Electroneuromyographic control of the efficacy of treatment of vertebral syndromes in aged patients
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We studied the electroneuromyographic (ENMG) indices in aged patients with cervical vertebral syndromes. The main group of 116 patients was treated with manipulation physical therapy, while the second group of 62 patients was subjected to traditional curative procedures. In both patient groups, modifications of the EMG pattern of the forelimb muscles, a decrease in the conduction velocity via then. medianus, and a drop in the amplitude of M responses of themm. tenar et hypotenar were observed on the injured side. After a course of manipulation therapy, a clear trend toward normalization of the above indices was observed in the patients with a reflex pattern of the syndrome. This trend was less intensive in the subgroup with the root syndrome pattern. In patients treated according to the traditional schemes, positive shifts in the ENMG indices were rather small, in spite of some improvement of their clinical state. We emphasize that electrophysiological control of the efficacy of treatment in the cases of vertebral syndromes is extremely desirable, especially in groups of aged patients.
KeywordsConduction Velocity Injured Side Osteochondrosis Peripheral Nerve Fiber Manipulation Procedure
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