THEORETICAL JUSTIFICATION OF MEANS OF PHYSICAL THERAPY OF PATIENTS WITH OSTEOCHONDROS OF THE LUMBAR SPINE
Journal: Art of Medicine (Vol.6, No. 1)Publication Date: 2022-03-29
Authors : I. M. Grygus N. E. Nesterchuk I. M. Crook Yu. F. Kosobutsky L. A. Petruk;
Page : 144-148
Keywords : Оsteochondrosis of the spine; inter-vertebral discs; physical therapy; protrusion; hernia;
Abstract
Osteochondrosis incidence statistics worldwideindicates that more people suffer from this dis-ease80% of the population. And more than half of these peopleunaware of hispathological condition because of the diseaseis in a latent period of its development. Due to the frequent duration of the disease in therapeutic, as well as a variety of therapeutic options, the treatment of lumbar vertebrae is a special challenge. Today, lumbar osteochon-drosis is considered a serious disease that occurs in people of all ages and has a steady tendency to youth, more and more often the disease is diagnosed in people under 20 years of age. The basic treatment and the most widespread diseases on an osteochondrosis on department of a back-bone are listed. Yes, according to the data statistics of the Ministry of Health of Ukraine, already in 2001 osteochon-drosis spine was 2.91% of disability in diseases and inju-ries of the musculoskeletal system, and primary disability was 1.5 per 100 thousand population. Diagnosis and treat-ment of this severe form many scientific works are devoted to spinal lesions clinical, neurological and radiological ori-entation. The article analyzes the issue of the beneficial ef-fects of physical therapy for patients with osteochondrosis of the lumbar spine. Osteochondrosis is a degenerative-dystrophic disease of the spinal discs of multifactorial origin, which subsequently provokes a change in the struc-ture of the vertebrae and intervertebral discs, limiting their natural functionality. The vertebrae become less durable and more prone to injury, and the intervertebral discs lose some of their elasticity. This disease is characterized by dystrophy in the intervertebral discs. As you know, disks are designed to provide flexibility and mobility to our spine. When the disc becomes flat, depleted, then the ver-tebrae converge, compressing the vessels and nerve roots. Hence arise pain and swelling. This condition is accompa-nied by metabolic disorders in the soft tissues surrounding the spine. As a result of osteochondrosis, the risk of inju-ries and the emergence of serious diseases of the spine, in particular, protrusions and hernias of the intervertebral discs, Schmorl's hernia, scoliosis and others. Despite the fact that there are a huge number of methods for thetreat-ment and rehabilitation of osteochondrosis of the spine, the spread of the disease both in Ukraine and in the world is constantly growing. Currently, the problem of prevention and treatment of these patients is one of the leaders in trau-matology. Treatment of osteochondrosis is mainly carried out using conservative methods, which are aimed at elim-inating pain, dysfunction of the spinal roots and preventing the progression of degenerative changes in the structure of the spine. Comprehensive conservative therapy includes: a regime of reducing the physical load on the spine, pros-thetic and orthopedic devices, physiotherapy procedures and drugs aimed at muscle relaxation, elimination of edema and pain, as well as reflexology. Therapeutic exer-cise and massage also play an important role in complex treatment.
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