[Comparative analysis of the effectiveness of modern physiotherapeutical methods of dorsalgia treatment].

Objective: To analyze the treatment possibilities of modern methods of physiotherapy as part of the rehabilitation treatment in dorsalgia (DA).

Material and methods: An examination of 104 patients with DA, who underwent rehabilitation treatment with physiotherapy methods, was performed. Impact of shockwave therapy (SWT), high-intensity laser therapy (HILT) and pharmacopuncture (PP) and combinations of these physiotherapeutical factors were assessed according to the criteria of the International Classification of Functioning, Disability and Health (ICF).

Results: Dynamics of 15 domains of ICF, including the dynamics of the leading ICF domain in DA - b28013 «Pain in back», was studied. Reliable rehabilitation predictions for the positive dynamics of ICF b28013 «Pain in back» domain in patients with DA have been established in the form of equations of SWT, HILT and PP or their combined application impact regression. Effects of the studied physiotherapy variants were compared.

Conclusion: SWT is the most effective of the applied monotherapy in relation to the dynamics of b28013 «Pain in back» domain, HILT - on the second place and PP - on the third place. The greatest effect of treatment in relation to the dynamics of b28013 «Pain in back» domain from the combined use of physiotherapeutic factors is provided by SWT+HILT combination, SWT+HILT+PP - on the second place and SWT+PP combination - on the third place, HILT+PP combination - on the fourth place.