International Medical Journal, Vol. 22., Iss. 3, 2016, P. 72−76.
THE USE OF COMBINATION THERAPY FOR CORRECTION OF VESTIBULAR DISORDERS IN PATIENTS WITH VERTEBRAL ARTERY SYNDROME
Kharkiv Medical Academy of Postgraduate Education, Ukraine
The efficacy of complex treatment, which includes manual therapy, reflexology and physiotherapy exercises for the correction of vestibular disorders in patients with vertebrogenic vertebral artery syndrome was investigated by means of comparison of non−drug and drug treatment of the patients with vertebral artery syndrome. The study involved patients with vertebral artery syndrome aged 18−44 years. All patients underwent clinical and neurological examination, visual diagnosis of disorders of statics and dynamics of the musculoskeletal system, manual diagnosis by the classical method of K. Lewit (1998), functional X−rays of the cervical spine in the frontal and lateral projections, functional transcranial Doppler ultrasonography of the neck vessels, magnetic resonance imaging of the brain. Vertebral−basilar insufficiency was assessed according to Hoffenberth's scale (1990), vestibular disorders with the help of the European Evaluation of Vertigo scale, to quantify the impact of dizziness on the daily routine DHI was used. The test was performed before treatment and 3 weeks after the beginning. Positive dynamics was observed in both groups as reduction of severity and frequency of vertigo attacks, headache, tinnitus, regression of ataxic disorders. The patients receiving combination treatment demonstrated significant reduction or complete disappearance of pain, muscle tension in the neck and shoulder area, reduction of the number of active and latent trigger points. Our study suggests that the combination treatment of vestibular disorders in patients with vertebral artery syndrome, including medication, manual therapy, reflexology and physiotherapy exercises, is pathogenetically justified and has advantages over standard drug therapy.
Key words: vertebral artery syndrome, vestibular disorders, chiropractic, reflexotherapy.