SCENAR-therapy is based on the following principles [1, 2,
3]:
1. The neuropeptides (NP) together with the classical neuromediators (NM)
and the other humor regulators ensure all compatible biological activities in norm and
pathology (the concept of functional continuum of regulative peptides). NP are
characterized by the ability to create complex regulative chains and cascades, their long
life span, their distant effects and action onto the genome activity. The following vector
represents a formal description of this concept
Õ = {õ1, õ2, ..., õn} (1),
where õi (i- from 1 to n) are its components, e.g. the quantitative values
of mediators (amines, amino acids, purine nucleitides) and regulative peptides (RP).
2.The neuro-secretive cells, obtaining dual characteristics – of a neuron
and of a endocrine cell, are scattered around the whole organism and are localized both in
the different parts of the brain and in the peripheral nervous fibers (the concept of
distribution in space). Formaly vector (1) can be defined (measured) at any point of the
organism, its components being different in the general case.
3.Any physical action on the organism, in this case electro-action, is
always a disturbance of homeostasis. The neuro-endocrine system coordinates all vital
processes in the organism, forms a functionally united mechanism and ensures the
regulation of homeostasis in case of its disturbance (the principle of reaction). There is
a hierarchy that exists among the neuro-endocrine mechanisms of regulation, which is
closely connected to the speed of development and decrease of hormonal signals and also to
the molecular mechanisms of their actions.
In case of deflection from the norm of one or another process of vital
activity, the nervous system is the first to get involved, NM are secreted (a certain part
of the components of vector 1), which by changing the activity of ion channels will cause
hyper- or de-polarisation of membranes. This regulation of cell activity, which is due to
physical processes, develops and diminishes in fractions of a second (seconds).
If the nervous system of regulation is not able to bring one or another
factor of homeostasis back to the norm, the peptide hormones will be involved, acting
through membranous receptors and the system of secondary mediators stimulating the
chemical modification of proteins. Concomitant accumulation of peptides with
stress-limiting spectrum of action is taking place. This regulation is due to chemical
processes, develops and diminishes for minutes or tens of minutes.
If the deviation from the norm reaches dangerous for the body values,
steroid and thyroid hormones will be involved, which due to the specificity of their
receptors have an influence on the gene expression. This reaction is realized in 3-6 hours
and diminishes in 6 – 12 hours after the deviation of the process from the norm. The
growth factors take an intermediate position, as their receptors are capable of
penetrating into the nucleus and leads to proliferation of the cells.
4.In order to achieve therapeutic effect, the physical action has to provide
the release of effective dose of RP at minimal damaging for the organism effect (the
principle of effective therapy). The therapeutic action is also a disturbance of
homeostasis. It leads to its deflection from the norm established at the moment in the
organism or at the region of action. Accumulation of peptides (with stress-limiting
spectrum of action including and part of the components õi of vector 1) is taking place,
and they are practically aiming to cope with the disturbance induced by the therapeutic
process. Their excess, if I may say so, is used by the organism in the struggle with
pathology.
5.The organism is capable to react adequately (in its own benefit) to the
disturbance of homeostasis, at least to these changes, which are induced by the
therapeutic (not big) doses of the physical action (the principle of self-regulation).
This is the most important principle of vital activity – the organism is aiming to
achieve a beneficial adaptive result.
The principle of self-regulation is closely connected with the principle of
reaction, it only gives accent on the achievement of a beneficial adaptive result from the
reaction. The principles described above make it possible to explain the therapeutic
results, to make a comparison of the therapeutic methods (not only of electrotherapy) and
alongside with model (1) to introduce a number of terms.
We will define Õn with components Õin
as the vector corresponding to the condition of organism in norm and Õp
with components Õip as the vector corresponding to the condition of
organism in pathology. This idea is confirmed by the change in Õi (in correspondence with
the principle of reaction) in the neuro-humour regulation of cardio-vascular, respiratory
system, reproductive function, gastro-intestinal tract, inflammatory and tumour processes
as well as during shock.
The transformation of Õn into Õp –
these are the compensatory reactions of the organism to the biological, anatomical and
functional disturbances in accordance with the principle of self-regulation, the
“wish” of the organism to preserve homeostasis under the concrete conditions of
pathology. This to a considerable extent resembles the dominating nowadays molecular
concept of pathology: a predominant number of pathological processes start with a certain
damage of cell membranous structure and as a consequence a change in the components of
vector Õ follows.
Simultaneously, processes directed from Õp to Õn
are taking place in the organism. But it is possible that the organism will not go back to
Õn, but it will put up with” a certain conditional norm Õnc
(e.g. a condition of chronic pathology). And as Õn depends on time, it
is always better to accept it as a certain conditional norm.
When the regulatory reactions are not adequate, which leads to unfavourable
course of disease, quite often long lasting, therapy has to be provided. Within the frames
of the accepted formalization, therapy is a special external action on vector Õp
(opposite to the compensatory reactions, which take place even without this action)
leading it to Õn (Õnc). Specific therapy is a
deliberate (direct or indirect) action on a certain part of components xk...xl (where
m=(l-k) << n). Nonspecific therapy is the activation of those components, due to
which normalization of vector Õ occurs independently from the causes for its alteration.
The above principles and model (1) aim to explain the questions about
therapy.
The interaction electrode / skin plays a substantial role for studying the
processes, concerning biofeedback, expertise, diagnostics, as well as for the exploration
of the processes of interaction of the current with organism and the evaluation of the
influence of the place of applying the electrodes [4].
In direct contact of the metal (or an equivalent) electrode of the device
with the skin, the metal come in contact with a complex water solution, containing a
number of electrolytes – inorganic as well as organic. The arising potential difference
(a double electric layer) along the border metal/ solution is called an electrode
potential. Its equivalent electrical scheme –the parallel connection of capacity and
resistance. The formation of the double electric layer is accomplished for a certain
interval of time. [5] Later on, electrochemical reactions between the metal and the
solution arise, which are connected with the local metabolism. A change in the electrode
potential and capacity of the double layer takes place.
The resistance to constant current on the metal-skin boundary is very high,
while that to the alternate current is considerably lower and is determined by the
frequency of the latter. But even for the alternate current the resistance of the
subcutaneous liquor of the organism is considerably lower especially when using electrodes
with comparatively small surface. From the above it follows that:
-for electrotherapy what is important is not the way of current passage
through the organism but the concrete places for applying the electrodes;
-respectively, the difference between compact and scattered application of
the electrodes is not of principle importance;
-the basic processes in electrotherapy are taking place in the interaction
with the peripheral nervous structures (see Table).
In the light of the above, we will dwell in greater detail upon the
perspectives of SCENAR diagnostics.
As it was mentioned earlier, the initial formation of the double electrical
layer is accomplished for a certain interval of time. This determines the first (fast)
phase of management of parameters of the device acting signal.
Electrochemical reactions between metal and the solution, connected with
local metabolism, take place later on. A slow change in the electrode potential and the
capacity of the double layer occurs. This, together with the reaction to the acting
signal, determines the subsequent dynamics of the signal. It is the characteristics of
this dynamics, along with the skin reactions to the action – asymmetries, small
asymmetries, secondary signs [6,7], which are used for SCENAR expertise. These very
characteristics are also the basis of development of SCENAR diagnostic procedures.
| LAYERS OF IRRITATION |
RECEPTORS |
FIBRES |
| Epydermal |
Tactile electroreceptors |
Àb |
| Dermal |
Tactile, pain and temperature exteroreceptors, endings of the
vegetative perivascular nerve fibres |
Àb, Àd, Â, Ñ |
| Subdermal (myofascial incl.) |
Proprioreceptors, endings of the vegetative perivascular nerve
fibres |
Àa, Àg, Â, Ñ |
| Periostal |
Pain, tactile and temperature exteroreceptors, endings of the
vegetative perivascular nerve fibres |
Àb, ÀD, Â, Ñ |
At the same
time the problem of choosing of the zones (points) of influence of signal parameters,
materiel, size and configuration of the electrodes still remains to be solved as well as
the necessary statistical studies to be conducted. Mind that in using metal electrodes the
omic resistance electrode-skin is very high (tens of KiloOm), while the resistance to
alternate current is substantially lower. Nevertheless, especially in using point
electrode, this resistance is much higher than the one measured in the liquid medium of
the organism. That is why the basic voltage drop occurs on a limited (in depth) area of
the skin. Respectively, when studying the mechanisms of diagnostics, it is necessary to
pay special attention to the processes taking place in the superficial layer and the
corresponding nerve endings (see table). |