Issue №1-89, 2019

Efficiency of the rehabilitation after spinal compression fractures on the background of an osteoporosis

¹ Eremushkin M.A., ¹ Styazhkina E.M., ¹ Chesnikova E.I., ¹ Marchenkova L.A., ¹ Gusarova S.A.

¹ «National Medical Research Center of Rehabilitation and Balneology», Moscow, Russia

ABSTRACT

Compression fractures of vertebral spinal bodies are the most common and frequent complication of osteoporosis. Inour work 60 examined patients with the consequences of vertebral fractures with the osteoporosis background, and a highrisk of FRAX, according to the results of tensodynamometry revealed muscle deficit: back extensor muscles (EM) – 40,93%,back flexors (BF) – 18,12%, left lateral flexors (LLF) – 8,2%, right lateral flexors (RLF) – 8,5% compared with the recommendedage indicators, and violation of the physiological ratio of muscle strength of EM and BF. Also revealed violations of the balancefunction according to stabilometry. The developed complex of rehabilitation, including physical therapy in the gym,training of deep stabilization system of the spine, training of coordination and balance on simulators, kinesohydrotherapy,allowed to reduce pain syndrome on the VASH scale from 5.33±1.95 to 2.79± 1.39 points (p<0.001), to achieve an increase inmuscle strength of EM by 5.89 ± 10.30 kg (p = 0.000), BF by 4.25 ± 6.47 kg (p = 0.000), LLF by 4.81 ± 7.24 kg (p = 0.000).), RLFby 4.67 ± 4.83 kg (p = 0.000,). Decreased muscle imbalance of flexors and extensors of the back. Posturological characteristicsimproved in 48.3% of patients according to stabilometry data after the rehabilitation. The quality of the balance functionwith eyes open improved from 77.43±0.38 to 85.65±0.26% (p<0.001) and with eyes closed from 67.13±0.22 to 73.36±%(p<0.05), the sagittal plane shift decreased from 18.72±0.26 to 11.82±0.12 mm (p<0.01), it is indicating of improvement of aload distribution on the lower limbs and increased stability in the basic standing position. Increased power capabilities andimproved balance control reduce the risk of falling. The analysis of the long-term results revealed the preservation of positivechanges achieved after treatment for at least 4 weeks.

KEYWORDS: osteoporosis, compression fracture of the spine, muscle strength, physical rehabilitation, physical therapy, balance.

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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.