THE SUBSTANTIATION OF COMPLEX TREATMENT FOR MYOFASCIAL SYNDROME OF CERVICOBRACHIAL LOCALIZATION IN PATIENTS WITH SOMATOFORM AUTONOMIC DYSFUNCTIONS

Abstract

Objectives. To study the efficiency and give reasons for the treatment of cervicobrachial myofascial syndrome (MFS) in patients with somatoform and autonomic dysfunctions using a complex of methods, including correction of postural muscle imbalance, reflexology and kinesiotaping. Material and methods. 49 patients took part in the study, they were divided into 2 comparison groups, matched by sex and age. Group I - the control group consisted of 24 patients who underwent a course of treatment according to the protocols and treatment standards in the Republic of Belarus. Group II - the experimental group included 25 patients who in addition to the standard course of treatment, received a complex of methods, including correction of postural muscle imbalance, reflexology and kinesiotaping. All patients underwent a clinical and neurological examination, the level of their anxiety and depressive symptoms was assessed using the Hospital Anxiety and Depression Scale - HADS (Zigmond A.S., Snaith R.P., 1983), (Russian version of Andryushchenko A.V., Drobizhev M.Yu., Dobrovolsky A.V., 2003), for the diagnosis of autonomic dysfunction the autonomic test by A.M. Wayne was used. Pain assessment was carried out using McGill’s multidimensional pain questionnaire modified by V.V. Kuzmenko. Results. A statistically significant positive effect of this treatment complex on the process of the MFS patients recovery was revealed. Conclusions. The proposed complex is gentle, non-stressful, effective and safe, which exerts a positive influence on improving the quality of medical care.