INFLUENCE OF MODERN METHODS OF REHABILITATION ON POSTURAL BALANCE IN PATIENTS WITH LUMBAL DORSOPATHY

V. Drobyshev, N.I. Kholodkov, N. A. Gadzhieva, E. V. Strelnikova, A. Strelnikova, K. E. Loktina
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Abstract

The influence of complex rehabilitation on motor function was studied in 120 patients with dorsopathy of the lumbar spine operated on for radicular compression syndromes caused by herniated discs L4-L5, L5-S1, randomly divided into two groups. Group 1 (main) included 60 patients, the basic rehabilitation complex was optimized by stabilometric training and special physical exercises in the pre- and postoperative periods. Group 2 (comparison) consisted of 60 patients, in whom only the basic rehabilitation complex was used. A prospective 180-day follow-up showed that in patients of group 1, the positive dynamics of the pain syndrome assessment occurred in a shorter period, differing from the initial values by 2.5 times, while the indicators of group 2 differed by 1.7 times. The dynamics of balance assessment in patients of group 1 had statistically significant differences, differing from the initial values by 1.2 times, while in patients of group 2 the indicators differed by 1.1 times. The dynamics of the assessment of the quality of life in patients of group 1 had higher indicators and differed from the initial values by 1.7 times, while in patients of group 2 the indicators differed by 1.5 times. The dynamics of locomotor function in patients of group 1 differed from the initial values by 4.9 times, while patients of group 2 had indicators that differed from the baseline values by 2.3 times.
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现代康复方法对腰背病患者体位平衡的影响
本文对120例因L4-L5、L5-S1椎间盘突出致神经根压迫综合征行腰椎背侧病变手术的患者,随机分为两组,观察复杂康复治疗对运动功能的影响。第一组(主组)60例患者,在术前和术后通过稳定性训练和特殊体育锻炼优化基本康复复合体。第二组(对照组)60例患者,仅使用基础康复复合体。一项180天的前瞻性随访显示,1组患者疼痛综合征评估的积极动态发生时间较短,与初始值相差2.5倍,而2组患者的指标相差1.7倍。组1患者的平衡评估动态与初始值相比差异有统计学意义,差异为1.2倍,组2患者的各项指标差异为1.1倍。1组患者生活质量动态评价指标较高,与初始值相差1.7倍,2组患者生活质量动态评价指标相差1.5倍。1组患者的运动功能动力学与初始值相差4.9倍,2组患者的指标与基线值相差2.3倍。
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