopedic pathology have shown high effectiveness of this method. It can be recommended to include in the rehabilitation complex.