TRANSCRANIAL MAGNETOTHERAPY IN THE REHABILITATION OF PATIENTS WITH ARTERIAL HYPERTENSION COMBINED WITH CHRONIC CEREBROVASCULAR PATHOLOGY

Author: Sevostyanova E.V.¹, Nikolaev Yu.A.², Lusheva V.G.³, Polyakov V.Ya.⁴

Abstract

Purpose of the study – to evaluate the effectiveness of transcranial magnetotherapy in the rehabilitation of patients with arterial hypertension (AH) combined with chronic cerebrovascular diseases (CCVD). Material and methods. Fifty patients with AH combined with CCVD aged 20 to 75 years, with an average age of 62.1 ± 2.0 years were examined and treated. Clinical examination included: collection of complaints and anamnesis of life, clinical laboratory and instrumental methods of examination, assessment of quality of life related to health (according to the SF-36 questionnaire). All patients were randomized into 2 groups, comparable in age, sex, clinical and functional parameters: experimental (n = 24) and control (n = 26). Patients of the control group received basic medicinal therapy for 2 weeks. Patients of the experimental group, on the background of basic medicinal therapy, received transcranial magnetotherapy. Course of 10 procedures. The effectiveness of rehabilitation was carried out before and after the course on the dynamics of hemodynamic and clinical parameters; indicators of quality of life. Results. In patients of the experimental group, in comparison with the control group, there was a more pronounced positive dynamics with a greater reduction in blood pressure, the frequency of characteristic clinical symptoms; a more pronounced improvement in the quality of life after a course of action. Thus, the mean value of pulse blood pressure decreased in the experimental group by 24.7 %, in the control group by 18.7 %. The frequency of occurrence of vertigo after the course was statistically significantly decreased in the main group by 45.9 %, in the control group by 23.1 %. Conclusion. The effectiveness of transcranial magnetotherapy in the rehabilitative treatment of patients with AH combined with CCVD is shown, which makes it possible to recommend this physiotherapeutic method for personified non-medicinal rehabilitation of this category of patients in a hospital.

Key words

arterial hypertension, cerebrovascular diseases, transcranial magnetotherapy

References

Abramovich S.G., Kulikov A.G., Dolbilkin A.Yu. General magnetotherapy for arterial hypertension. Fizioterapiya, bal'neologiya i reabilitatsiya = Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2014. (5). 50-55. [In Russian].

Baeken C., De Raedt R., Leyman L., Schiettecatte J., Kaufman L., Poppe K., Vanderhasselt M.-A., Anckaert E., Bossuyt A. The impact of one HF-rTMS session on mood and salivary cortisol in treatment resistant unipolar melancholic depressed patients. J. Affect. Disord. 2009. 113, 100–108.

Barwood C.H.S., Murdoch B.E. rTMS as a treatment for neurogenic communication and swallowing disorders. Acta Neurol. Scand. 2013. 127. 77-91.

Bolotova N.V., Rajgorodskaya N.YU., Hramov V.V. Possibilities of magnetotherapy in the treatment of obese patients using the hardware complex "AMO-ATOS" - "OGOLOVIE". Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury = Problems of Balneology, Physiotherapy, and Exercise Therapy. 2006. (2). 24-27. [In Russian].

Boytsov S.A., Balanova Y.A., Shalnova S.A. i dr. Arterial hypertension among individuals of 25–64 years old: prevalence, awareness, treatment and control. By the data from ECCD. Kardiovaskulyarnaya terapiya i profilaktika = Cardiovascular Therapy and Prevention. 2014. 13. (4). 4–14. [In Russian].

Bueno V.F., Brunoni A.R., Boggio P.S., Bensenor I.M., Fregni F. Mood and cognitive effects of transcranial direct current stimulation in post-stroke. Am. J. Phys. Med. Rehabil. 2009. 88 (5). 404-409.

Cogiamanian F., Brunoni A.R., Boggio P.S., Fregni F., Ciocca M., Priori A. Non-invasive brain stimulation for the management of arterial hypertension. Med. Hypotheses. 2010. 74. (2). 332-336.

Dadasheva M.N., Podrezova L.A., SHuchalin O.G., Vishnyakova T.I., Rashidova EH.SH., Smirnova L.A., Agafonov B.V., SHevcova N.N. Algorithm of therapy of dyscirculatory encephalopathy in patients with arterial hypertension in general medical practice. Russkiy meditsinskiy zhurnal = Russian medical journal. 2009. 17. (20). 1320-1324. [In Russian].

Gurlenya A.M., Bagel' G.E., Smychek V.B. Physiotherapy in neurology. Moscow: Medicinskaya literatura, 2016. 304 p. [In Russian].

Hsu W.-Y., Cheng C.-H., Liao K.-K., Lee I.H., Lin Y.Y. Effects of repetitive transcranial magnetic stimulation on motor functions in patients with stroke: a meta-analysis. Stroke. 2012. 43.1849-1857.

Luk'yanov V.F., Golovacheva T.V. Features of the influence of dynamic magnetotherapy on microcirculation in arterial hypertension. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury = Problems of Balneology, Physiotherapy, and Exercise Therapy. 2008. (2). 17-19. [In Russian].

Nagornev S.N., Frolkov V.K., Kulish A.V., Gurevich K.G., Puzyreva G.A., Samsonova O.S. The mechanism of hypotensive action of transcranial magnetotherapy in the complex treatment of patients with arterial hypertension. Kurskiy nauchno-prakticheskiy vestnik "Chelovek i yego zdorov'ye" = Kursk Scientific and Practical Bulletin "Man and His Health". 2017. (1). 5-11. [In Russian].

Orekhova EH.M., Konchugova T.V., Kul'chickaya D.B., Korchazhkina N.B., Egorova L.A., CHuich N.G. Modern approaches to the use of transcebral magnetotherapy in arterial hypertension. Voprosy kurortologii, fizioterapii i lechebnoj fizkul'tury = Questions of balneology, physiotherapy and physiotherapy. 2016. (3). 53-55. [In Russian].

Raygorodskij YU.M., Ponomarenko G.N., Bolotova N.V., CHerevashchenko L.A. Transcranial physiotherapy with chronic fatigue syndrome. Fizioterapiya, bal'neologiya i reabilitatsiya = Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2015. (3). 19-22. [In Russian].

Sevost'yanova E.V., Nikolaev Yu.A., Bogdankevich N.V., Lusheva V.G., Markova E.N., Dolgova N.A. Nonmedicinal rehabilitation of patients with chronic obstructive pulmonary disease with arterial hypertension. Terapevticheskiy arkhiv = Therapeutic archive. 2016. 88. (8). 19-24.

Shavlovskaya O.A. Neuroprotective therapy of cerebrovascular diseases in ambulatory polyclinic conditions. Meditsinskiy sovet = Medical Council. 2013. (2). 70-77. [In Russian].

Sidyakina I.V., Dobrushina O.R., Lyadov K.V., Shapovalenko T.V., Romashin O.V. Evidence-based medicine in neurorehabilitation: innovative technologies (overview). Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury = Problems of Balneology, Physiotherapy, and Exercise Therapy. 2015. (3). 53-56. [In Russian].

Staroverov AT, Zhukov OB, Raigorodsky Yu.M. Effectiveness of transcranial magnetotherapy in the complex treatment of alcohol withdrawal syndrome. Zhurnal nevrologii i psikhiatrii imeni Sergeya Sergeevicha Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2008. (9). 57-61. [In Russian].

Udupa K., Sathyaprabha T. N., Thirthalli J., Kishore K. R., Raju T. R., Gangadhar B. N. Modulation of cardiac autonomic functions in patients with major depression treated with repetitive transcranial magnetic stimulation. J. Affect. Disord. 2007. 104. 231–236.

Ulashchik V.S. Theoretical and practical aspects of general magnetotherapy. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury = Problems of Balneology, Physiotherapy, and Exercise Therapy. 2001. (5). 3-7. [In Russian].

About Authors (Correspondence):

Sevostyanova E.V. – candidate of medical sciences, senior researcher of the laboratory of the pathogenesis of somatic diseases, e-mail: luck.nsk@rambler.ru

Full Text

snmzh_6-2018_sevostyanova_111-117.pdf

Received: 18/12/2018

Accepted: 18/12/2018