Possibilities for the tool monitoring of neuralgia therapy

AIM. To study the possibility of using a paired (test) H-reflex recovery test in the expert assessment of the intensity of acute pain syndromes and in the control of performed therapy. MATERIALS AND METHODS. The authors analyzed 40 patients treated for radicular pain syndrome (RPS) caused by disk pr...

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Main Authors: A V Gnezdilov, A V Syrovegin, N V Samoĭlova, O I Zagorul'ko, D I Goncharov, L A Medvedeva
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2014-08-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/31564
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author A V Gnezdilov
A V Syrovegin
N V Samoĭlova
O I Zagorul'ko
D I Goncharov
L A Medvedeva
author_facet A V Gnezdilov
A V Syrovegin
N V Samoĭlova
O I Zagorul'ko
D I Goncharov
L A Medvedeva
author_sort A V Gnezdilov
collection DOAJ
description AIM. To study the possibility of using a paired (test) H-reflex recovery test in the expert assessment of the intensity of acute pain syndromes and in the control of performed therapy. MATERIALS AND METHODS. The authors analyzed 40 patients treated for radicular pain syndrome (RPS) caused by disk protrusion or herniation at the lumbar spine with the pain intensity of up to 9 points on digital rank scale of pain. As a clinical model they used a pathogenetically sound therapeutic blockade method including glucocorticosteroids for the therapy of acute neuralgia and basic medical therapy with Arcoxia 120 mg/day. Investigations were conducted to study the specific features of early recovery of test H-reflex caused in pair with a conditioning H-reflex in both healthy volunteers and patients with obvious RPS. RESULTS. There were different features of paired H-reflex recovery in healthy individuals and patients with RPS during different treatment options. Recovery of test H-reflex in the range of 150-200 msec can be a criterion for a pain state. CONCLUSION. The clinical test reflex recovery technique may be used in the diagnosis and monitoring of the performed therapy of acute pain syndromes, as well as in the expert examination of pain states.
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spelling doaj.art-a2f5737c3da54712b2cef375839c3e612022-12-21T21:09:30Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422014-08-01868707428581Possibilities for the tool monitoring of neuralgia therapyA V GnezdilovA V SyroveginN V SamoĭlovaO I Zagorul'koD I GoncharovL A MedvedevaAIM. To study the possibility of using a paired (test) H-reflex recovery test in the expert assessment of the intensity of acute pain syndromes and in the control of performed therapy. MATERIALS AND METHODS. The authors analyzed 40 patients treated for radicular pain syndrome (RPS) caused by disk protrusion or herniation at the lumbar spine with the pain intensity of up to 9 points on digital rank scale of pain. As a clinical model they used a pathogenetically sound therapeutic blockade method including glucocorticosteroids for the therapy of acute neuralgia and basic medical therapy with Arcoxia 120 mg/day. Investigations were conducted to study the specific features of early recovery of test H-reflex caused in pair with a conditioning H-reflex in both healthy volunteers and patients with obvious RPS. RESULTS. There were different features of paired H-reflex recovery in healthy individuals and patients with RPS during different treatment options. Recovery of test H-reflex in the range of 150-200 msec can be a criterion for a pain state. CONCLUSION. The clinical test reflex recovery technique may be used in the diagnosis and monitoring of the performed therapy of acute pain syndromes, as well as in the expert examination of pain states.https://ter-arkhiv.ru/0040-3660/article/view/31564electromyographyh-reflexacute painneuralgiaepidural blockadesglucocorticosteroidsnonsteroidal anti-inflammatory drugs
spellingShingle A V Gnezdilov
A V Syrovegin
N V Samoĭlova
O I Zagorul'ko
D I Goncharov
L A Medvedeva
Possibilities for the tool monitoring of neuralgia therapy
Терапевтический архив
electromyography
h-reflex
acute pain
neuralgia
epidural blockades
glucocorticosteroids
nonsteroidal anti-inflammatory drugs
title Possibilities for the tool monitoring of neuralgia therapy
title_full Possibilities for the tool monitoring of neuralgia therapy
title_fullStr Possibilities for the tool monitoring of neuralgia therapy
title_full_unstemmed Possibilities for the tool monitoring of neuralgia therapy
title_short Possibilities for the tool monitoring of neuralgia therapy
title_sort possibilities for the tool monitoring of neuralgia therapy
topic electromyography
h-reflex
acute pain
neuralgia
epidural blockades
glucocorticosteroids
nonsteroidal anti-inflammatory drugs
url https://ter-arkhiv.ru/0040-3660/article/view/31564
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