LEVELS OF FUNCTIONAL-VEGETATIVE HOMEOSTASIS AS THE CRITERIA FOR THE EFFECTIVENESS OF MAGNETOTHERAPY (FINAL INFORMATION)

Abstract

Background. Disorders of the autonomic nervous system (VNS) are caused by 25 to 80% of functional disorders of reserves and mechanisms of adaptation to the changing environment, physical and psychosomatic efforts. The attention is drawn to the complete absence of information on the influence of MT on the indicators of vegetative homeostasis, the violation of which is conditioned by the development of any functional pathology.
Objectives. The purpose of the study is to investigate the vegetative rehabilitation trend of magnetotherapy (MT) at various initial conditions of functional-vegetative disorders.
Materials and methods. Functional-vegetative diagnostics (FVD) method was chosen as a method of control of functional and vegetative efficiency of magnetotherapy (MT) by Makats. This method has been admitted to be used in medical practice by the Academic Council of the Ministry of Health of Ukraine and the joint session of the Republican Problem Commissions (RPC) of Pediatrics, Obstetrics and Gynecology, Quantum Medicine, Hematology and Transfusiology, New Medical Technology and New Diagnostic Tools (Minutes No. 1, 08-01 dated September 11, 1994). The diagnostic complex "BIOTEST-12M" serves as the technical tool for the FVD. The latter does not use traditional external power sources and the RPC "New medical technology and new methods of diagnostics, prevention and rehabilitation" by the Ministry of Health of Ukraine (Minutes No. 5 dated December 25, 1991) has been approved for practical use. The analysis of the results was carried out on the basis of computer programs "Search" (development of the European center of postgraduate education of the UNAP). A survey of 38 children of different age and sex was conducted in the physiotherapy department of the Vinnytsia Regional Children Clinical Hospital in 2016-2017. The children were divided into 7 groups according to the levels of functional vegetative homeostasis: 1 - with significant parasympathetic activity (PA-sig); 2 - with expressed parasympathetic activity (PA-exp); 3 - with the zone of admissible functional vegetative norm (ZAN); 4 - with expressed sympathetic activity (SA-exp); 5 - with a significant sympathetic activity (SA-sig). They were also divided into 2 groups according to gender: a female group (FG) - 13 children and a male one (MG) - 25 children. FVD was twice held in the first half of the day (1000-1200) before and after the MT session. The bioelectric activity of 12 symmetrical pairs of functionally active skin zones (24 FAZs) was studied, 2016 tests were performed. The attention was paid to the direction of dispersion of the integral vegetative homeostasis levels. The following areas of influence were chosen for MT: parasternal, epigastric and anterior abdominal wall, interscapular, lumbar-sacral and the region of pelvic (femoral), knee and ankle joints.
Results. The problem of the influence of physiotherapeutic factors on the indicators of integral functional vegetative homeostasis has been raised for the first time. The results of our studies have shown that MT has a different effect on the vegetative activity and systemic and functional dependence in the observation groups and that depends on the coefficient of functional vegetative homeo-stasis. That is, in a group with a significant parasympathicotonia (group 1), MT has a positive effect; in the group with the expressed parasympathicotonia (group 2) it has a relatively positive effect; in groups with functional compensation of parasympathicotonia (group 3), with the autonomic balance of the VNS (group 4) and in the group with functional compensation of sympathicotonia (group 5) MT has a relatively neutral effect; in a group with severe sympathicotonia (group 6) it has negative effect and in a group with significant parasympathicotonia (group 7) it has negative effect as well. According to the results of our research, the absence of gender-age characteristics of the influence of MT on the dispersion of vegetative levels has been revealed. For low-frequency magnetotherapy in all groups of observation is characteristic sympathetic vegetative orientation. Therefore, it can only be used to patients with significant and severe parasympathicotonia. The rehabilitation expediency requires the maintenance of functional vegetative homeostasis at the level of "FcP-VB-FcS" in conjunction with functional-vegetative diagnostics using the method of V.G. Makats. The method of functional-vegetative diagnosis is easy to use, gives repeated comparable results and can be applied in stationary and out-patient conditions.
Conclusions. Magnetotherapy can be recommended for use only to patients with significant and expressed parasympathicotonia.