Physiotherapy for bronchial asthma

Bronchial asthma is a chronic disease of the respiratory system, accompanied by a change in the sensitivity and reactivity of the bronchi and manifested by an attack of suffocation (expiratory dyspnea), asthmatic status or, in the absence of such symptoms, respiratory discomfort (paroxysmal cough, distant wheezing and shortness of breath). It is characterized by reversible bronchial obstruction against a background of hereditary predisposition to allergic diseases, extrapulmonary signs of allergy, eosinophilia of blood and / or eosinophils in sputum.

With exacerbation of bronchial asthma, patients are treated in a hospital setting. In various combinations and with the corresponding alternation of procedures, the following methods of physiotherapeutic treatment are carried out there.

1. Medicinal electrophoresis of essential medicines.
2. The effect of sinusoidal modulated currents (amplipulse therapy) on the corresponding regions.
3. UZ-therapy, DMV-therapy and inductothermy of the adrenal region.
4. Laser (magnetolaser) therapy by skin irradiation of appropriate fields and intravenous laser irradiation of blood.
5. Normobaric hypoxic therapy.
6. Carbonic baths.
7. Procedures electrosleep.

It should again focus on the need for the family doctor's insistence in explaining to doctors in the hospital the advisability of using DMV therapy and inductothermy on the area of the projection of the adrenal glands and other organs in the athermal mode of exposure.

In the absence of asthmatic status or frequent attacks of asphyxiation, the general practitioner (family doctor) conducts anti-relapse activities in outpatient settings or at home. Of the physiotherapy methods in this case, in the first place is inhalation therapy at the time of the attack of suffocation. The widespread introduction of a metered-dose metered dose inhaler (PIC) significantly reduced the value of this method with physiotherapeutic inhalation equipment. However, this equipment is not excluded from the arsenal of methods of physiotherapy of these patients. The family doctor needs to have a portable inhaler for bronchodilator treatment (2.4% euphyllin solution or 3% ephedrine solution for 5 to 6 ml at 38 ° C) according to the principle of alternation with the use of KIOD or in case of absence in the patient.

Pathogenetically caused by this pathology of physiotherapy at home in the interrepid period is laser (magnetolaser) therapy. The devices generating red (wavelength 0.63 μm) and infrared spectrum (0.8 - 0.9 μm wavelength) OR in continuous or frequency-modulated radiation mode are used.

Method of exposure OR - contact, stable. Affect the exposed skin integument of the body with two fields by a matrix radiator: - on the middle third of the sternum; II - on the interscapular region along the line of the spinous processes of the vertebrae. Using devices with an irradiation area of about 1 cm2, the inter-shoulder region of the action of four fields is paravertebrally two fields on the right and left at the ThV-ThVI level.

APM NLI 10 - 50 mW / cm2. The optimum modulation frequency is 10 Hz. However, it is also effective to use the action in the continuous mode of radiation generation. Induction of the magnetic nozzle 50 - 150 mT. The duration of exposure to one field is 5 minutes 1 time per day in the morning hours (until 12 noon), for the course of treatment 7 to 10 daily procedures.

In the inter-recurrent period, laser therapy courses should be performed once every 3 months, so that they coincide with the spring and autumn periods.

An alternative method of laser therapy is the application of information-wave action using the Azor-IC apparatus. The technique and fields of influence are identical to those for laser therapy. The frequency of EMP modulation is 10 Hz, the time of exposure to one field is 20 minutes, the course of anti-relapse therapy is 10 to 15 daily procedures once a day in the morning. The frequency of carrying out courses of information-wave impact also corresponds to the frequency of laser therapy.

If necessary, the methods of psychological rehabilitation with the help of the Azor-IC apparatus, which are performed simultaneously by the two fields on the projection of the frontal lobes of the patient's head, are very effective, contact and stable. The procedures are carried out 2 times a day. The frequency of EMP modulation in the morning hours after waking up to 21 Hz and before a night sleep is 2 Hz. Time of exposure on the field is 20 minutes, for a course of 10 to 15 daily procedures.

In the absence of recurrences of the disease, regular daily (up to 3 months or more) daily procedures are recommended (1 hour after dinner) on the Frolov breathing apparatus (TDI-01) according to the procedures attached to this inhaler.

It is possible to consistently perform procedures on the same day with bronchial asthma in outpatient and outpatient settings and at home (interval between procedures of at least 30 min):

• Inhalation + laser (magnetolaser) therapy;
• Inhalation + information-wave action with the help of the Azor-IC apparatus;
• laser (magnetolaser) therapy + psychological rehabilitation with the help of the Azor-IC apparatus + procedures on the Frolov breathing apparatus;
• information-wave action with the help of the Azor-IC apparatus + psychological rehabilitation with the help of the Azor-IC apparatus + procedures on the Frolov breathing apparatus.

[1], [2], [3], [4],