Physical rehabilitation of patients with degenerative diseases of the spine using the David back concept

Abstract

BACKGROUND: Physical rehabilitation of patients with degenerative-dystrophic spine diseases is an important medical problem due to the significant decrease in physical activity, work capacity and quality of life of the patient. AIM: The aim of the study was to evaluate the effectiveness of the developed rehabilitation complex for degenerative lesions of the thoracolumbar spine using biofeedback simulators David 110, 130, 120, 150. MATERIALS AND METHODS: The study included 30 patients with degenerative changes in the lumbar region (mean age 43.6 years), who underwent a complex of rehabilitation measures for an average of 9.2 days, including therapeutic exercises for the back muscles, physiotherapy, and the training devices David 110 (lumbar-thoracic extension), 130 (lumbar-thoracic flexion), 120 (rotation to the right/left), 150 (lateral flexion to the right/left). RESULTS: The effectiveness of the rehabilitation complex was confirmed by David back concept functional tests in the form of a statistically significant increase in muscle strength and range of motion in the thoracolumbar region (p 0.05), regression of pain syndrome (p 0.05) on the VAS scale and increased patient satisfaction were noted treatment based on the results of an oral survey of patients. CONCLUSION: Exercises on David training machines in combination with therapeutic exercises for strengthening the back muscles and physiotherapy have a positive effect in the implementation of rehabilitation programs for patients with degenerative changes in the thoracolumbar spine.