System of course application of transcutaneous electrical neurostimulation in therapeutic and rehabilitation complexes for dorsopathies

DOI: https://doi.org/10.29296/25877305-2024-08-17
Issue: 
8
Year: 
2024

Professor L. Agasarov(1, 2), MD; Professor T. Konchugova(1, 2), MD; Professor D. Kulchitskaya(1), MD; T. Apkhanova(1), MD; L. Tarasova(1), Candidate of Medical Sciences
1-National Medical Research Center for Rehabilitation and Balneology of the Ministry of Health of Russia, Moscow
2-I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

The article is devoted to the disclosure of some mechanisms and the actual effectiveness of sequential courses of transcutaneous electrical neurostimulation (TENS) as part of complex therapy for lumbosacral dorsopathy. Materials and methods. A total of 60 patients of both sexes under the age of 60 who were hospitalized due to a protracted exacerbation of the vertebrogenic process were monitored. The results of the neurological examination were compared with the data of pathopsychological and electrophysiological analysis. Patients were randomly divided into two groups: 1st (comparison group) – patients received basic therapy; 2nd (main group) – patients received TENS of the lumbosacral region and lower extremities in addition to basic therapy. The treatment course in this case consisted of 15 procedures. In addition, over the next two months, both groups underwent a maintenance cycle of local electrical stimulation (7 procedures). Results. Immediately at the end of therapy, a slight (beyond the scope of confidence) advantage of the main one over the comparison group in terms of therapeutic efficacy was revealed. This was expressed in a relatively more distinct regression of the main symptoms, including the dynamics of algias, as well as in the form of a tendency to normalize the mental and vascular background. However, after a six-month period, including the implementation of a short cycle of TENS, the main group was characterized by a much greater stability of the results achieved, which was combined with a significantly lower number of exacerbations of the process. Conclusion. The advantage, precisely in terms of therapeutic reliability, of a complex of two consecutive cycles of local electrical stimulation can be explained by the accumulation of effects characteristic of such types of exposure. In turn, the work performed opens up prospects for further optimization of treatment and rehabilitation programs for vertebrogenic pathology.
Keywords: 
neurology
dorsopathies at the lumbosacral level
vertebrogenic syndromes
reflexology
percutaneous (local) electro-neurostimulation
psychological testing
electrophysiological analysis.

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