СРАВНИТЕЛЬНЫЙ АНАЛИЗ МЕТОДИК ОЦЕНКИ БОЛЕВОГО СИНДРОМА У ПАЦИЕНТОВ С ПАТОЛОГИЕЙ ПОЗВОНОЧНИКА

Abstract

Relevance: currently, more than half of the population suffers from diseases of the musculoskeletal system. Among them, a significant part are people of working age from 30 to 50 years. As a rule, these diseases are caused by pathology of the spine, joints, ligaments and muscles. The most common symptom of them is pain in the lower back and neck. Such a problem carries a huge social, psychological and economic burden. The purpose of the study is assessment of pain syndrome in the spine using various scales to objectify its level and severity of movement disorders. Materials and methods: patients with pain syndrome of various parts of the spine were examined. A visual-analog scale was used to assess the intensity of pain, and specialized questionnaires were used to calculate the degree of locomotor limitations. Results of the study: according to the severity of the pain syndrome (depending on the localization of the affected spine) among the examined patients, about half of the cases had soft strength, in a third of cases – moderate, from 3 to 18% of individuals experienced severe pain. The use of the "Visual-analog scale" technique for differential diagnosis and determination of the localization of spinal lesions has shown its poor effectiveness. The use of specialized questionnaires "Assessment of the degree of move limitations" turned out to be more relevant for determining the topography of the pain syndrome. Correlation analysis revealed statistically significant positive strong and moderate correlations between the scores obtained from the methods of self-assessment severity of pain syndrome and the intensity of move limitations. The conclusion: the data obtained suggest the differentiated using of visual-analog scale methodic and indices of move limitations for a refined assessment of pain syndrome in patients, decision-making and prognosis in a particular patient.