CHARACTERISTICS OF THE MUSCULAR-TONIC SYNDROME AND ITS EFFECT ON THE MOBILITY OF THE SPINE IN PATIENTS WITH NEUROLOGICAL MANIFESTATIONS OF THE LUMBAR SPINE OSTEOCHONDROSIS DURING THE REHABILITATIVE TREATMENT

• Published in: Visnyk problem biolohiï i medyt︠s︡yny Vol. 4; no. 4; pp. 81 - 85
• Main Author: Kohut-Lednjova, O. O.
• Format: Journal Article
• Language: English
• Published: Ukrainian Medical Stomatological Academy 01-11-2018
• Subjects: lower back pain; muscular syndrome index; muscular-tonic syndrome; osteochondrosis; Schobers test
• ISSN: 2077-4214; 2523-4110
• DOI: 10.29254/2077-4214-2018-4-1-146-81-85

The problem of back pain caused by diseases of the spine is one of the most urgent in modern neurology. Pain associated with the spine, at least once in a lifetime experience up to 80% of the worlds population. In most cases, it is localized in the lower back and is accompanied by a muscular-tonic syndrome. Therefore, the study of the peculiarities of its manifestation in this group of patients is a topical issue. In our work, we studied the features of the muscular-tonic syndrome and its effect on the mobility of the spine in patients (n = 120) with reflex (PC) and compression (CS) neurological manifestations of osteochondrosis of the lumbar spine at the stage of restorative treatment. All patients according to the purpose and objectives of the study were divided into two groups - primary and control. Patients from the primary group received a complex of treatment and rehabilitation procedures: therapeutic massage, underwater shower massage, ozokeritotherapy, magnetotherapy, laser therapy, traction therapy and transcutaneous electroneurostimulation (TENS). Patients from control groupreceived all of the above without TENS. Patients underwent clinical and neurological examination, evaluation of muscular-tonic syndrome with the calculation of the index of muscular syndrome (IMS) and the degree of limitation of spine mobility. It has been established that the muscular-tonic syndrome and limitation of spine mobility are significantly more pronounced in patients with compression syndromes; muscular-tonic syndrome affects the degree of limitation of mobility in the lumbar spine and can serve as an indicator of the effectiveness of restorative treatment.