Physical rehabilitation of patients with degenerative diseases of the spine using the David back concept

Abstract

BACKGROUND: Physical rehabilitation of patients with degenerative-dystrophic spine diseases is an important medical problem due to the significant decrease in physical activity, work capacity and quality of life of the patient.

AIM: The aim of the study was to evaluate the effectiveness of the developed rehabilitation complex for degenerative lesions of the thoracolumbar spine using biofeedback simulators David 110, 130, 120, 150.

MATERIALS AND METHODS: The study included 30 patients with degenerative changes in the lumbar region (mean age 43.6 years), who underwent a complex of rehabilitation measures for an average of 9.2 days, including therapeutic exercises for the back muscles, physiotherapy, and the training devices David 110 (lumbar-thoracic extension), 130 (lumbar-thoracic flexion), 120 (rotation to the right/left), 150 (lateral flexion to the right/left).

RESULTS: The effectiveness of the rehabilitation complex was confirmed by David back concept functional tests in the form of a statistically significant increase in muscle strength and range of motion in the thoracolumbar region (p <0.05), regression of pain syndrome (p <0.05) on the VAS scale and increased patient satisfaction were noted treatment based on the results of an oral survey of patients.

CONCLUSION: Exercises on David training machines in combination with therapeutic exercises for strengthening the back muscles and physiotherapy have a positive effect in the implementation of rehabilitation programs for patients with degenerative changes in the thoracolumbar spine.

Keywords

degenerative-dystrophic diseases of the spine / medical rehabilitation / thoracolumbar spine / David exercise equipment

References

[1] Bektemirova SN. Medical rehabilitation of patients with degenerative-dystrophic changes in the spine. Sovremennye problemy nauki i obrazovaniya. 2015;(6):184. (In Russ).

[2] Бектемирова С.Н. Медицинская реабилитация больных дегенеративно-дистрофическими изменениями позвоночника // Современные проблемы науки и образования. 2015. № 6. С. 184.

[3] Gushcha AO, Grin AA, Yusupova AR. Surgery of degenerative lesions of the spine. National leadership. Moscow: GEOTAR-Media; 2019. 480 p. (In Russ).

[4] Гуща А.О., Гринь А.А., Юсупова А.Р. Хирургия дегенеративных поражений позвоночника. Национальное руководство. Москва: ГЭОТАР-Медиа, 2019. 480 с.

[5] Iskra DA. Low back pain: From correct diagnosis to pathogenetic therapy. Handbook Practitioners Doctors. 2017;(5):58–62.

[6] Искра Д.А. Боль в спине: от корректной диагностики к патогенетической терапии // Справочник поликлинического врача. 2017. № 5. С. 58–62.

[7] Henschke N, Kamper SJ, Maher CG. The epidemiology and economic consequences of pain. Mayo Clin Proc. 2015;90(1):139–147. doi: 10.1016/j.mayocp.2014.09.010

[8] Henschke N., Kamper S.J., Maher C.G. The epidemiology and economic consequences of pain // Mayo Clin Proc. 2015. Vol. 90, N 1. Р. 139–147. doi: 10.1016/j.mayocp.2014.09.010

[9] Titova NV. Patient with nonspecific pain in the lower back: Diagnostic and treatment algorithm. Russian Medical Inquiry. Meditsinskoe Obozrenie. 2016;24(12):775–781. (In Russ).

[10] Титова Н.В. Пациент с неспецифической болью в нижней части спины: алгоритм диагностики и терапии // Русский медицинский журнал. Медицинское обозрение. 2016. Т. 24, № 12. С. 775–781.

[11] Zhivolupov SA, Samartsev IN. Minimally invasive therapy (blockades) in neurology. Moscow: MEDpress-inform; 2016. 120 p. (In Russ).

[12] Живолупов С.А., Самарцев И.Н. Малоинвазивная терапия (блокады) в неврологии. Москва: МЕДпресс-информ, 2016. 120 с.

[13] Isaikin AI, Kuznetsov IV, Kavelina AV, Ivanova MA. Nonspecific low back pain: Causes, clinical picture, diagnosis, and treatment. Neurology, Neuropsychiatry, Psychosomatics. 2015;7(4):101–109. doi: 10.14412/2074-2711-2015-4-101-109

[14] Исайкин А.И., Кузнецов И.В., Кавелина А.В., Иванова М.А. Неспецифическая люмбалгия: причина, клиника, диагностика, лечение // Неврология, нейропсихиатрия, психосоматика. 2015. Т. 7, № 4. С. 101–109. doi: 10.14412/2074-2711-2015-4-101-109

[15] Clinical recommendations “Chronic pain in elderly and senile patients”. Moscow: Pero; 2021. 112 p. (In Russ).

[16] Клинические рекомендации «Хроническая боль у пациентов пожилого и старческого возраста». Москва: Перо, 2021. 112 с.

[17] Eremushkin MA. Physical activity and health. From therapeutic exercises to parkour. Moscow: Sport; 2016. 184 p. (In Russ).

[18] Еремушкин М.А. Двигательная активность и здоровье. От лечебной гимнастики до паркура. Москва: Спорт, 2016. 184 с.

[19] Borodulina IV, Mukhina AA, Chesnikova EI. Features of the application of instrumental methods for lumbosacral muscle groups functional state assessing. Bulletin Rehab Med. 2021;20(5):65–72. doi: 10.38025/2078-1962-2021-20-5-65-72

[20] Бородулина И.В., Мухина А.А., Чесникова Е.И. Особенности применения инструментальных методов оценки функционального состояния мышечных групп пояснично-крестцового отдела позвоночника // Вестник восстановительной медицины. 2021. Т. 20, № 5. С. 65–72. doi: 10.38025/2078-1962-2021-20-5-65-72

[21] Chesnikova EI, Saveleva EM, Vakulenko SV, et al. Application of David Spine Concept equipment in rehabilitation of patients with the cervical spine spondiloarthrosis. Bulletin Rehab Med. 2021;20(2): 42–48. doi: 10.38025/2078-1962-2021-20-2-42-48

[22] Чесникова Е.И., Савельева Е.М., Вакуленко С.В., и др. Применение оборудования David Spine Concept в реабилитации пациентов со спондилоартрозом шейного отдела позвоночника // Вестник восстановительной медицины. 2021. Т. 20, № 2. С. 42–48. doi: 10.38025/2078-1962-2021-20-2-42-48

[23] Kienbacher T, Paul B, Habenicht R, et al. Reliability of isometric trunk moment measurements in healthy persons over 50 years of age. J Rehab Med. 2014;46(3):241–249. doi: 10.2340/16501977-1266

[24] Kienbacher T., Paul B., Habenicht R., et al. Reliability of isometric trunk moment measurements in healthy persons over 50 years of age // J Rehabil Med. 2014. Vol. 46, N 3. Р. 241–249. doi: 10.2340/16501977-1266

[25] Chesnikova EI, Savelieva EM, Mikhaleva KA, et al. Application of “David Spine Concept” equipment in complex rehabilitation of patients of post-surgical treatment of the cervical vertebrae traumatic injuries. Bulletin Rehab Med. 2022;21(2):88–98. doi: 10.38025/2078-1962-2022-21-2-88-98

[26] Chesnikova E.I., Savelieva E.M., Mikhaleva K.A., et al. Применение оборудования «David Spine Concept» в комплексной реабилитации пациентов после хирургического лечения травматических повреждений шейных позвонков // Вестник восстановительной медицины. 2022. Т. 21, N 2. С. 88–98. doi: 10.38025/2078-1962-2022-21-2-88-98

RIGHTS & PERMISSIONS

Eco-Vector