Objective: To determine pain and functional changes during comprehensive rehabilitation (CR) in adolescents with nonspecific low back pain (NLBP), and to determine the optimal CR duration. Methods: The study included 106 adolescents (39 boys [36.8%], 67 girls [63.2%]), 14 to17 years old, with the following inclusion criteria: duration of NLBP for at least 12 weeks; conservative NLBP treatment was effectless; pain intensity using the visual analogue pain scale (VAS) ≤ 7 points; disrupted daily activities; ability to understand and answer the questions; written consent to participate voluntarily in the study. The pain was assessed using the VAS scale, functional changes were assessed using the Oswestry Disability Index (ODI), 12-Item Short Form Survey, Hospital Anxiety and Depression Scale (HAD), and physical functional capacity and proprioception (Proprio) were assessed using an isokinetic dynamometer. The participants performed a comprehensive pain rehabilitation program consisting of physiotherapy, TENS, magnetotherapy, lumbar massage, and relaxing vibroacoustic therapy. The active CR cycle lasted for 22 sessions (with intermediate measurements after 5 and 16 sessions), after which we performed passive observation for another half a year. Five measurements were performed. Results: Pain, functional assessment, and physical capacity were improved with CR. Statistically significant improvement became apparent after 5 CR sessions, but statistical and clinical significance became apparent after 16 CR sessions. In the distant period, after the completion of CR, neither statistical nor clinical changes occurred. Conclusions: CR is effective in reducing pain, and improving functional state and physical capacity quickly and reliably in 16 CR sessions, which is sufficient to obtain clinically satisfactory CR results. Good results were achieved during CR and neither improved nor deteriorated spontaneously in the distant period. This study shows a possible mismatch between NLBP intensity and impaired functional state in adolescents.

Šiuolaikinėje visuomenėje sparčiai populiarėja techno­logijos, naudojamos tiek pramogoms, tiek atlikti įvairius darbus. Mokslininkai, inžinieriai ir toliau bando išrasti, pato­bulinti techniką, galinčią palengvinti žmonių būtį, pagerinti gyvenimo kokybę. Taip atsirado ir virtuali realybė (VR), kurią bandoma pritaikyti įvairiose srityse, tarp jų ir medi­cinoje. JAV nacionalinės medicinos bibliotekos PubMed duomenų bazėje kiekvienais metais didėjantis VR taikymą medicinoje nagrinėjančių mokslinių straipsnių skaičius rodo, jog susidomėjimas VR galimybėmis nepaliaujamai auga. Tyrimo tikslas – įvertinti virtualios realybės efektyvumą malšinti vaikų patiriamą skausmą ir nerimą medicininių pro­cedūrų metu. Išvados. VR tyrimai pediatrijoje daugiausia buvo skirti dėmesio atitraukimui. Dideli poveikio dydžiai rodo, kad VR yra veiksminga dėmesio atitraukimo priemonė, skirta sumažinti skausmą ir nerimą vaikams, kuriems atliekamos įvairios medicininės procedūros.