Quality of life as a criterion of o rehabilitation efficiency (on the example of patients with spine osteochondrosis)

Abstract

Background. Degenerative dystrophic diseases (DDD) of the spine occupy a leading place in the structure of the causes of chronic back pain. The widespread prevalence of osteochondrosis and high primary disability determine the medical, social and economic significance of the problem. An important direction of its solution is a scientifically based system of rehabilitation measures. The existing wide arsenal of means of rehabilitative impact dictates the need to assess their effectiveness, for which, in turn, various techniques can also be used. The aim of the study was to assess the quality of life of patients with osteochondrosis before and after rehabilitation. Materials and methods. The patient sample included 50 people with diagnosis of osteochondrosis of the spine. In the structure of respondents, 58.0% were women, 42.0% men. The proportion of individuals: up to 30 years old was 26.0%; 3145 years old 58.0%; 46 years and older 14.0%. 48.0% of patients are diagnosed with cervical spinal dislocation; 10.0% of patients thoracic; 18.0% of the lumbar spine 24.0% of patients common osteochondrosis. 96.0% of patients received rehabilitation measures. They were complex and included drug therapy (100.0%), manual therapy (56.0%), massage (58.0%), healing fitness (24.0%), physiotherapy (amplipulse therapy-10.0%; electrophoresis 6.0%; laser therapy 6.0%), etc. After treatment, the majority of patients (56.0%) had positive dynamics, 28.0% did not have dynamics, and 16.0% were negative. An analysis of the quality of life of patients before and after rehabilitation measures showed the following. Results. The total score (GH) increased from 64.6 to 67.6 points. The physical component increased from 47.5 to 51.8 points; psychological from 45.1 to 45.6 points. The dynamics of these indicators differed among patients of different sexes, ages, with different diagnoses. Conclusions. Assessing the quality of life using the questionnaire allows you to objectify the effectiveness of the treatment.