Rehabilitation after a fracture of the spine

Rehabilitation after a vertebral fracture: exercise therapy, massage and recovery time

Any fracture of the spine requires not only complex in-patient treatment, and in some cases, surgical intervention, but also a long process of rehabilitation of the victim, which includes a number of steps to resume normal operation of all systems organism.

Rehabilitation after a vertebral fracture has a very important role in the treatment of trauma.

About the provision of first aid for fracture of the spine can be found here.

Basic methods of rehabilitation and its necessity

The main methods of rehabilitation include:

• LFK for the spine. Therapeutic gymnastics is a specially designed complex of exercises, used from the first days of the rehabilitation period and until the patient fully recovered.
• Massage. An experienced masseur will complement the exercise therapy and strengthen the effect of therapeutic exercises.
• Physiotherapy. Depending on the complexity of the injury, the doctor prescribes certain medical procedures, including electrophoresis, UHF, UFO and other methods of rehabilitation of patients.
• Corset. At a certain stage of rehabilitation, the patient needs additional support and protection of the spine from possible overloads.
• Alternative techniques. The last stage of rehabilitation may include balneological procedures, swimming, yoga or pilates, etc.

The rehabilitation period is very important, since it allows to completely restore the human body after fracture and treatment, allowing the patient to move to the usual way of life, of course, with certain restrictions.

LFK after fracture of the spine

When fractures of the spine to exercise therapy begin one week after the start of conservative treatment, if patient uncomplicated form of injury with displacements of the vertebrae and rupture of accompanying structures (eg, spinal brain). In the latter case, a preliminary stabilization of the human condition is required, usually taking from 2 to 4 weeks. Exercise after a spinal injury should be performed with utmost care and do not depart from the course prescribed by the doctor.

Each stage of rehabilitation after a fracture of the spine has its own terms, the exact schedule of exercises will be prescribed by a doctor!

First step

Approximate terms - from 7 to 12 day of the rehabilitation period. All activities are aimed at improving the work of the respiratory system, gastrointestinal tract, heart, vessels, increasing the general vitality and normalizing the muscles.

Apply mainly respiratory and general developmental exercises in the form of individual short sessions up to 15 minutes. The patient's position is recumbent, limbs are not actively used.

• Deep breaths-exhalations with a delay of breath on peaks. 5-7 times, 2 approaches;
• Raising the pelvis with support on the shoulder blades and feet. 7-12 times, measured, 2 approaches;
• Other simple exercises without stress on the back, large muscles and limbs.

Second phase

Approximate terms - from 12 to 30 days of the rehabilitation period.

LFK is aimed at normalization of the internal organs, stimulation of regeneration, general strengthening of the muscles with the development of a base for expanding the motor regime.

Average duration of lessons increases to 20 minutes, the patient can turn over on the stomach, partially use the limbs.

• Bending in the thoracic region. 7-10 times, 3 approaches;
• Tertiary swing of the press (load on the upper section). 5-10 times, 2 approaches;
• Lateral flaps with hands and feet. 5-7 times, 4 approaches;
• Folding the feet. 15-20 times, 2 approaches;
• Active breathing exercises. 7-8 minutes;
• The alternate lifting of the legs at an angle of 45 degrees with a separation from the plane of the bed. 3-5 times, 2 approaches;
• Other exercises on the recommendations.

The third stage

Approximate terms of the third stage of medical gymnastics with a fracture of the spine are from the 30th to the 60th day of rehabilitation.

Progressive load with the help of exercise therapy after trauma to the spine, the connection of exercises with weights and resistance, partial use of the axial load on the back.

It is performed on the knees or on all fours with the unloading of the spine.Time of classes - up to half an hour.

• Active movement of the feet with separation from the bed. 10-15 times, 3 approaches;
• Tilts on the sides, back. 5-8 times, 4 approaches;
• Moving on knees or knees first forward, then back. 4-5 steps in both directions, 2 approaches;
• The whole complex of exercises from 1 and 2 period, performed on a horizontally lowered bed as a supplement.

Fourth stage

The final stage of rehabilitation includes a period from the patient's recovery from the couch to his full discharge from the hospital.

LFK passes to full axial load, it is aimed at restoration of walking skills, posture, normalization of mobility of the spine.

Rise from the bed is possible in the corset, without using a sitting position.

Time of classes increases to 45-50 minutes. Exercises from all previous stages are used, as well as activities in an upright position:

• Rounds from heel to toe. 20 times, 2 approaches;
• Movement of the ankles. 15 times, 2 approaches;
• Half-squats with a straight back. 7-10 times, 2 approaches;
• Removal and reduction of legs. 5-8 times, 3 approaches;
• Additional exercises with a gymnastic wall and sports-procedural subjects.

The exact set of exercises for fracture of the spine will appoint a doctor, do not self-medicate!

Lifestyle and sleep after trauma to the spine

Rehabilitation gymnastics for the spine should be accompanied by a correct lifestyle and sleep regimen.

In the process of rehabilitation and after it is necessary to keep the normal daily rhythms of sleep and wakefulness: to sleep at least 8 hours, in the afternoon it is also desirable to rest for 2 hours, in a horizontal position to be on an orthopedic mattress, under the neck and lower back, dense rollers.

During the first months, the sitting position of the body should be minimized. Alternatively, you can kneel by placing a pillow underneath.

A measured lifestyle excludes any sharp and shock loads, overvoltages(both physical and mental). Sports activities - in the framework of exercise therapy and cardio surgery. Professional sports are contraindicated for at least 1-2 years, sometimes much longer.

If possible, come to the spa resorts once a year, with a preventive goal, visit the physiotherapy room at the polyclinic.

Nutrition and vitamins for recovery

During the rehabilitation, the body needs vitamin and mineral support.

Doctors recommend the use of complex drugs, separately take Calcium D3 and potentiating its body absorption of matter.

The most important for the restoration of vitamins B, C and D, as well as microelements: zinc, phosphorus.

The basis of nutrition during the recovery period is protein (50% of animal and 50% of plant origin). The scheme of food - fractional, 5-6 meals a day.

In sufficient quantities, you need to eat meat, fish and eggs, as well as jelly-like products that help to restore cartilage: kissel, chilli from pork or chicken, jelly.

It is not recommended to drink alcohol, fatty foods, soda, chocolate, coffee, as well as food rich in simple carbohydrates.

Massage after a fracture of the spine

In spinal injuries a complex symmetrical massage is applied, including classical, reflex and point components.

Its main goal is the addition of rehabilitation exercise therapy, the normalization of metabolic processes and circulation.

It is carried out from 2-3 days after receipt of the victim and before his discharge from the hospital.

Methods of massage in case of a fracture of the spine are passive, with stimulation of the work of individual centers and a general decrease in reflex excitability.

The load is dosed, the procedures are performed first on the treatment couch (stages 1 and 2 of rehabilitation), then in the manual specialist's office (the patient is in a gypsum half-corset).

The basic milestones include:

• Work with the chest. Longitudinal and transverse stroking, easy squeezing and kneading.
• Treatment of intercostal spaces. Rectilinear and spiraling grinding for the first 10 days, after which an annular double kneading is connected.
• Massage of the abdomen and thighs. Stroking and squeezing to strengthen the muscles, improve peristalsis.
• Work with the legs, forearms, hands. All known methods are applied.

Sessions at the 1st stage of rehabilitation do not exceed 15 minutes. With the 2nd and 3rd stages, the functional of the symmetrical massage expands significantly (the treatment of the pelvis begins, collar zone, paravertebral areas, etc.), the duration of the session is increased to half an hour.

Physiotherapy after fractures

Physiotherapy is used at all stages of patient rehabilitation.Classical methods:

• Electrophoresis. Begins to apply from 2 days after receipt. It is carried out with saturation of the treated area with calcium salts, nicotinic acid, euphyllinum;
• Paraffin-ozocerite applications. They are applied at the first stage of rehabilitation as a passive effect on the musculature and deep layers of the epithelium;
• UHF. Designed to reduce pain syndrome and normalize blood flow;
• Inductotherapy. It is necessary to reduce inflammation of tissues;
• UFO. Destroys the pathogenic microflora, prevents the development of secondary bacterial infections;

Additional methods are also possible: myostimulation, cryotherapy, diadynamic therapy, balneological procedures, and others on the reflex of the doctor.

Corset for the spine

The corset is an important element of protection and support of the spine in the process of rehabilitation and the subsequent stage of transition to the habitual way of life.

In a hospital after passing through the first stage of rehabilitation, the victim is given a hard plaster corset. After discharge, the patient must purchase this device on his own.

Modern medicine recommends outside the hospital to use corsets on a metal-plastic base- they are lighter than gypsum, they can be adjusted to individual features of the structure of the body and are multifunctional, since they take into account all the anatomical features of patients.

Before the full splicing of the fracture and the formation of the bone callus, it is necessary to use only rigid variants of corsets.

After 4-5 months, the doctor recommends changing it to an elastic one with a semi-free fixation that allows freely bend: such products take on most of the loads and at the same time reliably hold vertebrae.

Good corsets are made of high-quality materials - reliable, flexible and at the same time letting air in so that the body can breathe under it.

Be sure to pay attention to the degree of fixation: the more the system of stiffeners, the more variable is the self product (it can be used for a long period of time, adjusting to your needs after a preliminary consultation with your doctor).

Wearing procedure:

• Under the corset is put on a thin cotton T-shirt;
• The degree of fixation is regulated in such a way that a person can breathe freely, blood circulation is not disturbed, and thus a reliable fixation of the spine. The first calibration of the device is best done in the presence of a doctor;
• In agreement with the orthopedist and traumatologist, the corset can be removed at night (if all the necessary conditions for sleep are met, there is an orthopedic mattress, rollers under the waist and neck, etc.).

A source: https://1travmpunkt.com/perelom/pozvonochnik/reabilitatsiya-posle-travmy.html

Rehabilitation and recovery after a fracture of the spine

Forecastrecovery after a fracture of the spinelargely depends on the nature and extent of damage to certain structures of the spine, but the main thing the significance is whether the spinal cord was injured in injury, what is the degree of its damage and the level injury. Thus, with light injuries of the spinal cord, almost complete recovery of the physical condition is possible, with severe injuries, anatomical rupture of the spinal cord there is a complete or partial loss of motor functions and sensitivity, varying degrees of disruption of the function of the pelvic bodies. Accordingly, the goals and objectives, as well as the criteria for the effectiveness of rehabilitation with a view torecovery after a fracture of the spinecan vary significantly.

Goals and objectives of rehabilitation activities forrecovery after a fracture of the spine

Depending on the severity of spine and spinal cord injuries, as well as the level of trauma, three main clinical and rehabilitation groups are distinguished:

• I - patients who have suffered a spinal injury with minor spinal cord injuries (concussion or mild injury); functions of the spinal are not violated or disturbed slightly.
• II - patients who underwent a moderate or severe spinal cord injury at the level of the lower thoracic or lumbar spine.
• III - patients who underwent a moderate or severe spinal cord injury at the level of the cervical or upper thoracic spine.

The purpose of rehabilitation in patients of Group I is the maximally complete restoration of their normal vital activity.

The tasks of rehabilitation treatment include stabilization of the damaged part of the spine and removal of deformation of the spinal canal (if any), cupping painful syndrome, complete recovery of motor activity and functions of various organs and systems of the body, as well as efficiency, professional and social activity.

For this, medicamental therapy, exercise therapy, massage, physiotherapy, balneotherapy, sanatorium treatment are used. Timingrecovery after a fracture of the spinein patients of this group an average of 3-4 weeks to 6-8 months.

In Group II patients, the goal of rehabilitation is to maximize the full restoration of independence in daily life, ability to self-service, independent movement, incl.

and with the use of technical means of rehabilitation, driving a car; restoration of control over the function of pelvic organs; restoration of work capacity or acquisition of a new profession.

To achieve these goals, rehabilitation and rehabilitation measures include drug therapy, exercise therapy, physiotherapeutic methods of treatment, massage, acupuncture, as well as a set of therapeutic measures aimed at restoring cystic reflex. Timingrecovery after a fracture of the spinein such patients, as a rule, not less than 10-12 months.

In the most severe patients of group III, rehabilitation is carried out with the goal of at least partial restoration of self-service, mainly through the use of various technical means rehabilitation.

The specific recovery possibilities for this group of patients largely depend on the level of the lesion and can vary significantly.

With injuries of the lower cervical department at the level of C7-C8, patients have the opportunity to independently receive food, moving in a wheelchair, independently transplanted to bed, dressing and undressing.

In patients with injuries of the upper thoracic spine, movements in the hands are preserved and they can become completely independent in self-service and daily life.

In severe injuries of the cervical spine in its upper parts and the development of tetraplegia, it may be necessary to maintain vital activity with the help of ventilators or pacemakers diaphragmatic nerve, for simple manipulations (turn on / off the TV, turn the page, drive the electric stroller), special electromechanical system. Admittedly, in recent years there have been considerable opportunities, at least partially, but still to restore vital activity even in such patients. Timingrecovery after a fracture of the spinein patients of the III clinical-rehabilitation group usually is -2 years.

Application of exercise therapy atrecovery after a fracture of the spine

LFK or kinesiotherapy is the main methodrecovery in spine fractures.

In uncomplicated vertebral fractures, when spinal cord injuries are absent, kinesiotherapy begins use in the first days after the injury or surgery as soon as the contraindications associated with traumatic illness.

LFK has an extremely beneficial effect on all organs and systems of the body, it has a stimulating and tonic effect, activates metabolism and regenerative processes, increases the immune defense of the body, improves the innervation and blood supply of damaged parts of the spine, prevents the development of complications associated with prolonged bed rest mode. But, perhaps, the main advantage of kinesiotherapy is the ability to use it to eliminate the consequences hypodynamia, to compensate for the lost spinal functions and to restore as quickly as possible their.

At the first stages, the task is to strengthen the muscles of the trunk and form a natural muscular corset that will be able to keep the spinal column in the correct position and compensate for the decreased static endurance of its damaged department. Later, with the help of kinesiotherapy, normal mobility and flexibility of the spine, its support function and the ability to tolerate sufficiently high static loads are restored.

In carrying out kinesiotherapy withrecovery after a fracture of the spineThere are three main periods.

In the first period, axial loads are completely excluded, in the second such loads are gradually included in the process of training, in the third, exercises with full load along the axis of the spine are allowed.

In the first period, the main task is the tonic and restorative effect of exercise therapy, the fight against the manifestations of traumatic illness, the prevention of stagnant phenomena and manifestations of hypodynamia.

Use breathing exercises, exercises for the upper and lower extremities, with all exercises performed in the position lying, legs from the bed do not come off, but shows the exercises to strengthen the front group of muscles of the shin to prevent sagging feet.

The length of the first period of training is 1-2 weeks, the duration of each lesson is 10-15 minutes, 2-3 lessons per day.

The purpose of exercise therapy in the second period is to stimulate blood circulation and regeneration in the damaged area of ​​the spine for the rapid consolidation of fracture and recovery the integrity of the damaged area of ​​the spine, the strengthening of its muscular corset, as well as preparing for more active occupations and increasing the burden on the spine. In this period, the load increases significantly, exercises are used not only for the upper and lower extremities, but also for the muscles of the back, they can already be performed in the position on the abdomen. In the complex of exercises include tilts and turns of the trunk, exercises with dumbbells, stuffed balls, other weighting agents are introduced. This period is preparatory to axial loads on the spine, while standing exercises are not yet performed, but exercises are included in the position on the knees and on all fours. The duration of the classes is 25-30 minutes, 4 times a day, the duration of the second period is 2-4 weeks.

The third period usually begins 4-6 weeks after the injury. Its main feature is the transition to axial loads on the spine and their gradual increase.

In this period, the normal mobility of the spine and its flexibility are restored, the posture is normalized, and the motor skills are returned.

Intensive classes for 40-45 minutes 2 times last about 4 weeks, after that go to the training mode 1 time in day for 2-3 months, but depending on the achievement of the tasks assigned, such studies can last up to 1 of the year.

A source: http://www.neurospine.ru/reabilitaciya_i_vosstanovlenie/

Rehabilitation after a fracture of the spine: program

At fracture of vertebrae the victim is provided with physical rest and immobilization: impose a plaster or designate wearing a corset. But this does not relieve the axial load on them, but at the same time turns off the muscles, blocking their pump and exchange function.

Vessels also stop working properly, which leads to inflammation, as bone, soft tissues and cartilage lack nutrition and oxygen.

This, in turn, lengthens the terms of consolidation and reparation, leads to muscle atrophy, closure of vessels, development of sclerosis of tissues, contracture of the joints of the spine and pelvis, dystrophic processes: osteochondrosis or spondyloarthrosis, chronic pain in the problem zone.

Rehabilitation after a fracture of the spine is as important as treatment, because it helps to restore lost function and increases the chance for the return ability to move, walk and lost a full-fledged image and quality life.

In the process of rehabilitation, complications of the spine and spinal cord after fracture are revealed, which are gradually eliminated with the help of individual complex programs. At the same time, the victims are trained to regain their habitual skills and abilities, to become independent of the help of the surrounding people.

"Are joints aching? Does the spine "crunch"? "

Pain - a harbinger of terrible pathologies, which for a year or two can seat in a stroller and make you disabled. Bubnovsky: completely restore the joints and spine simply, most importantly ...

& g; Ine-therapy after spine fracture

Clinical and Rehabilitation Groups

Physical rehabilitation with fractures of the spine and pelvis gives a good prognosis in the case of slight damage to bone tissue, cartilage, surrounding tendons, nerves, connective tissue and muscles.

If the spinal cord is damaged or torn, then the motor functions and sensitivity are lost completely or partially, the functions of the genito-urinary organs are impaired. Rehabilitation activities in such cases have different goals and objectives. Patients at the same time are divided into three main clinical and rehabilitation groups.

Namely:

1. Group I- unites patients with a slight concussion of the spinal cord and vertebral bruises without disrupting functions or with a minor disturbance;
2. Group II- unites patients with moderate or severe spinal cord trauma and vertebral fracture of the lower thoracic and lumbar spine;
3. Group IIIincludes victims with severe or moderate spinal cord trauma and fracture of the vertebrae of the neck or upper thoracic.

Exercises with bruises of the spine, injuries to muscles, ligaments and tendons

First group

Rehabilitation at a fracture of a backbone at patients of I group pursues the purpose as much as possible to restore normal vital activity, completely to stabilize the damaged site and eliminate existing deformities, stop pain syndrome, restore motor activity and function of affected organs and systems, the patient's working capacity and social activity.

Rehabilitation can last 1-6-8 months and include:

• treatment with medicines;
• physiotherapy: ozocerite, paraffin, therapeutic mud, electrophoresis and other thermal procedures;
• massage: classical, point and vacuum, exercise therapy;
• balneotherapy and treatment with hot herbal pouches;
• ultrasound, magnet, electro- and ergotherapy;
• acupuncture, including acupuncture, cauterization of BAT, auricolotherapy - acupuncture of BAP of the auricles;
• hirudotherapy and stone therapy.

The second group

Rehabilitation for vertebral fracture in Group II patients can last 10-12 months or more in order to fully restore independence in daily life, the ability to independently service and move around, not excluding the use of technical rehabilitation tools, car driving.

It is important to restore: control of the functional work of the pelvic organs, work capacity and acquire a new profession. The recovery period includes treatment, as for the patients of the first group.

Ultrasound after a vertebral fractureTraining on a verticalizer with the development of lower limbs

In addition to thermal and mechanical factors, ozocerite positively affects its therapeutic agents. Heated ozocerite and paraffin increases the local temperature by 2-3 ° C in the problem zone.

Heat penetrates deeply into the tissue - 4-5 cm, causes a short-term spasm, which lasts 5-40 seconds, followed by vasodilation.

In this case, in the tissues:

• blood flow increases;
• biologically active substances are synthesized and follicle-stimulating effect;
• oxidative metabolism increases;
• secretion of endocrine glands is activated;
• inflammation and pain are removed;
• hematomas and swelling dissolve.

On the unique children's complex LokomatPro Pediatric with extended feedback, rehabilitation of children after a fracture of the spine is carried out. It allows you to restore or re-create walking skills in children 3-12 years old, having a height of 86-136 cm.

In equipping the complex, two robotic orthoses perform physiological foot movements in violation of the walking function, which is with injuries of the spinal cord and a prolonged impaired motor function after fracture of the bone tissue of the vertebrae and muscle pathologies.

The work of the simulator is shown on video rehabilitation of children with a vertebral fracture on video.

Rehabilitation of children in a robotic complex LokomatPro PediatricRehabilitation of walking skills on a robotic simulator in adults

Hydrokinesotherapy

With the help of hydrokyneotherapy - special exercises conducted in the water, accelerate the mobilization of the spinal column and its recovery. It is used with pronounced compression of the spine in children and adults, damage to the spinal cord and general paralysis.

Patients perform exercises, standing in the water, swimming in the last stage of rehabilitation, which improves the overall clinical picture. All manipulations in the water are managed by a doctor, given the nature and place of the injury and compression fracture.

Hydrocainesotherapy with compression fractures

Third group

In the third group of rehabilitation there are the heaviest patients, therefore rehabilitation after a fracture the vertebrae in the neck (C7-CB) or the breast are carried out by methods that apply to patients of 1 and 2 group. The specific possibility for recovery in patients of group 3 depends on the level and extent of the lesion.

With a fracture of the lower vertebrae of the neck, some patients can eat on their own, move in a wheelchair, independently change to a bed, dress or undress. If an injury is received in the upper thoracic region, then the functions of the arm movement remain, which allows them to be independent and to serve themselves in everyday life.

Physical load with a fracture of the spine in the neck

The photo and video show physical rehabilitation after a vertebral fracture in the cervical section.

If a severe trauma to the upper vertebrae of the neck is obtained and tetraplegia develops (paralysis of the hands and feet) there is a need to support vital functions with a ventilator or a lefthmaker of diaphragmatic nerve.

Simple manipulations: drive the wheelchair with the electric drive, turn the TV on or off, etc. can be performed with the help of special electromechanical systems. Timing recovery of vital activity in severe patients can be, -2 years or more.

Kinesiotherapy

Great importance in the rehabilitation period has kinesiotherapy on simulators for special programs.

They are based on inclusions of muscles along the spine in the extraction mode (decompression).

The physical load is given in a dose, the muscles initially attached to the injured vertebra, then the rest muscles, connective tissues and tendons are involved. Muscle pumps are turned on, restoring microcirculation, eliminating edema and dystrophy, restoring metabolism in all tissues.

Kinesiotherapy on the Bubnovsky simulatorKinesiotherapy at the Exert plant

When working on the Exit, the following occurs:

• Deep muscles around the vertebrae stabilize;
• the superficial muscles relax;
• Pain is removed and the amplitude of motion is restored;
• the spinal column is soft and physiologically stretched by relaxing the strained muscles;
• blood circulation is normalized;
• the ligamentous apparatus is strengthened;
• Nervous impulses along nerve roots are more actively carried out.

Massage and exercise therapy

Massage and exercise therapy have a beneficial effect on the entire body, not only on the pain zone, prevent the development of complications, eliminate the consequences of hypodynamia, restore functions the spine.

Massage procedures are shown in the post-acute period. First, massage the chest in front by stroking, rubbing and kneading large pectoral muscles and non-strong percussive techniques, then clockwise perform massage movements and vibration stomach.

In order not to create bedsores, then apply stroking, rubbing movements on the entire back and buttocks. The procedure lasts 10-20 minutes with a daily course of treatment - 15-30 procedures or more.

Neck and collar zone massage

Stone therapy and heating with bags of medicinal plants are used in the post-acute period to accelerate rehabilitation after spinal injuries.

Treatment with hot herbal pouches Acupuncture after fracture

Needles are used in BATs not only in the spine, but also in the auricles. They stimulate the regeneration of bone and soft tissue, relieve pain and inflammation, activate metabolic processes.

Acupuncture of the auricles in case of trauma to the spine

The video in this article provides a complex of rehabilitation exercises and instructions for their implementation:

Treatment in sanatoriums and rehabilitation centers

Offer their sanatorium programs for rehabilitation after vertebral fractures, like Areal and Valuev, Pushkino or Sosny, Zagorskie gave or Revital Park, Tarusa Jaxons in the suburbs, Saki - in the city of Saki, Amber Coast - in Svetlogorsk, Sochi, the Actor or the Arctic - in the city of Sochi, Orbit - in Tuapse, Knowledge - in Adler.

And also Olshaniki and White Nights, Red Lake - near St. Petersburg, White keys or Marcial Waters - in Karelia. The patients of the sanatorium of Bashkiria are invited: Yumatovo, Karagai, Jubilee or Pine Forest.

Develop programs and apply them to their patients rehabilitation centers after the fracture of the spine of the Moscow region (Moscow suburbs in Domodedovo, Barvikha), the Novgorod region (Staraya Russa), the Yaroslavl region (Vorovsky) and in other areas countries. After a spinal injury, the programs help to recover patients: "Treatment of pain in the spine "Spine and joint diseases "Spine and joints" and others.

Programs include many different procedures, for example:

• detensor-therapy (traction);
• several types of massage, including oscillating and underwater shower-massage;
• exercise and swimming in the pool, exercise therapy;
• acupuncture;
• therapeutic baths with bischofite, pine needles, radon or turpentine;
• apparatus physiotherapy;
• phytotherapy;
• pathkurk - walking with dosed physical activity;
• fangoparaffin and curative mud;
• shower: circular and Charcot;
• electrotherapy and exposure to magnetic fields.

The program includes diagnostics, constant supervision of the doctor during the procedures:

• massage manual (10 sessions) and exercise therapy;
• electrothermoplubromassage (10 sessions);
• underwater hydro massage (10 sessions);
• swimming and exercise therapy in the pool;
• exercises on simulators;
• hardware physiotherapy (10 sessions);
• balneotherapy;
• infusion intramuscular and intravenous jet therapy;
• laser therapy and lymphopressure (10 procedures each);
• shock wave therapy;
• speleo- and halotherapy;
• diet therapy and other procedures.

conclusions

Rehabilitation measures are important in the process of restoring lost functions. They return the ability to move, a full-fledged image and quality of life, relieve the complications after fracture and operations on the spine.

With patience and diligence in the performance of individual complex programs, the victims acquire habitual skills and become independent of the help of doctors, relatives and close people.

A source: https://travm.info/rekomendacii/reabilitaciya/reabilitaciya-posle-pereloma-pozvonochnika-351

Rehabilitation after compression fracture of the spine

Lumbar department / Rehabilitation after compression fracture of the spine

"Fracture of the spine" - terrible words. In the head immediately drawn a bed-ridden man or a wheelchair.

Already freezing cold on the skin! In general - God forbid! Doctors, when exposed to the diagnosis of compression fracture, prescribe a strict protective regime, prolonged wearing of the corset and introduce a number of restrictions.

Kinesitherapy offers a unique physiological, non-pharmacological method for the rehabilitation of compression fractures of the spine, which can be used already in the early post-traumatic period.

Paradox, but the compression fracture of the vertebra (or several vertebrae) is often an accidental finding of a radiologist. Those. for a person fractured spine passed unnoticed (approx.

we are talking about a compression fracture with no pathological displacement leading to compression of the spinal cord structures). Only with a detailed questioning of the patient it turns out that yes, indeed, it once fell. Back a little pobolela and passed.

In this case, despite the lack of "treatment nothing terrible happened - the hands are moving, legs are walking. Why? Let's turn to the anatomical and physiological aspects.

The body of the vertebra is a box, inside which is a multi-porous spongy, and externally a compact bone substance. The body of the vertebra is densely braided by bundles that withstand the load of several tons. Bunches perform the function of stabilizing the joints of the spine.

Risks of spine injuries

Fracture can occur with excessive axial load, for example, when falling from a height.

It can appear as pathological - at usual loading, against a background of insufficient bone density in cases of osteopenia and osteoporosis in the elderly or in adolescents against the background of growth peaks.

Here, the condition of the muscles of the back and lower limbs also plays a role. Against the background of muscular insufficiency or (and) rigidity of muscles, their depreciation decreases, and the risk of injury is significantly increased.

In the case of compression trauma, the spongy substance is compressed. In this case, the height of the vertebral body decreases, more often in the form of a wedge deformation. But the ligament apparatus in most cases remains intact, at least in its bulk.

The damaged vertebra is inside a strong cocoon of ligaments, as in a plaster cast. Bone fragments simply can not move anywhere.

If there is a rupture of ligaments (such a trauma is more often observed with the direction of a traumatic impact not by axis, and from the side) - the damaged vertebra is displaced relative to the other higher and lower segments.

That's only when there is a risk of compression of the spinal cord. In these cases, undoubtedly, immobilization is required, and in some cases, an operation to fix the damaged segment.

Pain in the fracture of the spine

The compressed vertebra itself is not a source of pain, since it does not contain pain receptors.

And the pain arises from a local muscle spasm, post-traumatic edema, adjacent to the area of ​​tissue damage, and sometimes interstitial hematoma. And the severity of pain is determined by the severity of the above manifestations.

As a result of muscular spasm, the fracture zone is in a "compression" state. Spasm and edema result in impaired microcirculation and the development of a local inflammatory response.

Inactivity of muscles - only aggravation of the situation

At physical rest and immobilization - wearing a corset (which by the way being a "pipe" open from above and from below does not relieve the axial load on the broken vertebra), the muscles are switched off from work.

Due to this, their pumping and exchange function is blocked (see article on osteochondrosis).

Vessels are closed. Sklerosis of tissues and contracture of joints develop. Against this background, very early development of dystrophic processes in the form of osteochondrosis (spondyloarthrosis). In such patients, the pain is already chronic in the future.

Kinesitherapy - turn your muscles into work!

Kinesitherapy offers a unique physiological, non-pharmacological method for the rehabilitation of compression fractures of the spine, which can be used already in the early post-traumatic period.

The method is approved and its effectiveness is confirmed by clinical and paraclinical indicators.

For an early recovery, a rehabilitation program is offered on specialized simulators, based on the inclusion of the spinal muscles in the decompression (stretching) mode.

Treatment of compression fracture of the spine by the method of kinesitherapy in the Center of Dr. SM.

Bubnovsky in Mitino is produced with the help of adapted therapeutic simulators according to the individual program in compliance with the localization and extent of injury, the presence of concomitant pathology, as well as the general condition organism. By means of dosed physical exercise, the muscles of the adjacent to the injured zone are initially involved, and in the subsequent muscles the zones of damage are directly involved. During the amplitude work, the muscle spasm is cured and accordingly the external "compression" of the compressed vertebra goes away.

When the muscle pumps are turned on, the microcirculation is restored in a natural way. As a consequence, the swelling of the tissues is stopped and the tissue metabolism is restored.

Such an approach to treatment ensures shortening of the terms of consolidation and prevents the development of complications of a dystrophic nature; is aimed at the full restoration of efficiency rights.

A source: http://bubnovsky-med.ru/treatment/reabilitacija-posle-pereloma-pozvonochnika/