ISSN 2415-3060 (print), ISSN 2522-4972 (online)
JMBS
  • 17 of 49
Up
JMBS 2019, 4(4): 109–114
https://doi.org/10.26693/jmbs04.04.109
Clinical Medicine

Clinical and Functional Assessment of the Effectiveness of the General Extreme Aerocryotherapy Method in Treatment of Degenerative-Dystrophic Diseases of the Spine

Panchenko O., Onishenko V., Serdyuk I.
Abstract

The article represents the results of studies on the effectiveness of the treatments of patients with the spine degenerative-dystrophic diseases using general extreme aerocryotherapy according to the developed methodology. Material and methods. The study was done on 178 voluntary patients with the spine degenerative-dystrophic diseases with a dominating pain syndrome. The research was made on the basis of the State Institute “Scientific and Practical Medical Rehabilitation and Diagnostic Centre of the Ministry of Health in Ukraine”. As an object to create an extremely low temperature (below – 100 degrees Celsius), a cryochamber “Cryotherapy Chamber “Zimmer Midizin Systeme” (Germany) was used which allows for both individual and group (3-4 people) sessions of cryo-therapeutic exposure. Patients who took part in the study at the onset of cryotherapy did not take any anesthetic drugs (medication). The sessions of cryotherapy were carried out according to the O. A. Panchenko’s method: the duration of the patients’ stay in the pre-chamber before entering the main chamber was 30 seconds, after leaving it was 10 seconds; in the main chamber: first day was for 30 seconds, second day was for a minute, third day was for 2 minutes, fourth and subsequent days were for 3-4 minutes. The whole course included from 20 to 30 procedures. Results and discussions. As a result of the treatment, patients experienced the disappearance of pain syndrome (122 patients – 68.5%), a noticeable decrease in pain syndrome (56 patients – 31.5%), an increase in daily physical/motor activity (82 patients – 46%), reduced restraint on standing and walking (163 patients – 91.5%). In the clinical and neurological status, during the examination we noted a decrease in the tension of the nerve trunks, during palpation it was determined moderate tension of the back paravertebral muscles in some patients, tension symptoms were negative, impairment of sensitivity in dermatomes was absent and palpation of Valle points was not detected. The effect from a single session of general extreme aerocryotherapy was characterized by an increase in muscle strength and endurance for patients of both sexes. The term of relief of vertebral pain syndrome was 2-5 days, radicular one – 4-12 days. Conclusions. The application of the method of general extreme aerocryotherapy in the rehabilitation treatment of people with spine degenerative-dystrophic diseases allowed achieving the most rapid effectiveness in combating pain and muscular-tonic syndromes, strengthening the muscular frame, increasing the range of motion and endurance of static loads, improving the quality of treatment.

Keywords: general extreme aerocryotherapy, individualization, thermoregulation, muscle strength, endurance

Full text: PDF (Ukr) 214K

References
  1. Antonova VO. Patient’s psychophysiological conditions estimation under influence of ultralow temperatures. Pitannya eksperimental'noї ta klіnіchnoї medicini. Donec'k: Donec'kij nacіonal'nij medichnij unіversitet іmenі M Gor'kogo; 2010; 1(14): 17-23. [Russian]
  2. Tetyura SM. Pre-dosed extreme cryoinfluence impact on senior patients’ haemodynamic peripheral indexes. Pitannya eksperimental'noї ta klіnіchnoї medicini. Donec'k: Donec'kij nacіonal'nij medichnij unіversitet іmenі M Gor'kogo, 2011; 1(15): 75-81. [Russian]
  3. Volotovskaya AV, Koltovich GK, Kozlovskaya LE, Mumin AN. Cryotherapy: a teaching aid. Minsk: BelMAPO; 2010. 26 s. [Russian]
  4. Patent 91816 Ukraine, MPK А61В 5/00 (2014.01). SposIb provedennya zagalnoYi povItryanoYi krIoterapIYi za metodikoyu Panchenka OA / Panchenko OA (UA). № u201403031; zayavl. 25.03.2014; opubl. 10.07.14, Byul. № 13. 5 s. [Ukrainian]
  5. Banfi G, Lombardi G, Colombini A, Melegati G. Whole-body cryotherapy in athletes. Sports Med. 2010; 40(6): 509-17. https://www.ncbi.nlm.nih.gov/pubmed/20524715. https://doi.org/10.2165/11531940-000000000-00000
  6. Bouzigon R, Grappe F, Ravier G, Dugue B. Whole- and partial-body cryostimulation cryotherapy: current technologies and practical applications. J Therm Biol. 2016; 61: 67-81. https://www.ncbi.nlm.nih.gov/pubmed/27712663. https://doi.org/10.1016/j.jtherbio.2016.08.009
  7. Cholewka A, Stanek A, Sieroń A, Drzazga Z. Thermography study of skin response due to whole-body cryotherapy. Skin Res Technol. 2012; 18(2): 180-7. https://doi.org/10.1111/j.1600-0846.2011.00550.x
  8. Cuttell S, Hammond L, Langdon D, Costello J. Individualising the exposure of -110°C whole body cryotherapy: the effects of sex and body composition. J Therm Biol. 2017; 65: 41-7. https://www.ncbi.nlm.nih.gov/pubmed/28343574. https://doi.org/10.1016/j.jtherbio.2017.01.014
  9. Guillot X, Tordi N, Mourot L, Demougeot C, Dugue B, Prati C, Wendling D. Cryotherapy in inflammatory rheumatic diseases: a systematic review. Expert Review of Clinical Immunology. 2014; 10(2): 281-94. https://www.ncbi.nlm.nih.gov/pubmed/24345205. https://doi.org/10.1586/1744666X.2014.870036
  10. Hirvonen H, Kautiainen H, Moilanen E, Mikkelsson M, Leirisalo-Repo M. The effect of cryotherapy on total antioxidative capacity in patients with active seropositive rheumatoid arthritis. Rheumatol Int. 2017; 37(9): 1481-7. https://doi.org/10.1007/s00296-017-3771-9
  11. Lubkowska A, Chudecka M, Klimek A, Szygula Z, Fraczek B. Acute effect of a single whole-body cryostimulation on prooxidant–antioxidant balance in blood of healthy, young men. Journal of Thermal Biology. 2008; 33(8): 464-7. https://doi.org/10.1016/j.jtherbio.2008.08.003
  12. Miller E, Markiewicz Ł, Saluk J, Majsterek I. Effect of short-term cryostimulation on antioxidative status and its clinical applications in humans. Eur J Appl Physiol. 2012; 112 (5): 1645-52. https://www.ncbi.nlm.nih.gov/pubmed/21874554. https://www.ncbi.nlm.nih.gov/pmc/articles/3324698. https://doi.org/10.1007/s00421-011-2122-x
  13. Peres D, Sagawa YJr, Dugué B, Domenech SC, Tordi N, Prati C. The practice of physical activity and cryotherapy in rheumatoid arthritis: systematic review. Eur J Phys Rehabil Med. 2017; 53(5): 775-87. https://doi.org/10.23736/S1973-9087.16.04534-2
  14. Sieron A, Cieslar G, Stanek A, Eds. Cryotherapy. Theoretical bases, biological effects, clinical applications. Alfamedica press; 2010. 158 s. [Polish]
  15. Stanek A, Cholewka A, Cieslar G, Rosmus-Kuczia I. The assessment of the analgesic action of whole-body cryotherapy in patients with ankylosing spondylitis. Fizjoterapia Polska. 2011; 11(1): 49˗55. [Polish]
  16. Stanek A, Cielar G, Strzelczyk J, Kasperczyk S, Sieroń-Stoltny K, Wiczkowski A, et al. Influence of cryogenic temperatures on inflammatory markers in patients with ankylosing spondylitis and healthy volunteers. Polish J of Environ. Stud. 2010; 19(1): 167-75. [Polish]
  17. Stanek A, Sieroń-Stołtny K, Romuk E, Cholewka A, Wielkoszyński T, Cieślar G, et al. Whole-Body Cryostimulation as an Effective Method of Reducing Oxidative Stress in Healthy Men. Adv Clin Exp Med. 2016; 25(6): 1281-91. https://doi.org/10.17219/acem/65980