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Efficacy of Active Medical Rehabilitation in Patients with Trauma-Related Spine Conditions

Bibliography link: R. A. Bodrova, E. I. Aukhadeev, R. A. Yakupov, A. D. Zakamyrdina. Efficacy of Active Medical Rehabilitation in Patients with Trauma-Related Spine Conditions // Doctor.Ru № 12 (129), 2016. Part ІІ: 31–38.
Efficacy of Active Medical Rehabilitation in Patients with Trauma-Related Spine Conditions
16 December 00:00

Objective: to evaluate efficacy of active medical rehabilitation with the use of biofeedback (BFB) under electromyography (EMG) in patients with trauma-related spine conditions (TRSC).

Design: randomized study.

Materials and methods. 212 patients (39 women and 173 men) with TRSC of 32.3 ± 10.7 years of age were examined. They had the trauma from 1,5 to 6 years ago. The main group (n = 103) received standard treatment with active-passive electrical stimulation and active mechanotherapy with BDB under EMG, and gait training on a telescopic patient lift. The control group (n = 109) received standard therapy, electromyostimulation, and passive mechanotherapy without BFB.

Level and severity of the traumatic spinal cord injury were described according to the classification developed by American Spinal Cord Injury Association. Patient activity and involvement in everyday and social life was assessed with the Functional Independence Measure and modified functional rating scale of activity and quality of life.

Results. The level of self-service and independence in everyday life increased by 36.4% in patients with cervical injury (p < 0.001), by 55.6% in patients with thoracic injury (p < 0.001), and by 71.4% in patients with lumbosacral injury (p < 0.001) after the course of active medical rehabilitation in the main group of patients with TRSC with severe and absolute disorders of activity and involvement according the International Classification of Functioning, Disability, and Health (ICF). No statistically significant changes were seen in the control group after the rehabilitation.

Conclusion. Active medical rehabilitation with BFB under EMG increases efficacy of rehabilitation of patients with TRSC with injury at different levels of the spinal cord.

R. A. Bodrova — Kazan State Medical Academy of the Ministry of Health of Russia. E-mail: kafedra-reabil-kgma@mail.ru

E. I. Aukhadeev — Kazan State Medical Academy of the Ministry of Health of Russia. E-mail: kafedra-reabil-kgma@mail.ru

R. A. Yakupov — Kazan State Medical Academy of the Ministry of Health of Russia. E-mail: kafedra-reabil-kgma@mail.ru

A. D. Zakamyrdina — Kazan State Medical Academy of the Ministry of Health of Russia. E-mail: kafedra-reabil-kgma@mail.ru

Efficacy of Active Medical Rehabilitation in Patients with Trauma-Related Spine Conditions
16 December 00:00
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