Physiotherapy for vegeto-vascular dystonia

Vegetative-vascular dystonia is a disease caused by a hereditary predisposition to disturbances in regulatory interactions between the central nervous system, sympathetic and parasympathetic divisions of the autonomic nervous system, endocrine and immune systems, and is also characterized by dysfunction of the cardiovascular, respiratory and other systems. In some monographs, manuals, and reference books, this syndrome complex is called vegetative-vascular dystonia.

In case of pronounced and persistent manifestations of this disease, inpatient treatment courses are conducted. At this stage, physiotherapy for vegetative-vascular dystonia includes electrosleep therapy, galvanization and electrophoresis of appropriate medications in certain areas, darsonvalization of local painful areas on the patient's body, exposure to diadynamic currents, laser (magnetic laser) therapy, hydro- and balneotherapy according to generally accepted methods depending on the form of vegetative-vascular dystonia.

As a rule, patients with the specified pathology are young and middle-aged people, therefore their treatment is carried out in the predominant variant in outpatient and polyclinic or home conditions. The list of physiotherapeutic methods carried out outside the hospital, primarily by the family doctor, is significantly limited for a number of objective reasons. To improve the efficiency and effectiveness of physiotherapy in outpatient and polyclinic conditions, at home and the patient's workplace, it is necessary to carry out a comprehensive impact mainly on the cardiorespiratory and central nervous systems.

The method of information physiotherapy fully meets these requirements - combined information-wave exposure using the Azor-IK device.

The procedures are carried out using a contact, stable method on the exposed areas of the patient's body. The combined method of treating vegetative-vascular dystonia predetermines the following fields of influence by the specified factor.

• Field I is the area of the middle third of the sternum.
• II field - interscapular region of the spine; the modulation frequency of the EMI when acting on these fields is 10 Hz. These fields correspond to the projection of the trachea, and the modulation frequency of the EMI - to the rhythm of oscillations of the ciliated epithelium of the bronchial tree.
• Field III is the precordial region (region of absolute percussion dullness of the heart), the frequency of EMI modulation on this field during tachycardia and normal heart rate is 2 Hz, during bradycardia 5 Hz. Impact on this field with the appropriate frequency helps to normalize the heart rhythm, and the factor itself has the property of improving coronary circulation and myocardial contractility.

The exposure time for fields I - III is 20 minutes once a day in the first half of the day (approximately from 9 a.m. to 12 a.m.). Fields IV and V are the projection of the frontal lobes of the patient's head. The exposure to these fields is carried out simultaneously, 2 times a day (in the morning and in the evening); the modulation frequency of the EMI in the morning hours after waking up is 21 Hz and before sleep at night is 2 Hz. Morning exposure (stimulation of the CNS activity) promotes activation of the beta rhythm of the electrical activity of the brain - the working rhythm of the EEG during human wakefulness, and the frequency of 2 Hz (exposure before sleep according to the inhibitory variant) corresponds to the EEG rhythm during deep sleep of a healthy person. The exposure time for fields IV and V is 20 minutes.

The course of the combined method of information-wave therapy consists of 10 - 15 daily procedures.

At home and at the patient's workplace, physiotherapy for vegetative-vascular dystonia is performed using portable laser (magnetolaser) therapy equipment. In this case, preference is given to laser therapeutic devices with infrared emitters (wavelength 0.8 - 0.9 μm) with the possibility of frequency modulation of radiation of 10 Hz (optimal frequency for bronchopulmonary dysfunction), 1 and 2 Hz (optimal frequencies for cardialgia). It is also possible to use laser therapeutic devices with a continuous ILI generation mode.

The method of action is contact, stable. Physiotherapy for vegetative-vascular dystonia is carried out by applying emitters to the naked surface of the patient's body, perpendicular to the skin.

Fields of action of emitters 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 - ThI; V - the area of the middle third of the sternum; VI - IX - along the spine paravertebrally, two fields on the right and left at the level of Thv - ThVI; X - XI - the second intercostal space, on the right and left at the edge of the sternum; XII - the fourth intercostal space along the left midclavicular line (area of absolute percussion dullness of the heart).

If frequency modulation is possible, or the effect on I - IX fields is 10 Hz, on X - XII fields with tachycardia and normal heart rate is 1 Hz, with bradycardia 2 Hz. Magnetic attachment induction (with magnetolaser therapy) is 20 - 40 mT. The exposure time on I - VI fields is 1 min, on VI - XII fields is 2 min, for a course of treatment 10 procedures daily once a day in the morning.

Fields of influence of the matrix emitter: I - II - along the spine paravertebrally, two fields on the right and left at the level of CIII - ThI; III - the area of the middle third of the sternum, IV - the interscapular area along the line of the spinous islands of the vertebrae at the level of ThV - ThVII, V field - the precordial area (the area of absolute percussion dullness of the heart).

The modulation frequency or when acting on I - IV fields is 10 Hz, on the V field during tachycardia and normal heart rate 1 Hz, during bradycardia 2 Hz. The exposure time on I - II fields is 1 min, on III - V fields 2 min, for a course of treatment 10 procedures daily 1 time per day in the morning.

In case of vegetative-vascular dystonia of the hypertensive type, it is possible to conduct magnetic therapy (PeMP) of the collar area in the morning hours as an independent method. For these purposes, it is recommended 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. The course of treatment is 15 procedures daily 1 time per day.

For all types of vegetative-vascular dystonia, it is possible to combine laser (magnetic laser) therapy using the methods described above and infitotherapy with the projection of the EMF impact of the Infita device onto the frontal region of the head to normalize the functioning of the central nervous system. The EMF impulse generation frequency of the Infita device is 20 Hz (EEG beta rhythm), the exposure time per procedure is 10-15 minutes, for a course of treatment 10-15 procedures daily once a day in the morning.

Our experience shows that the use of the Azor-IK device simultaneously with two fields on the projections of the patient's frontal lobes (both therapeutic and rehabilitation procedures of direct influence on the central nervous system) is very effective for treating this pathology as an independent method of information physiotherapy (both therapeutic and rehabilitation procedures of direct influence on the central nervous system). The technique is contact, stable. The procedures are carried out 2 times a day. The frequency of EMI modulation in the morning after waking up is 21 Hz and before sleep at night is 2 Hz. The exposure time per field is 20 minutes, for a course of 10-15 procedures daily.

To stabilize the function of the cardiorespiratory and central nervous system, it is also recommended to regularly perform daily procedures in the evening (1 hour after dinner) on the Frolov breathing simulator (TDI-01) according to the methods attached to this inhaler for at least 1 month. These procedures help stabilize the function of the bronchopulmonary system.

It is possible to carry out consecutive procedures in one day for vegetative-vascular dystonia in outpatient and polyclinic conditions and at home (the interval between procedures is not less than 30 minutes):

• laser (magnetic laser) therapy + procedures on the Frolov breathing trainer;
• magnetic therapy + procedures on the Frolov breathing trainer;
• information-wave impact using the “Azor-IK” device with three fields (middle third of the sternum, interscapular region of the spine, precordial region) + procedures with TDI-01;
• combined information-wave impact using the Azor-IK device (IV fields);
• laser (magnetolaser) therapy + morning and evening information-wave impact with the help of the "Azor-IK" device on the frontal lobes of the brain;
• magnetic therapy + morning and evening information-wave impact using the Azor-IK device | on the frontal lobes of the brain.

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