Method for monitoring implementation of physical rehabilitation therapy

Abstract

The invention relates to methods for monitoring the implementation of physical rehabilitation therapy in the case of diseases related to impaired blood circulation and cerebrospinal fluid circulation in the brain, as well as in the case of myotonic syndrome. Prior to commencement of physical rehabilitation therapy, data about the patient's continuous electrical potentials in five zones, frontal (Fz), central / parietal (Cz), occipital (Oz), right (Td) and left (Ts), are obtained by neural energy mapping. The obtained readings are compared with a norm, determining any deviation from the norm (mV). Physical rehabilitation therapy is implemented with neural energy mapping being carried out in real time. The therapy implemented is adjusted if the readings obtained deviate from the norm. The method makes it possible to monitor the implementation of physical rehabilitation therapy in the case of diseases related to impaired blood circulation and cerebrospinal fluid circulation in the brain, as well as in the case of myotonic syndrome.

Description

[0001] METHOD OF MONITORING THE CONDUCT OF PHYSICAL REHABILITATION THERAPY

[0002] The field of technology to which the invention relates.

[0003] The invention relates to medicine, namely to methods for obtaining feedback from the brain for physical rehabilitation therapy for diseases associated with circulatory disorders, cerebrospinal fluid dynamics of the brain, as well as muscular-tonic syndrome.

[0004] The following terms are used in this description:

[0005] SPP - level of constant potentials, Neuroenergy mapping - study of slow-wave brain activity using neuroenergy mapping,

[0006] EEG - electroencephalography, CNS - central nervous system, extra-vegetative nervous system.

[0007] State of the art

[0008] Physical rehabilitation is the foundation of restorative medicine for pathologies of the central and autonomic nervous systems. These pathologies are typically associated with circulatory disorders due to muscular-tonic syndrome, vertebrovisceral syndrome, and problems in the musculoskeletal system. There are numerous diagnostic methods for disorders of the brain, central and autonomic nervous system, and autonomic nervous system: MRI, EEG, echoencephalography, neurosonography, MRI spectroscopy, MRI tractography, ultrasound Doppler imaging of the cerebral and cervical vessels, and others. However, all these diagnostic tools record pathological changes in organs and cannot be used to monitor the brain's response to rehabilitation interventions in real time.

[0009] CNS and VNS pathologies associated with impaired cerebral circulation and cerebrospinal fluid flow, as well as muscular-tonic syndrome, are accompanied by a wide range of symptoms: from sleep disturbances and headaches to loss of concentration, emotional instability, and behavioral disturbances. In addition to the necessary pharmacological interventions for these disorders, rehabilitative physical therapy is recommended. For example, cerebrospinal fluid flow and cervical myofascial syndrome can be associated with cerebrospinal fluid flow and cervical spondylosis, as well as myofascial syndrome of the trapezius muscle. These disorders can also impair cervical venous drainage and cerebrospinal fluid flow.The complexity and danger of physical rehabilitation therapies stem from the lack of a diagnostic tool for monitoring and evaluating interventions in real time. There is no way to assess the strength and intensity of the rehabilitation therapist's impact on brain function and, if necessary, quickly correct and evaluate the results. Due to this, side effects of the aforementioned therapies are very common: overstimulation of the nervous system and diffuse excitation of the cerebral cortex, leading to the development of epilepsy, headaches, sleep disturbances, muscle tension and back pain, behavioral disturbances, and emotional instability.

[0010] Each organism is unique. The processes that lead to disturbances in specific areas of the brain, central nervous system, and autonomic nervous system, the volume of the affected areas, the state of the vascular bed, and any associated pathologies all influence the body's adaptive capacity and response to any rehabilitation interventions. Therefore, a strictly individualized approach to any physical rehabilitation aimed at stabilizing the central nervous system and autonomic nervous system is essential. Furthermore, a tool for monitoring the effectiveness of therapy in real time is essential to enhance the effectiveness of any type of therapy and avoid side effects.

[0011] Physical rehabilitation therapies—manual therapy, massage, osteopathy, and reflexology—are most effective for myotonic syndrome, vertebrovisceral syndrome, musculoskeletal pathologies, and circulatory disorders. However, when applied blindly, these types of therapies can cause serious harm: they can lead to muscle spasms, tension, contractures, and, consequently, to deterioration of brain function due to increasing circulatory impairment and possible pressure on the dural sac if physical rehabilitation is performed incorrectly. These side effects can only be avoided by monitoring the effects in real time. This is especially necessary when using manual therapy and osteopathic techniques, as today, most specialists in this field rely on intuitive perception when influencing the patient.

[0012] The problem is the lack of ability to monitor changes within the brain in real time during physical rehabilitation therapy, which makes it impossible to adjust physical interventions and create a route map—a plan for targeted interventions on specific areas of the skull, spine, and muscles.

[0013] Disclosure of invention.

[0014] Based on this original observation, the present invention primarily aims to propose a method for obtaining feedback from the brain for physical rehabilitation therapy for conditions associated with circulatory disorders, cerebrospinal fluid flow, and muscular-tonic syndrome. This method enables real-time feedback during physical rehabilitation therapy, thereby avoiding side effects and achieving the most effective and positive rehabilitation outcome, which is precisely the technical problem being solved. The achievable technical result is the invention's realization of the stated purpose.

[0015] To achieve this goal

[0016] - before the start of physical rehabilitation therapy, using neuroenergy mapping, data is obtained on slow-wave brain activity in the form of indicators of the level of constant potentials of the patient in five zones - frontal (Fz), central / parietal (Cz), occipital (Oz), right (Td) and left (Ts) temporal in the patient's resting state, 3 - the obtained indicators are compared with the norm, determining the deviation from the norm in mV,

[0017] - conduct physical rehabilitation therapy, which involves obtaining additional data on biochemical parameters at the border of the blood-brain barrier of the brain, using neuroenergy mapping in real time,

[0018] - carry out adjustments to physical rehabilitation therapy if the obtained indicators deviate from the norm, namely:

[0019] • if the measured values ​​of the patient’s constant potential level deviate from the norm in the range from -34 mV to -7 mV, additional physical impact is carried out on trigger points and muscle clamps, since such a range of deviations indicates muscle spasm and vascular compression, as a result of which hypoxia of the cerebral cortex cells increases,

[0020] • if the measured values ​​of the patient’s constant potential level deviate from the norm in the range from - 4 mV to + 2 mV, the intensity and duration of physical impact on the patient are reduced, since such a range of deviations indicates a sharp drop in the energy potential of cells due to intense physical impact

[0021] • if the measured values ​​of the patient’s constant potential level deviate from the norm in the range from +22 mV to +64 mV, additional physical impact is performed on the cranial bone suture blocks, since such a range of deviations indicates increasing cerebrospinal fluid dynamics disorders and difficulty in veno-outflow, which, as a rule, is associated with cranial bone suture blocks and disorders in the cervical and thoracic spine, as well as the sternoclavicular joint.

[0022] These advantageous characteristics make it possible to receive real-time feedback on physical rehabilitation therapy when working with the central and autonomic nervous systems, thereby avoiding side effects and achieving the most effective and positive rehabilitation results.

[0023] Brief description of the drawings. Other distinctive features and advantages of the proposed solution are clearly evident from the description below, provided for illustration and not intended to be limiting, with reference to the accompanying drawings, which:

[0024] - figures 1A-1B, 2A-2B, 3A-3B show a visualization of the method in which the levels of constant potentials are painted in different colors, the scale of which is shown in figure 4, according to the invention, wherein figures A show the obtained measurements, and figures B - the reference picture;

[0025] - Figure 4 shows a color scale of constant potential levels according to the invention.

[0026] Implementation of the invention.

[0027] The method for obtaining feedback from the brain for physical rehabilitation therapy in diseases associated with circulatory disorders, cerebrospinal fluid dynamics of the brain, as well as in muscular-tonic syndrome, is implemented as follows. (Examples are given that do not limit the application of the invention.)

[0028] During manual therapy, massage, and osteopathic procedures, it's important to monitor minute-by-minute changes in brain function. The level of constant potentials will indicate the correct impact on the musculoskeletal system, stabilization of blood circulation, and cerebrospinal fluid flow.

[0029] Example 1. (See figures 1A and 1B)

[0030] If the patient's DC potential readings deviate from the normal range of -34 mV to -7 mV, indicated by the predominance or obvious presence of pale green and pale blue, fading to blue and dark blue, and even cornflower blue in the visualization, a trigger point diagnosis and a search for muscle tension and musculoskeletal disorders are necessary. These readings indicate muscle spasms and vascular compression, leading to increased cellular hypoxia.

[0031] Example 2. (See Figures 2A and 2B) If the measured values ​​of the patient's constant potentials deviate from the norm in the range from -4 mV to +2 mV, which is reflected by the dominance or obvious presence of very pale blue and pale green tones in the visualization, we can speak of a sharp drop in the energy potential of the cells as a result of intense physical impact - it is necessary to reduce the intensity and duration of the impact.

[0032] Example 3. (See figures ZA and ZB)

[0033] If the measured values ​​of the patient's constant potentials deviate from the norm in the range from +22 mV to +64 mV, which is reflected by the dominance or obvious presence of a light lilac to lilac color in the visualization, it is necessary to correct the effect, first of all, on the cranial bone suture blocks, since these values ​​indicate increasing cerebrospinal fluid dynamics disorders and difficulty in venous outflow, which, as a rule, is associated with cranial bone suture blocks and disorders in the cervical spine.

[0034] When conducting physical rehabilitation therapy in all the above cases, the rehabilitation specialist is guided by the norm of the UPP (from + 5,700-14,600 Mv).

[0035] Stage 1. Using the hardware and software complex "Neuroenergokartograph", the registration of the slow-wave brain activity is carried out in monopolar recording from five zones - frontal (Fz), central / parietal (Cz), occipital (Oz), right (Td) and left (Ts) temporal - the actual readings of the patient's slow-wave brain activity are taken and compared with age-dependent norms, close to the age group of our patients from 2 to 74 years:

[0036] Location of registered UPP indicators UPP standards in mV:

[0037] • Frontal lobe +5.7 to +8.3

[0038] • Central lobe of the brain +14.6 to +15.0

[0039] • Occipital lobe of the brain +1 1 .3 to +1 1 .7

[0040] • Left temporal lobe of the brain +10, 1 to 1 1 ,2

[0041] • Right temporal lobe of the brain +10.4 to 11.8

[0042] Stage 2. Variations depend on the physical rehabilitation intervention performed. The correspondence between diagnostic criteria classes during rehabilitation interventions was determined through clinical practice with 690 patients with CNS and VNS pathologies. Primary UPP data were compared with the age-specific UPP norms given above. Evidence of a high correlation between the UPP indicators at the norm and the UPP indicators during rehabilitation interventions, as well as real-time adjustment of the intervention based on data interpretation, was demonstrated by positive dynamics in the patient's condition, a reduction or elimination of negative symptoms (headache, muscle pain, back pain), stabilization of the emotional background and cognitive processes after rehabilitation therapies (sleep stabilization, improved concentration and memory). Importantly, it is worth noting the absence of side effects from the therapies.With timely correction in real time, patients did not complain of sleep disturbances, headaches, back pain, decreased concentration, or loss of behavioral control either before or after rehabilitation physical therapy.

[0043] According to figure 4:

[0044] Range -34 mV to -7 mV: muscle spasm, vascular compression, brain cell hypoxia. Reduce intensity or discontinue therapy and determine the cause of the side effects.

[0045] Range -4 mV to +2 mV - a sharp drop in cellular energy potential. Reduce the intensity of physical impact on the patient.

[0046] Range +22 mV to +64 mV: cranial suture blocks, cervical spine disorders, and intracranial pressure. Stop therapy and adjust the treatment plan for the cranial bones and / or cervical and thoracic spine to avoid overstimulation of the cerebral cortex.

[0047] Step 3. Real-time adjustment of ongoing rehabilitation physical therapy based on the interpretation of the above data and comparison with the norm for the various leads. During physical rehabilitation therapy, the specialist strives to achieve a norm within the norms outlined in Step 1. If abrupt changes in the norm occur at any stage, the specialist immediately makes adjustments in accordance with the formula of this invention.

[0048] The physical medical rehabilitation methods used in this invention include osteopathy, manual therapy, therapeutic medical massage, and reflexology (acupressure). Osteopathy is a field of modern medicine based on anatomy, biomechanics, and the physician's palpatory skills ("Osteopathy." S. V. Novosel'tsev).

[0049] "Fundamentals of Osteopathy" (Mokhov D.) Osteopathic techniques are a gentle method of treatment using the osteopath's hands on body structures, with the goal of eliminating pathological changes and fixing them to create an optimal state of human movement. This invention examines two types of osteopathic techniques: craniosacral, which balances the bones of the skull, spine, sacrum, and pelvis, aligning the cranial-sacral rhythm; and structural, which specializes in the spine and musculoskeletal system, including fascia and muscles. Manual therapy is a branch of medicine based on the treatment of pathological processes in the spine, joints, and muscles using manual techniques. This invention examines mobilization techniques and gentle manual therapy techniques aimed at stabilizing muscle tone.This invention addresses musculoskeletal disorders that lead to dorsopathies, which result in impaired cerebral circulation and cerebrospinal fluid flow due to altered muscle tone, as well as nerve damage, leading to changes in muscle tone and overexcitation and dysrhythmia of the electrical activity of the brain. (Manual Therapy in Neurology by V.K. Yarovaya, Neurology. Vertebrogenic Vegetative-Vascular Syndromes in Children: Pathogenesis, Clinical Features, Diagnostics, Treatment by V.K. Yarovaya). Therapeutic massage is a mechanical effect on problem areas of the body, which is a combination of mechanical and reflex muscle effects. This invention discusses therapeutic massage techniques aimed at normalizing the tone of the muscles of the cervical-collar zone, as well as the scalene and trapezius muscles, which are directly involved in the stability of the circulatory system and cerebrospinal fluid flow.

[0050] This invention also tracks the effects of brain function on the application of a reflexology technique—acupressure—a method for treating and preventing a range of diseases through mechanical stimulation of biologically active points (BAPs) (V. I. Dubrovsky, "A Practical Guide to Massage." V. N. Fokin, "A Complete Course in Massage"). This invention tracks the effects of acupressure on the cranium, upper back, and chest. All methods and techniques discussed in this invention involve manual manipulation of specific areas of the body, which indirectly or directly (using craniosacral osteopathic techniques) alters the biochemical parameters of brain function through changes in blood circulation and cerebrospinal fluid dynamics.The brain's response to the above-mentioned therapies and techniques is monitored in real time and, if necessary, the intensity of the intervention is adjusted.

[0051] In this invention, monitoring of cerebral energy metabolism is based on measuring the level of continuous potentials (DCPs), a type of slow electrical process. The specificity of DCPs is related to their origin. DCPs are vascular potentials that depend on changes in pH, so DCPs can be used under certain conditions to assess cerebral energy metabolism. DCPs depend on changes in blood and cerebrospinal fluid pH, which in turn is related to venous and arterial blood flow in the brain. Based on pH assessment, it is possible to assess changes in the brain's energy potential towards alkalosis / acidosis—a crucial factor in physical rehabilitation therapy, as we influence structures and tissues, which in turn leads to changes in blood circulation and cerebrospinal fluid dynamics in the brain.Real-time analysis of changes in the energy potential of the brain allows for the adjustment of the intensity and pattern of physical interventions during craniosacral and structural osteopathy, therapeutic medical massage in the cervical-collar region, manual therapy for dorsopathies of various origins, and acupressure of the skull, upper back, and chest. The energy potential measurement is based on data from V.F. Fokin and N.V. Ponomareva's monograph "The Energy Potential of the Brain," as well as Patent for Invention No. 2771416.

[0052] This invention can be used in medical physical rehabilitation of patients with neurological pathology associated with cerebral circulatory disorders, cerebrospinal fluid dynamics disorders (ICD codes I60-69, G.93), cerebrospinal fluid dynamics disorders (ICD codes G.93.2, G.91.1, G.93.0), damage to nerves, roots and plexuses (ICD codes G.50-G.59), autonomic nervous system disorders (ICD codes G.90), and dorsopathies (ICD codes M-40-M 54). For all the above-mentioned nosologies, physical medical rehabilitation is used at different stages of treatment, therefore this invention can be used for a wide range of diseases.

[0053] In fact, any of the above-mentioned diseases causes changes in cerebral blood flow and cerebrospinal fluid dynamics. This, in turn, is reflected by changes in pH, which can be measured using UPP indicators and interpreted as alkalosis / acidosis in digital data. Changes in pH are reflected by effects on vessels (arteries / veins) directly in the cranium, as well as in the cervical and cervical spine, thoracic spine, chest, and upper back, as these areas contain vessels that supply blood and nutrients to the brain. This fact is very important during physical rehabilitation.

[0054] Industrial applicability.

[0055] The proposed method for obtaining feedback from the brain for physical rehabilitation therapy for conditions associated with circulatory disorders, cerebrospinal fluid flow, and muscular-tonic syndrome can be implemented by a specialist in practice and, when implemented, ensures the fulfillment of the stated purpose, leading to a conclusion that the invention meets the "industrial applicability" criterion. Numerous tests of the method have demonstrated the feasibility of obtaining real-time feedback during physical rehabilitation therapy on the functioning of the central and autonomic nervous systems, thereby avoiding side effects and achieving the most effective and positive rehabilitation results.

[0056] We provide examples of using the method.

[0057] Example 1.

[0058] The patient complains of headaches, sleep disturbances, and decreased concentration and memory. During diagnosis, we identify cerebrospinal fluid flow disturbances: foci of acidosis in the projection area of ​​the cerebral ventricles, as well as foci of hypoxia (alkalosis) in the occipital lobe of the cerebral cortex. Ultrasound Doppler imaging of the cerebral and neck vessels (intra / extracranial) also reveals severe venous dyscirculation and cerebrovascular insufficiency. Neurologist's diagnosis: G.94.0 Encephalopathy, unspecified. Cerebrospinal fluid flow disturbances. Venous outflow obstruction. In addition to pharmacological intervention, the patient is referred for rehabilitation physical therapy. Osteopath: work to stabilize cerebrospinal fluid flow in the brain and cervical spine. We monitor the progress of craniosacral therapy online. At the initial cut we see foci of acidosis in the projection area of ​​the ventricles of the brain according to leads CZ\OZ indicators of +34 mV\+53 mV respectively (with a norm of 11 mV).The osteopath begins to influence the given area - the central sulcus, venous sinuses, and we see an increase in the indicators in the OZ lead to +60 mV (with the norm of 11 mV - this indicates too strong an impact on this area, as well as the need to work on the cervical spine primarily, so that the discharge through the venous sinuses returns to normal. The osteopath begins to influence the cervical spine - in the TD \ TS leads we see indicators of 10 mV \ 9 mV (with the norm of 1 1 mV \ 10.6 mV, respectively) - which indicates a spasm of the muscles of the cervical-collar zone and a decrease in blood flow through the vertebral arteries.The osteopath begins structural osteopathic procedures to stabilize the cervical spine. We monitor changes in the TD / TS leads in real time. When the condition stabilizes, the values ​​are recorded at 10 mV / 12 mV, respectively (with a norm of 11 mV / 10.6 mV, respectively), indicating the relief of muscle spasm and a positive structural effect on the cervical spine. The osteopath then returns to stabilizing the cerebrospinal fluid flow, performing suture stabilization in the anterior fontanelle area, as well as venous sinus drainage and manipulation of the foramen magnum. The CZ / OZ leads return to normal - 12 mV / 14 mV, respectively (with a norm of 14.3 mV / 1.1 mV, respectively), indicating stabilization of the cerebrospinal fluid flow and improved venous outflow.Thus, during the craniosacral and structural osteopathic procedure, using neuroenergy mapping control, it was possible to achieve stabilization of the condition and formulate a route for competent intervention.

[0059] Example 2.

[0060] A patient experiencing panic attacks, sleep disturbances, neck pain, and cold extremities. Blood, urine, and stool tests are all normal. A neurologist referred the patient with a diagnosis of cerebrovascular insufficiency. The patient, diagnosed with hypertensive vegetative-vascular dystonia, underwent physical rehabilitation treatments: a course of therapeutic massage, acupressure, and a course of manual therapy for the cervical spine and brachial plexus due to Scalenus syndrome. Initial testing revealed decreased CZ / OZ leads of 2 mV / +1 mV, respectively (with a norm of 15 / 11 mV), which initially indicates muscle spasm in this area and further confirms the need for physical rehabilitation.During the manual therapist's impact on the brachial plexus area, a sharp drop in the energy potential was recorded in the TD\OZ\CZ leads - -3 mV\-2 mV\1 mV, respectively (with the norm being 1 1 mV\1 1 mV\14.3 mV, respectively), indicating high intensity of the manual therapist's impact on this area. The impact was corrected by softening the strength and intensity - the indicators for these leads improved by 9 mV\10 mV\1 1 mV, respectively (with the norm being 1 1 mV\11 mV\14.3 mV, respectively), indicating correct rehabilitation intervention (Scalanus syndrome was diagnosed on the right, and manual impact was performed with an emphasis on the right shoulder area and the right cervical spine). The patient was then referred for a course of medical therapeutic massage. During this procedure, measurements of the UPP indicators and correction of the massage therapist’s impact force were also carried out in real time.When stimulating the left cervical-collar zone, changes in the OZ / CZ leads to 34 mV / 56 mV, respectively, were recorded (with a norm of 11 mV / 14.3 mV, respectively), indicating a sharp obstruction of venous outflow due to intense physical impact on the cervical-collar zone. The impact force was adjusted, and the readings in these leads returned to normal. During acupressure, emphasis was placed on the frontal lobe of the cerebral cortex due to the patient's complaints of fatigue and decreased concentration. During acupressure, a sharp drop in the readings in lead FZ to -4 mV (with a norm of 8.4 mV) was recorded, indicating a sharp drop in energy potential and the need to reduce the intensity of impact on the frontal lobe of the cerebral cortex.When the strength and intensity of the impact changed, the readings for this lead returned to 5 mV, and with an average impact strength they gradually returned to normal - 9 mV (with a norm of 8.4 mV).

[0061] Example 3.

[0062] Complaints of neck pain and heaviness in the arms. Diagnosis: M 53.0 Other dorsopathies. Muscle-tonic syndrome. The initial OZ / CZ test shows values ​​of 5 mV / 8 mV, respectively (with a norm of 11 mV / 14.3 mV, respectively), indicating muscle tension associated with spinal dorsopathies. A neurologist referred the patient for therapeutic medical massage of the cervical-collar zone and reflexology - acupressure using biologically active points (BAPs) of the cervical spine, upper back, and chest. During the massage of the cervical-collar zone, the patient began to complain of a headache midway through the cycle. According to neuroenergy mapping data, a sharp change in the indicators in the OZ\CZ region DO -20 mV\-5 mV, respectively (with the norm being 1 1 mV\14.3 mV, respectively), was recorded, which indicates compression of the main vessels of the neck when acting on the muscles of the cervical spine.The massage therapist adjusted the force and intensity of the massage, and the readings for these leads returned to the relative norm of 2 mV / 6 mV (with the norm being 11 mV / 14.3 mV, respectively). With further massage with the selected force and intensity, based on the UPP readings, the brain's energy potential for these leads returned to the normal level of 10 mV / 13 mV, respectively. The patient was then referred for acupressure. When stimulating trigger points in the left trapezius muscle area, a sharp change in the TS lead reading to +62 mV was recorded (with the norm being 10.6 mV), indicating irritation of the nerve plexus and the need to adjust the massage. The intensity and force of the massage on the BAC in this area were adjusted based on the UPP readings, and the TS lead reading returned to the relative norm of 7 mV (with the norm being 10.6 mV).

[0063] Thus, the proposed method for obtaining brain feedback for physical rehabilitation therapy for disorders associated with circulatory disorders, cerebrospinal fluid flow, and muscular-tonic syndrome provides a means for monitoring interventions during clinical practice. It enabled accurate assessment, correction of emerging side effects, the development of a personalized patient impact map for rehabilitation therapies, and the evaluation of their effects on brain function.

[0064] The method for obtaining feedback for physical rehabilitation therapy for disorders associated with cerebrovascular disorders is based on the analysis of slow-wave brain activity. Slow-wave activity is recorded at low frequencies of electrical activity in the brain (less than 0.5 Hz) through indicators of stable potential differences in the millivolt range between the brain (or extracerebral structures) and reference areas using direct current amplifiers. In Russian science, these indicators are described as "level of constant potentials (LCP)," while in Western science they are called "direct current potentials (DC-potentials, DCP)" or "slowly changing potentials" (SCP). By the late 1980s,Scientific research led to the development and implementation of the "Method of Registration and Analysis of the Brain Energy Metabolism "Neuroenergy mapping", which made it possible to assess the intensity of cerebral energy metabolism by comparing actual indicators with an age-dependent normative scale of the level of deviations of a specific patient's readings from the norm (Fokin V.F.L., Ponomareva N.V.). To visualize the processes of brain energy metabolism, the method of topographic mapping of the brain, developed by Brikenshteyn V.Kh. and others, was used, and special software made it possible to visualize the results of the study in real time (showing the degree and location of deviations of the brain's energy metabolism from the norm in a certain color scheme).It is known that recording slow electrical potentials is used, for example, to diagnose human psychopathological conditions, as described in Russian patent No. 2135077, published in 1999. Furthermore, a method for diagnosing cerebrospinal fluid dynamics, vascular disorders, and associated disorders of the central nervous system (Russian patent No. 2771416) is also based on the interpretation of slow-wave activity. However, these inventions have not been used to monitor the impact of rehabilitation therapies or develop individualized patient rehabilitation strategies based on changing biochemical and biophysical indicators of brain function.

[0065] A new non-invasive method for obtaining feedback from the brain for physical rehabilitation therapy for diseases associated with circulatory disorders, cerebrospinal fluid dynamics of the brain, and muscular-tonic syndrome allows us to see changes occurring in the brain during various types of rehabilitation physical interventions.

Claims

CLAUSES OF THE INVENTION 1. A method for monitoring the implementation of physical rehabilitation therapy for diseases associated with circulatory disorders, cerebrospinal fluid dynamics of the brain, as well as with muscular-tonic syndrome, which includes the following stages: - before the start of physical rehabilitation therapy, using neuroenergy mapping, data is obtained on slow-wave brain activity in the form of indicators of the level of constant potentials of the patient in five areas - frontal (Fz), central / parietal (Cz), occipital (Oz), right (Td), left (Ts), temporal in the patient's resting state, - compare the obtained indicators with the norm, determining the deviation from the norm, mV, - during physical rehabilitation therapy, neuroenergy mapping and correction of the therapy are carried out in real time, namely: if the measured values ​​of the patient's constant potentials deviate from the norm in the range from -34 to - 7 mV, additional physical action is performed on the trigger points of the musculoskeletal system and muscle clamps; if the measured values ​​of the patient's constant potentials deviate from the norm in the range from - 4 to + 2 mV, the intensity and duration of the physical action on the patient are reduced; if the measured values ​​of the patient's constant potentials deviate from the norm in the range from +22 to + 64 mV, additional physical action is performed on the suture area of ​​the skull bones, as well as physical action to relieve muscle clamps in the cervical spine.

2. The method according to paragraph 1, characterized in that the physical rehabilitation therapy is represented by massage, osteopathic and anal manipulations.

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