The Ministry of Health of the Russian Federation, Russian Scientific Center for Restorative Medicine and Balneology. Manual for physicians. Moscow 2001
Annotation
Manual for physicians dedicated to the use of manual therapy in the rehabilitative treatment of diabetic patients with diabetic micro- and macroangiopathy. Differentiated use of manual therapy enhances the effectiveness of treatment, increase the duration of remission, prevention of disease progression and complications.
Manual for physicians is intended for use in physical therapy offices, chiropractic therapy, hospitals, clinics and spa facilities.
This method has been applied in 66 diabetic patients with diabetic micro- and macroangiopathy, including 31 patients with IDDM and 35 with NIDDM. In the process of the elimination of functional blockades and normalization of muscle tone patients got an improvement of the general condition, less fatigue, increased lower extremity range of motion in joints and lumbar spine. Pain and tension in the muscles of the legs, cramping, numbness and pain in the feet at rest and during walking decreased or disappeared. Against the background of improving the general condition and increased motor activity occurred improvement in glucose and lipid metabolism, the cardiovascular system and peripheral circulation.
According to rheoencephalography, after treatment in patients with diabetic angiopathy marked decrease spastic phenomena atony-vessels of the lower extremities, there is an increase of blood filling of vessels of legs and feet. LDF results indicated an improvement of microcirculation processes in the vascular bed of the skin of shin, which contributed to the reduction of ischemia tissue and reduce pain. According electroneuromyography under the influence of manual therapy in patients with diabetes there is an improvement of the propagation of excitation along the motor and sensory nerve fibers. This is evidenced about a decrease in the manifestations of diabetic distal neuropathy. Conducting rehabilitation also caused favorable dynamics of hemodynamic parameters according to veloergometry test. The therapeutic efficacy of said complex in patients with diabetic angiopathy was 81%. The duration of the therapeutic effect in most patients remained 6-12 months.
