Chronicle osteoarthrosis and SCENAR-therapy

1. Chronicle osteoarthrosis and SCENAR-therapy G. Subbotina (Ekatirinburg, Russia)

2. 1.Orthodox view on the problem of osteoarthrosis. • Osteoarthrosis. (ОА) is a wide spread disease of the joints which affects more than 80 % of our population. • It occurs mainly in the knees, hip joints and hand joints.

3. Osteoarthrosis affects first the cartilage of the joints.Joint consists of joint surfaces covered with cartilage tissue. The cartilage consists of connective tissue fibers incoherently located in a matrix. Both nutrition of the cartilage and reconstruction of the damaged fibers are carried out by means of the matrix. • Osteoarthrosis is in progress when the balance between the formation of the new building material for the reconstruction of the cartilage tissue and the destruction is upset. The cartilage becomes drier, more brittle and due to the strain and weight its fibers easily split.

4. The bone tissue under the cartilage follows its changes. Bone excrescences grow on the edge of the joint compensating the loss of the cartilage with increase of the bone surfaces. This is the reason for the deformation of the joints with arthrosis.

5. What is the manifestation of osteoarthrosis? • Pain in the joint is the first syndrome. • The reason for the severe pain as a rule is the reactive inflammation of the joint (so called synovitis) or the inflammation of surrounding tissues (muscles, tendons, follicles) – periarthritis. • With the inflammation of the surrounding tissues (tendons, follicles) pain is growing in execution of certain movements; there are painful points in the joint zone, “starting” pains are definitive.

6. TREATMENT AND REHABILITATION Most popular methods are: massage, physiotherapy, orthopedic adjusters (orthopedic shoes, supinators, knee pads, elastic roller etc.) • The main remedy for osteoarthrosis used in the orthodox medicine is drug therapy: anti-inflammatory agents external application of ointment intra-articular introduction of drugs – kenalog, celeston etc. and use of food additives containing chondroitin sulfate.

7. 2. Osteoarthritis from the viewpoint of information medicine – SCENAR therapy • Homeostasis and adaptation – the main postulates of holistic energo-information medicine. • Homeostasis – the uniformity of internal environment – i.e. uniformity of vital indices and energy, this is an existence in harmony with oneself and everything that surrounds you. Organism always aims to maintain the homeostasis adapting to all external factors influencing the system (organism).

8. The process of adaptation could pass different ways • According to Selye’s stress syndrome – this is reaction to the stress, activation and training. • According to Bellavitte – these are means of self-correction, self-protection which depend on the level of energetics, reactivity, inherited and genetic reactive types.

9. According to Davidovsi, Anohin, Kazancheev, Parin if some factors constantly and intensively affect the organism during the process of adaptation the system adapts to them in a particular way – disease with a set of specific symptoms.

10. Chronic osteoarthritis with the complex of syndromes and symptoms and what is more important and what we use in the …. – patient’s complaints and senses – these are the external appearances of start and action of self-recovering homeostatic mechanisms directed to restoration of the balance. Disease (in our case – osteoarthritis) is a disorder of the program control of the complex system – organism.

11. Why with one patient the system adapts, recovers, showing symptoms of osteoarthristis, with another one we see the symptoms of bronchial asthma, hypertension, diabetes etc? • This depends on the genetic code, memory, inheritance etc. • Each patient adapts in specific individual way typical for him and his parentage. This way our therapy should be concentrated not on the diagnosis zone, anatomic location of the disease, etiopathogenesis zones but on individual complaints and sensations of the patient.

12. 3. Means of individualization of scenar therapy • 3.1. Concentration on the complaint “here and now” • 3.2. Continuous dialog during the whole procedure about the sensations of the patient and the work with him • 3.3. Isolation of significant sensations – those charged with energy – which are accompanied with gestures, movements, sounds, emotions, power and are repeated during the procedure and the course of treatment.

13. 3. Means of individualization of scenar therapy • 3.4. Special intakes of SCENAR therapy procedures if such sensations are present. • 3.5. Since organism is a hierarchic structure with levels of the physical body, homeostatic systems, emotions, mental and energetic levels the procedure should advance respectively these levels and what is more important – there should be a relation between levels. Algorithms of zone selection, methods, principles of care.

14. 3. Means of individualization of scenar therapy • 3.6. Special techniques of selection of individual parameters of the influence – frequency, damping, intensity, Z. Selection of influence pulse height during the course of SCENAR therapy.

15. 4. Some results of treatment of patients with osteoarthritis in the SCENAR center • For the period 2000–2001 98 patients with different forms of osteoarthritis were treated in our center: coxarthrosis – 38 (39%), gonarthritis - 25 (25%), osteoarthritis of the shoulder joint - 8 (8%), osteoarthritis of the small joints of hands and feet – 5 (5%). Patients with rheumatic arthritis were put in a separate group - 24 (23%).

16. The majority were women aged 42–60, average duration of the disease 6 and more years, 50 % of patients came to the center with long-term pain syndrome,with X-ray stage 2, with manifestation of synovitis andparasynovitis.

17. All patients were divided into 2 groups of 20 persons, without difference in sex, age, disease stage and functional lack of the joints. All patients received SCENAR therapy and ОЛМ, average duration of the course in the two groups was about 3 weeks (15 -18 manipulations).

18. Patients came to the center with standard clinical and laboratory examinations. Following indices were used to assess the clinical characteristic of the joint syndrome: pain at rest, starting pain, pain in the second half of the day and night, pain at palpation of joints, volume of joints, duration of joint stiffness. Joints function was assessed by the following parameters: time for passing 30 m, time for going upstairs and downstairs, volume of movement in the joints.

19. Patients of the I group received combined treatment (common zones in Диаг 1 and during every manipulation they were additionally treated in Диаг 0 local zones of announced complaints – joints, local and symmetric, treated by means of wave, stripes etc.). Patients of the II group received only SCENAR therapy of common zones in Диаг 1 without application of Диаг0 in the zone of announced complaint. Common zones were selected through analysis of symmetry on 3Д6Т and map Накатани по Ристе.

20. Effectiveness of the treatment was assessed just after the course, after 6 months and 1 year after the end of the treatment. • During the course of treatment of the I group there were some increase of the pain syndrome and decrease of functional tests, patients of the II group did not show increase of the pain and decline of functional tests.

21. Right after the course of treatment clinical indices of both groups were improved (decrease of the pain syndrome, improvement of functional tests). But in the I group clinical indices started to return in 4 – 6 months after the end of the course of treatment and slightly grew by the end of the year. In the second group there was also return of the pain syndrome but it occurred later and the percentage of such patients was lower than in the first group.

22. Total effect (improvement of associated complaints and diseases, improvement of well-being and functional test) was credibly higher in the II group. In the I group more expressed effect was registered mainly in mild forms of synovitis and parasynovitis and in the II group – good results were obtained in moderate forms of synovitis and its combination with parasynovitis.