Combined physiotherapy of anxiety and depression disorders in dorsopathy patients

• Published in: Journal of Physical Education and Sport 2017-03, Vol.17 (1), p.414
• Main Authors: Chukhraev, N, Vladimirov, A, Zukow, W, Chukhraiyeva, O, Levkovskaya, V
• Format: Article
• Language: English
• Subjects: Analgesics; Anatomy; Anxiety; Chronic illnesses; Depression (Psychology); Disease; Ethics; Hospitals; Lasers; Measurement Techniques; Medical Services; Mental depression; Mental disorders; Optics; Pain; Patients; Physical therapy; Quality of Life; Repetition; Spinal cord; Statistical Analysis; Statistical Data
• ISSN: 2247-8051; 2247-806X
• DOI: 10.7752/jpes.2017.01061

The article presents results of treatment of dorsopathy patients based on a multilevel approach, combined with the psychophysiological correction of anxiety and depression disorders. Goal of the study: Development of protocols and research of the effectiveness of multilevel approach in psychophysiological correction of anxiety and depression disorders in patients with chronic diseases. Objectives of the study: 1. Development and optimization of protocols of evaluation of clinical manifestations and the level of anxiety and depression disorders in patients with chronic diseases. 2. Development of protocols of psychophysiological correction of anxiety and depression disorders in patients with chronic diseases. 3. Processing of statistical data and evaluation of effectiveness of multilevel approach in psychophysiological correction of anxiety and depression disorders in patients with chronic diseases. To determine the most effective treatment protocol of chronic patients, a group of 100 patients was gradually recruited in the Road Clinical Hospital ...2 (Kiev, Ukraine), who were divided into 5 groups of 20 patients. Results of our research showed a positive dynamics of clinical manifestations in all patients groups. After analyzing the obtained data, it was found that through the combination of low frequency ultrasound therapy and magnetic laser therapy for dorsopathy treatment in conjunction with magnetic laser and electroneurostimulation of cerebral cortex with additional execution of endonasal breathing of singlet oxygen mixture, clinical manifestations of pain are reduced by 45-65% and the level of anxiety and depression is decreased almost by half. According to the SF-36, verifiable improvement in physical (PF), role physical (RP) functioning, general health (GH), vitality (VT), emotional functioning (RE), pain relief (BR) can be observed in all patients' groups, but to varying degrees. Reduction of muscular-tonic syndrome and especially of pain syndrome through the developed treatment complex leads to a significant improvement in the emotional state of patients to a lesser extent. Conclusions. Upon analyzing the obtained results, we found that the most effective treatment protocol is a combination of the topical impact with administration of analgesic agents - ultraphonophoresis combined with magnetic laser therapy. Additional combined correction of the anxiety and depression disorders based on the application of transcranial electroneurostimulation and