GALVANIC MUD TREATMENT IN THE REHABILITATION OF PATIENTS WITH PAIN IN THE LOWER BACK

Purpose. Evaluati on of the effectiveness of complex restorati ve treatment with the inclusion of galvanic mud procedures in patients with pain in the lower back.

Patients and methods. There were 30 patients (18 men and 12 women) with a diagnosis: lumbulgia or lumboeishalgia under observation. Patients underwent a course of rehabilitation on the basis of the Republican Hospital of Rehabilitation, Makhachkala. Against the background of standard therapy, galvanic mud procedures were included in the therapy.  The effectiveness of the treatment was assessed by the control of pain assessment according to the VAS scale, the body mass index, the psychoemoti onal state of the HAM test, the tests of Schober and Thomayer were carried out.

Results. After the complex treatment in patients, clinical and functional indices of the state of the neuromuscular apparatus Were noted, varying depending on gender. The results of the study showed that the intensity of the pain syndrome according to the VAS score in the compared groups before the rehabilitation differed significantly (5.4 ± 0.1 points in men and 6.16 ± 0.3 in women, (p <0.05), after completion of the course of treatment, the VAS score decreased statistically in both groups: in men 2.0 ± 0.4 points and in women 1.8 ± 0.1 points (p <0.05), but between groups of significant differences in the quantitative assessment of pain the syndrome was not revealed. In determining the mobility of the lumbar spine, the results of the Schober test with lumbargia as in men, and women were unreliably reduced, after treatment restored within the norm: in men before treatment, 3.46 ± 1.47 cm, after 5.3 ± 0.73 cm (p < 0.05), in women before treatment 3.95 ± 0.5 cm, after 5.35 ± 0.55 cm (p < 0.05).The analysis of the dynamics of the test results of Tomayer revealed unreliably significant differences before treatment in men = 24.8 ± 2.4 cm, in women = 21,6 ± 6,2 cm. After the course of treatment in both groups there was a significant improvement in the indices: in men = 5.23 ± 1.44 cm (p <0.05), in women 1.45 ± 0.87 cm (p < 0,05), but at the same time a reliable difference in the indices (p < 0.01).

Conclusion. The conducted research has shown that carrying out galvanic mud procedures in a complex of treatment in patients with lower back pain positively influences the restoration of lumbar vertebral segment motor activity, as well as the psychoemotional state of the patient. In this case, women are more actively reduced pain and increased motor activity, but less significant indicators of the change in the psychological test.

rehabilitation, lumbalgia, pain in the lower back, mud therapy

1. Solovyeva E, Dzhutova E. Group b neurotrophic vitamins complexes as an important component of combination treatment for radiculopathy. Vrach (The Doctor). 2012;9:41–46. (In Russian).

2. Podchufarova E. V. Bol’ v spine: dokazatel’naya meditsina I klinicheskaya praktika. Trudnyj Pacient (Diffi cult Patient). 2010;8 (3):19–24. (In Russian).

3. Kotova OV. Acute pain in the lower back and neck. Consilium Medicum. 2016;18 (9):122–124. (In Russian).

4. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 disease and injuries 1990–2010: a systematic analysis for Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380 (9859):2163–96. DOI: 10.1016/S0140–6736 (12)61729–2.

5. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecifi c low back pain. Eur Spine J. 2006 Mar;15 Suppl 2: S192–300. DOI: 10.1007/s00586–006–1072–1

6. Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, et al. Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ. 2008 Jul 7;337: a171. DOI: 10.1136/bmj.a171

7. Boitsov IV. Lumbar dorsopathies: electrotherapy of vegetative neuropathy of the vertebral component of the spinal nerves. Fizioterapiya, Bal’neologiya i Reabilitatsiya (Russian Journal of Physiotherapy, Balneology and Rehabilitation). 2015;14 (2):16–23. (In Russian).

8. Dadasheva MN, Taranenko NYu. Optimizing adherence to therapy in patients with non-specific back pain. Consilium Medicum. 2016;18 (9):147–150. (In Russian).

9. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013 Jul;33 (9):629–808. DOI: 10.1177/0333102413485658.

10. Rachin A.P., Logvinova A. A. Khronicheskaya bol’ v spine (podkhody k diagnostiki i terapii. Poliklinika. 2014;5 (1):42–45. (In Russian).

11. Pilipovich AA. Chronic pain in diseases of the musculoskeletal system: the use of antihomotoxic medications. Consilium Medicum. 2016;18 (9):128–132. (In Russian).

12. Kurushina OV, Barulin AE. Back pain: gender features. Saratov Journal of Medical Scientific Research. 2012;8 (2):477–481. (In Russian).