The use of osteopathic correction in conjunction with radon baths at the sanatorium-resort stage of rehabilitation of patients with dorsopathy

Introduction. Pain in the lumbosacral region is one of the most common causes of disability and medical attention acquiring. Magnetic resonance imaging (MRI) of the spine in these patients quite often demonstrates multiple hernias. Despite the success of modern, including complex, methods of treating patients with herniated discs of lumbosacral spine, the problem of objective revealing of the applied therapy effect with modern instrumental examination methods is actual.The goal of research — study was to study the changes in the MRI picture in patients with herniated intervertebral discs during treatment with inclusion of osteopathic correction.Materials and methods. The study involved 15 patients with herniated intervertebral discs of lumbosacral spine. The patients received outpatient conservative treatment with inclusion of osteopathic correction. Participants underwent MRI of the lumbar spine at the beginning of the study and 3 months after treatment. The obtained data were processed by methods of nonparametric statistics.Results. After the complex treatment, such indicators of MRI as the hernia size, the lateral pocket width and the pelvis conﬁguration signiﬁcantly improved. These parameters are important indicators of pathomorphological changes in the spinal motion segment, affecting the discoradicular conﬂict. At the same time, there were no obtained convincing data about the therapy effect on the L5 vertebra rotation, on the presence of sequestration and changes in the Tchaikovsky index. Perhaps this is due to the small sample and short follow-up period for patients.Conclusion. After the course of treatment with inclusion of osteopathic correction, the statistically signiﬁcant changes in MRI images were revealed in patients with herniated intervertebral discs, indicating a positive dynamics in the parameters of the hernia size, the width of the lateral pocket and the conﬁguration of the pelvis.

Evaluation of dynamic MRI data in patients with herniated intervertebral discs after the complex treatment including osteopathic correction

Adrianova

Ахметов

2021

Estimation of the effi ciency of treatment of somatic dysfunctions of the pelvis bones using the technology of computer stabilography with biological feedback

Андреев

Sychev

2021

Introduction. Somatic dysfunctions of the pelvic and sacral bones are one of the most common causes of lumbosacral pain with impaired spine statics, functional disorders of internal organs and other manifestations. Remote symptoms include torsional dural dysfunctions. Distortion of proprioceptive somatosensory afferentation blocks postural tonic reflexes of the axial skeleton and extremities, disrupts the sequence of activation of motor units of the locomotion system, changes the mechanisms for providing support and walking. Osteopathic correction of somatic dysfunctions in the region improves the condition of patients, however, in some cases, it is not possible to achieve complete regression of the identified syndromes. One of the effective corrective methods are computer technologies with the registration of the parameters of the static-dynamic function of support and maintaining balance. The possibilities of restoring reflex mechanisms can be obtained using computer stabilometry with a biofeedback program (BFB). Testing was carried out at the stage of diagnosis and follow-up: at the stage of screening, immediately after the treatment session, and 14 days after the moment of treatment. The clinical effect was compared with the results of stabilometric testing. The training sessions were carried out after registering the statokinesiogram.The aim of the research was to study the possibilities of using a stabiloplatform with BFB in in the mode of diagnosis of coordination and static-dynamic disorders of the axial skeleton in patients with various types of somatic dysfunctions of the pelvic bones and in the training mode together with the osteopathic correction of the somatic dysfunctions identified in patients.Materials and methods. In a prospective controlled study, the results of examination and treatment of 66 patients aged 23–56 years (median — 33) were analyzed, including 36 women and 39 men with somatic dysfunctions of the pelvic bones. In the main group, clinical and osteopathic signs of somatic dysfunctions of the pubic bone and ilium were revealed. The observation was carried out for 14 days. Osteopathic treatment of the corresponding type of dysfunction and stabilometric examination (3 control points) and training (3 sessions) were performed. Among the analyzed clinical manifestations, the intensity of pain syndrome and muscle-tonic reactions was taken into account. According to the results of the stabilometry, stability (RC) was assessed in the «eyes open» and «eyes closed» modes. The primary checkpoint is the start of observation and the correction procedure. Stage control after 7 days and the final observation point — 14 days. In total, 3–4 osteopathic sessions were carried out, stabilometric control was the screening stage, before and after the session, observation after 14 days from the last session.Results. There was detected decrease in pain intensity, normalization of axial balance and coordination of movements. The most significant was the decrease in the Romberg coefficient in patients with dysfunction of the iliac bones in the anterior rotation, regardless of the side: dynamics on the right: decrease from 570±12 to 295±23 % and on the left from 550±22 to 260±25 % (p<0,05).Conclusion. The combined use of osteopathic correction and physiotherapy exercises on a stabiloplatform in a training mode with BFB promotes regression of neurological and clinical symptoms, which is confirmed by all diagnostic methods used in the study — clinical neurological, clinical osteopathic, stabilometric with BFB. The best results were achieved in patients with somatic dysfunction anterior rotation of the ilium. The use of a stabiloplatform with BFB in the diagnostic mode allows obtaining objective data on the nature of the imbalance and balance disorders. The training regime contributes to the achievement of a therapeutic result in a short time (3 sessions) and can be used in inpatient and outpatient conditions of medical institutions.

Osteopathic status in patients with dorsopathy at the cervical level

Belash

2023

Introduction. Dorsopathy and associated pain and neurological syndromes are among the most common diseases of the musculoskeletal system and connective tissue throughout the world. The characteristic features of these states are high prevalence (at the level of a pandemic), often resistance to treatment, as well as persistent disability, often leading to disability of the patient. The frequency of back pain syndromes (dorsopathies) in the population is very high (58–84 %), and the socio-economic losses are enormous. Thus, the search for new methods and schemes of therapy, as well as the prevention of dorsopathies, is still relevant and actual. Osteopathy in the Russian Federation is a young and dynamically developing medical specialty. Somatic dysfunctions are the main object of osteopathic infl uence. So the analysis of the somatic dysfunctions prevalence both in practically healthy people and suffering from various diseases is of great interest. The analysis of the osteopathic status in patients with dorsopathy will potentially help to expand the understanding of the etiopathogenesis of the disease, to develop relevant prevention and treatment regimens. All this predetermined the purpose of the present study. The aim of the study was to make the most common somatic dysfunctions map based on the data of the assessment of the osteopathic status of patients with dorsopathy at the cervical level. Materials and methods. A cross-sectional study was conducted at the Mokhov Institute of Osteopathy LLC medical clinic (St. Petersburg) from September 2018 to September 2022. The 462 patients with a dorsopathy diagnosis aged from 18 to 44 years were under observation. All patients underwent an assessment of osteopathic status in accordance with the clinical guidelines. Results. There were detected somatic dysfunctions of all three levels of manifestation in the examined patients with dorsopathy. The dysfunctions of the regional (thoracic region, structural and visceral components; pelvic region, structural and visceral components, neck region, structural component) and local (visceral dysfunctions, dysfunctions of individual PDS at different levels, skull sutures) levels were the most characteristic. The analysis of the dominant dysfunctions structure showed that in 16 % of patients the dominant ones were global, in 72 % — regional, and in 12 % — local somatic dysfunctions. Conclusion. In the work, it was possible to analyze the structure of somatic dysfunctions in young patients with dorsopathy at the cervical level. It is advisable to continue the study in order to identify possible relationships between the diagnosed somatic dysfunctions and other objective and subjective manifestations of dorsopathy.