Physiotherapy for arterial hypertension

Arterial hypertension is a multifactorial disease, the main clinical manifestations of which are persistent chronic increase in systolic and/or diastolic blood pressure, which is based on a genetic polygenic structural defect that causes high activity of long-acting pressor mechanisms.

In case of exacerbation of the pathological process, complex treatment is carried out in stationary (hospital) conditions. Physiotherapy for arterial hypertension is very diverse and corresponds primarily to the stage of the disease. According to some authors, physiotherapeutic methods used in the treatment of patients with hypertension are divided into 4 groups.

• Group I - methods (factors) that affect neurophysiological and hemodynamic processes in the central nervous system: electrosleep, medicinal electrophoresis, galvanization, magnetic therapy (exposure to high magnetic fields).
• Group II - methods (factors) stimulating peripheral vasodepressor mechanisms. This is the effect on the carotid sinus region with diadynamic currents or on the collar region and the projection zone of the kidneys with sinusoidal modulated currents (amplipulse therapy).
• Group III - methods (factors) affecting renal hemodynamics: inductothermy, ultrasound therapy, galvanization, amplipulse therapy and magnetic therapy (exposure to alternating magnetic fields on the projection areas of the kidneys).
• Group IV - methods that have a general effect. These are galvanization methods according to Vermel and Shcherbak, various methods of hydro- and balneotherapy. To the above, it is necessary to add such a physiotherapeutic method as the impact of ILI - laser (magnetolaser) therapy. It is most effective in the initial stages of hypertension, with essential hypertension, when neuroreflex mechanisms are leading in pathogenesis.

For these purposes, it is possible to use both red (wavelength 0.63 µm) and infrared laser emitters (wavelength 0.8 - 0.9 µm). They act on the patient's bare skin, the method of action is contact, stable.

Fields of action of the emitter with an irradiated surface area of about 1 cm2 ^: I - IV - along the spine paravertebrally, two fields on the right and left at the level of CIII - ThIV; V - VI - the shoulder area; VII - VIII - supraclavicular areas at the level of the middle of the clavicle.

Fields of influence of the matrix emitter: I - III - in the middle along the spinous processes of the vertebrae at the level of CIII - ThIV; IV - V - the area of the shoulder blades; VI - VII - the supraclavicular areas at the level of the middle of the clavicle.

If frequency modulation of the NLI is possible, the optimal frequency is 10 Hz, however, the effect is also effective in continuous (quasi-continuous) radiation mode. Magnetic nozzle induction is 20 - 40 mT. The exposure time for one field is 2 minutes, for a course of treatment 10 - 15 procedures daily 1 time per day in the morning.

Taking into account the etiopathogenetic determinacy of this pathology, instead of electrosleep procedures, for many reasons it is more appropriate to use information-wave impact with the help of the "Azor-IK" device on the projection of the frontal lobes of the brain contact, stably, 2 times a day. The frequency of EMI modulation in the morning hours after awakening is 21 Hz and before night sleep is 2 Hz. The time of impact on the field is 20 minutes, for a course of 10 - 15 daily procedures.

During the period of stable course of the disease in the presence or possible psycho-emotional and physical stress at home or at the patient's workplace, it is advisable to conduct a course of the following physiotherapeutic interventions (at least 10 daily procedures).

1. Laser (magnetic laser) therapy in the morning hours at the workplace using the method described above.
2. Magnetic therapy (PeMP) of the collar area also in the morning. It is advisable to use the portable device "Pole-2D". The technique is contact, stable. They act sequentially with two fields on the shoulder area for 20 minutes per field.
3. Information-wave impact on the areas of the frontal lobes of the brain using the “Azor-IK” device before the start of the working day (in the morning upon awakening) and in the evening (before going to bed at night) using similar methods of therapeutic impact.

It is possible to carry out consecutive procedures in one day for hypertension in outpatient and home settings:

• laser (magnetic laser) therapy + information-wave impact on the areas of the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device;
• magnetic therapy (PMT) of the collar area + information-wave impact on the areas of the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device.

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