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Using a magnetic posture corrector in therapy of somatoform autonomic dysfunction in patients with chronic spinal diseases

https://doi.org/10.20340/vmi-rvz.2024.6.CLIN.6

Abstract

Introduction. Somatoform autonomic dysfunction (SAD) can aggravate an existing disease or be combined with other mental disorders (e.g., depression, anxiety, and hypochondria). Patients with SVD are accompanied by pain of various localizations, for example: cardiovascular, gastrointestinal, respiratory or urogenital, and at the same time they experience pain in the spine.
Purpose of the study: To study the therapeutic effects of a magnetic posture corrector in patients with chronic spinal diseases and autonomic disorders.
Materials and methods. The study included 107 patients - men n = 61 and women n = 46 aged 18-64 years. All patients were diagnosed with chronic spinal diseases, more often of the cervicothoracic region 69 (64.5%) than the lumbosacral 38 (35.5%) p = 0.278, in most cases deforming lesions of the spine predominated 56 (52.3%) p = 0.175. Many patients had combined pathology of the spine. Patients were tested with the questionnaire of A.M. Vein, and to assess the HRV (heart rate variability), daily electrocardiogram monitoring was performed. The first examination took place on the 3rd-4th day of hospital stay, a repeat (final) examination was performed after 12 months. The division into groups was random (even and odd numbers as they were admitted), the 1st group (main) included n = 54 patients who received a magnetic posture corrector, the 2nd (control) group n = 53, correctors without magnets. The total time of wearing the corset was no more than 6 hours per day.
Results. After 12 months of the study, the HRV indicators were restored in the main group; SDNN by 58.9% (p = 0.091), SDANN by 35.1% (p = 0.084), RMSSD by 55.4% (p = 0.172) and pNN50 by 44.9% (p = 0.042), indicating the restoration of the activity of the vegetative balance. Almost the same changes in the spectral indices of the sympathetic link LF and VLF to the parasympathetic HF, with the restoration of the LF/HF index by 45.7% (p = 0.012). In the control group, the SDNN, SDANN, RMSSD and pNN50 indices, both initially had low standard values, and at the end of the study practically did not improve.
Conclusions. Our study revealed that the use of a magnetic posture corrector helps to reduce vegetative disorders in patients with chronic spinal diseases. Wearing a magnetic posture corrector for 12 months stabilizes the autonomic nervous system, which is reflected in the improvement of heart rate variability. These changes are confirmed by the questionnaire of A.M. Vein; in the group of patients who wore a magnetic posture corrector, at the end of the study, the number of patients with severe autonomic dysfunction significantly decreased from 38.9% to 20.4%, p < 0.05. Accordingly, the number of patients with no VD increased from 14.8% to 35.2%, p < 0.05.

About the Authors

R. M. Gafurova
Dagestan State Medical University
Russian Federation

Raziyat M. Gafurova, Dr. Sci. (Med.), Associate Professor of the Department of Cardiology, Emergency Care and General Medical Practice, Faculty of Advanced Training and PPS 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



E. R. Makhmudova
Dagestan State Medical University
Russian Federation

Elmira R. Makhmudova, Cand. Sci. (Med.), Assistant of the Department of Therapy of Faculty of advanced training and professional retraining of specialists 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



R. G. Khabchabov
Dagestan State Medical University
Russian Federation

Rustam G. Khabchabov, Cand. Sci. (Med.), Associate Professor of the Department of Cardiology, Emergency Care and General Medical Practice, Faculty of Advanced Training and PPS 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



A. A. Abdullaev
Dagestan State Medical University
Russian Federation

Aligadzhi A. Abdullaev, Dr. Sci. (Med.), Professor, Head of the Department of Cardiology, Emergency Care and General Medical Practice, Faculty of Advanced Training and PPS 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



U. A. Islamova
Dagestan State Medical University
Russian Federation

Ummet A. Islamova, Cand. Sci. (Med.), Associate Professor of the Department of Cardiology, Emergency Care and General Medical Practice, Faculty of Advanced Training and PPS 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



A. A. Anatova
Dagestan State Medical University
Russian Federation

Aminat A. Anatova, Assistant of the Department of Cardiology, Emergency Care and General Medical Practice, Faculty of Advanced Training and PPS 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



M. A. Dzhanbulatov
Dagestan State Medical University
Russian Federation

Murat A. Dzhanbulatov, Cand. Sci. (Med.), Assistant of the Department of Dentistry Faculty of advanced training and professional retraining of specialists 

1, Lenin Square, Makhachkala, Republic of Dagestan, 367000


Competing Interests:

The authors declare no conflict of interest.



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Gafurova R.M., Makhmudova E.R., Khabchabov R.G., Abdullaev A.A., Islamova U.A., Anatova A.A., Dzhanbulatov M.A. Using a magnetic posture corrector in therapy of somatoform autonomic dysfunction in patients with chronic spinal diseases. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(6):87-94. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.6.CLIN.6

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