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FBU-THERAPY sessions in an electromyography regimen.

FBU-THERAPY sessions in an electromyography regimen (EMG) were carried out on the certificated equipment of a domestic production with some foreign accessories. Into structure AKK entered: the personal computer (personal computer) (the system block - the processor, the monitor - the screen, control facilities (the keyboard, the manipulator "mouse"), audiocolumns, the printer), the five-channel measuring converter of bioelectric, biomechanical and biotemperature signals of a human body for work from the personal computer (it the converter of biological signals - PBS, THAT 9441-036-25888044-2008, Joint-Stock Company "Biocommunication«, Sankt - Petersburg, Russia), a power unit (AC-220-N-6-1000/AC-220-S-9-500, «Меіарон», Russia), gauge EMG (model АЕЛК943112-002.13.43, Joint-Stock Company "Biocommunication«, St.-Petersburg, Russia), disposable epicutaneous electrocardiograms of an electroode compatible to last («Arbo», model H124SG, 24 mm, Germany) (a drawing 1).

For work AKK the program «MIO 2.1U - Miotrenazher» (Joint-Stock Company "Biocommunication«, Sankt - Petersburg, Russia), intended for carrying out of training sessions with method use was used FBU - is barefooted on an electromyographic signal (the certificate on the state registration of the computer program № 2011616134 from 05.08.2011, prolongation former). The given program provides use of all spectrum of multimedia possibilities of the personal computer and operational system Microsoft Windows'XP (earlier - Microsoft Windows ' 98).

Considering, that the key factor in disturbance MI of an inorganic genesis (including urine incontiences) is dysfunction tazovyh muscles the basic medical actions should be referred on elimination of these disturbances and strengthening of muscles tazovogo bottoms [94, 182].

Drawing 1 - the Scheme of device AKK and the FBU-THERAPY organisation "MIO".

Modern technique of treatment of pathology MI with use of devices it FBU-IS barefooted is based on system of exercises for muscles tazovogo the bottoms, developed in the middle of the XX-th century the Californian gynecologist A.Kegelem which is referred on rising of their tonus and development of strong reflexogenic reduction at sudden rising of intraabdominal pressure. However the problem of training of muscles of a perineum consists that 40-60 % of children and adults without preliminary training not can reduce separately independently muscles tazovogo bottoms. Instead of activation of the muscle lifting an anus (m. levator ani) the overwhelming number of patients is strained by muscles-antagonists (direct muscles of a stomach, cluneal, femoral) it is even more enlarging intraabdominal pressure. It is logical, that trainings with participation of muscles - of antagonists not only are not effective, but also aggravate a current and implication of pathology MI and urine incontiences [182, 273, 319].

At the present stage the successful decision of a problem of the isolated training of muscles tazovogo is possible bottoms at technique application FBU-IS barefooted on AKK as only in this case the information on performance of exercises in the accessible form immediately is possible to the patient (otzerkalivaetsja) [182]. It gives the chance to the doctor to supervise correctness of performance of exercises and to bring the necessary
Corrective amendments immediately in the course of training.

Especially it is actual at children's age when motivational aspects of treatment of pathology MI at the adults, laconically keeping within the reference of the doctor «Carry out exercises Kegelja if wish to recover!», owing to age features of an organism, formation kognitivnyh processes and attitude work very weakly. FBU-THERAPY in regimen EMG (it - "MIO") helps patients to develop skill of the control, possession and management of functions of MT at the expense of activation of muscles of a perineum. It is proved, that thus the pavor, uneasiness and anxiety, feeling of isolation and the hopelessness, inherent in overwhelming number of patients with pathology MI [96, 182, 319] considerably decreases.

Considering, that in FBU-THERAPY "MIO" the child accepts the most immediate participation achievement of a positive take from treatment it is possible only at the correct organisation of medical process which should be under construction in three stages (depending on physiological and psychological features of each concrete patient): 1st stage - informing of the patient on an applied method of treatment, identification and trial activation of muscles tazovogo bottoms (a session № 1-2), 2nd stage - the isolated identification and activation of muscles of a perineum (sessions №№ 2-3), 3rd stage - the isolated activation and strengthening of muscles tazovogo bottoms (sessions №№ 2-3 - 10-15).

Before the beginning of trainings the patient carries out hygienic actions in the field of a perineum, then it inform on an applied method of treatment, acquaint with procedure. For the purpose of conservation of results of trainings and personification of the data received during medical-diagnostic sessions FBU "MIO", in AKK on each patient the electron card duplicated by the report of procedure the paper carrier, being our working out is got. In an electron card of the patient and the report on the paper carrier (a surname, a name, a patronymic, a date of birth, age, entering date the necessary information on the patient is brought in a hospital, the diagnosis, quantity and dates of carrying out of sessions). Further AKK in an automatic regimen (alphabetically or by date of entering depending on desire of the user) will pack the list of patients by which procedures are executed. For convenience of the medical personnel in the basic dialogue window of the program «MIO 2.1U» there is the field "Search" allowing quickly to find the patient under the first letters of its surname.

In children's practice for registration of muscular reductions, apply special external electromyographic gauges with the individual epicutaneous electrodes attached to them. Two active epicutaneous electrodes, after putting off from them of a protective layer, using their sticky basis, have immediately on either side of from a proctal aperture (at «nine and fifteen o'clock»). An inactive (earthing) electrode fix on an external surface of a hip or in suprapubic area. Employment are spent in position of the patient sitting, for convenience of children the emphasis for feet is used. Considering, that in the beginning of trainings it will be extremely difficult to child to strain only at a full relaxation of muscles - of antagonists (direct muscles of a stomach, cluneal and femoral), the last by means of epicutaneous gauges and additional channel PBS it will be possible to isolate perineum muscles. It is reached at a stage of formation of a session, when
For the channel № 1 EMG (the muscle lifting an anus) is exposed a condition of performance of exercise at reduction of a muscle above the set threshold, and for the channel № 2 EMG (the chosen muscle-antagonist), on the contrary, in the absence of a strain or reduction below the set minimum threshold. For isolation of other muscles-antagonists can be used two-channel ("Miton-03", Joint-Stock Company "Biocommunication«, Sankt - Petersburg, Russia) or two single-channel («MyoTrac», model 4000 or 4001, «Thought Technology Ltd.», Montreal, Canada) devices FBU-IS barefooted with the exposed maximum sensitivity to muscular reduction. Thus the strain of muscles-antagonists on devices will be displayed by means of the sound and light alarm system, also their activity can be checked visually and palpatorno.

After the child has occupied working position in an armchair, AKK FBU "MIO" is put into operation. By button "Sessions" pressing in the basic dialogue window of the program «MIO 2.1U» the doctor passes to gauges of in advance framed sessions for diagnostics, identification, activation and training of muscles tazovogo bottoms, the button «to Begin a session» allows to pass to training carrying out.

It is necessary to notice, that the program «MIO 2.1U - Miotrenazher» possesses the convenient and thought over interface that allows the doctor even during performance of exercises to introduce if necessary various corrective amendments in already grouped session (to enlarge/reduce a load to stop process to change amplitude and scale of registered data to supervise time of all session and each minisession separately).

Training begins and comes to an end with diagnostics and identification by the patient of own muscles tazovogo bottoms. Diagnostics represents research of bioelectric activity of controllable muscles (in mikrovoltah - mkv) for the purpose of definition of the program of training or an estimation of its efficiency. To identify muscles tazovogo bottoms, the child ask them to strain, imitating discontinuing of a stream of urine during MI (if necessary this skill can be developed in advance in real conditions oporozhnenija MT), at a simultaneous relaxation of muscles-antagonists. Bioelectric activity of controllable muscles is displayed on monitor AKK in a window "Diagnostics" in the form of electromyograms (EMGr) and their digital characteristics (the maximum, average and minimum amplitude, mkv; a threshold, mkv; time. For convenience of the medical personnel of an electromyogram of controllable muscles can be displayed together or separately. As a rule, children master skill of identification and the isolated activation of muscles of a perineum quickly enough - for 1-2 sessions.

After identification pass to activation (sessions №№ 1-2) and to strengthening of muscles tazovogo bottoms (sessions №№ 3-10-15), thus set thresholds of performance of a condition of training should correspond to the submaximum muscular reduction - 70-80 % from maximum (70 % for first two-three sessions and 80 % - for the subsequent). The technique of strengthening of muscles of a perineum provides rising of amplitude of their contractility and a hypertrophy of their fibers. Transition to FBU-IS barefooted-TRAINING, and also to the subsequent miniyoseansam, is carried out by button pressing «>>» on monitor AKK in bottom to "a scrolling strip» (the button is applied to return to the previous minisession «

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Scientific source MIRONOV ANDREY ANATOLEVICH. the CLINICO-PSYCHOLOGICAL SUBSTANTIATION of APPLICATION of the METHOD of FUNCTIONAL BIOLOGICAL MANAGEMENT At CHILDREN With the EMICTION PATHOLOGY. The dissertation on competition of a scientific degree of the candidate of medical sciences. Moscow - 2014. 2014

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Other medical related information FBU-THERAPY sessions in an electromyography regimen.:

  1. THE MAINTENANCE
  2. INTRODUCTION
  3. FBU-THERAPY sessions in an electromyography regimen.