Gender differences in vertebrobasilar hemodynamics in response to manual-physical impact in the treatment of essential arterial hypertension using the method of A.Yu. Shishonin

Shishonin A.Yu.; Pavlov V.I.

doi:https://doi.org/10.17116/kurort20251020215

Shishonin A.Yu.

Dr. Shishonin’s Clinic;
International University of Rehabilitation Medicine;
Russian Scientific Center of Surgery named after Academician B.V. Petrovsky

ORCID: 0000-0003-0251-2715

Pavlov V.I.

International University of Rehabilitation Medicine;
Russian Scientific Center of Surgery named after Academician B.V. Petrovsky;
S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Healthcare Department

ORCID: 0000-0001-5131-7401

Gender differences in vertebrobasilar hemodynamics in response to manual-physical impact in the treatment of essential arterial hypertension using the method of A.Yu. Shishonin

Authors:

Shishonin A.Yu., Pavlov V.I.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;102(2): 5‑10

DOI: 10.17116/kurort20251020215

Read: 1000 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Shishonin AYu, Pavlov VI. Gender differences in vertebrobasilar hemodynamics in response to manual-physical impact in the treatment of essential arterial hypertension using the method of A.Yu. Shishonin. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;102(2):5‑10. (In Russ.)
https://doi.org/10.17116/kurort20251020215

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

Study of changes in blood flow parameters in the vertebrobasilar basin under the influence of manual-physical correction according to the author’s method of A.Yu. Shishonin.

MATERIAL AND METHODS

A total of 112 patients suffering from EAG were examined, including 49 men (aged 63.3±9.2 years) and 63 women (aged 62.1±8.3 years) with signs of clinically expressed degenerative-dystrophic processes in the cervical spine and arterial pressure (AP) corresponding to high normal AP (prehypertension), or EAG of the 1st degree. Methods of examination and treatment. All patients received the procedure of manual-physical correction according to the method of A.Yu. Shishonin. Blood flow studies in the cervical vertebral arteries were carried out using the method of ultrasound Dopplerography of the brachiocephalic arteries.

RESULTS

In both women and men, the most significant improvements were seen in the terminal blood flow velocity (ED), the average blood flow velocity (TEMEAN), peak blood flow values (PS, TAMAX), the systolic-diastolic ratio (S/D), and the pulsation index (p<0.001).However, greater changes were observed in men, who showed the most noticeable changes in the terminal diastolic blood flow velocity (17.70 times higher, compared to 11.85 times higher in women), time-averaged maximum blood flow velocity (5.72 times higher in men, compared to 4.44 times higher in women), and the Goesling index (3.29 times higher in men, compared to 2.13 times higher in women).

CONCLUSIONS

The obtained results may indicate a more pronounced response of speed indicators, greater preservation and reactivity of the elastic properties of arteries in representatives of the male population of a comparable age category.

Keywords:

essential arterial hypertension

manual-physical correction by A.Yu.Shishonin

ultrasound Dopplerography of the brachiocephalic arteries

gender differences

Authors:

Shishonin A.Yu.

Dr. Shishonin’s Clinic;
International University of Rehabilitation Medicine;
Russian Scientific Center of Surgery named after Academician B.V. Petrovsky

ORCID: 0000-0003-0251-2715

Pavlov V.I.

ORCID: 0000-0001-5131-7401

Received:

04.05.2025

Accepted:

07.05.2025

Close metadata

References:

Crimmins EM, Kim JK, Solé-Auró A. Gender differences in health: results from SHARE, ELSA and HRS. EurJPublicHealth. 2011 Feb;21(1):81-91. https://doi.org/10.1093/eurpub/ckq022
FedorovichAA, GorshkovAYu, KorolevAI, OmelyanenkoKV, DadaevaVA, MikhailovaMA, ChashchinMG, Drapkina OM. Sex differences in skin microvascular structure and function in persons with newly diagnosed hypertension. Cardiovascular Therapy and Prevention. 2023;22(8):3696. (In Russ.). https://doi.org/10.15829/1728-8800-2023-3696
Nechesova TA. Gender features of adherence to antihypertensive therapy. Medicalnews.2017;12;15-18. (InRuss.).
Patent No. 2243758 RossijskayaFederaciya. ShishoninAYu. Sposobl echeniya shejnogo osteohondroza. No. 2003103416/14; zayavl.06.02.2003;opubl. 10.01.2005. Byul. No. 1. (In Russ.).
Patent No. 2312652 Rossijskaya Federaciya. Shishonin AYu. Ustrojstvo dlya lecheniya i reabilitacii svyazochno-myshechnogo apparata shei. No.2006121002/14; zayavl. 15.06.2006; opubl. 20.12.2007. (In Russ.).
Kobalav Zh D, Konradi AO, Nedogoda SV, Shlyakhto EV, Arutyunov GP, Baranova EI, Barbarash OL, Bobkova NV, Boytsov SA, Bubnova MG, Vavilova TV, Villevalde SV, Galyavich AS, Glezer MG, Grineva EN, Grinstein YuI, Drapkina OM, ZhernakovaYuV, Zvartau NE, Irtyuga OB, Kislyak OA, Koziolova NA, Kosmacheva ED, KotovskayaYuV, Libis RA, Lopatin YuM, Nebiridze DV, Nedoshivin AO, NikulinaSYu, Ostroumova OD, Oschepkova EV, Ratova LG, Salasiuk AS, Skibitsky VV, Tkacheva ON, Troitskaya EA, Chazova IE, Chesnikova AI, Chumakova GA, Shalnova SA, Shestakova MV, Yakushin SS, Yanishevsky SN. 2024 Clinical practice guidelines for Hypertension in adults. Russian Journal of Cardiology. 2024;29(9):6117. (In Russ.). https://doi.org/10.15829/1560-4071-2024-6117
Sitel’ DA. Spondilogennaya vertebral’no-bazilyarnaya nedostatochnost’: osobennosti kliniki, diagnostiki i kachestva zhiznedeyatel’nosti u bol’nyh v raznyh stadiyah zabolevaniya. Diss. ... kand. med. nauk.Moskva: Ros. nac. issled. med. un-t im. NI. Pirogova; 2016. (In Russ.).
Nikitin YuM. Ul’trazvukovaya doplerografiya v diagnostike porazhenij magistral’nyh arterij golovy i osnovaniya mozga. Uchebnoe posobie. Moskva: Institut nevrologii RAMN. AO «Spektromed»; 1995. (In Russ.).
Scheel P, Ruge C, Schöning M. Flow velocity and flow volume measurements in the extracranial carotid and vertebral arteries in healthy adults: reference data and the effects of age. Ultrasound Med Biol. 2000 Oct;26(8):1261-1266. https://doi.org/10.1016/s0301-5629(00)00293-3
Zócalo Y, Bia D. Sex- and Age-Related Physiological Profiles for Brachial, Vertebral, Carotid, and Femoral Arteries Blood Flow Velocity Parameters During Growth and Aging (4-76 Years): Comparison With Clinical Cut-Off Levels. Front Physiol. 2021 Aug;12:729309. https://doi.org/10.3389/fphys.2021.729309
Zakaryanova LL. Clinical and Dopplerographic Gender Differences in the Course of Migraine. Clinical Medicine of Kazakhstan. 2012;1(24):42-43. (In Russ.).