Functional diagnostics and acupuncture in patients with cervical osteochondrosis

We developed an algorithm for spinal diagnostics to optimize the diagnosis and treatment of patients with cervical osteochondrosis. This algorithm includes physical and neurological examination of a patient, radiological methods, multi-layer spiral CT (MRI) of cervical spine, densitometry and electr...

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Autores principales:	E. G. Ippolitova, T. K. Verkhozina, N. I. Arsentieva, V. A. Sorokovikov, Z. V. Koshkaryova, O. V. Sklyarenko
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2016
Materias:	functional diagnostics acupuncture osteochondrosis Science Q
Acceso en línea:	https://doaj.org/article/e35c90b8c58246299af5768e3a19fb0a
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spelling	oai:doaj.org-article:e35c90b8c58246299af5768e3a19fb0a2021-11-23T06:14:35ZFunctional diagnostics and acupuncture in patients with cervical osteochondrosis2541-94202587-959610.12737/22941https://doaj.org/article/e35c90b8c58246299af5768e3a19fb0a2016-07-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/239https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596We developed an algorithm for spinal diagnostics to optimize the diagnosis and treatment of patients with cervical osteochondrosis. This algorithm includes physical and neurological examination of a patient, radiological methods, multi-layer spiral CT (MRI) of cervical spine, densitometry and electroneuromyography (ENMG) and is used in practical work of neurosurgical unit of Irkutsk Scientific Center of Surgery and Traumatology. We managed 40 patients with cervical osteochondrosis in period I-III localized in CIII-CIV, CV-CV CV-CW Cn-CVIl segments and with severe muscular tonic syndrome (cervicalgia, cervical cranialgia, cervicobrachialgia). Patients with osteochondrosis in period I-II had medium decreased conduction of peripheral nerve motor fibers on both sides of spine, which indicates the lesion of some motor fibers. In patients with osteochondrosis in period III in case of protrusion and herniation of intervertebral discs the ENMG values corresponded to the increase in neurility and conduction velocity of motor nerve and muscle fibers in diseased segment. Conservative treatment was conducted up to the Standard approved by the Ministry of Health of the Russian Federation and was supplemented with acupuncture (9-10 sessions) based on the changes in ENMG values. Performed treatment caused significant decrease in pain syndrome, reduction of neurological manifestations and, as a consequence, positive dynamics of ENMG values. Proposed algorithmfor management of patients with osteochondrosis allowed to diagnose the localization of diseased functional spinal unit, to reveal problem peripheral nerves and, as a result, to choose adequate treatment tactics and to estimate its effectiveness.E. G. IppolitovaT. K. VerkhozinaN. I. ArsentievaV. A. SorokovikovZ. V. KoshkaryovaO. V. SklyarenkoScientific Сentre for Family Health and Human Reproduction Problemsarticlefunctional diagnosticsacupunctureosteochondrosisScienceQRUActa Biomedica Scientifica, Vol 1, Iss 4, Pp 40-45 (2016)
institution	DOAJ
collection	DOAJ
language	RU
topic	functional diagnostics acupuncture osteochondrosis Science Q
spellingShingle	functional diagnostics acupuncture osteochondrosis Science Q E. G. Ippolitova T. K. Verkhozina N. I. Arsentieva V. A. Sorokovikov Z. V. Koshkaryova O. V. Sklyarenko Functional diagnostics and acupuncture in patients with cervical osteochondrosis
description	We developed an algorithm for spinal diagnostics to optimize the diagnosis and treatment of patients with cervical osteochondrosis. This algorithm includes physical and neurological examination of a patient, radiological methods, multi-layer spiral CT (MRI) of cervical spine, densitometry and electroneuromyography (ENMG) and is used in practical work of neurosurgical unit of Irkutsk Scientific Center of Surgery and Traumatology. We managed 40 patients with cervical osteochondrosis in period I-III localized in CIII-CIV, CV-CV CV-CW Cn-CVIl segments and with severe muscular tonic syndrome (cervicalgia, cervical cranialgia, cervicobrachialgia). Patients with osteochondrosis in period I-II had medium decreased conduction of peripheral nerve motor fibers on both sides of spine, which indicates the lesion of some motor fibers. In patients with osteochondrosis in period III in case of protrusion and herniation of intervertebral discs the ENMG values corresponded to the increase in neurility and conduction velocity of motor nerve and muscle fibers in diseased segment. Conservative treatment was conducted up to the Standard approved by the Ministry of Health of the Russian Federation and was supplemented with acupuncture (9-10 sessions) based on the changes in ENMG values. Performed treatment caused significant decrease in pain syndrome, reduction of neurological manifestations and, as a consequence, positive dynamics of ENMG values. Proposed algorithmfor management of patients with osteochondrosis allowed to diagnose the localization of diseased functional spinal unit, to reveal problem peripheral nerves and, as a result, to choose adequate treatment tactics and to estimate its effectiveness.
format	article
author	E. G. Ippolitova T. K. Verkhozina N. I. Arsentieva V. A. Sorokovikov Z. V. Koshkaryova O. V. Sklyarenko
author_facet	E. G. Ippolitova T. K. Verkhozina N. I. Arsentieva V. A. Sorokovikov Z. V. Koshkaryova O. V. Sklyarenko
author_sort	E. G. Ippolitova
title	Functional diagnostics and acupuncture in patients with cervical osteochondrosis
title_short	Functional diagnostics and acupuncture in patients with cervical osteochondrosis
title_full	Functional diagnostics and acupuncture in patients with cervical osteochondrosis
title_fullStr	Functional diagnostics and acupuncture in patients with cervical osteochondrosis
title_full_unstemmed	Functional diagnostics and acupuncture in patients with cervical osteochondrosis
title_sort	functional diagnostics and acupuncture in patients with cervical osteochondrosis
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2016
url	https://doaj.org/article/e35c90b8c58246299af5768e3a19fb0a
work_keys_str_mv	AT egippolitova functionaldiagnosticsandacupunctureinpatientswithcervicalosteochondrosis AT tkverkhozina functionaldiagnosticsandacupunctureinpatientswithcervicalosteochondrosis AT niarsentieva functionaldiagnosticsandacupunctureinpatientswithcervicalosteochondrosis AT vasorokovikov functionaldiagnosticsandacupunctureinpatientswithcervicalosteochondrosis AT zvkoshkaryova functionaldiagnosticsandacupunctureinpatientswithcervicalosteochondrosis AT ovsklyarenko functionaldiagnosticsandacupunctureinpatientswithcervicalosteochondrosis
_version_	1718417040297951232

Functional diagnostics and acupuncture in patients with cervical osteochondrosis

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