Physical rehabilitation of patients using MV6.03.00A electrostimulator: evaluation of efficacy and safety

E. R. Barantsevich; A. V. Tishkov; Yu. P. Kovalchuk; A. V. Artyomov; A. V. Korol; V. V. Emanuel

Physical rehabilitation of patients using MV6.03.00A electrostimulator: evaluation of efficacy and safety

E. R. Barantsevich, A. V. Tishkov, Yu. P. Kovalchuk, A. V. Artyomov, A. V. Korol, V. V. Emanuel

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Abstract

Relevance. Pain in the back or dorsalgia is still considered an unsolved problem, as it often reduces the quality of life and is often the cause of the disability of young people. Rehabilitation of such patients is complex, taking into account the causes of the onset of the disease: microtrauma (sedentary lifestyle, incorrect posture, unphysiological postures), overweight, inadequate power loads, genetic predisposition, endocrine and immune disorders. To reduce pain syndrome, reduce myotonic syndrome, physiological muscle training, improve the trophic status of muscles and bone-cartilage structures, normalize microcirculation, which as a result leads to an improvement in the quality of life of patients in addition to drug therapy, exercise therapy, manual therapy, methods of electrostimulation. Materials and methods. The efficacy and safety of electrostimulation of the spine muscles in 62 patients with degenerative-dystrophic spine disease with neurological manifestations with the device MV6.03.00A’ as a method of physical rehabilitation were studied. These patients formed the main group. The study involved 54 women and 8 men, whose average age was 52 (45-62) years and 35 (27-58) years respectively. Before the beginning of treatment, all patients signed informed consent and underwent a comprehensive neurological and laboratory exam -ination, the results of which were taken into account in the choice of therapeutic tactics. All patients of the main group received procedures with the device ‘Electrostimulator MV6.03.00A’ 6-10 times a day. The comparison group included 15 patients, comparable by sex and age, who received other physiotherapeutic electroprocedures in the complex therapy of patients with dorsalgia of spondylogenic nature. The electrostimulator MV6.03.00A’ is a portable physiotherapeutic device produced by MB Barbel Co. in the Republic of Karelia, Petrozavodsk, registered for use in medical practice and at home. Low-frequency impulse currents in the form of an exponential and a large area of electrodes make it possible to achieve physiological effects on tissues, deep penetration of currents without pain sensations. Standard methods of descriptive statistics for non-Gaussian data were used to analyze and evaluate the data obtained: the median calculation, as well as the 25th and 75th percentiles. The conjecture on the normality of the distribution was tested using the Kolmogorov-Smirnov test. The reliabilify of the differences in the quantitative parameters for independent samples was determined using the Mann-Whitney test, and for the dependent ones, using the Wilcoxon test. The minimum level of statistical significance for rejecting the null hypothesis was assumed to be 0.05. A package of applied statistical programs SPSS21.0 was used for data processing. Results. In the main study group, an analgesic effect was observed, as well as an improvement in the quality of life and a decrease in the myotonic syndrome. Presumably, the use of this method of electrostimulation leads to a reduction in the use of non-steroidal anti-inflammatory drugs, especially in the situation of their toxic effects and side effects.