APPROACH TO ASSESSING THE EFFECTIVENESS OF THE IMPACT OF A MULTIDIRECTIONAL VISIT ON HEMODYNAMIC PARAMETERS IN PATIENTS WITH MUSCULOSKELETAL DISORDERS
DOI:
https://doi.org/10.11603/2411-1597.2025.2.15471Keywords:
musculoskeletal disorders, quality of life indicators, multivariate predictive regression model, scoliosis, kyphosis, curvature of the spine or backAbstract
Introduction. In recent years, the problems of preventing complications from musculoskeletal disorders of various genesis have become increasingly important and affect various segments of the population, regardless of age and occupation. The results of conventional conservative treatment alone are usually temporary and do little to improve the quality of life and prevent the progression of posture and musculoskeletal disorders. In this study, not only factors related to quality of life were studied, but also hemodynamic parameters, namely systolic blood pressure (SBP), were monitored in patients with symptoms of musculoskeletal disorders.
The aim of the study – to evaluate the effectiveness of the results achieved during the application of rehabilitation nursing measures, in particular massage, physical therapy and others, as part of a multidirectional visit (MV) and their impact on hemodynamic parameters in patients with musculoskeletal disorders.
The main part. The study examined 105 patients with symptoms of musculoskeletal disorders aged 25 to 75 years who underwent outpatient treatment at the “Academy of Health” Rehabilitation Center (Ternopil). In order to study the effectiveness of the measures proposed as part of the MV course, developed on the basis of the five stages of the nursing process, all patients were divided into three groups according to their blood pressure (BP). Patients in the first group had a tendency to decreased systolic and diastolic blood pressure (DSBP and DDBP). In patients of the group 2, systolic and diastolic blood pressure were within normal limits (NSBP and NDBP). In the third group, there were patients with a tendency to elevated systolic and diastolic blood pressure (ESBP and EDBP).
Conclusions. In a comparative analysis of hemodynamic parameters in patients with musculoskeletal disorders by arterial oscillography (AO) before and after the course of MV, a decrease in SBP in the NSBP group by 5.77 mm Hg, an increase in the SBP in the DSBP group by 7.03 mmHg and a decrease in the SBP in the ESBP group by 14.94 mmHg, were observed. The significant improvement in SBP parameters after the patients underwent a course of MV gives grounds to assert the effective therapeutic effect of MV on the hemodynamics of patients of all study groups and their condition in general.
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Copyright (c) 2025 Д. О. Ковальчук, Л. П. Мазур, А. С. Сверстюк, Д. В. Вакуленко, С. В. Даньчак
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