{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:53:24Z","timestamp":1782820404632,"version":"3.54.5"},"reference-count":22,"publisher":"Practical Medicine Publishing House","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prob. Balneo. Physio. Exer. Therapy"],"published-print":{"date-parts":[[2024,4,22]]},"abstract":"<jats:p>An intratissual electrical stimulation, accompanied by irritation of their central neurons, is used to recover the function of damaged peripheral nerves. Treatment results exceeded those with the use of cutaneous electrical stimulation, which is confirmed by comparative results of trial animal experiments. The time and quality of peripheral nerves\u2019 function recovery in comparison of intratissual and cutaneous electrical stimulation methods remain unknown. Objective. To evaluate the time and quality of peripheral nerves\u2019 functions recovery after their suturing and conducting two different methods of electrical stimulation, namely intratissual and cutaneous, in projection of central neurons of damaged spinal nerves in the postoperative period. Material and methods. The basic technical parameters of the method of peripheral nerves\u2019 functions recovery in the postoperative period were ptacticed. Postoperative rehabilitation treatment was performed in 77 patients with traumatic peripheral nerves\u2019 injuries at the level of the forearm: in 42 with intratissual electrical stimulation, in 35 \u2014 using cutaneous one with similar characteristics of electrical current and concomitant pharmacological therapy. The follow-up duration was 2 years. Results. A significant (in 4\u20146 times) reduction in time of treatment and a greater improvement in qualitative indicators when using intratissual electrical stimulation compared to the use of cutaneous stimulation were obtained. The effectiveness of the restorative therapy was dependent on the number of procedures, and a complete recovery of the damaged peripheral nerves\u2019 functions was observed after three courses of intratissual electrical stimulation. Conclusion. The time and degree of recovery of peripheral nerves\u2019 functions depends on the functional activity of their central neurons at the level of the spinal cord. The activation of these neurons by low-frequency electrical current allows to activate their trophic function. Thus, the cutaneous electrical stimulation does not cause the necessary level of irritation of the neurons due to the fact that the skin is a barrier to electrical current, which reduces its impact in 200\u2014500 times. The intratissual electrical stimulation allows to solve the problem by supplying the needle-electrode much closer to the \u00abtarget\u00bb. The proposed method of intratissual electrical stimulation has shown its advantage over cutaneous electrical stimulation, significantly reducing the duration of the restorative treatment and increasing its qualitative indicators.<\/jats:p>","DOI":"10.17116\/kurort202410104136","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T09:28:08Z","timestamp":1725874088000},"page":"36","source":"Crossref","is-referenced-by-count":0,"title":["Peripheral nerves\u2019 function recovery by intratissual electric stimulation"],"prefix":"10.21320","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3581-1917","authenticated-orcid":false,"given":"A.A.","family":"Gerasimov","sequence":"first","affiliation":[{"name":"Ural State Medical University","place":["Ekaterinburg, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5362-148X","authenticated-orcid":false,"given":"N.A.","family":"Burmatov","sequence":"additional","affiliation":[{"name":"Tyumen State Medical University","place":["Tyumen, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7031-2646","authenticated-orcid":false,"given":"S.A.","family":"Kopylov","sequence":"additional","affiliation":[{"name":"Omsk State Medical University","place":["Omsk, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8834","reference":[{"key":"key-10.17116\/kurort202410104136-1","unstructured":"Govenko FS, Kokin GS Dispenserisation of patients after suture of the median and ulnar nerves: Methodical recommendations. Leningrad; 1984. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-2","unstructured":"Tsimbalyuk VI, Tretiak IB, Kaddum GM Features of surgical treatment of traumatic peripheral nerve injury. Bulletin of Scientific Research. 1997;8(4-5):49-51. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-059348"},{"key":"key-10.17116\/kurort202410104136-4","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6697574"},{"key":"key-10.17116\/kurort202410104136-5","unstructured":"Gerasimov AA, Dubovik EA. Efficiency of nerve restoration after different types of surgical sutures. Fundamental and applied sciences today. 2015;2:23-26. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-6","unstructured":"Shevelev IN, Reshetin BN On the importance of intra-sternal identification for repairing nerve injuries of the upper limbs. Peripheral nervous system. 1984;4:35-39. 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Actual questions of modern pathology (Collection of scientific works). Ekaterinburg; 1995. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-13","doi-asserted-by":"publisher","DOI":"10.17116\/kurort20199604112"},{"key":"key-10.17116\/kurort202410104136-14","unstructured":"Gerasimov AA. Method of treatment of spine diseases. The USSR patent for invention \u21161103855\/11.04.84. Bulletin No. 27. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-15","unstructured":"Gerasimov AA. Method of objective diagnostics of pain syndromes. Russian journal of pain. 2013;1(36):76-77. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-16","unstructured":"Shudlo NA, Filimonova GN, Menshikova IA, Golobkova IA Effect of electrostimulation on morphometric characteristics of reinnervated muscle. Genius of Orthopaedics. 2008;3:40-43. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-17","unstructured":"Gerasimova EA, Gerasimov AA, Menshikova IA. Experimental substantiation of the use of intrathecal electrical stimulation of the spine to restore the function of peripheral nerves. Actual questions of modern diagnostics and treatment. Ekaterinburg; 2006. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-18","unstructured":"Karchikyan SI. Traumatic lesions of peripheral nerves. Leningrad: Medgiz; 1962. (In Russ.)"},{"key":"key-10.17116\/kurort202410104136-19","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2023.1162851"},{"key":"key-10.17116\/kurort202410104136-20","doi-asserted-by":"crossref","unstructured":"Buchtal F, Kuchl V. Nerve conduction, tactile sensibility and the electromyogram after suture or compression of peripheral nerve: a longitudinal study in man. J Neurol Neurosurg Psychiatry. 1979;42:436-451","DOI":"10.1136\/jnnp.42.5.436"},{"key":"key-10.17116\/kurort202410104136-21","unstructured":"Histology. Edited by Ulumbekov EG, Chelyshev YA. Moscow: GEOTAR-Media; 2002. 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