scholarly journals Physical activity and effectiveness of the McKenzie method in patients with lumbar spine pain syndrome

2021 ◽  
Author(s):  
Grzegorz Olkowski ◽  
Jan Ślężyński
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Pain Syndrome ◽  
Spine Pain ◽  
Mckenzie Method

scholarly journals Isolated and Multilevel Spondylolysis (Literature Review)

2019 ◽  
Vol 25 (2) ◽  
pp. 157-165 ◽  
Author(s):  
E. G. Skryabin
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Fibrous Tissue ◽  
Subsequent Development ◽  
Pain Syndrome ◽  
Cochrane Library ◽  
Activity Restriction ◽  
Spine Pain ◽  
High Risk Factor ◽  
Conservative And Surgical Treatment

One of the main causes of lumbar spine pain is spondylolysis. The purpose of this review is to present the current state of the problem of diagnosis and treatment isolated and multilevel spondylolysis.Materials and Methods. The review includes 86 publications on the problem of spondylolysis for 2005–2019, obtained from electronic databases: PubMed, Cochrane Library, eLIBRARY, CYBERLENINKA.Results. There is still the only known classification of spondylolysis by P. Niggemann et al, which includes four severity of this pathology — from mild to very severe: A, BI, BII, BIII. The classification is based on the nature of changes in the area of bone defect of the vertebral arch when the patient performs functional tests. In some cases, the pathology can be regarded as a transition between different degrees of severity of type B. The treatment of spondylolysis can be both conservative and operational. The conservative therapy consists of physical activity restriction, physiotherapy, wearing a corset, massage, and pharmacotherapy. The purpose of surgical treatment is the removal of fibrous tissue from the zone of spondylolysis and the achievement in this area the bone fusion via a bone autoplasty and(or) osteosynthesis with different metal frameworks. Reasoned arguments about the need for a combination of conservative and surgical treatment of patients with spondylolysis are also reflected in the publications. Information on multilevel spondylolysis is represented by a small number of articles. only 15 authors described clinical cases of multilevel spondylolysis in a total of 21 patients. Spondylolysis is a high risk factor for the spondylolisthesis formation. Among the various categories of patients suffering from spondylolysis and lumbar spondylolysis spondylolisthesis, pregnant women are of particular interest. Hormonal restructuring and changes in the biomechanics of the spine in women during the gestational period often leads to the appearance or intensification pain syndrome in lumbar spine complicating the pregnancy, and hence a fetus development.Conclusion. Timely diagnosis of spondylolysis and the subsequent development of individual rehabilitation not only improves the quality of life of patients, but in some cases can prevent such a serious pathology as spondylolisthesis.

scholarly journals The effectiveness of therapeutic massage in lumbar spine pain syndrome

2014 ◽  
Vol 8 (2) ◽  
pp. 28-32
Author(s):  
Iwona Wilk
Keyword(s):  
Lumbar Spine ◽  
Peripheral Nerves ◽  
Muscle Tension ◽  
Pain Syndrome ◽  
Shoulder Girdle ◽  
Affected Area ◽  
Limited Mobility ◽  
Therapeutic Massage ◽  
Physical Exercises ◽  
Spine Pain

Introduction: The chronic lumbar spine pain is one of the most common disorders reported by patients at family doctor’s visits. The symptoms associated with the problem usually include limited mobility of the trunk and the dysfunctions of peripheral nerves manifested by numbness, tingling and hyperesthesia. The pain potentiates the muscle tension which, secondarily, evokes general fatigue and the overexploitation of the tissues and, in consequence, the pain becomes even more intensive and unbearable. The treatment of the dysfunction differentiates two methods, namely, the conservative and the surgical one. The latter requires farther treatment in forms of the rehabilitation and physiotherapy which include various kinds of massage, selected physical procedures and physical exercises. Material and methods: The purpose of the study is to present some selected classical and therapeutic forms of massage of the back, arms and legs in women with the pain in the lower part of the spine. The procedures aim at the reduction of the symptoms through restoring the muscle tension and increasing the blood flow in the affected area. In the research eight 45-minute-long massage sessions were performed, each every three days. Results: After the therapy the decrease of pain in the shoulder girdle and lumbar spine area as well as the improvement in the patient’s posture were noticed. After the massage, when the pain was less disturbing the woman took up some exercises for seniors in the fitness centre and nordic walking.Conclusions: The massage is one on the forms of therapy, which can be used in chronic lumbar spine pain. It is often the only possible form of therapy, but can also be a part of more complex physiotherapy combined with other therapeutic treatments.

DISORDERS OF PERIPHERAL CIRCULATION AMID CHRONIC OSTEOCHONDROSIS OF THE LUMBAR SPINE

Vestnik ◽  
2021 ◽  
pp. 24-28
Author(s):  
Р.С. Бегимбетова ◽  
Н.О. Бейсембинова ◽  
А.К. Кадырали ◽  
Г.М. Жолдасова ◽  
А. Бауржанкызы ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Informed Consent ◽  
Clinical Symptoms ◽  
Personal Data ◽  
Pain Syndrome ◽  
Peripheral Circulation ◽  
Research Protocol ◽  
Initial Visit ◽  
Continue Research ◽  
Inhibitory Reflex

Проведен анализ состояния периферического кровообращения у 28 мужчин, больных остеохондрозом поясничного отдела позвоночника, сопровождающегося люмбалгией с клинической симптоматикой нарушения периферического кровообращения нижних конечностей. Все больные, принимавшие участие в нашем исследовании, подписали информированное согласие на участие в программе и соглашение о неразглашении личных данных и протокола исследований. Критериями для анализа являлись изменения клинической симптоматики остеохондроза поясничного отдела позвоночника, обусловленной им люмбалгии и показателей оксиметрического исследования, которые были зафиксированы при первичном обращении и через 7 суток на фоне проводимого лечения и регрессии болевого синдрома. Таким образом, полученные результаты свидетельствовали о рефлекторном нарушении периферического кровообращения за счет развития патологического спинально-вазального тормозного рефлекса, обусловленного люмбалгией, которые восстанавливаются на фоне регрессии патологической импульсации в поясничном отделе позвоночника. Целесообразно продолжить исследования в этом направлении. The state of peripheral circulation in 28 men were analyzed, patients with osteochondrosis of the lumbar spine, accompanied by lumbodynia with clinical symptoms of impaired peripheral circulation of the lower extremities was carried out. All patients who took part in our study signed an informed consent to participate in the program and a non-disclosure agreement of personal data and research protocol. The criteria for the analysis were clinical symptoms of osteochondrosis of the lumbar spine caused by lumbodynia and indicators of oximetry studies, which were recorded during the initial visit and after 7 days amid treatment and regression of pain syndrome. Thus, the results indicated a reflex disorder of the peripheral circulation due to the development of a pathological spinal-vasal inhibitory reflex caused by lumbodynia, which is restored amid regression of pathological impulses in the lumbar spine. It is advisable to continue research in this direction.

Lumbar Spine Fusion Patients See Similar Improvements in Physical Activity Level to Non-Spine Fusion Patients Following Total Hip Arthroplasty

2020 ◽  
Vol 35 (2) ◽  
pp. 451-456
Author(s):  
Adrian D. Hinman ◽  
Maria C.S. Inacio ◽  
Heather A. Prentice ◽  
Calvin C. Kuo ◽  
Monti Khatod ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Activity Level ◽  
Spine Fusion ◽  
Activity Level ◽  
Total Hip ◽  
Lumbar Spine Fusion

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals PAIN SYNDROME AND PAIN MANAGEMENT AFTER LUMBAR SPINE SURGERY

2019 ◽  
Vol 0 (3(88)) ◽  
pp. 23-26
Author(s):  
М. В. Лизогуб ◽  
М. А. Георгіянц ◽  
К. І. Лизогуб ◽  
А. О. Хмизов
Keyword(s):  
Lumbar Spine ◽  
Pain Management ◽  
Spine Surgery ◽  
Pain Syndrome ◽  
Lumbar Spine Surgery

scholarly journals Assessment of the functional state of the spine in athletes and ballet dancers with lumbosacral pain syndrome

2019 ◽  
Vol 26 (3) ◽  
pp. 21-30
Author(s):  
S. P Mironov ◽  
M. B Tsykunov ◽  
G. M Burmakova
Keyword(s):  
Lumbar Spine ◽  
Functional State ◽  
Lumbar Vertebrae ◽  
Pain Syndrome ◽  
Lumbosacral Spine ◽  
Bioelectric Activity ◽  
Ballet Dancers ◽  
Facet Syndrome ◽  
Lower Lumbar

The paper presents the data of evaluation of dysfunction in lumbosacral pain in 898 athletes, ballet and circus artists aged 15 to 45 years. The median age was 25.8 year. 537 men and 361 women. In 409 people, pain syndrome is caused by osteochondrosis of the lumbar spine. 238 patients were diagnosed with spondylolysis of the lower lumbar vertebrae, 172 with facet syndrome, spondylarthrosis and 79 with pathology of the ligaments of the lumbosacral spine. Asymmetry in strength, tone of muscles-stabilizers of the spine and their bioelectric activity, which are eliminated in the course of treatment, was noted.

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