medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2024-525medsovet-8807Research ArticleТЕРАПИЯ БОЛИPAIN THERAPYЭффективность кинезиотерапии при головной боли напряжения и хронической неспецифической боли в спине: проспективное рандомизированное исследованиеEffectiveness of kinesiotherapy for tension-type headache and chronic non-specific back pain: A prospective randomized studyhttps://orcid.org/0000-0002-2845-7323ГоловачеваА. А.GolovachevaA. A.

Головачева Анжелика Александровна - ассистент и аспирант кафедры нервных болезней и нейрохирургии Института клинической медицины имени Н.В. Склифосовского.

119435, Москва, ул. Россолимо, д. 11, стр. 1

Anzhelika A. Golovacheva - Assistant, Postgraduate Student of the Department of Nervous Diseases and Neurosurgery, Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).

11, Bldg. 1, Rossolimo St., Moscow, 119435

angelika.golovacheva@gmail.comhttps://orcid.org/0000-0002-2752-4109ГоловачеваВ. А.GolovachevaV. A.

Головачева Вероника Александровна - к.м.н., доцент кафедры нервных болезней и нейрохирургии Института клинической медицины имени Н.В. Склифосовского.

119435, Москва, ул. Россолимо, д. 11, стр. 1

Veronika A. Golovacheva - Cand. Sci. (Med.), Associate Professor of the Department of Nervous Diseases and Neurosurgery, Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).

11, Bldg. 1, Rossolimo St., Moscow, 119435

xoxo.veronicka@gmail.comhttps://orcid.org/0000-0001-5502-9757ФатееваТ. Г.FateevaT. G.

Фатеева Татьяна Геннадьевна - ассистент кафедры нервных болезней и нейрохирургии Института клинической медицины имени Н.В. Склифосовского.

119435, Москва, ул. Россолимо, д. 11, стр. 1

Tatyana G. Fateeva - Аssistant of the Department of Nervous Diseases and Neurosurgery, Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).

11, Bldg. 1, Rossolimo St., Moscow, 119435

fateeva_tatyana@inbox.ruПервый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)РоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation2024090120250227279Copyright © Головачева А.А., Головачева В.А., Фатеева Т.Г., 20242024Головачева А.А., Головачева В.А., Фатеева Т.Г.Golovacheva A.A., Golovacheva V.A., Fateeva T.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/8807Введение

Введение. Кинезиотерапия эффективна в комплексном лечении пациентов с головной болью напряжения (ГБН), а также пациентов с хронической неспецифической болью в спине (ХНБС). Однако проведено мало рандомизированных исследований по эффективности кинезиотерапии у пациентов с ГБН в сочетании с ХНБС.

Цель

Цель. Оценить эффективность комплексного лечения, включающего кинезиотерапию, у пациентов с ГБН и ХНБС.

Материалы и методы

Материалы и методы. В исследование включено 100 пациентов (23 мужчины, 77 женщин, средний возраст 38,8 ± 9,3 года). Пациенты были рандомизированы в две группы. Группа 1 получала комплексное лечение (специализированную кинезиотерапию, стандартную лекарственную и нелекарственную терапию), группа 2 – стандартную терапию. У всех пациентов оценивались клинико-психологические параметры исходно, через 3 и 6 мес. лечения.

Результаты

Результаты. Через 3 мес. лечения клинический эффект (КЭ) по лечению ГБН (снижение частоты головной боли (ГБ) на 50% и более) и ХНБС (снижение интенсивности боли в спине (БС) по числовой рейтинговой шкале, показателя по опроснику Освестри на 30% и более) в группе 1 достигли 88% пациентов, что статистически значимо (p < 0,05) больше, чем в группе 2 (44% пациентов). Более чем у трети (36%) пациентов группы 1 через 3 мес. отсутствовали ГБ и БС, в группе 2 таких пациентов не было. Через 6 мес. наблюдения в группе 1 все достигнутые КЭ сохранились, полной ремиссии ГБ и БС достигли 38% пациентов; в группе 2 КЭ сохранился только у 33% пациентов, ни у одного пациента не наблюдался полный регресс ГБ и БС.

Выводы

Выводы. Комплексное лечение, включающее кинезиотерапию, у пациентов с ГБН в сочетании с ХНБС приводит к быстрому (через 3 мес.) положительному эффекту, который сохраняется в течение длительного времени (6 мес.).

Introduction

Introduction. Kinesiotherapy is effective in the complex treatment of patients with tension-type headache (TTH) and patients with chronic nonspecific back pain (CNBP). However, few randomized studies have been conducted on the effectiveness of kinesiotherapy in patients with TTH and CNBP.

Aim

Aim. To evaluate the effectiveness of complex treatment, including kinesiotherapy, in patients with TTH and CNBP.

Materials and methods

Materials and methods. The study included 100 patients (23 men, 77 women, mean age 38.8 ± 9.3 years). Patients were randomized into two groups. Group 1 received complex treatment (specialized kinesiotherapy, standard drug and non-drug therapy), group 2 – standard therapy. All patients were assessed for clinical and psychological parameters at baseline and after 3 and 6 months of treatment.

Results

Results. After 3 months of treatment, the clinical effect (CE) in the treatment of TTH (decrease in headache (H) frequency by 50% or more) and CNBP (decrease in back pain (BP) intensity according to the numeric rating scale, the Oswestry questionnaire indicator by 30% or more) in group 1 was achieved by 88% of patients, which is statistically significantly (p < 0.05) greater than in group 2 (44% of patients). More than a third (36%) of patients in group 1 did not have H and BP after 3 months, while there were no such patients in group 2. After 6 months of observation, all achieved CEs were maintained in group 1, 38% of patients achieved complete remission of H and BP; in group 2, CE was maintained only in 33% of patients, and no patient showed complete regression of HB and BP.

Conclusion

Conclusion. Complex treatment, including kinesiotherapy, in patients with TTH in combination with CNBP leads to a rapid (after 3 months) positive effect, which lasts for a long time (6 months).

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The authors declare that there are no conflicts of interest present.