REFLEXOTHERAPY IN COMPLEX POSTOPERATIVE REHABILITATION FOR LUMBAR SPONDYLOLISTHESIS
https://doi.org/10.14531/ss2006.2.12-15
Abstract
Objective. To assess the acupuncture efficiency for conservative treatment and postoperative rehabilitation of patients with spondylolisthesis.
Material and Methods. The study group included 42 patients with spondylolisthesis complicated by root syndrome. After surgical intervention the patients underwent treatment consisting of corporal acupuncture and drug therapy (NSAID, diuretics, vitamins, muscle relaxants). The McGill Pain Questionnaire (MPQ), visual analog scale (VAS) and EMG-examinations were used for pain assessment.
Results. Drug therapy contributed to pain decreasing in 10 % of patients on the first day of treatment and in 35 % – on the third. Complete relief of pain syndrome occurred in 55 % of patients on the fifth day. The combination of drug therapy and acupuncture provided complete reduction of pain syndrome in 95.4 % of cases during 5 days.
Conclusion. It is advisable to apply corporal acupuncture to complex postoperative rehabilitation of patients with spondylolisthesis complicated by root syndrome.
About the Authors
Valentina Petrovna Shatrova
Russian Scientific Centre of Surgery n.a. acad. B.V. Petrovsky, Moscow
Russian Federation
Russian Federation
Kakhaber Teimurazovich Meskhi
Russian Scientific Centre of Surgery n.a. acad. B.V. Petrovsky, Moscow
Russian Federation
Russian Federation
Aleksandr Georgyevich Aganesov
Russian Scientific Centre of Surgery n.a. acad. B.V. Petrovsky, Moscow
Russian Federation
Russian Federation
Karen Pavlovich Mikaelyan
Russian Scientific Centre of Surgery n.a. acad. B.V. Petrovsky, Moscow
Russian Federation
Russian Federation
References
1. Афонин Д.Н., Немых В.В. Дифференциальная диагностика вертеброгенной и васкулогенной перемежающей хромоты // Новые технологии в медицине: Тез. докл. II Междунар. науч.-практ. конф. СПб., 2005. С. 18–19.
2. Гаваа Лувсан. Традиционные и современные аспекты восточной рефлексотерапии. М., 1990.
3. Загорулько О.И. Клинические, методические и организационные аспекты терапии боли: Дис.. д-ра мед. наук. М., 2002.
4. Красноярова Н.А., Жанайдаров С.А. Способ лечения вертеброгенных болевых синдромов // Организация медицинской помощи больным с болевыми синдромами: Тез. докл. рос. науч.-практ. конф. Новосибирск, 1997. С. 126.
5. Медведева Л.А. Современные подходы к выбору критериев эффективности методов обезболивания: Автореф. дис.. канд. мед. наук. М., 2004.
6. Melzack R., Jeans M.E. Acupuncture analgesia. A psychophysiological explanation // Minn. Med. 1974. Vol. 57. P. 161–166.
Review
For citations:
Shatrova V.P., Meskhi K.T., Aganesov A.G., Mikaelyan K.P. REFLEXOTHERAPY IN COMPLEX POSTOPERATIVE REHABILITATION FOR LUMBAR SPONDYLOLISTHESIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2006;(2):012-015. (In Russ.) https://doi.org/10.14531/ss2006.2.12-15
Email this article 