DRUG-RESISTANT EPILEPSY IN CASE OF CRANIOCEREBRAL DISPROPORTION. A PILOT STUDY

The problem of ineff ective drug therapy of epilepsy continues to be relevant during many decades and determines many key research trends in clinical and fundamental epileptology. Despite the emergence of a large number of various antiepileptic drugs the eff ectiveness of drug therapy for epilepsy has remained almost unchanged over the past decades. In this article drug-resistance in epilepsy is considered as a consequence of a concomitant pathological process in the form of craniocerebral disproportion.

THE INFLUENCE OF OSTEOPATHIC CORRECTION OF PELVIS DYSFUNCTIONS IN WOMEN IN LABOR WITH PRETERM AMNIORRHEA IN CASE OF FULL-TERM PREGNANCYON THE LABOR COURSE AND RESULT

The eff ectiveness of applying osteopathic methods to patients with amniorrhea in case of full-term pregnancy was evaluated. 40 pregnant women with singleton full-term pregnancy without severe somatic and obstetric pathologies, with preterm amniorrheaunder the absence of regular labor activity were included into the study. The main group (n = 20) included women who underwent treatmentwith osteopathic methods. In the control group (n = 20) the labor was managed in accordance with the labor management protocol in case of amniorrhea. The osteopathic examination, which was performed in the course of the study, showed that all patients had biomechanical disorders at the pelvis level. The women in labor, who underwent osteopathic correction, started to deliver on their own in a greater percentage of cases as compared with the control group; there was a signifi cant decrease of frequency of labor anomalies and the total number of complications in labor and, as a consequence, a signifi cant decrease of obstetric aids and frequency of the emergency deliveryby cesarian section. A decrease in the frequency of episiotomy was noted. A decrease in the duration of the rupture-to-delivery interval was also noted.

MANUAL MEDICINE EVOLVEMENT FEATURES WORLDWIDE AND IN RUSSIA

The article describes phases of the manual therapy method appearance and evolvement in medical practice worldwide, in the Soviet Union and the Russian Federation. Important problems, which must be solved by manual therapy doctors for providing for further development of the scientifi c and practical bases of manual therapy, are identifi ed.

COMPLEX X-RAY DIAGNOSTICS OF THE VERTEBRO-NEUROLOGICAL SYNDROMES IN PATIENTS WITH DYSTROPHIC DISEASES OF THE LUMBAR SPINE

Traditional X-ray methods identify general signs of a dystrophic process in 82.2% of cases but they do not provide suffi cient information about the nature of a pathological process, lesion prevalence and localization, a level and a degree of compression of neurological and vascular elements of the vertebral canal. Specifi city of X-ray imaging in the identifi cation of a dystrophic process nature is just 47.8%. X-ray imaging and T1-,T2-weighted MRI are enough for examining patients with discogenic changes of the vertebral segments; their combined results are highly effective (99.4%). Spiral CT and MRI are complementary methods for the examination of patients with dystrophic diseases of the lumbar spine; when used together their eff ectiveness reaches 95.4%. The comparative assessment of sensitivity, specifi city and accuracy of modern methods of X-ray diagnostics, development of an algorithm of the examination of patients with dystrophic diseases of the lumbar spine were performed on the basis of the study results.

THE INFLUENCE OF PAIN DYSFUNCTION OF THE SACROILIAC JOINT ON PAIN SEVERITY IN THE LOW BACK

The article describes techniques for diagnosing pain syndromes in the lumber spine caused by dysfunctions of the sacroiliac joints. Diagnostics and diff erential diagnostics were carried out by osteopathy tests.

THE EFFECTIVESS OF EVALUATION OF OSTEOPATHIC SUPPORT OF PATIENTS SUFFERING FROM THE DISTURBED OCCLUSION AT THE DENTAL ALVEOLAR LEVEL

The eff ectiveness of simultaneous use of braces and methods of osteopathic correction was evaluated while treating 48 patients suff ering from occlusion disorders at the dental alveolar level. The indicators of osteopathic status, situational anxiety, and satisfaction with the aesthetic result of treatment were studied. It was found that the most typical somatic dysfunctions were the dysfunctions of the bones of the skull base, facial skull, cervical spine, chest, and of internal organs of the chest and neck. The inclusion of methods of osteopathic correction in the comprehensive treatment resulted in the better mobility of the structures of the skull, cervical spine, and chest, a decreased anxiety level and, consequently, an increased satisfaction with the aesthetic result of treatment.

Osteopathic correction in case of coarctation of the aorta and stenosis of the pulmonary artery in a patient with Williams syndrome

The research was done for studying capabilities of osteopathic correction of vascular pathology in a patient (a child) with Williams syndrome. The change of the central hemodynamics parameters during the 5-year period was demonstrated. The change data was registered by echocardiography. The obtained result makes it possible to recommend the osteopathic correction methods as safe and eff ective ones for the treatment of patients with similar pathology.

ORO-FASCIAL SYSTEM PECULIARITIES AND AN OSTEOPATHIC APPROACH TO THE CORRECTION OF SPEECH DISORDERS IN CHILDREN WITH DOWN SYNDROME

The key parameters of anatomical deformations of the facial bones and the cranium, which cause speech disorders in children with Down syndrome, are discussed in the review article.

THE INFLUENCE OF COMPREHENSIVE REHABILITATION MEASURES COMBINED WITH THE OSTEOPATHIC TREATMENT ON THE BALANCE FUNCTION COEFFICIENT IN CHILDREN SUFFERING FROM CEREBRAL PALSY

The article highlights the study records on the infl uence of comprehensive rehabilitation measures combined with osteopathic treatment on the balance function quality in children suff ering from cerebral palsy. The study involved children aged 7 to 12 with spastic diplegia (level II according to GMFCS), intact intelligence, and the ability to move independently without technical devices. The study showed that, if the osteopathic treatment was included in the set of rehabilitation measures, the quality of life and postural control in the upright position improved in children, the latter manifested itself in an increased indicator of the balance function quality.