Light Therapy and Mechanism of Laser Application

摘要

Goal: Compare and analyze the indicators of clinical neurological exami-nation, MRI, auricular, su-jok diagnosis in patients after a stroke and withchronic cerebrovascular disorder to further substantiate the use of com-plementary methods in clinical practice, primarily as an express method.Objectives and methods: Group ?-56 patients after a stroke in the earlyresidual period, age 64 ± 7.1, including 23 men and 31 women. 48 (85.7%)patients had a stroke in the carotid vascular basin, 8 (14.3%) - in vertebral-basilar. Group II-30 patients with signs of chronic cerebrovascular disor-ders. All patients underwent clinical-neurological examination, MRI-ex-amination, assessment of the condition of the auricula (skin andsubcutaneous tissues) and the assessment of the distal phalanges of thethumbs and the hallux - their circumference at the level of the middle ofthe nail plate in mm was measured. All indicators were compared amongeach patient and I-II group indicators were compared with the data of 30patients without vascular pathology of the brain. Results: Clinical andneurological examination, which included the collection of complaints,anamnesis, the evaluation of objective indicators and MRI brain examina-tion, verified the presence of a stroke and / or presence of chronic cere-brovascular disorders. All patients (100%) of first and second groups,regardless of gender and age, had trophic changes of varying degrees ofseverity in the area of the earlobe, ear antitragus, scaphoid fossa, posteriorear furrow, hypotrophy on both sides, more pronounced homolateral foci ofastroke,thepresenceofFrank'sfurrow,meshintheformofshallowfurrows,excoriations in the area of the anti-tragus. Compliance of the changes wasobserved depending on the localization of the stroke: shallow furrows withvertebro-basilarstrokes in theupperpartof theearlobe,thecarotid strokeein the mid-lower part. In 62%, there was a sharp change in the color of theskin of the auricle at the level of the posterior auricle furrows and the edgesof the earlobe (from red to ischemic pale). 83% had hypotrophy of the skin inthe posterior auricle furrow, indicating vertebrogenic effects on cerebraldyscirculation. There were also sensitivity and trophic changes in the distalphalanxes of the thumb and the hallux compared by measuring at left andright in mm. Interestingly, the presence of stroke and chronic cerebral dis-orders without stroke was also accompanied by trophic and ischemicchanges in the auricular and the thumb and the hallux, but differed signif-icantly in the severity of manifestations, indicating the presence of pre-cursors of strokes and the ability to predict them. These trophic changeswereabsent inpatientswithoutsignsofcerebralcirculation.Conclusions: Forthe verificationof vascular pathologyof the brainand prediction of stroke,aswell as the evaluation of the effectiveness of rehabilitation, it is advisable touse as a rapid-test auricular and su-joke diagnosis.