The influnce of rehabilitation on the spine movement and subjective pain assessment in case of patients with lumber region pain syndrome
Keywords:
pain syndrome, rehabilitation, spine movementAbstract
Introduction: Lumber region pain syndrome called lower back pain, has become the plague of our times. The main reasons for that are: sedentary lifestyle and lack of physical activeness which result in spine degeneration and overload and in consequence, intensify the pain and limit movement. Successful treatment of lower back pain constitutes a serious interdisciplinary problem, that is why, properly planned and conducted rehabilitation is so important. The aim of the research work: the evaluation of rehabilitation 's influence on a change of spine movemeni and subjective pain assessment, in case of patients with lower back pain syndrome.
Material and method: the research was performed on a group of 75 people, the group included 45 men and 30 women. Qualified for the research were the patients with lumber region pain syndrome, undergoing treatment as part of ZUS pension prevention in the Regionał Hospital no. 2 in Rzeszów. The treatment lasted three weeks in total. Before rehabilitation started and right afier it has finished, every patient has undergone examination of spine movement by means of Schober's test and Otto test, subjective pain assessment was ałso evaluated by VAS scale of pain, as well as the degree of functional activeness impairment measured with Oswestry questionnaire. The obtained results were subject to statisticał anałysis.
Results: As a result of the research, it was stated that afier rehabilitation 59% of patients experienced decrease of subjective pain intensity. lt was also noticed that lumber region spine movement has improved — 57% of patients. The anałysis of relation between the difference in degree of pain feeling and change of
patients" fitness (expressed by Otto and Śchober's tests) has proved that together with the improvement of fitness, the feeling of pain decreases. The obtained results were of statistical importance. lt was also shown that when lumber region movement improves, more patients experience decrease of functional ac-
tiveness impairment degree, measured by means of Oswestry questionnaire. No statistically important relation between age, gender, diagnosis and rehabilitation results was noticed.
Conclusion: Employment of the proper, complex rehabilitation activities on the patients with lumber region pain syndrome improves spine movement, reduces pain and improves functional activeness.
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Dwornik M., Białoszewski D., Kiebzak W., Łyp M.: Korelacja wybranych elementów badania przedmiotowego ze skutecznością leczenia fizjoterapeutycznego u pacjentów z przewlekłymi bólami krzyża, Ortop. Traum. Rehab., 2007, 3(6), 9, 297–309.
Adams M.: Investigation of Personality Characteristics in Chronic Low Back Pain Patients, Physiotherapy, 1994, 80, 514–519.
Loney PL., Stratford PW.: The Prevalence of Low Back Pain in Adults; A Methodological Review of the Literature, Physical Therapy, 1999, 4, 384–395
Leboeuf-Yde Ch.: Low Back Pain and life style. Part II – obesity: information from a population-based sample of twin subject, Spine, 1999, 8, 779–780.
Kiwerski J. E.: Problem bólów krzyża u młodzieży, Post. Rehab., 2001, 15, 2, 11-15.
Szawłowski K.: Rehabilitacja – podstawy diagnostyki funkcjonalnej usprawniania leczniczego i reintegracji społecznej, Akademia Medyczna Gdańsk 1998, 163.
Chojnacka-Szawłowska G., Szawłowski K.: Rehabilitacja, Medyczna Agencja Wydawniczo-Informacyjna Warszawa 1994, 130.
Kiwerski J. (red.), Fiutko R.: Bóle kręgosłupa, PZWL Warszawa 2001, 52–55.
Janiszewski M., Nowakowska A.: Patomechanika bólów krzyża, Medycyna Manualna, 2001, 5, 10–13.
Gieremek K., Król P., Adamczyk-Bujniewicz H., ŚwistChmielewska D.: Terapia skojarzona w odruchowych zmianach tkankowych i zespołach bólowych, Post. Rehab., 2000, 14, 1, 31-35.
Kwolek A., Korab D., Majka M.: Rehabilitacja w zespołach bólowych dolnego odcinka kręgosłupa – zasady postępowania, Post. Rehab., 2004, 18, 3, 27– 31.
Dziak A.: Komentarz prof. dr. hab. med. Artura Dziaka do „Zaleceń stosowania fizjoterapii u pacjentów z bólami krzyża” wydanych przez Holenderskie Królewskie Towarzystwo Fizjoterapii, Rehab. Med., 2004, 8, 28–30.
Kołodziej K., Kwolek A., Rusek W., Przysada G., Szpunar P.: Korelacja wskaźnika symetryczności obciążenia kończyn dolnych i nasilenia bólu u pacjentów z zespołem bólowym kręgosłupa lędźwiowo-krzyżowego rehabilitowanych szpitalnie, Przegląd Medyczny Uniwersytetu Rzeszowskiego 2005, 3, 234–236.
Holenderskie Królewskie Towarzystwo Fizjoterapii: Zalecenia stosowania fizjoterapii u pacjentów z bólami krzyża, Rehab. Med. 2004, 8, 6–26.
Sous M., Stryła W.: Ocena gibkości kręgosłupa chorych z zespołami bólowymi części lędźwiowej kręgosłupa na tle przepukliny jądra miażdżystego, Post. Rehab., 1999, 13, 3, 45–55.
Kwolek A.: Komentarz prof. dr. hab. med. Andrzeja Kwolka do „Zaleceń stosowania fizjoterapii u pacjentów z bólami krzyża” wydanych przez Holenderskie Królewskie Towarzystwo Fizjoterapii, Rehab. Med., 2004, 8, 35–37.
Kwolek A.: Rehabilitacja medyczna, Urban & Partner Wrocław 2003.
Elnaggar I. M., Nordin M., Sheikhzadech A., Pamianpour M., Kahanowitz N.: Effects of spinal flexion and extension exercises on low-back pain and spinal mobility in chronic mechanical low-back pain patients, Spine 1991, 16, 8, 967–72.
Williams W.: Examination and conservative treatment for disc lesion in the lower spine, Clin. Orthop. 1995, 5, 28–40.
Lisiński P., Wołoszyk M.: Zastosowanie całkowitego wskaźnika bólu w ocenie leczenia fizykoterapeutycznego rwy kulszowej, Fizjoterapia Polska 2005, 5, 3, 305–312.
Huijbregts P. A.: Możliwości odprowadzenia przepukliny krążka międzykręgowego – mity i fikcje, Rehab. Med., 2000, 4, 2, 60–72.
Cherkin D., Deyo R., Battie M., Street J., Barlow W.: A comparison of physical therapy, chiropractic, manipulation and provision of an educational booklet for the treatment of patients with low back pain, Australian Journal of Physiotherapy, 1999, 45, 1–5.
Szczegielniak J.: Wpływ elektrostymulacji przeskórnej na poprawę ruchomości stawu barkowego u chorych z zespołem bolesnego barku, Fizjoterapia 1996, 4, 3, 6–7.
Pruszyński M., Straburzyńska-Lupa A.: Przeciwbólowy wpływ prądów małej i średniej częstotliwości w wybranych jednostkach chorobowych w świetle własnych badań, Balneologia Polska, 1998, 40, 1, 2, 59–65.
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