Micropolarization of the brain in Samara, device for transcranial micropolarization for children

What is transcranial micropolarization?

Transcranial micropolarization (TCMP), or micropolarization of the brain, is a treatment method, the essence of which is to influence individual brain structures with a very weak direct electric current. It was developed back in the 70s of the last century by scientists from the Leningrad Institute of Experimental Medicine, and today it is successfully used to treat both children and adults in a number of medical institutions in Russia and abroad.

Now this technique is being actively developed by the V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology.

Medical doctors have been working with this technique for more than 7 years in close cooperation with the Bekhterev Center.

This is what the leading specialist of the Research Institute says. Bekhtereva Gorelik Alexander Leonidovich, Candidate of Medical Sciences, neurophysiologist of the highest category, who since 2000 has been developing and implementing transcranial micropolarization techniques for various types of pathology of the nervous system.

“Micropolarization is a serious alternative to nootropics.”

“Remember Lenin’s phrase from quite a long time ago: “Marxism is not a dogma, but an eternally living... and so on... teaching!”? Remember? So, micropolarization is even less a dogma and an even more living teaching that is developing rapidly and in a variety of directions. St. Petersburg is the birthplace of this teaching, but there are already 4 independent schools there. And now, right before our eyes, the Voronezh school of micropolarization is emerging, which is already demonstrating its approaches and ideas, and this is great. “You should start a repeat course as soon as you notice that development has stalled again.”

With this procedure, the structures of the brain are exposed to a direct current of very low strength - less than 1 mA. It is comparable to the brain’s own electrical processes, and therefore does not have an intense stimulating effect on it, characteristic of other methods of electrotherapy used in physiotherapy.

The current specifically changes the functional state of the neurons of the brain and, by improving the interaction between nerve cells and individual structures of this most important organ, helps restore its regulation of a number of different functions. After a course of such procedures, the functional reserves of the brain are activated, the signs of its functional immaturity disappear or at least decrease, the patient’s social adaptation increases, his interest in cognition increases, and learning ability improves. And all this with excellent tolerability of this treatment method by patients and the complete absence of adverse reactions and complications.

Transcranial micropolarization has both local and systemic effects on the human body. Local, or tissue, leads to a reduction in swelling, a decrease in inflammation and improved nutrition of the tissues of the polarized structure of the brain. This is especially important in case of focal lesions - acute cerebrovascular accidents, traumatic brain injuries and other similar situations. The essence of the systemic effect is to improve the interaction between remotely located nervous structures, for example, different lobes of the brain. This increases its compensatory capabilities, which contributes to a more rapid restoration of impaired functions of the central nervous system.

Another type of micropolarization is the effect of low-power direct current not on the brain, but on the spinal cord. In this case, it is called transvertebral.

When to use transcranial micropolarization?

Transcranial micropolarization is used both as an independent method of treatment and as part of complex therapy for certain pathological conditions in patients of different ages. It allows you to eliminate hyperkinesis and seizures, restore or at least improve the motor and speech functions of the body, normalize the patient’s mental state, and significantly reduce areas of brain damage in the acute period of traumatic brain injury or stroke.

In children who lag behind their peers in mental or speech development, suffering from attention deficit hyperactivity disorder, a course of transcranial micropolarization procedures leads to an improvement in psycho-emotional state and sleep, a decrease in impulsivity, sharpens memory and attention, increases perseverance and learning ability, and promotes the development of speech and motor functions.

In persons with focal pathology of the brain, after a course of treatment with TCMP, a significant reduction in the lesion and a more rapid restoration of impaired functions are determined.

So, the indications for the use of TCMP are:

delayed neuropsychic development of the child;
Cerebral palsy (spastic, cerebellar, hyperkinetic, mixed form of any severity) and other types of organic lesions of the central nervous system;
attention deficit hyperactivity disorder, as well as other neurotic, neurosis-like (including tics), psychosomatic and psychoemotional disorders;
speech disorders in children;
aggressiveness, enuresis, encopresis of a psychogenic nature, fears, depressive disorders;
neuroinfections and their consequences;
epilepsy;
traumatic brain injuries, acute cerebrovascular accidents and other types of brain accidents, as well as their consequences (speech disorders, dizziness, paresis, vegetative status, and so on);
sensorineural hearing loss;
pathology of the organ of vision (strabismus, amblyopia, nystagmus);
asthenic syndrome;
tension headaches.

Sometimes this treatment method is used to prevent the development of age-related changes in the brain.

Micropolarization as a method of non-invasive neuromodulation

Micropolarization is a therapeutic change in the activity of the central, peripheral or autonomic nervous system through the action of ultra-low electric current on nervous tissue, thereby causing a change in the level of polarization of neuronal and synaptic membranes, which is comparable to the natural physiological processes that ensure the activity of the central nervous system.
“It should be understood that the expected result is determined by an adequate choice of target structures and their physiologically justified combination, which makes the micropolarization technology itself deeply science-intensive, requiring a fairly high level of “neurophysiological” thinking from the performer.” Gorelik A.L. Naryshkin A.G. Shelyakin A.M.

Micropolarization, affecting the level of excitability of nervous tissue, has a neuromodulatory effect, which makes it possible to activate functional reserves, thereby promoting the formation of new interneuron connections, and this is a necessary physiological condition for brain development and correction of impaired functions.

The clinical effects of micropolarization are based on such elements of neuroplasticity as the multimodality of cortical neurons and the possibility of rearrangements of intracentral interactions.

There are three main types of micropolarization:

1. Transcranial micropolarization (TCMP),
2. Solar micropolarization (SMP)
3. Transvertebral micropolarization (TVMP)

The neuromodulatory effect manifests itself in the improvement of the structures of the brain and spinal cord, helping to restore their functionality.

Contraindications

In a number of clinical situations, transcranial micropolarization is unacceptable or inappropriate due to ineffectiveness.

Thus, contraindications to TCMP are as follows:

acute inflammatory (infectious or other nature) diseases or exacerbations of chronic diseases that occur with an increase in the patient’s body temperature;
malignant brain tumors;
foreign bodies in the skull;
severe cardiovascular pathology;
impaired integrity of the scalp;
pigment spots, rash, tumor-like formations in the area where the electrodes are supposed to be applied;
systemic connective tissue diseases;
individual hypersensitivity to the effects of electric current.

The effectiveness of therapy for these diseases is about 75%, that is, three out of four patients experience a positive effect.

In cases of severe psychiatric and genetic diseases, in particular with severe mental retardation, Down syndrome or autism, TCMP is ineffective and therefore not always advisable. However, these pathologies are not contraindications, and some experts sometimes recommend them to their patients, since even the smallest, but still positive, result is often important for them.

GENERAL DESCRIPTION OF WORK

Relevance of the topic. In recent years, attention deficit hyperactivity disorder (ADHD) has been one of the most common reasons for visits to a pediatrician and pediatric neurologist, especially when a child is preparing for school. This pathology represents a big social problem, since this syndrome occurs in 5-17% of children in the general population (Zavadenko N. N. et al., 2010, Brown RT et al., 2004, Faraon SV et al., 2003) and worsens the quality of life of the patient and family members.

The clinical picture of ADHD is determined by inappropriate excessive activity that does not correspond to the situation, attention deficit, impulsiveness in social behavior and intellectual activity, problems are created in relationships with others, there are concomitant behavioral disorders, difficulties in school learning, motor awkwardness due to static-locomotor insufficiency (Guzeva V .I., Sharf M.Ya., 1998; Baranov A.A., 2007; Bryazgunov I.P., Kasatikova E.V., 2002).

The leading link in the etiopathogenesis of the disease is damage to the frontal cortex of the cerebral hemispheres and subcortical structures of the brain. It is assumed that the identified neuroanatomical, hemodynamic, metabolic disorders can cause a decrease in inhibitory control of motor activity, provided mainly by the frontal cortex and caudate nucleus, and lead to the emergence of dysfunction of controlling behavior (executive dysfunction) (Zavadenko N.N., 2005).

Currently, this pathology is considered as the consequences of early local brain damage, expressed in age-related immaturity of certain higher mental functions and their disharmonious development (Kropotov Yu.D., 2004; Zavadenko N.N., 2010). In terms of general intellectual development, children with ADHD are at the normal level, but at the same time they experience significant difficulties in school learning and social adaptation.

Based on the presented data on the leading role of biological factors in the pathogenesis of ADHD, it should be concluded that the efforts of specialists should be aimed at their early identification in order to identify children at risk for developing ADHD in the first years of life. Children with a history of pre- and perinatal pathology, of varying severity, need dynamic monitoring by specialists.

When treating attention deficit hyperactivity disorder, drug therapy (nootropics, psychostimulants, etc.) is mainly used. There are not enough works devoted to non-drug treatment and their data are contradictory (Chutko L.S., 2004; Ilyukhina V.A., 2006; Pinchuk D.Yu., 2007).

Recently, new technologies of non-pharmacological methods for correcting central nervous system disorders have attracted increasing attention from specialists. At the same time, there is a clear tendency towards the use of gentle methods as the most effective in achieving results (Ilyukhina V.A., 2001, 2006; Bogdanov O.V., 2000).

For this reason, the developed method of brain micropolarization, which represents a selective intracerebral effect of a small direct current, close to physiological processes, on nervous tissue is of particular interest (Shelyakin A.M., Ponomarenko G.N., 2006).

The ability of transcranial micropolarization (TCMP) of the brain to regulate the general functional states of deep brain structures made it possible and expedient to use this effective and flexible method of regulating brain functions in the clinic of neuropsychiatric diseases.

MAIN CONTENT OF THE WORK

Object and methods of research

The study was conducted on the basis of the Department of Pediatrics of the Faculty of Medicine (scientific supervisor, head of the department - Doctor of Medical Sciences, Professor A.F. Neretina) of the Voronezh State Medical Academy named after. N.N. Burdenko Ministry of Health and Social Development of Russia (Rector - Doctor of Medical Sciences, Professor I.E. Esaulenko), BU HE Regional Center for Rehabilitation of Children and Adolescents with Disabilities "Sail of Hope" (Director - Candidate of Medical Sciences I. .V. Petrova).

In accordance with the goals and objectives of this study, 148 children with attention deficit hyperactivity disorder were observed from 2005 to 2010. The study included 98 children, of whom 61 were boys and 37 girls.

For all children referred to the center, the diagnosis was verified in clinical hospitals.

The criteria for inclusion in the study were the age of children from 5 to 7 years, an established diagnosis of attention deficit hyperactivity disorder, according to ICD-10.

For children to participate in the study, voluntary informed consent was obtained from their parents to carry out rehabilitation measures for their child including micropolarization of the brain.

criteria from the study were: the age of patients under 5 and over 7 years, the presence of severe neurological symptoms, a history of repeated epileptic seizures, mental retardation, and autism.

All children were divided into 2 groups.

The main group consisted of patients (n=61), including 39 boys and 22 girls, who received micropolarization of the brain as part of the traditional (basic) rehabilitation course.

The comparison group consisted of children (n=37) identical in age and gender to the main group. The rehabilitation course for these patients included only basic rehabilitation measures.

All patients underwent studies that included:

social history
medical history,
study of the child’s somatic status,
assessment of neurological status,
electroencephalographic examination in dynamics,
psychological counseling,
examination by a speech therapist,
teacher consultation.

During the study, together with psychologists, we conducted a mandatory survey of parents, which helped not only to identify the main problems that worried parents, but also to correctly construct correctional work with them.

The complex of information obtained made it possible to clearly determine the rehabilitation potential of each patient.

When conducting psychological testing, we filled out the J. Swanson questionnaire (1992), modified by the Center staff in 2003.

Diagnostic electroencephalographic examination over time was carried out for all examined children. EEG registration was carried out using a computer complex "Neuron - Spectrum - 4/P", LLC "Neurosoft", Ivanovo from bridge silver chloride electrodes located on the surface of the head in accordance with the international "10-20" system.

The clinical electroencephalogram included registration of background EEG with eyes closed and open, standard functional tests: a single photoflash, rhythmic photostimulation, hyperventilation for 3 minutes.

The basic rehabilitation complex of procedures that we developed at the center included: massage, balneotherapy (underwater shower massage), kinesitherapy (therapeutic gymnastics individual and (or) in small groups, fine motor skills classes), classes with a speech therapist and (or) speech pathologist, classes with a psychologist, pedagogical classes (occupational therapy and (or) modeling from salt dough), social adaptation.

This complex was prescribed both in the main group and in the comparison group.

Patients of the first (main) group (61 children) underwent a course of basic therapy supplemented with transcranial micropolarization (TCMP).

The transcranial micropolarization technique was carried out using a certified device for micropolarization “Polaris”, developed at the Institute of Rehabilitation “Vozvraschenie”, St. Petersburg (RF patent No. 2122443 dated 07/01/97).

The course of treatment consisted of 10 sessions.

The exposure time was 30 minutes. A current of 300 μA was used. The course consisted of 10-12 procedures performed daily. Repeated courses were prescribed three times with an interval of 3-4 months, taking into account the individual characteristics of the patient. During the procedure, the patients did not experience any subjective sensations associated with the action of the polarizing current. No complications from the therapy were observed during all courses of rehabilitation treatment.

Drug therapy was not carried out during the rehabilitation period.

During the rehabilitation course and in the period between courses, we and the parents monitored the child’s condition, filling out medical documents, a parent diary and a questionnaire for parents.

The effectiveness of rehabilitation measures was assessed after each of three rehabilitation courses with an interval of three months using the ADHD-DSM-IV scale with a total score and the J. Swanson questionnaire in sections:

INATT-(inattention),

IMP/HYP (hyperactivity/impulsivity),

ADDH (inattention without hyperactivity.

This technique was the main one in assessing the clinical effectiveness of rehabilitation treatment. A decrease in the total score on the ADHD-DSM-IV scale by more than 25% was taken as an improvement in the patients’ condition (N.N. Zavadenko, 2005). The ADHD-DSM-IV scale consisted of 18 items corresponding to the main symptoms of ADHD according to the WHO classification. Each symptom was assessed on a 4-point scale (0 - never, 1 - sometimes, 2 - often, 3 - very often), then a total score was calculated.

Statistical processing was carried out using the standard computer software package “Statistica” (v. 6.0). To determine the significance of differences between samples, the Student method was used. Differences between indicators were considered significant at p<0.05.

Results of our own research and discussion

The analysis of the studied groups of children indicated the identity of the main group and the comparison group according to clinical and anamnestic data.

Analysis of social history data showed that:

the age of mothers under 30 years old was 43 people (70.6%) in the main group and 24 people (64.7%) in the comparison group, respectively; The majority of parents in the main group - 39 people (64.7%) and in the comparison group - 26 people (70.6%), respectively, had higher education; 11 families (17.6%) in the main group and 7 families (17.6%) in the comparison group had a low level of material security; unsatisfactory living conditions in 11 families (17.6%) in the main group and 7 families (17.6%) in the comparison group; frequent conflicts and inconsistency of approaches to education in 32 families (52.9%) in the main group and in 20 families (52.9%) in the comparison group. Thus, in terms of social status, the studied groups turned out to be identical.

An assessment was made of anamnestic data on the state of maternal health, the course of pregnancy, and childbirth in the main group and the comparison group.

Pregnancy in the majority of women in the main group and the comparison group occurred with complications.

Analysis of anamnestic data showed that the pathology of pregnancy was dominated by: fetoplacental insufficiency in 54 women (88.2%) in the main group and 30 women (81.7%) in the comparison group; gestosis was observed in 39 women (64.7%) in the main group and in 28 women (76.5%) in the comparison group; threat of miscarriage in the main group in 32 mothers (52.9%) and 19 mothers (51.2%) in the comparison group; chronic maternal diseases (chronic pyelonephritis, cystitis, hypertension) were observed in 18 women (29.4%) in the main group and in 9 women (24.6%) in the comparison group; anemia of pregnant women in the main group in 25 women (41.2%), in the comparison group in 15 women (39.4%); intrauterine infections in the main group in 22 people (35.3%) and in 12 people (31.8%) in the comparison group, respectively.

When analyzing the intranatal period, we were convinced that there were no differences in the level of pathology of labor in both groups: this pathology was detected in 47 women (76.5%) of the main group and in 28 women (74.7%) in the comparison group.

The most common pathologies during labor were: premature birth - in 43 women (70.6%) in the main group and in 26 women (70.6%) in the comparison group; quick and rapid births in the main group - in 32 people (52.9%), in the comparison group - in 22 people (58.8%), respectively, cesarean section - in 14 women (23.5%) in the main group and in 9 women (23.5%) in the comparison group; weakness of labor was less common - in 14 mothers (23.5%) in the main group, in 8 mothers (20.9%) in the comparison group.

Thus, the results obtained suggest that there were no differences in the studied indicators in the main group and the comparison group.

Clinical manifestations of ADHD in children from the comparison groups were distributed as follows: inappropriate, excessive activity that does not correspond to the situation was determined in 45 children (73.5%) in the main group and in 26 patients (70.2%) in the comparison group, respectively, attention deficit was observed in 50 children (81.9%) in the main group and in 29 children (78.4%) in the comparison group, impulsivity in social behavior and intellectual activity in 44 patients (72.1%) in the main group and 26 patients (70.2 %) in the comparison group, respectively, problems in relationships with others, behavioral disorders in 37 children (60.6%) in the main group and 23 children (62.1%) in the comparison group, motor awkwardness due to static-locomotor insufficiency in 27 children ( 44.2%) in the main group and 16 children (43.2%) in the comparison group.

Thus, no significant differences were found in the study groups in the clinical symptoms of ADHD. The data is presented in Figure 1:

Rice. 1. Clinical manifestations in the main group and comparison group before the rehabilitation course.

During the study, after three courses of rehabilitation, the indicators characterizing the clinical picture in the study groups changed significantly. Comparison of initial values before rehabilitation with final values (after 3 courses) showed a statistically significant decrease in the main group. In the comparison group, changes in clinical picture indicators compared to the initial ones (before rehabilitation) were insignificant and not statistically significant. Excessive activity remained in 19 patients (30.98%) (p < 0.005) in the main group and in 18 children (48.3%) in the comparison group (p > 0.05). Attention deficit was manifested in 22 patients (36.79%) in the main group (p < 0.005) and in 28 patients (76.94%) in the comparison group (p > 0.05). Impulsivity was manifested in 18 children (30.1%) in the main group (p < 0.005) and 18 children (48.1%) in the control group (p < 0.05); communication problems and behavioral disorders were manifested in 25 children (40.8%) in the main group (p < 0.005) and in 19 children (50.2%) in the comparison group (p> 0.05), respectively. Static-motor failure was expressed in 18 (30.1%) in the main group (p < 0.005) and 13 (35.1%) in the comparison group. (p > 0.05).

The data is presented in Figure 2:

Rice. 2. Clinical manifestations in the main group and comparison group 12 months after the rehabilitation course.

Dynamic encephalographic examination was carried out on all children examined. A control study was carried out after a course of treatment in the main group and the comparison group over time.

According to clinical analysis, the EEG of children from the main group and the comparison group was characterized by a slight to moderate decrease in the functional state of the cerebral cortex, expressed in the presence of theta range waves (4-7.5 Hz) in various leads in the recording. The amplitude of these waves did not exceed the rest of the background activity. In 12 cases (19.6%), mild regional changes were recorded in the form of synchronous groups of theta waves in the temporal regions of both hemispheres with the involvement of mediobasal formations; irritative changes were also recorded in the form of bursts of pointed alpha waves in the occipital and parietal regions. No epileptiform activity was recorded.

Thus, the results of an additional examination showed that in all groups the identified focal disorders were not severe and were characterized by a moderate or mild degree of severity.

Preparing for TCMP

A referral for this type of treatment is given to the patient by a psychiatrist, neurologist, psychotherapist, physiotherapist or speech therapist. Before starting TCMP, the patient must undergo an examination, the obligatory method of which is electroencephalography. It allows you to evaluate the functioning of the brain and detect foci of seizures or other types of pathological activity.

EEG is also useful for assessing the effectiveness of TCMP treatment over time (the study is carried out before the start of treatment, repeated in the middle and/or at the end of its course - the results are compared).

Integral characteristics of the research results

The total score on the ADHD-DSM-IV scale and the J. Swanson questionnaire were calculated.

More significant changes on the scales were compared:

INATT (inattention),
IMP/HYP(hyperactivity/impulsivity),
ADDH (inattention without hyperactivity).

The score on the ODD scale (oppositional disorder) was changed slightly in these groups and is not presented in the work.

The results are presented in Table 1.

Table 1

Integral characteristics of the results of the J. Swanson questionnaire and the total score on the ADHD-DSM-IV scale (before the rehabilitation course)

Indicators assessed	Main group n=61	Comparison group n=37
Total score	40,64±0,92	40,82±0,93
inattention	14,41±0,96	15,11±1,10
hyperactivity/impulsivity	6,88±1,098	8,176±0,85
inattention without hyperactivity	12,41±0,91	12,64±0,89

As can be seen from the table, no significant differences were found before rehabilitation in terms of the total scores of the integral characteristic.

During rehabilitation, there was a change in the total score on the ADHD-DSM-IV scale; we took into account its decrease in the main group and the comparison group by at least 25%. Comparative indicators turned out to be ambiguous in the study groups, as illustrated in Figure 3.

Rice. 3. Changes in the total score on the ADHD-DSM-IV scale in the main group and the comparison group.

From Figure 3 it can be seen that the decrease in the overall score as a result of the rehabilitation treatment was statistically significantly expressed in the main group (from 40.64 to 18.53, p = 0.003). In the comparison group, the changes are insignificant and statistically insignificant (decrease from 40.82 to 31 points p> 0.05). Research was conducted on the dynamics of the overall score on the ADHD scale - DSM-IV during 3 rehabilitation courses (the observation period was 12 months), which is clearly seen from Figure 4.

Fig. 4. Dynamics of changes in the total score on the ADHD scale - DSM-IV in the main group and the comparison group (after rehabilitation).

From Figure 4 it can be seen that at the beginning of rehabilitation courses, the total score indicators are similar in the main group and in the comparison group. During the ongoing rehabilitation treatment, the overall score over 12 months decreased statistically significantly in the main group (p < 0.005). A decrease in the main symptoms was noted after 6 months in the main group, the positive effect of micropolarization persisted after 9 and 12 months.

Thus, during the study, there were changes in the total score on the ADHD scale - DSM-IV and the indicators of the modified J. Swanson questionnaire, which is reflected in Table 2:

Table 2.

Integral characteristics of the results of the J. Swanson questionnaire and the total score on the ADHD-DSM-IV scale (before and after the rehabilitation course).

Indicators assessed	Main group n=61		Comparison group n =37
Indicators assessed	Before treatment	After treatment	Before treatment	After treatment
Total score	40,64±0,92	18,53±1,1*	40,82±0,93	31,0±0,93
Attention disorders	14,41±0,96	6,53±0,92*	15,11±1,10	14,57±1,23
Hyperactivity / impulsivity	6,88±1,098	2,88±0,58*	8,17±0,85	5,52±0,82**
Inattention without hyperactivity	12,41±0,91	5,7±0,76*	12,64±0,89	10,0±0,99

Note: * p <0.005, ** p <0.05 (significance of differences compared with the values of indicators before treatment).

As can be seen from the table, a statistically significant decrease in the overall score was noted only in the main group (from 40.64 to 18.53, p=0.003) and not statistically significant in the comparison group (from 40.82 to 31 points p> 0.05 ).There was a statistically significant decrease in scores in the modified J. Swanson questionnaire for INATT manifestations - inattention (from 14.41 to 6.53, p = 0.004), IMP/HYP - impulsivity/hyperactivity (from 6.88 to 2.88, p = 0.004), ADDH - inattention without hyperactivity (from 12.41 to 5.70, p = 0.002) in the main group, IMP/HYP - impulsivity/hyperactivity (from 8.17 to 5.52, p < 0.05 ) in the comparison group and was not statistically significant in the comparison group - for manifestations INATT - inattention (from 15.11 to 14.57, p>0.05), ADDH - inattention without hyperactivity (from 12.64 to 10.0, p>0.05), which is clearly reflected in Figures 5, 6, 7.

Rice. 5 Changes in the indicator of attention impairment during the rehabilitation process. (*p < 0.005)

Rice. 6 Changes in the impulsivity/hyperactivity indicator during the rehabilitation process. (*p < 0.005,** p < 0.05)

In the main group there was an improvement in the overall score and the J. Swanson questionnaire. was observed in 50 (81.97%) children (p = 0.004). These children received 3 full courses of rehabilitation treatment. In 11 children (18.03%), the general condition did not change, which was due to incomplete implementation of the rehabilitation course (one or two full or incomplete rehabilitation courses were carried out) due to independent interruption of treatment and lack of interest on the part of the family.

Rice. 7 Changes in the indicator of inattention without hyperactivity during the rehabilitation process. (*p < 0.005)

In the comparison group, improvement was achieved only in 12 children (32.43%), a state without change was observed in 25 children (67.57%). This is illustrated in Figure 8:

Rice. 8 The effectiveness of treatment according to the J. Swanson questionnaire and the total score of the ADHD-DSM-IV scale for children in the main group and the comparison group.

As a result of the analysis of a survey of parents of patients in the study groups, changes in the following indicators of psycho-emotional state were identified:

improved sleep;
the emergence of interest in the surrounding world and activities;
activation of memory and attention;
accelerating the formation of correct skills in various speech disorders; the emergence of new sounds and words;
improvement of appetite.

These changes are reflected in Figures 9 and 10.

Fig.9. Indicators of psycho-emotional status in the main group and comparison group before the rehabilitation course.

As can be seen from Figure 8, these indicators are identical in both study groups before courses of rehabilitation treatment.

The survey of parents of the main group and the comparison group was carried out over a period of 12 months. The results of the survey are shown in Figure 10:

Rice. 10. Indicators of psycho-emotional status over time in the main group and comparison group.

As can be seen from Figures 9 and 10:

improvement in sleep was statistically significantly noted in the main group (changed from 1.58 to 0.53 p<0.001) and was not statistically significant in the comparison group (from 1.35 to 0.94, p>0.05);
activation of memory and attention was statistically significant in the main group (from 2.23 to 1.06, p < 0.005) and was not statistically significant in the comparison group (from 2.17 to 1.71, p > 0.05);
acceleration of the formation of correct skills in various speech disorders was statistically significantly expressed in the main group (from 2.05 to 1.01, p <0.005) and was not statistically significant in the comparison group (from 2.17 to 1.41, p> 0 .05);
the emergence of interest in the surrounding world and activities was statistically significant in the main group (from 1.94 to 0.88, p < 0.005) and was not statistically significant in the comparison group (from 1.88 to 1.35, p > 0, 05);
the improvement in appetite was statistically significant in the main group (from 1.29 to 0.77, p <0.05) and was not statistically significant in the comparison group (from 1.23 to 1.06, p > 0.05).

In a comparative analysis of the results of visual assessment of the electroencephalogram after a course of TCMP, positive dynamics were observed in 39 children (63.9%) of the main group and 11 children (29.7%) of the comparison group.

The following positive changes were recorded: an increase in the number of alpha wave groups in the parietal leads of the hemispheres and a decrease in the number of polyphasic potentials in the occipital leads. Quantitative EEG data indicate an increase in the power of alpha waves in the parietal and occipital leads.

Thus, positive clinical changes in children with ADHD, such as inappropriate, inappropriate activity, excessive activity, attention deficit, impulsiveness in social behavior and intellectual activity, problems in relationships with others, low self-esteem, concomitant behavioral disorders, motor awkwardness due to static-locomotor insufficiencies were fully confirmed during a functional study.

Technique for performing TCM

The doctor prescribes a treatment regimen individually, depending on the pathology that is supposed to be eliminated, the location of the lesion and other features of the course of the disease. A special helmet is put on the patient’s head, which fixes small electrodes in the desired position, then the necessary settings are set on the device and it is turned on.

The session lasts about 30-50 minutes, during which the patient does not have to sit still - he can read, work with a rehabilitation therapist or speech therapist, or do any work that interests him. The procedures are painless and do not involve the risk of any adverse reactions or complications.

This type of therapy can be used for patients in a state of drug-induced sleep, as well as for those on artificial ventilation.

To achieve any result, one procedure is not enough - the course of treatment includes 10 sessions or more. The clinical effect of TCMP is not always evident from the first procedure. As a rule, it becomes noticeable approximately from the middle of the course of treatment, and is most pronounced at the end of therapy and for another 4-8 weeks after its completion.

Of course, this does not apply to 100% of cases of transcranial micropolarization - some patients note an improvement in their condition from the beginning of treatment, while in others, on the contrary, the effect appears later, only a few weeks after completion of the course of therapy. It is recommended to repeat TCM approximately twice a year. This is primarily due to the above-mentioned aftereffect of this treatment method. The doctor may suggest you repeat the course earlier if he notices that the patient’s development has stopped again.

In contrast to the noticeable clinical effect, the positive dynamics of the pathological process on the EEG is detected immediately at the end of the course of treatment or immediately after its completion.

In parallel with the course of TCMP, the patient may be recommended physical therapy exercises, massage (both general and speech therapy), classes with a psychologist or speech therapist.

It is unacceptable to combine transcranial micropolarization with acupuncture, vibration and electrical myostimulation techniques, and also to take psychotropic drugs, including nootropics, during treatment (this type of therapy is an alternative to taking these drugs, that is, it replaces them).

Treatment by micropolarization of the brain in Stavropol

In our clinic, the procedure is performed using specialized Reamed-Polaris equipment. A special helmet with electrodes placed on it is put on the patient’s head. During the procedure itself, the patient can communicate, read a book, or play.

Transcranial micropolarization locally affects certain areas of the brain. Stimulation time is about half an hour. This is the duration of one session, but in order to achieve the desired clinical effect, a course of treatment is necessary.

By combining the best integrative neuroreconstruction methods we offer, we are able to significantly accelerate the clinical effect and allow us to restore body functions lost as a result of the disease by complete or partial restoration of nervous tissue.

The positive prognosis for treatment is confirmed by our many years of experience and the results of our patients, provided that the correct treatment regimen is used.

Treatment results vary and depend on the individual characteristics of the brain and the overall clinical picture. For some, success in treatment was observed after 1-2 courses of treatment with transcranial micropolarization, while for others, positive dynamics were observed after 5-6 sessions.

Transvertebral micropolarization

The procedure involves applying a physiological frequency current to the damaged area of the brain. The technique allows you to quickly and effectively restore the functions of the “numb” nervous tissue around the source of damage and “turn on” the remaining, working areas and centers of the brain. Micropolarization normalizes the condition of nervous tissue and optimizes brain function for any problems except tumors.

Using this method, our clinic’s specialists have been working for more than 7 years together with specialists from the St. Petersburg GIPNI named after. Bekhterev and achieve remarkable results in the treatment of delays in psycho-speech development and alalia in children. It is also possible to use this technique in the treatment of attention deficit hyperactivity disorder

Fabric effect:

Anti-inflammatory;
Decongestant;
Antimicrobial;
Microcirculation;
Antiallergic;
Antitumor. This is for all types of fabrics!
Improving memory and attention, increasing mental abilities.
Restoration of mental functions.
Improving speech skills - expanding the active vocabulary.
Improvement of cognitive functions, active attention.
Speech defects and various speech disorders (burr, stutter) are eliminated.
Vision and hearing improve.
The number of operations with intracerebral hemorrhage (hemorrhagic stroke) is reduced by 2 times, with head injuries - by 1.5 times.
Recovery after a stroke is more intense, regression occurs 3 times faster.
Visual acuity increases 2-3 times.

Results that can be achieved

Micropolarization has been very actively used in recent years around the world due to its effectiveness. Numerous foreign studies have now been conducted that have confirmed the effectiveness of TCM (for example, research from the University of Oxford).

The use of this technique significantly increases the effectiveness of any rehabilitation program, speech therapy, or psychological classes. It is recommended to attend classes in parallel with the TCMP procedures.

A positive effect is sometimes noted already during the procedures, but in most cases it becomes noticeable after 2–3 months. It is advisable to repeat this treatment no earlier than after 2–4 months, because there is a long lasting aftereffect.

Transcanalial micropolarization is successfully used to treat:

stuttering;
delayed speech development;
convulsive syndrome;
spinal cord injuries;
vascular diseases of the brain;
visual impairment;
hearing loss;
hyperactivity in children.