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Publication: SCENAR-therapy and SCENAR-expertise. Issue 9-10, Taganrog, 2004. Collection of Articles.

Authors: J. N. Chernov, A.P. Balanovsky, S.V. Svirko, A.V. Chernov, I.S. Chernova, G.T. Kairov Tomsk


It is known that treating acute adnexitis (AA) untimely and (or) inadequate causes frequent chronization of inflammation in a small pelvis. A chronic process [1] is characterized by forming resistance to the antibacterial therapy done [2], lingering disease period with frequent relapses causing (in some cases) tubo-ovarian abscess, pelvic aches, adhesive process in small pelvic, violating the menstrual function and increasing the risk of abdominal pregnancy and sterility [3].

The literature says that complex approach using great number of medications influencing all pathogenetic units of inflammation is necessary for successful treatment of chronic adnexitis (CA) [1-4].

Antibiotics with broad spectrum, immunocorrectors (metiluracil, pentoxyl, lycopid, neovir, cycloferon, viferon and kipferon suppository), nonsteroid antiphlogistic medications, protein-degrading enzymes, medications improving microcirculation, antioxidants, vitamins, antimicotic medications, zubiotics (bifidumbakterin, laktobakterin, hilak-forte), oral contraceptives are used in treating CA. Besides, physiotherapy and efferent therapy (plasmapheresis, autovenous uv blood radiation, laser) are also included into the treatment course.

Such treatment lasts several weeks. A patient stays in the hospital about 10 days and then completes the treatment in the antenatal clinic; so, she must ‘stick’ to the patient care institution. In such a situation she often has to choose what is more important – health or family and work. There is no secret that sick lists are either not repaid, or paid only partially. Thus, not every woman can afford a full treatment course and often breaks it off after a minimal improvement, and that causes frequent exacerbations and complications.

The second considerable drawback of a traditional drug therapy is consequences after receiving such a considerable amount of medications. It should be kept in mind that there are no ‘health-giving’ medications. Each medication can cause side effects and complications, trying to stop them may cause including additional medications into a scheme of treatment. And using SCENAR-therapy in treating CA a patient does not have all the above disadvantages.

It is not necessary to enumerate principles, effects and opportunities of SCENAR-therapy in this article. They are thoroughly observed in the lectures deliver at courses and seminars, as well as in the collection of articles SCENAR-therapy and

SCENAR-expertise [5]. It is more important to mention that this method allows to individualize therapies for each concrete patient and enables a doctor to work with the whole patient’s body.

The technology of SCENAR-therapy provides that al the treatment is paid, but in our hospital conditions the course costs 1500 rubles, while traditional treatment costs 4000 rubles according to the information in different publications.

We have done a comparative analysis of the economical expediency of traditional medical treatment of CA and SCENAR-97,4 monotherapy in the hynecological department of the first maternity hospital in Tomsk. Control group consisted of 60 women (average age – 27 years). Main group consisted of 30 women who underwent SCENAR-therapy according to the instruction and in addition according to the methods obtained at SCENAR-therapy courses. Continued and individually dosed modes were used for stimulation [5]. The control group consisted of 30 patients treated traditionally [1-4]. Average duration of staying in the hospital after medical treatment was 10 days, after monotherapy with SCENAR-97,4 – about 3 days. Later on patients underwent an outpatient SCENAR-therapy due to the improvement of their general state.

The course lasted 7 days on average. All patients undergone SCENAR-therapy mentioned its comfortable conditions (they were relieved from painful nonexpendable injections) and treatment regimen. There were no allergic reactions and other complications in this group. General hospital and outpatient course of treatment normally takes 17-30 days. At that. 3 patients had to change an antibiotic, 1 patient had a reaction to metronidazole and 2 patients developed an allergic reaction to vitamins of the group B.

Thus, using SCENAR-97,4 monotherapy in treating chronic adnexitis allows to reduce considerably patients’ stay in the hospital. It completely excludes the development of allergic reactions and cuts treatment expenses.

1. V.I. Krasnopolsky, S.N. Byanova, N.A. Shchukina. Purulent inflammatory disease uterine appendages – ?., 1998.
2. G.B. Beznoshchenko. Nonsurgical gynecology – ?., 2001.
3. K.I. Malevich, P.S. Rusakevich. Treating and rehabilitating in genecology – Minsk, 1994.
4. I.S. Sidorova, N.A. Scheschukova, E.I. Borovlova. Treatment guides for chronic inflammatory process of uterine appendages (Moscow)
5. SCENAR-therapy and SCENAR-expertise. Taganrog. Collection of Articles.

SCENAR in hemorrhoid treatment

SCENAR in hemorrhoid treatment
A.V. Tarakanov, A.V. Rozhkov
Rostov-on-Don, Bataisk

Orthodox therapies are aimed at eliminating the cause of the disease, while most non-conventional therapies help to activate the defense mechanisms of our body on the principle of self-regulation.

To see how effective and important complementary non-conventional therapies are in treating hospital patients are we have selected people with acute hemorrhoids for the study. Hemorrhoidal disease is one of the most widespread and is estimated to occur in 118-112 grown-ups out of 1000. The share of hemorrhoids in the system of coloproctological diseases is from 34 to 41%. The disease may be caused by sedentary lifestyle, long driving, excessive exercises, constipations, pregnancy, alcohol addiction, family background. There is no common treatment for hemorrhoids, each patient requires individual approach. The treatment also depends on the course of the disease and its stage.

We can divide therapies for hemorrhoids into 3 groups: conservative treatment, minimally invasive methods, and surgery. Conservative treatment is good for acute hemorrhoids, when other therapies are contraindicated, and at first stages of the disease (grade I-II). Usually this type of treatment lasts up to 2 weeks and includes topical therapies (suppositories, ointments, baths), phlebotonic medicines, antiplatelet drugs, direct anticoagulants, analgetics, and spasmolytics – classic orthodox treatment for various pathogenesis links with polypragmasy.

Therefore, we studied the effect of SCENAR on pain intensity, blood picture and biochemical indices in non-invasive therapy of hemorrhoids.

Materials and methods. We have organized unmasked randomized research in North Caucasian Railway Hospital (Bataisk). Using random sampling, we have formed 2 groups of 20 patients with primary acquired acute hemorrhoids associated with the chronic condition. The amount of patients with external and internal hemorrhoids in the groups was roughly similar. On admission patients complained of arching pain, itching, unpleasant sensations in anus (foreign body), blood in stool and straining on bowel movement, edema and hyperemia in the anal canal, low fever. According to the classification of Henry-Swasch patients referred mainly to grade I and II hemorrhoids.

Group I was control group and included 7 women and 13 men, mean age 63.2 years. Conservative treatment included special diet, general and topical analgetics, anti-inflammatory
drugs, ointments and creams, cleansing enema, phlebotonic medicines, topical hemostatics in bleeding.

Group II besides the conservative treatment also received SCENAR stimulation with spaced plate electrodes 12cm2 each, at a 90 Hz frequency. We have identified 4 treatment zones and stimulated each for 10 minutes:

Zone 1 – under toes (regio plantaris pedis);

Zone 2 – thenar and hypo thenar on the palm (thenar and hypo thenar);

Zone 3 – liver skin projection (stimulation with coaxial electrode);

Zone 4 – lumbar area (stimulation with symmetrically spaced electrodes).

In each zone we set a particular energy of stimulation. Treatment sessions were administered every day for 2 weeks.

Quick/early pain relief is very important for a patient and very significant in disease pathogenesis. Fig. 1 shows significantly greater analgesic effect in patients from Group II already starting at the 3rd day of the treatment.

Fig.1. Pain relief dynamics according to the visual analogue scale of patients with hemorrhoid pains (Group 1 – control, Group 2 – SCENAR). Designations: horizontal axis – follow-up period in days; * – ?<0,05.

That contributes to early activation of the patient, normalization of the defecation, decreased dosage of non-narcotic analgetics and spasmolitics, and all that makes this kind of therapy more effective and safe for patients.

Fig. 2 shows the dynamics of stimulation energy increase. We have detected one common law for all treatment zones – to get the subjective comfortable sensations (when patient consistently feels stimulation as light tingling or vibration and evaluates it as a comfortable sensation) we needed to increase stimulation energy. These data show that patients had hyperalgesia at the beginning of the treatment and increased sensitivity threshold by the end of the treatment. The sensitivity threshold in different zones of our body is different. The most sensitive zone is palm, then goes bottom of the foot, liver projection, and lumbar.

Fig.2. Dynamics of stimulation energy in different treatment zones of patients with hemorrhoids.

Designations: horizontal axis – follow-up period in days, vertical axis – stimulation energy, c.u.

Fig.3. Dynamics of axilla temperature in treating hemmoroids in Group 1 (control) and Group 2 (SCENAR). Designations: horizontal axis – follow-up period in days, vertical axis – temperature in degrees, ?0; * – ?<0,05.

A very interesting fact is that during the treatment the patients’ body temperature changed. At the beginning of the treatment subthreshold temperature of patients was about 37 ??. Though the temperature was almost close to the normal, all patients from Group 2 manifest greater and faster normalization of the temperature level already by the 5th day of therapy up to 36.6 ??.

When treating patients with hemorrhoids following the above described therapy we have traced a very interesting reaction in clinical blood analysis. It should be noted that during 2 weeks
of treatment anemia of patients reduced. In patients from the Group 2 the amount of hemoglobin and erythrocytes (?<0,05) was higher if compared with the patients from Group 1.

Fig. 4 and 5 show changes in the amount of white blood cells (WBC) and white blood count.


Fig.4. Dynamics of blood parameters in treating hemmoroids in Group 1 (control) and Group 2 (SCENAR). Designations: ? – white cells (? ? 109/l), b – staff cells (%), c – segmentated cells (%);
horizontal axis – follow-up period in days, * – ?<0,05.

Fig. 4 shows that one general law becomes evident. After two sessions of SCENAR-therapy patients manifest a short-term increase in the amount of white cells and percentage of staff cells, especially segmentated cells. The amount of staff cells decreased greatly by the end of the therapy course, and it is very important for a clinical picture.

Fig.5. Dynamics of blood parameters in treating hemmoroids in Group 1 (control) and Group 2 (SCENAR). Designations: ? – lymph cells (? ? 109/l), b – monocytes (%), c – erythrocyte sedimentation rate (mm/h); * – ?<0,05.

At the same time parallel to the neutrophils significantly decreases the amount of lymph cells. By the end of the treatment the amount of lymph cells is higher if compared with the control group. The level of monocytes in both groups didn’t differ significantly. It should be noted that the initial increased rate of erythrocyte sedimentation subsequently normalized in patients from SCENAR-group. That signs biochemical changes in the blood plasma. The level of eosinophils in Group 2 was lower than in Group 1; the level of basophils didn’t differ in groups.

Such kind of reaction, accompanied by neutrophilia and lymphopenia, is typical for blood in the stress response described already by H.Selye. Two SCENAR-sessions, though the stimulation level was comfortable for a patient, through nerve pathways trigger hormonal mechanisms that are similar to mechanisms in stress. Nerve impulses from cortex, reticular formation, limbic system, hippocampus and amygdala cause complex neurohumoral activity in hypothalamus that stimulates synthesis of R-factors. Further on that contributes to the changes that we observed in the study.

So, transcutaneous neurostumulation once again shows the importance of ANS in regulation of blood formation. It could also have indirect influence on synthesis of hematopoietic cells in liver and spleen.

Analysis of biochemical parameters showed that the amount of total protein, blood sugar, amylase, creatinine, urea, alkaline phosphatase, prothrombin ratio in groups didn’t differ during the treatment and after.

To demonstrate the contribution of SCENAR-therapy into the total expenses for drugs we analyzed patient charts in both groups and calculated the money spent for the drugs during the 2-week treatment course. In Group 1 the expenses were 1015.6 rubles (25 Euro) per patient, while in Group 2 they were 852.7 rubles (20 Euro) per patient.

We can analyze the contribution of complementary therapy into the treatment. Adding neuroadaptive stimulation using SCENAR into the conservative treatment of acute exacerbation of chronic hemorrhoids greatly improves and accelerates the pain relief effect. Therefore, patients manifest early activation and normalization of defecation, reduced pharmacological load and not so intensive side effects. Expenses for drugs reduce. Already two SCENAR-sessions in comfortable stimulation level cause changes in the blood parameters similar to that in the stress, and by the end of the treatment all the parameters are marked to have normalized faster.


Physiotherapy of gastric ulcer and duodenal ulcer

Publication: Klinicheskaia Medicina, 7/2003, P 8-15, Perm, Russia

Authors: Tsimmerman IaS, Kochurova IA, Vladimirski EV

Chair of department therapy, clinical pharmacology and physiotherapy at State Medical Academy of Perm

Physiotherapy of gastric ulcer and duodenal ulcer

The review presents 69 references of current literature on the problem of gastroduodenal ulcer physiotherapy which has a good potential of impact on gastroduodenal motility, lipid peroxidation, microcirculation, physiological and reparative regeneration of epithelial and glandular cells. The choice of a physiotherapeutic method depends on the disease stage and to a less extent on location of the ulcer defect.

Key words: ulcer disease, factors of aggression and protection, physiotherapy

Gastric ulcer (GU) and duodenal ulcer (DU) are one of the most complicated and most contradictory problems in gastroenterology. Regardless of all the success achieved in efforts to understand the most important aspects of ulcerogenesis, the basic reasons and mechanisms of gastric ulcer are still mysterious, as J. Cruveilhier said, and they are still not completely clarified [1]. Pathogenesis of gastric and duodenal ulcerogenesis are still regarded from the point of view of disbalance between aggressive factors of the gastric material and protective capabilities of the mucous membrane (MM), as the first ones prevail and the others weaken. It is this conception that is used as a base for the modern approaches to anti-ulcer medicated therapy which includes anti-secretory and anti-helicobacterial drugs [2] as obligatory components, The success which was achieved following this way, is indisputable. Nowadays, subtotal inhibition of acidic gastric secretion can provide with ulcerative deficiency cicatrisation within 4 weeks 93-96% of patients with DU and for 69-81% of patients with GU [1]. Use of combined schemes of eradication therapy with 3 and 4 components, allowed to decrease the quantity of early relapses of ulcer from 75-82% to 18-20% (within 6 months). Over the past 20 years, the quantity of patients with medium-severe and severe, often relapsing and complicated course of disease, has decreased from 45,8% in 1977 to 2,04% in 1997, which is connected with the use of powerful anti-secretory and anti-helicobacterial medicines [3].

Many facts have been collected which evidence about the imperfect reputation of the drugs from these 2 groups. It is referred to almost complete reduction of the gastric phase of digestion which modern anti-secretory drugs cause, as well as disorganization of its intestinal phase, exceed gastric bacterial contamination and bacterial contamination of the narrow intestine, the risk of carcinoid tumor in the gaster and high frequency of early relapses (the symptom of ricochet) [4]. The range of negative effects of anti-helicobacterial therapy is even larger, and we do not include in this list the secondary (acquired), increasing resistance of Helicobacter pylori (HP) to antibacterial drugs used for the eradication [5-8].

There is some new information which specify and supplement the ideas about the pathogenesis of ulcer in all its aspects. Scientists’ attention is focused on the problems of immune ulcerogenesis [9, 10], “oxidative” stress at ulcer [11, 12]; psychosomatic conception of disease is widely discussed [13-15], etc. The facts derived during the scientific research have a direct practical importance. For example, it is recommended to include medicines from other farmacological groups into the complex of remedial actions: immunomodulators, stimulators of angionesis, neurotropic drugs (anti-depressants, nootropics), designed to correct the disfunctions [10, 13, 16]. However, adding to the traditional schemes of triple- or quadrotherapy 2 or 3 more pharmacological drugs can contradict with the postulate of reasonable use of medical drugs, which suggests simultaneous use of maximum 3-4 drugs, because otherwise their interaction becomes impossible to control.

This way, the problem of therapy of ulcer is still far from the ultimate solution, which can be connected both with insufficient understanding of some pathophysiological aspects of ulcerogenesis, and with underestimation of the impair of general integral mechanisms of the adaptive regulation and self-regulation at different levels in pathogenesis of the ulcer as a systemic disease, which involves all the organism into the pathological process [1, 17-19].

Discussing the problem of the ulcer therapy from the systemic approach, we will find the physiotherapeutical methods of treatment very effective, because they allow to affect purposefully and differentiatedly different sides of the pathologic process, increasing the adaptive capabilities of the organism. Almost complete lack of side effects and low cost can be listed as their additional advantages, as well as the opportunity of combined appliance of pharmacotherapy [4, 20-23].

Including the preformed physical factors into the complex therapy of GU and DU has had an old history. However, their appliance for this disease is not always scientifically reasonable, which is probably explained with the imperfection of the demonstrative basis [1]. The success achieved for the past years in different scientific areas, as well as the technical progress as a whole have enlarged the horizons of the ideas and the understanding of a whole range of physical factors and this has given the opportunity to evaluate objectively the results of their use. Among the methods of the instrumental physiotherapy, along with the old ones, such as electrophoresis of medical drugs, diadynamic currants (DDC), alternating modulated current (AMC), ultrasound (US), alternating magnetic field (AMF), other approaches have created a good reputation: microwaves (MW), laser radiation, low-frequency ultrasound, ultra high-frequency therapy (UHFT), different puncture methods and other.

The variety of the opportunities of physiotherapy allows to affect both general and local mechanisms of ulcerogenesis.

The disbalance between the factors of aggression and protection, which appears at ulcer, is realised mostly at local level [24] and can be a comfortable target for a range of physiotherapeutical factors. According to modern ideas, acidopeptic factor, contamination of GMM and the focus of gastric metaplasia in DD HP, different versions of gastroduodenal dysmotility, as well as increased activity of the processes of lipid peroxidation (LP), are included in the list of factors of aggression, causing autodigestion of a limited area of gastric MM (GMM) or DD with decreased resistance and ulcerogenesis. The range of factors of protection is represented by a firm mucous bicarbonate barrier, adequate blood supply and microcirculation in gastric paries and duodenal paries, a system of prostaglandins, local immune protection, physiological regeneration of epithelial cover of GMM, as well as the action of the duodenal lock mechanism of the gastric secretion [1, 25].

The priority of the affects directed against two listed aggressive factors – the acidopeptic and infectious ones, belongs to pharmacology. Physiotherapeutical methods have a big potential to affect other factors of aggression (gastroduodenal dysmotility, processes of LP), and particularly the factors of protection which can be regarded as a harmonic addition to traditional pharmacotherapy. The therapeutic effects of the majority of physical factors is conditioned by improvement of microcirculative processes and trophism of invaded tissues. There are evidences that the adequate regional blood supply defines optimal course of all energy-dependent processes in GMM and DD including the recover of gastric mucous bicarbonate barrier, as well as physiological and reparative regeneration of epithelial gland cells [1, 12, 25].

During the acute phase of ulcerous relapse (first 10-12 days), firstly the pain syndrome must be eliminated in epigastrium, which is a result of gastric and duodenal dyskinesia. The effect is achieved with low-frequency impulse physiotherapy (DDC and AMC), which have a signified analgesic effect and capability to normalise the impaired motility of the gastroduodenal area (GDA) [20, 21, 23]. However, DDC has a severe irritating effect on cutaneous receptors which limits the possibilities of this method. In acute phase of ulcerous relapse, the reduction of pain syndrome is achieved with the use of AMC which affects the epigastrium area, and if the disease has had a long history and a signified dyspeptic syndrome – the area of cervical sympathetical ganglions [26]. The method of combined treatment with AMC and ultrasound was recognized, which potentiates the spasmolytic and analgesic effect of both physiotherapeutic factors [20].

The efficiency of high-frequency ultrasound therapy (UST) at ulcer has been popular for long time, and is explained with its signified spasmolytic analgesic effect, normalization of the motor function and partly gastric secretory function, as well as stimulating processes of regeneration caused by improvement of cell respiration and regional blood flow [20, 23].

Recently, there has been information about high efficiency of low-frequency US therapy (22 and 44 Hz) at ulcerous relapse, which is probably explained with the ability to penetrate deeper into tissues, compared with high-frequency ultrasound [27]. There is also information that low frequency ultrasound has a much stronger analgesic effect than UHFT and magnetic laser therapy. It also has a normalizing effect on dysmotility of GDA which allows cicatrizing of ulcerous deficiency (UD) average for 17 days for 82% of the patients with gastric ulcerous localization and 93% of patients with duodenal ulcerous localization [27].

Among the physiotherapeutic factors having a signified stimulating effect on protective potency of GMM and DD, methods of  MW therapy have been recognized, and mostly, methods of ultramicrowave therapy (UMW). Microwaves of the cm-band penetrate at local use into the depth of 5-7 centimetres, microwaves of dm-band (DMMW) penetrate a little deeper – 8-9 cm. This was the reason why they were used at ulcer. The specific effect of UMW radiation is explained by selective absorption of their energy by molecular structures of the cells, which is accompanied by creating of endogenic warmth in tissues and activation of physical and chemical processes. As a result, vessels relax, pressure increases in microvasculature, vascular permeability decreases, metabolic processes and reparative regeneration processes improve [23]. This way, the effect of UMW radiation is realized simultaneously in different directions: the gastric mucous-bicarbonate barrier improves due to normalization of processes of mucogenesis (synthesis, accumulation, extrusion of neutral mucopolysaccharides); microcirculatory deficiency is eliminated due to stimulation of active mechanisms of microcirculation; inflammatory changes in the mucus membrane of the gastro-duodenal area reduce [20, 26, 28]. The method of MW is recommended mostly for hyperkinetic type of gastroduodenal dysmotility, which can be regarded as additional factor of aggression [1]. Some researchers notice that DMMW-therapy decreases the signified duodenogastric reflux. Without having specific antibacterial effect, UMW-radiation nevertheless decreases bacterial content of gastric and duodenal mucus membrane, and moderately potentiates the effect of anti-helicobacterial medicines. [22]. Having in mind the ability of the thyroid hormones to enforce regenerative processes in the organism and perform general trophic action, the effect is achieved by DMMW treatment in the area of the thyroid, mostly for ulcers with a big diameter and torpid course of the disease. Generally, UMW-therapy is recommended starting form subacute phase of ulcerous relapse, without complications [1, 26].

For complex therapy of gastric ulcer and duodenal ulcer, low-frequency alternating magnetic field is widely used, due to its analgesic and anti-inflammatory effect. [1, 29, 30]. A range of researchers notice in their works that monotherapy with alternating magnetic field (regardless of the medicines) causes cicatrisation of ulcerous deficiency for 60% of the patients. Combination of alternating magnetic field and ant-ulcerous pharmacotherapy (M-cholinolytics, H2- blockers of histamine receptors, antiacids) increases ulcerous cicatrisation ability up to 80-90%. A significant advantage of low-frequency alternating magnetic field is its ability to normalize impaired gastroduodenal motility. For example, there is information about reduced duodenogatric reflux for 85% of patients after a course of treatment with alternating magnetic field in pulsating mode. [31]

Due to its soft, gentle effect and factual lack of side effects, the alternating magnetic field can be recommended to be included to traditional pharmacotherapy of ulcer, regardless of the age, phase and the character of the disease, as well as during rehabilitation and for concomitant pathology [20, 22, 23].

Laser therapy became largely popular after fundamental discoveries in the area of quantum electronics and creating optical generators of a new type (lasers). Numerous modifications of laser radiation (helium-neon type laser, helium-cadmium, argon, on copper vapour, krypton etc) and a variety of treatment modes makes its use possible for all phases of ulcerous relapse. 4 methods of laser treatment are widely used: trans-endoscopic, intravascular, percutaneous and laser puncture. Each one of them has a specific mechanism of action and can be regarded as independent type of treatment [32, 33]. Trans-endoscopic laser treatment is realised mostly on a local level, causing anti-inflammatory effect, activating regional blood flow in the area of the ulcerous deficiency and stimulating regenerative and trophic processes, increasing cellular mitotic activity [34, 35]. Laser radiation eliminates focuses of local ischemia and improves oxygen consumption in the impaired tissues. Signified analgesic effect of trans-endoscopic laser therapy is explained with decrease of pathological impulsion from the ulcerous deficiency area. However, acting as a non-specific biostimulator of metabolic and reparative processes in impaired tissues, trans-endoscopic laser radiation of the ulcerous deficiency does not affect seriously general pathogenetic mechanisms of ulcerogenesis [32]. Additionally, the technical complication of the procedure and the risk of gastric contamination with HP when using the endoscope, limit the opportunities of its use. Indications for trans-endoscopic laser therapy are newly found gastric ulcer and duodenal ulcer, signified and persistant pain syndrome, durably non-cicatrising ulcers, as well as ulcerous localisation in the area of pyloric sphincter. Comparative analysis has shown that trans-endoscopic laser therapy does not have significant advantages compared to transcutaneous laser therapy, whose efficiency is a result of rise of cutaneous-visceral reflex under laser impact on the dermal receptor instrument [38]. The range of indications for laser therapy is wide. Due to its signified analgesic effect, exceeding the effect of the most other physical factors, it can be applied on the first days of ulcerous relapse, at any stage of the disease. Additionally, laser radiation is a choice for elderly patients, especially in cases when gastric ulcer is combined with ischemic heart disease and diabetes mellitus, when problems of medical polypragmasy must be taken under consideration [37]. There is information about successful application of laser therapy at ulcer with complicated ulcerous penetration to adjacent organs. Indications for laser therapy on the background of traditional anti-ulcerous therapy are reasonable for patients with frequently relapsing and durably non-cicatrising gastric and duodenal ulcer. The frequency of relapses is decreased from 91,4% to 30,3% for one year [36]. The assertion that laser therapy can prevent ulcerous malignant changes still needs additional research [36].

Pathogenesis of ulcerogenesis cannot be explained only as an imbalance between factors of aggression and protection, interacting on local level. In 1994, Y.S. Zimmerman submitted an interesting conception of pathogenesis: ulcer is regarded as systemic gastroenterological disease, having genetic determinants; its development are mostly based on dysfunctions of adaptive regulative systems of the organism on different levels; HP-infection and acid peptic aggression play the part of important, but locally acting factors of pathogenesis. According to this conception, not only locally affecting factors of ulcerogenesis must be used for treatment, but also factors recovering impaired mechanisms of adaptive regulation and self-regulation on different levels [1, 4, 16, 18]. We must notice the fact that some of the physical factors are absolutely sufficient for this aim.

Methods of neurotropic physiotherapy: Electro-sleep, transcranial electro-analgesia were once widely used for complex treatment of patients with ulcer [20]. The interest in these methods was explained by significant changes of patients’ functional condition of vegetative and central nervous systems, as well as dysfunction of cortico-subcortical intercourse. However, the large variability of individual sensitivity of the central cerebral formations to low-frequency currents limits the use of these methods of physiotherapy [20, 23].

When analyzing publications of the past few years, we can notice a significant interest in the search for new physiotherapeutic methods capable to repair impaired processes of regulation and self-regulation of the gastroduodenal system and integral controlling mechanisms of organism’s visceral functions. Within the framework of the neurotropic stream of physiotherapy, the use of a type of electro-impulsive therapy of ulcer has been discussed – trans-cerebral interference therapy [39,40]. This method, selected as a monotherapy for patients with subacute phase of duodenal ulcerous relapse, proved to be more efficient compared with the traditional impact at the epigastric area, both as terms of reduction of pain and dyspeptic syndromes, and as effect on the dynamics of the inflammatory process. During the treatment after trans-cerebral methods, the quantity of somatotropin, thyreotropin, triiodothyronine, thyroxine and cortisol in the blood is faster normalized, immune T-cellular part is stimulated, the level of auto-immune aggression is decreased, which leads to activation of trophic processes in gastroduodenal area and rapid cicatrisation of the ulcer (18 – 23 days after the beginning of the therapy, for 80% of the patients). Significant disadvantages of the interference-therapy are the fast habituation to interferential currents, which requires regular change of the frequency of “beats”, and difficulties of forming interferential currents in limited surfaces.

The effect of weak electromagnetic fields with non-thermal rate also deserves attention as a factor of the course of ulcerous relapse. The density of the galvanic current induced by these electromagnetic fields into interfacial tissues is very small and seems to be unable to change significantly the functional characteristics of the excitable tissues, but the results of experimental and clinical researches have shown that this method can affect cortical and subcortical bioelectric processes and neurohemodynamics (“Infita” device). The biological effect of infitatherapy can be explained with the fact that probably, the electromagnetic fields of low intensity have resonance frequency, or amplitude-frequency “gaps” due to which the informational exchange with biological objects can be performed. The therapeutic effect is realized through hypothalamic-hypophysial system, acting as a soft liminal stimulator correcting cerebral bioelectric activity, metabolism of the central neuromediators and neurotransmitters, as well as calcium metabolism in the cerebral tissue [41]. The use of this method in complex therapy of ulcer proved to be effective. A range of frequencies, which are biotropic to the cerebral tissue (30- 57 Hz), stimulating cerebral activity and optimizing its tonus, was found [41]. The results of the researches evidence the fact that dysfunctions of cortico-subortical system of interaction and availability of cutaneous visceral connection, reflecting dysfunctions of adaptive regulation and self-regulation on different levels, take part in ulcerous pathogenesis.

Among the physiotherapeutic methods able to affect the processes of adaptation and to regulate mechanisms of sanogenesis, ultra high-frequency therapy (UHFT) takes a significant place [4, 30, 42, 43]. According to A. Presman’s classification, this physiotherapeutic method refers to the informational methods, as the other methods have either energetic effect, or boundary effect (informational-energetic). The base of the therapeutic effect of UHF-radiations is the conformational alternation of the cutaneous structural elements, induced by electromagnetic radiations (EMR) of the mm-band and activation of nervous connections having tonic kinesis. Organism’s reactions to mm-radio-waves develop within the framework of general adaptive syndrome and manifest as increase of organism’s both specific and non-specific resistance to external factors [30]. The pioneers used EMR of mm-band in medical science and biology, are V.A. Nedzvetskiy and I.S. Cherkassov (1977), who obtained the first clinical results of UHF therapy of duodenal ulcer. The clinical effect of UHF monotherapy manifests as elimination of pain syndrome within 4 – 7 days, dyspeptic processes are eliminated within 7 – 12 days and ulcers cicatrize within 3 weeks for 75-88% of patients [4, 43, 44]. A specific characteristic of ulcerous cicatrizing during UHF-monotherapy is the marginal epithelization and lack of roughly formed conjunctive tissue cicatrix [44], as a higher cicatrisation speed is noticed mostly for duodenal ulcer, and less – for gastric ulcers. UHF-monotherapy stimulates organism’s adaptive systems [45, 46]; repairs harmonic ratio between lipid peroxidation and the system of antioxidative protection [42, 46, 47], normalizes organism’s immune status and rheological characteristics of the blood [45, 48], increases cytoprotective characteristics of mucus membrane in gastroduodenal area [49]. UHF electromagnetic radiations are less effective for gastric secretory and motility functions [42]. Combination of UHF and anti-ulcerous pharmacotherapy does not have significant advantages compared with UHF monotherapy and in most cases it is regarded as improper [44]. Combination of UHF-therapy with anti-secretoty medicines is appropriate only for cases with signified hyperacidity, with ant-helicobacterial therapeutic schemes for massive HP-colonization of gastric and duodenal mucus membrane, because it potentiates the antibacterial effect [42, 49]. UHF-monotherapy can be used for any phase of ulcerous relapse; it is appropriate as prophylactics during the period of remission with even better effect than traditional pharmacotherapy: the number relapses decreases dramatically for 1-2 years after the course of UHF-therapy [4, 43, 50, 51]. It was not long ago when complicated ulcerous states were regarded as contraindication for UHF-therapy. However, numerous researchers notice that due to their immunomodulating and adaptogenic effect, mm-band of electromagnetic radiations can be included in the complex of therapeutic activities at early stages after surgical therapy of gastric and duodenal ulcer, as well as at complications with hemorrhage, penetration or perforation [45].

UHF-therapy using variable fringe of frequency generation signal in sweeping mode with individual selection of resonance frequency, is a method which is worth noticing [52]. MW-resonance therapy (bioinformational therapy) is also used, as one of its characteristics is the “swinging” frequency (from 52 to 62 GHz) and alternating wave bands, which allows an optimal frequency to be selected for each patient. Microwave resonance bioinformational therapy is recommended mostly for patients with bland course of duodenal ulcer. Microwave resonance bioinformational therapy is almost ineffective for most patients with complications and sthenic course of the disease, or with gastric localization of the ulcer [53]. Sometimes informational-undulatory therapy can be used, affecting with a set of resonance frequencies concentrated on one channel [54].

It is extremely hard to select precisely the resonance frequency of mm-band electromagnetic radiations. Nowadays, they define indirectly whether the correct frequency is selected, taking under consideration the positive clinical dynamics and the patient’s internal sensations. Search for objective criteria indicating the resonance effect seems to be promising, and it will allow the efficiency of UHF-therapy to be increased. First steps in this direction have already been made: it is suggested to evaluate biological system’s resonance with external UHF-field according to the neuromyographic kinesis with pseudoperiodic character, rising in biologically active areas [55].

Segmentary reflectory method or corpor?al UHF-puncture on various biologically active points is traditionally used for UHF-treatment of gastric and duodenal ulcer [4, 42, 43, 46, 51].

Puncture methods of reflectory therapy of ulcer (laser puncture, magnetopuncture, UHF-puncture etc.) have been widely discussed in various publications over the past few years [32, 46, 51, 56, 57]. There is data about reflectory and humoral connection between corpor?al biologically active points on the skin and certain visceral target-organs, the vegetative and central nervous system, as well as the hypothalamus, which plays important part in realization of reflectory effects at visceral dysfunctions. The list of advantages that these methods have is not limited by general effects, such as improving immune homeostasis, inhibiting processes of lipid peroxidation activities, general adaptive reactions, and normalization of psychological and vegetative status of the patients. The variety of biologically active points on the skin gives a unique opportunity to impact on impaired gastric motility and secretory functions, to stimulate metabolic and reparative processes in ulcerous area [1]. The specific effect of physical factors (laser puncture, electropuncture, UHF-puncture) on biologically active points is still to be ascertained. Undoubtedly, the search for clear and scientifically based criteria of selection and optimal combination of biologically active points for treatment of ulcerous relapse will continue.

Development of combined therapeutic methods proved to be a promising direction of physiotherapeutic progress. The need of optimized parameters of complex therapeutic treatment explains scientists’ interest in the problem of therapeutic interference, which is understood as interaction between different therapeutic agents, including physical factors [58, 59]. Potentiating ulcero-cicatrizing effect was noticed in combined use of UHF-therapy and laser puncture: ulcerous deficiencies cicatrize within 3 weeks for 97.8% of patients with ulcer. Combined acupuncture-reflexotherapy and transcutaneous laser therapy proved to be very effective for patients with duodenal ulcer refractory to pharmaceutical treatment [61]. Results of still rare researches give evidence of the good effect of magnetic-laser therapy on the course of ulcerous disease, shorter terms of ulcerous cicatrisation, and increased frequency of HP eradication. There is a hypothesis of possible decrease of relapses’ frequency and extension of periods of remission on the background of polymagnetolaser therapy [61]. Potential capabilities of this method are still not completely explored; for example, in existing devices of magnetolaser therapy, the magnetic component is represented by a constant magnetic field, which is known to be less effective than other types of magnetic fields (for example, alternating magnetic field), in respect of biological activity [59]. The efficiency and appropriateness of other methods of combined physiotherapy of ulcer are to be explored.

For the past few years, some new technologies have appeared in therapeutic use of physical factors for ulcer, which increases therapeutic abilities of impact on impaired mechanisms of regulation and self-regulation on different levels.

First results of use of constant magnetic field of geomagnetic level for ulcerous relapses are comparable with the results of general magnetotherapy in respect of efficiency [62]. It is proved clinically and experimentally that weak magnetic fields have biological effect which realizes on all levels, starting from the cubcellular level. It was noticed that weak magnetic fields influence organism’s reactivity, contribute to homeostatic regeneration, including immune regeneration, have general stimulating effect, potentiate the effect of numerous medicines and have anti-stress characteristics [30]. This therapeutic factor is noticed to have positive effect on microcirculation, inflammatory processes and activity of lipid peroxidation. The effect of the low-tension constant magnetic field on vital activity of various micro-organisms, including HP, and on their vulnerability to antibacterial therapy, is also interesting [62]. After a course of general geomagnetic therapy, performed on the background of traditional anti-ulcerous medicines, patients did not have ulcerous relapses for a period of 1 year [62]. This information needs to be verified.

A new and promising direction of physiotherapy, and particularly laser therapy, is development of methods of bio-controlled chronophysiotherapy, which opens opportunities of individually selected optimal portions of impact with the contribution of bio-controlled signals [63].

Recently, methods of bio-controlled low-frequency impulsive electrotherapy are used, particularly the effect of self-controlled energy-neuroadaptive regulator (SCENAR). The base of this method is impact on sensitive and neuromotor cutaneous connections with series of neuro-similar bipolar fluctuations of various frequency currents, which change depending on the strength of tissular capacitive reactance in the impacted area. As a result, local changes in cutaneous microcirculation and cutaneous trophism appear due to local reactions (mechanism of axon-reflex) with formation of functional system and segmentary-reflectory reactions. Additionally, functionally transformed cortico-subcortical interaction is regenerated. The effective adapting reaction is achieved with the use of the principle of feedback [64, 65]. The dynamics of parameters of bio-controlled impact is defined by modification of the electric characteristics of patient’s tissues. The use of impulses, similar to activity potentials of living excitable systems, gives the high efficiency of therapeutic procedures [66]. The list of therapeutic effects of SCENAR-therapy includes myoneurostimulating effect, local analgesic, trophic, and local vasoactive effect. Indications of use of SCENAR-type devices are various diseases which course includes impairing adaptive processes. Nowadays, SCENAR-therapy is successfully used for treatment of trophic ulcers, diseases of peripheral nervous system, neuroses, ischemic heart disease, inflammatory-dystrophic processes with different localization, vegetative dystonia etc. There are some works which evidence about possibility SCENAR-therapy to be applied for erosive-ulcerous areas of gastroduodenal area, including ulcer [67, 68].

Physiotherapy of patients with ulcer has a number of characteristics which should be particularly discussed. Previously, use of physical factors was regarded as undesirable for acute phases of ulcerous relapse, but nowadays, the wide range of physiotherapeutic methods enable their use in any phase of ulcerous relapse and during the periods of remission, and some of them can be used at complications. However, the postulate of personal approach when physical factors are selected remains as firm as before, and the stage, the phase of the disease’s course, its severity, comorbidity and complications must be taken under consideration [1, 23]. Generally, the choice of physiotherapeutic method depends on the disease’s stage, and in much less extent – on ulcerous localization.

In acute phase of relapse, alternating modulated current and diadynamic currents and ultrasound therapy are successfully used, taking under consideration the pain and dyspeptic syndrome which have to be quickly eliminated [26]. Methods of laser therapy, low-frequency alternating magnetic field and UHF-therapy proved to be universal in respect of their use in any phase of the disease. In subacute phase, various opportunities of physiotherapy enable the regulation of activating and inhibiting processes of central nervous system; enforce anti-inflammatory effect with the contribution of local and segmentary impact; have a good effect on gastric secretory and motility functions and stimulate processes of reparation.

The list of physiotherapeutic methods can be enlarged, adding to it MW-therapy, neurotropic therapy and puncture physiotherapy. For periods of remission, methods of balneotherapy and sanatorium therapy [20, 23]. The matter of physiotherapeutic impact on patients with different ulcerous localization, is also worth discussing.

Recognizing nosological unity of gastric ulcer and duodenal ulcer, majority of researchers agree that it is reasonable to distinguish at lest 2 clinical pathogenic forms of ulcer: pyloroduodenal and mediogastric. The reason of this approach lies in the significant differences of clinical pictures, the character of motor, evacuative and secretoty dysfunctions of gaster and duodenum, the character of vegetative and psycho-emotional dysfunctions, and some particular mechanisms of ulcerogenesis [1, 17]. A range of researches shows that pathogenetic importance of signified factors of aggression and protection of gastric mucus membrane is not the same for different ulcerous localizations. On local level, in case of pyloroduodenal ulcers, aggressive factors play an important part, but in case of mediogastric ulcers – weakening of protective mechanisms, and first of all – the whole mucous bicarbonate barrier, local immune disbalance, microcirculatory deficiency, regenerative dysfunction etc. [39, 63, 69].

Differences between the two main clinical pathogenetic forms of ulcer also refer to functional condition of the main parts of vegetative nervous system. At pyloroduodenal ulcer, tonus of parasympathetic part of vegetative nervous system prevail, gastric motor activity increases, accelerated and arrhythmic evacuation of acidic gastric contents to duodenum is noticed [1]. At ulcer with mediogastric localization, sympathicotonia prevail; gastric tonus and motor activity are generally decreased, and evacuation is often retarded. Apart form this, deficiency of the closing function of pylorus is noticed, which creates conditions for duodenogastric reflux [1].

These clinical pathogenetic characteristics must be taken under consideration when prescribing different kinds of physiotherapy. It is a commonly known fact that anti-secretory medicines have much larger therapeutic effect on ulcers with duodenal localization than ulcers with gastric localization. Patients with duodenal ulcer are more sensitive to therapeutic factors with neuroregulatory effect [16]. Treatment of mediogastric ulcers is much more efficient when protective functions of gastric mucous membrane are enforced [12, 18, 69].

Undoubtedly, ulcerous localization must be taken under consideration when selecting physiotherapeutic methods. For duodenal ulcerous localization, it is appropriate to use physical factors having impact on integral mechanisms of adaptive regulation and self-regulation, controlling organism’s visceral functions – UHF-therapy, methods of neurotropic physiotherapy, puncture methods of therapy (UHF, magnetopuncture, laser puncture). For mediagastric ulcers, it is more preferable to use methods having impact mostly on local factors of ulcerogenesis, reinforcing protective characteristics of gastric mucous system, and eliminating gastroduodenal dysmotility. For these cases, laser therapy, low-frequency magnetic field, low-frequency ultrasound, microwave therapy (ultra microwave), combined methods of treatment are recommended. This classification is conditional, and the choice of the physiotherapeutic factor should be personalized taking under consideration the clinical situation, the character of complications etc. There should be oncologic circumspection about ulcers with gastric localization for patients aged 40-50 and older, especially for refractory to treatment, big-sized ulcers.

Biorhytmologic approach proved to be effective as a physiotherapeutic procedure for patients with ulcer. A promising direction is the research of chronobiological mechanisms and optimization of parameters of physiotherapeutic effect [58].

To end up this review of publications, we should notice that the possibilities of physiotherapeutic treatment of patients with ulcer are far from being exhausted. A guarantee for achieving optimal effect from therapeutic activities is the combined use of physical factors and pharmaceutical therapy, which will have a harmonic effect on various pathogenetic mechanisms of ulcerogenesis.

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Published in: Reflexotherapy – 2003. No. 4 (7) – pp. 41-45.

Authors: Tarakanov A.V., Grinberg I.Z., Milyutina N.P.
Department of emergency medical aid at the State Medical University – Rostov-on-Don, department of clinical tests ZAO “OKB RITM” (Taganrog), department of biochemistry and microbiology at State University – Rostov-on-Don.

Title: Universal mechanisms of SCENAR-effect in oxidative stress

Key words: SCENAR therapy, free-radical oxidation, early postinfarction angina, insomnia.

Annotation: The effectiveness of SCENAR is shown in comparison with complex therapy of postinfarction angina after small-focal myocardial infarction and monotherapy of chronic insomnia in emergency aid doctors. The sanogenetic effects achieved in both cases are conditioned by antiradical effect of SCENAR-therapy (limiting generation of active forms of oxygen). The anti-radical effect of SCENAR-therapy is universal for various pathological processes.



A.V.Tarakanov, A.V.Ilyin, L.H.Musiyeva
Rostov-on-Don, Russia

Follow-up study included 24 patients after Q-wave acute myocardial infarction (AMI) without thrombolysis. All the patients were admitted from the emergency care hospital to the cardiological center 3-4 weeks after the infarction for follow-up care, rehabilitation and decision on further surgery. Patients were diagnosed with early postinfarction angina as they had typical angina episodes that were effectively managed by nitroglycerin, and certain ECG changes.

Random sampling divided the patients into 2 groups. The patients had 2-3 angina episodes a day. In gender and age the groups didn’t differ statistically. Patients from the Group 1 received standard treatment that included aspirin, clopidogrel, beta 2-adrenoreceptors, ACE inhibitors, nitrates and statins, and lasted 3 weeks. Patients from Group 2 besides the standard treatment also received SCENAR-therapy. SCENAR course included 8-9 sessions administered every other day. Treatment techniques: alternation every second session in the IDM – ‘3 pathways, 6 points’, ‘collar zone’, ‘forehead, adrenal glands’. At the end of each session stimulation in the SDM of the area with the complaints or heart projection. We also analyzed the indices of the oxidative stress in the blood plasma before and after the treatment course.

Results of study and therapy are given in the Table 1. They show that adding SCENAR into the treatment greatly decreases the amount of angina episodes a day, and after the treatment 82% of patients are discharged from the cardiological center with no angina episodes at all, while in the control group the amount is 31%.

The dosage of nitroglycerin on discharge greatly decreases, if compared with the dosage when the treatment started and in the control group. Main hemodynamic parameters greatly decreased, if compared with the parameters at the beginning of the treatment, but didn’t differ in the Group 1 and 2 on discharge. Only ‘double product’, which demonstrates oxygen consumption of heart, was significantly lower in the patients that received SCENAR therapy.

Table 1
Main hemodynamic parameters and some clinical data of patients with early postinfarction angina depending on the treatment administered (?±m)


Note: ?1 – significance of differences in Group 1 after the treatment, ?2 – significance of differences in Group 2 after the treatment, ?3 – significance of differences between Group 1 and 2 after the treatment; * – ?<0,01 – significance of differences between Group 2 and 1 after the treatment (Mann Whitney test). In brackets – parameter change in percent relative to its group before the treatment.

Table 2 shows intensity of LPO of blood plasma, activity of catalase and ceruloplasmin in patients with early postinfarction angina depending on the treatment administered.

Table 2
Intensity of LPO of blood plasma, activity of catalase and ceruloplasmin in patients with early postinfarction angina depending on the treatment administered (?±m)

In brackets – parameter change in percentage relative to its group before the treatment.
Note: ?1 – significance of differences between Group 1 before treatment and healthy people, ?2 – significance of differences between Group 1 after treatment and healthy people, ?3 – significance of differences in Group 1 before and after the treatment;
?4 – significance of differences between Group 2 before treatment and healthy people, ?5 – significance of differences between Group 2 after treatment and healthy people, ?6 – significance of differences in Group 2 before and after the treatment
?7 – significance of differences between Group 2 and 1 after the treatment;
In brackets – index change in percent relative to the healthy group.

Table 2 shows that at the beginning of the treatment blood parameters of patients from both groups manifest significant oxidative stress shown by the increase of CD, MDA and SB. On discharge patients from the control group had subsequent increase of CD and MDA indices, while in the SCENAR-group no such increase observed. Extremely high level of SB in the Group 2 at the beginning of the therapy on discharge was equal to the indices of healthy people.

Analysis of catalase and ceruloplasmin activity in patients from Group 1 shows that after the treatment manifestations of oxidative stress were not arrested. That signs constantly high level of catalase activity and great increase of ceruloplasmin activity. No such manifestations observed in patients from the SCENAR-group.

The obtained results show that some patients after Q-wave acute myocardial infarction admitted to the cardiological center 3-4 weeks after the infarction were diagnosed with early postinfarction angina with different amount of pain episodes a day and manifestations of oxidative stress in the blood plasma. Standard therapy is ineffective in managing oxidative stress and less effective by clinical parameters, while complemented SCENAR treatment gives positive results.



Influence of SCENAR-therapy on the GABA content, antioxidant and epileptic activities

Published: European Neuropsychopharmacology, Volume 12, Supplement 3, October 2002, Page 426

Authors: M. Maklesova I , A. Kucherenko 1 , M. Vakulenko 1 , I. Grinberg 2.1Rostov State University, Institute of Biology, Rostov-on-Don, Russian Federation; 2 OKB Ritm, Taganrog, Russian Federation

SCENAR (Self Controlled EnergoNeuroAdaptive Regulator) is the name of the new apparatus and the method of electroacupuncture. In U.K. its name is “cosmed”. SCENAR influence the patient skin areas by the impulse electrical current and is an electrical treatment method. At first time the main aim of the SCENAR use is the increasing of pain. It is using for all kind of neurological patients now. So, the aim of our study was to investigate the effect SCENAR on the epileptic and antioxidant activities, and also GABA content. The antioxidant system activity was included the content of thyobarbituric acid-active products, the SOD and catalase activities, the level of middle mass molecules.

The experimental results were statistically processed with the Wilcoxon criterions T for dependent and U for nondependent samples and Spirmen correlation coefficient. As know, oxygen has toxic effect to organism, especially to neural system, therefore we used the high oxygen pressure as paroxysm-inducing factor.

It was founded that the GABA content in the rat brain decrease under hyperoxya on the 57 % (p<0,001) for control, which is associated with epileptic activity (26+2 min). It was shown that under hyperoxya free radical production high increase and antioxydant system activity decrease, synchronously. The SCENAR treatment modulated the GABA concentrations in the brain under hyperoxya: the GABA content was higher on 33 % (p<0, 001) on the group “SCENAR+O2” when in the group “02”. The SCENAR treatment induces normalisation of the antioxydant system activity.

Also we observed the SCENAR effect on the epileptic patient (11 man), which had paracsismal activity on EEG after psychoemotional trauma. The arahnoiditic with very wide ventricles found out on the brain tomogramma. After SCENAR treatment in this patient we identified the normal EEG and tomogrammes. The paroxysm was absent. Thus, SCENAR may act in the hyperoxya as the defence. Accordion our results we can recommend to use SCENAR for treatment of epileptic patients. It is important to say that the SCENAR apparatus can to be use at home by patient.


I.E. Shvanke, A.V. Tarakanov


The problem of increasing the effectiveness of treating patients with pulmonary pathology makes it necessary to search and introduce new methods into the process of treatment. Unfavorable environmental factors’ negative influence upon the state of immune-protecting body functions caused the increase of specific gravity of acute generalized and destructive forms of inflammatory process in the lungs. Using SCENAR therapy extends the opportunities of non-drug therapy without any side effects, improves the results of rehabilitation procedures by the combined treatment.
We supervised 20 people (33-80 years old) with broncho-pulmonary pathology in the emergency hospital 2 of Rostov-on-Don. The patients were arranged into 3 groups:
1) group – acute bacterial pneumonia – 15 people;
2) group – pneumonia and pleuririts caused by direct chest injury with costal skeleton failure – 3 people;
3) group – hypostatic pneumonia connected with pulmonary blood supply failure – 2 people.
Treatment dynamics of 10 patients was evaluated according to Nakatani’s method with ‘RISTA-EPDm’ device. The treatment was conducted in a maximum short time-period on the acute and subacute stages of a disease. The aim of treatment was reaching a faster resorption of inflammatory process, decreasing intoxication, liquidating residual changes, improving external respiration function. The influence was done in the constant and individually dosed rates taking into consideration small asymmetry indications, daily or once in two days. The amount of sessions varied from 5 to 10. The method of complex hardware-controlled influence was chosen individually, depending on concomitant diseases and peculiarities of pathologic process. The influence was done over the following zones:
1 – the projection of inflammation focus on the chest in the intercostal space;
2 – paravertebral zones on the left and on the right, TR4-TR8 level;
3 – overarms regions (Krenig’s areas).
We influenced the nose, projection of nasal sinuses, liver, kidneys, and lungs’ meridian. The patients received standard treatment combined with SCENAR therapy.
Analyzing clinical observation, laboratory examinations and radiographic data while using SCENAR let us state the following:
1. SCENAR accelerates resorption of infiltrative changes in the blood, improvement of drainage capacity of the bronchus, provides analgetic effect. There is also rapid intoxication decrease and decrease of toxic allergic reactions.
2. According to radiographic data, residual changes in the lungs are less expressed in the inflammation zones even with destruction, which speaks of more complete restoration of morphological structures in the tissues.
3. Control diagnostics on ‘RISTA-EPDm’ complex revealed the increase of vegetative body system’s activity, the increase of medium lung and heart meridians’ conductance, balance of liver, kidneys, stomach, and gallbladder meridians if compared to the initial data. The intensity of canals’ asymmetry slightly decreased. In some cases the ‘tension’ along the meridians of liver, kidneys, and gallbladder was preserved, which testifies to the fact, that disintoxication and excretory processes in the patients’ body were activated.
4. In some cases of treatment there were clinical and laboratory indications of intensified inflammatory process. But these indications disappeared rapidly, and there was fast involution in the zone of inflammatory process.

Biocontrollable electrostimulation in clinics of nervous diseases

Publication:    Likarska Sprava 2002;(7):68-70, Kiev, Ukraine

Author:                S. A. Lishnevski

Department of reflexotherapy (head of department – Prof. E. L. Macheret), Medical Institute of Kiev

Article name:      Biocontrollable electrostimulation in clinics of nervous diseases

Bio-controllable electrostimulation is a method of non-pharmaceutical treatment of various diseases and functional disorders of the human body. The method was developed about 20 years ago in the town of Taganrog by Development Bureau MIDAS (now Development Bureau “RITM OKB”). The appliances which later were called “adaptive neurocontrols” were developed there. Unlike the existing methods of electrotherapy, these appliances were not limited by blind unilateral impact, and the signal’s form was similar to the structure of the nervous impulse, and a “biological feed-back” was produced according to parameters of dynamic electrodermal impedance. The appliance followed the organism’s reaction and respectively transformed its impact in order to achieve best therapeutic effect [5].

The appliances of adaptive neurocontrol were later called “SCENAR”. SCENAR is the name of a therapeutic method and the name of the appliance that performs this treatment, and this abbreviation stands for “self-controlled energy neuro-adaptive regulator”. SCENAR can be classified as an appliance with physical factor of impact, such as electrostimulation, electrosleep therapy, interferential therapy, therapy with sinusoidal modulated current, fluctuorization, impulsive electropuncture [3,4].

General reflectory (generalized) reactions, segmental and local (regional) reactions take part in forming the therapeutic effect of the method. The general reflectory reactions occur as a result of the impact of ascendant impulsive flows onto cortico-subcortical structures (cortex, thalamus, hypothalamus, reticular formation, hypophyse, limbic system) and further formation of a general response, which is realized through neuro-humoral system.

The segmental reaction occurs in meta-measures responding to the locations of the impact. Afferent impulse from sensitive nervous fibers through internuncial neurones activates neurones of lateral and frontal horns of the spinal cord with subsequent formation of effectory impulsive flows, which spread towards vegetative ganglions and organs of the respective segment of the spinal cord.

The local reactions are connected with changes in the area of transformation of the local vascular control and endogenous regulators of the immunity response and inflammation. The regulative effect on the microcirculatory is performed by contraction of the isolated smooth muscular tissue, changes of arterioles’ tonus, the diameter of capillaries and venules. The local effects are performed using biologically active substances (kinines, prostaglandins, cytokines) and mediators (acetylcholine and histamine). As the result of the filtration through endothelium they move to interstice and accumulate superficial dermal layers and various tissues. Further biochemical reactions cause decrease of secretion from cells, which were mediators of inflammation, inhibit development of inflammation process, using macrophages inhibit synthesis of components belonging to the complementary system, transform the metabolism and trophism of tissues, have a local effect on free nerve-endings located in the area of their release [1,2].

Due to biological feedback available in the appliance each subsequent impact differs from the previous one and the body almost does not need to adapt to SCENAR–therapy and decrease of orientating reflex, reflectory humoral response is performed. Non-damaging, very short and simultaneously extremely powerful impact from the point of view of activating nervous tissues, activates all the structures of the organism because it is strong enough to activate nervous tissues of the central and vegetative nervous systems. The appliance generates electric impulses, which have similar characteristics to the impulses of human nervous system, which are used to impact patients’ skin and then follow the reaction of the organism to its own impact and transforms it so that the highest adaptive reaction of the body is caused and the best therapeutic effect is achieved.  SCENAR can normalize damaged functions of different organs and systems, compensate organic transformations as well as improve organisms’ resistance. SCENAR is a multifunctional regulator of organism’s functions, which allows SCENAR-therapy to be used for wide range of diseases.

Use of SCENAR is recommended at any stage of the diseases, at pathologically transformed functions of the organism and damages of the adaptive processes of the nervous system. Bio-controllable electro-stimulation using SCENAR appliances is recommended for musculoskeletal diseases and locomotor system (myositis, radiculitis, neurite, osteohondrosis, arthritis, arthrosis), vascular diseases of the brain (discirculatory, encephalopathy, consequences of acute dysfunctions of cerebral circulation). Positive results of achieved after therapy of vegetative vascular distonia. Among the contraindications of SCENAR-therapy are: individual intolerance, implanted pace-maker in patient’s heart (theoretically SCENAR break its normal functioning) can it is possible, alcohol intoxication (risk of worsening the extent of intoxication); acute infections of vague etiology; symptom complex of surgical abdomen at pre-hospital stage; acute psychiatric diseases. The main advantages of SCENAR-therapy compared with other methods of therapy are the biological feedback; the organism does not need to adapt to the impact; the appliance is user friendly; reduced number of contraindications; lack of negative side effects.

We have used SCENAR in our hospital for 2 years. 187 patients with steady painful syndrome of lumbosacral spine were treated. Before the start and in process of treatment a complex of electropuncture diagnostics was performed to make the control of the therapy objective (diagnostics using methods of FOLL, Nakatani and auricular diagnostics). A complex of electropuncture diagnostics “Rista – EPD” was used to examine the patients. After three courses of SCENAR-therapy the values of electropuncture diagnostics stabilized and a steady positive effect was noticed. Our observations show that SCENAR-therapy is efficient in complex treatment with other methods of non-pharmaceutical treatment such as laser therapy, traditional acupuncture, and homeopathy in order to achieve a faster and stronger effect.

SCENAR in Physiotherapeutic Practice

SCENAR in Physiotherapeutic Practice

Publication: Collection of Articles “SCENAR-Therapy and SCENAR-Expertise”. Issue 7, 2001. p. 84-87.
Authors: L.M. Alabyeva, N.R. Alabyev

It is difficult to agree with the affirmation “Scenar treats everything”. The 30-years doctor’s experience, 17 years?in physiotherapy, 15?in reflexotherapy and 7?in laser-therapy resists it. But, the dissatisfaction with the results of the previous work, and sometimes the unfoundedness of methods used in the treatment, made to address to Scenar-THERAPY.

The report for nine months of work made in regional rehabilitation center (RRC) of children suffered from mental retardation is given below.

Scenar application was combined with mineral baths, mineral water drinking, therapeutic physical training, massage, acupuncture and laser-puncture, sometimes?with other physiotreatment.

213 children have been treated since January till September, 2000.

Quantity of children treated by:
Scenar-therapy ?156?73,2 %
Laser-puncture (LP) ?46?21,5 %
Acupuncture ?9?4,2 %
Combination: Scenar+LP ?6?2,9 %
Acupuncture + laser ?5?2,4 %

Almost all the children in RRC were treated by medical blanket OLM-01.

SCENAR-therapy was used when treating the patients suffering from: diabetes mellitus?18, infantile cerebral paralysis – 52, scoliosis – 15, encephalopathy of various genesis-24, oligophrenia-4, plexitis-5, Erba’s myopathy-5, enuresis-3, epilepsy–4 children.

SCENAR was also applied when treating the acute pathologies: myopia, ichthyosis, neurodermitis, bronchial asthma, vasomotor rhinitis, hypophysial nanism, kidney pathology and other diseases.

The combinations were made when treating the pathology of respiratory system (Scenar + laser-puncture), the bronchial asthma (Scenar+acupuncture), the bronchial asthma and the ulcer of stomach and duodenum (acupuncture + laser-puncture).

The asthmatic states were cut off in 100 % of cases when Scenar and acupuncture were used. The broncholiths and the inhalers were also gradually cancelled.

The rales stopped at bronchial asthma in 100 % of cases when the combined treatment of Scenar and laser-puncture was used. It was possible to refuse the inhalers. Children?invalids, especially with perinatal damages, had the signs of the combined pathology when the usual physiotherapy, acupuncture, laser—puncture didn’t get the desirable results even against a background of balneotherapy. Especially, it was manifested when treating scoliosis, infantile cerebral paralysis, encephalopaties, delay of psycho-emotional and speech development. The somatic status was considerably improved, the mood was better, the painful syndrome disappeared, the sleep, appetite were good;the excitability was reduced during the treatment and after course of SCENAR-Therapy (9-10 sessions combined with Olm-01 and balneotherapy).

The difficulty to find contact with children – invalids in the beginning of treatment was marked. They have already got accustomed, have reconciled to the condition and it was usual for them. The first procedures were carried out by the general techniques according to disease, not asking them and not finding out the complaints if they did not show them themselves. Then, by the 3rd –5th procedure, carefully, casually, we made the dynamics of state more exact, asked children to describe themselves what had happened to them, what they had and changed, by their opinion. Children began to write diaries (who could) in the arbitrary form. Sometimes they wrote only: “I feel better”. We succeeded to make the revelation for ourselves: children feel the problems and take them hard. When the problems began to recede, they noticed it and were very happy. The “union of three” working for recovery?Scenar – ill child–doctor appeared by the subsequent sessions. Unostentatiously, we found out any trivialities about the state changing, we discussed it together and the child was glad to see the hope for the best.

The muscular tone was improved, children marked the forces increasing, vivacity, appetite amelioration, disappearance of dyspeptic phenomena were marked when treateing Erba’s myopathy. There are some examples:

Kate-15 years old. Diagnosis: Erba’s myopaty, syndrome of intestinal suction disorder (“short intestine syndrome”), disbacteriosis. Combined gastritis, dyskinesia of biliary?deduced tract, hypotrophy of 3rd stage. Functional cardiopathy, thoracic-lumbar scoliosis of 1-2 degrees.

Complaints of fast fatigue, weakness, weariness in legs, hands, diarrhea after food taking, bad appetite.

After treatment–no diarrhea( eat all norm of food and even ask the additive), appetite was normal. She began to go for long walks ( about 1 hour )with children (before she stayed in the building), to disco till 1a.m (before she was only sitting). The vivacity appeared, the backbone began to straighten, she gained weight for 2 kg.

Kate-16 years. Diagnosis: S-shaped scoliosis of 4th degree, idiopathic, flat foot, vegetodystonia of hypertonic type.

After treatment: the state of health was considerably improved, the tone of back, legs, hands and stomach muscles was increased, gait was leveled, bearing was right, backbone became more straight, costal hump was less, waistline became clearly appreciable, body form became equal, thorax deformation disappeared.

We could mark the improvement after treatment. The girl herself described the treatment effect after having 2 Scenar-THERAPY courses (6 months later).

Patients with acute pathology were also treated in RRC.

The man born in 1952. Diagnosis: compression fracture of L4-5, 02.03.2000. Concomitant diagnosis: widespread osteochondrosis with primary affection of LS area with right-side lumboischalgia.
Scenar-THERAPY was used 3 weeks after trauma of 22.03.2000 because of not cut off analgesics, blockades of pain syndrome and pelvis disorders : he did not feel when the bladder was full, got the bladder emptied by means of catheter 3 times per day during 3 weeks.

The patient could turn in bed without assistance, but not completely (the wife and the son did it before hardly) after the first session. He could urinate himself after 2 sessions and by the 8th procedure he began to turn in bed without assistance and to lie down on the stomach. One week later, 5 sessions were carried out. The patient was able to stand up, go around the ward and along the corridor with the subsequent discharge.

The patient thought about suicide before Scenar usage.

A 64 years woman. Diagnosis: fracture of D9 and L5, 28.02.2000. Concomitant diagnosis: widespread osteochondrosis with primary affection of LS area, stone in the right kidney.

Scenar was used during the first hours after the trauma. The pain syndrome was cut off after the first session. The renal colic was removed for one session, right-side lumboischalgia was also cut off by Scenar-PROCEDURES.

In the maternity home, by the second day after labor, the child (diagnosis: trauma of the spine cervical area, right lung was not spreaded, congenital inguinoscrotal hernia)was treated.

Next day, after the first procedure of Scenar-THERAPY, the right lung was spreaded , the cyanosis disappeared, the breath was improved, the size of hernia decreased. The child had breast feeding after 3 procedures. 6 procedures of Scenar-THERAPY were taken in total.

Three months later, the repeated course of Scenar-THERAPY was carried out. By that time, the child was examined in the diagnostic centre in Chita where the diagnosis was confirmed:perinatal affection of CNS, traumatic damage of spine cervical area with C2 sublixation, right-side inguinoscrotal hernia.
The child couldn’t hold up his head, was indifferent, seemed to suffer from mental retardation. He began to hold up his head, to turn it, to babble, observe the subjects (from words of mum) after having Scenar-THERAPY course.
Scenar-THERAPY with very good results was used when treating the patients suffering from osteochondrosis, traumas, acute inflammatory processes.

Our experience shows that Scenar should be in each medical establishment of practical public health services, in each maternity home and then we, maybe, shall not see the suffering eyes of children?invalids of the childhood, and rehabilitation of our population will be more valuable.

In summary, we express gratitude to director of RRC -Kurnyshevu A.M. and the chairman of Committee of social security of the Chita region?Roar G.V., which support has allowed to introduce Scenar-THERAPY in medical practice.

Experience of Using SCENAR-therapy in Treating Some Pain Syndromes

Experience of Using SCENAR-therapy in Treating Some Pain Syndromes

Publication: Collection of Articles “SCENAR-Therapy and SCENAR-Expertise”. Issue 5, 1999. p. 48-51.
Authors: T.A. Volyanik

Translated from Russian to English Language by Kate Zhilina
May 2006, Petrovskaya 99, Taganrog 347900, https://scenar.com.ru

SCENAR is an effective device for the treatment of many diseases. This effectiveness is provided by the main specificity of SCENAR action.
1. High-amplitude (but non-damaging) action;
2. Absence (substantial diminishing) of the process of adaptation. Due to return biological connection, each impulse is different from the previous. As a result, SCENAR action activates considerable amounts of neuro-fibres, including thin C-fibres, which makes this treatment different from other types of electrotherapy [1,2].

Chemical intermediates (neuro-mediators) in these fibres are made from numerous groups of neuro-peptides, which, when combined with other humor factors, provide any possible biologic function.

The anti-pain effect from SCENAR comes about because of stimulation of the production of not only endorphins, but also other neuro-peptides (neuro-tensine, cholecysto-kinin, etc.) which regulate nociceptive and anti-nociceptive endogenous systems [3,4].

Anti-pain effects from SCENAR action was used for treating patients with neuralgia of the trigeminal nerve (NTN) and with Herpes Zoster.

During 1,5 years 6 patients with NTN were treated, 5 men and one women, aged 48 -70. Duration of the disease was from 1,5 -5 years. SCENAR action was applied on the point of outlet of branches of the trigeminal nerve, segmental pain, and collar zones in continuous mode, with the frequency of impulses from 50 -70Hz. Most of the patients had their sessions daily.

After 10 sessions one patient had a full remission, without taking finlipsine, for 6 months, another had a remission on the background of low dosages of finlipsine. One patient did not have a complete remission. For two patients the treatment was not effective (one of them received only 5 sessions). There were no neuralgic foci symptoms on examination of the patients. Two patients had CT of the brain (normal according to their age).

For understanding the results of SCENAR therapy we should consider the idea of etiological pathogenesis of NTN.

It is established that NTN appears, due to a neuro-vascular conflict [5,6] between the artery and root of the trigeminal nerve (NTN), which is pulled over the pulsing artery. The pulsating beat of the artery, from the force of its action, has a nociceptive effect on the nerve. With age, nociceptive influence increases due to progression of atheroscleriosis, which leads to an increase of density of the vessel and physiological age de-myelinezation of the fibres of the peripheral nerves. By this we can explain why mainly old people suffer with NTN [7]. When a quantity of the non-myelin fibres become predominate, the activity of the second neurone will increase, which in turn transfers pain impulses further along the chain of the neurones to the brain cortex, and then severe suffering from NTN emerges.

To SCENAR therapists, we would like to point out, that in some cases, neuro-vascular conflict is due to a tumour in the area of pons-cerebellum angle or aneurysm, which has been subjected to operative treatment, especially in cancerous tumours. Considering that the effect from SCENAR therapy on NTN is temporal, all patients must be examined by a neurologist and if necessary by CT, in order to diagnose early the cancerous processes and to have timely treatment.
There were 13 patients with Herpes Zoster in the second group. In all cases, SCENAR therapy was conducted on the pain zones, rash zones and symmetric areas of the skin on the opposite side, in order to give a reflective influence on the pathologic focus. Time of the action was 10-15 minutes before pain disappeared. Most of the patients had the session’s daily, some of them two times a day.

There were 12 patients with an acute stage of Herpes Zoster, – 5 males, 7 females – aged from 31 to 70 years. 5 patients had herpes rash at the zone of enervation of the trigeminal nerve, 5 on the level of thoracic segments, 2 on the level of lumbar segments. 8 out of 12 were using limited drug therapy. Analgesic effect was observed straight away after the first SCENAR action and lasted for 5 -8 hours; the pain then resumed, but was less acute. After 3 -5 sessions, 8 patients experienced a complete cessation of pain, while the others had considerable improvement. Catamnesis are known for 8 patients from 3 months to 1,5 years – the pain syndrome did not resume.

Four women of ages 68 to 82 had treatment concerning post herpes neuralgia, which lasted from 1 to 2 years. Three patients suffered with pain at the level of thoracic segments. For this period of time, different types of physiotherapy were used without a considerable effect. After 10 sessions of SCENAR therapy, the pain had stopped completely and for 1-1,5 years did not resume.

One patient aged 82 suffered with acute and frequent pain around the chest at the level of thoracic segments for 1,5 years. During this period she received a few courses of IRT, different type of physiotherapy, and one course of roentgenotherapy, without any effect. The patient was given 3 courses of SCENAR therapy in combination with IRT for 10-16 sessions a course with a break for 3-4 weeks. To clarify the location of zones for the treatment, the reflexo-diagnostic set “RISTA -EPD” was used. The effect from the treatment was quick, mainly during the therapy. Catamnesis – pain was still there, but not as intensive.

Generally speaking, SCENAR therapy provides, in the majority of cases, a quick, positive effect in the treatment of Herpes Zoster, especially in the acute stages. The therapy allows a considerable reduction in the intake of medicines, increases the defensive characteristics of the body and also helps the patients to get rid of pain in situations when other ways of treatment are less effective.