Manual therapy of vertebral thoracic neurological syndromes

O.A. Kozyolkіn, S.O. Medvеdkova, O.A. Lisova


Background. The purpose was to increase the effectiveness of comprehensive treatment of patients with vertebral thoracic neurological syndromes (VTNS) through the active use of manual therapy (MT) and kinesiotherapy at the rehabilitation stage. Materials and methods. We observed and treated 500 patients with VTNS, who made up the basic group, where comprehensive therapy was carried out according to standards and protocols (drugs, physiotherapy, acupuncture, traction, etc.), in addition, the MT and kinesiotherapy were used. The comparison group included 200 patients with VTNS, who underwent a similar comprehensive treatment, but without MT and kinesiоtherapy. Both groups of patients were compared in terms of severity of pain, impaired vertebrodynamics, timing of exacerbation, and other types of vertebral neurological manifestations. All patients were treated in a specialized vertebroneurological department. Results. It was revealed that treatment outcomes were better in patients from the basic group, where MT and kinesiotherapy were used. With a substantial improvement, 345 (69.0 %) patients from the basic group were discharged and 79 (39.5 %) — from the comparison group, with an improvement — 106 (21.2 %) and 40 (20.0 %) persons, respectively. The ability to work was fully restored in 451 patients (90.2 %) from the basic group and in 119 (59.5 %) — from the comparison group. The average duration of treatment in the basic group was 14.2 ± 2.1 days and 20.1 ± ± 1.9 days — in the comparison group. Conclusions. The inclusion of MT in the treatment of patients with VTNS significantly increases its effectiveness and contributes to a more rapid recovery of patients.


vertebral thoracic neurological syndromes; manual therapy


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