scholarly journals DETERMINATION OF THE FUNCTIONAL STATE OF THE PERIPHERAL NERVOUS SYSTEM IN PATIENTS WITH VIBRATION DISEASE BY ELECTRONEUROMIOGRAPHY INDICES

2019 ◽  
Vol 98 (10) ◽  
pp. 1119-1123
Author(s):  
D. V. Rusanova ◽  
Larisa S. Vasileva ◽  
N. V. Slivnitsyna ◽  
O. L. Lakhman

Introduction. Vibration disease (VD) is a chronic occupational disease caused by the long-term influence of industrial vibration on the body, with prolonged contact with which a polyneuropathic syndrome is formed. Material and methods. 150 males were examined in the clinic. The first group consisted of 50 patients with VD associated with combined exposure to local and General vibration (48.7±3.1 years); the second - 50 patients with VB associated with exposure to local vibration (48.9±2.8 years); the third - 50 relatively healthy individuals without contact with vibration (49.1±2.5 years). Stimulation electroneuromyography (ENMG) was carried out according to the generally accepted method. The results of ENMG show demyelinating lesions of motor and sensory components to be registered in the examined VD patients, changes in the speed indices of axons of nerves of the upper and lower extremities are observed. Analysis of F-wave indices revealed the lesion of both the fastest and the slowest conductive fibers of the tibial and peroneal nerves in patients of both groups. There is an increase in the maximum amplitude of the F-wave and the F/M ratio, more pronounced in patients of the first examined group. In patients of the first and second examined groups, there is an increase in the blocks of the pulse, more pronounced with the combined effect of general and local vibration. Conclusion. Changes in the state of the peripheral nerves of the upper extremities are similar in patients of the first and second groups and consist in the presence of processes of demyelination of motor and sensory axons. In patients of the first group, there are more pronounced disorders in the state of the motor component of the nerves of the upper and lower extremities, while in persons of the second group there are sub-threshold changes in the lower extremities. Changes at the level of roots and in the functional state of the spinal cord neurons are more pronounced in patients of the second group.

2019 ◽  
Vol 98 (10) ◽  
pp. 1102-1107
Author(s):  
Liudmila B. Masnavieva ◽  
I. V. Kudaeva ◽  
Y. A. Kuznetsova ◽  
O. V. Naumova

Introduction. Vibration disease occupies one of the leading places in the structure of occupational pathology and is caused by exposure to both local and general vibration. Since the mechanism of local and general vibration effects on the body differs, it can be assumed that their effect on the cardiovascular system will have distinctive features. The aim of the work was to study the content of specific autoantibodies, which characterize the state of the cardiovascular system, in patients with vibration disease caused by exposure to local and combined vibration. Material and methods. The relative levels of specific autoantibodies to antigens, reflecting the state of the heart and the vascular bed, were determined in the blood of persons with vibration disease caused by exposure to local and combined vibration (29 and 36 cases, respectively). Results. 18 to 26% of persons with the vibratory disease caused by the effect of combined vibration were found to have elevated levels of autoantibodies to components of the membrane and cytoplasm of myocardial cells, components of the cytoplasm of neutrophils and endothelial cells, β1-adrenoreceptors, PAPP-A, and cardiomyosin protein. In the group of individuals exposed to local vibration, the frequency of occurrence of elevated levels of antibodies by more than 20% was detected only for β1-adrenoreceptors and PAPP-A protein. Elevated levels of other indices were observed in 10-14% of individuals in this group. The levels of antibodies to components of the membrane of myocardial cells and platelets were higher in patients with the vibratory disease caused by exposure to a combined vibration than in individuals with vibratory syndrome caused by the action of local vibration. conclusion. Elevated levels of auto-AT to platelet membrane structures may be due to changes in their membranes caused by the accumulation of highly toxic lipid peroxidation metabolites.


1935 ◽  
Vol 31 (8-9) ◽  
pp. 1012-1017
Author(s):  
G. M. Novikov

In 1862, Raynaud first described, as a completely independent nosological unit, a kind of disease of the peripheral and most protruding parts of the body (fingers of the upper and lower extremities, auricles, the tip of the nose, cheeks), now known under the name of Raynaud's symmetric gangrene ... Since that time, little new has been introduced into the etiology and pathogenesis of this disease.


Author(s):  
Gennady M. Aldonin ◽  
◽  
Vasily V. Cherepanov ◽  

In domestic and foreign practice, a great deal of experience has been accumulated in the creation of means for monitoring the functional state of the human body. The existing complexes mainly analyze the electrocardiogram, blood pressure and a number of other physiological parameters. Diagnostics is often based on formal statistical data which are not always correct due to the nonstationarity of bioprocesses and without taking into account their physical nature. An urgent task of monitoring the state of the cardiovascular system is the creation of effective algorithms for computer technologies to process biosignals based on nonlinear dynamic models of body systems since biosystems and bioprocesses have a nonlinear nature and fractal structure. The nervous and muscular systems of the heart, the vascular and bronchial systems of the human body are examples of such structures. The connection of body systems with their organization in the form of self-similar fractal structures with scaling close to the “golden ratio” makes it possible to diagnose them topically. It is possible to obtain detailed information about the state of the human body’s bio-networks for topical diagnostics on the basis of the wavelet analysis of biosignals (the so-called wavelet-introscopy). With the help of wavelet transform, it is possible to reveal the structure of biosystems and bioprocesses, as a picture of the lines of local extrema of wavelet diagrams of biosignals. Mathematical models and software for wavelet introscopy make it possible to extract additional information from biosignals about the state of biosystems. Early detection of latent forms of diseases using wavelet introscopy can shorten the cure time and reduce the consequences of disorders of the functional state of the body (FSO), and reduce the risk of disability. Taking into account the factors of organizing the body’s biosystems in the form of self-similar fractal structures with a scaling close to the “golden ratio” makes it possible to create a technique for topical diagnostics of the most important biosystems of the human body.


2021 ◽  
Vol 22 (9) ◽  
pp. 991-1000
Author(s):  
V. B. Blank

Blood is one of the most subtle and sensitive indicators that indicate the functional state of the body, reflecting the picture of its struggle with intruded harm and its reactivity. A detailed study of the pictures of red and white blood opens before us the possibility of not only a diagnostic assessment of the state of hematopoietic tissue, its reaction to a harmful principle, but also the possibility of a prognostic assessment of the state and development of the body's defenses in liberating the body from disease-causing influences.


Author(s):  
I. V. Bocharin ◽  
M. S. Guryanov ◽  
A. K. Martusevich

In this article, the purpose of the study was a comparative analysis of the parameters of the functional state of the body of students under the systematic influence of moderate physical exertion of northern (Scandinavian) walking. The study included 85 second-year students of the Volga Research Medical University. To visualize the indicators of the state of the body, the system of sports testing “MedicalSoft” was used. The functional status of the students' organism was studied before the start of Nordic (Scandinavian) walking classes, and after the completion of a two-month course of exposure to metered physical exertion. The analysis of the data obtained was carried out in accordance with the age standards that were formed by the developers of the equipment. It is established that systematic health-improving and training loads favorably affect the state of the body of the subjects, increasing its adaptive capabilities, which is confirmed by dynamic changes in the values of integral indicators.


Author(s):  
Sergey Babanov ◽  
Nataliya Tatarovskaya

The article presents data on the impact of vibration disease on the quality of life of patients. The main changes in the quality of life parameters of patients based on the results of the study using the SF-36 questionnaire are described. The quality of life of patients with various types of vibration disease is compared. It is established that industrial vibration (both General and local) in addition to the classical changes characteristic of vibration disease from exposure to local vibration (WBL), vibration disease from exposure to vibration (VBOW) first and second degrees (vascular, neurological) substantially violates the quality of life of patients, with the most pronounced changes are characteristic for WBOW, which confirms the systemic effects of vibration and its effects on the body working. The quality of life of sick WIDOWS is significantly reduced, although significant differences are observed only on the scales of «physical functioning» and «physical component of health».


Author(s):  
Svetlana B. Borutskaya

Skeletons of 9 women and 13 men were measured and a number of indices were calculated during the study of burials from the Crimean Tatar Batalnoe necropolis. The ratio of the lengths of the upper and lower extremities was found to be average or lower than average, the shoulder is relatively long. In men, the forearm was often long relative to the shoulder; in women, on the contrary, it was often shorter. Both men and women had short tibia according to the crural index. Women are characterized by very narrow shoulders. The degree of massiveness of long bones in men varies, with the exception of usually massive radius and tibia. Women are characterized by medium-massive and gracile long bones, with the exception of the bones of the forearm. The body length in men was estimated as 162.1–175.1 cm. The reconstructed body length of women is 146.4 –160.0 cm.


Author(s):  
Лахман ◽  
Oleg Lakhman ◽  
Катаманова ◽  
Elena Katamanova ◽  
Кулешова ◽  
...  

The article presents the results of the studies of the central and peripheral nervous systems, psychoemotional status of patients with vibration disease associated with exposure to the local vibration in the post-exposure period. The stud-ies were performed in patients with vibration disease (n=18) who do not work in the contact with the local vibration at present. The mean age of the patients was 50.7±5.4years, the mean length of service in the contact with local vibration –17.9±2.8years, the mean post-exposure period – 5.2±2.2years. 30male persons having no contact with industrial hazard were comprised the control group. Electroencephalography, electroneuromyography, recording of somatosensory evoked potentials were carried out and patients’ personality peculiarities were studied. The changes of the brain bioelectrical activity, disorders of the autonomic and afferent regulation of the cerebral level, dysfunc-tion in diencephalic structures, disorders of the subcortical and cortical structures of the central afferent pathways; demyelization of the peripheral nerves of the upper and lower extremities were set in patients with vibration disease in the post-exposure period. Psychological studies have shown that patients with vibration disease in the post-exposure period preserve such psychological peculiarities as neuroticism manifested with inner tension, nervousness and chronic feeling of discomfort; depressive tendencies being a sign of the existing distress, and anxious-hypochondriac features in the structure of personality traits. All of the above result in formation of stable uncompensated clinical conditions observed in patients with vibration disease caused by local vibration exposure, even after the termination of harmful production factors.


1997 ◽  
Vol XXIX (1-2) ◽  
pp. 67-69
Author(s):  
V. N. Komantsev ◽  
М. N. Sorokina ◽  
N. V. Skripchenko

There studied changes of electroneuiomyographical indices for evaluation of incidence and dynamics of lesion of peripheral nervous system during diphtheria. For this purpose 37 patients with diphtheria polyneuropathy at the age of 214 years at different terms of disease were examined. It was shown that during diphtheria most often the nerves of lower extremities are damaged: fibular and tibial. Information of ENMG indices of the latter is more significant. For revealing the initial symptoms of the nervous system lesion it is useful to investigate the state of myelinization of proximal parts of peripheral nerves according to F-wave latency.


2019 ◽  
Vol 5 (2) ◽  
pp. 45-54
Author(s):  
I. V. Kalashnikova ◽  
A. N. Nikanov

The Murmansk region is characterized by a number of specific climatic and geographical features: a polar night, a long snowy period, an unstable geo-heliophysical setting. All of the above factors have a negative impact on children with disabilities. The article describes the application of the method of analysis of heart rate variability to assess the dynamic changes in the functional state of the body of preschool children with general speech underdevelopment, as well as with stuttering. The work was carried out on the Kola Peninsula in the period of the exit from the «polar night», when exacerbations of somatic diseases are most often recorded in children, and there is a decrease in the immunological reactivity and adaptation potential. The main purpose of this work was to conduct research on the selection of methods for the functional diagnosis of a child’s body in the Kola North to track the state of the state during the educational process on the basis of a preschool institution during the most unfavorable periods. Functional diagnostics included weekly dynamic measurements of the functional status of children of both groups on a non-invasive cardiac rhythmograph, followed by mathematical processing of the main cardiorhythmographic parameters. The use of heart rate variability analysis makes it possible to identify differences in the functional state of preschool children with various speech disorders associated with the nosological structure of the defect. In addition, the use of this method allows you to track changes in the state of children in the course of the educational process in preschool institutions and to adjust the flow of information, taking into account the individual characteristics and adaptive capacities of children with speech disorders.


Sign in / Sign up

Export Citation Format

Share Document