Introduction. Piriformis syndrome (PS) is a condition accompanied by tension of the piriformis muscle and followed then by compression of the sciatic nerve passing through the piriformis muscle. According to statistics, PS occurs in 6–35 % of patients with lower back pain. Practitioners still face difficulties in treating patients with PS, and it necessitates the searching of new therapy methods and assessment of their compatibility.The goal of research — to study the clinical efficacy of the combined use of manual therapy and visual colorimpulse therapy in patients with piriformis syndrome.Materials and methods. A prospective, controlled, randomized study was conducted in 2019 at the Department of Sports Medicine and Medical Rehabilitation of I. M. Sechenov First Moscow Medical State University. In accordance with the inclusion criteria, 40 patients participated in the study. All participants, depending on the used treatment methodology, were divided by the method of simple randomization using envelopes into two equal groups. In the main group (group I), an integrated approach to treatment was tested: manual therapy in combination with visual color-impulse therapy (CIT); and in the other group (group II) only manual therapy was used.Results. The combined use of manual therapy and CIT in patients with piriformis syndrome leads to a significantly more pronounced decrease in the pain degree and normalization of impaired muscle tone. Also, an integrated approach helps to eliminate existing angiospastic disorders of the lower extremities.Conclusion. The study shows a clear positive dynamics in the integrated use of manual therapy methods in combination with visual color-impulse therapy in the treatment of patients with piriformis syndrome. It is planned to continue the study and assess the possibilities of using the combined technique in different groups of patients (athletes, pregnant women) with this syndrome.
The number of scoliotic disorders in children of preschool and school age has grown almost sixteen times over the past decades. The article presents the results of the scoliotic disease correction by the method of the body systemic mobilization by foot in children aged 8-13 whose scoliotic disease has been initiated by idiopathic scoliosis. The predisposition to the disease is considered through the prism of the causes which originate in the prenatal (before birth) period and evolve in the postnatal (after birth) period of the body’s development.
Piriformis syndrome (PS) is the low back pain manifestation that is accompanied by reversible compression of the sciatic nerve by the hypertrophied piriformis muscle. Among other low back pain manifestations the PS accounts for 6–35%. However, the PS diagnosis as well as its treatment is still difficult. There are many methods for the rehabilitation of patients with PS including invasive and non-invasive treatment. The drug therapy, injections of botulinum toxin A, sciatic nerve neurolysis, and piriformis muscle tenotomy are widely used, but they do not always lead to recovery, thereby making it necessary to search for new methods of treatment. Manual therapy has long been used in the rehabilitation of patients with low back pain. However, most often it is prescribed only as an additional therapy to the main treatment and not fully implemented. The manual therapy effectiveness as a monotherapy has not adequately been studied.
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