tarakanov_А.В._-_scenar-therapy_in_ambulance

7/30/2019 Tarakanov_.._-_SCENAR-therapy_in_Ambulance

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Translation from Russian to English Language

Publication: -, -: . .6, :, 2000, . 35(Scenar-therapy and Scenar-expertise: Collection ofarticles. Issue 6, Taganrog, 2000, p. 35)

Authors: .., ..(Tarakanov .., Karmen N.B.)

Article name: -

Keywords: SCENAR, emergency

Summary: In this work authors estimate the effectiveness of SCENAR-therapy in patientswith acute forms of diseases of various etiology in the conditions of theemergency hospital. Satisfactory results of treatment when pharmacological,instrumental and classical physiotherapeutic treatment have provedineffective were got. These are pain syndromes, headache, treatment of

postoperative fistulas and treatment of neurotrophic damages in patients withisolated and combinative skull injury.

SCENAR-therapy in AmbulanceThe doctor rendering the first help when the disease is in the acute period, should realize all

the responsibility and complexity of the problem. Nowadays, the quantity of serious pathology

increased and the diseases are more serious. People suffering from acute forms of disease usually

address to multi-field hospital. The searching of new methods for effective treatment is necessary in

these conditions. Scenar-THERAPY application is handy because of its availability, fast positive

effect, simplicity of treatment and stable result.

90 patients treated by Scenar were observed in the Rostov emergency hospital 2. Models97.4 and 97.5 were used.

The treatment was carried out daily or every other day in constant and individuallydosed

modes taking into account the attributes of the little assymmetry and secondary factors.

Patients were distributed in the following way.

The first groupone of the most favorable because of the prognosis and treatment. The pain

was decreased already by the 2nd 3rd procedure, complete regress of pain syndrome appeared by

the 4th 5th procedure. The sensitivity disorder- reduction of zones not sensible to pain. The angle of

the lower extremities instep was increased for 15-20 %. The recommended operative intervention

was postponed because of remission in many cases. The anodyne and anti-inflammatory effects

were realized; vascular and muscular spasms were decreased; blood circulation, tone and trophism

of interested muscles were normalized. Besides, the general somatic condition, arterial pressure,

pulse were stabilized, sleep and appetite improved, diuresis increased. It indirectly testified the

normalization of hydro-salt metabolism.

Treatment of acute nonpenetrating backbone-spinal traumas (CBST) depended on the

affection degree, state severity, degree of the spinal cord compression, character of surgical

intervention.

Treatment by Scenar was carried out:

1) after surgical intervention (decompression of the spinal cord, inspection and

reconstruction of the spinal canal, laminectomy was, vertebras fixation by metal plates etc. were its

purpose);

2) some time later (traumatic illness of the spinal cord, syndrome of complete, cross orpartial affections of the spinal cord).

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Affection of the spine cervical area was accompanied by the hands paralysis, disappearance or

decreasing of the upper and lower extremities reflexes, spastic paralysis of legs with muscular tone

increasing, pathological foot reflexes. The decreasing or loss of mainly painful and temperature

sensitivity was registered below the affected zone level. The urine and feces delay, and also

neurotrophic syndrome with formation of plural extensive deep bedsores were marked.

The trauma of spine lumbar area was characterized by the paresis of flexors and extensors of

foot and fingers, decreasing or absence of reflexes, languid paraplegia, disorders of pelvis organsfunctions, neurotrophic damages. (bedsores).

The primary aims of Scenar-THERAPY application when treating this category of patients

in the acute period:

1) Reduction of brain and tegumental symptomalogy;

2) Realization of anti-inflammatory, antiedematous and resolvent effects in the zone of

center localization;

3) Improvement of blood supply in the center of affection;

4) To cut the stressor reaction off , tranquilizing effect realization;

5) Urination restoration when treating the areflectorno-spinal or areflectorno-atonic

(secondary) forms of neurogenic disorders with influence on the area of the urinary bladder

projection and pelvic floor area;6) Stimulation of antagonists of the lower extremities spastic muscles when treating the

traumas of cervical and breast areas of backbone and flabbyparetic muscles when treating the

traumas of backbone lumbar area;

7) Restoration or reduction of neurotrophic syndrome with bedsores areas stimulation;

8) Liquidation of respiratory system complications.

The repeated Scenar-THERAPY courses were combined with medical massage and

therapeutic physical training in the remote period of CBST.

Table 1.

The regress of brain and tegumental symptomalogy, partial or complete restoration of

painful and temperature sensitivity, reduction of neurotrophic syndrome with bedsores healing were

marked when treating CBST in the postoperative period. Movements volume increasing;

normalization of temperature, blood count; improvement of general somatic condition were

registered. The success of treatment appreciably depended on interest of the patient, valuable care

and nourishment.



# PathologyPatients

quantity

1.Neurologic and neurosurgical:

1. Osteochondrosis of cervicothoracic and sacrolumbar areas of spine,

2. Osteochondrosis complicated with the disk hernia,

3. Craniocereberal trauma when acute and subacute periods (CCT).

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2.Traumatology:

1. Combinative trauma (CCT) with fractures of extremities and pelvis,

2. Extremities traumas, postoperative period.

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7

3. Purulentseptic surgical pathology: diabetic angiopathy, diabetic foot, gangrene,amputation, trophic ulcers of the lower extremities, erysipelatous inflammation of

the lower extremities.

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4. Eye pathology(traumas, iridociclitis, uveitis, neuritis, hemorrhage into retina). 15

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To treat the spinal trauma (even in not serious case) is a difficult problem. The patience is

necessary sometimes for 2-3 and more months. The initial results of Scenar-THERAPY can be

hardly appreciable. At the same time, as the practice show, even short-time Scenar-INFLUENCE

results the reduction of treatment terms.

Scenar-THERAPY was applied after tegumental symptomology disappearance when

treating the skull injury. The treatment promoted the hematomas resorption and created the

favorable conditions for restoration of functionally oppressed brain areas. The influence wascarried out on orbital, occipital, periorbital areas,collateral zone, areas of craniocereberal nerves

output on the face and 3 tracks. In the remote regenerative period, the Scenartherapy aim was to

improve the liquor outflow, to regulate the arterial pressure, to amplificate the action of basic

medicinal therapy, to decrease the patient asthenisation. Scenar-INFLUENCE was used when

treating the motor disorders, hemiplegia, speech functions disorders.

Scenar -THERAPY application combined with complex pharmacotherapy when treating the

surgical patients with purulentseptic complications provided the collateral blood circulation, the

stimulation of vegetative centres function, the improvement of local blood circulation, the reduction

of spastic processes, had anesthetizing effect and trophic influence. Wounds and ulcers were

processed directly, thenalong the vascular tracts. The results of treatment- normalization of

peripheral hemodynamics parameters, improvement of pulse fillings of shin vessels, reduction ordisappearance of painful sensations in wounds, normalization of skin colouring. The wounds were

cleaned, their size was decreased; granulations and regional epithelisation of edges appeared, the

quantity of secretion in the wound was increased.

Scenar application in ophthalmologic practice showed its significant therapeutic potential.

The device influenced the orbital area, the nape, collateral zone, the spine. When treating: the visual

acuity increasing was registered, blood supply of the eye back pole was improved, acceleration of

retinal hemorrhages resorption was marked. Treatment of iridocyclitis and uveitis resulted the fast

precipitates resorption.

Thus, Scenar-THERAPY is the important and necessary component for the combined

treatment in the conditions of the emergency hospital. In some cases ,all the methods ofpharmacological, instrumental and classical physiotherapeutic treatment can not replace the

neuroadaptive influence. By our opinion, Scenar should be not only the obligatory component of

complex treatment but also be used as monotherapy.



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tarakanov_А.В._-_scenar-therapy_in_ambulance

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