Abstract
The aim is to increase the effectiveness of complex treatment for patients with vertebral thoracalgia (VT) and muscular-tonic signs using manual therapy and physical rehabilitation in the form of active and passive kinesiotherapy. Materials and methods. A complex vertebro-neurological examination and treatment of 237 patients with VT with muscular-tonic signs was done. The main group included 165 men (69.6 %), and 72 patients (30.4 %) were in the comparison group. All patients were given a complex therapy in a specialized vertebro-neurological department including drug treatment (according to indications) as well as physical and balneological treatment, acupuncture, mud treatment, hardware underwater stretching of the thoracic spine, various types of massage, etc. Manual therapy (MT) and physical rehabilitation in the form of active and passive kinesiotherapy were included in the complex of therapeutic measures among the patients of the main group. Results. In patients with VT of the main group, 149 patients (90.4 %) with significant improvement were discharged, and in the comparison group – 45 (62.5 %) patients. Improvement was observed among 9 (5.4 %) patients with VT of the main group, and in 13 patients (18.1 %) of the comparison group. A slight improvement was in 7 (4.2 %) and 9 (12.5 %) patients, respectively. In the main group of patients with VT, there were no individuals without improvement, while in the comparison group there was no improvement in 5 (6.9 %) patients. The average treatment duration of patients in the main group was 13.6 ± 1.5 days, and in the comparison group it was 18.1±1.6 (P < 0.05). Conclusions. Rehabilitation treatment of patients with VT with muscular-tonic signs should be complex and gradual with the differential use of various methods and ways of rehabilitation therapy. Integrating manual therapy and physical rehabilitation in the form of active and passive kinesiotherapy in the complex rehabilitation for VT patients with muscular-tonic signs contributes to the effectiveness of treatment and more rapid recovery of patients.
Highlights
Vertebrogenic diseases of the peripheral nervous system are of great concern in clinical medicine [2,3,9]
In recent years there have been quite a lot of works devoted to the gradual rehabilitation treatment for patients with neurological signs of degenerative-dystrophic pathology (DDP) of the spine [4,10,12,13]
Methods of manual therapy (MT) were used differentially depending on the pain syndrome severity
Summary
Vertebrogenic diseases of the peripheral nervous system are of great concern in clinical medicine [2,3,9] These di seases mostly affect people of working age, have a chronic relapsing course and lead to a long-term disability, and sometimes to disability of patients [4,5,6,7]. The development of effective treatment, rehabilitation and preventive measures aimed at reducing vertebrogenic diseases of the peripheral nervous system, is one of the main tasks of modern neurology [4,9,14,15]. Most of them were dedicated to the treatment of patients with lumbar osteochondrosis
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