Basic principles of kinesiotherapy in patients with degenerative spinal deformities (part 1)

Authors

DOI:

https://doi.org/10.15674/0030-59872015150-57

Keywords:

lumbar osteochondrosis, spinal-pelvic imbalance, muscle imbalance, principles of kinesiotherapy

Abstract

In cases of lumbar osteochondrosis degenerative spinal deformities and joined with them sagittal spinal-pelvic imbalance accompanied by an imbalance of the muscles of the lumbar-pelvic area which might  not  be  eliminated  spontaneously  and  worsens  functional outcome  of  conservative  and  surgical  treatment.  Objective:  To develop  a  method  of  selective  kinesiotherapy  for  patients  with lumbar  osteochondrosis  for  correction  of  muscle  imbalances and approve it in a late postoperative period after lumbar spine instrumented fusion. Methods: Clinical, radiological with radiometry, biomechanical (including electromechanical computerizing

goniometry), statistical. Results: In all patients preoperatively there was revealed «flatback»degenerative deformity, violation of the spine kinematics and trunk miofixation. We observed pain of high intensity according to VAS and high indexes of dyzabilitation Oswestry, kineziofoby according to Tampa scale, and anxiety and worry related to the expectation of pain according to PASS scale. Surgical treatment with intraoperative correction of sagittal spinal contour  gave  an  opportunity  to  significantly  reduce  indexes  of dyzabilitation and intensity of pain but did not result in elimination of myotonic reactions and muscle imbalance in lumbar-pelvic

area. Nearest results of the application of the developed technique of selective corrective kinesiotherapy (patent № 83739 of Ukraine) has demonstrated its effectiveness through established significant reduction  in  pain  intensity  according  to  VAS,  improvement  of indexes of disabilitation and functional status of muscles lumbarpelvic area after izokinetic tests on endurance, increasing of spinal segments excursion. Conclusion: The efficiency of the developed technique of selective corrective kinesiotherapy for patients with degenerative spinal deformities and muscular imbalance and an opportunity of its using at all stages of medical rehabilitation.

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Korzh, M., Kolesnichenko, V., & Cong, M. (2015). Basic principles of kinesiotherapy in patients with degenerative spinal deformities (part 1). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 50–57. https://doi.org/10.15674/0030-59872015150-57

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No. 1 (2015)

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ORIGINAL ARTICLES

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Copyright (c) 2015 Mykola Korzh, Vera Kolesnichenko, Ma Cong

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