rojournalРоссийский остеопатический журналRussian Osteopathic Journal2220-09752949-3064All-Russian Public Organization «Russian Osteopathic Association» (ROsA)10.32885/2220-0975-2018-1-2-19-27rojournal-117Research ArticleСтатьиСиндром хронической усталости / миалгический энцефаломиелит: диагностика с остеопатической точки зренияChronic fatigue syndrome/myalgic encephalomyelitis: diagnosis from an osteopathic perspectiveПерринР. Н.PerrinR. N.drperrin@theperrinclinic.comУниверситет Центрального ЛанкшираРоссияUniversity of Central LancashireRussian Federation20180106201801-21927Copyright © Перрин Р.Н., 20182018Перрин Р.Н.Perrin R.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rojournal.elpub.ru/jour/article/view/117

Введение. До настоящего времени существует различный перечень симптомов CFS/ME и продолжается процесс формирования научных представлений о клинических проявлениях данного заболевания.Цель исследования - обоснование использования остеопатического подхода в диагностике синдрома хронической усталости CFS/ME.Материалы и методы. Проанализированы подходы к диагностике CFS/ME, проведена остеопатическая диагностика.Результаты. Автор описывает возможный патогенез CFS/ME, который может быть понятым, если его связать с нейролимфатическими изменениями, связанными с нарушением дренажа, что приводит к дисфункции симпатической системы. В анамнезе пациентов с CFS/ME, как правило, имеются указания на наличие травмы позвоночника или врожденных проблем развития, повреждающих череп и позвоночник. Они приводят к нарушениям симпатической нервной системы вследствие гипоталамической дисфункции, заключающимся в ухудшении функционирования лимфатической системы, которое вызывает дальнейшую центральную нейротоксичность через периваскулярные пространства. В статье представлен разработанный автором протокол остеопатических признаков, характерных для пациентов с CFS/ME, и результаты диагностики 94 человек, 52 из которых имели диагноз CFS/ME и 42 - без CFS/ME. Исследование позволило сделать вывод о том, что пред-ложенные признаки являются быстрым эффективным инструментом скрининга для CFS/ME.

Introduction. To date, there have existed different sets of symptoms of CFS/ME. Scientifi c ideas about the clinical manifestation of this disease continue to appear.Goal of research - to justify osteopathic approach in diagnostics of CFS/ME.Materials and methods. Analysis of approaches to the diagnostics of CFS/ME, osteopathic diagnostics.Results. The author describes the possible pathogenesis of CFS/ME, which may be related to the neurolymphatic changes connected with the alteration of the drainage. All of this leads to dysfunctions of the sympathetic system. Medical history of patients with CFS/ME often contains indications on spinal trauma or congenital developmental disorders of the cranium and vertebral column, which may alter the function of the lymphatic system and lead to the further central neurotoxicity through perivascular spaces. The article presents a protocol of physical signs, typical for patients with CFS/ME, and the results of diagnostics of 94 patients: 52 patients with CFS/ME and 42 non-CFS/ME controls.Conclusion. The research concluded that examining for physical signs is both quick and simple for the practitioner and may be used as an effi cient screening tool for CFS/ME.

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The authors declare that there are no conflicts of interest present.