The application of physical factors in the medical rehabilitation of children with osteochondropathy of the spine. Literature review

Abstract

One of the most urgent and socially significant problems of modern medicine is the widespread occurrence of orthopedic pathology, among which the leading place is occupied by diseases of the spine, accompanied by a steady increase in pain vertebrogenic syndromes that affect the functioning of the child's body as a whole. The prevalence of this nosological form in children, according to various population studies, ranges from 0.42 to 37%. Scheuermann–Mau disease (Scheuermanns kyphosis) is the most common osteochondropathy in children and adolescents and ranges from 0.4–8.3% of the pediatric population.

To date, the etiology of osteochondropathy of the spine is still unclear.

Medical rehabilitation of children with osteochondropathy of the spine is aimed at preventing further progression of deformity, normalizing posture, the functions of the cardio-respiratory system and includes: rational motor mode and nutrition, conservative orthopedic measures (corsetting), kinesiotherapy, hydrocolonotherapy, massage, positional treatment, restorative and hardening procedures, physiotherapy (electrical muscle stimulation), sports (skiing, swimming).

An important place in the review is given to the description of the stages of medical rehabilitation of children and adolescents with dorsalgia on the background of spinal osteochondropathy who underwent surgical treatment.

Keywords

osteochondropathy of the spine / children / medical rehabilitation / electrotherapy / kinesitherapy / brace therapy / method PNF

References

[1] Traumatology and orthopedics of childhood. Ed. by S.P. Mironov. Moscow: GEOTAR-Media; 2019. 428 p. (In Russ).

[2] Миронов С.П., Агранович О.Е., Аранович А.М. Травматология и ортопедия детского возраста / под ред. С.П. Миронова. Москва: ГЭОТАР-Медиа, 2019. 428 с.

[3] Traumatology and orthopedics of children's age: A textbook. Ed. by M.P. Razin, I.V. Sheshunov. Moscow: GEOTAR-Media; 2016. 240 p. (In Russ).

[4] Травматология и ортопедия детского возраста: учебное пособие / под ред. М.П. Разина, И.В. Шешунова. Москва: ГЭОТАР-Медиа, 2016. 240 c.

[5] Mansfield JT, Bennett M. Scheuermann disease. Treasure Island (FL): StatPearls Publishing; 2021.

[6] Mansfield J.T., Bennett M. Scheuermann disease. Treasure Island (FL): StatPearls Publishing; 2021.

[7] Langella F, Fusini F, Rossi G, et al. Spinal deformity and malocclusion association is not supported by high-quality studies: results from a systematic review of the literature. Euro Spine J. 2019;28(7):1638–1651. doi: 10.1007/s00586-019-05896-4

[8] Langella F., Fusini F., Rossi G., et al. Spinal deformity and malocclusion association is not supported by high-quality studies: Results from a systematic review of the literature // Euro Spine Journal. 2019. Vol. 28, N 7. Р. 1638–1651. doi: 10.1007/s00586-019-05896-4

[9] Vetrile MS, Kuleshov AA, Yes'kin NA, et al. Vertebrogenic pain syndrome in children aged 9–17 years with spinal deformities. Orthopedics Traumatology Reconstructive Surgery Children. 2019;7(1):5–14. (In Russ). doi: 10.17816/PTORS715-14

[10] Ветрилэ М.С., Кулешов А.А., Еськин Н.А., и др. Вертеброгенный болевой синдром у детей 9–17 лет с деформациями позвоночника // Ортопедия, травматология и восстановительная хирургия детского возраста. 2019. Т. 7, № 1. С. 5–14. doi: 10.17816/PTORS715-14

[11] Gornayeva LS. Juvenile osteochondrosis complicated by a herniated intervertebral disc. Bulletin of New Medical Technologies. 2020;(2):6–12. (In Russ). doi: 10.24411/2075-4094-2020-16599

[12] Горнаева Л.С. Ювенильный остеохондроз, осложненный грыжей межпозвонкового диска // Вестник новых медицинских технологий. 2020. № 2. С. 6–12. doi: 10.24411/2075-4094-2020-16599

[13] Rumyantseva GN, Vinogradov AF, Rasskazov LV, et al. The role of connective tissue dysplasia in the formation of surgical pathology in childhood (literature review). Verkhnevolzhsky Med J. 2019;18(3):27–32. (In Russ).

[14] Румянцева Г.Н., Виноградов А.Ф., Рассказов Л.В., и др. Роль дисплазии соединительной ткани в формировании хирургической патологии в детском возрасте (обзор литературы) // Верхневолжский медицинский журнал. 2019. Т. 18, № 3. С. 27–32.

[15] Mansurova GS, Maltsev SV, Ryabchikov IV. Features of the formation of the musculoskeletal system in schoolchildren: diseases, causes and possible ways of correction. Practical Med. 2019;17(5):51–55. (In Russ). doi: 10.32000/2072-1757-2019-5-51-55

[16] Мансурова Г.Ш., Мальцев С.В., Рябчиков И.В. Особенности формирования опорно-двигательной системы у школьников: заболевания, причины и возможные пути коррекции // Практическая медицина. 2019. Т. 17, № 5. С. 51–55. doi: 10.32000/2072-1757-2019-5-51-55

[17] Sheyerman's disease. Clinical recommendations. Obshcherossiiskaya obshchestvennaya organizatsiya "Assotsiatsiya travmatologov-ortopedov (ATOR)"; 2021. (In Russ).

[18] Болезнь Шейермана. Клинические рекомендации. Общероссийская общественная организация «Ассоциация травматологов-ортопедов (АТОР)», 2021.

[19] Yun C, Shen CL. Anterior release for Scheuermann's disease: A systematic literature review and meta-analysis. Euro Spine J. 2017;26(3):921–927. doi: 10.1007/s00586-016-4632-z

[20] Yun C., Shen C.L. Anterior release for Scheuermann's disease: A systematic literature review and meta-analysis // Euro Spine J. 2017. Vol. 26, N 3. Р. 921–927. doi: 10.1007/s00586-016-4632-z

[21] Diagnostic Imaging [Internet]. Wilson DJ, de Abreu M. Spine Degeneration and Inflammation. 2021. In: Hodler J., Kubik- Huch R.A., von Schulthess G.K., editors. Musculoskeletal diseases 2021–2024. Cham (CH): Springer; 2021.

[22] Diagnostic Imaging [Internet]. Wilson D.J., de Abreu M. Spine degeneration and inflammation. 2021 // Hodler J., Kubik-Huch R.A., von Schulthess G.K., editors. Musculoskeletal Diseases 2021–2024. Cham (CH): Springer; 2021.

[23] Yun C, Shen CL. Anterior release for Scheuermann's disease: A systematic literature review and meta-analysis. Euro Spine J. 2017;26(3):921–927. doi: 10.1007/s00586-016-4632-z

[24] Yun C., Shen C.L. Anterior release for Scheuermann's disease: A systematic literature review and meta-analysis // Euro Spine J. 2017. Vol. 26, N 3. Р. 921–927. doi: 10.1007/s00586-016-4632-z

[25] Huq S, Ehresman J, Cottrill E, et al. Treatment approaches for Scheuermann kyphosis: A systematic review of historic and current management. J Neurosurg Spine. 2019;32(2):235–247. doi: 10.3171/2019.8

[26] Huq S., Ehresman J., Cottrill E., et al. Treatment approaches for Scheuermann kyphosis: A systematic review of historic and current management // J Neurosurg Spine. 2019. Vol. 32, N 2. Р. 235–247. doi: 10.3171/2019.8

[27] Khoreva NY, Semenova ZB. Treatment of herniated discs of the lumbar spine in adolescents and adolescents. Neurosurgery neurology children. 2018;(1):56–59. (In Russ).

[28] Хорева Н.Е., Семенова Ж.Б. Лечение грыж межпозвоночных дисков поясничного отдела позвоночника у подростков и лиц юношеского возраста // Нейрохирургия и неврология детского возраста. 2018. № 1. С. 56–59.

[29] Lee CH, Won YI, Ko SY, et al. Posterior-only versus combined anterior-posterior fusion in Scheuermann disease: A systematic review and meta-analysis. J Neurosurgery Spine. 2020;25;34(4):608–616. doi: 10.3171/2020.7.SPINE201062

[30] Lee C.H., Won Y.I., Ko S.Y., et al. Posterior-only versus combined anterior-posterior fusion in Scheuermann disease: A systematic review and meta-analysis // J Neurosurgery Spine. 2020. Vol. 34, N 4. Р. 608–616. doi: 10.3171/2020.7.SPINE201062

[31] Gong Y, Yuan L, He M, et al. Comparison between stable sagittal vertebra and first lordotic vertebra instrumentation for prevention of distal junctional kyphosis in Scheuermann disease: Systematic review and meta-analysis. Clin Spine Sur. 2019;32(8):330–336. doi: 10.1097/BSD.0000000000000792

[32] Gong Y., Yuan L., He M., et al. Comparison between stable sagittal vertebra and first lordotic vertebra instrumentation for prevention of distal junctional kyphosis in Scheuermann disease: Systematic review and meta-analysis // Clin Spine Sur. 2019. Vol. 32, N 8. Р. 330–336. doi: 10.1097/BSD.0000000000000792

[33] Maksimov AV, Kir'yanova VV. Magnetic therapy in clinical practice. Physiotherapy balneology rehabilitation. 2019;18(6):412–426. (In Russ).

[34] Максимов А.В., Кирьянова В.В. Магнитная терапия в клинической практике // Физиотерапия, бальнеология и реабилитация. 2019. Т. 18, № 6. С. 412–426.

[35] White Paper on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. Scope of clinical competence: PRM in practice. Alliance of European Organizations for Physical and Rehabilitation Medicine. Physical Rehabilitation Medicine Medical Rehabilitation. 2019;1(1):102–130. (In Russ). doi: 10.23736/S1973-9087.18.05151-1

[36] Белая книга по физической и реабилитационной медицине (ФРМ) в Европе. Глава 7. Сфера клинической компетенции: ФРМ на практике. Альянс Европейских организаций по физической и реабилитационной медицине // Физическая и реабилитационная медицина, медицинская реабилитация. 2019. Т. 1, № 1. С. 102–130. doi: 10.23736/S1973-9087.18.05151-1

[37] Zakoshchikov KF, Katin SO. Hypoxytherapy "Mountain air". Moscow: Bumazhnaya galereya; 2001. 63 p. (In Russ).

[38] Закощиков К.Ф., Катин С.О. Гипокситерапия «Горный воздух». Москва: Бумажная галерея, 2001. 63 с.

[39] Lyubchik VN, Kurganova AV, Ozerov IA. Analysis of the immediate results of sanatorium-resort rehabilitation of children with Sheyermann-Mau disease. Bulletin Physiotherapy Balneology. 2016;22(1):28–33. (In Russ).

[40] Любчик В.Н., Курганова А.В., Озеров И.А. Анализ ближайших результатов санаторно-курортной реабилитации детей с болезнью Шейермана-Мау // Вестник физиотерапии и курортологии. 2016. Т. 22, № 1. С. 28–33.

RIGHTS & PERMISSIONS

Khan M.A., Talkovsky E.M., Vybornov D.Y., Tarasov N.I., Koroteev V.V., Gusakova E.V.