[Treatment of patients with chronic nonspecific lumbalgia with various pain triggers].

Autor:	Rozhkov DO; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Zinovyeva OE; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Nosovsky AM; State Scientific Center of the Russian Federation Institute of Biomedical Problems, Moscow, Russia., Parfenov VA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Jazyk:	ruština
Zdroj:	Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Zh Nevrol Psikhiatr Im S S Korsakova] 2023; Vol. 123 (4), pp. 72-77.
DOI:	10.17116/jnevro202312304172
Abstrakt:	Objective: To evaluate the effectiveness of complex therapy in patients with chronic nonspecific lumbalgia associated with various pain triggers. Material and Methods: There were 121 patients with chronic nonspecific lumbalgia (average duration of pain 8.0±5.0 months) aged 22 to 59 years (average age 42.1±10.5). The lesion of the facet joints (24.8%), sacroiliac joint (23.2%), muscles (16.5%) or their combined lesion (35.5%) was established as pain triggers of lumbalgia. The patients underwent complex therapy, including medications, kinesiotherapy and cognitive therapy. Before and after the course of therapy (on average 3 weeks), a digital rating scale for pain assessment, the Oswestry Disability Index and the Hospital Anxiety and Depression Scale (HADS) were used. Results: After treatment, there was a significant ( p <0.01) decrease in pain (6.1±1.1 to 1.13±0.37 points, p <0.01), disability (40.09±3.56 to 22.15±13.20%), anxiety (8.98±0.50 to 6.46±0.34 points) and depression (8.72±0.17 to 6.02±0.26 points). A significant improvement in the condition was found in all pain triggers of chronic lumbalgia. The duration of chronic lumbalgia, the severity of life limitations on the Oswestry Disability Index and anxiety on HADS were the reliable predictors of the low effectiveness of complex therapy. Conclusion: Complex therapy, including medications, kinesiotherapy and cognitive therapy, is effective for various pain triggers of chronic lumbalgia.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu