Open AccessOsteochondrosis of Cervical Spine in Different Age Groups: Clinical Characteristics and Possibilities of Osteopathic Correction
Author(s) -
Perm Regional Alekseev,
O. Y. Prokopenko,
A. A. Shadrin,
E. E. Shiryaeva
Publication year - 2017
Publication title -
rossijskij osteopatičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2949-3064
pISSN - 2220-0975
DOI - 10.32885/2220-0975-2017-3-4-48-54
Subject(s) - medicine , sagittal plane , osteochondrosis , cervical spine , range of motion , age groups , physical therapy , surgery , radiology , demography , sociology
Goal of research - the study aims to identify the severity of pain syndrome and changes in the range of head motions in patients with cervical dorsopathy in different age groups and to develop recommendations for osteopathic correction of this pathology.Materials and methods. The study examined 90 patients with pain syndrome associated with osteochondrosis of the cervical spine. The patients were divided into three groups: the 1st group - young patients aged 18-44 years, the 2nd group - middle-aged patients aged 45-59 years, the 3rd group - elderly patients aged 60-89 years. Each group consisted of an experimental and control subgroup of 15 people each. The clinical characteristics included an assessment of the pain syndrome intensity using a visual analog scale and a goniometer assessment of the changes in the range of the head motions. The measurements were carried out in rotation, in the sagittal and frontal planes.Results. After a course of therapy, the intensity of pain syndrome in patients of control groups decreased 2.8 times, and decreased 20 times in patients of experimental group. The osteopathic correction was most effective in patients of young and middle ages. The patients of all groups experienced an increase in the range of head motions in sagittal and frontal planes, in younger patients the change was more prominant. The range of motions in rotation also increased, but in older patients of the experimental group it was greater than in the control group of the same age group.Conclusion. It is established that osteopathic correction in combination with medication contributes to a more pronounced decrease in the intensity of pain syndrome and to an increase in the range of head motions in the sagittal, frontal planes and in rotation. The effectiveness of osteopathic correction is higher in patients of young and middle ages. It is suggested using osteopathic correction in addition to medication therapy and physiotherapy when treating patients with dorsopathy of the cervical region.