Zintegrowany system aktywnej terapii kręgosłupa - DBC

• Autorzy: Giemza C. , Kabała T.

Warianty tytułu

EN

Integrated system for an active therapy of spine - DBC

• Języki publikacji: PL

Abstrakty

PL

Na dolegliwości bólowe dolnego odcinka kręgosłupa cierpi blisko połowa dorosłej populacji. Według danych statystycznych, u ok. 80% dorosłych ludzi taki incydent bólowy może się pojawić przynajmniej raz w życiu. U wielu osób obserwuje się zaostrzenia i remisje, a każdy nawrót choroby zwiększa prawdopodobieństwo ponownego wystąpienia incydentu bólowego. Dotychczas nie wypracowano jednolitych procedur postępowania terapeutycznego. Prowadzone badania wykazały jednak skuteczność stosowania zabiegów fizjoterapeutycznych w leczeniu podostrych i przewlekłych dolegliwości kręgosłupa. Zespół naukowców z Finlandii zaproponował metodę aktywnej terapii kręgosłupa DBC (Documentation Based Care), będącą połączeniem wiedzy medycznej, fizjoterapeutycznej oraz nowoczesnych rozwiązań technicznych. Niniejsza praca poświęcona jest wyjaśnieniu założeń tej metody.

EN

Almost 50% of adults suffer from chronic low back pain. According to statistical data, about 80% of adults will have such accidents at least once in their life. Many patients will experience aggravations and remissions of the disease with probability of repeated pain occurrence. As so far, no uniform therapeutic procedures are recommended. Nevertheless, widely carried out examinations proved the efficacy of physiotherapeutic procedures in subacute and chronic backbone ailments. The group of scientists from Finland elaborated the method of an active spine therapy called DBC (Documentation Based Care). It constitutes the combination of medical and physiotherapeutic knowledge, as well as modem technical solutions.

Słowa kluczowe

PL

ból dolnego odcinka kręgosłupa; aktywna terapia kręgosłupa; fizjoterapia

EN

chronic low back pain; Documentation Based Care (DBC); physiotherapy

• Wydawca: Jacek Doskocz
• Czasopismo: Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna
• Rocznik: 2006
• Tom: Vol. 12, nr 4
• Strony: 265--267
• Opis fizyczny: bibliogr. 38 poz.

Twórcy

autor

Giemza C.

autor

Kabała T.

• Wydział Fizjoterapii, Akademia Wychowania Fizycznego, ul. Rzeźbiarska 4, 51-629 Wrocław,

Bibliografia

• 1.R.A. Deyo: Fads in the treatment of low back pain. New England Journal of Medicine 1991; 325: p. 1039-1040.
• 2.J.W. Frymoyer: Back pain and sciatica, New England Journal of Medicine 1988; 318(5): p. 291-300.
• 3.J.J. Brown, G.A. Wells, A.J. Trattier, J. Boneau, B. Ferris: Back pain in a large Canadian police force. Spine 1998; 23(7): p. 821-827.
• 4.J. Letham, P.D. Slade, J.D.G. Troup, G. Bentley: Outline of a fearavoidance model of exaggerated pain perception. Part 1. Behavioral Research and Therapy 1983; 21: p. 401-408.
• 5.R.F. McLain: Mechanoreceptor endings human cervical facet joints. Spine 1994; 19(5): p. 495-501.
• 6.J.M^Nelson, R.P. Walmsley, J.M, Stevenson: Relative lumbar and pelvic motion during loaded spinal flexion I extension. Spine 1995; 20(2): p. 199-204.
• 7.D.C. Cerkin, R.A. Deyo, J.A. Loeser, T. Bush, G. Waddell: An international comparison of back surgery rates. Spine 1994; 19: p. 1206-1230.
• 8.C. de Leboeuf-Y, N. Klougart, T. Lauritzen: How common is low back pain in the Nordic Population? Spine 1996; 21(13): p. 1518-1525.
• 9.M.E. Mc Kinnon, M.R. Vickers, V.M. Ruddock, J. Tovnsend, T.W. Meade: Community Studies of the health service implications of low back pain. Spine 1997; 22(18): p. 2161-2166.
• 10.R. Mazur, R. Podemski, B. Książkiewicz: Neurologiczne powikłania niedomogi kręgosłupa, Gdańsk 2003.
• 11.C. Manniche, G. Hesselsoe, L. Bentzen, I. Christen-sen, E. Lundberg: Clinical trial of intensive muscle training for chronic low back pain. Lancet 1988, 2(8626--8627): p. 1473-1476.
• 12.T.G. Mayer, R.J. Gatcher, H. Mayer, N.D. Kishino, J. Keeley, V. Mooney: A prospective two year study of functional restoration industriaHow back injury. An objective assessment procedure, JAM. A 1987; 258(13): p. 1763-1767.
• 13.M.W. Van Tulder, B.W. Koes, L.M. Bouter: Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine 1997; 22(18): p. 21-28, 56.
• 14.R.G. Cooper, W.St. Clair Forbes, M. IV Jayson: Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain^ British Journal of Rheumatology 1992; 31: p. 389-394.
• 15.J.J. Salminen, M.O. Erhintolo-Tertti, H.E. Paajanen: Magnetic resonance imaging findings of lumbar spine in the young: correlation with leisure time physical activity spinal mobility and trunk muscle strength in IS-year — old pupils with or without low back pain, Journal of spinal disorders 1993; 6(5): p. 368-391.
• 16.G. Hultman, M. Nordin, H. Saraste, H. Ohlsen: Body composition, endurance, strength cross - sectional area and density of Mm. erector spine in men with and without low back pa-m, Journal of Spinal Disorders 1993; 6: p. 114-123.
• 17.S. Taimela, K. Harkapaa: Strength, mobility, their changes and pain reduction during active functional restoration for chronic low back disorders, Journal of Spinal Disorders 1996; 9: p. 306-312.
• 18.S. Taimela, E.P. Takala, T. Asklof, K. Seppala, S. Pa-rviainen: Active Treatment of Chronic Neck Pain: A Prospective Randomized Intervention, Spine 2000; 25(8): p. 1021-1027.
• 19.A. Risanen, H. Kalomo, H. Alaranta: Effect of intensive training on the isokinetic strength and structure of lumbar muscles in patients with chronic low back pain, Spine 1995: 20: p. 333-340.
• 20.L. Klenerman, P.D. Slade, I.M. Stanley at al.: The Prediction ofChronity in Patients with an Acute Attack of Low Back Pain in a General Practice Setting, Spine 1995; 20: p. 478-484.
• 21.T. Pincus, A.K. Burton, S. Vogel A.P. Field: A systematic review of psychological factors as predictors of chroni-ty I disability in prospective cohorts of low back pain, Spine 2002; 27: p. 109-120.
• 22.N.W. Van Tilde, W.J. Asendelft, B.W. Koes, L.M. Bo-uter: Method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group for Spinal Disorders, Spine 1997; 22(20): p. 2323-2330.
• 23.M. Kankaanpaa, S. Taimela, O. Airaksi-nen, O. Hanninen: The efficacy of active rehabilitation in chronic back pain — Effect of pain intensity, self - experienced disability and lumbar fatigability, Spine 1999; 24: p. 1034-1042.
• 24.M. Campello, M. Nordin, S. Weiser: Review article. Physical exercise and low back pain, Scandinavian Journal of Medicine and Science Sports 1996; 6: p. 63-72.
• 25.O. Cartas, M. Nordin, V.H. Frankel, R. Malgady, A. Sheikhzadeh: Quantification of trunk muscle performance in standing, se-mistanding and sitting postures in healthy men, Spine 1993; 18: p. 603-609.
• 26.P. Komi: Strength and power in sport, London: Blackwell 2005.
• 27.I. Lindsrtom, C. Óhlund, C. Eek e al.: The effect of Graded Activity on Patients with Subacute Low Back Pain: A randomized Prospective Clinical Study with an Ope-rant-Conditioning Behavioral Approach, Physiotherapy 1992; 72: p. 279-293.
• 28.I. Luoto, C. Ohlund, C. Eek, L. Wallin, L.E. Peterson, A. Nachemson: Mobility, strength and fitness after a graded activity program for patients with subacute low back pain. A randomized prospective clinical study with a behavioral therapy approached, Spine 1992; 17(6): p. 641-652.
• 29.C. Manniche, E. Lundberg, I. Christen-sen, L. Bentzen, G. Hesselsoe: Intensive dynamic back exercise for chronic low back pain: a clinical trial, Pain 1991; 47: p. 53-63.
• 30.A.F. Mannion, B. Connolly, K. Wood, P. Dolan: The use of surface EMG power spectral analysis in the evaluation of back muscle function, J. Rehabil. Res. Dev. 1997; 34(4): p. 427-439.
• 31.T.G. Mayer, P. Polatin, B. Smith et al.: Contemporary Concepts in Spine care: Spine Rehabilitation: Secondary an Tertiary Nonoperactive Care, Spine 1995; 20(18): p. 2060-2066.
• 32.A. Nachemson: Chronic pain-the end of the welfare state? Quality of Life Reserch 1994; 3: p. 11-17.
• 33.A. Rissanen, H. Kalimo, H. Alaranta: Effect of intensive training on the isokinetic strength and structure of lumbar muscles in patients with chronic low back pain, Spine 1995; 20: p. 333-340.
• 34.P. Kannus, L. Josza, P. Renstrom et al:. The effects of training, immobilization and remobilization on musculoskeletal tissue. I. Training and immobilization, Scandinavian Journal of Medicine and Science in Sports 1992; 2: p. 100-108.
• 35.L. Keltikangas-Jarvien, R. Rimon: Rimon's brief depression scale, a rapid method for screening depression, Psychol. Rep. 1987; 60: p. 111-119.
• 36.T. Videman, S. Sarna, M.C. Battie et al.: The long-term effects of physical loading and exercise lifestyles on back related symptoms, disability, and spinal pathology a mong men, Spine 1995; 20(6): p. 699-709.
• 37.V. Dvorak, S. Taimela: Trainability of back muscles in chronic low back pain patients: the effect of sex and age, Eu-roSpine 96, October! 6-19. Zurich, Switzerland, 1996.
• 38.S. Taimela, M. Kankaanpaa, S. Luto: The effect of lumbar fatigue on the ability to sense a change in lumbar position — a control study, Spine 1999; 24(13): p. 1322-1327.