Abstract

Purpose: To optimize the treatment of children with somatoform autonomic dysfunction suffering from frequent acute recurrent infections with the use of physiotherapy methods. Research methods: The study of 140 children with somatoform autonomic dysfunction suffering from frequent recurrent infections included the analysis of the data on developmental histories (form № 026/in «Children’s Medical Card for School» and form 112/ «History of Child Development»), clinical complaints, functional (ECG and cardiointerval recording) and vegetative indicators (Kerdo, Hildebrandt, Baevsky-Parin indices) before and after the use of the photobioacoustic complex, which includes: biofeedback bioacoustic impact on the head area and LLLR on the projection of the cubital area and thymus. The ECG was performed on the device of the «Shiller» company (Switzerland) with a computer console for cardiointerval recording. The vegetative indices were studied on the «Poly-Spectr» device of Neurosoft (Russia). LLLR was performed on the «Milta» (l=0,89 mcm) on the overhead projection area at a frequency of 80Hz for 5 minutes and on the projection zone of the thymus at a frequency of 1500 Hz for 3minutes, as responsible for immune support. The total duration is 8–9 minutes (children of 7–8 years — 5–8 minutes; children of 9–12 years — 8–9 minutes). Bioacoustic effects on the head area were performed on the hardware-computer complex of acoustic correction (biofeedback bioacoustic correction) «SINKHRO-S» (Russia). Results: Parasympathicotonia (VI) was identified in 35% (18,5% of boys, 16,4% of girls); sympathicotonia (SA) — in 54,1% (28,5% of boys, 25,7% of girls); a mixed type of vegetative dystonia — in 10,9% (4,4% of boys, 6,5% of girls). Subjective complaints of children with somatoform autonomic dysfunction suffering from frequent recurrent infections had a brighter picture than those of children without an infectious factor. Gender-age differences in subjective complaints of children with somatoform autonomic dysfunction, which correlated with vegetative types: sympathoadrenal (SA), parasympathetic or vagoinsular (VI) and mixed (eutonia, C), have been identified. Conclusion: The developed photobioacoustic complex provides a high correction of index indicators of vegetative tension and vegetative reactivity in children with elevated Kerdo and Baevsky-Parin indices. After the reduction of these indicators, the elimination of correlations between them was noted, which positively affected the vegetative reactivity and parameters of myocardial bioelectrogenesis.

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