This article describes the modern approaches to the application of physical factors for the treatment of various forms of psoriasis taking into consideration the severity of clinical manifestations and the phase of the disease, the extent of disturbances of the functional state of different organs. The principles of prescription of physiotherapeutictreatmnt are formulated taking account of the stages and forms of the disease. Special attention is paid to the high therapeutic effectiveness of ultraviolet irradiation of the skin including narrow-band UVВ (311 nm) as well as to photodynamic therapy (PUVA), intravenous laser irradiation of blood, and ozone therapy. Also considered is the spa and health resort-based treatment and peloid therapy at various stages of the pathological process. The application of the combined techniques is described with special reference to radon and hydrogen sulfide baths and microwave therapy in the patients presenting with psoriatic arthritis. Much attention is given to the effectiveness of the prescription of the spa and health resort-based treatment at the stationary and regressive stages of psoriasis. The pathogenetic mechanisms underlying the therapeutic action of the physical factors used for the treatment of patients suffering from psoriasis are discussed.
The purpose of the paper is to highlight the possibilities of using a low-frequency electrostatic field in clinical practice. On the basis of available literature data and their own clinical observations authors summarize information concerning various aspects of the use of low-frequency electrostatic field in clinical practice, and gives a description of this method of treatment.
We conducted an objective and instrumental examination in 79 patients with radical mastectomy in the early postoperative period (2–4days), patients of the 1st group n=23 underwent 10procedures of postoperative suture fluctuation; patients of the 2nd group n=28 underwent 10procedures of fluctuating currents according to the extended technique; and patients of the 3rd group n=28 in addition to the extended technique underwent fluoridation of the forearm muscles by the same parameters. It has been proved that patients have reduced postoperative swelling, reduced pain, reduced the number of postoperative complications in the wound (inflammation, infectious processes, pain, suture divergence), shortened lymphorrhea. There is an increase in the amount and quality of movements, reduced sensitivity disorders in the upper limbs. Thus, the inclusion in the program of medical rehabilitation of various methods of appointment of fluctuating currents in the early postoperative period is appropriate and helps to reduce the time of recovery.
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