Open AccessPECULIARITIES OF AUTONOMIC NERVOUS SYSTEM STATE IN YOUNG PATIENTS WITH NEUROLOGICAL MANIFESTATIONS OF LUMBAR SPINE OSTEOCHONDROSIS
Author(s) -
I. I. Krychun,
Natalia Vasylieva,
F. Chadid
Publication year - 2021
Publication title -
aktualʹnì problemi sučasnoï medicini: vìsnik ukraïnsʹkoï medičnoï stomatologìčnoï akademì
Language(s) - English
Resource type - Journals
eISSN - 2077-1126
pISSN - 2077-1096
DOI - 10.31718/2077-1096.21.2.71
Subject(s) - medicine , osteochondrosis , anxiety , depression (economics) , lumbar , autonomic nervous system , hospital anxiety and depression scale , physical therapy , surgery , psychiatry , blood pressure , heart rate , economics , macroeconomics
Lower back pain is the most common cause forcing adults to seek for medical assistance; it is associated with severe functional disorders and burdens on patients themselves and health care system that require in-depth study of its causes, management, and prevention. The aim of this research is to investigate the peculiarities of autonomic nervous system status depending on indices (rates) of anxiety and depression in patients under 45 years with lower back pain and to develop more effective treatment. We examined 104 male patients with neurological manifestations of the lumbar spine osteochondrosis without obesity, somatic and cardiovascular pathology (average age was 34,05±5,7 years) and 25 practically healthy volunteers (the mean age constituted 35,04±3,6). All patients were shared into two groups. The 1st group consisted of 50 patients with radiculopathy caused by herniation of intervertebral discs, whereas the 2nd group involved 54 patients who suffered from radicular signs of lumbar spine osteochondrosis. The patients underwent clinical (somatic) and neurological examinations, thorough assessment of the autonomic nervous system, psychological states by Hospital Anxiety and Depression Scale (HADS) in addition. We have revealed that the muscular-tonic disorders with myofascial syndrome occurred in all patients. We also found a reliable increase in the expression of vegetative complaints and symptoms in comparison with the control group. Analysis of anxiety and depression indices by HADS has reflected that average anxiety level in control group amounted to 8.33±1.24 scores and the depression level made up 0,8±1,06 scores; in the patients with vertebrogenic radiculopathy, the average anxiety level constituted 9.78±1.58 scores and the depression level was assessed as 4.1±2.13 scores. The patients suffering from reflexogenic lower back pain had the anxiety level, which equalled 8.01±1.16 scores and the depression level of 1.53±1.5 scores. Severe muscular-tonic signs and the development of vegetative dystonia syndrome in association with subclinical increasing levels of anxiety in spite of unchanged depression rates have been found as key features of neurological manifestations of the lumbar spine osteochondrosis in young male patients.