S+YNDROMES OF LUMBAR-SACRAL LEVEL AND ITS DEPENDENCE ON THE NEUROLOGICAL DISORDERS DEGREE

Authors

  • O. A. Kozyolkin Zaporizhzhia State Medical University, Zhaporizhzhia, Ukraine
  • S. O. Miedviedkova Zaporizhzhia State Medical University, Zhaporizhzhia, Ukraine
  • M. P. Pukhalskyi Запорізький державний медичний університет, м. Запоріжжя, Україна

DOI:

https://doi.org/10.11603/1681-2786.2021.2.12379

Keywords:

vertebrogenic pain syndromes, life quality, correlation

Abstract

Purpose: to identify the relationship between the severity of neurological disorders and life quality in patients with vertebrogenic pain syndromes (VPS) of the lumbosacral level (LSL).

Materials and Methods.. Thirty patients with VPS LSL were studied. The first group included 15 patients with reflex vertebrogenic pain syndromes (RVPS). The second group consisted of 15 patients with discogenic radicular syndromes (DRS). General clinical and vertebrological neurological studies, manual and muscular testing, as well as clinical scales and quality of life questionnaires were used.

Results. The following scales and questionnaires rates were worse in patients with DRS LSL than in patients with RVPS of this level: PainDETECT – 55 (50; 68) and 45 (42; 52), respectively, p < 0,001; 5-point scale of vertebral and neurological deficit (5-PSVND) – 8 (8; 10) and 5 (4; 7), respectively, p < 0.001; IMS – 10 (9; 13) and 8 (6; 8), respectively, p < 0,013; pain intensity scale by I. P. Antonov – 3 (2; 3) and 2 (2; 3), respectively, p < 0,029; Osvestri 2.1 – 15 (14; 17) and 10 (9; 14), respectively, p < 0.002; VAS – 5 (5; 7) against 3 (3; 5), respectively, p < 0,008; HADS (anxiety domain) – 8 (6; 10) and 5 (4; 7), respectively, HADS (depression domain) – 6 (4; 8) and 3 (2; 4), respectively, p < 0,045.

There was a strong positive correlation between the Oswestry scale 2.1 rates and VAS (r = 0.709, p <0.003) were observed, as well as the medium positive correlation between the indicators on the Oswestry scale and IMS (r = 0.629, p < 0.012).

Conclusions. Neurological disorders and life quality indicators were worse in patients with DRS LSL than in patients with RVPS LSL. There was stronger correlation between clinical data and life quality rates in patients with DRS LSL than in patients with RVPS LSL.

Author Biographies

O. A. Kozyolkin, Zaporizhzhia State Medical University, Zhaporizhzhia, Ukraine

DM (Medicine), Professor Head of the Nervous Diseases Department, Zaporizhzhia State Medical University

S. O. Miedviedkova, Zaporizhzhia State Medical University, Zhaporizhzhia, Ukraine

DM (Medicine), Professor, Zaporizhzhia State Medical University

M. P. Pukhalskyi, Запорізький державний медичний університет, м. Запоріжжя, Україна

doctor-intern, senior laboratory assistant of the Nervous Diseases Department, Zaporizhzhia State Medical University

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Published

2021-09-22

How to Cite

Kozyolkin, O. A., Miedviedkova, S. O., & Pukhalskyi, M. P. (2021). S+YNDROMES OF LUMBAR-SACRAL LEVEL AND ITS DEPENDENCE ON THE NEUROLOGICAL DISORDERS DEGREE . Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 41–44. https://doi.org/10.11603/1681-2786.2021.2.12379

Issue

No. 2 (2021)

Section

Organization of medical care

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