Abstract
Cervical syndrome comprises a group of different diseases and disorders whose common symptom of pain is the cervical region with or without irradiation. In the general population, about the two-third of all people throughout lifetime has pain in the cervical spine. The most common occurrence is in the middle age (30-50 years). The cervical syndrome is present in a ratio of 1:6 if a pain syndrome is localized in the entire spine , and in the ratio of 1:4.5 in speaking of the lumbar spine. The cervical pain syndrome is present in 8% of cases of all painful conditions of the locomotor apparatus. Female sex is more affected by almost 2 times. The main objective of this research is in connection to acute cervical syndrome. The effects of application of a low power laser prescribed as additional therapy NSAID (non-steroidal anti-inflammatory drugs) on the subjective reactions of the patient (pain) are examined. The methodology comprise three groups of patients with 30 patients, including a group that has taken only a diclofenac, and a second group that, in addition to a diclofenac, has taken in a TENS therapy (transcutaneous electronerve stimulation) and a third group that, in addition to a diclofenac intake, has had the LLLT (low level laser therapy). The results obtained after therapeutic program that lasted 21 days are the following: a cervical syndrome is a common disease in patients over 50 years. In conclusion, it can be said that the application of diclofenac (NSAID) combined with LLLT, is the most optimal therapeutical concept in acute cervical syndrome.
Highlights
Minić S.1, Ivković S.2 1 Republički fond za zdravstveno osiguranje Filijala K
Tegobe na koje se pacijenti najčešće žale su: bol u vratu, glavobolje, nesvestice, vertiginozne smetnje, bolovi u ramenima i gornjim ekstremitetima, zujanje u ušima, zamagljen vid i dr
Aktiviranjem receptora za bol započinje proces prenosa bolnih signala sve do kortikalnog nivoa i svesnog saznanja bola
Summary
Minić S.1, Ivković S.2 1 Republički fond za zdravstveno osiguranje Filijala K. U metodologiji su postavljene tri grupe pacijenata sa po 30 ispitanika i to grupa koja je uzimala samo diklofenak, grupa koja je pored diklofenaka imala i TENS (transkutana elektronervna stimulacija) terapiju i grupa koja je pored diklofenaka imala primenu LLLT (lasera male snage).Dobijeni rezultati nakon terapijskog programa koji je trajao 21 dan su sledeći: cervikalni sindrom je učestalo oboljenje i to kod osoba preko 50 godina. Na prenosu bola danas se smatra da su posebno značajni mehanizmi modulacije bolnih signala i da na određenim neurološkim etažama putem medikamenata, fizikalne terapije i psiholoških metoda bol se može potpuno ukloniti ili bar modifikovati do nivoa koji je za pacijenta podnošljiv, a što mu omogućuje bolji kvalitet života. Kako su osnovni etiološki uzroci nastanka cervikalnog sindroma degenerativne promene to je potrebno detaljnije analizirati antomske odnose i strukturu vratne kičme. Biološko dejstvo biostimulativnih lasera [32]: - toplotni efekat, - mehanički efekat, - pojavu slobodnih radikala, - fotohemijske efekte, - pojavu endotoksina, - fotoelektrične efekte
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