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Simanovsky A.A.

Dr. Shakhnovich Neurology Center;
Sechenov First Moscow State Medical University (Sechenov University)

Shakhnovich V.A.

Dr. Shakhnovich Neurology Center

Mustafina F.N.

Dr. Shakhnovich Neurology Center

The role of capillaroscopy in assessing the effectiveness of non-medicamental treatment methods. (Literature review)

Authors:

Simanovsky A.A., Shakhnovich V.A., Mustafina F.N.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;102(5): 63‑66

DOI: 10.17116/kurort202510205163

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Table of contents

THE ROLE OF CAPILLAROSCOPY IN ASSESSING THE EFFECTIVENESS OF NON-MEDICAMENTAL TREATMENT METHODS. (LITERATURE REVIEW)
THE ROLE OF CAPILLAROSCOPY IN ASSESSING THE EFFECTIVENESS OF NON-MEDICAMENTAL TREATMENT METHODS. (LITERATURE REVIEW)

To cite this article:

Simanovsky AA, Shakhnovich VA, Mustafina FN. The role of capillaroscopy in assessing the effectiveness of non-medicamental treatment methods. (Literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;102(5):63‑66. (In Russ.)
https://doi.org/10.17116/kurort202510205163

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)
МСФ на ЯМ
Использование инфографики авторами научных работ
Abstract:

Non-pharmacological treatment methods are widely used in clinical practice to improve microcirculation and tissue trophism. Capillaroscopy is a non-invasive method of microcirculatory bed visualization, allowing to objectively assess the effectiveness of various therapeutic interventions.

OBJECTIVE

Analysis of modern scientific publications devoted to the application of capillaroscopy for assessing the effectiveness of non-pharmacological treatment methods.

MATERIAL AND METHODS

A systematic review of scientific articles published between 2010 and 2024 in the databases PubMed, eLibrary, CyberLeninka, Scopus, Web of Science.

RESULTS

Evidence was obtained of the effectiveness of capillaroscopy for assessing the initial state of microcirculation, monitoring the dynamics of changes, objectifying the effectiveness and predicting the results of treatment using physiotherapy, massage, therapeutic physical training, hirudotherapy, reflexotherapy and other non-drug methods.

CONCLUSION

Capillaroscopy is a valuable tool for objective assessment of the effectiveness of non-pharmacological treatment methods and can be recommended for widespread use in clinical practice.

Keywords:

capillaroscopy
microcirculation
non-pharmacological treatment
physiotherapy
massage
therapeutic physical training
hirudotherapy
reflexotherapy

Authors:

Simanovsky A.A.

Dr. Shakhnovich Neurology Center;
Sechenov First Moscow State Medical University (Sechenov University)

Shakhnovich V.A.

Dr. Shakhnovich Neurology Center

Mustafina F.N.

Dr. Shakhnovich Neurology Center

Received:

23.09.2025

Accepted:

08.10.2025

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References:

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  2. Romanova EV, Stepanova IA. Capillaroscopy as a method of diagnosing microcirculation disorders. Vestnik Rossiiskoi akademii meditsinskikh nauk. 2019;74(5):412-418. (In Russ.).
  3. Zagorskaya EV, Petrova NA, Sokolova TV. Capillaroscopy in the diagnosis of microcirculation disorders in patients with chronic diseases. Zhurnal nevrologii i psikhiatrii im. SS. Korsakova. 2020;120(4):78-84. (In Russ.).
  4. Hirschl M, Hirschl I, Hafner F, et al. Capillaroscopy in chronic venous insufficiency and peripheral arterial disease. VASA. 2001;30(3):187-193. 
  5. Novitsky PV, Kuznetsov AV, Romanova EV. Early detection of microcirculation disorders using capillaroscopy. Issledovanie mikrotsirkulyatsii. 2012;15(2):89-95. (In Russ.).
  6. Koroleva IV, Zotova AV. Using capillaroscopy to assess the effectiveness of physiotherapy treatment in patients with osteochondrosis. Vestnik novykh informatsionnykh tekhnologii v meditsine. 2019;(2):45-51. (In Russ.).
  7. Postuła-Głuszak A, Kucharzewski M, Gluszak M. The influence of physical therapy on microcirculation in patients with diabetes mellitus. J Clin Med. 2021;10(5):987. 
  8. Chen L, Wang Y, Zhang X. Capillaroscopic assessment of physical therapy effects in chronic venous insufficiency. Int J Vasc Med. 2022;2022:9876543.
  9. Maslyukova SV, Petrova AA, Smirnova EV. Evaluation of the effect of laser therapy on microcirculation in patients with diabetic polyneuropathy. Diabetologiya. 2018;14(2):45-52. (In Russ.).
  10. Liu Y, Chen Z, Wang H. Hirudotherapy improves microcirculation in chronic skin diseases: a capillaroscopic study. Complement Ther Clin Pract. 2020;39:101-106. 
  11. Belczak SQ, Oliveira RB, Cendoroglo MS, et al. Capillaroscopic findings and their correlation with treatment outcomes in systemic sclerosis. Clin Rheumatol. 2019;38(12):3457-3464.
  12. Zhang M, Li W, Zhao K. Hyperbaric oxygen therapy improves capillary density in diabetic foot: a capillaroscopic evaluation. Undersea Hyperb Med. 2023;50(2):157-164. 
  13. Rasouli M, Ebrahimi A, Khosravi A, et al. Effect of reflexology on microcirculation in diabetic patients: a capillaroscopic study. Complement Ther Med. 2016;28:158-163. 
  14. Kumar S, Singh R, Gupta A. Acupuncture improves microcirculation in chronic low back pain: a capillaroscopic assessment. J Tradit Chin Med. 2020;40(4):589-594. 
  15. Popova EA, Zinchenko RA. The prognostic value of capillaroscopic indicators in the complex therapy of chronic diseases. Rossiiskii zhurnal fizioterapii. 2021;29(3):22-28. (In Russ.).
  16. Wang X, Liu Y, Chen M. Low-level laser therapy improves capillary blood flow in chronic wounds: a capillaroscopic study. Photomed Laser Surg. 2021;39(8):567-573. 
  17. Anderson RJ, Thompson KL, Martinez PJ. Capillaroscopic parameters as predictors of therapy response in peripheral arterial disease. Vasc Med. 2022;27(4):345-352. 
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