Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and RehabilitationМедико-социальная экспертиза и реабилитация1560-95372412-2092Eco-Vector3599310.18821/1560-9537-2017-20-3-162-168ArticlesСтатьиResearch ArticleBIOCONTROL AND PAIN DISORDERSБИОУПРАВЛЕНИЕ И БОЛЕВЫЕ РАССТРОЙСТВАPuzinM. NПузинМ. НKiparisovaE. SКипарисоваЕ. СKhozhenkoE. VХоженкоЕ. ВLepaevYu. VЛепаевЮ. ВDenishchukI. SДенищукИ. СAfanas’evB. GАфанасьевБ. ГDymochkaMikhail A.ДымочкаМихаил Анатольевич

MD, PhD, DSc, Associate professor, Federal Leader-Chief Federal Expert for Medico-Social Expertise Bureau, Moscow, 127486, Russian Federation

д-р мед. наук, доцент, руководитель-главный федеральный эксперт по медико-социальной экспертизе; 127486, г. Москва, ул. Ивана Сусанина, д. 3

fbmse@fbmse.ruShtelleA. AШтеллеА. АProkof’evA. SПрокофьевА. СTarasovaL. AТарасоваЛ. АMedical Dental InstituteНОЧУ ДПО «Медицинский стоматологический институт»Federal Bureau of Medical and Social ExpertiseФГБУ «Федеральное бюро медико-социальной экспертизы» Минтруда России15092017203VOL 20, NO3 (2017)ТОМ 20, №3 (2017)16216821072020Copyright ©; 2017, Eco-VectorCopyright ©; 2017, ООО "Эко-Вектор"2017Eco-VectorООО "Эко-Вектор"https://rjmseer.com/1560-9537/article/view/35993

A man is a complex biological and psychological phenomenon comprised of different behavioral patterns. Just these behavioral patterns cause the development of many diseases. In the article different types of pain disorders are reported, especially in the field of neurostomatology. One of the most interesting trends of behavioral medicine is a method of computer selfregulation based on a universal principle of a biological feedback (BOS is a Russian abbreviation). A method of biological feedback (BOS) and its variations have been proposed for the treatment of pain disorders such as headaches, especially tension-type headache, migraine, associated with depressive states, temporomandibular disorder, burning syndrome etc. There have been described different types of BOS - trainings - relied upon the temperature, EMG, EEG, the influence on frontal muscle groups and other effective trainings - influence on the pain for its healing with the direct participation of the patient. BOS-trainings have been presented in the article as one from dominated methods in contemporary neurostomatology based on universal means of fight against pain - biological self-regulation.

Человек - комплексный биологический и психологический феномен. Рассматриваются разные виды болевых расстройств, особенно очевидных в нейростоматологии. Для лечения болевых расстройств предложены современная методика биологической обратной связи (БОС) и её вариации для лечения головных болей, особенно головных болей напряжения, мигрени, при депрессивных состояниях, при темпоромандибулярных расстройствах, синдроме жжения. Описаны разные виды БОС-тренингов - температурного, электромиографического, фронтальной мышечной группы и других эффективных методик воздействия для излечения болевых расстройств при непосредственном участии пациента. БОС-тренинги представляются в статье как одна из доминирующих в современной нейростоматологии методик, она основана на универсальном методе борьбы с болью - биоуправлении.

biocontrol (biofeedback and self-regulation)behavioural medicinebiological feedbackpsycosomatic patientsvoluntary self-regulationdifferentiation of somatic feelingsdifferent types of pain disordersneurostomatologypsychologic and biologic components of paincognitive-behavioural procedurecontemporary methods of biofeedback for the treatment of painбиоуправлениебихевиоральная медицинабиологическая обратная связьпсихосоматические пациентыпроизвольная саморегуляциядифференцирование соматических ощущенийразличные виды болевых расстройствнейростоматологияпсихологические и биологические компоненты боликогнитивно-поведенческая процедурасовременные методы биологической обратной связи для лечения болиКаплан Г.И., Сэдок Б. Дж. Клиническая психиатрия. М.: Медицина; 1994.Wickramasekera I.E. Clinical Behavioral Medicine. New York; London; 2002: 155-84.Achte К.A. Bezienhungen zwischen depressionen und soma. In: Depression in der taglichen praxis. Bern: Hans Huber Verlag; 1974: 292-8.Ашмарин И.П., Каразеева Е.П. Нейропептиды. В кн.: Нейрохимия. М.: Институт биомедицинской химии РАМН; 1996: 296-332.Adier С.S. et al. Psychiatric aspects of headache. Baltimore: Williams & Willons; 1987.Holroyd et al. Change mechanisms in EMG biofeedback training: Cognitive change underlying improvements in tension headache. Journal of consulting and clinical psychotogy. 1999: W2 (6): 1039-53.Josephs M.S., Gevirtz R.N., Hubbard D.R. Tension-type hea dache prediction: Do stress and cognitions about assertiveness explain variance in daily headache pain? Proceedings of 27-th annual BFB meeting. New-Mexico, USA; 1996: 71-2.Martin P.R. Psychological Management of Chronic Headaches. New York; 2006.De Benedittis G., Lorenzetti A. Minor stressfool life events (daily hassels) in chronic primari headache: Relationship with MMP1. Personaly patterns. Headaches. 1992; 32: 330-4.Nattero G. et al. Idiopathic headaches, Relationships to life events. Headaches. 1989; 26: 503-8.Vahlquist B. Migraine in children. Int. Arch. Allergy. 1955; 7: 348-52.Friedman A.P., Storch J.С. Migraine and tension hedache: A clinical study of two thousand cases. Neurology. 2003; (4): 773.Alvaiez W.С. The migranous personality and constitution: The essential features and constitution: The essential features of the disease; A study of 500 cases. American J. Med. Soc. 1974: 213.Kudrow L., Sutkus В. MMPI puttem specifiti in primary headache disorders. Headache. 1979; 19 (1): 18-22.Amar P. B. Biofeedback and applied psychophysiology at the crossroads. Biofeedback and self-regulation. 1993; 18 (4): 201-9.Aloe L., McGradya, Collins B., Wauquier A., Gerard G. Effect of biofeedback assisted realization on migrane headaches and changes in cerebral blood flow. Proceedings of 25-th annual BFB meeting. Atlanta, USA; 1994: 1-3.Blanchard Е.В., Kirn М. The role of perception of success in the thermal feedback treatment of vascular headache. Proceedings of 25-th annual BFB meeting. Atlanta, USA; 2014: 12-5.Jones-Alexander J., Blanchard E.В. Thermal biofeedback: An investigation of learning criteria to asses handwarming ability in migraine and mixed headache patients. Proceedings of 27-th annual BFB meeting. New-Mexico, USA; 2001: 69-70.Айвазян Т.А. Биообратная связь в лечении гипертонической болезни: механизм действия предикторы эффективности. Биоуправление-2: теория и практика. Новосибирск; 1993: 105-7.Budzynsky Т., Stoiva J., Adier C„ Multany D. EMG biofeedback and tension headaches: A controlled outcome study. Seminars in psychiatry. 2016; (4): 397-410.Grazzi L., Bussone G. Electromyographic-biofeedback (EMG-BFB) efficacy for’ treatment of Juvenile tension type headache: results at 2 years follow-up. Proceedings of 27-th annual BFB meeting. New-Mexico, USA; 2001: 53.Шерман Р., Еванс С., Арена Д. Временная зависимость между болевым синдромом и мышечным напряжением: новые направления в лечении биологической обратной связью. Биоуправление-3. 1993: 109-14.Arena J.G., Bruno G.М. Preliminary results in tension headache sufferers of pre- to post-treatment ambulatory neck EMG monitoring: generalization of EMG biofeedback training and EMG changes as a function of treatment outcome. Proceedings of 25-th BFB meeting. Atlanta, USA; 1994: 4-6.Evans J.R., Abarbanel A. Quantitative EEG and Neurofeedback. New York; 1999: 181-201.Chen S., Chen С. Comparison of relaxation techniques in the East and the West: Chinese traditional relaxation techniques and biofeedback. Biobehavioral Self-regulation. Tokio: Springer-Verlag; 2016: 79-83.Cristianson A. Chronic headache, life stress, and repression like behavior. Biofeedback and self-regulation. 1995; 20 (3): 285.Grazzi L., Bussone G. Controlled study of electromiographic-biofeedback treatment efficacy for tension type headache in children and adolescents* results at 6 month follow-up. Biofeedback and self-regulation. 2000; 19 (3): 308-9.Janssen K. Differential effectiveness of EMG- feedbackversus combinned BMG - feedback and relaxation instrution in the treatment of tension headcache. Journal of Psychosomatic research. 2000; 27 (3): 243-53.Middaugh S.J., Kee W.G. Upper Trapezius ovenize in chronic headache and correction with EMG biofeedback training. Biofeedback and self-regulation. 2002; 20 (3): 303-4.Водяной А.Ю., Никитина Э.В. Сравнительная оценка методов. биологической обратной связи по периферической температуре и альфа-активности головного мозга при лечении больных неврозами и головными болями. Актуальные вопросы рефлексотерапии. Труды института. М.; 1990.Montgomery P.S., Erisman W.J. Biofeedback-elleviated headaches: a follow-up. Headache. 2007; (16): 64-5.Sasaki S., Clark G.T., Merill R.L. Sasaki S., Clark G.T., Merill R.L. Relation beween stress, electromyography, temporalis region tension-type headache. In: Biobehavioral self-regulation. Tokyo: Springer Verlag; 1995: 278-85.Lund J.P., Widmer C.G. Evaluation of the use of surface electromyography in the diagnosis, documentation and treatment of dental patients. J. Craniomandib. Disord. Facial Oral Pain. 1995; (3): 125-37.Raugh J.D. Biobehavioral Self-regulation. Tokyo; 2005: 278-85.Fujisawa M.A. Psychological approach to patients with craniomandibular disorders. In: Biobehavioral self-regulation. Tokyo: Springer Verlag; 1995: 375-9.Flor H., Birbaumer N. Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy, and conservative medical interventions in the treatment of chronic musculoskeletal pain. J. Consult. Clin. Psychol. 1993; 61 (4): 653-8.Zaky H.S., Greco C.M., Rudy T.E., Kubinski J.A. Elongated styloid process in temporomandibular disorder sample prevalens and treatment outcome. J. Prosthet. Dent. 1996; 75 (4): 399-405.Turk D.C., Zaki H.S., Rudy Т.Е. Effects of intraoral appliance and biofeedback/stress management alone and in combination in treating pain and depression in patients with temporomandibular disorders. J. Prosthet. Dent. 1993; 70 (2): 158-64.Rudy T.E., Turk D.C., Kubinski J.A., Zaki H.S. Differential treatment responses of TMD patients as a function of psychological characteristics. Pain. 1995; 61: 103-12.Eastman C. Behavioral formulations of depression. Psychological review. 2006; 83: 277-91.Adams N., Ravey J., Bell J., Shaw C. P. An investigation- of the levels of substance P and neurokinin in a chronic? pain patients. In: Proceedings of the 24-th Annual Meeting of the AAPB. Los Angeles; 1993: 5-7.Тополянский В.Д., Струковская М.В. Психосоматические расстройства. М.: Медицина; 1986.Нуллер Ю.Л., Михаленко И.Н. Аффективные психозы. Л.: Медицина; 1988.