Comparative analysis of the use of original and standard methods of rehabilitation treatment of dorsopathy

Abstract

Introduction. The increase in the number of requests for medical help for pain in dorsopathy determines the relevance of this problem. Among all the conditions included in the Health Expenditure Survey, non-specific musculoskeletal back pain ranks first in the world. A special place belongs to cervicothoracic dorsopathy (CТD), which are the most common in developed countries and are characterized by a variety of clinical forms. There is a need to develop safe and effective complexes for the medical rehabilitation of patients with СТD. The complex method of СТD treating with the obligatory use of drug and non-drug methods of treatment prescribed together or sequentially in one complex, in our opinion, is the most optimal.Aim. To conduct a comparative evaluation of the therapeutic efficacy of restorative treatment methods in patients with cervicothoracic dorsopathy.Materials and methods. Patients with cervicothoracic dorsopathy (n = 220), stratified into 2 comparable groups, were studied, to whom the original (n = 155) and standard (n = 65) methods of restorative treatment were applied. The original method of treatment assumed a combined therapeutic effect with the use of drug therapy and a rehabilitation complex of physiotherapeutic and psychotherapeutic sessions. Statistical analysis included a comparative assessment of the intensity of the pain syndrome, static-dynamic and reflex disorders before and after the therapy.Results. The original and standard methods used in the course of the study statistically significantly (p < 0.05) reduced the intensity of the pain syndrome and reduced the frequency of reflex disorders. At the same time, the use of the original method of therapy was more effective (p < 0.05) in reducing the severity of the pain syndrome and reducing the frequency of reflex disorders in subgroups of patients, both with uncomplicated and complicated forms of cervicothoracic dorsopathy. The use of a standard method of therapeutic effect significantly reduced the frequency of manifestation of static-dynamic disorders in the group with uncomplicated forms of dorsopathy, while in patients with complicated forms of cervicothoracic dorsopathy, no therapeutic effect was achieved.Conclusions. The original method of therapy has confirmed its effectiveness, which indicates the need and justification for the use of combined restorative treatment of patients with cervicothoracic dorsopathy.