Transcranial micropolarization of the brain TCMP

How the method works

The essence of transcranial micropolarization is the effect of direct electric current

weak intensity (less than 1 mA) on individual brain structures. The current is comparable to the body’s own impulses, so this method is not at all aggressive and is suitable for patients even of a young age. Why is micropolarization of the brain prescribed to children? Indications and contraindications for the procedure and what is the goal of treatment?

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primary goal

— activate the working reserves of the brain and make it work more intensely and productively. The effect of current strengthens connections between nerve cells and restores normal regulation between them by purposefully changing the functional state of neurons.

With systemic (long-term) exposure, stimulation helps restore impaired or inhibited functions of the central nervous system.

There is another type of procedure, the effect of which is aimed at the spinal cord. It is called transverbetal and is aimed at restoring the motor functions of the body.

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

For what violations is the procedure prescribed?

The effectiveness of treating children with this method is very high

.
It is used for children who have behavioral disorders, motor dysfunction, and mental retardation. Treatment has a significant impact when:
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• inhibition in neuropsychic development;
• Cerebral palsy (hyperkinetic, spastic, cerebellar, mixed forms of any severity);
• dysfunction of the speech apparatus;
• epilepsy;
• hyperactivity;
• attention deficit disorder;
• psychoemotional, psychosomatic, neurotic and neurosis-like disorders;
• excessive aggressiveness in children;

• enuresis (urinary incontinence) and psychogenic encopresis (fecal incontinence);
• panic fears and depressive disorders;
• neuroinfections;
• sensorineural hearing loss;
• visual impairment (nystagmus, strabismus, amblyopia);
• traumatic brain injuries and their consequences (dizziness, vegetative status, paresis, circulatory disorders in the brain, etc.);
• tension headaches;
• asthenic syndrome;
• oligophrenia (mild or 1st degree).

This method can also be used as a preventive method, in order to stimulate the “maturation” of brain processes. In children with the above diseases, a course of stimulation normalized sleep, leveled the psycho-emotional state and eliminated the negative symptoms of hyperactivity.

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In victims of traumatic brain injuries, pain is reduced, lost functions are restored much faster and lesions are reduced.

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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.

The purpose of the study is to increase the effectiveness of medical and social rehabilitation of children with attention deficit hyperactivity disorder by supplementing the complex of rehabilitation measures with micropolarization of the brain.

Research objectives

• To develop and implement principles and methods of medical and social rehabilitation of patients with hyperactivity disorder and attention deficit disorder.
• To study the influence of transcranial micropolarization on the effectiveness of the rehabilitation process in children with hyperactivity disorder and attention deficit disorder.
• To develop criteria for the effectiveness of the rehabilitation process in children with ADHD when transcranial micropolarization is included.
• Determine the duration of the positive effect of transcranial micropolarization.
• To study the dynamics of the quality of life of patients with ADHD and their families when transcranial micropolarization is included in rehabilitation therapy.

Novelty of the research

• A complex of non-drug rehabilitation therapy for preschool children with attention deficit hyperactivity disorder has been developed.
• For the first time, transcranial micropolarization was used in preschool children with attention deficit hyperactivity disorder.
• Transcranial micropolarization has been proven to be highly effective and safe in children with ADHD.
• Criteria for the effectiveness of using transcranial micropolarization have been developed.
• An increase in the quality of life of patients and their families has been established when transcranial micropolarization is used in the rehabilitation treatment of preschool children with ADHD.

Practical significance

The introduction of transcranial micropolarization will significantly increase the effectiveness of rehabilitation measures for children with hyperactivity disorder and attention deficit disorder.

The inclusion of brain micropolarization in the complex of rehabilitation treatment helps to reduce the social maladjustment of children with ADHD and improves the quality of life of the family.

Author's personal contribution

The author personally carried out: collection of anamnesis, analysis of data obtained from neurological, somatic, speech therapy, psychological, pedagogical, social and neurophysiological examinations, development and completion of formalized cards, dynamic observation of 98 patients, analysis, interpretation of results, formulation of conclusions and practical recommendations, studied , the transcranial micropolarization technique was mastered and introduced into the practice of the rehabilitation process, statistical processing and analysis of the research results were performed.

Reliability and validity of research results

ensured by the representativeness of the sample, the vastness of the primary material, the thoroughness of its qualitative and quantitative analysis, the systematic nature of research procedures, and the use of modern methods of statistical information processing.

Approbation of work

The main provisions and scientific results of the dissertation work were reported and discussed at the final conference of the Central Federal District “Ensuring the full life of a disabled child in a family environment” (2010), and the scientific and practical conference “Strategy of Preventive Medicine” (2011). The research materials were presented at the International Scientific and Practical Conference “Theoretical and Applied Problems of Science and Education in the 21st Century” (2012).

Implementation of results in practice

The materials presented in the work have been introduced into the practice of the rehabilitation process at the “Sail of Hope” Rehabilitation Center for Children and Adolescents with Disabilities. The results of the study are used in the educational process at the Department of Propaedeutics of Childhood Diseases and Pediatrics of the State Budgetary Educational Institution of Higher Professional Education of VSMA named after. N.N. Burdenko Ministry of Health and Social Development of Russia.

Publications

Based on the dissertation materials, 7 printed works were published, including 2 articles in journals recommended by the Higher Attestation Commission.

Scope and structure of the dissertation

The dissertation is presented on 137 pages of typewritten text and consists of an introduction, a review of the literature, the object and methods of research, the results obtained, a discussion of the results obtained, conclusions, a conclusion and a list of references. The work contains 10 drawings, 9 photographs and 5 tables. The list of references includes 217 sources: 131 domestic and 86 foreign authors.

Main provisions submitted for defense

• The proposed basic complex of rehabilitation therapy for children with ADHD ensures effectiveness in a third of patients (32%).
• Transcranial micropolarization in patients with hyperactivity disorder and attention deficit disorder can increase the effectiveness of interventions up to 82%.
• Transcranial micropolarization is a pathogenetically substantiated and safe method of rehabilitation of preschool children with ADHD.
• The inclusion of transcranial micropolarization in the process of complex rehabilitation affects the improvement of the quality of life of the patient and his family.

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.

Who should not undergo treatment

Despite its safety, this therapy has a number of contraindications:

• acute inflammatory diseases (even greater stimulation of inflammation is possible);
• aggravated chronic diseases accompanied by elevated temperature;
• foreign bodies in the cranial bone;
• the presence of malignant brain tumors (can accelerate the development of cancer cells);
• cardiovascular failure and any heart pathologies;
• hypersensitivity to electric current;
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• violation of the integrity of the scalp;
• excessive pigmentation or rash at the site where the electrodes are applied;
• connective tissue diseases;
• congenital stenosis.

Severe mental or genetic diseases, mental retardation, Down syndrome and autism are not contraindications to TCM, but therapy in such cases is ineffective and not very advisable. But some experts still recommend taking a course of micropolarization for at least the slightest shift

in a positive way.

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Who is the treatment indicated for?

Experts recommend micropolarization for speech delay, autism, and epilepsy. The positive effect is manifested in the patient’s daily life. Increased interest in what is happening around, the emergence of new words, the desire to interact with other people, an emotional response to touch or treatment.

Positive reviews about the influence of micropolarization on speech development, social adaptation and behavior of children with developmental disorders allow us to note:

1. improving the child’s adaptive capabilities;
2. increased emotional background, improved mood;
3. stabilization of night sleep, facilitating the process of falling asleep;
4. improvement of short and long-term memory;
5. increasing concentration and learning ability.

Among the improvements in the physical condition of the body, an increase in visual acuity and the disappearance of problems with bedwetting have been officially recorded in some children.

Results from therapy

The effect is observed already from the first current stimulation, although the procedure is always prescribed in a course. The baby's relatives may not notice changes in the child's behavior or physiology, but they are clearly visible on the encephalogram

.
Therefore, it is recommended to undergo a brain examination to see the result confirmed by the study. The most obvious changes after the first session:
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1. Restoration of many psychological functions. The little patient is already adapting more quickly to the outside world, socialization is proceeding normally, attacks of nervousness and excessive hyperactivity are beginning to subside.

2. Increased mental activity. The child perceives new information better, and creative inclinations begin to appear.
3. Improved vision and hearing.
4. Normalization of the speech apparatus. Stuttering and burr disappear or become less intense.
5. Restoration of motor functions of the limbs.
6. Normalization of the functioning of the pelvic organs. Enuresis and uncontrolled bowel movements disappear.

In some cases, this type of therapy is superior to drug treatment. The child becomes more sociable, active, and has no causeless mood swings. Doctors offer systemic micropolarization treatment to completely restore the mental and physical functions of the baby’s body.

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.

Features of micropolarization

A physiotherapist, neurologist, psychotherapist, psychiatrist or speech therapist can refer for procedures

. The patient must first undergo a medical examination to determine possible contraindications and record the initial indicators (so that the dynamics can then be monitored).

It is often difficult for children with increased activity to sit through the entire procedure. It is necessary for the parents to explain to the child what will happen to him and why these manipulations are being carried out, why he must behave calmly and not be afraid. You can come up with some interesting game for him, where, for example, he will be an alien pilot with a bunch of wires on his head. Try it, it will help your baby spend time without getting bored!

During the session, a cap with electrodes is placed on the patient’s head, the other side of which is attached to the desired area of ​​the head. Stimulation lasts about 40-50 minutes

. At this time, it is better not to make sudden movements or move away from the device, as this may lead to a change in the position of the electrodes. Often in the offices there are computers next to the machine, on which you can watch a movie or play during the procedures.

The average course consists of 8-12 procedures

which are carried out on an outpatient basis.
Depending on the result and the general condition of the patient, it is recommended to repeat the therapy after 3-6 months for a more systematic approach and a thorough effect. [media=
https://youtu.be/I7rgJuIjdiM
?t=14s]

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)

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).

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.

Where can I get the procedure done?

The possibility of treatment depends on the availability of equipment and specially trained personnel in the clinic. There are two centers in Russia offering this service (the exact addresses can be viewed on the official websites):

Advertising:

• Moscow: Clinic of Restorative Neurology RUND;

• St. Petersburg: Research Institute of Neuropsychology named after. V.M. Bekhterev;
• Voronezh: clinic “Alternative Plus”.

For most people, treatment is expensive not only because of the cost of the procedure itself, but also because of the need to travel to another city. The lack of similar institutions in other large cities further hampers the development of this treatment method in Russia.

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.

Is it worth doing this procedure?

Does my child need this procedure? Many parents of children with developmental problems have probably asked themselves a similar question. Most are overcome by doubts, because after reading on the Internet about what micropolarization of the brain is (reviews about this procedure are extremely contradictory), they cannot decide on its effectiveness. However, many decide to carry it out simply out of despair, trying to help their baby in at least some way.

Undoubtedly, the choice should always be made in favor of the child. Considering that there are those on whom micropolarization has had the desired effect (reviews about it in such cases are the best), why not try it? This procedure does not cause any harm; it will only be a pity for the wasted time and money if it fails.

It should be remembered that each person is individual in its essence, and in one person the brain can easily respond to therapy (pictures on an MRI will indicate regression of the organic pathological area), while in another the diseased organ will not respond to the procedure. This may be due to both the individual sensitivity of neurons to the effects of impulses and the incorrect selection of charge and waves. Most often, this is the main reason for the ineffectiveness of the procedure. Even if micropolarization was carried out, reviews about it will be negative, since they did not take into account the individual characteristics of the human brain and did not carry out proper diagnostic procedures aimed at determining the minimum indications for exposure.

Now let's tell you a little about the cost of the procedure. It is not particularly high (within one thousand to one thousand two hundred rubles). Despite this, it should be remembered that the effect of one procedure is almost never visible; at least several sessions are required, which will cost a pretty penny. In addition, a mandatory consultation with a neurologist and psychiatrist is necessary to determine possible contraindications to micropolarization, which also costs a lot. However, no expense is spared for the health of your own child. The main thing is to hope that micropolarization will help. A positive attitude is very important when treating any disease.

Where is this technique used?

A similar effect on the brain can be used to treat both adults and children. For children, it is most preferable, as it allows you to achieve maximum results in the treatment of many serious diseases.

For diseases of the nervous system in a child, micropolarization of the brain is effective in improving the condition of the following problems:

• Developmental delay.
• Urinary incontinence (mainly nocturnal).
• Degenerative-dystrophic processes.

In adults, transcranial micropolarization of the brain is used for a wider range of diseases, but has a slightly less therapeutic effect than in children. The procedure allows you to eliminate the following problems as much as possible:

• Consequences of a stroke.
• Residual effects after traumatic brain injury.
• Changes in brain functioning after poisoning with anticholinergic poisons.
• Aphasia.
• Neuroses and neurosis-like conditions.

In rare cases, transcranial micropolarization of the brain can be used as a method of stimulating creativity and memory.

As soon as the procedure began to be carried out, they actively tried to use it in the treatment of childhood autism, but this did not produce any results. Autistic children did not respond to brain micropolarization (only EEG indicators changed, but there were no clinical results).