The effectiveness of the inclusion of spatially oriented motor therapy in comprehensive rehabilitation programs for patients with spastic hemiparesis after stroke

2020 ◽  
pp. 14-19
Author(s):  
Elizaveta Koneva ◽  
Tatyana Shapovalenko ◽  
Lyadov Konstantin ◽  
Galina Timashkova ◽  
Evgeny Achkachov ◽  
...  
Keyword(s):  
Real Life ◽  
Positive Influence ◽  
Rehabilitation Program ◽  
Main Group ◽  
Treatment Programs ◽  
Control Group ◽  
Active Movement ◽  
Functional Abilities ◽  
Balance Test ◽  
Rehabilitation Programs

The aim of the study — the evaluation of the effectiveness for restoring the functional abilities with Neurac method in patients undergoing stroke. Materials and methods. The study included 20 participants, they were divided into 2 groups, the first group — the patients who undergoing the stroke (main group): the main group of patients received a base standard rehabilitation program (kinesiotherapy, mechanotherapy on cyclic apparatгs, massage) and additional trainings in Redcord in Redsord system. The control group — a base standard rehabilitation program. The duration of the rehabilitation course was 14 days. Results and consideration. As a result of the study in both groups (main and control) as compared with the initial findings were better results of Berg Balance Test: 44,4±0,5 in the first group and 43,6±0,8 in the second group vs. 48±0,3 and 45,3±0,5 (р≤0,05). Although in patients of the first group after restoring treatment course with using method of Neurac method it was authentic lesser disturbance of everyday life activity: in estimating Bartel Index 86,9±0,5 vs. 80,1±0,7 (initial) (р≤0,05), what was significantly higher be comparison with control group results. In estimating 10 minutes walking test: 16,82±5,4 in the main group 2020 2 vs. 22,6±3,33 (initial) (р≥0,05), what was although significantly higher in comparison with the second group. By estimating walking on C-mill treadmill the middle speed in first and it second groups was 0,90±0,1 vs. 0,84±0,3 with 0,80±0,2 vs. 0,84±0,3 (ibitial) (р≥0,05). Conclusion: the obtained results point at the effectiveness of using Neurac method in restoring treatment programs for patient undergoing stroke for elevation of the stabilization of trunk, improvement of balance (in static, in functional movements, in walking), independence level in real life terms. An additional point is that this kind training can promote significantly positive influence on the patient’s motivation for actualization of active movement to improvement of the social and domestic adaptation, increase of motor and functional abilities.

scholarly journals Efficiency of medical rehabilitation program in early aged children with cystic fibrosis

2020 ◽  
Vol 27 (2) ◽  
pp. 32-38
Author(s):  
V. S. Matveev ◽  
S. V. Matveev ◽  
A. A. Potapchuk ◽  
Iu. K. Uspenskaia
Keyword(s):  
Cystic Fibrosis ◽  
Motor Skills ◽  
Rehabilitation Program ◽  
Main Group ◽  
Physical Rehabilitation ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Efficiency Coefficient ◽  
Rehabilitation Programs ◽  
Quantity Of Children

Introduction. The problem is actual due to the increasing of cystic fibrosis children quantity: according to neonatal screening, there were 124 children with cystic fibrosis in 2018 (72.9 % from all identified cases for the reporting year). Medical rehabilitation is the main method of the pathogenetic therapy and prevention of cystic fibrosis exacerbation. The new strategy of medical procuring for patients with orphan diseases, which is necessary to develop expert methods for diagnostics of rehabilitation potency and objectify individual rehabilitation programs, gives particular relevance to the problem.The objective was the development of new rehabilitation programs for early aged children with cystic fibrosis, the search of efficiency assessment criteria.Methods and materials. Physical and motor growth, clinical and functional parameters were estimated in 79 early aged children of main and control groups.Results. It was proved that the weight index (absolute and relative), quantity of children with harmonic growth increased due to physical methods of rehabilitation while the quantity of children with acutely disharmonic growth reduced in main group. After applying the developed rehabilitation program, the formed motor skills amounted 83 — 92 % from age norm in the main group of children and 60 — 85 % in the control group. Normotonic reaction to physical activity after the physical rehabilitation program was registered in 73.2 % of the main group and 47.8 % of the control group. In dynamics, the rehabilitation efficiency coefficient amounted (1.68±0.10) in the control group of children and (1.97±0.14) (p<0.05) in the main group that could be corresponded as «improvement». That means the quality of clinical and laboratory shifts, dynamism of physical growth and development rate of motor skills is significantly higher in the main group of children.Conclusion. The possibility of physical rehabilitation use in different rehabilitation programs of early aged children with cystic fibrosis was justified. The rehabilitation efficiency coefficient, the rehabilitation potential were offered, the effectiveness of chosen rehabilitation programs was proved.   

scholarly journals POS0016 THE EVALUATION OF FUNCTIONAL ABILITIES OF PATIENTS WITH OSTEOPOROTIC VERTEBRAL FRACTURES AS A BASIS FOR REHABILITATION PROGRAMS DEVELOPING

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 209.2-210
Author(s):  
L. Marchenkova ◽  
V. Vasileva ◽  
M. Eryomushkin
Keyword(s):  
Muscle Strength ◽  
Vertebral Fractures ◽  
Trunk Muscles ◽  
Control Group ◽  
Study Group ◽  
Primary Osteoporosis ◽  
X Rays ◽  
Functional Abilities ◽  
Rehabilitation Programs ◽  
Osteoporotic Vertebral Fractures

Background:Due to the demand for special rehabilitation programs for patients with osteoporotic vertebral fractures (VFs), it is of interest to study the functional abilities of those patients. The scientific hypothesis suggests that osteoporotic VFs would cause muscle weakness, muscle dysfunction and conditional disturbances.Objectives:to estimate muscle strength, motor function and coordination disorders in patients with VFs in the setting of systemic osteoporosis as a basis for rehabilitation programs developing.Methods:120 patients aged 43−80 with primary osteoporosis were enrolled. Study group comprised of 60 subjects (56 women, 4 men) with at least 1 VF confirmed by X-rays. Control group included 60 subjects (56 women, 4 men) with osteoporosis but without any osteoporotic fracture. The examination program included back muscles tenzodynamometry, balance tests and stabilometry.Results:Muscle strength deficiency was estimated in study group in trunk flexors (TF) — 40.9% and in trunk extensors (TE) — 18.1% with an adequate function of the left lateral flexors (LLF) and in right lateral flexors (RLF). Patients with VFs had the lower muscle strength vs controls of TE (15.64±9.8 vs 27.73±9.9 kg, p=0.00002), TF (14.61±8.98 vs 21.28±8.38 kg, p=0.0006), LLF (13.10±7.2 vs 24.06±8.9 kg, p=0.005) and RLF 13.44±7.43 vs 24.26±7.65 kg, p=0.0003). Patients with VFs lose their balance faster during one-leg-standing test with open eyes (5.0 [1.0; 10.0] vs 7.5 [5.0; 10.5] sec in control group, p=0.03) and with closed eyes (2.0 [0; 3.0] vs 3.5 [3.0; 5.0] sec, p=0.04). Fukuda-Unterberger test showed greater side dislocation in study group — 40° [25; 45] vs controls 30° [10; 45], (p=0.02). According to stabilometry study group was characterized vs control group by lower balance coefficient with open eyes (77.2±7.6 vs 85.7±9.4%, p=0.002) and with closed eyes (67.1±9.8 vs 73.4±9.9%, p=0.03), greater sagittal displacement (6.8 [2.1; 37.7] vs 4.8 [1.8; 10.7] mm, p=0.025) and deviation in the saggital plane (1.2 [-1.07; 1.5] vs -1.2 [-1.5; 1.2] mm, p=0.01), and also less pressure center velocity (9.51±4.4 vs 7.1±2.7 mm/sec, р=0.009).Conclusion:Osteoporotic VFs are associated with reduction of trunk muscles strength and negatively affect static and dynamic balance function that should be taken into account when developing rehabilitation programs for these patients.Disclosure of Interests:None declared.

Possibilities of correction of the statodynamic stereotype violations in patients with dorsopathy at the cervical-thoracic level

2021 ◽  
pp. 20-33
Author(s):  
V. O. Belash ◽  
A. E. Vorobyova ◽  
D. A. Vasyukovich
Keyword(s):  
Cervical Spine ◽  
Range Of Motion ◽  
Exercise Therapy ◽  
Frontal Plane ◽  
Pain Syndrome ◽  
Main Group ◽  
Medical Community ◽  
Control Group ◽  
Active Movement ◽  
Social Significance

Introduction. Back pain is not only a high prevalence, but also a costly health problem. That is why the search for new and the optimization of existing methods of dorsopathies treatment acquire an important clinical and medico-social significance. In recent years, the medical community has increased the interest in non-drug methods of treatment, including osteopathy. Previous studies have substantiated the possibility of effective application of osteopathic correction methods in the treatment of patients with dorsopathies. A specific object of the osteopath′s work is somatic dysfunction (SD). And if earlier SD was perceived from the standpoint of purely biomechanical disorders, then in recent years there have been serious changes in understanding the heterogeneity of this state nature. The biomechanical, rhythmogenic and neurodynamic components are conventionally distinguished in the structure of SD. One of the neurodynamic disorders types is the violation of motor stereotypes, the so-called static-dynamic disorders, revealed through special dynamic tests and manifested in the functional impossibility of building of active movement at various levels. At the same time, the generally accepted biomechanical approaches do not allow to completely eliminate violations of the statodynamic stereotype.The goal of research — the study was to research the effectiveness of the osteopathic approach using in combination with kinesitherapy for correction of the statodynamic stereotype violations in patients with dorsopathy at the cervicothoracic level.Materials and methods. A controlled randomized prospective study was conducted on the basis of a private rehabilitation center «Ezramed-Clinic» in Omsk in the period from February 2019 to December 2019. 52 patients with a diagnosis of dorsopathy at the cervicothoracic level were observed. 12 people were knocked out during the study in accordance with the exclusion criteria. As a result, 40 patients participated in the study. Depending on the applied treatment method, the patients were divided by simple randomization into two groups (main and control), each of which consisted of 20 people. Both groups of patients received osteopathic correction three times with a frequency of receptions 1 time in 7–10 days. The main group of patients additionally independently performed daily for 10 minutes a set of exercises aimed to restore the disturbed motor stereotypes (normal synkinesis). The control group of patients additionally independently performed a set of exercise therapy for the cervical spine every day for 10 minutes. All patients, regardless of the group, underwent an osteopathic examination before and after treatment with the formation of an osteopathic conclusion; the severity of pain syndrome and the volume of active movements in the cervical spine were assessed. The severity of the pain syndrome and the range of active movements were assessed before and immediately after treatment, as well as 3 months after the first session.Results. The use of osteopathic correction in conjunction with kinesitherapy (both special exercises and a complex of exercise therapy) in patients with a diagnosis of dorsopathy at the cervicothoracic level leads to a statistically significant increase in the range of motion in the cervical spine in the sagittal and frontal planes (p<0,05). The combination of osteopathic correction together with exercise therapy in patients of the control group led to a statistically more significant increase (p<0,05) in the range of motion in the cervical spine in the frontal plane after treatment compared with the results of the main group. However, 3 months after treatment, the indicators in patients of both groups did not have statistically significant differences.The combination of osteopathic correction in conjunction with kinesiotherapy in the form of special exercises for the motor stereotype correction in the main group of patients with diagnosed dorsopathy at the cervicothoracic level led to a statistically significant (p<0,05) decrease in the intensity of the pain syndrome at the 2nd session.Conclusion. In order to increase the effectiveness of treatment, osteopathic correction of somatic dysfunctions in patients with dorsopathy at the cervicothoracic level can be supplemented with complex kinesitherapy, both in the form of traditional exercise therapy, and in the form of special exercises for correction of altered motor stereotype.

scholarly journals Mineral bischofite complexes in medical rehabilitation of patients with chronic generalized periodontitis

2021 ◽  
Vol 18 (3) ◽  
pp. 154-160
Author(s):  
Agnessa S. Kaisinova ◽  
Ilya V. Zelenski ◽  
Natalia V. Efimenko ◽  
Elena N. Chalaya
Keyword(s):  
Standard Treatment ◽  
Dental Health ◽  
Clinical Effectiveness ◽  
Main Group ◽  
Medical Rehabilitation ◽  
Treatment Programs ◽  
Control Group ◽  
Basic Drug ◽  
Restorative Treatment ◽  
Periodontal Tissues

The purpose of the research is to improve the efficiency of restorative treatment of patients with chronic generalized periodontitis based on the inclusion in therapeutic schemes of innovative mineral bishophytic complexes ― gel "Bishophytic" and rinser "Polymineral." Materials and methods. The study involved 116 patients at the age of 35 to 73 years old suffering from periodontal pathology (mild and moderate chronic generalized periodontitis). They were distributed by simple randomization into 3 groups: the main group included 43 people who received standard treatment in accordance with Russian clinical recommendations for the treatment of periodontitis, 45 minutes later the patients were prescribed some applications with 10% dental gel "Bishophytic" on the gum, in addition, the patients were recommended to use a rinser "Polymineral" for 6 months; the group of comparison included39 people who received standard treatment and gum applications with 10% "Bishophytic" dental gel; the control group) included 38 people who received only standard treatment. Results. Inclusion of mineral bishophytic complexes in treatment programs of patients with CGP contributes to significant reduction of inflammatory activity of periodontal tissues: 61.3% (p 0.01) had the improvement of hygienic and plaque indices in comparison with initial data; 54.6% (р 0,01) had the improvement after additional use of only gum applications with "Bishophytic" gel; the improvement was 52.2% (р 0.01) after basic drug therapy. Thus, the improvement of enzymatic processes was by 30.0% (p 0.01), 26.9% (p 0.01) and 7.8%; reduction of cytokine activity by 62.8% (p0.01), 61.1% (p 0.01) and 40%; the improvement of dental health by 84.0% (p 0.01), 80.7% (p 0.01) and 74.5% (p 0.01) at рkg-ог 0,05 and рkg-ог0,01. Conclusion. Inclusion of innovative mineral bishophytic complexes (gel "Bishophytic" and rinser "Polymineral") in treatment programs of patients with chronic generalized periodontitis contributes to optimization of therapeutic measures: clinical effectiveness in the main group was 93.0%; after usage of dental gel "Bishophytic" (group of comparison) it was 89.7% and after basic therapy (control group) 81.6%.

“The Whole Is Greater Than the Sum of the Parts”: Prison Staff Perceptions of Domestic Violence Rehabilitation Programs

2017 ◽  
Vol 62 (11) ◽  
pp. 3298-3321 ◽  
Author(s):  
Efrat Shoham ◽  
Anat Zelig ◽  
Badi Hasisi ◽  
David Weisburd ◽  
Noam Haviv
Keyword(s):  
Domestic Violence ◽  
Qualitative Study ◽  
Mixed Methods Research ◽  
Psychological Treatment ◽  
Behavioral Therapy ◽  
Rehabilitation Program ◽  
Individual Therapy ◽  
Treatment Programs ◽  
Rehabilitation Programs ◽  
Stressful Environment

This qualitative study is part of a mixed methods research project that examined the effectiveness of the primary rehabilitation program for domestic violence offenders in the Israeli Prison Services—the “House of Hope.” The quantitative part of the study showed that the “House of Hope” program was effective in reducing recidivism among participating inmates. The purpose of this qualitative study was to describe the rehabilitation program according to the perspectives of the program staff. For this purpose, semistructured interviews were conducted with the department staff during the study as well as with past directors. The qualitative findings suggested that the success of the program probably stemmed from a synergistic combination of several components, for example, identifying the characteristics of domestic violence offenders and adjusting treatment programs to their needs, along with exposure to psychological treatment in varied therapies (cognitive behavioral therapy, psychoeducational, and psychodynamic) and formats (group therapy and individual therapy) during a 1-year stay in a hierarchical therapeutic community. Other components mentioned are staff professionalism, stability, and the program’s location in a therapeutic-oriented prison that is architecturally designed and built to create a less stressful environment for the inmates and the staff.

scholarly journals Assessment of the dynamics of indicators of physical development and motor qualities during the implementation of the program of physical rehabilitation of preschoolers with the consequences of hip dysplasia

2020 ◽  
pp. 128-132
Author(s):  
A. Rudenko
Keyword(s):  
Motor Skills ◽  
Hip Dysplasia ◽  
Physical Development ◽  
Rehabilitation Program ◽  
Main Group ◽  
Physical Rehabilitation ◽  
Control Group ◽  
Abdominal Muscles ◽  
Skills Testing ◽  
Game Simulation

This article evaluates the dynamics of indicators of physical development and motor skills in the process of implementing the program of physical rehabilitation of preschoolers with the consequences of hip dysplasia. Disharmonious physical development with insufficient body weight was revealed in 11,8% of children, there were significantly more females than males among them. The disproportion of growth and maturation of the organism, deterioration of balance in children with the consequences of hip dysplasia from hip injury (p <0,05) were confirmed. It was proved that the indicators of flexibility, speed of strength of the muscles of the lower extremities, strength endurance of the abdominal muscles were better in the comparison group than in the group of children with hip dysplasia (p<0,05). Analysis of the results of motor skills testing showed that girls have lower scores than boys of this age (p <0,05). The physical rehabilitation program was developed based on the previous clinical and instrumental screening of functional disorders of the hip joints, formed as a result of dysplasia in preschool children. This program included preventive and rehabilitation blocks. The developed program provides for the implementation of a comprehensive approach to restoring the physical and functional state of the preschool ORA through the use of game, simulation, traction, relaxation, stretching, special power, breathing, corrective and various coordination exercises. The application of the physical rehabilitation program was allowed to effectively influence the processes of growth and development of the child's body. There was tendency to positive changes in physical development among children of the main group, which increased in the direction of harmony of physical development by 17,2%, and the control group only in 6,1%. It was revealed significantly better indicators of the development of motor skills in children of the main group than in the control group (p<0,05).

Case Studies in Low Back Pain

1984 ◽  
Vol 28 (5) ◽  
pp. 465-470
Author(s):  
Tarek M. Khalil ◽  
S.S. Asfour ◽  
E.A. Moty
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Rehabilitation Program ◽  
Low Back ◽  
Functional Abilities ◽  
Rehabilitation Programs ◽  
The Cost ◽  
The Relationship ◽  
Care Costs

This paper examines a number of cases involving injuries resulting in low back pain. Case history is given together with an Ergonomic evaluation profile. An aggressive low back rehabilitation program has been applied to all reported cases. The result of this rehabilitation effort related to improvement of functional abilities is given. The relationship to job environment is also discussed. The paper demonstrates the cost effectiveness considerations of low back pain rehabilitation programs with combined reference to worker's compensation laws, health care costs and productivity factors involved.

scholarly journals Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study

2019 ◽  
Vol 33 (4) ◽  
pp. 260-270 ◽  
Author(s):  
Alon Kalron ◽  
Peter Feys ◽  
Ulrik Dalgas ◽  
Tori Smedal ◽  
Jennifer Freeman ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Total Duration ◽  
Real Life ◽  
Rehabilitation Program ◽  
Physical Rehabilitation ◽  
Individual Therapy ◽  
Future Research ◽  
Rehabilitation Programs ◽  
Therapy Goals ◽  
Passive Mobilization

Background. Physical rehabilitation programs can lead to improvements in mobility in people with multiple sclerosis (PwMS). Objective. To identify which rehabilitation program elements are employed in real life and how they might affect mobility improvement in PwMS. Methods. Participants were divided into improved and nonimproved mobility groups based on changes observed in the Multiple Sclerosis Walking Scale–12 following multimodal physical rehabilitation programs. Analyses were performed at group and subgroup (mild and moderate-severe disability) levels. Rehabilitation program elements included setting, number of weeks, number of sessions, total duration, therapy format (individual, group, autonomous), therapy goals, and therapeutic approaches. Results. The study comprised 279 PwMS from 17 European centers. PwMS in the improved group received more sessions of individual therapy in both subgroups. In the mildly disabled group, 60.9% of the improved received resistance training, whereas, 68.5% of the nonimproved received self-stretching. In the moderately-severely disabled group, 31.4% of the improved, received aerobic training, while 50.4% of the nonimproved received passive mobilization/stretching. Conclusions. We believe that our findings are an important step in opening the black-box of physical rehabilitation, imparting guidance, and assisting future research in defining characteristics of effective physical rehabilitation.

scholarly journals Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability

2020 ◽  
Vol 55 (8) ◽  
pp. 801-810
Author(s):  
M. Spencer Cain ◽  
Rebecca J. Ban ◽  
Yu-Ping Chen ◽  
Mark D. Geil ◽  
Benjamin M. Goerger ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Control Group ◽  
Balance Test ◽  
Rehabilitation Programs ◽  
Patient Reported ◽  
Hop Test ◽  
Star Excursion Balance Test ◽  
Platform System ◽  
Clinical Measures

Context Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown. Objective To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI. Design Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652). Setting High school athletic training facilities. Patients or Other Participants Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups. Intervention(s) Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises. Main Outcome Measure(s) Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different. Results Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P &lt; .05). However, no intervention group was superior. Conclusions All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population.

scholarly journals The evaluation of functional abilities of patients with osteoporotic vertebral fractures as a basis for rehabilitation programs developing

2021 ◽  
Vol 19 (3) ◽  
pp. 152-159
Author(s):  
L. A. Marchenkova ◽  
E. V. Makarova ◽  
M. A. Eryomushkin ◽  
M. Yu. Герасименко ◽  
E. M. Styazkina ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Vertebral Fractures ◽  
Dynamic Balance ◽  
Trunk Muscles ◽  
Control Group ◽  
Study Group ◽  
Primary Osteoporosis ◽  
Functional Abilities ◽  
Rehabilitation Programs ◽  
Osteoporotic Vertebral Fractures

Background.Due to the demand for special rehabilitation programs for patients with osteoporotic vertebral fractures (VFs), it is of interest to study the functional abilities of those patients. The scientific hypothesis suggests that osteoporotic VFs would cause muscle weakness, muscle dysfunction and conditional (basic motor) disturbances. Objective:to estimate muscle strength, motor function and coordination disorders in patients with VFs in the setting of systemic osteoporosis as a basis for rehabilitation programs developing. Methods. 120 patients aged 4380 with primary osteoporosis were enrolled. Study group comprised of 60 subjects (56 women, 4 men) with at least 1 VF confirmed by X-ray. Control group included 60 subjects (56 women, 4 men) with osteoporosis but without any osteoporotic fracture. The examination program consist of back muscles tenzodynamometry, balance tests and stabilometry. Results. Muscle strength deficiency was estimated in study group in trunk flexors (TF) 40.9% and in trunk extensors (TE) 18.1% with an adequate function of the left lateral flexors (LLF) and in right lateral flexors (RLF). Patients with VFs had the lower muscle strength vs controls of TE (15.64 9.8 vs 27.73 9.9 kg, p = 0.00002), TF (14.61 8.98 vs 21.28 8.38 kg, p = 0.0006), LLF (13.10 7.2 vs 24.06 8.9 kg, p = 0.005) and RLF 13.44 7.43 vs 24.26 7.65 kg, p = 0.0003). Patients with VFs lose their balance faster during one-leg-standing test with open eyes (5.0 [1.0;10.0]vs 7.5 [5.0;10.5]sec in control group, p=0.03) and with closed eyes (2.0[0;3.0] vs 3.5[3.0;5.0]sec, p = 0.04). Fukuda-Unterberger test showed greater side dislocation in study group 40 [25;45]vs controls 30 [10; 45], (p=0.02). According to stabilometry study group was characterized vs control group by lower balance coefficient with open eyes (77.27.6 vs 85.79.4%, p=0.002) and with closed eyes (67.19.8 vs 73.49.9%, p=0.03), greater sagittal displacement(6.8 [2.1;37.7]vs4.8 [1.8;10.7]mm, p=0.025) and deviation in the saggital plane(1.2 [-1.07;1.5]vs-1.2 [-1.5;1.2]mm, p = 0.01), and also less pressure center velocity (9.51 4.4 vs 7.1 2.7 mm/sec, р=0.009). Conclusions.VFs in osteoporotic patients are associated with reduction of trunk muscles strength and negatively affect static and dynamic balance function. The obtained data should be taken into account when developing rehabilitation programs for patients with osteoporosis who have suffered compression VFs.

Sign in / Sign up

Export Citation Format

Share Document