Issue №1-83, 2018

Characteristic of Postural Balance After Surgical Treatment in Patients with Dorsopathies of the Lumbar Space Division with Disorder of Patient Completion

^1,4 Strelnikova A.V., ¹ Samokhin A.G., ^1,3,4 Sadovoy M.A., ² Kiselev A.S., ¹ Kirilova I.A.

¹ Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
² St.Petersburg Psychoneurological Research Institute n.a. V.M. Bekhterev
³ Novosibirsk State Medical University
⁴ Siberian State Medical University

ABSTRACT

Study population was divided into one group of patients (30 people) of patients underwent rehabilitation activities startedon the 2nd day of an early post surgery period (duration of the last one was 7±2 days after the surgery).Outpatient rehabilitation measures were not carried. In the long-term period, in the absence of continuation of rehabilitationmeasures, in patients who underwent rehabilitative measures in the early postoperative period, no statisticallysignificant changes in the amplitude of the center of pressure fluctuations were observed for all tested parameters. Thereis a tendency to increase the amplitude of oscillations in the sagittal plane, the total volume of fluctuations of the pressurecenter, the average velocity of displacement of the pressure center and the area of oscillations in testing with open eyesand amplitude of oscillations in the frontal and sagittal planes, the total volume of oscillations of the center of pressure andthe area of oscillations in testing with eyes closed in a remote period. The level of pain syndrome according to the VAS scalesignificantly decreased in the early postoperative period in the back and in the lower extremities, in the long-term periodthere is a further decrease in the level of pain in the lower extremities, with a certain increase in pain in the back. As a resultof the surgical treatment, there was a more than two-fold decrease in the average value of the ODI from baseline to 22.9[20,0; 28,0] points in the studied population of patientsThis suggests that a comprehensive rehabilitation treatment is advisable to continue at the outpatient stage, to improvethe postural balance in patients that underwent decompressive-stabilizing surgery of the lumbar spine.

KEYWORDS: stabilometry, posture control, degenerative disc disease, dorsopathy, lumbar spine, rehabilitation

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Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.