ІННОВАЦІЙНИЙ ПІДХІД ДО ВІДНОВЛЕННЯ ФІЗИЧНОГО СТАНУ ОСІБ ІЗ М’ЯЗОВО-ТОНІЧНИМИПОРУШЕННЯМИ

Abstract

Introduction. Today, the spread of low back pain syndrome reaches the size of a pandemic, as this pathology is the second after respiratory diseases in the overall picture of visits to the doctor. In such pathological conditions, the leading task of therapy is the relief of pain that provides the conditions for a full course of treatment and rehabilitation measures. Aim. To study the effect of apparatus ischemic compression of the girdle muscles of the lower limb in non-specific pain in the lumbosacral spine with and without irradiation to the leg. Methods. Medical and biological methods (anamnesis, somatoscopy, palpation, assessment of the state of neuromuscular structures according to Minor and Laseg tests); sociological (Roland-Morris questionnaire “Lower back pain and impaired vital functions”, assessment of the pain intensity by VAS); mathematical (determination of averages, comparison of the course of two processes) were used in the work. Results. During the study, the already known massage device was improved (Ukrainian patent for №73642). Compared to the previous model, the designed own device (utility model patent № 142517 “Device for prevention and rehabilitation of diseases of the musculoskeletal system”) has a higher efficiency, because having a wider range of load values on compression points, takes into account the anatomical features of an individual. The equipment is designed for ischemic muscle compression, which causes phase changes in blood flow (initially, ischemia and hypoxia, then reactive plethora), which is the basis of the therapeutic effect. It is proved that the use of apparatus ischemic compression of the lower limbs and pelvis muscles, in combination with special exercises in physical therapy, can reduce the intensity of pain, improve the condition of the neuromuscular system, increase joint mobility, reduce the limitations of patients with non-specific pain syndrome. Originality. The use of apparatus ischemic compression ensures the stability of the pressure at the beginning of the myopressure session, followed by a gradual adequate increase in the compression of pain points, reducing the severity of the pain syndrome. Conclusion. The obtained data indicate the feasibility of including apparatus ischemic compression in the treatment program of patients with non-specific pain of the lumbosacral spine and sciatic nerve.