System of sequential application of electrical stimulation techniques in dorsopathies

Objective. The aim of the work was to assess the effectiveness and reveal on this basis the therapeutic mechanisms of the system of course application of methods of local electrical stimulation in dorsopathies.

Materials and methods. A total of 90 patients of both sexes under the age of 65 years with protracted exacerbation of lumbosacral dorsopathy were monitored. The results of the neurological examination were compared with the data of psychological and electrophysiological analysis. In the phase of inpatient treatment, patients were divided into two groups, in which conventional medical and orthopedic treatment was performed. In the 1st group, the comparison group of 30 people, the effect was exhausted, in the 2nd, the main group (60 people), an invasive method of electroacupuncture was additionally used – stimulation of segmental and distant microzones with an electric current by means of acupuncture needles inserted into them. The treatment course consisted of 10 daily procedures. At the end of a month in domestic conditions, the patients independently performed non-invasive transcutaneous electrical stimulation of algic zones – from 7 procedures released every other day. At the same time, in the comparison group, as in 1/2 of the main group, true TENS was performed, while in the other 1/2 – imitation (placebo), using models.

Outcomes. At the end of inpatient treatment, a significant advantage of the main one over the comparison group in terms of the achieved effectiveness was revealed. This was manifested in the clarity of regression of neurological symptoms, including the dynamics of algias, as well as the tendency to normalize the mental and vascular background. However, after six months, only in the 1/2 of the main group where patients used true TENS, greater stability of results was recorded, which was combined with a significantly lower number of exacerbations of dorsopathy.

Conclusion. The advantage, in terms of therapeutic reliability, of successive courses of local electrical stimulation may be explained by the typicality of the trace reaction, which ensures the accumulation of effects. In turn, the work performed contributes to further optimization of treatment and rehabilitation programs for vertebrogenic pathology.

1. . Agasarov, L. G. Reflexotherapy for common diseases of the nervous system. Moscow: Arnebia, 2017. 240 p. (In Russ.)

2. Agasarov L. G., Konchugova T. A., Drobyshev V. A., et al. Point electrical stimulation in medical rehabilitation practice. Moscow: Geotar, 2025. 56 p. (In Russ.)

3. Agasarov L. G., Konchugova T. A., Apkhanova T. V., et al. System of course application of transcutaneous electrical nerve stimulation in medical and rehabilitation complexes for dorsopathies. Vrach. 2024; 8: 84-87. (In Russ.)

4. Agasarov L. G., Konchugova T. A., Apkhanova T. V., Drobyshev V. A., Chesnikova E. I. General issues of point electrical stimulation. Vestnik novykh med. tekhnologii. 2024; 2: 82-86. (In Russ.)

5. Agasarov L. G., Saakyan E. S., Konchugova T. V., Apkhanova T. V., Yurova O. V. Spot Drug Stimulation: а Randomized Study of 90 Patients with Lumbosacral Dorsopathies. Bulletin of Rehabilitation Medicine. 2023; 22 (1): 80-86. https://doi.org/10.38025/2078-1962-2023-22-1-80-86. (In Russ.)

6. Dreval O. N., Kuznetsov A. V., Chekhonatsky V. A., et al. Pathogenetic aspects and risk factors for the development of lumbar disc herniation recurrence: a literature review. Khirurgiia pozvonochnika. 2021; 1: 47-52. (In Russ.)

7. Drobyshev V. A., Shpagina L. A., Ryavkin S. Yu., et al. Clinical and functional aspects of dynamic electroneurostimulation. Yekaterinburg, 2020. 212 p. (In Russ.)

8. Isaikin A. I., Akarachkova E. S., Isaikina O. Yu., et al. Back pain: clinical recommendations. St. Petersburg, 2021. 80 p. (In Russ.)

9. Karateev A. E. Chronic musculoskeletal pain: pathogenesis, clinical features, treatment options. Klinicheskaia meditsina. 2022; 11-12: 527-534. (In Russ.)

10. Konchugova T. A., Apkhanova T. V., Kulchitskaya D. B., Agasarov L. G. Application of transcutaneous electrical stimulation in treatment complexes for dorsopathies. Vestnik novykh meditsinskikh tekhnologii (electronic edition). 2024; 3. 5 p. (In Russ.)

11. Kosareva L. B., Fedorenko S. I., Perov Yu. F. Transcutaneous electrical nerve stimulation in the treatment of pain syndromes: methodological guide. Moscow, 2020. 52 p. (In Russ.)

12. Nuvakhova M. B. Innovative Technologies in the Health-Resort Treatment of Patients with Dorsopathy. Vestnik vosstanovitelnoi meditsiny. 2020; 6 (100): 66-74. https://doi.org/10.38025/2078-1962-2020-100-6-66-74. (In Russ.)

13. Podchufarova E. V. Current issues in acute and chronic pain in the lumbosacral region. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2012; 4 (1): 27-35. (In Russ.)

14. Popelyansky, Ya. Yu. Diseases of the Peripheral Nervous System. M., 2005. 463 p. (In Russ.)

15. Razumov A. N. The Health of a Healthy Person. Moscow, 2007. 546 pp. (In Russ.)

16. Razumov A. N., Vasilenko A. M., Bobrovnitsky I. P., et al. Dynamic Electroneurostimulation. Yekaterinburg, 2008. 139 p. (In Russ.)

17. Khan M. A., Pogonchenkova I. V., Talkovsky E. M., Vybornov D. Y., Kuyantseva L. V., Tarasov N. I., Koroteev V. V. Electrical Stimulation Methods for Scoliosisin Children: a Literature Review. Vestnik vosstanovitelnoi meditsiny. 2024; 23 (5): 116-124. https://doi.org/10.38025/2078-1962-2024-23-5-116-124. (In Russ.)

18. Sheiko G. E., Belova A. N., Karyakin N. N., Daminov V. D., Shabanova M. A., Ananyev R. D., Sushin V. O., Vorobyova O. V. Organization of Remote Rehabilitation in the Russian Federation: a Literature Review. Vestnik vosstanovitelnoi meditsiny. 2023; 22 (4): 114-128. https://doi.org/10.38025/2078-1962-2023-22-4-114-128. (In Russ.)