Contact us
 |
[email protected] |
 |
3275638434 |
 |
 |
| Paper Publishing WeChat |
Useful Links
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
Management of Spinal Osteochondrosis Rehabilitation Process
Author(s)
Rukhadze Manana1, Gia Sulaberidze1, Gelashvili Nino2 and Madona Modu3
Full-Text PDF
XML 1032 Views
DOI:10.17265/2328-7136/2018.02.005
Affiliation(s)
1. Tbilisi State Medical University, Ave.Vaja-Pshavela 33, Tbilisi 0186, Georgia
2. Department of Medical Rehabilitation and Sports Medicine of Clinic “Medsi”, St. Qiacheli 18, 0108, Tbilisi, Georgia
3. New Vision University School of Medicine, St.Bokhua 11, 0159, Tbilisi, Georgia
ABSTRACT
Background: Osteochondrosis of spine is the one of the most prevalent
diseases among the all musculoskeletal conditions. Osteochondrosis is not a
curable condition and its treatment/rehabilitation is a long-term process. The
present work aims to assess clinical effectiveness and duration of outcomes of
rehabilitation that includes complex and consequent methods (algorithm) of treatment.
The pilot study has been continuing several years and now is going on. Methods:
The subject were 220 patients, 122 females and 98 males, aged 50-65 (adherence
to treatment 100%) with as reflex as well radicular syndromes in subacute
phase. Informed consent was obtained from all patients. Rehabilitation process
continued 2.5-3 months and its management included the following consequent
methods: waist fixation, pain control with medication (NSAIDs and in some cases
steroidal drugs), iontophoresis with karipazim—20-25 sessions, after 8-10 sessions of the latter manual therapy was
added—10-12 sessions, and
kinesiotherapy (3 times per week) after 5 procedures. After pain management
recommendation of daily life activity was given. Oral chondroprotectors after
completion of a treatment were administered. Dynamic evaluation of subjective
and objective symptoms, mobility and functional state of spine were done.
Parameters were assessed before treatment, after 3 month and 1-3 years upon its
completion. Results: Data were analyzed using SPSS program. Obtained results
showed that after the first course of treatment (3 months) positive outcomes
were observed in 198 patients (90%), 22 (10%) of patients required the second
course of rehabilitation. Stable outcome of treatment was maintained after 1
year in 204 patients (92.7%) and after 3 years in 196 patients (89%).
Conclusion: Approbated complex of treatment is established to be effective in
rehabilitation of patients with lumbar osteochondrosis.
KEYWORDS
Conservative comprehensive rehabilitation, management of spinal rehabilitation, lumbar osteochondrosis, iontophoresis with karipazim, manual therapy, kinesiotherapy.
Cite this paper
References