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Prospects of intermittent pneumatic compression as a neurotropic therapy

Prospects of intermittent pneumatic compression as a neurotropic therapy

ISSN 2223-6775 Ukrainian journal of occupational health Vol.18, No 4, 2022


https://doi.org/10.33573/ujoh2022.04.297

Prospects of intermittent pneumatic compression as a neurotropic therapy

D.V. Zaitsev
Shupyk National Healthcare University of Ukraine


 Full article (PDF): ENG / UKR

Introduction. Intermittent pneumatic compression (IPC) is known as a vascular therapy. At the same time, it is obvious that the mechanical action of IPC is tropic for receptors; in addition, stimulation of blood circulation leads to increasing transport of immune and regulatory substances, which indirectly affects the functional state of the autonomic nervous system. The study of the IPC effect on the nervous system will enrich the set of non-drug means of prevention, treatment and rehabilitation in neuropsychiatric diseases.

Purpose: to characterize the effect of IPC on the functional state of the nervous system according to scientific literature.

Methods. The search was limited to 1992-2022 and was done on the GoogleScholar search engine. The search in English was carried out using the keywords: "intermittent pneumatic compression", "pressotherapy" and "receptor", "nerve", "autonomous", "cerebral", "sensor", "palsy", "stroke". The search in Ukrainian was carried out using the corresponding analogues of keywords. Additionally, selected publications cited by the found sources were analyzed.

Results and discussion.The IPC procedure causes activation of proprioception and good muscle relaxation. IPC reduces pain of various origins, accelerates the regeneration of nerve endings and improves neuromyographic parameters. During the IPC procedure, adaptive fluctuations in the balance of the autonomic nervous system are observed with the development of parasympathicotonia and a decrease in the intensity of regulatory processes. IPC may enhance recovery from exercise but does not affect athletic performance. IPC has little effect on desynchronous and meteopathic disorders. IPC has a positive effect on the long-term aftermath of combat stress. The impact of IPC on the adaptive-compensatory reactions of the nervous system requires further study. IPC increases blood flow velocity and blood oxygenation of the cerebral arteries. IPC does not prevent the onset of sensorimotor disorders due to cerebral stroke, but offers benefits in their treatment. The IPC procedure induces a sleep-like state, and the course of therapy improves the overall quality of a night's sleep. IPC may have a beneficial effect on mental activity, which requires further study.

Conclusions. The IPC can be used for secondary vascular manifestations of nerve diseases, for non-vascular nerve pathology with local hyperfunction and for secondary nervous system damage due to the processes of ischemia, intoxication, chronic inflammation or regulation disorders. The possible effects on the nervous system and psychical activity require a wider and more systematic fundamental and clinical study. Although the procedures require special equipment, it is already widespread in Ukraine and available to the patients. Adding the IPC to the complex therapy of patients with occupational diseases of a neurological profile can help reduce the period of disability, prolong remission periods and reduce disability rates.

Keywords: intermittent pneumatic compression, nervous diseases, psychoneurological disorders.

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