nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-2S-33-39nnp-1117Research ArticleLECTURESЛЕКЦИЯKinesiotherapy for back painКинезиотерапия при боли в спинеАчкасовЕ. Е.AchkasovE. E.

119991, Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

ЗадоринаГ. Н.ZadorinaG. N.

119991, Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

ЛамковаИ. А.LamkovaI. A.

119991, Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

МосквичеваВ. С.MoskvichevaV. S.

119991, Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation201920062019112SСпецвыпуск: боль в спине и конечностях3339Copyright © Achkasov E.E., Zadorina G.N., Lamkova I.A., Moskvicheva V.S., 20192019Ачкасов Е.Е., Задорина Г.Н., Ламкова И.А., Москвичева В.С.Achkasov E.E., Zadorina G.N., Lamkova I.A., Moskvicheva V.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1117

Back pain treatment is one of the most common problems in medical practice. The paper presents the theoretical and practical bases of physical therapy for people experiencing pain in the back and neck, considers in detail the main kinesiotherapy techniques used in modern rehabilitation, analyzes the principles of their selection for the most effective recovery of locomotor activity and for reduction of the severity of pain syndrome, and discusses the modes of motor activity. Hardware techniques that facilitate the implementation of complex therapeutic movements are considered separately. A rationale is provided for the importance of increasing motor activity and muscular strength and normalizing muscle tone, by restoring blood circulation and by reducing inflammation and pathological impulses from the affected spine. The possibilities of kinesiotherapy for acute and chronic nonspecific back pain, discogenic radiculopathy, and lumbar stenosis are discussed.

Лечение боли в спине – одна из наиболее распространенных проблем в медицинской практике. В статье изложены теоретические и практические основы физической терапии людей, испытывающих боль в спине и шее, подробно рассматриваются основные кинезиотерапевтические методики, применяемые в современной реабилитации, разбираются принципы их подбора для наиболее эффективного восстановления двигательной активности и уменьшения выраженности болевого синдрома, обсуждаются режимы двигательной активности. Отдельно рассматриваются аппаратные методики, облегчающие выполнение сложных терапевтических движений. Обосновывается важность увеличения двигательной активности и мышечной силы, нормализации мышечного тонуса с восстановлением кровообращения, уменьшением воспаления и снижением патологической импульсации из пораженного отдела позвоночника. Обсуждаются возможности кинезиотерапии при острой и хронической неспецифической боли в спине, дискогенной радикулопатии и поясничном стенозе.

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