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Physiotherapy in rehabilitation of patients with degenerative disk diseases from positions of evidence-based medicine: a literature review – Lumbar Fusion

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The article discusses the urgent problem of back pain in rehabilitation, highlighting the high economic costs associated with lumbar surgery and rehabilitation after it. The study evaluates the effectiveness of physiotherapy in patients with degenerative disk diseases based on evidence-based medicine and scientific literature. Results show that pulsed magnetic field and low-level laser therapy can reduce pain intensity, improve functional capacities, and reduce temporary disability in patients with low back pain and degenerative disk diseases. Based on the findings of 10 RCTs, meta-analyses, systematic reviews, and Cochrane review, the use of magnetotherapy and low-level laser therapy is recommended for the treatment of patients with degenerative disk diseases

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spine centre in London

Published article

: The use of magnetotherapy and low-level laser therapy can be recommended for the treatment of patients with degenerative disk diseases (C grade of recommendations, 3rd level of evidence). The recommendation is based on the results of 10 RCTs (1.111 patients with degenerative disk diseases), 3 meta-analyses, 1 systematic review and 1 Cochrane review (a total of 3.431 patients).

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Vopr Kurortol Fizioter Lech Fiz Kult. 2024;101(2):57-63. doi: 10.17116/kurort202410102157. ABSTRACT Back pain is one of the most urgent problems of rehabilitation. Patients with this pathology have a leading place among neurological patients in terms of the number of days of disability. The high economic costs in society are explained by the need for lumbar surgery,

Vopr Kurortol Fizioter Lech Fiz Kult. 2024;101(2):57-63. doi: 10.17116/kurort202410102157.

ABSTRACT

Back pain is one of the most urgent problems of rehabilitation. Patients with this pathology have a leading place among neurological patients in terms of the number of days of disability. The high economic costs in society are explained by the need for lumbar surgery (discectomy, spinal fusion and disc prosthesis) and rehabilitation after it. The effectiveness of rehabilitative measures is determined both by the patient’s rehabilitative potential and by the choice of rehabilitative methods.

OBJECTIVE: To evaluate the effectiveness of physiotherapy in patients with degenerative disk diseases from positions of evidence-based medicine according to the scientific and technical literature.

MATERIAL AND METHODS: The analysis of scientific and technical literature sources and the study of materials of meta-analyses, systematic reviews (depth of search was 20 years) on the evaluation of effectiveness of physiotherapeutical methods in the rehabilitation of patients with degenerative disk diseases have been conducted.

RESULTS: The ability of pulsed magnetic field to reduce the intensity of pain and improve the functional capacities of the spine in patients with low back pain has been identified. There was a pronounced analgesic end-point of low-level laser therapy in acute and chronic back pain at short and medium-term (up to 12 months) observation, as well as the ability of the method to reduce temporary disability in degenerative disk diseases.

: The use of magnetotherapy and low-level laser therapy can be recommended for the treatment of patients with degenerative disk diseases (C grade of recommendations, 3rd level of evidence). The recommendation is based on the results of 10 RCTs (1.111 patients with degenerative disk diseases), 3 meta-analyses, 1 systematic review and 1 Cochrane review (a total of 3.431 patients).

PMID:38639152 | DOI:10.17116/kurort202410102157

The London Spine Unit : most established spine centre in London

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Physiotherapy in rehabilitation of patients with degenerative disk diseases from positions of evidence-based medicine: a literature review

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Vopr Kurortol Fizioter Lech Fiz Kult. 2024;101(2):57-63. doi: 10.17116/kurort202410102157. ABSTRACT Back pain is one of the most urgent problems of rehabilitation. Patients with this pathology have a leading place among neurological patients in terms of the number of days of disability. The high economic costs in society are explained by the need for lumbar surgery

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