Innovative approach to restoring the physical condition of persons with muscular and tonic disorders

O. M. Drychak, O. D. Svietlova

Abstract


Introduction. Today, the spread of low back pain syndrome reaches the size of a pandemic, as this pathology is the second after respiratory diseases in the overall picture of visits to the doctor. In such pathological conditions, the leading task of therapy is the relief of pain that provides the conditions for a full course of treatment and rehabilitation measures.

Aim. To study the effect of apparatus ischemic compression of the girdle muscles of the lower limb in non-specific pain in the lumbosacral spine with and without irradiation to the leg.

Methods. Medical and biological methods (anamnesis, somatoscopy, palpation, assessment of the state of neuromuscular structures according to Minor and Laseg tests); sociological (Roland-Morris questionnaire “Lower back pain and impaired vital functions”, assessment of the pain intensity by VAS); mathematical (determination of averages, comparison of the course of two processes) were used in the work.

Results. During the study, the already known massage device was improved (Ukrainian patent for №73642). Compared to the previous model, the designed own device (utility model patent № 142517 “Device for prevention and rehabilitation of diseases of the musculoskeletal system”) has a higher efficiency, because having a wider range of load values on compression points, takes into account the anatomical features of an individual. The equipment is designed for ischemic muscle compression, which causes phase changes in blood flow (initially, ischemia and hypoxia, then reactive plethora), which is the basis of the therapeutic effect. It is proved that the use of apparatus ischemic compression of the lower limbs and pelvis muscles, in combination with special exercises in physical therapy, can reduce the intensity of pain, improve the condition of the neuromuscular system, increase joint mobility, reduce the limitations of patients with non-specific pain syndrome.

Originality. The use of apparatus ischemic compression ensures the stability of the pressure at the beginning of the myopressure session, followed by a gradual adequate increase in the compression of pain points, reducing the severity of the pain syndrome.

Conclusion. The obtained data indicate the feasibility of including apparatus ischemic compression in the treatment program of patients with non-specific pain of the lumbosacral spine and sciatic nerve.


Keywords


muscle tone; lumbosacral region; spinal mobility; physical rehabilitation

References


Chugunov, A.V., Chugunov, A. Y., & Umarova, H. Y. (2014). Possibilities of local therapy for low back pain. Klinitsyst [The Clinician], 1, 91-95. (In Rus.)

Romanenko, V.I., Romanenko, I.V., & Romanenko. Y.I. (2016). Clinical profiles of patients with chronic lumbosacral pain syndromes. Travma [Trauma], 17, 2, 78-85. (In Ukr.)

Churiukanov, M.V., Shevtsova, G.E., & Zagorulko, O.I A (2017). A neuropathic component of lumboischialgia: mechanisms of development and treatment approaches. Zhurnal nevrolohii ta psykhiatrii im. S.S Korsakova [Journal of Neurology and Psychiatry. S.S. Korsakova], 1, 90-96. (In Rus.)

Parfenov, V.A., Isaikin, A.I., Kuzminova, T.N., Chernenko, O.A., Milovanova, O.V., Romanova, A.V. … Shor, Y.M. (2019) Treatment of patients with acute and subacute lumbar pain and lumbosciatica. Nevrolohyia, neiropsykhyatryia, psykhosomatyka [Neurology, neuropsychiatry, psychosomatics], 11(3), 57-62. (In Rus.)

Ministry of Health of Ukraine. Unified clinical protocol of palliative care for chronic pain. (2010). Kyiv: Legislation of Ukraine. Retrieved from https://zakon.rada.gov.ua/rada/show/v0311282-12#Text (In Ukr.)

Shostak, N.A. (2013). Myalgias: approaches to differential diagnosis, treatment. Sovremennaia revmatolohyia [Modern Rheumatology Journal], 3, 21-24. (In Rus.)

Tkachenko, V.I., & Bagro, T.O. (2016). Myalgias in the practice of a family doctor. Liky Ukrainy [Medicines of Ukraine], 4(200), 75-84. (In Ukr.)

Voloshin, P.V., Mishchenko, T.S., & Lekomtseva, Y.V. (2006). Analysis of the prevalence and incidence of nervous diseases in Ukraine. Mizhnarodnyi nevrolohichnyi zhurnal [International neurological journal]. 3(7), 9-13. (In Ukr.)

Andreev, A.A. (2006). The structure of the system of acupuncture points – a control factor for body functions. Refleksolohiia [Reflexology], 3/4, 27-28. (In Rus.)

Kovalenko, O.Y., & Chizhikova, M.E. (2017). Modern views on the substrate and mechanisms of acupuncture action. [International neurological journal], 6 (92), 120-126. (In Ukr.)

Buchakchiiskaya, N.M., Maramukha, V.I., Kutsak, A.V., Maramukha, I.V., Hrunina, O.F., Maramukha, A.A. … Levadnaia, A.V. (2016). Сurrent state of dorsalgia treatment. Mizhnarodnyi nevrolohichnyi zhurnal [International neurological journal], 5(83), 143-146. (In Rus.)

Macheret, E.L., & Korkushko, A.A. (2005). Fundamentals of traditional Chinese medicine in reflexology. Kyiv: DIIA. (In Russ.)

Goncharenko, A.Y. (2018). Influence of independent ischemic compression of trigger points by means of a roll at persons with a myofascial pain syndrome. Liky vid boliu [Pain medicine], 3, 2/1, 21-21. (In Rus.)

Lewis, R.A., & Said, G. (2008). Tackling neuropathic pain: different perspectives of clinicians and investigators. Neurology, 70(18), 1582-1583.

Ekedahl, H., Jonsson, B., & Frobell, R.B. (2012). Fingertip-to-floor test and straight leg raising test: validity, responsiveness, and predictive value in patients with acute/subacute low back pain. Arch Phys Med Rehabil, 93(12), 2210-2215.

Baron, R., & Dickenson, A.H. (2014). Neuropathic pain: precise sensory profiling improves treatment and calls for back-translation. Pain, 155(11), 2215-2217.

Smart, K.M., Blake, C., Staines, A., & Doody, C. (2010). Clinical indicators of «nociceptive», «peripheral neuropathic» and «central» mechanisms of musculoskeletal pain. A Delphi survey of expert clinicians. Man. Ther, 15(1), P. 80-87.

Treede R.D., Jensen, T.S., Campbell, J.N. Cruccu, G, Dostrovsky, J.O., Griffin J.W. … Serra, J. (2008). Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology, 70(18), 1630-1635.

Simons D.G. (2004) Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J. Electromyography Kinesiology, 14(1), 95-107.

Li, G., & Man, L. (2020). Low-intensity extracorporeal shock wave therapy for III B chronic pelvic pain syndrome. Transl Androl Urol, 9(3), 1323-1328.


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