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The use of osteopathic correction in conjunction with radon baths at the sanatorium-resort stage of rehabilitation of patients with dorsopathy

https://doi.org/10.32885/2220-0975-2020-1-2-88-98

Abstract

Introduction. Dorsopathy occurs in 90 % of people throughout life, and is in the first place for the duration of temporary disability in people after 45 years. The sanatorium-resort phase of rehabilitation, including usually physiobalneotherapy, is important in the treatment of dorsopathy. Radon therapy is one of the physiobalneotherapy types. However the effectiveness of radon monotherapy is not more than 25–38 % for various forms of dorsopathy. Therefore a combination of balneotherapy with additional methods of infl uencing on the organism is used in modern balneology to increase the effectiveness of therapy and to ensure the achievement of a positive treatment result in a shorter time without pathological balneoreaction and exacerbation. Osteopathic correction can be considered as such an additional method of infl uencing on the organism, because it triggers a cascade of regulatory reactions at the local, regional and global levels, and these reactions have a cumulative and prolonged effect.

The goal of research — to substantiate the possibility of osteopathic correction using in conjunction with radon baths at the sanatorium-resort stage of rehabilitation in patients suffering from dorsopathy.

Materials and methods. The study involved women aged 25 to 60 years, with a diagnosis of dorsopathy, taking radon therapy. Using the method of simple randomization with a random number generator, the main group (30 people who received radon therapy and osteopathic correction, OC), and the control group (30 people who received only radon therapy) were allocated. At the beginning and the end of treatment the osteopathic status examination of each patient was conducted in parallel with the study of their reactive anxiety level, assessed according to the Spielberger–Hanin scale, the body′s resistance to hypoxia, assessed in the Stange test by the length of breath-holding after inspiration, and the adaptive capacity of the circulatory system, assessed by Coefficient of adaptation L. Kh. Garkavi. The results were processed using nonparametric statistics.

Results. It was found that if OC was included in radon balneotherapy, the state of patients suffering from dorsopathy improves statistically significantly (p<0,0001) by the following indicators: the total number of somatic dysfunctions in patients and the number of regional dysfunctions decreased, the level of reactive anxiety decreased, the body′s resistance to hypoxia increased, the adaptive potential of the circulatory system increased. The changes of all indicators in the main group receiving OC in addition to radon therapy were significantly more pronounced than in the control group receiving only radon therapy (p≤0,0001).

Conclusion. The results obtained during this study allow recommending the use of osteopathic correction to enhance the effect of the sanatorium-resort treatment. 

About the Authors

N. V. Ul′ikhina
Health Resort «Rodnik»
Russian Federation

manual therapist,

Pyatigorsk



E. E. Shiryayeva
Mechnikov North-West State Medical University
Russian Federation

Cand. Sci. (Med.), Associate Professor of the Osteopathy Department,

bld. 41 ul. Kirochnaya, Saint-Petersburg, 191015



References

1. Henschke N., Van Enst A., Froud R., Ostelo R. W. Responder analyses in randomised controlled trials for chronic low back pain: an overview of currently used methods. Europ. Spine J. 2014; 23 (4): 772–778. https://doi.org/10.1007/s00586-013-3155-0

2. Kent P., Kongsted A., Jensen T., Albert H., Manniche C., Schiøttz-Christensen B. Spine Data — a Danish clinical registry of people with chronic back pain. Clin. Epidem. 2015; 7: 369–380. https://doi.org/10.2147/clep.s83830

3. Kukshina A. A., Vereshchagina D. A., Gozulov A. S., Kotel′nikova A. V. The specific features of the psycho-emotional state and psychotherapy in the patients suffering from dorsopathies. Probl. Balneol. Physiother. Exercise Ther. 2015; 92 (4): 61–66 (in russ.). https://doi.org/10.17116/kurort2015461-66

4. Novikov Yu.O., Zainchukovskaya L. P., Shakurov L. F. Rehabilitation of patients with vertebrogenic diseases of the nervous system // In: Modern methods of diagnosis and treatment of diseases of the nervous system: Conference materials. Ufa: BSMU; 1996; 41–44 (in russ.).

5. Gallyamova A. F., Novikov Yu. O. Methodological aspects of rehabilitation of patients with chronic dorsalgia. Manual Ther. 2004; 2 (14): 16–19 (inruss.).

6. Krivobokov N. G., Boryak V. P. Doctor Nature (Selected lectures on general balneology). Makhachkala: Jupiter; 2001; 335 p. (in russ.).

7. Aivazov V. N. Guided therapy (the use of reflexology as a controlling factor in general therapy and balneology). Pyatigorsk; 2009; 249 p. (in russ.).

8. Razumov A. N., Puriga A. O. The modern applications of radon therapy for the medical rehabilitation of the patients. Probl. Balneol. Physiother. Exercise Ther. 2015; 92 (4): 54–60 (in russ.). https://doi.org/10.17116/kurort2015454-60

9. Garkavi L. Kh., Kvakina E. B. The concept of health from the perspective of the theory of the organism nonspecific adaptive reactions. J. Hlth Life Sci. 2006; 2: 15–20 (in russ.).

10. Garkavi L. Kh. Activationtherapy. Antistress activation and training reactions and their use for healing, prevention and treatment. Rostov-n/D: Publishing House of Rostov University; 2006; 256 p. (in russ.).

11. Bobrovnitsky I. P., Vasilenko A. M. Principles of personalization and predictive in regenerative medicine. Bull. regenerative Med. 2013; 1: 2–6 (in russ.).

12. Mokhov D. E., Belash V. O. Methodology of clinical osteopathic examination: Studyguide. SPb.: Izd-vo SZGMU im. I. I. Mechnikova; 2019; 80 p. (in russ.).

13. Zvereva T., Smirnov V., Rosanov A., Shyryaeva Е., Usupbekova B. Evaluation of the Effectiveness of Osteopathic Treatment of the Right Sided Cervicobrachial Syndrome with the Help of Electropunctural Diagnostics. Russian Osteopathic Journal. 2016; 1–2 (32–33): 75–86 (in russ.). https://doi.org/10.32885/2220-0975-2016-1-2-75-86.

14. Margazin V. A. Guide to sports medicine. M.: SpetsLit; 2012; 485 p. (in russ.).

15. Batarshev A. V. Basic psychological properties and personality self-determination: A practical guide to psychological diagnosis. SPb.: Rech′; 2005; 208 p. (in russ.).

16. Kozlova N., Belash V. Osteopathic Aspects of Vertebroneurology. Russian Osteopathic Journal. 2017; 1–2 (36–37): 105–117 (in russ.). https://doi.org/10.32885/2220-0975-2017-1-2-105-117

17. Liutina N., Rubinov M., Mishina S. Evaluation of the Life Quality in Patients Presenting Chronic Vertebrogenic Pain Syndrome. Russian Osteopathic Journal. 2016; 3–4 (34–35): 21–29 (in russ.). https://doi.org/10.32885/2220-0975-2016-3-4-21-29

18. Benchmarks for Training in Traditional/Complementary and Alternative Medicine: Benchmarks for Training in Osteopathy. Geneva, Switzerland: World Health Organization, 2010; 36 p.

19. Licciardone J. C., Brimhall A. K., King L. N. Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet. Disord. 2005; 6 (1): 43. https://doi.org/10.1186/1471-2474-6-43

20. Alekseev A. V., Prokopenko O. Y., Shadrin A. A., Shiryaeva E. E. Osteochondrosis of Cervical Spine in Different Age Groups: Clinical Characteristics and Possibilities of Osteopathic Correction. Russian Osteopathic Journal. 2017; 3–4 (38–39): 48–54 (in russ.). https://doi.org/10.32885/2220-0975-2017-3-4-48-54

21. Licciardone J. C., Gatchel R. J., Aryal S. Recovery From Chronic Low Back Pain After Osteopathic Manipulative Treatment: A Randomized Controlled Trial. J. Amer. Osteopath. Ass. 2016; 116 (3): 144–155. https://doi.org/10.7556/jaoa.2016.031

22. Mokhov D. E., Yanushanets O. I., Tregubova E. S., Kuzmina Yu. O. Methodology for conducting of osteopathic researches based on the principles of evidence-based medicine. SPb.: Publishing House of St. Petersburg University; 2016; 103 p. (in russ.).

23. Potekhina Yu. P. Collagen Structure and Function. Russian Osteopathic Journal. 2016; 1–2 (32–33): 87–99 (in russ.). https://doi.org/10.32885/2220-0975-2016-1-2-87-99

24. Potekhina Yu. P. Pathogenesis of Somatic Dysfunctions (Local and Regional Levels). Russian Osteopathic Journal. 2016; 3–4 (34–35): 91–104 (in russ.). https://doi.org/10.32885/2220-0975-2016-3-4-91-104


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For citations:


Ul′ikhina N.V., Shiryayeva E.E. The use of osteopathic correction in conjunction with radon baths at the sanatorium-resort stage of rehabilitation of patients with dorsopathy. Russian Osteopathic Journal. 2020;(1-2):88-98. (In Russ.) https://doi.org/10.32885/2220-0975-2020-1-2-88-98

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ISSN 2220-0975 (Print)
ISSN 2949-3064 (Online)