EVIDENCE-BASED APPROACH IN THE ORGANIZATION OF THE REHABILITATION PROCESS FOR PATIENTS WITH DEGENERATIVE-DYSTROPHIC SPINE DISEASES
DOI:
https://doi.org/10.11603/1811-2471.2025.v.i4.15618Keywords:
evidence-based medicine, rehabilitation, physical therapy, rehabilitation management, degenerative-dystrophic spine diseasesAbstract
SUMMARY. The aim – to summarize modern evidence-based approaches to the organization of the rehabilitation process in patients with degenerative-dystrophic spine diseases (DDSD), to identify effective methods of physical therapy, and to define the principles of personalized rehabilitation planning.
Material and Methods. An analytical review of modern literature sources (PubMed, Scopus, Google Scholar) over the last ten years was carried out, focusing on evidence-based rehabilitation in DDSD. Clinical guidelines, systematic reviews, and meta-analyses evaluating the effectiveness of kinesitherapy, post-isometric relaxation, ergotherapy, hydro-kinesitherapy, electrophysiotherapy, and cognitive-behavioral strategies were analyzed.
Results. Evidence-based medicine is the key principle of modern rehabilitation. It involves the use of methods and interventions whose effectiveness has been confirmed by clinical trials, meta-analyses, and systematic reviews. In the context of DDSD, this means that physical therapy, therapeutic exercise programs, manual techniques, kinesitherapy, electrophysiotherapy, balneotherapy, and patient education programs must be based on scientific evidence rather than solely on individual clinical experience [2]. The implementation of evidence-based principles in physical therapy includes a step-by-step process of clinical decision-making that involves searching for, critically analyzing, interpreting, and applying scientific data in practice. This approach not only improves the effectiveness of rehabilitation interventions but also minimizes the risks of ineffective or excessive treatment. The systematic introduction of evidence-based protocols promotes standardization of rehabilitation processes, ensures objective evaluation of their effectiveness, and facilitates interdisciplinary cooperation among physicians, physical therapists, occupational therapists, psychologists, and other specialists.
Conclusions. Degenerative-dystrophic spine diseases remain one of the leading medical and social problems of modern society, causing a high rate of temporary and permanent disability among working-age individuals. Effective rehabilitation of such patients is possible only with the implementation of evidence-based medicine principles, grounded in the use of clinically proven methods. The application of a comprehensive, multidisciplinary, and personalized approach that combines kinesitherapy, post-isometric relaxation, neurodynamic techniques, ergotherapy, hydro-kinesitherapy, and cognitive-behavioral strategies ensures optimal restoration of spinal functional capacity.
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