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Application of percutaneous neurostimulation in treatment complexes for psychosomatic pathology

https://doi.org/10.33667/2078-5631-2024-21-18-21

Abstract

The article is devoted to the combined use of psychological relaxation and transcutaneous electrical stimulation in post-stress disorders in persons of hazardous professions.

Materials and methods. There were 90 men with a high level of stress aged 40 to 55 years, whose clinical picture was distinguished by the interweaving of neuropsychiatric and cardiovascular disorders. The assessment of the mental status of patients was supplemented by the results of testing; the reserve capabilities of the body were assessed based on a test of dosed physical activity. Electro- and echocardiography were used to analyze cardiovascular activity. The patients were divided into three treatment groups, in which, in addition to the previously prescribed drug treatment in a third of cases, respiratory relaxation training and percutaneous neurostimulation were used. In the first two groups, these methods were used separately, in the 3rd group – in combination.

Research results. Initially, the features of neuropsychic and somatic manifestations in the observed contingent were specified. At the same time, in most of the observations, neurotic manifestations prevailed, combined with somatic disorders, mainly in the form of arterial hypertension and angina pectoris. In the course of assessing the results of treatment, the proposed complex was significantly more effective than the compared groups in terms of improving indicators of mental status and cardiovascular activity. The catamnesis analysis confirmed the stability of the results achieved even in the case of combined exposure.

Conclusion. The therapeutic complex of psychorelaxation and hardware equipment provides the effectiveness and therapeutic reliability of the effect due to the addition of several therapeutic mechanisms, and the work itself opens up prospects for optimizing corrective programs for the pathology under study.

About the Authors

E. I. Chesnikova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Ekaterina I. Chesnikova - applicant for the degree of candidate of medical sciences, deputy chief physician of the Clinical Hospital No. 5.

Moscow



I. A. Bokova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Irina A. Bokova - PhD Med, associate professor at Dept of Restorative Medicine, Rehabilitation and Balneology.

Moscow



T. V. Konchugova
I.M. Sechenov First Moscow State Medical University (Sechenov University); National Medical Research Center for Rehabilitation and Balneology
Russian Federation

Tatyana V. Konchugova - DM Sci (habil.), professor, head of Dept of Physiotherapy and Reflexology, National Medical Research Center for Rehabilitation and Balneology; professor at Dept of Restorative Medicine, Rehabilitation and Balneology, I.M. Sechenov First Moscow State Medical University (Sechenov University).

Moscow



L. G. Agasarov
I.M. Sechenov First Moscow State Medical University (Sechenov University); National Medical Research Center for Rehabilitation and Balneology
Russian Federation

Lev G. Agasarov - DM Sci (habil.), professor, professor at Dept of Restorative Medicine, Rehabilitation and Balneology, I.M. Sechenov First Moscow State Medical University (Sechenov University); chief researcher at Dept of Physiotherapy and Reflexotherapy, National Medical Research Center for Rehabilitation and Balneology.

Moscow



References

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Review

For citations:


Chesnikova E.I., Bokova I.A., Konchugova T.V., Agasarov L.G. Application of percutaneous neurostimulation in treatment complexes for psychosomatic pathology. Medical alphabet. 2024;(21):18-21. (In Russ.) https://doi.org/10.33667/2078-5631-2024-21-18-21

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)