Multifunction laser systems in clinical and resort practice

SHUPYKNATIONALMEDICALACADEMY OF POSTGRADUATE EDUCATION UKRAINIANSOCIETY OFPHYSICAL AND REHABILITATION MEDICINE

RADOM UNIVERSITY

 

 

 

Yuriy Zabulonov, Alexander Vladimirov,

Nikolay Chukhraiev, Yousry Elmehsenawi, Walery Zukow

 

 

 

MULTIFUNCTION LASER SYSTEMS IN CLINICAL AND RESORT PRACTICE

 

Edited by

Yuriy Zabulonov, Alexander Vladimirov,

Nikolay Chukhraiev, Yousry Elmehsenawi, Walery Zukow

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kiev, Radom 2016

 

SHUPYKNATIONALMEDICALACADEMY OF POSTGRADUATE EDUCATION UKRAINIANSOCIETY OFPHYSICAL AND REHABILITATION MEDICINE

RADOM UNIVERSITY

 

 

 

Yuriy Zabulonov, Alexander Vladimirov,

Nikolay Chukhraiev, Yousry Elmehsenawi, Walery Zukow

 

 

 

MULTIFUNCTION LASER SYSTEMS IN CLINICAL AND RESORT PRACTICE

 

Edited by

Yuriy Zabulonov, Alexander Vladimirov,

Nikolay Chukhraiev, Yousry Elmehsenawi, Walery Zukow

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kiev, Radom 2016

 

Zabulonov Yuriy, Vladimirov Alexander, Chukhraiev Nikolay, Elmehsenawi Yousry, Zukow Walery. Multifunction laser systems  in  clinical  and  resort  practice.  Zabulonov  Yuriy,  Vladimirov  Alexander,  Chukhraiev   Nikolay, Elmehsenawi Yousry, Zukow Walery. Eds. Shupyk National Medical Academy of Postgraduate Education, Ukrainian Society of Physical and Rehabilitation Medicine, Radom University. Kiev. Radom. 2016. 260 p. ISBN 9781365248924.  DOI http://dx.doi.org/10.5281/zenodo.57355

 

UDC 615.847.8+615.837

LBC: 53.54

Reviewers:

prof. zw. dr hab. med. L. Tondiy (Ukraine), MD, Professor L. Tondiy prof. zw. dr hab. med. V. Gubenko (Ukraine), MD, Professor V. Gubenko

prof. zw. dr hab. med. A. Kozhanova (Ukraine), MD, Professor A. Kozhanova

 

Zabulonov Yuriy, Vladimirov Alexander, Chukhraiev Nikolay, Elmehsenawi Yousry, Zukow Walery. Multifunction laser systems in clinical and resort practice. Edited by Zabulonov Yuriy, Vladimirov Alexander, Chukhraiev Nikolay, Elmehsenawi Yousry, Zukow Walery. Kiev. Radom. 2016. 260 p.

 

UDC 615.847.8+615.837

LBC: 53.54

 

 

In the monograph the general principles of use of multipurpose laser systems in treatment of patients and disabled people at various stages of medical rehabilitation in more detail – modern methods of magnet-laser, laser therapy, on-vessels radiation of blood and therapy are stated by the scanning laser beam. Flow charts of application of multipurpose laser therapy with use of the device «Helios» are provided.

The monograph is designed for physiotherapists and reabilitologists, general practitioners, family and sports medicine.

Authors express gratitude to A. P. Tereshchenko, E. Y. Gorlatenko and O. A. Danilova for the given help in preparation for the publishing of the monograph.

 

© The Author(s) 2016.

This articles is published with Open Access. Medical Innovative Technologies, Kiev, Ukraine and Radomska Szkoła Wyższa w Radomiu, Poska, Radom University in Radom, Poland.

Open Access This articles is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

 

 

 

Attribution — You must attribute the work in the manner specified by the author or licensor (but not in any way that suggests that they endorse you or your use of the work). Noncommercial — You may not use this work for commercial purposes. Share Alike — If you alter, transform, or build upon this work, you may distribute the resulting work only under the same or similar license to this one.

Zawartość jest objęta licencją Creative Commons Uznanie autorstwa-Użycie niekomercyjne-Na tych samych warunkach 3.0

 

Publishing House: Radomska Szkoła Wyższa w Radomiu, Radom University in Radom Str. Zubrzyckiego 2 26-600 Radom Tel.: +48 48 383 66 05 med.@rsw.edu.pl

Printing House: Radomska Szkoła Wyższa w Radomiu, Radom University in Radom Str. Zubrzyckiego 2 26-600 Radom Tel.: +48 48 383 66 05 med.@rsw.edu.pl

 

 

ISBN 9781365248924

DOI http://dx.doi.org/10.5281/zenodo.57355

 

260 s. Liczba znaków: 368 000 (ze streszczeniami i okładką). Liczba grafik: 108 x 1 000 znaków (ryczałt) = 108 000 znaków.

Razem: Liczba znaków: 476 000 (ze streszczeniami, okładką i grafikami) = 11,9 arkuszy wydawniczych.

260 p. Number of characters: 368 000 (with abstracts). Number of images: 108 x 1000 characters (lump sum) = 108 000 characters.

Total: Number of characters: 476 000 (with abstracts, summaries and graphics) = 11,9 sheet publications.

 

CONTENT

 

ABBREVIATIONS................................................................................................... 8

INTRODUCTION..................................................................................................... 9

THE PRINCIPLES OF THE CHOICE OF ZONES OF

INFLUENCE IN LASER THERAPY...................................................................... 9

ZAKHARY’IN –GED’S ZONES AND

METAMERIC-SEGMENTARY  PRINCIPLE  OF THE

CHOICE OF ZONES IN PHYSICAL THERAPY................................................ 10

SYSTEM PRINCIPLE OF THE CHOICE OF ZONES

OF INFLUENCE..................................................................................................... 12

SPECIAL OR SPECIFIC ZONES OF INFLUENCE AND THEIR

CHOICE IN PHYSIOTHERAPEUTIC PRACTICE............................................. 15

TRANSCEREBRAL TECHNIQUES..................................................................... 17

PARTICULAR QUALITIES OF EFFECT OF

PHYSICAL FACTORS, MAGNETOLASER THERAPY (MLT)......................... 19

MEDICAL EFFECTS OF MAGNETOLASER THERAPY.................................. 22

GENERAL  PRINCIPLES  OF MULTY-FUNCTIONAL

LASER THERAPY................................................................................................. 26

THROUGH-SKIN MAGNET-LASER RADIATION OF BLOOD...................... 27

INFLUENCE ZONES FOR THROUGH-SKIN   MAGNET-LASER

RADIATION OF BLOOD...................................................................................... 29

THERAPY BY THE LASER SCANNING BEAM............................................... 30

MAIN TERMS AND CONCEPTS......................................................................... 31

CHARACTERISTICS OF THE EQUIPMENT FOR

THE LASER SCANNING THERAPY................................................................... 32

THE MAIN MERITS AND DEMERITS OF

THE THERAPEUTIC SCANNING LASER DEVICES....................................... 33

Key parameters......................................................................................................... 34

Dosage and time of procedure.................................................................................. 36

The mechanism of action.......................................................................................... 37

Medical action.......................................................................................................... 39

Technique of carrying out procedures....................................................................... 40

THE BASIC PRINCIPLES OF THE CHOICE

OF AREAS FOR THERAPY BY THE LASER SCANNING BEAM................... 42

COMBINATION OF OTHER MEDICAL FACTORS

WITH THERAPY BY THE LASER SCANNING BEAM..................................... 43

THE EQUIPMENT FOR LASER THERAPY........................................................ 45

PRACTICAL RECOMMENDATIONS FOR USE OF LASER-SCANNING  AND  MAGNET-LASER-THERAPY

IN CLINICAL PRACTICE AND THE SPA......................................................... 46

3

Contraindications:..................................................................................................... 46

К00-К93 Diseases of the digestive system............................................................... 48

K50-K52 NONINFECTIOUS Enterocolitis and colitis........................................... 48

К 59.0 CONSTIPATION (Other functional intestinal disorders)............................ 50

K25 Gastric ulcer...................................................................................................... 52

K26 Duodenal Ulcer................................................................................................. 52

K29 GASTRITIS, DUODENITIS.......................................................................... 54

K70 LIVER TOXICITY.......................................................................................... 56

К71 CHRONIC HEPATITIS.................................................................................. 58

K81 CHOLECYSTITIS (non-calculous).................................................................. 60

К82.8 DYSKINESIA OF CYSTIC DUCT OR GALLBLADDER........................ 62

К 86.0 CHRONIC PANCREATITIS...................................................................... 64

J00-J99 RESPIRATORY DISEASES..................................................................... 66

A15-A19 PULMONARY TUBERCULOSIS......................................................... 66

J42 CHRONIC BRONCHITIS UNSPECIFIED.................................................... 68

J18 PNEUMONIA................................................................................................... 70

J.45 BRONCHIAL ASTHMA................................................................................. 72

J01 ACUTE SINUSITIS (ANTRITIS).................................................................... 74

J01 ACUTE SINUSITIS (FRONTAL SINUSITIS)................................................ 76

J03 ACUTE TONSILLITIS..................................................................................... 78

J00 ACUTE NASOPHARYNGITIS (RHINITIS).................................................. 80

J31.2 CHRONIC PHARYNGITIS......................................................................... 82

J37 CHRONIC LARYNGITIS AND TRACHEITIS............................................. 84

Н65- Н66 CHRONIC SUPPURATIVE OTITIS MEDIA...................................... 86

H81.0 MÉNIÈRE’S DISEASE, SENSORINEURAL HEARING LOSS.............. 88

K00-K14 DISEASES OF ORAL CAVITY,........................................................... 90

SALIVARY GLANDS AND JAWS............................................................................................... 90

М19.2- М24.6 ARTHROSIS OF THE TEMPOROMANDIBULAR JOINT......... 92

N00-N99 DISEASES OF THE GENITOURINARY SYSTEM............................. 94

F98 ENURESIS....................................................................................................... 94

N48.4 IMPOTENCE............................................................................................... 96

N41.1 CHRONIC PROSTATITIS.......................................................................... 98

N34 URETHRITIS AND URETHRAL SYNDROME........................................ 100

N11 CHRONIC PYELONEPHRITIS.................................................................. 102

N20-N23 UROLITHIASIS................................................................................... 104

O00-O99 PREGNANCY, CHILDBIRTH AND THE PUERPERIUM............... 106

O92.1 CRACKED NIPPLES................................................................................. 106

N61 MASTITIS..................................................................................................... 108

N70.1 CHRONIC ADNEXITIS........................................................................... 110

N71 ENDOMETRITIS......................................................................................... 112

N94 ALGOMENORRHEA................................................................................... 114

4

N91.0- N91.1 AMENORRHEA............................................................................ 116

N73 INFLAMMATORY DISEASES OF THE PERITONEUM

AND TISSUES OF THE SMALL PELVIS.......................................................... 118

N86 CERVICAL EROSION................................................................................. 120

N90.5 KRAUROSIS OF THE VULVA....................................................................................... 122

N89 VAGINAL DISCHARGE............................................................................. 124

N97 INFERTILITY............................................................................................... 126

О12- О14- О15 GESTATIONAL TOXICOSIS

OF PREGNANT WOMEN (PREECLAMPSIA).................................................. 128

00-I99 DISEASES OF THE CIRCULATORY SYSTEM.................................... 130

I10 HYPERTENSIVE HEART DISEASE........................................................... 130

I22 MYOCARDIAL INFARCTION.................................................................... 132

I49 EXTRASYSTOLE (OPTION 1)..................................................................... 134

I49 EXTRASYSTOLE (OPTION 2)..................................................................... 136

E10-E14 DIABETES............................................................................................. 138

I20-I25 CORONARY HEART DISEASE............................................................ 140

E06.3 AUTOIMMUNE THYROIDITIS............................................................... 142

I63 ISCHEMIC STROKE..................................................................................... 144

G43 MIGRAINE................................................................................................... 146

N00-H59 DISEASES OF THE EYE AND ADNEXA.......................................... 148

H47.0 OPTIC NERVE SUBATROPHY.............................................................. 148

H35 RETINITIS PIGMENTOSA......................................................................... 148

H00-H59 MYOPIA................................................................................................ 150

Н 36.0 DIABETIC RETINOPATHY.................................................................... 152

L00-L99 DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE........... 154

L40 PSORIASIS.................................................................................................... 154

L43 LICHEN PLANUS........................................................................................ 156

L20-L30 DERMATITIS AND ECZEMA............................................................. 158

B00 INFECTION CAUSED BY THE HERPES VIRUS (HERPES SIMPLEX)... 160

L20.8 NEURODERMATITIS............................................................................... 162

L94.0 LOCALIZED SCLERODERMA............................................................... 164

L91.0 KELOIDS (PREVENTION SUPPURATION).......................................... 166

S00-T98 PURULENT WOUNDS......................................................................... 168

L02 ABSCESS, FURUNCLE, ANTHRAX.......................................................... 170

L03 PHLEGMON, FELON................................................................................... 170

E14.5 TROPHIC ULCERS.................................................................................... 172

I80 PHLEBITIS AND THROMBOPHLEBITIS.................................................. 174

А46 ERYSIPELAS................................................................................................ 176

T20-T32 THERMAL AND CHEMICAL BURNS............................................... 178

M42 OSTEOCHONDROSIS............................................................................... 180

M54.4 4 LUMBAGO WITH SCIATICA.............................................................. 182

5

R52 CHRONIC PAIN SYNDROME................................................................... 184

MYOFASCIAL PAIN (MP)................................................................................. 186

M60.0 MYO FASCIITIS....................................................................................... 186

M62.8 MIOFIBROZIT.......................................................................................... 186

M79.0 FIBROSIS; FIBROMYALGIA................................................................. 186

M72.5 FASCIITIS................................................................................................. 186

M00-M99 DISEASES OF THE MUSCULOSKELETAL SYSTEM

AND CONNECTIVE TISSUE............................................................................. 188

M 00 - M 03 INFECTIOUS ARTHROPATHIES................................................. 188

M05-M14 INFLAMMATORY POLYARTHROPATHIES................................. 190

(RHEUMATOID ARTHRITIS)............................................................................ 190

М15-М 19 DEFORMING ARTHROSIS.............................................................. 192

М10-М14 ARTHRITIS GOUTY.......................................................................... 194

K07 DISEASES OF THE TEMPOROMANDIBULAR JOINT........................... 196

K07.6 CALCANEAL SPUR................................................................................. 198

М 65.2 CALCIFYING TENDOVAGINITIS....................................................... 200

М45. BEKHTEREV’S DISEASE (ANKYLOSING SPONDYLITIS)................ 202

M24 DUPUYTREN’S CONTRACTURE............................................................. 204

M81 OSTEOPOROSIS.......................................................................................... 206

G00-G99 DISEASES OF THE NERVOUS SYSTEM......................................... 208

G51 NEURITIS OF THE FACIAL NERVE........................................................ 208

G50 DAMAGE OF THE TRIGEMINAL NERVE............................................... 210

М79.2 INTERCOSTAL NEURALGIA................................................................ 212

M79.2 NEURALGIA OF CERVICAL DEPARTMENT OF THE BACKBONE. 214

M79.2 NEURALGIA OF THE LUMBAR SPINE............................................... 216

Т75.2 VIBRATION DISEASE.............................................................................. 218

M60 MYOSITIS.................................................................................................... 220

F00-F99 MENTAL AND BEHAVIORAL DISORDERS................................... 222

F51.0 INSOMNIA................................................................................................. 222

F32 DEPRESSION................................................................................................ 224

F40-F48 NEUROTIC, STRESS-RELATED AND

SOMATOFORM DISORDERS............................................................................ 226

Е65-Е68 OBESITY AND OTHER TYPES OF HYPERNUTRITION................ 228

F01.1 MULTI-INFARCT DEMENTIA................................................................. 230

I 15 VEGETATIVE DYSTONIA (VD) ON HYPERTENSIVE TYPE................ 232

G21 PARKINSON’S DISEASE........................................................................... 234

F90 DYSTONIC HYPERKINESIA (TORTICOLLIS,........................................ 236

OROMANDIBULAR DYSKINESIA)................................................................ 236

APPLYING THE DEVICE «HELIOS-711D» FOR THE

HEALTH IMPROVING AND PREVENTIVE PURPOSES.............................. 238

CONTRAINDICATIONS..................................................................................... 238

6

References.............................................................................................................. 240

Annex 1.................................................................................................................. 241

Apparatus recommended for  MLUST procedures and

combined use with other physiotherapy methods................................................... 241

«HARMONY» system........................................................................................... 241

Combined physiotherapy apparatus MIT-11.......................................................... 242

Apparatus for physiotherapy combined MIT-MT................................................... 243

Apparatus for preparation of singlet-oxygen foams MIT-C................................... 244

Apparatus for electrotherapy dual channel MIT-EF2............................................. 245

Apparatus for electromyostimulation AEST-01..................................................... 247

(8-channel version).................................................................................................. 247

The vortex foot bath «KUPAVA».................................................................................................... 248

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

ABBREVIATIONS

 

АP — acupuncture points

BAP — biologically active points CMF — constant magnetic field EMF — electro magnetic filed EMR — electromagnetic radiation

LILR — low-intensive laser radiation MF — magnetic field

MLT — magnet laser therapy

MLUST — magnet laser ultrasound therapy MPLT — multipurpose laser therapy

МТ — magnet therapy PМF — pulse magnetic field

POL — peroxide oxidation of lipids PT — physiotherapy

REG — rheoencephalography RMF — rotating magnetic field

SBR — secondary biogenic radiation SP — sonopuncture

UCSG — upper cervical sympathetic gangly UPhP — ultra phonophoresis

UST — ultrasonic therapy US — ultrasound

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

INTRODUCTION

 

In recent years experts of the different countries achieved considerable success in the area of both applied and fundamental knowledge of laser medicine. Especially successfully developed the researches in the direction of system approach and multipurpose application of laser therapy in clinical and resort practice.

Zone laser therapy, laser-puncture, magneto-laser therapy and therapy by the laser scanning beam in neurology, cardiology, rheumatology and many other sections of clinical medicine showed certain advantages before traditional methods of treatment. Data on questions of efficiency of multipurpose laser therapy at treatment of diabetes and its complications are not less convincing, articulate and skeletal and muscular pain syndromes were received by authors in a series randomized    clinical

research, carried out, generally over the last 10 years.

It should be noted that along with laser therapy authors proposed the application of modulation of a magnetic field at functional therapeutic frequencies in combination with the optical radiation of a different range. In addition it was offered simultaneous impact on several functional systems at the same time– it promoted increase of efficiency of carrying out treatment.

All this and other modern medical programs gained the development thanks to the strong base of the basic knowledge of medico biological mechanisms of action of laser radiation, and also development of modern technologies of recovery treatment and medical rehabilitation accumulated by us in 20 years on the basis of multipurpose laser therapy today.

Taking into account requirements to standardization of medical and rehabilitation procedures authors counted necessary to make practical recommendations about application of multipurpose laser therapy in the form of flow charts.