Lazarev I. Kinesotherapy of Osteochondrosis of Lumbar Spine with tilted plane.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0407U000186

Applicant for

Specialization

  • 14.01.21 - Травматологія та ортопедія

26-12-2006

Specialized Academic Board

Д 26.606.01

SI “The Institute of Traumatology and Orthopedics by NAMS of Ukraine"

Essay

An object is - patients with neurological syndromes of lumbar osteochondrosis; purpose is - to improve the results of conservative treatment on the basis of grounds of kinesotherapy using on tilted plane; methods - are clinical, roentgenologic, MRI, biomechanical, thermography, miography. Biomechanical analysis used for to estimate the distraction loading at spinal motion segments on a tilted plane in depends on it angle of inclination. It was proved that with increasing of the tilted plane's inclination angle the distraction loads is increasing up to maximum of the low body weight at 90? level. There was estimated a compression load on the intervertebral discs during straight legs raise exercises. It was proved that these exercise make an injuring compressive influence on the degenerative changed structures of motion segments in lumbar spine. With increasing of straight legs raise angle and decreasing of gravitation lever this influence is decreasing. The kinezotherapy complex on tilted plane was created on the biomechanical analysis and estimation basis in depends on neurological syndromes and motional regime. Isometric exercises took into consideration as tools for developing of the postural musculature that fixes and stabilizes of the vertebral column. Results are demonstrated of the pain intensity decreasing on 60 % (р<0,01) in the complex treatment group and on 56 % (р<0,01) - in the monotherapy group. Muscular power increased for spine extensors on 30 % (р<0,01) and for abdomen muscles on 19 % (р<0,01) in the complex treatment group. In the monotherapy group the power increased on 18 % (р<0,05) for spine extensors and on 19 % (р<0,05) for abdomen muscles.

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