OBJECTIVE
To study the features of the pain signs, motor stereotype, psycho-emotional status, the respiratory system and the autonomic nervous system in young people to identify the risk group for the development of dorsopathies.
MATERIAL AND METHODS
2 study groups were formed from the general group of young people (n=918) at the age of 18-35 years using the original method of the person’s motor stereotype testing: the risk group (42 men and 62 women), including people with signs of dorsopathy, predominantly of the thoracic spine and respiratory disorders, and a control group (46 men and 60 women), with healthy individuals. In both groups, a physical examination of the spine, an assessment of the psycho-emotional and the autonomic nervous system status, and a study of the respiratory cycle were carried out. The significance of differences in indicators between groups was determined by the Student’s t-test.
RESULTS
Biomechanical changes (body posture asymmetry, scoliosis, functional leg length discrepancies) were recorded on average 42% more often in the risk group than in the control group. The displacement of the spine center of gravity was observed in 90% and 23% of people in the risk and control groups, respectively. In the risk group, dysfunction of the thoracic spine was noted predominantly (59% of cases), which was combined with the activation of auxiliary breathing muscles and changes in the respiratory cycle parameters (reduce of inhalation and exhalation steps duration) in comparison with the normal parameters of healthy individuals. These changes were noted in persons with sympathicotonia as a tendency to the LF/HF ratio increase according to cardiointervalography data, as well as a higher total score on the A.M. Wayne’s questionnaire for identifying signs of autonomic changes by in the risk group while the autonomic balance is maintained in the control group. Also, analysis of the psycho-emotional status revealed the predominance of mild anxiety disorders in the risk group compared with the control group (p<0.05).
CONCLUSION
In young people the frequent occurrence of the motor stereotype biomechanical changes in combination with psycho-emotional, respiratory and autonomic dysfunction can be considered as prenosological signs of dorsopathy.
