Physical therapy for vertebrogenic cerebral ischemia

Vertebrogenic cerebral ischemia is characterized by vertebrobasilar insufficiency with corresponding clinical manifestations. Its causes in 65% of cases are spondylolisthesis, in 87% - degenerative-dystrophic changes in the form of arthrosis of the uncovertebral joints, changes in the intervertebral discs, the presence of marginal osteophytes. It should be noted that cerebrobasilar system circulatory disorders account for 25-30% of all acute cerebrovascular accidents and about 70% of transient ones.

Starting from middle age (from 45 years according to the WHO classification), patients periodically experience complaints characteristic of this pathology. Timely diagnostics followed by the necessary treatment and preventive measures are a guarantee of preventing serious consequences, with physiotherapy methods taking first place.

Physiotherapy for vertebrogenic cerebral ischemia uses laser (magnetic laser) therapy methods, information-wave exposure methods and magnetic therapy.

Laser (magnetolaser) therapy can be performed in any conditions. Devices with infrared emitters (wavelength 0.8 - 0.9 µm) are used both in continuous radiation generation mode and in pulsed mode with the appropriate frequency. The patient's position during the procedure is sitting on a chair. The effect is carried out on the exposed skin along the cervical spine. The method of exposure is contact, stable.

Fields of influence:

• using NLI emitters with an impact area of about 1 cm2: I - VIII - paravertebrally, 3-4 fields on the right and left at the level of CIII - ThIII.
• using a matrix emitter with an area of 5 - 20 cm2: I-IV - paravertebrally, 2 fields on the right and left at the level of Csh - ThIII.

PPM NLI 5 - 10 mW/cm2. Magnetic nozzle induction 20-40 mT. Pulsed laser radiation generation frequency 5 - 10 Hz, exposure time per field 1 min, laser (magnetic laser) therapy course - 10-15 procedures daily once a day in the morning (before 12 a.m.).

It is recommended to conduct information-wave therapy using the Azor-IK device. The impact is carried out on the exposed skin along the cervical spine. The impact method is contact, stable.

Fields of influence: I - IV - paravertebral, two fields on the right and left at the level of CIII - ThIII.

The radiation modulation frequency is 10 Hz. The exposure time for one field is 10 minutes, for a course of exposure 10 - 15 procedures daily 1 time per day in the morning (before 12 o'clock).

Magnetotherapy of vertebrobasilar system circulatory disorders is recommended to be performed using the device "Pole-2D". The patient's position during the procedure is sitting on a chair. The impact is carried out using a contact, stable technique. Impact fields are one field on the right and one on the left paravertebrally at the level of CIII - ThIII. The impact time for one field is 10 minutes, the course of magnetotherapy is 10 - 15 procedures daily once a day in the morning (before 12 o'clock).

Sequential procedures on the same day are not recommended. A combination is possible, which includes exposure to the corresponding factors on different days (using the alternation method - laser exposure on one day, magnetic therapy on the next day, etc.) or alternating courses of various methods of physiotherapeutic exposure.

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