rojournalРоссийский остеопатический журналRussian Osteopathic Journal2220-09752949-3064All-Russian Public Organization «Russian Osteopathic Association» (ROsA)10.32885/2220-0975-2020-3-130-136rojournal-233Research ArticleОБЗОРЫREVIEWSПрименение физио- и бальнеотерапии у пациентов с неспецифической болью в нижней части спины (обзор литературы)The application of physical therapy and balneology of the patients with non-specific low back pain (literature review)https://orcid.org/0000-0001-8360-5758НовиковА. Ю.NovikovA. Yu.

нейрохирург,

Уфа

neurosurgeon,

Ufa

https://orcid.org/0000-0003-2141-3106ШаяхметовА. Р.ShaiakhmetovA. R.

канд. мед. наук, врач-остеопат,

Уфа

Cand. Sci. (Med.), osteopathic physician,

Ufa

https://orcid.org/0000-0002-6282-7658НовиковЮ. О.NovikovYu. O.

профессор, докт. мед. наук, профессор кафедры нейрохирургии и медицинской реабилитации,

450008 Уфа, ул. Ленина, д.3

Dr. Sci. (Med.), Professor, professor at the Department Neurosurgery and Medical Rehabilitation,

bld.3 ul. Lenina, Ufa, 450008

profnovikov@yandex.ruБашкирский государственный медицинский университетРоссияBashkir State Medical UniversityRussian FederationКлиника семейной остеопатии профессора НовиковаРоссияProfessor Novikov′s Family OsteopathyRussian Federation20201709202003130136Copyright © Новиков А.Ю., Шаяхметов А.Р., Новиков Ю.О., 20202020Новиков А.Ю., Шаяхметов А.Р., Новиков Ю.О.Novikov A.Y., Shaiakhmetov A.R., Novikov Y.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rojournal.elpub.ru/jour/article/view/233

Представлен аналитический обзор литературы о реабилитации больных с неспецифической болью в нижней части спины. Широкая встречаемость патологии обусловливает актуальность изучаемой проблемы. Большое внимание уделено комплексному подходу с учетом патогенетических механизмов, типу боли (ноцицептивный, нейропатический, дисфункциональный, смешанный), ее временных характеристик (острая, хроническая боль), эмоциональному и соматическому статусу пациентов с учетом болевых установок и болевого поведения. В работе рассмотрен мультидисциплинарный подход к лечению больных с неспецифической болью в нижней части спины с использованием физио- и бальнеотерапии, медикаментозного и интервенционного лечения.

This analytical review present of the literature on rehabilitation of patients with non-specific low back pain. The wide occurrence of pathology determines the relevance of the studied problem. Much attention is paid to the complex approach, taking into account the pathogenetic mechanisms, the type of pain — nociceptive, neuropathic, dysfunctional, mixed, its temporary characteristics (acute, chronic pain), the emotional and somatic status of patients, pain attitudes and pain behaviors. The article considers a multidisciplinary approach to the treatment of patients with non-specific pain in the lower back using physical therapy modalities, balneology, medication and interventional treatment.

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The authors declare that there are no conflicts of interest present.