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Nociceptive flexor reflex (NFR) in patients with vertebrogenic lumbosacral pain syndromes was recorded before and after the ipsi- and contralateral auricular electroacupuncture (AEAP). Changes in NFR were observed after ipsi- and contralateral AEAP, each producing facilitatory and inhibitory effects on NFR. Facilitatory influence of AEAP on NFR correlated with hypalgesia, that apparently reflected recovery of the afferent input peculiarities.

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Application of electroacupuncture (EAP) of the segmental points to patients with vertebrogenic algesic syndromes decreased amplitude of N150 and P240 waves recorded from vertex to painful electrocutaneous stimulation in the region innervated by an affected root. As distinct from EAP of segmental point auricular EAP not only decreased the amplitude of late components of evoked potentials (EP), but also increased it, direction of EP changes depending on the character of sensitivity disorders. It is suggested that effect of EAP-evoked EP changes in patients with hypalgesia is determined by two oppositively acting factors: by a decrease of nociceptive afferent impulsation intensity as a result of the antinociceptive system activation and by an increase of the afferent impulsation intensity due to recovery of function of central terminals in primary sensory neurons.

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"Postoperative hypalgesia" following electroacupuncture or electrostimulation anesthesia is considered to be a notable advantage of these techniques, which supports the thesis, that endorphines may be involved in the mechanism of pain relief by these methods. After establishing definitive criteria postoperative hypalgesia was observed in 50% of patients undergoing operations on the lumbar vertebral column with electroacupuncture. A comparative investigation using psychological tests showed, that these patients are more pain tolerant than those, in whom postoperative hypalgesia was not observed.

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