Bulletin of Rehabilitation Medicine最新文献

{"title":"Effect of Rehabilitation Interventions on Post-Stroke Upper Limb Dysfunction and Cognitive Functions: a Systematic Review and Meta-Analysis","authors":"E. Kostenko, Lyudmila V. Petrova, D. I. Nahrapov, I. Pogonchenkova","doi":"10.38025/2078-1962-2023-22-1-69-79","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-69-79","url":null,"abstract":"INTRODUCTION. The prevalence of upper limb dysfunction and cognitive impairments are frequently observed following stroke, but are often considered as distinct entities, and there is little evidence regarding how they are related, as well as rehabilitation methods are aimed at monodomain restoration of any of these impairments.\u0000AIM. To analyze the data of recent years on the impact of rehabilitation interventions on cognitive and the upper limb (UL) motor functions in patients with stroke, and to establish how they are related.\u0000MATERIAL AND METHODS. The search was carried out in the Medline, Web of Science, PubMed and Scopus sources in accordance with the PRISMA principles and initially revealed 2,841 records. Of these, 35 articles were included in the study with publication 2011–2022. Keywords were used: stroke, movement, motor, upper limb, cognition, cognitive, cognitive-motor, motor-cognitive function. The relationship between cognitive impairments and the degree of restoration of the UL motor function under the influence of various rehabilitation interventions was assessed.\u0000RESULTS. Five studies were selected for meta-analysis with the inclusion of 180 stroke patients. It is shown that the improvement of cognitive tests (MoCA) is accompanied by an improvement in UL motor impairments (FMA, Jebsen-Taylor Hand Function Test), while hand dexterity (Box and blocks, NHPT, Minnesota manual dexterity test) remained without statistically significant changes during medical rehabilitation.\u0000CONCLUSION. The meta-analysis provides evidence of the relationship and mutual influence of cognitive functions on motor recovery and manual dexterity. However, the small sample size and heterogeneity of available studies are still limiting factors for obtaining unambiguous conclusions.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114265294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustaining and Development of Physiotherapy as an Important Condition for Health Resort Treatment Effectiveness Increasing: a Review","authors":"T. Konchugova, A. D. Fesyun, M. V. Nikitin, O. V. Yurova, M. Yakovlev, D. Kulchitskaya","doi":"10.38025/2078-1962-2023-22-1-16-21","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-16-21","url":null,"abstract":"AIM. To focuses on the relevance of using, along with natural healing factors, traditional and innovative transformed physical factors, which can significantly improve the effectiveness of health resort treatment.\u0000INTRODUCTION. Globally recognized achievements of Russian balneology are first of all connected with strictly scientific approaches to development of therapeutic methods and complex programs of physiotherapeutic treatment, implemented for many decades in health resort organizations throughout the country. The richest deposits of natural mineral waters and mud were mastered, studied and adapted for treatment of chronic diseases of inflammatory and degenerative-dystrophic nature, for rehabilitation of patients after vascular accidents, injuries and operations, as well as for rehabilitation of virtually healthy persons with reduced functional reserves.\u0000The results obtained on the basis of randomized clinical trials represent the evidence base for inclusion of various methods of physiotherapy in the Clinical Guidelines for various nosologies. The successful development of physiotherapy requires not only a profound scientific approach, consolidation of researchers, manufacturers of physiotherapy equipment and practitioners, but also further improvement of the regulatory framework. Thus, a great achievement of 2022 can be considered the drafting of an Order on providing medical care to the population in the profile of «physiotherapy».","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"13 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132088260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status and Prospects for the Development of Health Resort Complex of the Russian Federation","authors":"A. Fesyun","doi":"10.38025/2078-1962-2023-22-1-8-15","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-8-15","url":null,"abstract":"INTRODUCTION. Medical rehabilitation and health resort treatment are significant, dynamically developing links of the healthcare system that have a high potential to influence the level of health of the population of the Russian Federation. A special role in the development of these medical areas is played by modern information complexes, in particular, the «State Registry of Resorts of the Russian Federation».\u0000AIM. To analyze the current state of the health resort complex of the Russian Federation and to reveal the most perspective directions of its improvement, including medical rehabilitation, provided by sanatoriums having licenses for medical rehabilitation.\u0000MATERIAL AND METHODS. Regulatory and legal acts, feedback from organizational and methodological support of the subjects of the Russian Federation in the profile «health resort treatment» with an assessment of the quality of medical care were used. Data from information-analytical systems of the health resort industry of the Russian Federation were also used for the analysis.\u0000RESULTS. The main ways of development of health resort organizations of the Russian Federation have been analyzed and presented, including the main tasks aimed at improving the quality of medical care, expanding the use of natural healing resources and modern non-medicinal treatment and rehabilitation methods and health care informatization. Research limitation. The proposed ways of development are applicable to health organizations of the Russian Federation licensed to provide medical care for health resort treatment, as well as medical rehabilitation.\u0000CONCLUSION. For further improvement of health resort treatment important aspects are development and implementation of personalized programs of medical rehabilitation and non-drug prevention of chronic non-infectious diseases, development of algorithms and common criteria for assessing the effectiveness of health resort treatment, development of the State Register of the Russian Federation Resort Fund including an interactive map of resorts of the Russian Federation.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122639714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Resort Medicine Development in Perm Krai before and after COVID-19 Pandemic: a Retrospective Study","authors":"M. Oborin, Eugeniy V. Vladimirsky","doi":"10.38025/2078-1962-2023-22-1-22-27","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-22-27","url":null,"abstract":"AIM. To substantiate the prospects for health resort complex development in Perm Krai in terms of adaptation to the effects of the COVID-19 pandemic and the use of therapeutic base of resorts in the region in the recovery and rehabilitation process.\u0000MATERIALS AND METHODS. Statistical data on the health resort complex state of the region, as well as the dynamics of individual groups of diseases for 2017–2021 were used. The research was conducted on the basis of philosophical methods, comparison, grouping, description, modeling.\u0000RESULTS AND DISCUSSION. The health complex of Perm Krai is traditionally well-developed, it operates on a rich hydro-mineral resource base, which allows to diversify the therapeutic profile and implement programs for the recovery, treatment and rehabilitation of the population after COVID-19 with long-term negative consequences and exacerbation of chronic and concomitant diseases. Regional health resorts indexes as a whole correspond to the negative trend of quantitative decline, which became especially noticeable in 2020 with subsequent gradual recovery. The profitability of the resorts of Perm Krai remains high, which suggests positive prospects for maintaining the sufficient supply and its focus not only on the residents of the region. The practice of state management of resort medicine shows that its systematic economic and fiscal support is needed, only in this case it will be possible to achieve significant coverage of the population with rehabilitation programs. First of all, there is a need for a regional strategy of the health resort complex development with clearly defined program measures. This should be done taking into account the experience of past planning with an analysis of the reasons why many indicators were not achieved.\u0000CONCLUSION. Health resort complex of the region has a developed resource and infrastructure potential, experience, traditions that allow to implement programs for prevention and recovery of various categories of population after suffering from the disease caused by COVID-19. Diversified therapeutic profiles of resorts can become the basis for the formation of an advanced base of resort medicine in the region and the Volga Federal District.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122021962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Burnout Syndrome in Health Personnel and Social Workers: a Comparative Questionnaire-Based Survey","authors":"Olga I. Hohlova, E. Vasilchenko, Vadim A. Versh, Olga B. Lazhintseva, Julia V. Archibasova, Natalya V. Tulkina, M. Zhestikova","doi":"10.38025/2078-1962-2023-22-1-87-97","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-87-97","url":null,"abstract":"AIM. To perform the comparative assessment of the prevalence of professional burnout symptoms in health personnel and social workers providing services to persons with pronounced disabilities.\u0000MATERIAL AND METHODS. We conducted a survey of employees in two medical institutions (healthcare workers, Group 1, n = 86) and employees in a social service institution (social workers, Group 2, n = 89). The presence of professional burnout was established using Maslach Burnout Questionnaire adapted by N. Vodopyanova.\u0000RESULTS AND DISCUSSION. Signs of professional burnout of different severity were found in 96,6 % of the respondents. High and extremely high levels of psychoemotional exhaustion, depersonalization, reduction of personal achievements were more frequent among health personnel than among social workers: 1,9 times (p = 0,012), 1,6 times (p = 0,033), 2,9 times (p = 0,029) respectively. At the same time, 31.4 % of Group 1 and 7.9 % of Group 2 respondents indicated overwork due to understaffing; 29.1 % and 10.1 %, respectively, indicated frequent need for additional work due to the temporary absence of colleagues. It explains higher levels of professional burnout among employees of medical institutions. At the same time, Group 2 was characterized by a younger age (by 6.5 years on average, p = 0.006) and a shorter work experience in the institution (by 10 years on average, p < 0.001) compared to Group 1, which may indicate both «staff turnover» among social workers and the appearance of conditions in the social service sphere attractive for younger age specialists.\u0000CONCLUSION. Health personnel have higher levels of the professional burnout symptoms more often than social workers, that is probably connected with an increased intensity of labour and overwork.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123481828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Patients Remote Monitoring in Medical Organizations of Rehabilitation and Health Resort Profile: a Narrative Review","authors":"L. Marchenkova, I. A. Rozanov","doi":"10.38025/2078-1962-2023-22-1-60-68","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-60-68","url":null,"abstract":"INTRODUCTION. The article presents the result of a systematic analysis of 53 scientific literature sources related to modern methods of remote patient monitoring, which constitute the subject of clinical biotelemetry and are available for use in medical organizations of health resort and rehabilitation profile. The development of medical telemetry methods has a long history and is associated with the achievements in the field of telecardiology, in remote medical support.\u0000AIM. Provide an overview of the main results on the relevance of using these technologies for remote patient monitoring in rehabilitation medicine and in health resort organizations. Such parameters as motor activity, heart rate, heart rhythm variability, qualitative and quantitative indicators of their sleep and psycho-emotional state can be remotely analyzed by computer. The data obtained can be processed in real time and can be useful not only for scientific purposes, but also for quality control of medical services, for prompt detection of maladaptive conditions, and, above all, for improving the quality of life of patients.\u0000RESULTS. The results of the literature review showed that the tasks of the medical services and patients’ life quality improving can be solved by implementing high-tech methods of remote monitoring in the practice of physical and rehabilitation medicine of health resort treatment.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129556535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Physical Factors in the Chronic Endometritis Treatment: a Review","authors":"O. O. Borisevich, A. Fesyun, N. V. Kotenko","doi":"10.38025/2078-1962-2023-22-1-110-116","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-110-116","url":null,"abstract":"INTRODUCTION. Chronic inflammation in the uterine cavity is a fairly common problem in women of reproductive age, which negatively affects the state of the reproductive potential of the population.\u0000AIM. To present a scientific review of domestic and foreign literature covering modern methods and approaches of physical medicine used in the rehabilitation treatment of women with chronic endometritis.\u0000CONCLUSION. After analyzing the studied sources, we can conclude that the use of restorative medicine factors significantly expands the possibilities of treating chronic endometritis. Due to the use of complex or monotherapeutic techniques based on natural and preformed physical factors, it is possible to achieve outstanding results in restoring the morphofunctional potential of the endometrium. The main obstacle to the introduction of physical medicine approaches in practical healthcare is their low background, insufficient number of randomized studies that allows to use these methods as part of clinical recommendations. Further search and study of suitable non-drug regimens for chronic inflammation in the uterine cavity is needed, which will reduce the need for drug therapy.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"813 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117054666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological Problems of Psychometric Tests in Clinical Studies of Cognitive Disorders in Patients with Cerebral Vascular Lesions: a Review","authors":"A. Aizenshtein, A. Trofimova, Y. Mikadze, G. Ivanova","doi":"10.38025/2078-1962-2023-22-1-46-59","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-46-59","url":null,"abstract":"AIM. To assess cognitive dysfunction in clinical practice, depending on the task being solved in the examination, different neuropsychological research methods are used. To identify the specific cause of the dysfunctions in the structure of various mental functions (neuropsychological characteristics of the defect) and in the brain functions (topical diagnosis), methods of qualitative analysis of the detected symptoms of the disorder are used. Psychometric (quantitative) methods are used to assess numerically the severity of disorders and the dynamics of changes in the state of individual mental functions, as well as for screening assessment of e possible cognitive decline level in general. Methods of cognitive dysfunctions qualitative assessment are focused on the search for a «missing link» in the structure of the examined mental functions. Psychometric tests, in most cases, describe the general state of either individual mental functions, or, in the case of screening, a set of cognitive functions. Thus, one or more aspects of mental functions are evaluated, in which several cognitive functions are involved at once.\u0000The article presents the results of a literature review with a description and analysis of preferences, methods used and corresponding techniques for neuropsychological examination of cognitive disorders in domestic clinical practice in vascular brain lesions.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134002428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced Application of Digital Technologies for Rehabilitation and Remote Monitoring of Patients with Post-Covid Syndrom: a Review","authors":"M. A. Ansokova, I. A. Rozanov, L. Marchenkova","doi":"10.38025/2078-1962-2023-22-1-117-123","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-117-123","url":null,"abstract":"AIM. To describe modern technologies for telerehabilitation and remote monitoring of the condition of patients who have undergone a new coronavirus infection COVID-19, and to show the experience of the National Medical Research Center for Rehabilitation and Balneology of the in the clinical testing and development of these technologies.\u0000MATERIAL AND METHODS. A consistent analysis of 39 modern sources of scientific literature (including systematic reviews and original researches), selected by the keywords of this article and including the most up-to-date publications in rating peer-reviewed journals, allows us to conclude the following. The use of digital methods of rehabilitation and diagnostics in institutions of restorative medicine in patients who have had a new coronavirus infection can reduce the risks of undesirable outcomes and the burden on medical personnel, reduce the severity of manifestations of post-COVID-19 syndrome and improve the quality of life of patients.\u0000RESULTS AND DISCUSSIONS. The article describes the prospects for the use of modern intelligent technologies (virtual reality, biofeedback mechanotherapy and remote analysis of the cardiovascular system, motor activity and psychoemotional sphere) in the treatment and rehabilitation programs of patients who have suffered a new coronavirus infection COVID-19. The clinical aspects of the new coronavirus infection that determine the use of digital technologies and remote monitoring in the medical rehabilitation of patients with postcovid syndrome are presented. The technologies of virtual reality, biofeedback mechanotherapy and remote monitoring developed for the rehabilitation of patients with postcovid syndrome at the National Medical Research Center for Rehabilitation and Balneology are described in detail, data on their effectiveness, as well as limitations and difficulties possible with the introduction of digital methods of rehabilitation and telemedicine methods are given. The analysis of psychological factors of distress caused by a new coronavirus infection and approaches to their remote telemonitoring were carried out.\u0000CONCLUSION. The effectiveness of new digital rehabilitation methods that have recently appeared in clinical practice allows us to conclude that the use of modern intelligent technologies is promising. Among them, it should be noted such technologies as virtual reality, mechanotherapy with biofeedback and remote analysis of the performance of the cardiovascular system, motor activity and psycho-emotional sphere in the treatment and rehabilitation programs of patients with post-ovoid syndrome.","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131210696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spot Drug Stimulation: а Randomized Study of 90 Patients with Lumbosacral Dorsopathies","authors":"L. Agasarov, E. S. Saakyan, T. Konchugova, Tatyana V. Apkhanova, O. V. Yurova","doi":"10.38025/2078-1962-2023-22-1-80-86","DOIUrl":"https://doi.org/10.38025/2078-1962-2023-22-1-80-86","url":null,"abstract":"AIM. A randomized placebo-controlled study was conducted to evaluate the therapeutic efficacy of Vishnevsky anesthetic blockade and chondroprotective drug pharmacopuncture in dorsopathies.\u0000MATERIALS AND METHODS. 90 patients aged 29–65 years with acute lumbosacral dorsopathy were under observation. Clinical condition dynamics, thermography, tetrapolar rheovasography and results of psychological testing by the methods of «Multilateral personality study» and «Self-activity-mood» were assessed. After determining compliance with the inclusion and noninclusion criteria, the patients were divided into 3 randomized groups (each of 30 patients)differing in treatment methods.\u0000In the 1st (control) group, the patients received basic standard treatment, and in the other two groups we additionally performed local medication on the lumbar region and lower extremities on reflexotherapy points. Methodically, anesthetic was injected into the lumbar points according to the Vishnevsky method, and a chondroprotective drug (Group 2) or physiological solution (Group 3, placebo) was differentially injected into the distal points. A course of 10 procedures was carried out in the order of three times a week. Statistica for Windows v.7 program was used for statistical analysis.\u0000RESULTS. It was found that upon completion of the treatment there were significant differences in the regression of neurological manifestations, thermographic data and rheographic markers of lower extremity blood flow between the two resultant groups and the control group, in which no significant shifts in the analyzed indices were detected. Both variants of local stimulation, characterized by a pronounced reflex effect, were reliably superior to the basic therapy in terms of efficacy. However, despite the comparable rates of algia reduction in the 2nd and 3rd groups, the level of pain sensations by the end of the treatment course was significantly lower in the patients of the 2nd group that received not only anesthetic blockade in the lumbar region, but also chondroprotector pharmacopuncture. In the same group, more significant shifts were obtained according to the results of psychological testing. The noted phenomenon can be explained by the points of medication application: achieving rapid pain relief due to anesthetic blockade and the overall maximum performance provided by chondroprotector pharmacopuncture. The follow-up data obtained testify to the stability of the achieved positive results under the influence of the reflexotherapy techniques to a greater degree in the patients of the 2-nd group.\u0000CONCLUSION. The combined method including anesthetic blockade by Vishnevsky’s method and chondroprotective pharmacopuncture in the region of the lower extremities was highly effective in treating patients with lumbar dorsopathy. In this group, there were notably more significant positive shifts compared to the group that received only anesthetic injections on the lumbar region, according to the severi","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"2745 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127438590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}