Rehabilitation of patients with degenerative-dystrophic diseases of the spine with the main clinical manifestation in the form of posture disorder and pain syndrome in combination with muscle-tonic syndrome and vertebro-basilar insufficiency

Background. Degenerative-dystrophic diseases of the spine (DDSD) are a multi-level problem and require an integrated approach to effectively combat this disease.

The aim of the study: evaluation of the effectiveness of differentiated medical rehabilitation programs for patients with DDD, accompanied by postural disorders and pain syndrome in combination with muscular-tonic syndrome and vertebrobasilar insufficiency (VBI).

Materials and methods. The study was conducted on a sample of 83 patients divided into four groups. The four groups differed in treatment methods: regimens I–IV (76.8 %). The analysis included a study of the dynamics of complaints, objective status, instrumental data, and overall assessment of the patients’ condition.

Results. Maximum effectiveness was noted in combinations of manual therapy with acupuncture (schemes III and IV). The greatest positive effect was achieved in reducing pain intensity, eliminating cephalgia and normalizing muscle tone. Instrumental evidence of significant improvement in blood circulation and reduction of radiographic signs of scoliotic deformation. Conclusion. Complex therapy, including drug therapy and nondrug methods (manual therapy, reflexology), effectively reduces symptoms, which emphasizes the importance of individual treatment selection.

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