Impact Of Modern Types Of Treatment Dorsalgia Lumbosacral Spine On The Emotional Background Of Patients
Keywords:
back pain, dorsopathy of the lumbosacral spine, emotional status, Becks depression inventory, Shееhan index, traditional Korean medicine, transcranial magnetic stimulation.Abstract
The aim of the study as part of a clinical trial, to assess the level of emotional status of patients against the background of modern types of treatment for dorsopathy of the lumbosacral spine. Materials and methods. The study involved 152 patients diagnosed with dorsopathy of the lumbosacral spine, among the participants there 54 (35.8%) men and 97 (64.2%) women, the age of the patients ranged from 21 to 71 years, the average age of the patients was 52± 8.4 years. Among the types of dorsopathy in patients, lumbago syndrome was recorded in 35 (23.2%) cases, vertebrogenic lumbodynia – 28 (18.5%), discogenic lumbar ischialgia – 25 (16.6%), chronic discogenic radicular syndrome – 19 (12.6%), acute recurrent discogenic radicular syndrome – 22 (14.6%), and discogenic radiculoischemia – 22 (14.6%). All patients in the process of preparation for the study divided into groups depending on the format of therapy. So in group I – 50 (34.0%) patients who received a standard type of drug therapy in combination with Korean traditional methods for the treatment of dorsopathy. in group II – 51 (33.5%) patients who received the standard type of drug therapy in combination with transcranial magnetic stimulation. Group III – 51 (33.5%) patients who received methods of traditional Korean therapy for dorsopathy in combination with transcranial magnetic stimulation. As tools for analyzing the emotional status of patients with dorsopathy before and after treatment, the Beck questionnaire used to identify signs of a depressive state and the Sheehan questionnaire to identify the level of anxiety. Results. The emotional status of patients suffering from dorsopathy before the start of the course of treatment had no statistically significant differences between the groups of study participants. However, when analyzing the emotional status after the course of therapy, statistically significant differences in the indicators of the emotional background revealed. Thus, the lowest level of anxiety and depression observed in patients who received traditional Korean methods for the treatment of dorsopathy in combination with transcranial magnetic stimulation. It was possible to establish that the restoration of the normal level of the emotional state of a patient with dorsopathy can be achieved without the use of popular drugs included in the list of standard therapy for severe pain syndrome. Conclusion. Patients with dorsopathy are a rather complex and unresolved problem of modern medicine. This category has significantly reduced indicators of emotional status, which is directly related to the presence of dorsopathy. The traditional methods of treating chronic pain of the musculoskeletal system are gaining more and more popularity, this does not mean at all the abandonment of the use and use of drug therapy. However, the analysis of the emotional status of patients suffering from dorsopathy demonstrated the effectiveness of the Korean traditional method of treating dorsopathy in combination with transcranial magnetic stimulation, compared with combinations of treatment methods that include standard drug therapy.