Basic principles of kinesiotherapy in patients with degenerative spinal deformities (part 2)

Authors

DOI:

https://doi.org/10.15674/0030-59872015276-84

Keywords:

degenerative lumbar spondylolisthesis, spinal-pelvic imbalance, muscle imbalance, principles of kinesiotherapy

Abstract

Degenerative lumbar spondylolisthesis (DLS) causes the develop­ment of sagittal spinal-pelvic imbalance with accompanying muscle imbalance in lumbar-pelvic area which is not able to be eliminated spontaneously and worsens the functional results of conservative and surgical treatment. Objective: To develop a method of correct­ing selective kinesiotherapy (KSP) for the patients with DLS for correction of muscle imbalance and to test it in long-term period after instrumented lumbar spine fusion. Methods: We used clinical, radiological (with radiometry), biomechanical (including comput­erized electromechanical goniometry), and statistical methods. As material we applied surveys from 10 men with LIV DLS aged from 46 to 65 years (prior to surgery, after 3 and 6 months, 1 year) which were randomly divided into groups: Vosn — we used a new technique of KSC (pat. 83739, Ukraine), Vkontr — we used a stan­dard program of postisometric relaxation. Results: In all patients in the preoperative period we found degenerative deformity «flat back», infringement of kinematics of the spine and myofixation of the torso, moderate pain intensity according to VAS and high indexes of disabilitation according to Oswestry scale, kineziofobia according to Tampa scale, dismay and anxiety related to the expec­tation of pain, and according to PASS scale. Despite on surgical correction of sagittal spinal contour there were not detected any significant decreasing of indexes of disabilitation, elimination of myotonic reactions and muscle imbalances in lumbar-pelvic area. In the closest terms of using of KSC technique there also were no any significant differences between the studied groups of patients in none of the clinical signs. We traced a tendency to improvement in endurance of extensor and flexor muscles of the spine, pelvis and hips, PASS, VAS and ODI indexes in the Vosn group. Conclusion: There were proven an efficiency and an opportunity of using a de­veloped KSC technique at all stages of rehabilitation in patients with degenerative spinal deformities and muscle imbalance.

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Korzh, M., Kolesnichenko, V., & Kong, M. (2015). Basic principles of kinesiotherapy in patients with degenerative spinal deformities (part 2). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 76–84. https://doi.org/10.15674/0030-59872015276-84

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No. 2 (2015)

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ORIGINAL ARTICLES

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

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