Issue №3-20, 2020

https://doi.org/10.38025/2078-1962-2020-97-3-69-75

The effect of a combination of laser therapy and handling of medical gymnastics on the indices of hemodynamics with dilated cardiomyopathy

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1 Lebedeva O.D., 2 Achilov A.A., 2 Baranov A.V., 2 Mustafaev R.D.

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
2 Skobelkin State Scientific Center of Laser Medicine, Moscow, Russian Federation


ABSTRACT

The aim of the study: Combined use of kineso- and laser therapy to correct regional hemodynamic disorders in patientswith dilated cardiomyopathy (DCMP).Material and methods: The study included 100 patients diagnosed with DCMP. The diagnosis "DCMP" was establishedfor patients with dilatation of the heart cavity of non-coronatural origin, increased heart size (final diastolic size of the leftventricle – LV CDR > 6.0 cm). The determination of the CHF FC was made according to the Russian National Recommendationsof the RSCS (2018) and OSSN on the diagnosis and treatment of CHF. All patients took differentiated medication-assistedtherapy according to indications during 3 months. Patients were divided into 2 comparable groups by sex, age, diseasecourse, severity of the condition, and specifics of medication therapy. Patients of the 1st group were treated with intravenouslaser irradiation of blood (ILIB) and selection of unloading therapeutic gymnastics against the background of supportingdifferentiated medication therapy. Patients of the 2nd group (control) received only differentiated medication therapy.The main method of investigation was venous occlusal plethysmography to evaluate regional hemodynamics with thedetermination of blood flow (Qr) and regional vascular resistance (Rr) at rest, venous tone (Vt), reserve blood flow (QH) andregional vascular resistance (RH) on the background of a functional load test.Results: The data obtained during the dynamic observation (in 1, 3, 6 and 12 months) in the main group showed a reliableincrease in the volume velocity of the blood flow at rest (Qr) and the reserve blood flow (QH), a decrease in the regionalvascular resistance at rest (Rr) and under functional load (RH), venous tone (Vt), respectively. In the control group there wasno reliable positive dynamics, after 12 months of observation indicators of regional hemodynamics significantly deteriorated.Conclusion: In patients with DCMP, according to venous occlusal plethysmography, the use of relieving therapeuticgymnastics in combination with ILIB on the background of medication therapy has significantly improved the indices ofregional hemodynamics. The developed method of non-drug therapy can be used by cardiologists, general practitioners,therapists, doctors of physical and rehabilitation medicine to optimize treatment of patients with DCMP.


KEYWORDS: kinesotherapy, laser therapy, regional hemodynamics, dilatational cardiomyopathy.

For citation: Lebedeva O.D., Achilov A.A., Baranov A.V., Mustafaev R.D. The effect of a combination of laser therapy and handling of medical gymnastics on the indices of hemodynamics with dilated cardiomyopathy. Bulletin of rehabilitation medicine. 2020; 97 (3): 69-75. https://doi.org/10.38025/2078-1962-2020-97-3-69-75



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