Stressful Doppler-angiography in assessment of efficiency of physiotherapeutic correction of vasomotor function

A limited opportunity of results definition of physiotherapeutic correction vasomotor function at patients with an arterial hypertension represents an obvious problem of medical rehabilitation.

Material and methods. The 92 patients with an arterial hypertension were examined. Con-ducted the bicycle-stressful research at patients of the first group (n=48) was complemented with Doppler measurement of renal artery blood-groove in a with calculation of peak speed and vas-cular resistance (Vps-RA and RI-RA), and at patients of the second group (n=44) the similar measurements were taken in an middle cerebral artery (Vps-MCA and RI-MCA).

Results. The load increase in Vps-RA by 68% [62–70] accompanied with increase in RI-RA for 20% [17–21] was initially observed, after treatment the load speed of kidney perfusion increased up to 72% [70–77], and the resistance decreased to 16% [10–14]. Cerebral blood circulation was characterized by orthostatic decrease in Vps-MCA by 22% [16–23] with the small load growth by 28% [26–30] accompanied with increase in RI-MCA by 30% [18–23]. After complex physical therapy the orthostatic Vps-MCA decrease was 12% [10–15], exercise increased to 34% [30-38], and RI-MCA increased only by 18% [16–24]. Placebo-therapeutic distinctions were statistically significate (р<0,005).

Conclusion. Stressful Doppler-angiographic researches of aortic-renal and hemisphere blood circulation sensitively reflect efficiency of physiotherapeutic correction of system intra organ and brain vasomotor function. Use of the compact equipment and the simplified measurements, allow to integrate technologies into work of institutions of medical rehabilitation.

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