SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS

Manifestations of cervical osteochondrosis are largely predetermined by degenerative changes in the most mobile lower cervical spine (CV-CVI, CVI-CVII). Clinical picture of cervical osteochondrosis depends not so much on the presence of hernial protrusions as on the changes in bone structures with t...

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Autores principales: E. G. Ippolitova, T. K. Verkhozina, E. S. Tsyslyak, O. V. Sklyarenko
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Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2017
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spelling oai:doaj.org-article:dfe8a835fdf646fda4fdf98b8f4454bb2021-11-23T06:14:39ZSOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS2541-94202587-959610.12737/article_5a0a8009512693.53560321https://doaj.org/article/dfe8a835fdf646fda4fdf98b8f4454bb2017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/465https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Manifestations of cervical osteochondrosis are largely predetermined by degenerative changes in the most mobile lower cervical spine (CV-CVI, CVI-CVII). Clinical picture of cervical osteochondrosis depends not so much on the presence of hernial protrusions as on the changes in bone structures with the formation of arthrosis with pain syndrome. In this regard, we found interesting to study relation of electroneuromyographic parameters and bone mineral density in patients with cervical osteochondrosis. A survey of 38 patients with cervical osteochondrosis localized predominantly in the segments CIII-CIV, CIV-CV, CV-CVI CVI-CVII there were 20 men and 18 women. Subjective and objective examinations showed pronounced muscular-tonic syndrome (with cervicalgia, cervicocranygia, cervicobrachialgia) in all patients. We studied threshold values, M-response amplitude, nerve conduction in motor fibers of the axillary, radial, medial and ulnar nerves, as well as amplitude and frequency indices characterizing the functional state of the deltoid and trapezius muscles. When studying the state of bone tissue, we measured the speed of sound velocity (SV, m/sec) in the radial bones, determined the T-index - the number of standard deviations from mean for healthy young people, and the Z-index - the number of standard deviationsfrom mean for the age group. Comparative analysis of the results of studies by electroneuromyography and osteodensitometry in patients with cervical osteochondrosis of I-II periods, in the presence of neurotrophic disorders have not revealed changes in bone density. At the same time, in patients with cervical osteochondrosis of the III period in the presence of both protrusions and hernias of CVI-CVII CVII-CVIII discs, a reduction in threshold values of direct muscle response, an increase in the amplitude of evoked potentials, and a shortening of the latent period were recorded in the ENMG. Mineral density in patients with this pathology differed from the norm, indicating the presence of osteopenia.E. G. IppolitovaT. K. VerkhozinaE. S. TsyslyakO. V. SklyarenkoScientific Сentre for Family Health and Human Reproduction Problemsarticlecirvical osteochondrosiselectroneuromyographydensitometryScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 34-38 (2017)
institution DOAJ
collection DOAJ
language RU
topic cirvical osteochondrosis
electroneuromyography
densitometry
Science
Q
spellingShingle cirvical osteochondrosis
electroneuromyography
densitometry
Science
Q
E. G. Ippolitova
T. K. Verkhozina
E. S. Tsyslyak
O. V. Sklyarenko
SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS
description Manifestations of cervical osteochondrosis are largely predetermined by degenerative changes in the most mobile lower cervical spine (CV-CVI, CVI-CVII). Clinical picture of cervical osteochondrosis depends not so much on the presence of hernial protrusions as on the changes in bone structures with the formation of arthrosis with pain syndrome. In this regard, we found interesting to study relation of electroneuromyographic parameters and bone mineral density in patients with cervical osteochondrosis. A survey of 38 patients with cervical osteochondrosis localized predominantly in the segments CIII-CIV, CIV-CV, CV-CVI CVI-CVII there were 20 men and 18 women. Subjective and objective examinations showed pronounced muscular-tonic syndrome (with cervicalgia, cervicocranygia, cervicobrachialgia) in all patients. We studied threshold values, M-response amplitude, nerve conduction in motor fibers of the axillary, radial, medial and ulnar nerves, as well as amplitude and frequency indices characterizing the functional state of the deltoid and trapezius muscles. When studying the state of bone tissue, we measured the speed of sound velocity (SV, m/sec) in the radial bones, determined the T-index - the number of standard deviations from mean for healthy young people, and the Z-index - the number of standard deviationsfrom mean for the age group. Comparative analysis of the results of studies by electroneuromyography and osteodensitometry in patients with cervical osteochondrosis of I-II periods, in the presence of neurotrophic disorders have not revealed changes in bone density. At the same time, in patients with cervical osteochondrosis of the III period in the presence of both protrusions and hernias of CVI-CVII CVII-CVIII discs, a reduction in threshold values of direct muscle response, an increase in the amplitude of evoked potentials, and a shortening of the latent period were recorded in the ENMG. Mineral density in patients with this pathology differed from the norm, indicating the presence of osteopenia.
format article
author E. G. Ippolitova
T. K. Verkhozina
E. S. Tsyslyak
O. V. Sklyarenko
author_facet E. G. Ippolitova
T. K. Verkhozina
E. S. Tsyslyak
O. V. Sklyarenko
author_sort E. G. Ippolitova
title SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS
title_short SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS
title_full SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS
title_fullStr SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS
title_full_unstemmed SOME FEATURES OF ELECTRONEUROMYOGRAPHY AND DENSITOMETRY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS
title_sort some features of electroneuromyography and densitometry in patients with cervical osteochondrosis
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2017
url https://doaj.org/article/dfe8a835fdf646fda4fdf98b8f4454bb
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