Smt muscles. Smt procedure physiotherapy. Is the procedure safe

Degenerative-dystrophic changes that provoke the occurrence of osteochondrosis can affect any part of the spine.

Some areas quite often suffer from this pathology, other departments are less susceptible to it. Thoracic osteochondrosis is diagnosed quite rarely.

The fact is that this part has fairly large vertebrae, in addition, it is not as mobile as the rest of the departments. However, in some cases, thoracic osteochondrosis leads to quite serious deviations.

Features of the disease

This term is commonly understood as thinning of the intervertebral discs and a decrease in the distance between nearby vertebrae.

As a rule, high loads on the spine lead to flattening of the discs. However, the thoracic region is not particularly severe. Moreover, the muscular apparatus of this part of the spine is well developed.

Why is osteochondrosis sometimes diagnosed here too?

Most often, the disease is a consequence of impaired blood circulation and metabolism in the intervertebral discs.

Causes and risk factors

The main reasons for the development of thoracic osteochondrosis include the following:

• deficiency of plastic substances;
• genetic predisposition;
• traumatic injuries;
• lack of water;
• long stay in an uncomfortable position;
• sedentary lifestyle;
• scoliosis.

What are the features of the disease?

Since the thoracic spine is characterized by inactivity and is not subjected to as much stress as the cervical or lumbar, symptoms of the disease rarely occur in the early stages of the disease.

A relatively small load on this area contributes to the fact that the development of all kinds of pathologies here is very rare. However, posture disorders and scoliosis sometimes lead to spinal diseases.

Symptoms of osteochondrosis of the thoracic spine occur quite late and consist in compression of the nerve roots.

Sometimes there is compression of the spinal cord or its violation as a result of problems with blood circulation. It can also be narrowed - this process leads to squeezing of the vessels.

Stages of development

This pathology is classified according to several degrees of development:

1. With osteochondrosis of the first degree, the discs lose their elasticity, their height decreases and protrusions occur.
2. The second degree is accompanied by a subsequent decrease in the height of the discs, there is a loss of elasticity. This department loses stability, which significantly reduces the quality of human life. Sometimes the fibrous ring cracks, which can provoke the appearance of a hernia. Usually there are pain sensations, and sometimes signs of neurological pathologies.
3. The third degree is characterized by the appearance of an intervertebral hernia. Its localization and size affect the intensity of the manifestations of the disease.
4. At the fourth degree of the disease, the disk completely loses its shock-absorbing characteristics. There are symptoms such as convergence of the vertebrae and loss of mobility. Often, blood vessels and nerves are pinched, and the structure of bone tissue is also disturbed.

Symptoms of the disease

Thoracic osteochondrosis is not as pronounced as other types of this disease.

It is characterized by the following symptoms:

• pain in the chest, which intensifies at night, during physical exertion, turning, hypothermia, tilting to the side;
• discomfort between the shoulder blades that occurs when raising the arms or bending over;
• discomfort between the ribs when walking;
• increased discomfort with strong inhalations and exhalations;
• tightness of the chest and back.

At the acute stage of the development of the disease, discomfort can last for several weeks.

In addition, there are such signs of thoracic osteochondrosis:

Goals and methods of therapy

It is impossible to completely eliminate osteochondrosis, since it consists in degenerative changes in the vertebral discs.

Therefore, the main goals of treatment are the following:

• cessation of destruction of intervertebral discs, maximum restoration of their structure;
• restoration of spinal biomechanics;
• elimination of deviations in the work of the nervous system.

Medical therapy

The main objective of this treatment is to eliminate pain. For the treatment of osteochondrosis of the thoracic region, the following drugs are used:

1. Non-steroidal anti-inflammatory drugs - diclofenac, nimesulide, ibuprofen. They help to cope with pain and eliminate inflammation of the nerve roots. However, they have quite a few side effects - the development of stomach ulcers, inflammation of the kidneys.
2. Glucocorticosteroids - prednisolone, dexamethasone. They have a more pronounced analgesic and anti-inflammatory effect. However, they have a large number of side effects - a violation of calcium metabolism, the development of peptic ulcer, an increase in pressure. Such drugs are usually prescribed for the ineffectiveness of non-steroidal drugs.
3. Diuretics - diacarb, furosemide. They help eliminate swelling of pinched nerve roots and are used as an additional treatment. They are prescribed for a short period of time with an exacerbation of the disease.
4. Preparations for improving metabolism in nervous tissues - B vitamins, actovegin, penxifillin. But the effectiveness of the use of such drugs in thoracic osteochondrosis has not yet been proven.
5. Chondroprotectors - chondroitin sulfate, glucosamine. It is believed that thanks to their use it is possible to restore the cartilaginous tissue of the intervertebral discs. However, the effectiveness of these drugs in relation to the treatment of osteochondrosis has not yet been confirmed.

Other treatments

Massage is considered the most effective treatment for osteochondrosis of the thoracic region. Through its implementation, it is possible to eliminate

unpleasant symptoms, relax muscle tissue, restore the biomechanics of the spine.

Another effective remedy is the use of acupuncture. Acupuncture relieves pain and helps to relax the muscles.

Treatment cannot be effective without performing special exercises:

1. Sit on your heels, lean forward, try to touch your hips with your chest. Lean your forehead on the floor.
2. Sit on your buttocks, rest your palms on the floor from behind. Tilt your head back and try to bend your spine in your chest as much as possible.
3. Sit on a chair facing the wall. Lean on her knees and forearms. After that, rest your forehead on your forearm. In this position, straighten the spine.
4. Take a knee-elbow position and perform backbends.
5. Sit or stand and wrap your arms around yourself in such a way as to spread your shoulder blades. Take a deep breath and hold your breath for a few seconds.
6. Lie on your back, bend your legs. Try to reach the nose with your knee, tilting the top of the body and head.

Each of these exercises is repeated 6-8 times. In this case, perform movements on inspiration, and take the starting position on exhalation.

ethnoscience

There are quite a few effective folk remedies for the treatment of the disease:

Risk of complications

If the treatment of the disease is not started in time, quite dangerous complications may appear:

• spinal cord compression;
• protrusion or hernia of the spine;
• disturbances in the work of the intestines;
• heart pathology;
• liver disease;
• kidney problems;
• intercostal neuralgia.

Preventive actions

To prevent the development of pathology, you need:

• during sedentary work, often change your position and do a little warm-up every two hours;
• during the day it is useful to lie down for 40 minutes to relieve the load from the spine;
• keep your back warm
• engage in water sports.

Although chest osteochondrosis is rarely diagnosed, it is accompanied by very unpleasant pain sensations.

In order to prevent the development of more serious complications, if chest pains occur, you should immediately consult a doctor who will determine the causes of their occurrence and select medications.

Equally important is also therapeutic exercises and massage.

Uncovertebral arthrosis of the cervical spine: treatment and symptoms of uncoarthrosis of the neck

If deforming arthrosis additionally develops between the processes of the posterolateral surfaces of the first and second cervical vertebrae, then we are talking about uncovertebral arthrosis of the cervical spine (uncoarthrosis).

As a rule, a person can feel symptoms of neuralgia, for example, shoulder or cervical neuritis. Based on such symptoms and visual examination, the doctor can make a preliminary diagnosis to the patient.

Uncoarthrosis is a specialization of an orthopedic vertebrologist or a neuropathologist.

Arthrosis of the neck, uncovertebral arthrosis of the cervical region often torments with a pronounced pain syndrome. It does not allow a person to normally turn and tilt his head, move his arms. There is a complete or partial disorder of sensitivity and a weakening of the main neurological reflexes in the corresponding parts of the body.

It is possible to note the obvious distinctive features of this type of arthrosis and its symptoms:

• unsteadiness of gait;
• deterioration in balance;
• frequent headaches;
• dizziness;
• consistently high blood pressure;
• slight visual impairment;
• feeling of constriction in the chest.

Why does pathology occur?

Such a disease in the cervical region develops if there were:

1. frequent and monotonous movements;
2. too hard physical work;
3. neck injuries and inflammation in the joints;
4. flat feet;
5. polio;
6. disruptions in metabolic processes and inadequate functioning of the thyroid gland;
7. excess body weight;
8. improper docking of adjacent articular surfaces (in this case, uneven pressure occurs on the cartilaginous tissue in the area of ​​\u200b\u200bthe joints).

In overweight people who have a lot of fat deposits on the neck and in the humeroscapular region, uncoarthrosis and its symptoms are more common than others. Athletes also have a high risk of getting sick.

By and large, the reasons why a doctor suggests arthrosis of the neck are typical for any type of osteoarthritis. If a person constantly exposes himself to exorbitant physical labor or plays sports professionally, then over time he cannot avoid this ailment.

Not a single significant load on the body can pass without a trace, because systematic pressure on the neck joints becomes a prerequisite for cartilage wear.

The main cause of pathological changes in the joints is malnutrition of the cartilage tissue. With the disease uncoarthrosis, a similar problem is observed between the vertebral discs. The body tries to reduce the load on them by "cultivating" bone growths, especially in segments from C3 to C7.

For the cervical spine, as well as for any joints, not only increased physical activity is dangerous, but also their complete absence.

Main symptoms

Arthrosis of the neck does not make itself felt for a long time. Only in some cases, with a sharp lifting of heavy objects and turning the head, acute and sharp pain is likely. As a rule, it passes immediately and is local in nature. The patient feels discomfort only in one or two vertebrae located nearby.

Uncovertebral arthrosis of the cervical spine is the most dangerous form of arthrosis. With an illness, additional growths form on the back surface of the vertebrae, and neuritis develops - a neurological disease.

A person usually does not pay attention to neck pain. Such an attitude towards one's health becomes the cause of the further development of the disease. If you start the treatment of neck arthrosis at the very beginning of the pathological process, then it will give a guaranteed positive result.

In almost 2 weeks of simple therapy, the patient completely gets rid of the problem of uncoarthrosis.

Otherwise, as progression is observed:

• increased pain syndrome even with a slight load;
• bouts of sharp pain when changing weather conditions;
• limited neck mobility.

For many patients, the cold season can be a real challenge. It was then that arthrosis of the neck makes itself felt even more.

When there is no adequate treatment, dulling of pain is possible, but it does not stop even at rest. A person cannot sleep normally, because sleep is interrupted during an illness.

With each attempt to turn the head, a characteristic strong crunch of the joints occurs.

Uncoarthrosis in advanced cases is characterized by:

1. numbness and tingling in the neck;
2. periodic bouts of nausea and dizziness.

Therefore, it is extremely important to always seek medical help as early as possible. The pathological process can eventually move to the spinal cord and its nerve endings. If no therapeutic measures are taken, the disease will cause a complete loss of neck mobility.

The patient will remain disabled for life, because such changes in the cervical spine are irreversible.

How is diagnosis and treatment carried out?

Modern medicine treats arthrosis of the neck joints and reduces its symptoms using the following methods:

• physiotherapy;
• ultrasound and microwaves;
• electrophoresis and thermal applications;
• local barotherapy.

Therapy is not significantly different from the methods of getting rid of other types of arthrosis.

Any treatment will begin with anamnesis and diagnosis. During the first examination, the doctor will determine the cause, frequency of pain and the presence of additional symptoms. On palpation and visual examination of the patient, an increase in the vertebrae can be noted. In the presence of osteophytes (growths), the uncovertebral joints will also be enlarged.

Joint x-rays or magnetic resonance imaging (MRI) should be performed to confirm the suspected diagnosis. In the pictures, uncoarthrosis will be visible quite well. In addition, the doctor will be able to determine the degree of circulatory disorders in the neck.

Medication treatment

Since uncovertebral arthrosis of the cervical spine is characterized by severe pain, treatment should first of all begin with the use of painkillers. It can be:

• ibuprofen;
• aspirin.

The subsequent stages of therapy provide for an organic combination of drugs with physiotherapy exercises. However, it is impossible to completely eliminate the enslavement of C5, C6 and its signs.

It is always important to remember that any exercise therapy should not be arbitrary. Only a doctor can recommend adequate exercise. If you make incorrect inclinations or turns, then arthrosis of the neck will only worsen, and the pathological process will finally destroy the remnants of cartilage.

After pain relief, the use of drugs to improve blood supply is provided. These can be means of local influence:

• actovegin;
• pentoxifylline.

It is possible to slow down the destruction in the cartilage tissue and relieve its symptoms thanks to chondroprotectors. However, there is an opinion that in some cases they should be used with extreme caution. The last stages of the disease arthrosis of the uncovertebral joints can only be alleviated with the help of surgical intervention. The operation allows:

1. remove osteophytes;
2. restore the functionality of the spinal disc (due to implants).

Physiotherapy

Such treatment is the basis of the therapy of the cervical joints. Physiotherapy procedures have a beneficial effect on the metabolism in the affected areas, help to reduce the rate of progression of the disease and relieve its symptoms.

Microwave therapy is especially popular. It can be applied at any stage of arthrosis of the neck. Often, decimeter waves are used, which can penetrate deep into the affected tissues. The method is not capable of causing negative effects on the patient's body.

In medical practice, ultrasound has proven itself well. It can be used in cases where there is pain in the neck, but there is no synovitis (inflammatory process with accumulation of exudate). Therapy is indicated for proliferative changes and periarticular tissues.

Ultrasound treatment has a number of clear contraindications!

In addition, you can treat uncoarthrosis with the help of:

• electrophoresis and phonophoresis (using novocaine or lidocaine);
• amplipulse;
• sinusoidal modulated currents.

With the help of electrophoresis, medicinal substances are exposed to the deepest tissues. In a state of stable remission, acupuncture can be performed and cervical arthrosis can be treated.

Lumbosacral osteochondrosis

One of the components of human happiness is freedom, including physical freedom. Freedom of movement is the greatest value bestowed by nature itself. We all walk, run, jump, but often we do these actions spontaneously, not deliberately. We are accustomed to the ease of movement, and any disease that prevents us from actively moving is extremely difficult to endure. One of the frequent, but very unpleasant diseases of the spinal column is osteochondrosis, including osteochondrosis of the lumbosacral spine.

Osteochondrosis of the lumbar

Osteochondrosis of the lumbosacral spine is a degenerative inflammatory disease characterized by gradual degeneration of the vertebrae and intervertebral discs. The percentage of incidence of osteochondrosis of this variety is very high: 80% of all patients suffer from this particular form of the disease.

Causes of development and risk factors

The main reason for the development of the disease is the wrong household culture of behavior in everyday life. The irrational organization of labor leads to an incorrect load on the spine, which ultimately leads to the development of lumbosacral osteochondrosis.

Factors that lead to the appearance of the disease are:

• decrease in motor activity (people leading a passive lifestyle, those who, by the nature of their activities, spend a lot of time in a sitting position are at risk);
• incorrect walking and posture (from childhood you need to learn the rules of the correct gait);
• certain sports (weightlifting, wrestling);
• increased physical activity (lifting or carrying heavy loads);
• flat feet (with this disease, depreciation is disturbed, and the entire load is concentrated on the vertebrae);
• long stay in an uncomfortable position;
• overweight (this factor is the development of many diseases);
• genetic features;
• hormonal disorders in the body;
• back injury;
• unhealthy lifestyle (irrational diet, stress, smoking and alcohol consumption become provoking factors for the development of almost all diseases);
• changes associated with a person’s age (over the years, all organs and systems undergo “wear and tear”, and the bones of the skeleton are no exception).

At least one of the above reasons can be found in every person, which means that we are all at risk of developing osteochondrosis of the spine.

Symptoms of the disease

The main symptom of lumbosacral osteochondrosis is pain in the back, lower back, radiating to the leg on the side of the lesion. This pain is called lumbago or sciatica. Painful sensations at the initial stage of the disease are manifested when moving, sharply bending or squatting, with the development of the disease, the pain symptom intensifies and worries even at rest.

Since with osteochondrosis of the spine, the structure or position of the intervertebral disc is disturbed, nerves or blood vessels are pinched. In the first case, a radicular syndrome develops: the patient, in addition to pain, is disturbed by a violation of the sensitivity of skin receptors, a tingling sensation in the lower extremities, muscle weakness, and a feeling of freezing of the legs.

A patient who has been suffering from lumbar osteochondrosis for a long time takes a forced posture and sweeps from the side. As a rule, he walks slightly bent over, avoids sudden movements, often intuitively puts his hand to the waist.

Principles of treatment

At the initial signs of the disease, the patient is prescribed medication and a course of physiotherapy, which are designed to alleviate the patient's condition and cure the disease. If the process of destruction of the intervertebral discs has begun, then the only right decision is surgical intervention. Traditional medicine becomes a good addition to the main treatment.

Medical treatment

The main medicines that the doctor prescribes to the patient are non-steroidal anti-inflammatory drugs, analgesics, muscle relaxants, with a strong pain syndrome, a blockade of the nerve trunk is performed. Each of the drugs plays its own therapeutic role: drugs relieve inflammation, reduce pain, relax muscles, and reduce the level of stress on damaged vertebrae. The use of any of the above or any other drugs is prohibited without a prescription from the attending physician, since self-medication can be dangerous not only for health, but also for human life.

Surgery

In severe cases, lumbosacral osteochondrosis can be treated only by surgery. During the operation, the surgeon removes the damaged vertebrae and replaces them with implants, or removes the formed intervertebral hernia. In some cases, surgery is the only sure way to recovery. After undergoing surgery, the patient needs a special course of rehabilitation therapy, which includes numerous methods and techniques. Rehabilitation of the patient includes dosed physical activity, taking special medicines, massage, staying in a sanatorium in the middle zone, and physiotherapy.

Physiotherapy

Physiotherapy methods are becoming an integral part of the treatment of diseases of the musculoskeletal system, including osteochondrosis. Special physiotherapy exercises, treatment with leeches, SMT, UHF, electrophoresis with various drugs significantly alleviate the patient's condition and speed up the recovery process. Methods of physiotherapy become the main ones during the rehabilitation of a patient who has undergone surgery for the treatment of the spine.

Non-traditional methods of treatment

In some cases, osteochondrosis of the lumbosacral region is treated with the help of dietary supplements, which include a substance that is similar in structure to natural collagen. These drugs are not a medicine, but their self-administration is unacceptable, since any dietary supplements can cause allergic reactions. Bioadditives cannot replace the main treatment, they can only in some cases have a positive effect on the recovery process, moreover, most often at the psychological level.

Often, along with the main treatment, the patient undergoes massage, acupuncture, and manual therapy courses. You should not refuse to use these methods of therapy in the treatment of diseases of the musculoskeletal system, but you should not place too high hopes on them.

ethnoscience

Traditional medicine offers its own methods of treating osteochondrosis of the lumbosacral region, which have been tested for centuries and can help the patient recover.

1. So, a decoction of lingonberry and raspberry leaves can reduce the level of inflammation, anesthetize, as well as strengthen the immune system and increase the body's defenses.
2. The healing properties of mumiyo are widely known - “tears of the mountains” were recognized by Avicenna himself as the only cure for diseases of the spine and joints, and doctors of our days do not write off this natural medicine.
3. Highlander bird is an excellent tool for removing toxins from the body, so its use is also advisable for diseases of the spine and joints. Our ancestors advise us to use the young grass of the plant in the form of salads, and add the dried form to the first dishes as spices.

Despite the plant origin of the components that are part of traditional medicine recipes, their ingestion should be dosed and careful, as they can cause unwanted allergies.

Osteochondrosis of the lumbar spine is not a fatal disease, but it greatly worsens the life of a sick person and can lead to complications that are more serious than the underlying disease. To avoid the occurrence of the disease, you should follow simple, but at the same time complex rules. Leading a healthy lifestyle, do not smoke, do not abuse alcohol, fatty and fried foods, correctly calculate your own strength during physical exertion, maintain correct posture is very important for the prevention of not only lumbosacral osteochondrosis, but also other diseases.

The therapeutic effect of the TERA-FOT device is due to the simultaneous effect on a large area (volume) of the body tissues of electromagnetic radiation of semiconductor interolight-emitting diodes in the visible or infrared region of the spectrum (more than 350 LEDs arranged in the form of a matrix).

Indications:

1. Polyneuropathy
2. Osteochondroch of the spine
3. Shoulder-scapular repiarthritis
4. Diseases of the joints
5. Raynaud's disease
6. Skin diseases
7. Lithmostasis
8. Disease of arteries and veins, thrombophlebitis
9. Trophic ulcers, long-term non-healing wounds.

Contraindications:

1. Photodermatosis
2. Photophtholmia

The use of the TERA-FOT device improves blood microcirculation, reduces muscle rigidity, and reduces the intensity of pain. There are changes in the configuration of protein molecules, the central and peripheral immunodynamics are normalized.

LASER THERAPY

Exposure of a patient to laser radiation obtained using quantum generators has found wide application in restorative medicine over the past 20 years.

The laser beam has a number of therapeutic properties: it effectively reduces tissue inflammation, has a bactericidal effect, stimulates regeneration processes, quickly relieves pain, and strengthens the body's defenses.
The effectiveness of treatment is increased by combining the effects of laser radiation and magnetic field, used in modern physiotherapy equipment.

Sessions are usually held daily, for a course of 8-10-15 procedures.

Indications for laser therapy:

- diseases of the circulatory system
- diseases of the peripheral nervous system
- diseases of the respiratory system
- diseases of the gastrointestinal tract
- trophic disorders
- diseases of the genitourinary system

Contraindications for laser therapy:

Acute inflammatory diseases
-oncopathology
- thyrotoxicosis
-diabetes mellitus, severe art.

MAGNETOTHERAPY

To date, many aspects of the biological effects of a constant or alternating low-frequency magnetic field have been studied in sufficient detail.
It is known that the nervous, cardiovascular and endocrine systems, as well as the gastrointestinal tract and the musculoskeletal system are more susceptible to magnetic fields.

Magnetotherapy has a powerful anti-inflammatory and analgesic effect, promotes tissue regeneration and reduces swelling. The magnetic field normalizes the vegetative functions of the body, reduces the increased vascular tone, and has a hypotensive effect. Under the influence of general magnetic therapy, the production of hormones of the thyroid gland, adrenal glands, pituitary gland, sex and other endocrine glands is enhanced, and the enzyme systems of the body are also activated. The magnetic field also has an immunomodulating, antioxidant, sedative effect.

Usually local procedures are used. Recently, general magnetotherapy has been increasingly used. Physiotherapy room JSC sanatorium "Krasny Holm" has equipment for magnetotherapy, both local (apparatus "Almag"), and general (apparatus "Hummingbird") effects.

The course is determined by the attending physician individually and is 8-10-15 procedures that are performed daily.

Indications for magnetotherapy:

Diseases of the musculoskeletal system
- hypertension and coronary artery disease

-vascular damage in diabetes mellitus
-bronchial asthma
- vascular dystonia
-diseases of the digestive tract
- gynecological diseases

Contraindications to magnetotherapy:

Individual hypersensitivity to the magnetic factor
- thyrotoxicosis
- tendency to bleed
-hypotension
-oncopathology

Amplipulse (SMT) - therapy

Amplipulse (SMT) - therapy- This is a type of physiotherapy in which there is an effect of sinusoidally modulated currents on certain areas of the body.

During this procedure, an alternating pulsed current of medium frequency is used. Current with such parameters easily passes through the skin, does not have an irritating effect, penetrates deep into the tissues, which ensures good tolerability of the procedure. Depending on the indications, different modes of SMT therapy are used.

Amplipulse therapy has a powerful anti-inflammatory and analgesic effect, relieves muscle spasms or acts as a myostimulator (depending on the regimen), improves blood circulation in tissues, and normalizes the functioning of the autonomic nervous system. SMT-therapy procedures are prescribed by the attending physician, for a course of 5-7-10 procedures, which are carried out daily or every other day.

Indications for SMT therapy:

Diseases of the musculoskeletal system
- post-traumatic states
- diseases of the peripheral nervous system
- diseases of the gastrointestinal tract
-chronic broncho-pulmonary diseases
-diseases of the female and male reproductive organs

Contraindications for SMT therapy:

Individual intolerance to the procedure
- susceptibility to thrombosis
- acute injuries (up to 72 hours)
-cm. contraindications to other physiotherapy

Medicinal electrophoresis

Medicinal electrophoresis (iontophoresis) is a method of combined effects on the body of a direct electric current and a medicinal substance administered with its help.

In this case, 90 - 92% of the medicinal substance is introduced due to electrogenic movement, 1-3% - due to electroosmosis and 5-8% - as a result of diffusion. In this case, the drug enters the body through the skin or mucous membranes.

During electrophoresis of drugs, they are deposited in the skin for a period of 1 to 2 days. From the skin depots, the medicinal substance slowly and gradually penetrates into deeper tissues, spreading with the bloodstream throughout the body. In the future, the drug is distributed in various organs and tissues.

Excretion of the drug from the body is most often carried out by the kidneys. With electrophoresis, the drug is administered in a small amount, but this is enough to obtain a good therapeutic effect. At the same time, there are no side reactions inherent in medicinal substances when administered by other methods.

The method of drug electrophoresis makes it possible to introduce a pharmacological preparation directly into the lesion, if the latter is located in the surface tissues (skin, subcutaneous adipose tissue, mucous membranes).

The duration of the procedure is from 10 to 20 - 30 minutes. The course of treatment consists of 8-10-20 procedures performed daily or every other day.

Our resort uses classical electrophoresis with drugs:

With novocaine (for severe pain syndromes)
- with lidase (to accelerate the processes of scar resorption)
- with karipazim (in the treatment of protrusions and hernias of intervertebral discs)
- with calcium chloride (for allergic and inflammatory diseases)
- with papaverine and no-shpa (for gastrointestinal diseases)
- with intal and eufillin (for diseases of the broncho-pulmonary system)
- with sodium bromide (for diseases of the nervous and cardiovascular systems)

Indications for electrophoresis:

Diseases of the musculoskeletal system
- cardiovascular diseases
- diseases of the digestive tract
- broncho-pulmonary diseases
- diseases of the peripheral nervous system
- some skin and allergic diseases

Contraindications to the appointment of electrophoresis:

Individual intolerance to direct electric current
- the presence of an artificial pacemaker
- drug intolerance
- pustular skin lesions at the electrode sites
- oncological diseases

DARSONVALIZATION.

Darsonvalization- therapeutic effect on the patient by a constant electric field of high tension. Most often, local darsonvalization is used (arms, legs, head, collar zone, face).

This type of physiotherapy has an analgesic and anti-inflammatory effect, promotes the expansion of peripheral vessels, normalizes their tone, improves blood supply to tissues, and promotes their regeneration. It also has a pronounced bactericidal effect and relieves skin itching. With hypertension, it helps to normalize blood pressure, calms the nervous system, relieves stress, and improves sleep. It is widely used in cosmetology to improve the condition of the skin of the face and neck.

Indications for darsonvalization:

Diseases of the circulatory organs (hypertension stage 1-2, dyscirculatory encephalopathy stage 1-2, vertebrobasilar insufficiency)
- angiopathy
- varicose veins of the lower extremities
- neurosis, migraine, sleep disorders
- sensorineural hearing loss
- diseases of the musculoskeletal system (osteochondrosis of the spine, myositis, neuropathy)
- skin diseases

Contraindications to darsonvalization:

Individual intolerance to the effects of an electric field of high intensity
-oncopathology
- acute inflammatory processes
- thyrotoxicosis

15195 0

The mode, type of work, frequency, depth of modulation, duration of the procedure, current strength, frequency of procedures and their number per course of treatment are selected individually.

The mode of operation is assigned depending on the period and characteristics of the course of the disease.

In the acute period of the disease, a variable regimen is used, in the subacute and chronic, both the rectified regimen and the variable regimen can be used.

The type of work is determined by the peculiarity of the course of the disease: I RR is prescribed for a pronounced pain syndrome, exposure to reflexogenic zones, for manual electrical stimulation. II PP is used mainly for electrical stimulation, III, IV and V PP are used to influence the pain zone.

The modulation frequency is determined by the severity of the pain syndrome: with a sharp pain syndrome, a frequency of 80-100-150 Hz is prescribed, with a slight severity - 50-75 Hz. The depth of modulation varies depending on the severity of the pain syndrome: in acute pain syndrome, the modulation depth is 25-50%, in mildly pronounced - 50-75%, for stimulation - 100%. Procedures are carried out daily or every other day. It is possible to carry out two procedures a day with an interval of 4-5 hours. The course of treatment depends on the characteristics of the course of the disease: in acute pain syndrome, 5-8 procedures are performed, in a chronic process - 8-15, 20-25 procedures can be prescribed for stimulation.

Exposure to sinusoidal modulated currents is dosed according to the current strength (in mA), at which patients experience a well-defined vibration sensation during electrical stimulation. Begin the procedure and course of treatment with lower intensities, increasing them towards the end of the procedure and course of treatment. With one localization of the electrodes, one or two types of work are used with a total duration of exposure of 10-20 minutes. During one procedure, from I to 3 localizations of electrodes can be applied with a duration of current exposure to all localizations of 30 minutes.

The procedures are carried out in most cases in such a way that the size of the electrodes and their shape correspond to the area of ​​the painful area or pathological focus. To do this, either small round electrodes on manual electric holders or plate electrodes fixed on the patient's body with a bandage are used. Most often, 2 electrodes of equal size are used, however, if it is necessary to enhance the action under one of the electrodes, the second electrode is made much larger. Split electrodes can also be used. The structure of the electrodes themselves is the same as for galvanization or diadynamic therapy, although with alternating current the hydrophilic pad can be much thinner.

The purpose of the impact of SMT indicates the localization of the electrodes on the patient's body, their size (length and width), mode of operation, type of operation, modulation frequency, its depth, duration of parcels, intensity of exposure, frequency of procedures (daily or every other day), number per course of treatment .

Recently, the method of simultaneous exposure to the body of SMT and the medicinal substance administered by them has been quite widely used. In this case, the unidirectional action of the current and the medicinal substance matters.

The possibility of administering analgesics, ganglioblockers, vasodilators has been proven. To carry out the procedure, the mode switch on the Amplipulse apparatus is set to the “rectified” position, corresponding to the polarity of the medicinal substance. The solution of the medicinal substance wets the gasket of the electrode located in the area of ​​the pathological focus. Different types of work are used: I and IV or III and IV.

The frequency and depth of modulation are selected taking into account general methodological techniques. The current strength increases until a pronounced, but non-painful vibration appears, the duration of the procedure for each kind of work is 3-5 minutes.

If it is necessary to act on several fields, the time increases to 25-30 minutes. Procedures are carried out daily or every other day, for a course of treatment - 10-20 procedures.

Therapeutic techniques

The electrodes are fixed with a manual holder; f) exit points of the first branches of the trigeminal nerve - round electrodes up to 2 cm in diameter; g) places of exit of the second branches of the trigeminal nerve - round electrodes with a diameter of up to 2 cm; h) exit points of the third branches of the trigeminal nerve - round electrodes with a diameter of up to 2 cm; i) exit points of the second and third branches of the trigeminal nerve - round electrodes up to 2 cm in diameter; j) exit points of the first and second branches of the trigeminal nerve - round electrodes with a diameter of up to 2 cm; k, l, n) the exit point of one of the branches of the trigeminal nerve is a round electrode with a diameter of up to 2 cm; the place of greatest pain in the occipital region is a round electrode with a diameter of up to 5 cm.

Rice. 62. The location of the electrodes when exposed to SMT on the painful areas of the face (explanation in the text)

Rice. 63. The location of the electrodes under the influence of SMT on the occipital region (explanation in the text)

The electrodes are fixed with a manual holder. A round electrode up to 2 cm in diameter is used at the point of greatest pain (on palpation) above the spinous processes of the cervical spine; on the upper edge of the trapezius muscle of the corresponding side - a round electrode with a diameter of 5 cm (c). The electrodes are fixed with a manual holder.

In the zone of palpation determined soreness in the paravertebral areas, round electrodes with a diameter of 5 cm (d) are used. In palpation determined soreness in the region of the upper edge of the trapezius muscle at the base of the neck, round electrodes with a diameter of 5 cm are used (e). Plate electrodes 3.5x8-9 cm in size are prescribed for the paravertebral zones along the cervical spine (c).

Sinusoidal modulated current is prescribed with the following parameters: mode I, III RR - 3-5 minutes and IV RR - 3-5 minutes, modulation frequency - 30-100 Hz, its depth - 25-75%, the duration of the current bursts in the period 2- 4 s. The current strength is gradually increased until a pronounced, but not painful sensation of vibration appears. Procedures are carried out daily or every other day. The course of treatment is prescribed 12-14 procedures.

The order of application of current types given here and below and indications of the duration of exposure are indicative, since an individual approach is necessary for patients, taking into account the course of the disease and the characteristics of the action of one or another form of current.

Rice. 64. The location of the electrodes under the influence of SMT in the area of ​​the shoulder girdle (explanation in the text)

On the anterior and posterior surface of the shoulder joint, electrodes 8x10 cm in size are assigned one against the other (d). On pain zones in the occipital region below the mastoid process at the inner edge of the scapula, round electrodes with a diameter of 5 cm are used, fixed with a manual holder (e).

Sinusoidal modulated current is assigned with the following parameters: mode I, III RR - 3-5 min and IV RR - 3-5 min, modulation frequency - 30-100 Hz, depth ss - 25-75%, duration of current bursts in period - 2 -4 s. The current strength is gradually increased until a pronounced, but not painful sensation of vibration appears. Procedures are carried out daily or every other day. The course of treatment is prescribed 12-14 procedures.

When exposed to pain points and zones in the chest area (Fig. 65), the electrodes are placed as follows: round electrodes with a diameter of 5 cm are used on the sternoclavicular joints, fixing with manual holders (a). Round electrodes with a diameter of 5 cm are used on the sternocostal joints, fixing over painful areas with manual holders (b).

In the area of ​​pain, palpable in the intercostal spaces of the anterior wall of the chest, in the paravertebral region of the corresponding side at the level of the upper edge of the scapula, electrodes measuring 8x12 (c) are used. In the n zone of pain, palpable along the intercostal space on the lateral surface of the chest, in the paravertebral zone of the same side of the corresponding intercostal spaces, electrodes 8x10 cm in size (d) are prescribed. On the paravertebral zones in the area of ​​palpable tenderness, electrodes 5x8 cm in size are placed paravertebral (e).

Rice. 65. The location of the electrodes under the influence of SMT in the chest area

Rice. 66. The location of the electrodes when exposed to SMT on the collar zone: a - collar zone; b - lumbar region

SMT is assigned with the following parameters: mode I, I RR -3-5 minutes and IV RR - 3-5 minutes, modulation frequency 100 Hz, depth 50-75%, duration of messages in the period - 2 s. The current strength is gradually increased until moderate sensations of vibration appear under the electrodes. Procedures are carried out daily. The course of treatment is prescribed 10-12 procedures.

Rice. 67. The location of the electrodes when exposed to SMT on the area of ​​​​sympathetic nodes, wandering and
right phrenic nerve: a - lateral surfaces of the neck; b - supraclavicular region on the right and suprascapular region on the same side

Bogolyubov V.M., Vasilyeva M.F., Vorobyov M.G.

1. laser impact.
2. Ultrasound Intervention.
3. Treatment with a magnetic field.
4. Electric currents.

Most Popular Procedures

It should be noted that all methods are inherently hypoallergenic, but there is one exception - electrophoresis with the use of drugs and inhalations, including from herbs. For children, hydrotherapy should be used with caution.

The method involves the use of low-frequency electrical impulses to normalize the functioning of nerves, muscles and restore the normal level of tone. When using the technology, nerve endings are restored and body weight is reduced.

The procedure triggers an immune reaction, fights microbes, and is used to treat skin, skeletal, respiratory system diseases and diseases of the nervous system of a peripheral type.

Indications: bronchitis, arthritis, neuritis, pneumonia, etc. It can also be used for jaundice, caries, rickets, vitamin D and calcium deficiencies, and fragile vascular syndrome. Read about inexpensive calcium tablets here.

This is necessary to cause irritation of the receptors on the skin and mucous membranes. Application: ENT diseases of a pathological nature, skin diseases and dental.

Inductothermy or ultrasound treatment - not earlier than 3 years. The procedure activates the metabolic process in tissues and muscle fibers. This is necessary for the stable functioning of the nervous system and to increase the level of the immune response of people with a weakened one.

For therapeutic purposes, the use of such methods is quite reasonable and the positive effect of this has been scientifically proven. With the help of physiotherapy, it is possible to promote the recovery of patients with almost any internal disease.

Of course, there are contraindications, so any treatment is categorically contraindicated. All manipulations should be carried out with the recommendation and permission of the doctor, and especially complex ones should be performed under the supervision of a competent specialist.

What is SMT Therapy?

Another name for this method is amplipulse therapy. This is a natural effect on the human body with the help of an electric current that coincides in terms of indicators with the biological impulses of a person. Especially often it is used in the treatment of diseases of the musculoskeletal system.

The principle of operation of the device

The device used for treatment is capable of emitting an electric field tuned to medium frequencies. The amplitude of the waves is from 10 to 150 Hz.

Thanks to this modulation, they can easily pass through the human skin, while affecting the muscles and nerve endings. Electric current has a stimulating effect on cell membranes and maintains its effect throughout the procedure in a uniform mode.

Sinusoidal currents modulated type

1. Ailments associated with diseases of the spine and joints - such as arthrosis, osteochondrosis, spondylarthrosis, arthritis, ankylosing spondylitis, muscle atrophy.
2. Diseases of the vegetative-vascular system of the body.
3. Neurological diseases of the pathological course - neurosis, neuritis, neuralgia and crying.
4. Violation of blood supply against the background of problems with the functioning of peripheral arterial vessels.
5. Diseases related to the genitourinary system and urology - decreased tone in the prostate gland, prostatitis, the formation of stones in the kidneys and urinary ducts, enuresis, cystitis, pyelonephritis.
6. Diseases of the gynecological sphere, including possible inflammatory processes occurring inside the body.
7. Diseases of the digestive system - colitis and a pathological decrease in intestinal motility, biliary dyskinesia, peptic ulcer, constipation.
8. Blood clotting, swelling and other problems of the venous system.
9. Necrosis of various origins, bedsores - many trophic processes.
10. Infectious and other lesions of the oral cavity - gingivitis, stomatitis and inflammation of the gums at any stage.
11. CNS diseases - meningoencephalitis, head and brain injuries, cerebral palsy, brain strokes.
12. Diseases aimed at dystrophy and inflammation of the organs of vision.
13. Diseases of the cardiovascular system - myelopathy, atherosclerosis of the extremities, disruptions in the blood supply to the spinal cord and brain, hypertension, migraines and Raynaud's disease.
14. On the part of the respiratory system - pneumonia, asthma of the bronchial type, the occurrence of bronchitis.

The action of SMT therapy is divided into two types:

1. Stimulation of metabolism in human tissues and organs.
2. Removal of puffiness, ischemia and problems with congestion in the veins.

Therapy for children is carried out strictly in polyclinics and hospitals, in compliance with all safety and hygiene rules.

SMT directly affects with the help of electric current:

1. Muscles and fibers.
2. Nerve endings and the nervous system as a whole.

Contraindications

For some diseases, it is forbidden to use such methods of treatment due to the risk of worsening the patient's condition:

• The defeat of a tubercle bacillus (in the active stage).
• The appearance of neoplasms - tumors, especially if cancer is suspected.
• Lack of blood circulation in the 3rd degree.
• Purulent secretions and processes accompanied by them.
• Parkinson's disease.
• Chronic diseases of the hematopoietic system.
• Fractures or cracks in the bone.
• Feverish conditions.
• Pregnancy at any stage.
• For skin irritations and eczema.
• thrombophlebitis disease.
• Stones in the gallbladder or kidneys, provided that the procedure must be carried out in this area.
• If you have a pacemaker or other electronic device.
• Fractures without the ability to fix bone fragments and the damaged area.
• Ruptures of ligaments and muscle tissue.
• Recently received hematomas.
• Coagulation disorders.
• Elevated body temperature.

How to carry out the procedure at home?

There are situations when the movement for the patient is a lot of trouble and requires a lot of effort. It is difficult for such a person to regularly visit a clinic or hospital.

In such cases, therapy at home is prescribed. Stimulation is performed using analogs of hospital devices, configured to the desired parameters, of a compact and mobile type. The procedure can be performed both without assistance and with it.

They treat patients in serious condition after myocardial infarction, ailments of coronary heart disease, victims with impaired motor ability that occurred as a result of a stroke or injury. Read more about spinal cord infarction here.

How is the treatment in the clinic?

1. Depending on the affected area, the patient either lies down on the bed, or stands or sits.
2. The doctor fixes a special electrode on the sore spot with elastic bandages and suction cups. The choice of electrode depends on the disease and the degree of its impact on the body. It must completely cover the affected area. There are also devices for carrying out the procedure inside a person, this is especially true for gynecological problems. They can be lubricated with Vaseline.
3. During therapy, the patient usually does not feel anything, although in some cases a pleasant tingling sensation is noted.
4. The whole process takes from 10 minutes to an hour.
5. The number of procedures and their duration are selected by the attending physician. In total, it may be necessary to combine several methods alternating with each other.

The device operates in several modes, so you need to choose the right type or use alternate switching on of pulses of different frequencies.

Side effects from SMT

The therapy itself does not cause complications.

However, in some cases they may appear:

1. In case of non-compliance with the technology of using the device.
2. If, contrary to contraindications, treatment using this technology was prescribed.
3. In cases where the device is used to enhance the rate and degree of penetration of drugs into the human body. Then the side effects are determined by the action and properties of the drug.
4. Allergic reactions that occur due to intolerance to the effects of electric current.

Advantages of using technology

1. Quick first result and improved well-being. Sometimes even after the first application, the patient begins to notice the effect of the procedure. This happens because current fluctuations have a direct effect on the affected area and its nerve endings. The result of the impact is stable and noticeable.
2. High degree of process safety. The power and fluctuations of the current waves are close to natural indicators, which eliminates the possibility of causing any damage. In view of this parameter, SMT therapy is readily prescribed even to children and the elderly, if they have no contraindications.
3. A big advantage is the low percentage of side effects if the procedure was approved by the attending physician and there were no obstacles to this.
4. Elimination of severe pain immediately after the session.
5. Can be used for disorders of the respiratory system.

Benefit

SMT therapy has many positive effects on human health:

1. Removal of pain syndrome of any etiology.
2. Removal of spasms, excessive muscle activity and tension - muscle relaxation.
3. Stimulates correct blood supply and outflow of lymphatic fluid.
4. Improves the metabolism of the whole organism.
5. It has a general strengthening effect.
6. Helps metabolism in liver cells.
7. Increases the secretory capacity of the pancreas and adrenal glands.
8. Psychosomatic relaxation session.

Therapy in childhood

The child's body is less resistant to all kinds of methods, especially at the time of illness.

• The device can be used no earlier than 5-6 months after the birth of the baby.
• Rectified type of therapy can be used from 2-3 years due to the irritating effect.
• The mechanism of the procedure remains similar to adult use, but the duration of the session is reduced by ½ or 1/3 of the adult.
• The electrodes should not be attached, but wrapped with a bandage for greater fixation,
• The elements of the device for children are smaller.
• During and after the procedure, the child should be asked about the sensations, improvements and discomfort. So you can find out if the therapy is suitable or not.

Reviews

Used it on my daughter. She had severe bronchitis. The cough was literally choking. I couldn’t sleep at night, everything was “strangled” by angina pectoris at night and that’s all. Then the doctor's sister advised me and he sent me for CMT diagnostics.

At first I did not believe in the effect, but after the first session, when my daughter felt better, there was no doubt. I performed the procedures once a day, for a week, after which my health became better, I am very satisfied and now I recommend it to everyone.

In terms of the SMT procedure, this is my 2nd attempt. And again successfully.

1. No need to spoil the body with countless chemical drugs, which are already harmful.
2. Heals faster.
3. Qualitatively.

It is intended to stimulate the affected area of ​​the patient, which in turn relieves pain and prevents the development of the inflammatory process in the tissues.

The device itself is small and easy to operate. It looks like a box with lots of light bulbs and buttons. Two wires depart from it at the ends, to which electrodes are attached.

After 10 days of therapy, I cured my back and feel younger.

Hello. My work is hard - I'm a trucker. Most of the time I spend in the car sitting in the same position, occasionally interrupted by personal business. All this contributed to the decision to purchase a portable SMT.

My back hurt a lot, sometimes so badly that the pain was hard to contain. I went to the doctor, he sent me to a neurologist, who sent me to physiotherapy. The treatment period was 1 month, after which, 2 weeks later, the course was repeated. Since then, back pain has not bothered me, and work is a pleasure.

A year ago I was diagnosed with vegetovascular dystonia. When the development of the disease began, I don’t know for sure, but over time I began to notice a sharp change in mood, apathy, and rapid fatigue. It became completely scary when I began to forget the obvious things and “stupid”.

In a panic from such results, I went to the clinic to a local specialist. After the tests, I was diagnosed, prescribed drugs and treatment using the Amplipulse apparatus. After the first session, I literally came to life. They put electrodes on my collar area.

Only 10 procedures, but they helped me cope with the disease. Spasms in the thyroid gland area have passed, appetite has returned, midges before my eyes and apathy have disappeared, appetite has been restored and the world has again been painted in the colors of the rainbow. But most importantly, my memory and the ability to think returned to me. I am very grateful to the device and its creators.

I want to write about the fact that there are no hopeless situations.

For a long time, she treated arthrosis with various methods. What kind of medicines I just didn’t try, but they didn’t help much. In the district polyclinic, he was sent for treatment with the SMT apparatus. The first time was scary.

There was a slight electric shock and I jumped out of surprise, but the structure did not move. Gradually I got used to it. The feeling is very pleasant and relaxing. 3 and 4 mode on the device has a massage effect.

In combination with pills, the therapy gave a positive effect and the pain no longer bothered me. I liked it very much.

What is SMT physiotherapy and how is it performed?

In most cases, physiotherapy is an auxiliary method of treating a particular disease. However, in the initial stages of the disease, this method can be used as an independent method. Also, physiological procedures are an excellent prevention of a large number of pathologies.

What is SMT Physical Therapy?

• current generator;
• control panel;

The principle of operation is this:

Compared to the apparatus method of treatment using dynamic current, SMT procedures have a mild effect, such physiotherapy has practically no contraindications. Amplipulse therapy can be used to treat neurological diseases that occur against the background of cardiac disorders. Such procedures contribute to deep penetration into the structures of the body, this stimulates the skeletal muscles, as well as large blood vessels and smooth muscles of the internal organs.

Physiotherapy with SMT is best done in a clinical setting under the guidance of a physician. It is necessary to take into account the human anatomy, to know all the details of the disease (character and stage), so that the electrodes can be placed in a particular area. The procedure will be effective only with repeated course use.

• ENT diseases;
• diseases of the nervous system.

Quite often, physiotherapy relieves protracted diseases that are not amenable to traditional methods of treatment. SMT is used for chronic inflammation that lasts more than 5 years. SMT procedures in a straightened mode are practiced for electrophoresis with zinc. The electrophoresis procedure by means of SMT currents is combined with salicylate, novocaine and magnesium when inflammation is combined with endometriosis.

How is the SMT procedure performed?

The procedure for influencing the patient with sinusoidal currents is carried out without special training. It is carried out in a supine position, less often in a standing or sitting position. Current is supplied to the body through electrodes, and hydrophilic pads are also used. They are fixed with weights and elastic bandages. The best effect can be achieved by relaxing the muscles.

SMT physiotherapy devices are equipped with several modes of operation. They differ in the time of exposure to current and frequency. The principle of operation of the device is the alternation of pulses and pauses. The patient does not experience any discomfort during the procedure, a slight tingling and vibration in the affected area is allowed.

The feature of the procedure is:

• myocardial infarction;
• stroke

Possible contraindications

• oncological diseases;
• active tuberculosis;
• blood diseases;
• open wounds and hematomas;
• dermatitis and eczema;
• pregnancy;
• hypertension;

What is SMT physiotherapy and how is it performed?

When it comes to physiotherapy, one of the most common forms of treatment is usually meant, and its essence lies not in exposure to chemicals, such as pills, but in physical exposure, using special devices and devices that are designed specifically for this.

Types of physiotherapy procedures

There are such types of physiotherapy procedures:

• laser exposure;
• exposure to ultrasound;
• magnetic field treatment;
• electric currents.

Most popular procedures

It should be noted right away that all methods are hypoallergenic, however, there is also a fly in the ointment - electrophoresis, in which drugs from chemical components and herbs are used for inhalation.

This type of hydrotherapy should be used with caution.

SMT is a sinusoidal action of modal current waves on a muscle fiber. It is allowed to be used from 6 months.

This method involves the use of low frequency electrical impulses to improve the functional component of muscles, nerves and restore the optimal level of tone. During the SMT procedure, nerve endings are restored and body weight is reduced.

UHF - ultra-high frequency currents. They can even be used for newborns. The method is based on the inductothermic effect on tissues, which helps to warm up muscle tissues, activates blood circulation and relieves swelling, spasms, inflammation, and also relieves pain.

Thanks to the procedure, the immune reaction starts and fights microbes, and is also used to treat skin ailments, diseases of the respiratory system, skeleton and NSPT (peripheral nervous system type).

UV and IR as well as UHF can be used from birth. Ultraviolet / infrared rays penetrate the fabric for several centimeters. This helps to stimulate tissue regeneration, relieve spasm and pain, and also establish material metabolism within tissues.

Indications: neuritis, bronchitis, pneumonia, arthritis, etc. It can also be used for caries, rickets, jaundice, lack of calcium and vitamin D in fragile vessels.

Darsonvalization - this method can be used when the child is two years old. To influence the human body with a current of high voltage and frequency, the Darsonval apparatus is used.

This is necessary to cause irritation of receptors on the mucous membranes and skin.

Applied for: pathological ENT diseases, as well as dental and skin diseases.

Ultrasound treatment or inductometry - not earlier than 3 years old. This procedure activates the metabolism in muscle fibers and tissues. This is required for the stability of the nervous system and to improve the level of the immune system for those who have it weakened.

For therapeutic purposes, these methods are fully justified and the positive effect of their use has already been scientifically proven. With the help of physiotherapeutic procedures, SMT can contribute to recovery from almost all internal diseases.

Of course, there are contraindications, so choosing any method without prior consultation is extremely unreasonable.

What is SMT Physiotherapy?

The second name of this technique is amplipulse therapy. This is a natural type of impact on the human body with an electric current, which coincides with the biological impulses of the person himself.

Quite often it is used to treat diseases of the ODS (musculoskeletal system).

The principle of operation and operation of the device

The device that is used for treatment may emit an electric field that is tuned to an average frequency. The wave amplitude ranges from 10 to 150 Hz.

Due to this modulation, the currents perfectly pass through the skin, perfectly affecting the nerve endings and muscles. Due to the fact that an electric current is used, the cell membranes are activated, and the effect of the procedure lasts all the time while it is being carried out.

Sinusoidal currents with modulated type - indications for use:

1. Diseases that are associated with pain in the spine and joints. These include arthrosis, spondylarthrosis, muscle atrophy, ankylosing spondylitis, osteochondrosis.
2. Diseases of the vegetative-vascular system of the human body.
3. Pathological processes of the neuralgic direction - neuritis, crying, neuralgia, neurosis.
4. Impaired blood supply against the background of problematic functioning of peripheral arterial vessels.
5. Diseases of urology and the genitourinary system - the tone in the prostate gland decreases, kidney stones form, as well as prostatitis, enuresis, pyelonephritis, cystitis.
6. Diseases in the field of gynecology, this also includes inflammatory processes occurring inside the body.
7. Diseases of the digestive system - a decrease in intestinal motility in a pathological way, colitis, constipation, biliary dyskinesia, peptic ulcer,.
8. Edema, blood clotting, and other problems of the venous system.
9. Necrosis of various genesis, bedsores - almost all trophic processes.
10. Lesions of the oral cavity of various nature (including infectious ones) - stomatitis, gingivitis, inflammation of the gums at any stage.
11. Diseases of the central nervous system - brain and head injuries, cerebral stroke, cerebral palsy, meningoencephalitis.
12. Diseases associated with dystrophy and inflammation of the organs of vision.
13. Diseases of the cardiovascular system - failure of the blood supply to the back and brain, migraine, hypertension, Raynaud's disease, atherosclerosis of the extremities, myelopathy.
14. Diseases of the respiratory system - asthma of the bronchial type, pneumonia, the appearance of bronchitis.

1. Stimulation of material metabolism in human organs and tissues.
2. Removal of puffiness, congestive vein problems and ischemia.

For small children, therapy is carried out only in clinics and hospitals in compliance with all safety and hygiene standards.

Directly SMT acts with the help of electric current:

• Fibers and muscles.
• The nervous system as a whole and nerve endings.

Contraindications with SMT Physiotherapy

There are a number of such diseases in which the use of SMT is strictly prohibited, because it can only worsen the already disappointing situation of the patient:

• Tuberculous lesion with a stick.
• The appearance of tumors, which may be as a suspicion of cancer.
• Insufficient blood circulation III degree.
• Purulent discharge and the processes that accompany them.
• Parkinson's disease.
• Fractures / fractures of the bone.
• Chronic diseases of the hematopoietic system.
• Fever states.
• Pregnancy at any stage.
• Thrombophlebitis diseases.
• Gallbladder/kidney stones if the procedure is to be done in that area.
• Skin irritations, eczema.
• If the person has a pacemaker or other electronic device.
• Fractures without the possibility of fixing bone fragments and the damaged area.
• Torn ligaments and muscles.
• Fresh hematomas.
• Impaired blood clotting.
• Increased body temperature.

How to do SMT physical therapy at home

In life, it also happens that for a banal movement to the hospital, a person will have more harm from this than from the procedure performed. It is quite difficult for such people to attend the necessary procedures every day.

In this case, therapy is prescribed at home. Stimulation is carried out with analogues of hospital devices that are already set to certain parameters, and they are quite small (compared to the units that are installed in the hospital). The procedure can be carried out even by yourself!

It should be noted that the devices that provide amplipulse therapy have a fairly high degree of protection as much as II category. Let's say the small-sized "Amplipulse - 6" was created so that it can be used both in a hospital and at home.

It is used to treat patients in extremely severe conditions, for example, after a myocardial infarction, or after a violation of motor ability, after coronary heart disease, or after an injury / stroke.

How is the treatment in the clinic

1. Depending on which area is affected, the patient either sits down or lies down on the couch.
2. The doctor takes a special electrode and fixes it on the affected area with bandages and suction cups. The electrode itself is chosen depending on what kind of illness a person has and on the desired degree of impact on the affected area. There are also devices that are needed to carry out the procedure inside the body, which is especially important for diseases of the gynecological sphere. Such devices can be lubricated with petroleum jelly for easier entry.
3. During the procedure, the patient does not feel anything, although sometimes it happens that a person feels a slight tingling sensation.
4. The procedure can take from 10 to 60 minutes.
5. The duration and number of procedures is chosen by the doctor. In total, you may need several specific methods that need to be alternated with each other.

The device can operate in different modes, so first you need to choose the right type of impact or use the function of switching on pulses of different frequencies in turn.

Side effects of SMT physiotherapy

In general, therapy does not cause complications, but in some cases it may occur if:

1. The technology of using the device was not observed.
2. If the treatment was prohibited due to contraindications, but, nevertheless, it was used anyway.
3. In cases where the device was used as a means to accelerate the penetration of drugs into the human body. In this case, side effects will be due to the action of the drug.
4. Allergy that occurs due to intolerance to the effects of current.

Advantages of this technology

Let's list the main ones:

• Rapid manifestation of results and improvement of well-being. Sometimes it happens that even after the first application, the patient already sees the effect of the procedure. This is due to the fact that vibrations have a direct effect on the affected area and nerve endings. The result remains for a long time, is steady and appreciable.
• The most secure process. Since the power and wave vibrations are as close as possible to biological indicators, the likelihood of damage is excluded. Thanks to this, SMT therapy is prescribed even for the elderly and young children, if they have no contraindications.
• A low percentage of side effects if the procedure was officially prescribed by a doctor, and there were no contraindications.
• Elimination of severe pain even after the first session.
• It is used even for violations of the respiratory system.

Beneficial features

SMT therapy provides a huge number of positive health effects:

• Removes any pain syndromes of various etiologies.
• Relieves spasms, tension and excessive muscle activity - muscle relaxation.
• Stimulates the outflow of lymphatic fluid and corrects the blood supply.
• Helps to establish a material exchange of the whole organism.
• Has a strengthening effect.
• Promotes metabolism in liver cells.
• The session is psychosomatically relaxing.

Therapy for children

As you know, the body of children is not so resistant to all methods, especially during periods of illness.

• The device can be used only after the child reaches 6 months.
• The type of straightening therapy can be used only from the age of 3, as there is an irritating effect.
• The mechanism of the procedure is similar to the methods for adults, but the duration of the session is reduced by ½ or 1/3 of the adult procedure.
• The electrodes are not fastened, but wrapped with bandages for secure fixation.
• On the device for carrying out children's procedures, the elements are smaller.
• During and after the procedure, it is imperative to ask the child about well-being, discomfort and improvements. That way you can find out if therapy is right for him or not.

SMT physiotherapy - an effect that brings relief from pain

SMT physiotherapy takes its name from the sinusoidal modulated currents used in the procedure. This physiotherapy is also called amplipulse therapy. At the same time, the body is affected by a sinusoidal current with a frequency of five thousand Hertz, modulated by an amplitude that fluctuates with a low frequency (LF) - from ten to one hundred and fifty Hertz.

The LF used correspond to the frequencies of oscillations of the biocurrents of our body, which occur during the work of muscles, brain and nerves. Their synchronization with the SMT used allows the high-frequency current to penetrate into deep-lying tissues without irritating skin receptors, and the low-frequency currents have an exciting effect on the nervous, vascular and muscular systems. SMT is well tolerated by patients, so pediatric practice, if it is necessary to influence the mucous membranes of a child, prefers amplipulse therapy.

To maximize the effectiveness of treatment and expand the range of excitable tissues, physiotherapy alternates between two different modulated frequencies: 150 Hz, which remains unchanged, and adjustable in a given low frequency range. The duration of both frequencies is also regulated differently - ranging from one to five seconds. The result of such an impact is a rhythmic muscle contraction, a decrease in tissue swelling due to the outflow of metabolic products from the pathology focus. Along with swelling, peripheral pains go away, which, in turn, causes a decrease in spasm of blood vessels. And the expanded vessels already provide normal nutrition to the affected tissues and restore their impaired performance.

The use of SMT therapy

The range of indications for the use of SMT is very wide. SMT physiotherapy helps patients:

• with impaired peripheral circulation,
• with functional disorders of the neuromuscular system,
• with tissue trophism (for example, bedsores in patients with damaged spinal cord);
• in chronic inflammatory processes (sciatica, neuritis, neuralgia),
• with gynecological diseases,
• in diseases of the oral mucosa.

It is also used to stimulate muscles (especially striated), with respiratory disorders, and the work of the gastrointestinal tract.

SMT is a panacea for diseases of the spine and joints

The ability of a series of low-frequency pulses to physiologically rhythmically affect tissues allows you to quickly get rid of the pain dominant, which is especially important for pathologies of the spine and joints. Rhythmic muscle contraction during the procedure and monotonous irritation of pain receptors allows to achieve temporary insensitivity to pain. At the same time, the swelling that has formed around the nerve, which is also the cause of pain, is resolved. Improving blood and lymph circulation restores the normal functioning of tissues.

The ability to involve a large number of different muscles can replace an hour-long workout in a sports club. This circumstance is used in the treatment of overweight patients.

Physiotherapy SMT - reviews, for children, contraindications

Physiotherapeutic methods of treatment are often used as an aid in the course of the main treatment process.

• awakening one's own, hidden, reserves of the body;
• qualitative improvement of the immune system;
• reduction of treatment time;
• activation of the most important biochemical processes;
• the fastest healing of wounds and foci of inflammation.

Physiotherapy SMT, as one of these methods, is based on the action of Sinusoidally Modulated Currents.

The domestic method of treatment with electricity is amplipulse therapy SMT - electrical stimulation with alternating currents in the form of amplitude pulsation.

Back in the first half of the last, twentieth century, a special medical device "Amplympuls" was developed and put into practice, designed for physiotherapy.

Today, devices of the same name are used under modification numbers 4-8.

Neuroimpulse, Stimulus 1 and Stimulus 2 devices have been used in SMT therapy.

Sinusoidally modulated currents have a number of positive parameters:

• simulation of metabolic processes in tissues and organs of the body;
• reduce tissue swelling, ischemia, venous congestion.

SMT physiotherapy has a direct effect on:

Amplipulse therapy activates the vessels of the respiratory and motor centers, which leads to: an increase in the outflow of venous blood and inflow of arterial blood; improves the tone of blood vessels; breathing and heart rate calms down, becomes less frequent.

The use of SMT physiotherapy

• diseases of the central nervous system (meningoencephalitis, traumatic brain injury, cerebral palsy, cerebral stroke);
• diseases of the ENT system (pharyngitis, vasomotor rhinitis);
• dystrophic and inflammatory eye diseases;
• diseases of the cardiovascular system (myelopathy, parkinsonism, post-stroke condition, atherosclerosis of the extremities and blood vessels, circulatory disorders of the spinal cord and brain, migraine, Raynaud's disease, hypertension);
• urological diseases (stones in the ureters, enuresis, impotence, prostatitis, pyelonephritis, cystitis); diseases of the gastrointestinal tract (dyskinesia, constipation, gastric disorders, gastritis, duodenal ulcer, stomach ulcer);
• pulmonology (pneumonia, bronchial asthma, bronchitis);
• injuries and diseases of the musculoskeletal and articular systems (fractures and bruises of bones, muscle atrophy, spogdillosis, osteochondrosis, ankylosing spondylitis, periarthritis, deforming arthrosis, rheumatoid arthritis);
• diseases of the peripheral nervous system (neuromyositis, sciatica, plexitis, neuropathy, neuralgia).

Electrotherapy for children

Children's electrotherapy is carried out by a physiotherapist, according to the recommendations of children's doctors (ENT doctors, orthopedists, neurologists, pediatricians).

Treatment includes the main methods of SMT physiotherapy:

Electrotherapy for children is carried out in a special department of physiotherapy of the polyclinic.

The procedures are performed by nurses and doctors with special medical training.

In the children's department of the polyclinic, safety regulations and the necessary conditions of sanitary hygiene are observed.

Contraindications

SMT physiotherapy is contraindicated in:

• thrombophlebitis;
• fractures with unfixed bone fragments;
• ruptures of muscle ligaments and muscles;
• fresh tissue hematomas;
• blood clotting disorders;
• high body temperatures;
• pulmonary tuberculosis (active form);
• the presence or suspicion of malignant tumors;
• acute purulent and inflammatory processes.

Reviews

Are there any mothers whose children were prescribed electropulse therapy?

Somehow I doubt its effectiveness.

My baby was prescribed nothing but inhalations.

But I myself can boast that with the help of physiotherapy I got rid of an ovarian cyst and became pregnant!

By the way, I had an electrophoresis procedure with copper.

And how does the procedure of light therapy take place and why is it prescribed?

In my opinion, light therapy is prescribed for a severe form of postpartum jaundice.

And they do it this way: they put the child under a special lamp, put special goggles on him (like swimming glasses), and so they leave him to lie down.

Well, mine is unlikely to allow glasses to be pulled on him, and then left to lie quietly.

He doesn't care what kind of goggles there are, swimming or television.

Yes, the fact of the matter is that I have the same son.

He won't let anyone do violence to himself.

We, unfortunately, have a lot of different indications and directions.

Especially from a neurologist!

You have to go through, otherwise you will get confused in the queues.

The electrotherapy procedure is done quite differently!

It's just that the child fits into a comfortable position, they give him an interesting toy and drive a light sensor along the lower back, chest, back and shoulders.

Just like an adult ultrasound.

Let me shake...

I don’t know about anyone, but in my opinion, physiotherapy is an amazing procedure.

There are many cases when a child, after a physiotherapy, begins to sit down, get up, walk, run, and even wipe snot on his own.

My daughter, in the first year of life, underwent electrophoresis and muscle electrical stimulation in succession (the back muscles were rather weak).

The effect of the procedure done was obvious to everyone.

Physiotherapy smt: what is it?

The SMT procedure and the features of such physiotherapy, how it is performed

In most cases, physiotherapy is an auxiliary method of treating a particular disease.

However, in the initial stages of the disease, this method can be used as an independent method.

Also, physiological procedures are an excellent prevention of a large number of pathologies.

These procedures help to activate the body's reserve capabilities, improve the immune system, shorten the duration of treatment and activate important biochemical processes, as a result of which inflammation and wounds heal quickly. And SMT physiotherapy is one of the methods based on the work of sinusoidal modulated currents.

What is SMT Physical Therapy?

SMT stands for Sinusoidal Modulated Currents. This therapy involves treatment with amplipulse therapy. The SMT procedure is such an effect on the patient's body by means of an electric current, which is generated by means of a special apparatus.

The device for carrying out the SMT procedure is a rather complex device, which includes the following components:

• current generator;
• control panel;
• electrodes that transmit impulses to the patient's body.

The most popular devices for the procedure in institutions are as follows:

Also, many other European-made devices are used for physiotherapy.

The principle of operation is this:

• sinusoidal current directly affects the nerve endings;
• the impact occurs with a given frequency and in a certain rhythm;
• The key purpose of such procedures is to alleviate the condition and relieve pain.

Compared to the apparatus method of treatment using dynamic current, SMT procedures have a mild effect, such physiotherapy has practically no contraindications.

Amplipulse therapy can be used to treat neurological diseases that occur against the background of cardiac disorders.

Such procedures contribute to deep penetration into the structures of the body, this stimulates the skeletal muscles, as well as large blood vessels and smooth muscles of the internal organs.

The results of physical therapy through SMT

After the SMT procedure, the results may be as follows:

• elimination of pain of a different nature;
• the development of muscle relaxation - hypertonicity and muscle tension are relieved against the background of spasms;
• stimulates blood circulation and lymph flow;
• metabolic processes are normalized;
• has a general strengthening effect;
• stimulates metabolism in the liver;
• improves the secretory function of the adrenal glands and pancreas;
• psychosomatic relaxation.

Physiotherapy with SMT is best done in a clinical setting under the guidance of a physician.

It is necessary to take into account the human anatomy, to know all the details of the disease (character and stage), so that the electrodes can be placed in a particular area.

The procedure will be effective only with repeated course use.

Indications for the use of SMT physiotherapy

The scope of SMT is very wide:

• neuralgia, neuropathy, plexitis, sciatica, neuromyositis and other diseases of the peripheral nervous system;
• diseases and injuries of the musculoskeletal system and joints, such as deforming arthrosis and rheumatoid arthritis, periarthritis, Bechterew's disease, spondylosis, osteochondrosis, bruises, fractures, muscle atrophy;
• pneumonia, bronchitis and bronchial asthma;
• diseases of the gastrointestinal tract (gastric ulcer, duodenal ulcer, indigestion, constipation, biliary dyskinesia, gastritis);
• urological diseases - impotence, enuresis, prostatitis, cystitis and much more;
• heart diseases - hypertension, migraines, atherosclerosis and much more;
• dystrophic and inflammatory eye diseases;
• ENT diseases;
• diseases of the nervous system.

Physiotherapy SMT in gynecology

Quite often, physiotherapy relieves protracted diseases that are not amenable to traditional methods of treatment. SMT is used for chronic inflammation that lasts more than 5 years.

SMT procedures in a straightened mode are practiced for electrophoresis with zinc. The electrophoresis procedure by means of SMT currents is combined with salicylate, novocaine and magnesium when inflammation is combined with endometriosis.

How is the SMT procedure performed?

The procedure for influencing the patient with sinusoidal currents is carried out without special training. It is carried out in a supine position, less often in a standing or sitting position.

Current is supplied to the body through electrodes, and hydrophilic pads are also used. They are fixed with weights and elastic bandages.

The best effect can be achieved by relaxing the muscles.

The size of the electrodes should preferably match the area of ​​the impact zone. You can practice intracavitary use - these are sterilized electrodes that are washed off with petroleum jelly and introduced into the body.

SMT physiotherapy devices are equipped with several modes of operation. They differ in the time of exposure to current and frequency.

The principle of operation of the device is the alternation of pulses and pauses.

The patient does not experience any discomfort during the procedure, a slight tingling and vibration in the affected area is allowed.

The feature of the procedure is:

• one session lasts from 10 minutes to an hour;
• procedures are carried out every day for 7-10 days;
• if necessary, the course of physiotherapy is repeated after a week;
• physiotherapy can be combined with magnetotherapy, ultrasound and mud therapy;
• SMT procedures are also combined with physiotherapy exercises, acupuncture, professional massage.

Can I do SMT physiotherapy at home?

Devices for carrying out SMT procedures can be used not only in special rooms, but also in ordinary hospitals and at home. Moreover, such devices are small in size. In particular, the Amplipulse-6 device is used to treat such diseases:

• myocardial infarction;
• coronary heart disease of severe stages;
• stroke
• motor dysfunctions after various kinds of injuries.

SMT causes almost no side effects. An allergic reaction can occur with intolerance to electric current.

SMT physiotherapy has many advantages over other treatments. It is used according to indications, taking into account the characteristics and stage of the disease, the age of the patient and other factors.

Possible contraindications

The SMT procedure cannot be prescribed in such cases:

• acute infections and purulent processes;
• inflammation and fever;
• oncological diseases;
• active tuberculosis;
• blood diseases;
• open wounds and hematomas;
• dermatitis and eczema;
• unfixed fractures, ruptures of muscle tissue and ligaments;
• pregnancy;
• hypertension;
• varicose veins and thrombophlebitis.

With extreme caution, the procedure is prescribed for epilepsy and other nervous diseases, as well as in the presence of a pacemaker and other devices on the body.

SMT therapy is carried out taking into account safety precautions in rooms specially equipped for this.

Smt - physiotherapy. apparatus for physiotherapy. physiotherapy smt - what is it?

Physiotherapy is understood as one of the methods of treatment, in which not chemical factors (drugs) are used, but physical ones.

These, for example, include laser, ultrasound, magnetic field, currents, and so on. During the procedures, special devices for physiotherapy are used.

Indications for the appointment are almost all pathologies of internal organs. Contraindications are individual.

The benefits of therapeutic measures

Thanks to this effect, the period of getting rid of many pathologies is significantly reduced, and prevention of relapses and complications of diseases is carried out.

Physiotherapy does not cause side effects inherent in drug treatment.

During the procedures, there is an increase in the effect of the drugs taken, which in turn significantly reduces their dosage and duration of administration, and in some cases makes it possible to completely abandon pharmacological agents.

Methods of physiotherapy. Treatment with electric current

Electrotherapy involves the use of direct or pulsed current. Apply and exposure to an electromagnetic field of different frequencies. Treatment methods using electricity are different. Each of them has certain characteristics.

Galvanization is a procedure during which a continuous electric current of low voltage (from 30 to 60 V), low power (up to 50 mA), constant amplitude and direction is applied.

The indications include a number of inflammatory diseases in a chronic course, circulatory disorders.

By means of a direct electric current, drugs are administered through the mucous membranes and skin. Medicinal electrophoresis, therefore, includes the action of two factors: a certain medication and galvanic current.

Impulse impact

During procedures, the effect of current can be inhibitory (pain relievers, for example) or exciting (muscle stimulation).

It depends on the shape of the pulse (it can be rectangular, half-sine or sinusoidal), frequency and duration. Diadynamic therapy involves the use of direct currents with a half-sinusoidal shape.

Frequency - 50 and 100 Hz. When carrying out procedures, combinations of pulses can also be used.

If we consider the general nature of the impact, diadynamic therapy has little difference from galvanization.

However, the pulsed nature of the direct current in the first case provides a deeper penetration into the muscle tissue.

In this regard, in the process of exposure, an analgesic effect is manifested.

Electrosleep is a neurotropic impulse electrotherapy. The impact is carried out on the subcortical brain structures.

Due to the synchronization of impulses and biorhythms in the central nervous system, inhibition processes are activated and sleep occurs.

This method is used in the treatment of children with night sleep disorders, mental and nervous pathologies. Indications include enuresis, atopic dermatitis.

Treatment using low frequencies. Physiotherapy SMT

What is this impact? This type of treatment involves the use of a modulated sinusoidal audio frequency current. Pulse series, for which it is possible to change the frequency of modulation, pause and duration, are called sinusoidal modulated current.

SMT is used in medicine to facilitate deep tissue penetration. In the process of exposure, the intensity of the pain syndrome decreases. SMT physiotherapy is especially effective for children.

Update: October 2018

Amplipulse therapy is a common method of physiotherapeutic treatment, in which the effect on the body is sinusoidal modulated currents (SMT). First held in 1963. Refers to electrotherapy, is used as a therapeutic, rehabilitation and preventive technique. One of the most effective types of electrotherapy for diseases of the bones and joints.

Let's talk about the indications and contraindications of the amplipulse, consider popular methods and features of procedures at home.

Amplipulse therapy: the essence of the technique and positive effects

What is the procedure? The action of SMT is based on the same principles as the treatment with diadynamic currents:

• the rhythmic action of SMT on the nervous and muscular tissue through the spinal mechanisms leads to the elimination of pain;
• rhythmic contraction of muscle fibers leads to an improvement in peripheral circulation and lymph flow, the formation of vascular collaterals and an improvement in tissue trophism.

• The procedures contribute to the relief of inflammatory processes and the resorption of infiltrates, the elimination of edema, the activation of regenerative processes, the improvement of metabolism, the prevention of atrophy and the increase in muscle tone.
• Amplipulse activates the vasomotor center, has a vasodilating effect and helps relieve vasospasm.
• In addition to the stimulating effect on skeletal muscles, sinusoidal currents increase the tone of the biliary tract, ureters, bladder, intestines, stimulate the secretion of the pancreas, stomach, adrenal glands, and activate hepatic metabolism.
• SMT relieve bronchospasm, enhance the function of external respiration and ventilation of the lungs, improve sputum drainage.

The difference between SMT and diadynamic currents is a milder effect, which allows the method to be used in acute neuritis with significant vegetative-vascular disorders and in other pathological processes, even in the acute phase (see indications).

Due to the deep penetration into the tissues, smooth muscles can also be affected. The analgesic effect after a single exposure is higher for diadynamic currents; in the case of SMT, this effect appears after a course of procedures. The neuromyostimulating effect of SMT depends on the depth and frequency of current modulation - it is stronger than when exposed to direct currents, but weaker than that of fluctuating currents and DCT.

Indications

Indications for amplipulse for all age groups, including children, are as follows:

• neuroses and neurosis-like states of various origins;
• pathologies of the peripheral nervous system: neuritis, neuralgia, plexitis, which occur with significant vegetative-vascular disorders;
• paresis and paralysis;
• dysfunctions of the vegetative department of the National Assembly;
• migraine;
• diseases of the joints and spine of a degenerative-dystrophic nature: osteochondrosis of all parts of the spine, arthrosis, rheumatoid arthritis, sciatica, periarthritis, spondyloarthrosis and other arthrosis;
• damage to the nerve roots;
• intervertebral hernia;
• closed bone fractures;
• scoliosis;
• reflex-tonic pain syndrome;
• muscle hypotrophy after prolonged immobility of the patient against the background of injuries, surgeries;
• occlusive diseases of the arteries of the peripheral channel;
• vascular atherosclerosis;
• lymphostasis;
• chronic gastritis with severe insufficiency of secretory function;
• peptic ulcer of the stomach and duodenum;
• dyskinesia of the intestine and gallbladder (but only if there are no stones);
• reflux esophagitis;
• chronic colitis;
• dysfunction of the female reproductive system;
• inflammatory gynecological diseases;
• atony of the bladder;
• atony of the prostate;
• impotence;
• chronic prostatitis;
• hypertension stage I;
• obesity;
• diabetes;
• chronic bronchitis and pneumonia;
• bronchiectasis;
• bronchial asthma;
• inflammation of internal organs (kidneys, lungs, etc.);
• urolithiasis (including acute period with renal colic);
• eye diseases.

Is it possible to do an amplipulse with a combination of several diagnoses? Yes, but not in parallel, but in courses with interruptions, which are set by the doctor.

Contraindications

Amplipulse contraindications are absolute and must be taken into account when prescribing treatment:

• individual intolerance;
• epilepsy;
• tuberculosis;
• the presence of an implanted pacemaker;
• cardiac arrhythmias and cardiovascular disease (hypertension II and III degree, sinus bradycardia);
• phlebeurysm;
• the presence of a metal implanted joint;
• systemic blood diseases;
• purulent diseases of the skin and subcutaneous fat;
• thrombophlebitis;
• bleeding and tendency to them;
• malignant tumors;
• open fractures;
• elevated temperature;
• alcoholic, drug intoxication.

Amplipulse is most often prescribed for osteochondrosis and rheumatic diseases, to relieve pain, improve cartilage tissue trophism, muscle tone and normalize metabolic processes.

Amplipulse therapy can be combined with mud therapy, ultrasound, cryotherapy and magnetotherapy.

Equipment used for amplipulse therapy

Today, the following devices of various modifications are used:

• "Amplipulse" (models 4, 5, 6, 7, 8),
• "Amplidin",
• "AFT SI-01-MicroMed",
• El Esculap MedTeCo.

Most often, devices of 4 and 5 modifications are used. "Amplipulse-7" can be used for amplipulse therapy and electrophoresis, as it works in two modes.

Each apparatus is provided with electrodes for different parts of the body with a set of attachments. The current strength, pulse duration, duration of the procedure are regulated by switches on the main unit.

For the procedures, plate electrodes for percutaneous application and cavity electrodes (rectal, vaginal, urethral, ​​intragastric), which can be single or reusable, are used. Also available are round electrodes on a manual holder.

For external use, hydrophilic pads are used. The size of the electrode should correspond to the area of ​​the painful area.

How is the treatment carried out

Preparation

No special preparation for percutaneous exposure is required. At the appointed time, the patient must appear for the procedure. Before proceeding with the installation of the electrodes, the nurse checks the condition of the skin in the affected area: there should be no scratches, rashes, abscesses, wounds.

If intracavitary stimulation of the stomach is planned, the procedure is performed on an empty stomach.

Procedure

The patient is on the couch in a lying, sitting or standing position, depending on the planned area of ​​influence. The nurse fixes the electrodes according to the scheme. Then the device is turned on and configured for a certain mode and type of work. The current strength is set in manual mode and gradually brought to the appearance of vibration under the electrodes: the parameter most often increases with each subsequent procedure to the maximum possible according to the method.

The treatment is carried out with muscle relaxation, which depends on the patient: you can not strain and worry.

Percutaneous exposure

A hydrophilic bandage is applied to the area of ​​the skin corresponding to the pathological focus, an electrode is applied on top and fixed with an elastic bandage or sandbags so that it does not move during the session. The second - nearby, at a distance corresponding to the transverse size of the 1st electrode or from the opposite side, is fixed in the same way. If electrodes on holders are used, the nurse fixes them with her hands.

Intracavitary exposure

Intracavitary electrodes must be sterile. They are lubricated with petroleum jelly or a special gel, gently inserted into the cavity. The use of the amplipulse is permissible only in the I mode of operation: a sinusoidal current form is used, which is dosed according to the readings of a milliammeter. Therefore, before turning on the device, you need to make sure that the operating mode is set to I. The use of mode II is strictly prohibited, since the products of electrolysis can lead to chemical burns of tissues.

The current strength during intracavitary treatment is increased until a slight vibration occurs under the electrodes, and when performing electrical stimulation - up to contractions of muscle tissue, visible visually.

Average procedure time: 5-10 minutes per area, total duration of exposure - 60 minutes, daily, 10-15 procedures per course.

Operating modes of devices "Amplipulse"

It is based on the use of alternating sinusoidal current (5 kHz), modulated in amplitude with a frequency of 10-150 Hz. An alternating current of the specified parameters penetrates the tissues without significant irritation of the skin receptors, so there is no burning sensation under the electrodes. To achieve an increase in the excitatory effect on the nerve and muscle tissues, intero- and proprioceptors, the frequency of 5 kHz is modulated with a depth of 25-100% in amplitude by a low frequency.

Amplipulse therapy devices have 2 modes of operation, each of them, in turn, has 4 types of operation.

I mode - sinusoidal current. Types of work:

• Type of work I: PM or constant modulation. Carrier frequency - 5 kHz, frequency fluctuations from 10 to 150 Hz. Tissues become accustomed to such a current quickly, so the current strength increases every 20-30 seconds. The current is used to obtain a ganglioblocking effect.
• Type of work II: PP or sending - pause. Carrier frequency - 5 kHz, frequency fluctuations from 10 to 150 Hz. Unlike PC, current generation is carried out in intermittent mode, the duration of parcels and pauses: 1-6 sec. It is used for electrical stimulation of skeletal muscles at a modulation frequency of 50-70 Hz, and for influencing smooth muscle tissue at a modulation frequency of 10-30 Hz.
• Type of work III: NP or carrier frequency - sending. The sinusoidal currents of the carrier frequency of 5 kHz are followed by currents modulated by frequency oscillations of 10-150 Hz. The duration of unmodulated and modulated current bursts is in the range of 1-6 sec. It has a slight stimulating effect on the neuromuscular apparatus. It is used in acute pain syndrome, as well as preparation before the IV kind of work.
• Type of operation IV: IF or intermittent frequency. Sending sinusoidal current, modulated by oscillations of the selected frequency, are changed by current, modulated at a fixed frequency of 150 Hz. The duration of current pulses with these modulation frequencies is regulated separately in the range of 1-6 sec. Most often used to obtain an anesthetic effect or as an effect on trophic processes. By choosing the modulation frequency and the duration of the bursts, you can choose combinations that resemble diadynamic currents modulated by long or short periods.

II operating mode - rectified current. In this mode, there are also 4 types of half-sinusoidal modulated current, the modes are similar to diadynamic therapy. It has an irritating effect on the peripheral nerve receptors of the skin. Can be used to administer drugs into the body.

The main scheme of influence

The main scheme of exposure, which is used for osteochondrosis and other processes with a pronounced pain syndrome, is performed as follows:

1. In variable mode, type of operation III, at a frequency of 100 Hz with a modulation depth of 75%, bursts of 2-3 seconds. within 3-5 minutes;
2. Then they switch to the fifth type of work, to a frequency of 70 Hz with a modulation depth of 75-100%, a burst duration of 3 seconds. within 3-5 minutes.

In the treatment of pain syndromes, the approach is as follows:

• severe pain: the electrodes are placed transversely with respect to the focus of pain or the length of the peripheral nerve;
• large area of ​​​​the site: they divide the zone into several fields and act on them alternately;
• procedures can be carried out twice a day, at least 3 hours later;
• the stronger the pain, the greater the frequency and the less the depth of modulation.

For electrical stimulation of muscle tissue, the second kind of work is used, and the location of the electrodes is determined by the type of paresis / paralysis. In the treatment of peripheral paresis, electrodes are placed in the area of ​​the motor points of the affected muscle and nervous tissue. With central paresis - antagonists of spastic muscles stimulate. Frequency, amplitude, depth, modulation, duration of bursts / pauses are set individually by a physiotherapist!

Methods of carrying out procedures depending on the pathology

Here are the most popular amplipulse techniques used in physiotherapy.

Impact on the central nervous system

An electrode measuring 6 by 2 cm with a gasket is placed above the superciliary region, the second, of the same size, is placed on the back of the head, secured with an elastic bandage.

Characteristics:

• operating mode I, genus IV;
• sedative effect - modulation frequency range 100-150 Hz, stimulation of the opioid system of the brain and analgesic effect - 70 Hz;
• modulation depth - 100% with a burst duration of 2-3 seconds;
• current strength - 3-5 mA, until a slight vibration is felt under the electrodes;
• duration - 15 minutes daily, course - 10 procedures.

Impact on the collar zone (treatment of cervical osteochondrosis)

One electrode is placed in the lower part of the occipital region with the capture of the projection zone of the CIV-Thn segments, the second - in the zone from the IX thoracic to the 1st lumbar vertebra.

Characteristics:

• operating mode I, genus I and IV;
• modulation frequency -100 Hz;
• modulation depth - 50-75% with a burst duration of 2 seconds;
• current strength - 10-15 mA;
• duration - 3-5 minutes in each genus, daily, course - 10-15 procedures.

Impact on the neuromuscular apparatus of the eye

A hollow round electrode with a gasket is placed in the region of the orbit of the diseased eye, the second electrode is fixed on the back of the head, wrapped in elastic bandages.

Characteristics:

• modulation frequency - 50 Hz;
• modulation depth - 100% with a burst / pause duration of 1-2 seconds;
• current strength - 4-5 mA;
• duration - 15-20 minutes daily, course - 10-15 procedures, repeated courses are acceptable.

Impact on the sciatic nerve (treatment of vertebrogenic lumbar ischialgia in acute and subacute periods)

Perform 2-3 laying on the following areas:

• paravertebral-gluteal or paravertebral lumbosacral;
• popliteal-subgluteal;
• the anterior outer surface of the lower leg and the rear of the foot.

Characteristics:

• mode of operation I, type of work III and IV;
• frequency 70 Hz;
• modulation depth 50-100% with burst duration 1-3 sec;
• current strength 10-15 mA;
• duration - 3-4 minutes for each area, daily, course - 8-10 procedures.

Impact on the stomach (treatment of hypomotor dyskinesia in the postoperative rehabilitation period)

The probe electrode is inserted into the stomach, the second flattened electrode is located outside, in the epigastric region.

Characteristics:

• operating mode I, type of work II;
• frequency 10-30 Hz;
• modulation depth 75-100% with pause/burst duration 5 sec.;
• current strength 5-10 mA, up to sensations of slight vibration in the stomach;
• duration - 15 minutes daily, course - 5 procedures. After completion of the course, a transverse percutaneous amplipulse is performed with the same current parameters.

Impact on the stomach and duodenum 12 (treatment of gastroduodenitis and peptic ulcer)

The goal is an analgesic effect and stimulation of trophism. 2 electrodes with a size of 200 cm 2 are placed in the following order: one - in the pyloroduodenal zone, the second - in the projection of the V-IX thoracic vertebrae on the back.

Characteristics:

• operating mode I, genus III and IV;
• frequency 70-100 Hz;
• modulation depth 50-75% with a burst duration of 2-3 seconds;
• current strength - 15-20 mA, until a pronounced vibration occurs in the area of ​​electrode application;
• duration - 3-5 minutes for each type of work, daily, course - 10-15 procedures.

Impact on the prostate

The rectal technique requires the use of a special electrode. The patient is on his side, legs are bent and brought to the stomach. One, a special electrode, is inserted into the rectum by 5-7 cm, the second is fixed above the pubic joint.

Characteristics:

• operating mode I, genus II;
• frequency 10-30 Hz;
• modulation depth 100% with pause/burst duration 5 sec.;
• current strength - 15-15 mA, until a pronounced vibration occurs in the area of ​​electrode application;
• duration - 15 minutes, daily / every other day, course - 10-12 procedures.

Features of treatment in childhood

Amplipulse for small children is used only in an alternating mode, treatment is allowed from 5-6 months of age (Amplipulse devices).

The rectified mode is prescribed for children from 2-3 years old.

Treatment methods and techniques are similar to those in adults, with the only difference being that the intensity and duration of the procedures are reduced by half or by a third. The area of ​​the electrodes should correspond to the size of the pathological focus, so it is smaller than in adults. The electrodes are fixed exclusively by bandaging, ensuring a snug fit. The electrode end of the wire is fixed together with the electrodes to prevent burns.

Current dosage according to density: in children under 2 years old - 0.015-0.03 mA / cm 2, 3-7 years old - 0.04-0.08 mA / cm 2. Be sure to monitor the condition throughout the procedure.

After the amplipulse, the skin should be lubricated with glycerin, half diluted with boiled water, so that there is no irritation and peeling.

Amplipulse therapy at home

Home amplipulse allows you to carry out treatment without visiting a medical facility.

The mobile device is Amplipulse-7. This is a multifunctional medical device for treatment with sinusoidal low-frequency modulated currents in two modes: direct and alternating. The device has an electropuncture mode that allows you to act on biologically active points. It can be used in medical institutions, sports medicine and at home.

It has trophic, stimulating, analgesic, vasodilating, anti-edematous, anti-inflammatory, resolving effects in various pathological conditions.

Sold in a case of the type of a diplomat, made of insulating material. The top cover is removed and provides free access to the device. The set includes a set of disposable electrodes. Working position - horizontal. The device has 4 independent channels that allow you to influence 4 procedural fields. Modes of operation and schemes for applying electrodes depend on the indications for the procedure and are described in detail in the instructions for the therapeutic use of the amplipulse. There is an indicator showing the time until the end of exposure, within 30 seconds. after the end, an audible signal is emitted.

Amplipulse at home is permissible only after a doctor's appointment!

Safety during the procedure

All devices belong to the II class of protection, do not require grounding and can be used both in the physiotherapy department, as well as in other departments of the hospital, as well as at home. Low-frequency currents are not dangerous for humans, but it is forbidden to use a device that is out of order or has defects or malfunctions!

The medical specialist is obliged to observe safety precautions when installing electrodes and carrying out the procedure, to exercise visual control of the patient's condition.

The device is connected to the network, the choice of directions and types of SMT is performed at the zero position of the adjustment knob. If during the procedure it is necessary to move the electrodes to another part of the body, the current value must also be reduced to zero.

Do not wipe the housing and control panel, or replace parts while the machine is turned on. If the device malfunctions, immediately disconnect it, including from the power supply.

Answers to popular questions from readers

What are the sensations during the procedure?

The procedure is painless. During the session, the patient feels a slight vibration in the area of ​​the electrodes and muscle contraction. For some people, this may seem unusual and unpleasant, but it is definitely not painful.

How many sessions of amplipulse therapy will be needed to treat osteochondrosis?

Osteochondrosis is a chronic disease that can be cured only at the first stage. It will take about 10 sessions to stop degenerative-dystrophic processes, stop pain and prevent exacerbations.

Is the procedure safe?