Manual therapy of vertebral thoracic neurological syndromes
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.
Full Text:PDF (Українська)
Antonov IP. Classification and formulation of the diagnosis of diseases of the peripheral nervous system. Peripheral nervous system: Coll. scientific man. Minsk. 1984; 7:51-8.
Pain syndromes in neurological practice. Ed. prof. VL Golubeva. 3rd ed. Rev. and add. M: MEDpress-inform; 2010. 336.
Veselovsky VP, Mikhailov MN, Samitov MSh Diagnosis of spinal osteochondrosis syndromes. Kazan: Kazan University Press; 1990. 290.
Epifanov VA, Epifanov AV Rehabilitation in neurology. Ed. M.: GEOTAR-MEDIA; 2014. 416.
Kozyolkin AA, Medvedkova SA, Lisova OA Diagnosis and treatment of vertebral pain syndromes. Zaporozhzhia; 2008. 123.
Lewit K, Sachse I, Janda V. Manual medicine (Trans. From German.). M.: Medicine; 1993. 511.
Povoroznyuk VV, Orlik TV, Dudko OT, Grigor’єva NV Treatment of vertebral pain syndrome with osteochondrosis of the cervical spine in women with climacteric disorders. Problems of osteology. Scientific and practical journal. 2003. 6(4): 4-10.
Popelyansky IYu. Orthopedic Neurology (Vertebroneurology): Hand. for doctors. - 5. ed., Add. and recycled. M.: MEDpress-inform; 2011. 672 p.
Yaroshevsky AA, Morozova OG Musculoskeletal pain in the chest. Family doctor. 2015. 2:28-36
Kwon Y, Kim JW, Heo JH, Jeon HM, Choi EB The effect of sitting posture on the loads at cervico-thoracic and lumbosacral joints. Technol Health Care. 2018. 26(S1):409-18.
Maigne R. Doueleurs d'origine vertebrale et traitments par manipulations. Expansion scientifigue, Paris; 1977. 518p.
Roldan CJ., Huh BK. Iliocostalis Thoracis-Lumborum Myofascial Pain: Reviewing a Subgroup of a Prospective, Randomized, Blinded Trial. A Challenging Diagnosis with Clinical Implications. Pain Physician. 2016. 19(6):363-72.
Southerst D., Marchand AA, Côté Р et all, The effectiveness of noninvasive interventions for musculoskeletal thoracic spine and chest wall pain: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration. / D Southerst, Shearer, JJ Wong, S Varatharajan, K Randhawa, D Sutton, H Yu, DP Gross, C Jacobs, R Goldgrub, M Stupar, S Mior, LJ Carroll, A Taylor-Vaisey // J Manipulative Physiol Ther. – 2015. 38(7):521-31.
Stoddard A. Manual of osteopathic technigue. 3rd ed. London; 1984. 275p.
Copyright (c) 2019 INTERNATIONAL NEUROLOGICAL JOURNAL
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Publishing House Zaslavsky, 1997-2020