MODIK SPONDILODISSIT TUFAYLI O’ZIGA XOS BO’LMAGAN BEL OG’RIG’INI REABILITASIYA QILISH: RANDOMIZATSIYALANGAN NAZORAT OSTIDA SINOV
##article.subject##:
maxsus bo'lmagan orqa og'riq, Modik bo'yicha spondilodisitit, reabilitatsiya, kinezioterapiya, neyromodulyatsiya, randomizatsiya qilingan tadqiqot, hayot sifati##article.abstract##
Randomizatsiya nazoratli tadqiqot (n=110, asosiy va nazorat guruhlarida 55 tadan) o'tkazildi. Asosiy guruh kompleksli davolash dasturini (dorilar, fizioterapiya, Makkenzi usulidagi kinezioterapiya, psixologik yordam) oldi, nazorat guruhiga standart terapiya qo'llandi. Og'riq (VAS), funksional holat (ODI), hayot sifati (SF-36), psixoemotsional holat (HADS), mushak kuchi va Modik o'zgarishlari (MO) MRI dinamikasi baholandi.
Natijalar: 6 oydan so'ng asosiy guruhda: Og'riq 68,7% ga kamaydi (nazoratda 43,7% ga qarshi; p<0,001); ODI 66,4% ga yaxshilandi (nazoratda 36,1% ga qarshi; p<0,001); SF-36 ning jismoniy va ruhiy komponentlari 51,7% va 33,6% ga oshdi (nazoratda 23,3% va 13,7% ga qarshi; p<0,001); MO regressiyasi (I→II turi) 32,7% bemorlarda (nazoratda 12,7%; p=0,012).
Xulosa: Kompleks reabilitatsiya standart davolanishdan sezilarli darajada ustunlik qiladi, og'riq alomatlarining kuchliligi yaxshilanishi va MO ga patogenetik ta'sir ko'rsatadi. Natijalar uning amaliyotga joriy etilishining maqsadga muvofiqligini tasdiqlaydi.
Библиографические ссылки
Адамбаев З.И., Киличев И.А. Ходжанова Т.Р. Опыт консервативного лечения грыж межпозвонковых дисков карифлекс гелем и кремом в амбулаторных условиях / Журнал неврологии и нейрохирургических исследований, 2020.- №3(1).- С.6-8.
Мирджураев Э. М., Адамбаев З. И., Самиев А. С., Эргашев Г. Б Современные Проблемы Дорсалгии При Спондилодисцитах По Типу Модик/ RESEARCH JOURNAL OF TRAUMA AND DISABILITY STUDIES. Volume: 3 Issue: 8 | Aug–2024
Самиев А.С., Хакимова С.З., Соибназаров О.Э. РЕАБИЛИТАЦИЯ ПАЦИЕНТОВ, ПЕРЕНЕСШИХ ОПЕРАЦИИ В ОБЛАСТИ ПОЗВОНОЧНИКА Биомедицина ва амалиёт журнали №1 | 2022.-С 139-145.
Adams MA et al. Biomechanics of back pain. Acad Radiol. 2020;27(6):769-779.
Albert HB et al. Antibiotics in chronic low back pain: a systematic review. Eur Spine J. 2021;30(1):1-12.
Albert HB, et al. Antibiotic treatment in patients with chronic low back pain and Modic changes (the AIM study): study protocol for a randomised controlled trial. Trials. 2013;14:160.
Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-1222.
Jensen TS et al. Modic type 1 changes and pain. Eur Spine J. 2020;29(3):456-465.
Jensen TS et al. The efficacy of antibiotics in Modic type 1 changes: a double-blind RCT. Ann Rheum Dis. 2022;81(3):345-352.
Jensen TS, et al. A new definition for neuropathic pain. Pain. 2011;152(10):2204-2205.
Kjaer P et al. Modic changes and their possible role in the development and progression of chronic low back pain. J Orthop Sports Phys Ther. 2018;48(11):840-851.
Kjaer P, et al. Exercise therapy for chronic low back pain with Modic changes: a systematic review and meta-analysis. Spine J. 2019;19(11):1467-1476.
Kjaer P, et al. Modic changes and their possible role in the development and progression of chronic low back pain. J Orthop Sports Phys Ther. 2018;48(11):840-851.
Koes BW et al. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2017;26(1):40-53.
Lamb SE, et al. Cognitive behavioural therapy for chronic low back pain (RCT): a randomised controlled trial. Lancet. 2010;375(9712):916-923.
Li X et al. Vascular endothelial growth factor in Modic type 1 changes. Spine J. 2019;19(7):1189-1196.
Liddle SD et al. Physiotherapy for low back pain: a survey of current practice. Physiotherapy. 2021;108:1-9.
Loggia ML et al. Neuroinflammation in chronic pain. Pain. 2023;164(1):10-20.
Macedo LG et al. Motor control exercise for chronic non-specific low back pain: a systematic review and meta-analysis. Spine J. 2021;21(1):14-25.
Modic MT et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology. 1988;166(1):193-199.
O'Connell NE et al. Non-invasive brain stimulation for low back pain: a systematic review and meta-analysis. Eur J Pain. 2021;25(3):533-550.
Ohtori S et al. Inflammatory cytokines in the cerebrospinal fluid of patients with lumbar disc herniation. Eur Spine J. 2021;30(2):389-396.
O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2022;32:151-157.
Paoloni M, et al. Kinesio taping applied to lumbar muscles improves clinical outcomes of patients with chronic low back pain: a double-blind randomized controlled trial. Clin Rehabil. 2011;25(12):1089-1098.
Saragiotto BT et al. Motor control exercise for nonspecific low back pain: a systematic review and meta-analysis. Spine (Phila Pa 1976). 2022;47(6):E363-E372.
Shokhina E. Khalimova; Alfiya R. Muradimova; K.J. Matmurotov; Bobur Sodiqov; Asliddin S. Samiev. Evaluation of female rats' genital system alterations caused by cadmium with consumption of total methanolic garlic extract. https://doi.org/10.22124/cjes.2025.8733
Underwood M et al. Non-pharmacological treatments for chronic low back pain: LBP update. Lancet. 2020;396(10265):2095-2105.
WHO. Rehabilitation of people with spine disorders. 2022.
Williams AC et al. Cognitive behavioural therapy for chronic pain: a meta-analysis. Pain. 2021;162(11):2543-2556.
