The Efficacy of the Therapeutic Exercises on Evminov Board with Use of the Glisson Loop in Patients with Degenerative Spine Diseases

Abstract

Degenerative spine changes could be detected in 57% of persons in age of 20–29 years, in more then 95% – in age group of 40–49 years and in almost all persons older then 60, which determines the need in development of the effective methods for treatment and exacerbation prevention. The objective: to evaluate the efficacy of the therapeutic exercises on the Evminov board with Glisson loop use in patients with spine degenerative diseases. Materials and methods. The study included 349 patients with spine degenerative diseases. According to spine CT/MRI the protrusions of intervertebral discs of different parts of the spine were found in 166 patients (47.6%), and intervertebral hernias were described in 91 cases (26.1%). All patients were divided into 2 groups: group I included 205 people who received personalized therapeutic exercises on Evminov’s board without the use of nonsteroidal anti inflammatory drugs (NSAIDs), group II included 144 patients who took NSAIDs to redue cpain. Results. After 4–6 weeks of treatment with Evminov’s board, all patients showed positive changes: in 47% of cases there was no pain at rest and in 53% of cases the pain decreased in intensity (from 7.8 mm to 3.7 mm on VAS). Group II patients in course of NSAIDs were recommended low-amplitude exercise therapy (up to 20°) to prevent exceeding the pain threshold, while most group I patients noted pain at an movement amplitude of 60–80° and performed exercises with the appropriate amplitude. Group I patients showed improvement in the first week of treatment, while group II patients had improvement only in the third week of treatment. Conclusion. Treatment of patients with the degenerative spine diseases on Evminov board with full-amplitude movements is more effective as for pain management and temp of pain decrease compare to low-amlitude exercises and NSAID use.