THE EFFECT OF KINESIOTHERAPY ON THE RESTORATION OF MOTOR FUNCTIONS IN THE REHABILITATION OF PATIENTS WITH LUMBAR RADICULOPATHY
DOI:
https://doi.org/10.11603/1811-2471.2025.v.i1.15247Keywords:
radiculopathy, motor function, rehabilitation, kinesiotherapy, treadmill, biofeedbackAbstract
SUMMARY. Treatment of lumbar radiculopathy is complex and multifaceted. One of the methods is kinesiotherapy, which helps to strengthen the muscle corset, improve spinal stability and reduce pain.
The aim – to evaluate the effect of kinesiotherapy using a treadmill with biofeedback and advanced settings on pain, restoration of motor functions and balance in patients with lumbar radiculopathy during rehabilitation.
Material and Methods. The study involved 41 patients diagnosed with lumbar radiculopathy, aged 45 to 55 years (mean age 47.53±2.22 years), 29 men and 12 women, duration of the disease from 1 to 6 years. Patients included in the study underwent outpatient rehabilitation for 14 days. Patients were divided into two groups according to the “sequential numbers” method using a random number table to ensure objectivity and systematization of the results. Group 1 (20 patients) received a rehabilitation complex of therapeutic exercises, electrical stimulation and treadmill training. As for the Group 2 (21 patients), the standard AXELERO rehabilitation treadmill was replaced with a model with biofeedback and advanced settings Philips 7.0 T.
Results. The results obtained indicate a decrease in pain, functional limitations, and improvement in static and dynamic balance in both groups. However, the statistically significant changes were observed in Group 2, which may indicate the benefits of a rehabilitation complex with the inclusion of treadmill training with biofeedback and advanced settings.
Conclusions. The inclusion of a treadmill with biofeedback and advanced settings in the rehabilitation complex for patients with lumbar radiculopathy contributes to a significant reduction in pain, improvement of functional status and restoration of balance. Taking into account advanced settings in modern models of treadmills, such as sensors for monitoring movements and programs with biofeedback, is an effective addition to kinesiotherapy, which improves the quality of the rehabilitation process.
References
Sánchez SD, Calderón MM, García Leoni ME, Palazuelos MV Dolores musculoesqueléticos. Afectación de partes blandas. Medicine – Programa de Formación Médica Continuada Acreditado. 2011; 10(89): 6023–6040. DOI: 10.1016/s0304-5412(11)70215-3 DOI: https://doi.org/10.1016/S0304-5412(11)70215-3
Latka D, Miekisiak G, Jarmuzek P, Lachowski M, & Kaczmarczyk J. Treatment of lumbar disc herniation with radiculopathy. Clinical practice guidelines endorsed by The Polish Society of Spinal Surgery. Neurologia i neurochirurgia polska. 2016; 50(2):101–108. DOI: 10.1016/j.pjnns.2015.12.001 DOI: https://doi.org/10.1016/j.pjnns.2015.12.001
Schoenfeld AJ, Laughlin M, Bader JO, & Bono CM. Characterization of the incidence and risk factors for the development of lumbar radiculopathy. Journal of spinal disorders & techniques. 2012; 25(3): 163–167. DOI: 10.1097/BSD.0b013e3182146e55 DOI: https://doi.org/10.1097/BSD.0b013e3182146e55
Valizadeh L, Mofateh R, Zahednejad S, Salehi R, Karimi M, & Mehravar M. Walking Performance during Concurrent Cognitive and Motor Tasks in Individuals with Nonspecific Chronic Low Back Pain: A Case-Control Study. Medical journal of the Islamic Republic of Iran. 2023; 37:81. DOI: 10.47176/mjiri.37.81 DOI: https://doi.org/10.47176/mjiri.37.81
Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current pain and headache reports. 2019; 23(3):23. DOI: 10.1007/s11916-019-0757-1 DOI: https://doi.org/10.1007/s11916-019-0757-1
Giggins OM, Persson UM, & Caulfield B. Biofeedback in rehabilitation. Journal of neuroengineering and rehabilitation. 2013; 10:60. DOI: 10.1186/1743-0003-10-60 DOI: https://doi.org/10.1186/1743-0003-10-60
Hribernik M, Umek A, Tomažič S, & Kos A. Review of Real-Time Biomechanical Feedback Systems in Sport and Rehabilitation. Sensors (Basel, Switzerland). 2022; 22(8):3006. DOI: 10.3390/s22083006 DOI: https://doi.org/10.3390/s22083006
Wang SM, Jiang PH, Chan KY, & Hsu WL. The Validity and Reliability of a Real-Time Biofeedback System for Lumbopelvic Control Training in Baseball Players. Sensors (Basel, Switzerland). 2024; 24(10):3060. DOI: 10.3390/s24103060 DOI: https://doi.org/10.3390/s24103060
