Rehabilitation for osteochondrosis

Methods to cure osteochondrosis of the spine

Spine disease, osteochondrosis - is caused by a dystrophic lesion of articular cartilage and bone tissue. It is also characterized by degenerative changes in the intervertebral discs, which eventually lead to a reduction in the height of the spine.

In the international classification of diseases it is marked as ICD-10.It is worth noting that the widespread osteochondrosis of the spine is treated very hard, and sometimes does not give in to full cure, so it is easiest to prevent it. After the treatment, the patient is rehabilitated.

Osteocondritis of the spine
  • 2 Juvenile osteochondrosis( juvenile)
  • 3 Diffuse osteochondrosis
  • 4 Neurology osteochondrosis
  • 5 Conservative treatment osteochondrosis
  • 5.1 Drug treatment
  • 5.2 LFK
  • 5.3 Massage
  • 5.4 Manipulation
  • 5.5 Traction
  • 5.6 reflexotherapy
  • 5.7 Physiotherapy
  • 5.8 Acupuncture
  • 5.9MRI
  • 5.10 Surgery
  • 6 Rehabilitation after osteochondrosis
  • 7 Osteochondrosis in the international classification

Stages of development of osteochondrosis

Common osteochondrosisndroz has four stages of development.

The first stage of

In the first stage of osteochondrosis there is a disc disorder that manifests itself in segmental instability of the spine. As such symptoms in the first stage of osteochondrosis does not exist and it passes painlessly.

The second stage of

In the second stage, the protrusion of the discs occurs: the vertebrae are poorly fixed, the fibrous ring breaks, the intervertebral discs dry out and the gap between the vertebrae decreases.

Third stage

In the third stage, destruction and deformation of the fibrous ring continues - a hernia is formed. The spinal muscles become uncontrollable and arbitrarily contract, the nerves of the spinal cord are jammed. Symptomatic manifestations are different and depend on the site of the lesion.

The fourth stage of

The sign of the fourth stage is a restorative procedure that lasts for a year. During this time there is a change in the growth of bone tissue and deformation of the vertebra. There is a growth of the bone in width and an increase in the spine. This leads to a strong limitation of the patient's mobility and complete ossification of the spine.

Osteocondritis of the spine

Juvenile osteochondrosis( juvenile)

Juvenile osteochondrosis of the spine is the primary stage of back disease to which children are exposed. Juvenile osteochondrosis can be provoked by various causes and start from a genetic predisposition, and result in improper conduct of a way of life.

Juvenile osteochondrosis has characteristic causes of occurrence:

  • weight lifting with incomplete spine formation;
  • sitting in an uncomfortable position( at a desk, computer, etc.);
  • heavy loads when playing sports.

Juvenile osteochondrosis is treated depending on the stage of the disease and is directed mainly at blocking pain.

Diffuse osteochondrosis

Diffuse osteochondrosis is a disease of the spine, which is difficult to treat due to various changes in all tissues and organs.

Diffuse osteochondrosis is characterized by the following symptoms:

  • limbs limb;
  • aching back pain;
  • pain during sneezing and coughing;
  • impaired motor function of the extremities.

Osteochondrosis treatment is provided as early as possible and with the first symptoms.

Osteocondritis of the spine

Neurology in osteochondrosis

Neurological manifestations of the osteochondrosis of the spine come from a sedentary lifestyle, degeneration of vertebral cartilages, excessive physical exertion on the back or late manifestation of spine trauma.

The examination is carried out by a neurologist. If the patient is experiencing an acute stage of the disease, the doctor first of all appoints medicines that block pain syndromes, and prescribes bed rest. It should be remembered that after treatment - the rehabilitation of the patient is very effective.

Conservative treatment of osteochondrosis

Conservative therapy is the standard for the treatment of spinal osteochondrosis. It includes:

  • medication;
  • exercise therapy;
  • massage;
  • chiropractic;
  • spinal traction( traction);
  • reflexotherapy;
  • physiotherapy;
  • acupuncture( acupuncture);
  • microwave resonance therapy( MRI);
  • surgery.

Medical treatment

Treatment with tablets and ointments is used only in case of acute stage of the disease. They are able to neutralize pain, remove puffiness and inflammation. They are conventionally divided into several types:

  • analgesics( renalgin, nise, analgin);
  • chondroprotectors( dona, teraflex);
  • non-steroidal anti-inflammatory drugs( diclofenac, indomethacin, ketorol);
  • myospasmolytic( no-spike, sirdalud, ibuprofen);
  • muscle relaxants( tolperesion, baclofen).

The most effective ointments for osteochondrosis are:

  • fast-gel;
  • Nase-gel;
  • fast-gel;
  • chondroxide ointment;
  • Capsicum;
  • .

LFK

Therapeutic physical training is aimed at improving the general condition of the patient, strengthening the muscles and correcting the muscle corset. A set of physical exercises is strictly selected by a specialist, taking into account individual characteristics and the stage of the disease. It is necessary to observe constancy and perform exercises daily. Thus, it is possible to get rid of or prevent the development of osteochondrosis.

Osteocondritis of the spine

Massage

The massage is performed only after an acute period of osteochondrosis. It favorably affects the spine and back as a whole: it improves blood circulation, relieves muscle spasm, strengthens muscles, improves metabolism, calms the nervous system. However, massage has a number of contraindications: open wounds, various skin diseases, inflammatory process.

Manual therapy

In the treatment of osteochondrosis, manual therapy improves posture and blood circulation, pains in the spine and joints go away, immunity strengthens, joint mobility returns. Manual therapy is prescribed in complex treatment with exercise and medication.

Trauma

Spinal traction is effective in most cases of spine disease. By stretching the spine, the distance between the discs increases, the load is evenly distributed and the shape of the spine is restored.

Reflexotherapy

Reflexotherapy is prescribed together with a massage, as it has a similar result. The difference is that with reflexotherapy, there is an effect on certain points and zones of the body. Such therapy is prescribed together with other methods of treatment, since it alone has a short-term result.

Physiotherapy

With the help of magnetic field, laser, low frequency currents, physiotherapy effectively and quickly treat the back. This method is used during the inflammatory process and is able to neutralize pain and swelling. The patient quickly recovers and returns to normal life.

Acupuncture

Acupuncture helps to get rid of the painful syndromes of osteochondrosis by applying needles to certain dorsal points that the doctor determines. It is worthwhile to hold only the prescribed number of sessions, since in the case of prolongation of the procedure, deterioration may occur.

Acupuncture

MRI

MRI-therapy is very similar to acupuncture, only unlike it the patient does not feel pain, because the points are affected by ultra-small electromagnetic waves up to 78 GHz. Such sessions are contraindicated during critical days and pregnancy.

Surgical intervention

Surgical intervention should be performed in two cases:

  • cauda equina syndrome( nerve disorder in the lower part of the spine);
  • uncontrolled bowel movement and urination.

The operation is performed in two stages: first the pain is eliminated, and then the spine stabilizes. After such procedures, the patient must be rehabilitated.

Rehabilitation after osteochondrosis

Rehabilitation is a period of recovery of a person and his preparation for a normal life.

Rehabilitation, as well as treatment, is carried out in a complex manner. Rehabilitation after osteochondrosis includes:

  • wearing a shantz collar;
  • exclusion of active movements;
  • gymnastic exercises alternate with complete relaxation;
  • input of breathing exercises and stuff.

Also, rehabilitation can include tea therapy, which relieves osteochondrosis. One of the most suitable teas is Monastic tea.

Swimming rehabilitation is an effective passive way to get rid of osteochondrosis. The procedure is under the supervision of a doctor and supplemented by physical exercises.

Osteochondrosis in the international classification

As mentioned above, the disease with osteochondrosis is classified under the ICD-10 code. The ICD-10 code is a classification of diseases of the 10th revision. ICD-10 is assigned a code that indicates a specific disease of the back. Osteochondrosis in the ICD-10 classification has the code M42 and is determined by the age of the patient and the site of localization.

ICD-10 is recognized almost all over the world and is successfully used in medicine. With the help of ICD-10 codes, the procedure for sharing experiences between physicians of different countries is facilitated.

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Physical rehabilitation in osteochondrosis of the cervical spine

Anatomico-physiological evaluation of the spine. Clinic of cervical osteochondrosis. Rules for the compilation of therapeutic gymnastics. Study of the impact of a comprehensive program of physical rehabilitation on patients with osteochondrosis of the cervical spine.

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Page: 1 2

With the patients of the experimental group, the complex physical rehabilitation program, developed during the preparation of the thesis, was conducted with the patients of the control group according to the program adopted by the medical institution( 6 HCB).

The physical rehabilitation complex designed for the experiment was aimed at:

- restoration of the normal amplitude of movements in the joints of the cervical and shoulder girdles;

- removal of the spastic tension of the neck muscles;

- to reduce pain in the cervical spine;

- strengthen the muscular-ligament corset of the spine;

- increase the body's adaptation to physical activity.

2.1.5 Questioning

The study used "Diagnostic-prognostic questionnaire for patients with cervical osteochondrosis of the spine".

Diagnostic-prognostic questionnaire for patients with cervical osteochondrosis of the spine

Date of the survey:

Month: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12

Year:

How do you rate your work in difficulty?

1. Easy

How do you evaluate your working posture?

1. Convenient

2. Convenient, but a long time stay in this position( "sedentary work")

3. Frequent torso turns of the body

4. Frequent tilts with a turn of the body

5. Frequent slopes with lifting of gravity

6. I work in theforced position of the body

Do you have muscles trained?

1. Weak, untrained

Do you have to do heavy physical work in the home?

1. No

2. Yes, we have to carry weights( water, firewood)

You have been ill with cervical osteochondrosis

1. No

2. Yes, but did not consult the doctor for this disease, was treated only by home remedies( heat, rubbing, etc.)

3. Yes, I was treated in a polyclinic, the hospital

4. I was treated in a sanatorium

Did the injury cause your illness

1. Yes

1. No more than once in 5 years

2. 1 time in twoyear

3. Annually

4. More than 2 times a year

How do you feel in the period between exacerbations of

1. At allHur

2. During physical work appear tolerant of pain

3. Constantly feel pain

Do you worry the pain now?

1. Yes, sharp, shooting

3. Pain occurs only with physical work and pass after rest

How do you assess the severity of these pains?

1. Weak minor

2. Strong, but it is necessary to take painkillers

3. Strong

To identify the effectiveness of the developed program the reabilite ations were determined:

1. Arithmetic mean:

3. Standard error of the arithmetic mean:

,

where S -standard error of the arithmetic mean;

is the standard deviation;

S1 - standard error of the arithmetic mean before the experiment;

S2 is the standard error of the arithmetic mean after the experiment.

2.2 Organization of the

study

The study was conducted in two stages. At the first stage( January 2001-December 2003), an analysis of scientific and methodological literature was carried out, a rehabilitation program was developed, methods for monitoring the effectiveness of the rehabilitation program were determined, and questionnaires were conducted.

In the second stage( January-March 2004) a pedagogical experiment was conducted on the basis of the 6th city clinical hospital. Statistical processing and analysis of the data were carried out.

The study included 20 people with osteochondrosis of the cervical spine.10 people made up a control group and 10 people made up an experimental group( women 40-50 years old).

2.2.1 Massage

Along with therapeutic gymnastics, the patients are prescribed massage of the collar of the zone of the ikon, and in the presence of radicular symptoms - massage of the muscles of the hand( 12-15 procedures).In severe pain syndrome massage should be relaxing( stroking, shallow kneading and easy grinding).As the syndrome decreases, deep kneading is used, and so on.

Massage tasks: pain relief, improvement of blood and lymph circulation, restoration of normal amplitude of movements in the upper limbs, prevention of neurogenic contractures, control of vestibular disorders.

Special massage tasks:

- with humeropathy periarthritis: reduction of pain in the shoulder joint and upper limb, prevention of development of neurogenic contracture of the upper extremity( shoulder joint), restoration of the normal amplitude of motion;

- with a posterodal sympathetic syndrome - struggle against vestibular disturbances;

- with discogenic ischemic myelopathy - strengthening of weakened muscles and fighting with spasms.

The method of massage. The position of the massage - lying on his stomach, sitting. First, a general stroking of the back is performed. Then massage the trapezoid muscles: stroking, rubbing - pads, scallops, the base of the brush;sawing;crossing, kneading. After that, massage the latissimus muscles of the back( stroking, rubbing, kneading);massage of paravertebral zones( drilling, taking "saws", rubbing between the spinous processes of the vertebrae, moving);massage of the scapula and near-oblate areas( treat the edges of the scapula, especially the inner ones), then massage intercostal spaces: stroking( from the sternum to the spine) and rubbing. After that, in the position of massage lying on the back, massage the anterior chest wall, sitting - the clavicle( rubbing, stroking), large pectoral muscles( stroking, rubbing, kneading).Massage of painful points and hon are carried out selectively, after deep and careful palpation in the hone of hyperesthesia( stroking, rubbing, uninterrupted vibration, puncture( points fzi-fu, fenc-chi, ya-men, fa-chuy, fu-fen, ch-chuanIf necessary, massage the hands( hand, forearm, shoulder)

Figure 1.2 Points used for pain in the cervical and thoracic spine

It is necessary to massage the most important nerve trunks separately, to finish the massage with breathing exercises, movements of the shoulder girdle and neck. Course - 12%dur every other day or every day, the duration of each 15-20 minutes

Methodical instructions: At the first sessions, all the tricks are done gently. The main task of this period is to relax( relax) the muscles. When massage is necessary to take into account the age of the patient and differentiate the massage techniques depending on the attendantdiseases, with hypertension - to register blood pressure before and after the massage.

At the end of the course of treatment it is recommended to continue to practice therapeutic gymnastics, avoiding overtrainingeniya hands and sharp movements, as well as work with raised hands. When performing long-term physical work, patients must always wear cotton-gauze collars. It is not recommended in the stage of recovery to independently include in the complex multiple active movements in the cervical spine, as it is often these movements are the cause of exacerbation of the disease.

2.2.2 Acupressure

Fig.1.1.Topography of points on the back

The method of massage of biologically active points, originated in antiquity, with honor withstood the test of time and came to our days, confirming its value and effectiveness.

This method favorably differs from others in physiology, a small zone of influence. Acupressure can be used in combination with drug therapy. It only complements the means of modern medicine, but does not replace it.

Acupressure techniques:

1. Touching or light non-stop stroking.

2. Easy pressure, which uses the heaviness of a finger or a hand.

3. Deep pressing, in which a more or less prominent fossa is formed on the skin at the point under the finger.

The finger movement can be horizontally rotated clockwise or vibrating, but should always be non-stop.

Pressure is produced by a thumb pad or medium, you can also help with other fingers.

Contraindications: malignant and benign neoplasms, febrile illnesses, tuberculosis, blood diseases.

Methods of reflex action on the human body act as an independent means of managing the condition of a "practically healthy" person and, most importantly, means of preventing functional disorders, i.e.preventive means.

Being more prophylactic, these methods are powerless in severe organic diseases, although they can alleviate the unpleasant painful symptoms accompanying these diseases. In these cases, you need the help of a specialist doctor.

Reflexotherapy methods are by no means opposed to traditional methods of treatment; on the contrary, they supplement these methods and increase their effectiveness.

2.2.3 Therapeutic gymnastics for cervical osteochondrosis

Regardless of the clinical manifestations of the disease in the conduct of medical gymnastics, a number of general principles must be observed. In connection with the pathological mobility of the vertebral segments, therapeutic exercises are held in a cotton-gauze collar of the Shants type on a cardboard pad. The collar is recommended for permanent wearing throughout the course of treatment. This creates relative peace of the cervical spine and prevents microtraumatic damage to the affected segments. At the same time, the pathological impulse from the cervical spine to the shoulder girdle decreases.

The first procedures of medical gymnastics in a hospital are characterized by the performance of predominantly general health exercises with observance of the general principles of the procedure of therapeutic gymnastics for cervical osteochondrosis.

From the first procedures are introduced exercises to strengthen the muscular "corset" of the neck. It must be strictly monitored that during the exercise the patient does not experience any pain. The appearance of pain leading to antalgic postures and an increase in muscle tone should be regarded as the need to reduce the load.

In the initial and main periods of the course of treatment in the hospital, active movements in the cervical spine are completely excluded. They are introduced only in the final period of treatment, performed at a slow pace without effort and stress.

Gymnastic exercises alternate with exercises to relax the muscles of the shoulder girdle, helping to reduce the pathological impulse from them to the cervical spine. Particular care must be taken to relax the trapezoidal and deltoid muscles, since they are more often than others in cervical osteochondrosis involved in the pathological process and are in a state of hypertonicity.

Special tasks of medical gymnastics with shoulder-and-shoulder periarthrosis include: reduction of pain in the shoulder joint and upper limb;prevention of development of neurogenic contracture of the shoulder joint;restoration of normal amplitude of movements.

The main special tasks of medical gymnastics in vertebral artery syndrome are: fighting vestibular disorders, restoring balance, improving coordination of movements.

The method of curative gymnastics depends on the period of the disease, during which 3 periods are distinguished: acute, subacute and period of clinical recovery. The acute period lasts 5-7 days. At this time, therapeutic gymnastics is not shown. Subacute period lasts 30 days. In it, the motor regimes are distinguished: bed, ward, free.

The patients are treated by bed and bed regimes, when the pain and the phenomenon of cerebral circulation insufficiency decrease. Under the free regime, patients are engaged, when pains in rest are absent, but appear at movements.

Technique of curative gymnastics for bed and wake modes

The main task of therapeutic gymnastics in bed and ward modes is to reduce the compression( irritation) of the roots of the cervical spinal cord and reduce the inflammation of the roots of the spinal cord nerves. This is achieved by applying exercises to relax the muscles of the neck, shoulder girdle and upper limbs. The initial positions are used, in which patients do not have to keep the head with muscle tension. Full unloading occurs when lying on the back and on the side. Relaxation of the muscles of the upper limbs is possible due to active shaking of the hand and forearm, followed by their free fall on the support or due to slight shaking of the hands of patients.

In the wardship mode, exercises are widely used to increase the stability of the vestibular apparatus and to coordinate. Exercises for annoying the otolith apparatus - rectilinear walking with accelerations, decelerations and abrupt stops, for semicircular canals - walking with a change in direction of movement and turns in walking and on the spot. Exercises in walking are performed without head and trunk movements, since the latter are accompanied by the tension of the neck muscles. In the initial position lying on its side, exercises are performed around all axes of the shoulder joint. Exercises for the shoulder joints improve blood circulation in the cervical spinal cord. Static and breathing exercises are widely used, they also help to relax the muscles of the shoulder girdle and increase their blood supply. Dynamic breathing exercises are not shown. Duration of studies in the ward is up to 30 min. It is recommended that the initial positions are frequently changed( lying on the back, side, stomach, standing);The use of exercises with weights and resistance is not shown. Relaxation exercises, including static respiratory exercises, alternate with the rest( for coordination, increasing the stability of the vestibular apparatus) in a ratio of 1: 3, 1: 4.

Technique of curative gymnastics with free movement mode

The main task is to reduce and eliminate the compression of the spinal cord and improve the trophism of the tissues of the neck, shoulder girdle and upper limbs. The use of exercises for the joints of the upper extremities is expanding. They are performed already in the starting position while sitting and standing. More actively used exercises to increase the stability of the vestibular apparatus. In a number of cases, the inflammatory process in the nerve roots and trunks is accompanied by a soldering process, which decreases with the exercises of stretching the hands beyond the set of movements by hand. Flap movements can be performed both without objects, and with objects. It shows the performance of exercises for the cervical spine, slowly, with an incomplete load. In addition to static breathing exercises can perform dynamic. Duration of training 35-40 minutes. The starting points are varied. Exercises for relaxation alternate with other exercises in a ratio of 1: 4.You can apply carpal expander, maces, balls, exercises with resistance and burdening.

Technique of curative gymnastics in the training mode

The main task is the final restoration of functions and prevention of exacerbations of the disease. In the methods of training, attention is paid to strengthening the muscles of the shoulder girdle and upper limbs, trunk and neck. We use exercises with weights, resistance to straightened arms, bent or bent at the shoulder joints at an angle of 90. It is recommended that exercises be performed in the static tension of the muscles of the neck and trunk, for example, when the head is held in the initial position lying on the back, on the abdomen, on the side. It is necessary to gradually prepare the muscles of the neck and trunk. Time of single-use static muscle tension should not exceed 9-19 seconds. Each exercise in static muscle tension should alternate with their relaxation. Patients with vestibular disorders on the basis of cervical osteochondrosis very hard to tolerate exercises, usually used to affect the horizontal semicircular canals and consisting in rotation of the body at 180-360.Therefore, all exercises with elements of the body rotation begin in the supine position on the back, side, abdomen, very gently turning. At the end of the main course of treatment, exercises are complicated by a constant reduction in the area of ​​support, the use of gymnastic apparatus, the introduction of height elements and, finally, the "turning off" of vision while walking in different directions. All exercises alternate with special breathing exercises and relaxation exercises.

Chapter 3. RESEARCH RESULTS AND DISCUSSION

3.1 Studying the condition of patients with cervical osteochondrosis, revealing the means of rehabilitation of

The aim of this questionnaire was to study the causes of the disease, to clarify the diagnosis of cervical osteochondrosis, to identify means for improving the condition of patients in this category.

After the questioning, the following results were obtained: 70% of patients assess their work according to the difficulty, as severe, 30% - of moderate severity. In 60% of the respondents, the working posture is comfortable, but for a long time they stay in this position( "sedentary work"), 10% have a work posture with frequent uniform turns of the trunk, 30% of respondents work in the forced position of the trunk.

In 70% of patients weak, untrained muscles, 20% are moderately trained, and 10% have trained ones.

All interviewed have to perform heavy physical work in the home( have to carry weights).

20% of the patients had cervical osteochondrosis before, but they did not apply to the doctor, they were treated only by domestic means( rubbing, warmth), 50% of the polled were treated in a polyclinic, a hospital for this disease, 30% were treated in a sanatorium.

In 30% of patients, the cause of the disease was trauma.

More than once in two years, 20% of respondents are more aggravated, 30% each year, more than twice a year, in 50% of respondents.

In the period between exacerbations, 30% of respondents feel completely healthy, 70% during physical work, there are tolerable pain.

Currently, 80% of the respondents have dull, aching pains, 20% have sharp, shooting pains. The severity of these pains in 30% of respondents - weak, minor, 60% - tolerant, but you have to take painkillers, 10% of the pain is strong.

To reduce pain in 10% contributes to the prone position, 50% of the respondents - therapeutic gymnastics, 40% - massage.

The questionnaire data allow us to draw the following conclusions:

- the majority of the respondents were ill with cervical osteochondrosis before and were treated in a polyclinic, a hospital;

- the main causes of the disease are hard work, prolonged stay in a "sitting position", work in a forced position, trauma;

- exacerbation of pain occurs in the main number of respondents more than twice a year;

- the most effective means of reducing pain is therapeutic exercises and massage.

Based on the results of the questionnaire, a comprehensive program of physical rehabilitation for patients with osteochondrosis of the cervical spine was developed.

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Home / Rehabilitation programs / Rehabilitation for osteochondrosis It's no secret that the progress of the modern world leads to a decrease in the motor activity of a person. Therefore, in recent years, diseases of the musculoskeletal system are occurring more often. One of such diseases is osteochondrosis. And if earlier the disease was experienced only by elderly people, now the younger generation is suffering from it.

What is osteochondrosis

This disease affects the intervertebral discs and is accompanied by severe pain. Often people with this diagnosis subsequently become disabled. All the fault is lack of mobility and features of professional activity. If a person is in a sitting position for a long time, then the load on the muscles of the back and neck increases. From this, first of all, the spine suffers. Osteochondrosis is a rather complex disease and the treatment process should contain a complex of medication, rehabilitation and preventive treatment. Therefore, the treatment of back osteochondrosis should be started as soon as possible. The physician should individually find answers to the main questions for a particular patient:
  1. What are the causes of osteochondrosis?
  2. To what changes in the spine and in the body as a whole brought this state?
  3. What research methods to apply in this particular case?
And the most important thing is rehabilitation with osteochondrosis. From well-designed rehabilitation measures depends on the degree of recovery of the organism after the disease.

Causes of the disease

The conducted statistical studies are inexorable: the disease of osteochondrosis can affect every second person between the ages of 25 to 55 years. What is the reason:
  • weight lifting;
  • frequent flexion, extension, sharp turns of the trunk during operation;
  • incorrect body posture when a person is standing, sitting, lying, and also bearing weights;
  • excessive load during training in gyms;
  • adverse climatic conditions( low air temperature with simultaneous high humidity).

Rehabilitation for osteochondrosis, basic methods and tasks

Main tasks:
  1. To achieve relaxation of nerve endings in the back.
  2. Prevent muscular atrophy during bed rest, and monitor the quality of breathing, circulation, metabolism and intestinal motility.
  3. Reduce the frequency of cramping of the cervical musculature.
  4. Bring the area of ​​the spine into a normal working state.
  5. Strengthen the abdominal muscles and buttocks for a more even distribution of the load.
  6. To ensure that the most correct position of the body when sitting, standing, labor process has acquired the status of habit.
  7. With the help of manual therapy provide normal motor activity in the problem areas of the spine.

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abstract on the topic Physical rehabilitation for osteochondrosis of the spine

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  • Etiopathogenesis of the osteochondrosis of the spine, diagnostic methods. Treatment of pain syndrome with osteochondrosis, the importance of therapeutic physical training and physiotherapy methods. Measures to prevent osteochondrosis. Rehabilitation after surgery.graduate work, added 26.01.2012

  • Clinical and physiological basis for the therapeutic effect of physical rehabilitation on the body of patients with cervical osteochondrosis. Anatomico-physiological features of the cervical spine. Purpose of massage and physiotherapy for cervical osteochondrosis.graduate work, added 25.05.2012

  • Rehabilitation tasks for injuries of the spine and spinal cord. Consideration of the main periods of therapeutic physical education in case of damage to the thoracic and lumbar spine. Checking the functional state of the spine four months after the injury.presentation, added on 04/23/2015

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