Affiliation:
1. National Medical Research Center of Rehabilitation and Balneology of the Ministry of Health of Russia, Moscow, Russia
2. Peoples’ Friendship University of Russia (RUDN)
3. Faculty of Continuing Medical Education, Peoples’ Friendship University of Russia (RUDN)
Abstract
Purpose: To optimize the treatment of children with somatoform autonomic dysfunction suffering from frequent acute recurrent infections with the use of physiotherapy methods. Research methods: The study of 140 children with somatoform autonomic dysfunction suffering from frequent recurrent infections included the analysis of the data on developmental histories (form № 026/in «Children’s Medical Card for School» and form 112/ «History of Child Development»), clinical complaints, functional (ECG and cardiointerval recording) and vegetative indicators (Kerdo, Hildebrandt, Baevsky-Parin indices) before and after the use of the photobioacoustic complex, which includes: biofeedback bioacoustic impact on the head area and LLLR on the projection of the cubital area and thymus. The ECG was performed on the device of the «Shiller» company (Switzerland) with a computer console for cardiointerval recording. The vegetative indices were studied on the «Poly-Spectr» device of Neurosoft (Russia). LLLR was performed on the «Milta» (l=0,89 mcm) on the overhead projection area at a frequency of 80Hz for 5 minutes and on the projection zone of the thymus at a frequency of 1500 Hz for 3minutes, as responsible for immune support. The total duration is 8–9 minutes (children of 7–8 years — 5–8 minutes; children of 9–12 years — 8–9 minutes). Bioacoustic effects on the head area were performed on the hardware-computer complex of acoustic correction (biofeedback bioacoustic correction) «SINKHRO-S» (Russia). Results: Parasympathicotonia (VI) was identified in 35% (18,5% of boys, 16,4% of girls); sympathicotonia (SA) — in 54,1% (28,5% of boys, 25,7% of girls); a mixed type of vegetative dystonia — in 10,9% (4,4% of boys, 6,5% of girls). Subjective complaints of children with somatoform autonomic dysfunction suffering from frequent recurrent infections had a brighter picture than those of children without an infectious factor. Gender-age differences in subjective complaints of children with somatoform autonomic dysfunction, which correlated with vegetative types: sympathoadrenal (SA), parasympathetic or vagoinsular (VI) and mixed (eutonia, C), have been identified. Conclusion: The developed photobioacoustic complex provides a high correction of index indicators of vegetative tension and vegetative reactivity in children with elevated Kerdo and Baevsky-Parin indices. After the reduction of these indicators, the elimination of correlations between them was noted, which positively affected the vegetative reactivity and parameters of myocardial bioelectrogenesis.
Publisher
PANORAMA Publishing House
Reference20 articles.
1. Akhoun I., Gallego S., Moulin A., Menard M., Veuillet E. The temporal relationship between speech auditory brainstem responses and the acoustic pattern of the phoneme. Bad in normal-hearing adults). Clinical Neurophysiology. 2018; 1 (1): 4: 922–933. 42(5):e296-e300. https://doi.orq/Jcn -12.1035-021.
2. Rachin A.P., Vygovskaia S.N., Nuvakhova M.B., Kuziukova A.A., Rachin S.A. Disfunktsionalnye mekhanizmy sindroma vegetativnoi distonii u detei i podrostkov: ot patogeneza k terapii. Materialy k diskussii [Dysfunctional mechanisms of autonomic dystonia syndrome in children and adolescents: from pathogenesis to therapy. Materials for the discussion]. 2020; 6 (1): 49–50. (In Russ.).
3. Efendieva M.T., Razumov A.N., Poroikova M.V. Vliianie vosstanovitelnogo lecheniia na neirogumoralnuiu reguliatsiiu nizhnego pishchevodnogo sfinktera bolnykh gastroezofagealnoi refliuksnoi bolezniu [Effect of restorative treatment on neurohumoral regulation of the lower esophageal sphincter in patients with gastroesophageal reflux disease]. Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kultury [Questions of balneology, physiotherapy and therapeutic physical culture]. 2020; 4 (2): 30–35. (In Russ.).
4. Nalbat A.V., Iakupov Ia.E. Mekhanizmy razvitiia ortostaticheskoi arterialnoi gipotenzii u patsientov s disfunktsiei vegetativnoi nervnoi sistemy na fone khronicheskoi ishemii golovnogo mozga s preimushchestvennoi vertebrobaziliarnoi nedostatochnostiu [Mechanisms of devel opment of orthostatic arterial hypotension in patients with autonomic nervous system dysfunction on the background of chronic cerebral ischemia with predominant vertebrobasilar insufficiency]. Kiev. ‟Science”, 2014. (In Russ.).
5. Bogdanova M.A., Uzunova N.A., Petrushenko S.Iu. Metody fizioterapii v korrektsii vegetativnoi disfunktsii u podrostkov s gastroduodenitom [Methods of physiotherapy in the correction of autonomic dysfunction in adolescents with gastroduodenitis]. Fizioterapiia, balneologiia, reabilitatsiia [Physiotherapy, balneology, rehabilitation]. 2013; 3 (1): 27–29. (In Russ.).