Aim. To evaluate the effectiveness of the developed rehabilitation complex for patients after surgical treatment of traumatic lesions of the cervical spine using David 140 and 160 simulators, therapeutic group exercises for the shoulder girdle muscles and exercises in swimming pool. Material and methods. The research involved 28 patients. All patients, after surgical treatment of traumatic cervical spine injuries, underwent a complex of rehabilitation measures with the help of therapeutic group exercises for the shoulder girdle muscles (mixed exercises), exercises in swimming pool in order to train the postural muscles of patients and the use of simulators: David 140 Cervical flexion and extension/ Lateroflexion (Cervical Extension/Latheral Flexion Device), David 160 Cervical Rotation. Results. The effectiveness of the developed rehabilitation complex was evaluated and proven using David Spine Concept functional motor tests. Conclusion. Trainings on David simulators in combination with therapeutic group exercises for the shoulder girdle muscles strengthening and exercises in swimming pool for postural muscles training have a positive effect in rehabilitation measures to improve the quality of patients’ life after a surgical treatment of cervical spine traumatic lesions.
rehabilitation, traumatic injury, surgical treatment, cervical spine traumatic injury, simulators
1. Valeev E.K., Valeev I.E. Hirurgicheskie aspekty lecheniya travm sheynogo otdela pozvonochnika. Prakticheskaya medicina. 2013; 1-2(69): 32-33.
2. Aleynik A.Ya., Mlyavyh S. G., Bokov A. E. Transpedikulyarnaya fiksaciya v sheynom otdele pozvonochnika: obzor literatury i klinicheskie dan- nye. Hirurgiya pozvonochnika. 2017; 3(14): 47-53.
3. Guscha A.O., Konovalov N.A., Grinya A.A. Hirurgiya degenerativnyh porazheniy pozvonochnika. Nacional'noe rukovodstvo. Moskva. GEOTAR-Me- dia. 2019: 200-207.
4. Dumenko L.I. Ispol'zovanie lechebno-diagnosticheskogo kompleksa trenazherov DAVID v reabilitacii pacientov s bolyami v spine i shee. Vestnik vosstanovitel'noy mediciny. 2020; 2(96): 104-108.
5. Chesnikova E.I., Savel'eva E.M., Vakulenko S.V., Eremushkin M.A., Yakovlev M.Yu., Dumenko L.I. Primenenie oborudovaniya David Spine Concept v reabilitacii pacientov so spondiloartrozom sheynogo otdela pozvonochnika. Vestnik vosstanovitel'noy mediciny. 2021; 2(20): 42-48. https://doi.org/10.38025/2078-1962-2021-20-2-42-48
6. Sam-Ho Park, Myung-Mo Lee. Effects of Lower Trapezius Strengthening Exercises on Pain, Dysfunction, Posture Alignment, Muscle Thickness and Contrac- tion Rate in Patients with Neck Pain. Randomized Controlled Trial. Medical Science Monitor. 2020; (26): e920208 p. https://doi.org/10.12659/MSM.920208
7. Borodulina I.V., Muhina A.A., Chesnikova E.I. Osobennosti primeneniya instrumental'nyh metodov ocenki funkcional'nogo sostoyaniya myshechnyh grupp poyasnichno-krestcovogo otdela pozvonochnika. Vestnik vosstanovitel'noy mediciny. 2021; 5(20): 65-72. https://doi.org/10.38025/2078-1962-2021-20-5-65-72
8. Asghar Rezasoltani, Shahid Beheshti. The Consequence of the Relationship between Shoulder and Cervical Multifiduc Muscles Contractions. Spine Research. 2017; (3): 1 p. https://doi.org/10.21767/2471-8173.100029
9. Borodulina I.V., Chesnikova E.I., Muhina A.A., Marfina T.V. Personifikaciya podhodov posleoperacionnoy reabilitacii pacientov s degenerativnym porazheniem pozvonochnika. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury. 2020; 6-2(97): 23 c. https://doi.org/10.24412/2226-0757-2021-12321
10. Eremushkin, M. A. Dvigatel'naya aktivnost' i zdorov'e. Ot lechebnoy gimnastiki do parkura. Moskva. Sport. 2016: 184 s.
11. Deryabina G.I., Lerner V.L., Novikova I.V. Fizicheskaya reabilitaciya pri osteohondroze sheynogo otdela pozvonochnika v podostrom peri- ode. Fizicheskaya kul'tura. Sport. Turizm. Dvigatel'naya rekreaciya. 2017; T.2(4): 65-73.
12. Garima Anandani, Gautam M Shetty, Suraj Bafna, Neha Narula, Aabha Gandhi. Effectiveness of device-based therapy for conservative management of low back pain. Journal of Physical Therapy Science. 2015; 27(7): 2139-2141.
13. David Health Solutions Ltd. Insurance back patients, long term effects. Report in to Austrian social insurance. (data obrascheniya: 29.03.2021)
14. Gregory E. Hicks, Michelle Shardell, Dawn E. Alley, Ram R. Miller, Stefania Bandinelli, Jack Guralnik, Fulvio Lauretani, Eleanor M. Simonsick, Luigi Ferrucci. Absolute strength and loss of strength as predictors of mobility decline in older adults: the InCHIANTI study. The Journals of Gerontology. 2012; (67): 66-73. https://doi.org/10.1093/gerona/glr055
15. Shiro Imagama, Yukihiro Matsuyama, Yukiharu Hasegawa, Yoshihito Sakai, Zenya Ito, Naoki Ishiguro, Nobuyuki Hamajima. Back muscle strength and spinal mobility are predictors of quality of life in middle-a ed and elderly males. European Spine Journal. 2011; (20): 954-961. https://doi.org/10.1007/s00586-010-1606-4