EFFECTIVENESS OF PHYSICAL THERAPY IN CERVICAL OSTEOCHONDROSIS AT THE STAGE OF REHABILITATION IN A HEALTH RESORT
DOI:
https://doi.org/10.32782/health-2025.3.19Keywords:
sanatorium-resort treatment, physiotherapy programme, osteochondrosisAbstract
The aim of the article is to investigate the effectiveness of applying physical therapy methods and means in patients with cervical spine osteochondrosis at the stage of health resort treatment. Analysis of specialized scientific and methodological literature to study the current state of the problem of physical therapy in degenerative-dystrophic diseases of the spine; work with medical documentation to select a group of patients with osteochondrosis; assessment of pain intensity using the visual analogue scale; manual muscle testing to evaluate the strength of the head and neck muscles; measurement of the range of motion in the cervical spine and shoulder joint using the goniometry method during special motor tests; statistical data processing methods to determine the effectiveness of physical therapy methods and means in cervical spine osteochondrosis at the stage of health resort treatment. At the stage of health resort treatment, physical therapy methods and means are applied comprehensively, specifically, the developed physical therapy programme for cervical spine osteochondrosis with shoulder joint pain syndrome included therapeutic exercises, therapeutic massage, manual therapy, post-isometric relaxation, as well as hardware and natural physiotherapy methods. The comprehensive application of these selected physical therapy methods at the stage of health resort treatment for cervical osteochondrosis allowed for achieving maximum therapeutic effect in all studied patients: this is evidenced by a significant positive dynamic in all studied parameters of the functional state of the cervical spine and shoulder joint. Specifically, by the end of the three-week period of comprehensive physical therapy, the following results were observed: a reduction in pain intensity in the cervical spine, as measured by the visual analogue pain scale, from severe pain to mild pain; an increase in cervical spine mobility in all directions; an increase in the strength of the head, neck, and shoulder muscles; and an increase in the range of motion in the shoulder joint to normal physiological levels. Thus, the applied complex of physical therapy methods for cervical osteochondrosis is effective and can be used at the stage of health resort treatment. The importance of applying comprehensive physical therapy at the stage of health resort treatment for patients with degenerative spinal changes has been demonstrated. The improved physical therapy programme is aimed at restoring the function of muscles, the spine, and the musculoskeletal system as a whole in cases of degenerative spinal changes. The high effectiveness of the applied complex of physical therapy methods for cervical osteochondrosis at the stage of health resort treatment has been proven, as evidenced by qualitative and quantitative improvements in the strength of paravertebral muscles, the range of motion in the cervical spine and shoulder joint, and the reduction of pain syndrome, which in turn enhances the quality of life for the studied patients. The practical significance of the obtained results lies in their potential use for comparing the effectiveness of various comprehensive physical therapy programmes for osteochondrosis, as well as for assessing the rehabilitation potential of patients with degenerative spinal lesions.
References
Aljinović I., Barun B., Poljičanin A. et al. Croatian version of the neck disability index can distinguish between acute, chronic and no neck pain. Wien Klin Wochenschr. 2022; 134:162–168. DOI: https://doi.org/10.1007/s00508-021-01908-w
Brenke C., Schmieder K. Posterior Cervical Foraminotomy. In: van de Kelft E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. 2016. DOI: https://doi.org/10.1007/978-3-319-27613-7_14
Brevik H., Collet B., Ventetridda V. Survey of chronic pain in Europe: prevalence, impact on daily life and treatment. Eur J Pain. 2006; 10:287–333.
Feroyan E., Parulava G. The effectiveness of aquatherapy in osteochondrosis of the cervical spine. Physical Rehabilitation and Recreational Health Technologies. 2022; 7(4):143–150. DOI: https://10.15391/prrht.2022-7(4).25
Feroian E.V., Kokaia L.E., Sulaberidze G.D. The complex approach to treatment of pain syndrome of cervical vertebral osteochondrosis. Georgian Medical News. 2009; (170):46–49. PMID: 19556639
Horoshko V. I. Health care technologies in creating optimal working conditions in higher education institutions. Rehabilitation and Recreation. 2023; (15):12–16. DOI: https://doi.org/10.32782/2522-1795.2023.15.1
Kudrin A. Retrospective Analysis of the Treatment of Patients with Pain in Osteochondrosis of the Thoracic Spine. TERRA ORTHOPAEDICA. 2022; 2(113):42–47. DOI: https://doi.org/10.37647/0132-2486-2022-113-2-42-47
Leichtle U. G. et al. Spine Radiography in the Evaluation of Back and Neck Pain in an Orthopaedic Emergency Clinic. 2015; 43–48.
Loboiko V.V. Transport medicine, osteochondrosis, diagnostic, preventions of complications, physiotherapy, impulse magnetic stimulation. Journal of Education, Health and Sport. 2017; 7(1):396–407.
Melnik V., Shevchenko V. An interdisciplinary approach to treatment of temporomandibular pain-dysfunction syndrome against the backdrop of cervical osteochondrosis. Ukrainian Dental Almanac. 2018; 1(3):22–25. DOI: https://dentalalmanac.org/index.php/journal/article/view/170
Missmann M., Grote V., Riedl D., Grenier J-P., Fischer M. J. Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients–Results of an Observational Study. Journal of Clinical Medicine. 2023; 12(3):1004. DOI: https://doi.org/10.3390/jcm12031004
Scherer J., Osterhoff G. Cervical Spine Injuries. In: Longo U. G., Denaro V. (eds) Textbook of Musculoskeletal Disorders. Springer, Cham. 2023. DOI: https://doi.org/10.1007/978-3-031-20987-1_36
Sekendiz B. et al. Effects of Pilates exercise on trunk strength, endurance and flexibility in sedentary adult females. Journal of Bodywork and Movement Therapies. 2007; 11(4):318–326.
Stepanyan L. S., Masuryan L. M. Peculiarities of medical-psychological rehabilitation of patients with cervical osteochondrosis. Proceedings of the YSU B: Chemical and Biological Sciences. 2018; 52(1):58–62. DOI: https://doi.org/10.46991/PYSU:B/2018.52.1.058
Vasylieva N. et al. Physical Therapy of Elderly People with Lumbosacral Steochondrosis in the Conditions of Sanatorium-resort Institution. Acta Balneologica. 2022; 5(171):400–407.
Wells C., Kolt G. S., Bialocerkowski A. Defining Pilates exercise: A systematic review. Complementary Therapies in Medicine. 2012; 20(4):253–262.





