Physiotherapy with vegeto-vascular dystonia

Vegeto-vascular dystonia is a disease caused by a hereditary predisposition to violations of regulatory interactions between the central nervous system, sympathetic and parasympathetic parts 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, reference books, this syndrome is called a vegeto-vascular dystopia.

With expressed and persistent manifestations of this disease, in-patient treatment courses are conducted. At this stage, physiotherapy with vegetative-vascular dystonia includes electro-therapy, galvanization and electrophoresis of the appropriate drugs for specific areas, darsonvalization of local soreness areas on the patient's body, exposure to diadynamic currents, laser (magnetolaser) therapy, hydrotherapy and balneotherapy according to generally accepted methods in depending on the form of vegetative-vascular dystonia.

As a rule, patients with this pathology are individuals of young and middle age, therefore their treatment is carried out in the prevailing form in out-patient-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 increase the efficiency and effectiveness of physiotherapy in outpatient settings, at home and in the workplace of the patient, it is necessary to carry out a complex effect mainly on the cardiorespiratory and central nervous systems.

To the full, these requirements are met by the method of information physiotherapy - combined information-wave action with the help of the Azor-IC apparatus.

Procedures are carried out by a contact, stable method on the exposed areas of the patient's body. The combined method of treatment of vegetative-vascular dystonia determines the following fields of exposure by this factor.

• I field is the area of the middle third of the sternum.
• II field - interblade area of the spine; the modulation frequency of the EMR under the action of 10 Hz on these fields. These fields correspond to the projection of the trachea, and the frequency of modulation of the EMR is the rhythm of the oscillations of the ciliated epithelium of the bronchial tree.
• III field - the precordial region (the region of absolute cardiac stupidity), the frequency of EMP modulation on this field with tachycardia and normal heart rate 2 Hz, with bradycardia 5 Hz. Exposure to this field with an appropriate frequency contributes to the normalization of the heart rhythm, and the factor itself has the property to improve the coronary circulation and contractility of the myocardium.

The time of exposure to I - III fields is 20 minutes once a day in the morning (from about 9 to 12 hours). IV and V fields - the projection of the frontal lobes of the patient's head. Influence on these fields is carried out simultaneously, 2 times a day (morning and evening); frequency of EMP modulation in the morning hours after waking up to 21 Hz and before a night sleep of 2 Hz. Morning effects (stimulation of the central nervous system) contribute to the activation of the beta-rhythm of brain electrical activity - the working rhythm of the EEG during wakefulness of the person, and the frequency of 2 Hz (the effect before sleep on the inhibitory variant) corresponds to the EEG rhythm during deep sleep of a healthy person. The time of exposure to IV and V fields is 20 min.

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

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

Technique of exposure is contact, stable. Physiotherapy with vegeto-vascular dystonia is performed by applying the radiators to the exposed surface of the patient's body, perpendicular to the skin.

Fields of exposure to irradiators with an irradiated surface area of about 1 cm2: I-IV - Paravertebral two fields on the right and left at the CIII-ThI level along the vertebral column; V - region of the middle third of the sternum; VI - IX - along the vertebral paravertebrally two fields on the right and left at the level of Thv - ThVI; X - XI - second intercostal space, right and left at the edge of the sternum; XII - the fourth intercostal space along the left median-clavicular line (area of absolute percussory dullness of the heart).

If frequency modulation is possible or the effect on I - IX field is 10 Hz, on X - XII field with tachycardia and normal heart rate 1 Hz, with bradycardia 2 Hz. Induction of magnetic packing (with magnetolaser therapy) 20 - 40 mT. The time of exposure to the I - VI field is 1 minute, VI - XII fields for 2 min, for treatment 10 procedures daily 1 time per day in the morning.

Fields of influence by a matrix radiator; I - II - along the vertebral paravertebrally two fields on the right and left at the level of CIII - ThI; III - region of the middle third of the sternum, IV - interblade area along the line of the spinous islets of the vertebrae at the level of ThV - ThVII, V field - precardial region (the region of absolute percussory dullness of the heart).

The frequency of modulation, or when exposed to I-IV fields 10 Hz, in V field with tachycardia and normal heart rate 1 Hz, with bradycardia 2 Hz. Time of impact on the I - II field for 1 min, for the III - V field for 2 min, for the course of treatment 10 procedures daily 1 time per day in the morning.

With vegetative-vascular dystonia in the hypertonic type, it is possible to carry out magnetic therapy (PeMP) of the collar area in the morning as an independent method. For these purposes, it is recommended to use the portable device "Pole-2D". The technique is contact, stable. Effectively consecutively two fields on the area of the shoulder for 20 minutes on the field. The course of treatment 15 procedures daily 1 time per day.

With all types of vegetative-vascular dystonia, laser (magnetolaser) therapy can be combined according to the above methods and infitotherapy with the projection of the EMF effect of the "Infita" apparatus on the frontal region of the head for normalizing the functioning of the central nervous system. Frequency of EMP pulses generation of the apparatus "Infita" 20 Hz (beta-rhythm EEG), exposure time for one procedure is 10-15 minutes, for the course of treatment 10 - 15 procedures daily 1 time per day in the morning.

Our experience testifies to the very effective use for the treatment of this pathology as an independent method of informational physiotherapy, with the help of the Azor-IC apparatus, simultaneously by two fields on the projection of the frontal lobes of the patient's head (both curative 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 EMP modulation in the morning hours after waking up 21 Hz and before a night sleep of 2 Hz. The exposure time on the field is 20 minutes, for a course of 10 to 15 procedures daily.

In order to stabilize cardiovascular and central nervous system function, it is also recommended to regularly perform daily procedures in the evening (1 h after dinner) on the Frolov breathing apparatus (TDI-01) according to the procedures applied for this inhaler for at least 1 month. These procedures help stabilize the function of the bronchopulmonary system.

It is possible to consistently perform procedures in one day with vegeto-vascular dystonia in outpatient and outpatient settings and at home (the interval between procedures is not less than 30 min):

• Laser (magnetolaser) therapy + procedures on the Frolov breathing apparatus;
• Magnetotherapy + procedures on the Frolov breathing apparatus;
• information-wave action with the help of the Azor-IC apparatus by three fields (middle third zone of sternum, interblade area of spine, precordial region) + procedures with TDI-01;
• combined information-wave action with the help of the apparatus "Azor-IK" (IV field);
• Laser (magnetolaser) therapy + morning and evening information-wave action with the help! Apparatus "Azor-IC" on the frontal lobes of the brain;
• magnetotherapy + morning and evening information-wave action with the help of the Azor-IC apparatus | on the frontal lobe of the brain.

[1], [2], [3]