nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2024-3S-1-16nnp-2301Research ArticleLECTURESЛЕКЦИЯTreatment of chronic non-specific (musculoskeletal) back painЛечение хронической неспецифической (скелетно-мышечной) боли в спинеhttps://orcid.org/0000-0002-1992-7960ПарфеновВ. А.ParfenovV. A.

Владимир Анатольевич Парфенов

119021, Москва, ул. Россолимо, 11, стр. 1

Vladimir Anatolyevich Parfenov

11, Rossolimo Street, Build. 1, Moscow 119021

vladimirparfenov@mail.ruhttps://orcid.org/0000-0002-2752-4109ГоловачеваВ. А.GolovachevaV. A.

119021, Москва, ул. Россолимо, 11, стр. 1

11, Rossolimo Street, Build. 1, Moscow 119021

https://orcid.org/0000-0003-4950-144XИсайкинА. И.IsaikinA. I.

119021, Москва, ул. Россолимо, 11, стр. 1

11, Rossolimo Street, Build. 1, Moscow 119021

https://orcid.org/0000-0002-2845-7323ГоловачеваА. А.GolovachevaA. A.

119021, Москва, ул. Россолимо, 11, стр. 1

11, Rossolimo Street, Build. 1, Moscow 119021

https://orcid.org/0000-0002-0246-5149СилинаЕ. В.SilinaE. V.

119021, Москва, ул. Россолимо, 11, стр. 4

11, Rossolimo Street, Build. 4 , Moscow 119021

Клиника нервных болезней им. А.Я. Кожевникова, кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. СклифосовскогоРоссияA.Ya. Kozhevnikov Clinic of Nervous Diseases, Department of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical MedicineRussian FederationКафедра патологии человека Института профессионального образования врачей ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияDepartment of Human Pathology, Institute of Professional Education of Doctors, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian Federation202417072024163SSpecial issue "Treatment of chronic non-specific (musculoskeletal) back pain"116Copyright © Parfenov V.A., Golovacheva V.A., Isaikin A.I., Golovacheva A.A., Silina E.V., 20242024Парфенов В.А., Головачева В.А., Исайкин А.И., Головачева А.А., Силина Е.В.Parfenov V.A., Golovacheva V.A., Isaikin A.I., Golovacheva A.A., Silina E.V.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/2301

Treatment of patients with chronic non-specific back pain (CNBP) is an important issue not only in medicine, but also in modern society as a whole, as it is associated with significant socio-economic burden.

The lecture presents the most common anatomical sources of CNBP, the causes of CNBP and issues of differential diagnosis. Much attention is paid to the basic principles of therapy for CNBP: drug therapy, kinesiotherapy and psychological methods. Clinical observations are presented that demonstrate the effectiveness of a multimodal integrated approach to the treatment of CNBP based on the use of cognitive behavioral therapy, educational programs and kinesiotherapy and self-monitoring test tasks.

Ведение пациентов с хронической неспецифической болью в спине (НБС) – актуальная проблема не только медицины, но и всего современного общества, так как с ней связаны значительные социально-экономические потери.

В лекции представлены наиболее распространенные анатомические источники НБС, причины развития хронической НБС, вопросы дифференциальной диагностики. Большое внимание уделено основным принципам терапии хронической НБС: лекарственному лечению, кинезиотерапии и психологическим методам. Приведены клинические наблюдения, демонстрирующие эффективность мультимодального комплексного подхода к лечению НБС, основанного на использовании когнитивно-поведенческой терапии, образовательных программ и кинезиотерапии, а также тестовые задания для самоконтроля.

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