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Features of rehabilitation of patients with chronic vertebrogen dorsalgia in combination with metabolic disorders

https://doi.org/10.30629/2658-7947-2023-28-2-59-65

Abstract

Lower back pain is an urgent global problem. Often it is combined with metabolic disorders, which leads to mutual aggravation of both pathological conditions. The aim of the study was a comparative assessment of the complex therapy of patients with exacerbation of chronic vertebrogenic dorsalgia using various methods.

Materials and methods. We examined 60 patients with concomitant metabolic disorders in the form of obesity.

Results. The effectiveness of the use of non-drug methods, namely therapeutic exercises with elements of yoga practice and reflexology in the complex therapy of patients with chronic pain in the lower back in combination with metabolic disorders, has been proven.

Conclusion. The use of these methods allows to achieve a positive effect, which manifests itself in reducing the intensity of the pain syndrome and improving the functionality of patients, as well as correction of concomitant metabolic disorders.

About the Authors

A. A. Shatokhin
Stavropol State Medical University
Russian Federation

Stavropol



L. A. Vyshlova
Stavropol State Medical University
Russian Federation

Vyshlova Irina A.

Stavropol



S. M. Karpov
Stavropol State Medical University
Russian Federation

Stavropol



A. V. Kuzyuberdin
Stavropol State Medical University
Russian Federation

Stavropol



References

1. Heuch I, Heuch I, Hagen K, Zwart JA. Association between body height and chronic low back pain: a follow-up in the Nord-Trøndelag Health Study. BMJ Open. 2015;5(6):e006983. http://doi.org/10.1136/bmjopen-2014-006983

2. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S et al.; Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–2367. http://doi.org/10.1016/S0140-6736(18)30480-X

3. Heuch I, Heuch I, Hagen K, Zwart JA. Do abnormal serum lipid levels increase the risk of chronic low back pain? The NordTrøndelag Health Study. PLoS One. 2014;9(9):e108227. http://doi.org/10.1371/journal.pone.0108227

4. Pico-Espinosa OJ, Skillgate E, Tettamanti G, Lager A, Holm LW. Diabetes mellitus and hyperlipidaemia as risk factors for frequent pain in the back, neck and/or shoulders/arms among adults in Stockholm 2006 to 2010 — Results from the Stockholm Public Health Cohort. Scand J Pain. 2017;15:1–7. http://doi.org/10.1016/j.sjpain.2016.11.005

5. Vyshlova IA, Karpov SM, Golovkova OE. Yoga therapy in compleх treatment of chronic vertebrogenic pain in the lower back. Medical news of north Caucasus (Medicinskij vestnik Severnogo Kavkaza). 2015;10(3):232–234. (In Russ.). http://doi.org/10.14300/mnnc.2015.10053

6. Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: A Clinical Practice Guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–30. http://doi.org/10.7326/M16-2367

7. Kamper SJ, Apeldoorn AT, Chiarotto A Smeets RJ, Ostelo RW, Guzman J et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015;350:h444. http://doi.org/10.1136/bmj.h444

8. Hong J-Y, Son K-S, Cho JH, Lee JH. An updated overview of low back pain management in primary care. Asian Spine J. 2017;11(4):653–60. http://doi.org/10.4184/asj.2017.11.4.653

9. Parfenov VA, Yakhno NN, Davydov OS Kukushkin ML, Churyukanov MV, Golovacheva VA, Isaikin AI, Achkasov EE, Evzikov GYu, Karateev AE, Khabirov FA, Shirokov VA, Yakupov EZ. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, Neuropsychiatry, Psychosomatics (Nevrologiya, neiropsikhiatriya, psikhosomatika). 2019;11(Suppl. 2):7–16. (In Russ.). http://doi.org/10.14412/2074-2711-2019-2S-7-16

10. Hooten WM, Cohen SP. Evaluation and treatment of low back pain: A clinically focused review for primary care specialists. Mayo Clin Proc. 2015;90(12):1699–718. http://doi.org/10.1016/j.mayocp.2015.10.009

11. Wong JJ, Côté P, Sutton DA, Randhawa K, Yu H, Varatharajan S et al. Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur J Pain. 2016;21(2):201–16. http://doi.org/10.1002/ejp.931

12. Low Back Pain and Sciatica in Over 16s: Assessment and Management. London: National Institute for Health and Care Excellence (UK); 2016 Nov. Available from: www.nice.org.uk/guidance/ng59

13. Letzel J, Angst F, Weigl MB. Multidisciplinary biopsychosocial rehabilitation in chronic neck pain: a naturalistic prospective cohort study with intraindividual control of effects and 12-month follow-up. Eur J Phys Rehabil Med. 2019;55(5):665–675. http://doi.org/10.23736/S1973-9087.18.05348-0

14. Liu L, Skinner M, McDonough S, Mabire L, Baxter GD. Acupuncture for low back pain: an overview of systematic reviews. Evid Based Complement Alternat Med. 2015;2015:328196. https://doi.org/10.1155/2015/328196

15. Cramer H, Lauche R, Haller H, Dobos G. A systematic review and meta-analysis of yoga for low back pain. Clin J Pain. 2013;29(5):450–60. https://doi.org/10.1097/AJP.0b013e31825e1492

16. Saper RB, Lemaster C, Delitto A, Sherman KJ, Herman PM, Sadikova E et al. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Ann Intern Med. 2017;167(2):85–94. https://doi.org/10.7326/M16-2579

17. Nambi GS, Inbasekaran D, Khuman R, Devi S, Shanmugananth, Jagannathan K. Changes in pain intensity and health related quality of life with Iyengar yoga in nonspecific chronic low back pain: A randomized controlled study. Int J Yoga. 2014;7(1):48–53. https://doi.org/10.4103/0973-6131.123481.

18. Tekur P, Singphow C, Nagendra HR, Raghuram N. Effect of short-term intensive yoga program on pain, functional disability and spinal flexibility in chronic low back pain: a randomized control study. J Altern Complement Med. 2008;14(6):637–44. https://doi.org/10.1089/acm.2007.0815

19. Wieland LS, Skoetz N, Pilkington K, Vempati R, D’Adamo CR, Berman BM. Yoga treatment for chronic non-specific low back pain. Cochrane Database Syst Rev. 2017;1(1):CD010671. https://doi.org/10.1002/14651858


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For citations:


Shatokhin A.A., Vyshlova L.A., Karpov S.M., Kuzyuberdin A.V. Features of rehabilitation of patients with chronic vertebrogen dorsalgia in combination with metabolic disorders. Russian neurological journal. 2023;28(2):59-65. (In Russ.) https://doi.org/10.30629/2658-7947-2023-28-2-59-65

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ISSN 2658-7947 (Print)
ISSN 2686-7192 (Online)