A complex approach to musculoskeletal dysfunction in the spine.

Autor: MITOVA, STAMENKA, GRAMATIKOVA, MARIYA, AVRAMOVA, MARGARITA, ANDREEV, DIMITAR
Zdroj: Journal of Physical Education & Sport; 2020 Supplement, Vol. 20, p3316-3322, 7p
Abstrakt: Chronic back pain is a common conditionand it is a well-recognised public health burden.A number of studies have reported different methods for treatment of chronic pain syndrome in the spine, because it turns out to be a serious problem. The present researchaims to perform functional study and approve author's kinesitherapeutic methodology in patients with musculoskeletal dysfunction in the spine. Methodology:The methodology of the study includes conducting functional studies and tests - anamnesis, somatoskopy, Schober, Ott, Laseg test and Visual Analogue Scale for pain. Contingent of 81 participants were recruited according to the indications of experimental complex therapy and randomly divided in two- experimental group (N=44) and control group (N=37). The complex therapy for the experimental group includes - MLS-laser therapy, manual mobilizations of the soft tissues and specialized exercise. The control group receivedthe same treatment except MLS-laser therapy. Every participant received 10 procedures for 10 consecutive days. Results:Mean values of the Ott and Schober test, measured before and aftertherapyfor experimental group was 2.44±0.45cm and 4.18±0.67cm of the Otttest and 1.64±0.44cm and 2.88±0.66cm of Schober test. In control group was respectively 2.42±0.45cm and 2.53±0.44cm of Ott test and 1.57±0.44cm and 1.80±0.53cm of Shober test. Data obtained of Lasegue test in experimental group was67.45±4.05 before and 82.64±3.87 after therapy, while in control group it was 67.16±4.17° before and 69.73±3.90°. Mean values of pain threshold measured before the complex therapy for patients with musculoskeletal dysfunction in the spine was 9.0±0.99mm before and 1.52±0.85mm aftertreatment for experimental group and 8.56±0.98mm and 7.08±1.09mm for control group. Data demonstrates statistically significant differences after treatment (p<0.05).Conclusions:The significant reduction of pain and muscle spasm during treatment in experimental group improves range of movement and functionality of lumbar spine for patients with this pathology. Data shows the effectiveness and positive impact of the enclosed comprehensive approach including MLS-laser therapy to patients with musculoskeletal dysfunction in the spine. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index