Osteopathic status in patients with dorsopathy at the cervical level

Abstract

Introduction. Dorsopathy and associated pain and neurological syndromes are among the most common diseases of the musculoskeletal system and connective tissue throughout the world. The characteristic features of these states are high prevalence (at the level of a pandemic), often resistance to treatment, as well as persistent disability, often leading to disability of the patient. The frequency of back pain syndromes (dorsopathies) in the population is very high (58–84 %), and the socio-economic losses are enormous. Thus, the search for new methods and schemes of therapy, as well as the prevention of dorsopathies, is still relevant and actual. Osteopathy in the Russian Federation is a young and dynamically developing medical specialty. Somatic dysfunctions are the main object of osteopathic infl uence. So the analysis of the somatic dysfunctions prevalence both in practically healthy people and suffering from various diseases is of great interest. The analysis of the osteopathic status in patients with dorsopathy will potentially help to expand the understanding of the etiopathogenesis of the disease, to develop relevant prevention and treatment regimens. All this predetermined the purpose of the present study. The aim of the study was to make the most common somatic dysfunctions map based on the data of the assessment of the osteopathic status of patients with dorsopathy at the cervical level. Materials and methods. A cross-sectional study was conducted at the Mokhov Institute of Osteopathy LLC medical clinic (St. Petersburg) from September 2018 to September 2022. The 462 patients with a dorsopathy diagnosis aged from 18 to 44 years were under observation. All patients underwent an assessment of osteopathic status in accordance with the clinical guidelines. Results. There were detected somatic dysfunctions of all three levels of manifestation in the examined patients with dorsopathy. The dysfunctions of the regional (thoracic region, structural and visceral components; pelvic region, structural and visceral components, neck region, structural component) and local (visceral dysfunctions, dysfunctions of individual PDS at different levels, skull sutures) levels were the most characteristic. The analysis of the dominant dysfunctions structure showed that in 16 % of patients the dominant ones were global, in 72 % — regional, and in 12 % — local somatic dysfunctions. Conclusion. In the work, it was possible to analyze the structure of somatic dysfunctions in young patients with dorsopathy at the cervical level. It is advisable to continue the study in order to identify possible relationships between the diagnosed somatic dysfunctions and other objective and subjective manifestations of dorsopathy.