Physiotherapy for vertebral cerebral ischemia

Vertebrogenic cerebral ischemia is characterized by vertebrobasilar sufficiency with appropriate clinical manifestations. Its causes in 65% of cases is spondylolisthesis, in 87% - degenerative-dystrophic changes in the form of arthrosis of unco-vertebral articulations, changes in intervertebral discs, the presence of marginal osteophytes. It should be noted that discirculatory disorders in the vertebrobasilar system account for 25-30% of all acute disorders of cerebral circulation and about 70% of transient disorders.

Beginning with the middle age (from the age of 45 according to the WHO classification), patients periodically develop complaints characteristic of this pathology. Timely diagnostics with the subsequent carrying out of necessary medical and preventive measures is a guarantee of prevention of terrible consequences, physiotherapy methods are given the first place.

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

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

Fields of influence:

• with the help of radiators of NLI with an area of influence of about 1 cm2: I - VIII - paravertebral, 3-4 fields on the right and left at the level of CIII - ThIII.
• using a matrix emitter of 5-20 cm2 area: I-IV - paravertebral, 2 fields on the right and left at the level of C-ThIII.

APM NLI 5 - 10 mW / cm2. Induction of the magnetic nozzle 20-40 mT. The frequency of generation of pulsed laser radiation is 5-10 Hz, the time of exposure to one field is 1 min, the course of laser (magnetolaser) therapy is 10-15 procedures daily once a day in the morning hours (up to 12 hours).

Information-wave therapy is recommended to be carried out with the help of the apparatus "Azor-IK". The effect is carried out on exposed skin along the cervical spine. Technique of exposure is contact, stable.

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

The radiation modulation frequency is 10 Hz. The time of exposure to one field is 10 minutes, the course of exposure is 10 to 15 procedures daily 1 time per day in the morning hours (up to 12 hours).

Magnetotherapy of dyscirculatory disorders in the vertebrobasilar system is recommended to be performed with the help of the Polyus-2D apparatus. The position of the patient during the procedure is sitting on a chair. The effect is carried out by a contact, stable method. Influence fields - one field on the right and left of the paravertebral level at the CIII-ThIII level. The time of exposure to one field is 10 minutes, the course of magnetotherapy is 10 to 15 procedures daily once a day in the morning hours (up to 12 hours).

Consecutive procedures in one day is not recommended. It is possible to combine, which includes exposure to the relevant factors on different days (alternating method - one day, laser exposure, the next day - magnetotherapy, etc.) or alternating courses of different methods of physiotherapy.

[1], [2], [3]