Functional state of back muscles in patients with degenerative spine disorders

Skidanov, Artem; Dupliy, Diana; Kotulskiy, Igor; Barkov, Oleksandr; Kis, Andrey; Piontkovsky, Valentyn; Radchenko, Volodymyr

doi:10.15674/0030-59872015459-68

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Paravertebral muscles play an important role in spine mechanical stability support, protecting its structure from destruction caused by weight loading. Changes in paravertebral muscles caused by aging, traumatic injuries or degenerative disorders, exert negative effect on their functioning, that may cause lumbar spine chronic pain [5][6][7][8][9][10]. Therefore the assumption about paravertebral muscles participation in spine fusion processes is well-grounded.…”

Section: Discussionmentioning

confidence: 99%

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Musculus multifidus makes provisions to posterolateral spine fusion after transpedicular fixation of lumbar spine

Radchenko¹,

Skidanov²,

Ashukina³

et al. 2018

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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Section: Discussionmentioning

confidence: 99%

“…Changes in paravertebral muscles with age [5], as a result of injuries or degenerative processes, unavoidably lead to their dysfunction [7,8], which may cause chronic low back pain [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Musculus multifidus makes provisions to posterolateral spine fusion after transpedicular fixation of lumbar spine

Radchenko¹,

Skidanov²,

Ashukina³

et al. 2018

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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“…Певне значення має ортопедична корекція та профілактика статодинамічних перевантажень. При цьому більшість авторів вважають, що найбільший знеболювальний ефект і поліпшення функціонального стану хребта досягається в разі поєднання різних методик відновної медицини [14,19,20].…”

Section: результати та їх обговоренняunclassified

Pelvic-spine pain at pregnancy: diagnostics and treatment

Tankut¹,

Berenov²,

Berenova³

2020

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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The course of pregnancy is often complicated by pelvic spine pain (PSP), which leads to household and occupational disabi lity, negatively affects the condition of the fetus and the unborn child. Objective: to analyze the main factors in the development of PSP in pregnant women, to improve the methods of diagnosis and treatment. Methods: the protocols of clinical, biomechani cal and ultrasound examinations of 175 women of reproductive age (18-45 years old) with PSP were studied. The following structural sources of pain were identified: facet joints, sacro iliac joints, and hip joints, intervertebral discs, pubic joints, and myofascial structures. Each type of pain was classified according to the nature of the pain syndrome. Results: maps schemes of sources and variants of pain syndromes localization were proposed. There were 4 main factors in the development of lumbar pain syndrome (instability (40.8 %), facet joints pain, diskalgia (5.1 %), functional blockade of the lumbar vertebral motor segments (26.3 %)), 5 -pelvic (instability joints (39.5 %), arthralgia (23 %), functional blockade (40.8 %), syndromes of the sacroiliac joints (80 %) and symphysitis (48.7 %)). Basic treatment programs for pregnant women with PSP have been developed, the use of which led to a decrease in pain intensity during pregnancy by an average of 75 %. Some of the positive results of rehabilitation increased from (70.11 ± 16.42) % in the first trimester to (75.80 ± 18.43) % in the third. The rehabili tation index was (81.49 ± 19.26) %. Conclusions: PSP in preg nant women differs from pain at degenerative spine diseases and pelvic. The proposed working chartsschemes of different types of sources and variants of localization of pain syndromes significantly improved the diagnosis of these pathological condi tions, which helped to determine the treatment method. The ef fectiveness and expediency of using the developed program for the treatment of pregnant women with PSP in medical practice has been confirmed.

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“…Среди причин, вызывающих болевой синдром, ведущую роль играют изменения биомеханики, к которым в полной мере следует относить увеличение массы тела женщины с перераспределением нагрузки последовательно на позвоночно-двигательные сегменты (ПДС) L IV -L V -S I , затем на тазобедренные суставы и изменение осанки в силу смещения центра тяжести в сагиттальной плоскости за счёт растущей матки. На фоне дегенеративных заболеваний поясничного отдела позвоночника у всех пациентов снижаются функциональные возможности паравертебральных мышц [29]. Компенсаторный гиперлордоз, возникающий во время беременности, создаёт дополнительную нагрузку на поясничный отдел позвоночника, тазовый наклон вперёд увеличивается, мышцы брюшного пресса растягиваются, возрастает дополнительное напряжение в пояснично-подвздошных мышцах и в разгибателях спины, изменяя соотношение напряжённости и длины мышц.…”

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Back Pain in Pregnant Women: Its Origins, Peculiarities of Pathogenesis and Biomechanics

Федоров

Киргизова

2019

Acta biomedica scientifica

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The problem of the back pain in pregnant women is one of the most important in modern medicine. 65–90 % of pregnant women complain of the back pain. The women may have the back pain from the early stages of pregnancy, or it may occur with the growth of the fetus.The causes of the pain during pregnancy are late reproductive age, high body mass index, physical strain, pain during previous pregnancies. Vertebrogenic and pelvic pain in pregnant women can first appear at the beginning of the gestational period. According to various authors, the frequency of such pain is 30–35 %. As a rule, painful neurologic manifestations begin in the third trimester, on average at the 18 th –22 nd week of pregnancy. About a half of women with early manifestation of lumbosacral pain during the pregnancy keep suffering from pain for a year after giving birth. In 20 % of cases, symptomatic pain is felt for 3 years after the delivery. The primary factors causing the pain syndrome is the shift in the centre of gravity due to enlargement of the pregnant uterus of the postural balance. The localization of the pain depending on the peculiarities of the posture can be different. In most of cases the lower back, thoracolumbar passage, sacrum, with the occasional radiation to buttock or pelvic joint, are affected. One of the most common pain syndromes in gynecology is the myofascial syndrome characterized by hyper tonus of the muscles and fasciae and ligaments of the pelvic minor.

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Functional state of back muscles in patients with degenerative spine disorders

Cited by 4 publications

References 15 publications

Musculus multifidus makes provisions to posterolateral spine fusion after transpedicular fixation of lumbar spine

Musculus multifidus makes provisions to posterolateral spine fusion after transpedicular fixation of lumbar spine

Pelvic-spine pain at pregnancy: diagnostics and treatment

Back Pain in Pregnant Women: Its Origins, Peculiarities of Pathogenesis and Biomechanics

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