Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury · 2025
[Gender differences in vertebrobasilar hemodynamics in response to manual-physical impact in the treatment of essential arterial hypertension using the method of A.Yu. Shishonin].
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Shishonin A Yu, Pavlov V I
Аннотация
UNLABELLED: Therapy methods for essential arterial hypertension (EAH) associated with the impact on the cervical spine and, in particular, step-by-step manual-physical correction with the formation of a stable muscular corset in the cervical spine according to the method of A.Yu. Shishonin, are used in representatives of both sexes.As a result, it is of interest to assess gender differences that can determine the features of the course, manifestations of pathology and response to the methods of treatment used.
OBJECTIVE: Study of changes in blood flow parameters in the vertebrobasilar basin under the influence of manual-physical correction according to the author's method of A.Yu. Shishonin.
MATERIAL AND METHODS: A total of 112 patients suffering from EAG were examined, including 49 men (aged 63.3±9.2 years) and 63 women (aged 62.1±8.3 years) with signs of clinically expressed degenerative-dystrophic processes in the cervical spine and arterial pressure (AP) corresponding to high normal AP (prehypertension), or EAG of the 1st degree. Methods of examination and treatment. All patients received the procedure of manual-physical correction according to the method of A.Yu. Shishonin. Blood flow studies in the cervical vertebral arteries were carried out using the method of ultrasound Dopplerography of the brachiocephalic arteries.
RESULTS: In both women and men, the most significant improvements were seen in the terminal blood flow velocity (ED), the average blood flow velocity (TEMEAN), peak blood flow values (PS, TAMAX), the systolic-diastolic ratio (S/D), and the pulsation index (p<0.001).However, greater changes were observed in men, who showed the most noticeable changes in the terminal diastolic blood flow velocity (17.70 times higher, compared to 11.85 times higher in women), time-averaged maximum blood flow velocity (5.72 times higher in men, compared to 4.44 times higher in women), and the Goesling index (3.29 times higher in men, compared to 2.13 times higher in women).
CONCLUSIONS: The obtained results may indicate a more pronounced response of speed indicators, greater preservation and reactivity of the elastic properties of arteries in representatives of the male population of a comparable age category.
OBJECTIVE: Study of changes in blood flow parameters in the vertebrobasilar basin under the influence of manual-physical correction according to the author's method of A.Yu. Shishonin.
MATERIAL AND METHODS: A total of 112 patients suffering from EAG were examined, including 49 men (aged 63.3±9.2 years) and 63 women (aged 62.1±8.3 years) with signs of clinically expressed degenerative-dystrophic processes in the cervical spine and arterial pressure (AP) corresponding to high normal AP (prehypertension), or EAG of the 1st degree. Methods of examination and treatment. All patients received the procedure of manual-physical correction according to the method of A.Yu. Shishonin. Blood flow studies in the cervical vertebral arteries were carried out using the method of ultrasound Dopplerography of the brachiocephalic arteries.
RESULTS: In both women and men, the most significant improvements were seen in the terminal blood flow velocity (ED), the average blood flow velocity (TEMEAN), peak blood flow values (PS, TAMAX), the systolic-diastolic ratio (S/D), and the pulsation index (p<0.001).However, greater changes were observed in men, who showed the most noticeable changes in the terminal diastolic blood flow velocity (17.70 times higher, compared to 11.85 times higher in women), time-averaged maximum blood flow velocity (5.72 times higher in men, compared to 4.44 times higher in women), and the Goesling index (3.29 times higher in men, compared to 2.13 times higher in women).
CONCLUSIONS: The obtained results may indicate a more pronounced response of speed indicators, greater preservation and reactivity of the elastic properties of arteries in representatives of the male population of a comparable age category.