The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Miryutova N.F.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Badalov N.G.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Minchenko N.N.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Prilipko N.S.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Physiotherapy in rehabilitation of patients with degenerative disk diseases from positions of evidence-based medicine: a literature review

Authors:

Miryutova N.F., Badalov N.G., Minchenko N.N., Prilipko N.S.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(2): 57‑63

DOI: 10.17116/kurort202410102157

Read: 2662 times

Download PDF (RU)
Contact the author
Table of contents

PHYSIOTHERAPY IN REHABILITATION OF PATIENTS WITH DEGENERATIVE DISK DISEASES FROM POSITIONS OF EVIDENCE-BASED MEDICINE: A LITERATURE REVIEW
PHYSIOTHERAPY IN REHABILITATION OF PATIENTS WITH DEGENERATIVE DISK DISEASES FROM POSITIONS OF EVIDENCE-BASED MEDICINE: A LITERATURE REVIEW

To cite this article:

Miryutova NF, Badalov NG, Minchenko NN, Prilipko NS. Physiotherapy in rehabilitation of patients with degenerative disk diseases from positions of evidence-based medicine: a literature review. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(2):57‑63. (In Russ.)
https://doi.org/10.17116/kurort202410102157

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Physical medi­cal reha­bilitation of patients with dystrophinopathies: dyna­mics of the disease’s course considering clinical anthropometric indi­cators. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(6):31-39
Influence of inte­rmittent pneumatic compression on microvasculature condition in lymphedema. Prospective randomized clinical trial. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(6):48-53
Application of modern methods for acti­vation of brain functions in obese patients (literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(6):54-61
Exercise therapy in outpatient reha­bilitation programmes for patients with como­rbid dige­stive pathology in colon cancer and chro­nic pancreatitis. (Open randomized controlled trial). Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(6-2):5-12
Systemic bias in randomized clinical trials in different fields of medi­cine in 2014—2024: a narrative review. Russian Journal of Anesthesiology and Reanimatology. 2024;(6):79-88
Effi­ciency of complex medi­cal reha­bilitation after pulmonary enda­rterectomy. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):629-636
Sano­genetic commonality of ultraviolet irra­diation of blood and intravenous ozone therapy. Choice of the opti­mal method of this impact for reha­bilitation of patients after nephrolitholapaxy. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(4):95-99
Orga­nizational issues of reproductive health protection of adolescent girls in the system of the Fede­ral Medi­cal and Biological Agency of Russia. Russian Bulletin of Obstetrician-Gynecologist. 2024;(6):7-13
Safety and effi­cacy of Rela­tox in comparison with Dysport in the treatment of focal spasticity of the upper limb in patients after stroke and traumatic brain injury (results of a prospective simple blind randomized comparative study in para­llel groups). S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(12):79-85
The effe­ctiveness of reha­bilitation measures using the drug Cortexin in children with neuropsychiatric pathology. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(12):86-92
Abstract:

Back pain is one of the most urgent problems of rehabilitation. Patients with this pathology have a leading place among neurological patients in terms of the number of days of disability. The high economic costs in society are explained by the need for lumbar surgery (discectomy, spinal fusion and disc prosthesis) and rehabilitation after it. The effectiveness of rehabilitative measures is determined both by the patient’s rehabilitative potential and by the choice of rehabilitative methods.

OBJECTIVE

To evaluate the effectiveness of physiotherapy in patients with degenerative disk diseases from positions of evidence-based medicine according to the scientific and technical literature.

MATERIAL AND METHODS

The analysis of scientific and technical literature sources and the study of materials of meta-analyses, systematic reviews (depth of search was 20 years) on the evaluation of effectiveness of physiotherapeutical methods in the rehabilitation of patients with degenerative disk diseases have been conducted.

RESULTS

The ability of pulsed magnetic field to reduce the intensity of pain and improve the functional capacities of the spine in patients with low back pain has been identified. There was a pronounced analgesic end-point of low-level laser therapy in acute and chronic back pain at short and medium-term (up to 12 months) observation, as well as the ability of the method to reduce temporary disability in degenerative disk diseases.

CONCLUSION

The use of magnetotherapy and low-level laser therapy can be recommended for the treatment of patients with degenerative disk diseases (C grade of recommendations, 3rd level of evidence). The recommendation is based on the results of 10 RCTs (1.111 patients with degenerative disk diseases), 3 meta-analyses, 1 systematic review and 1 Cochrane review (a total of 3.431 patients).

Keywords:

degenerative disk diseases
rehabilitation
physiotherapy
evidence-based medicine

Authors:

Miryutova N.F.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Badalov N.G.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Minchenko N.N.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Prilipko N.S.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency

Received:

16.09.2023

Accepted:

09.11.2023

Close metadata

References:

  1. Sawicka R. Incidence of degenerative and proliferative changes in the spine. Polish journal of physiotherapy. 2018;2:44-50. 
  2. Kos N, Gradisnik L, Velnar T. A brief review of the degenerative intervertebral disc disease. Med arch. 2019;73(6):421-424.  https://doi.org/10.5455/medarh.2019.73.421-424
  3. Lobzin SV. Boli v nizhnej chasti spiny. Sovremennoe sostoyanie problemy i mezhdisciplinarnyj podhod k ee resheniyu. Opinion Leader. 2020;8(37):36-41. (In Russ.).
  4. Koroth J, Buko EO, Abbott R, et al. Macrophages and Intervertebral Disc Degeneration. Int J Mol Sci. 2023;24(2):1367. https://doi.org/10.3390/ijms24021367
  5. Sąsiadek M, Jacków-Nowicka J. Degenerative disease of the spine: How to relate clinical symptoms to radiological findings. Adv Clin Exp Med. 2024 Jan;33(1):91-98.  https://doi.org/10.17219/acem/163357
  6. Sayed D, Naidu RK, Patel KV, et al. Best Practice Guidelines on the Diagnosis and Treatment of Vertebrogenic Pain with Basivertebral Nerve Ablation from the American Society of Pain and Neuroscience. J Pain Res. 2022;15:2801-2819. https://doi.org/10.2147/JPR.S378544
  7. Barrey CY, Le Huec JC; French Society for Spine Surgery. Chronic low back pain: Relevance of a new classification based on the injury pattern. Orthop Traumatol Surg Res. 2019;105(2):339-346.  https://doi.org/10.1016/j.otsr.2018.11.021
  8. Brekhov AN, Ponomarenko YuN, Hashchuk AV, Kobec YuV, Tkach AV, Mal’chenko AG. Ocenka effektivnosti reabilitacii bol’nyh posle mikrohirurgicheskoj diskektomii na poyasnichnom otdele pozvonochnika v usloviyah klinicheskogo sanatoriya. Vestnik fizioterapii i kurortologii. 2020;26(3):19-21. (In Russ.).
  9. George TK, Thomas M, Nanduri S, et al. Rehabilitation of Lumbar Spine Disorders. In: George TK, Mostoufi SA, Tria Jr AJ. Orthopedic Rehabilitation. Springer, Cham; 2023. https://doi.org/10.1007/978-3-031-32026-2_4
  10. Dzukaev DN, Peyker AN, Reutova AA, Khokhlova AA. Spinal surgery in professional athletes. Is it possible to return to elite sports? Opinion Leader. 2019;11(29):12-17. 
  11. Fiani B, Jarrah R, Wong A, et al. Repetitive Traumatic Discopathy in the Modern-Era Tennis Player. Cureus. 2020;12(8):e9783. https://doi.org/10.7759/cureus.9783
  12. Bar-Dayan Y, Weisbort M, Bar-Dayan Y, et al. Degenerative disease in lumbar spine of military parachuting instructors. J R Army Med Corps. 2003;149(4):260-264.  https://doi.org/10.1136/jramc-149-04-03
  13. Shavlovskaya OA. Shtrihi k «portretu» pacienta s bolevym sindromom. Raznye podhody k terapii v zavisimosti ot lokalizacii boli i vozrasta bol’nogo. RMZH. 2021;7:32-38. (In Russ.).
  14. Wu WT, Lee TM, Han DS, et al. The Prevalence of Sarcopenia and Its Impact on Clinical Outcomes in Lumbar Degenerative Spine Disease-A Systematic Review and Meta-Analysis. J Clin Med. 2021;10(4):773.  https://doi.org/10.3390/jcm10040773
  15. Kitsuda Y, Wada T, Tanishima S, et al. Impact of Sarcopenia on Spinal Spondylosis: A Literature Review. J Clin Med. 2023;12(16):5401. https://doi.org/10.3390/jcm12165401
  16. Hunter CW, Guyer R, Froimson M, et al. Effect of age on outcomes after allogeneic disc tissue supplementation in patients with chronic discogenic low back pain in the VAST trial. Pain Manag. 2022;12(3):301-311.  https://doi.org/10.2217/pmt-2021-0078
  17. Groh AMR, Fournier DE, Battié MC, et al. Innervation of the Human Intervertebral Disc: A Scoping Review. Pain Med. 2021;22(6):1281-1304. https://doi.org/10.1093/pm/pnab070
  18. Agasarov LG, Mar’yanovskij AA. Algoritmy vosstanovleniya zdorov’ya pri dorsopatiyah. NovaUm.Ru. 2019;17:398-408. (In Russ.).
  19. Cao G, Yang S, Cao J, et al. The Role of Oxidative Stress in Intervertebral Disc Degeneration. Oxid Med Cell Longev. 2022;2022:2166817. https://doi.org/10.1155/2022/2166817
  20. Rebrov AP, Gajdukova IZ, Aparkina AV, Korolev MA, Safarova KN, Dorogojkina KD, Bichurina DM. Uroven’ IgA antitel k CD74 u pacientov so spondiloartritami i degenerativno-distroficheskimi zabolevaniyami pozvonochnika. Arhiv» vnutrennej mediciny. 2022;12(4):310-315. (In Russ.). https://doi.org/10.20514/2226-6704-2022-12-4-310-315
  21. Bektoshev OR, Bektoshev R, Babazhanov AS, Ahmedov AU, Nizamova YuI, Bektoshev Sh. O mekhanizme razvitiya priobretennogo tetering-sindroma u pacientov s poyasnichnym osteohondrozom. Farmateka. 2021;28(13):97-101. (In Russ.). https://doi.org/10.18565/pharmateca.2021.13.97-101
  22. Yu Z, Pan W, Chen J, et al. Application of electrophysiological measures in degenerative cervical myelopathy. Front Cell Dev Biol. 2022;10:834668. https://doi.org/10.3389/fcell.2022.834668
  23. Wróblewska I, Bieszcz-Płostkonka’s K, Błaszczuk J, et al. Effectiveness of rehabilitation in the degenerative spinal diseases. November 2015. Family Medicine & Primary Care Review. 2014;1:35-38. 
  24. Kossakowska K, Szczeparik M, Woszczak M. Factors of subjective assessment of the effectiveness of physiotherapy: A study on patients with degenerative disease of the spine. Fam Med Prim Care. 2018;20(2):131-138.  https://doi.org/10.5114/fmpcr.2018.76455
  25. Bolach B, Walowska J, Chabraszewska P, et al. Possibilities of Using Outpatient Physiotherapy in the Process of Rehabilitation of People with Degenerative Disc Disease in the Lumbosacral Spine. Central Central European Journal of Sport Sciences and Medicine. 2021;36(4):27-36.  https://doi.org/10.18276/cej.2021.4-03
  26. Titov AA, Grushina TI. Fizioterapiya u pacientov s degenerativno-distroficheskimi zabolevaniyami pozvonochnika pri nalichii gemangiomy pozvonka. Fizioterapiya, bal’neologiya i reabilitaciya. 2021;20(4):277-282. (In Russ.). https://doi.org/10.17816/rjpbr107094
  27. Yu Z, Pan W, Chen J, et al. Application of electrophysiological measures in degenerative cervical myelopathy. Front Cell Dev Biol. 2022;10:834668.
  28. Gliedt JA, Dawson AZ, Daniels CJ, et al. Manual therapy interventions in the management of adults with prior cervical spine surgery for degenerative conditions: a scoping review. Chiropr Man Therap. 2022;30(1):13.  https://doi.org/10.1186/s12998-022-00422-8
  29. Le Moal V, Tantot M, Mevellec E, et al. Rehabilitation therapy using the HUBER platform in chronic non-specific low back pain: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine. 2023;59(77):1-16.  https://doi.org/10.23736/S1973-9087.23.07998-4
  30. Zduńska A, Zduński S, Nowicka K, et al. Balneotherapy and Physiotherapy in Chronic Pain Syndrome of the Lumbosacral Spine. Review of the literature. Acta Balneol. 2020;2(160):119-126.  https://doi.org/10.36740/ABAL202002109
  31. Du R, Li Z. Reasons analysis on unplanned reoperation of degenerative lumbar spine diseases. Chinese journal of reparative and reconstructive surgery. 2021;35(12):1637-1641. https://doi.org/10.7507/1002-1892.202107040
  32. Joelson A, Sigmundsson FG. Additional operation rates after surgery for degenerative spine diseases: minimum 10 years follow-up of 4705 patients in the national Swedish spine register. BMJ Open. 2022;12:e067571. https://doi.org/10.1136/bmjopen-2022-067571
  33. Fors M, Enthoven P, Abbott A, et al. Effects of pre-surgery physiotherapy on walking ability and lower extremity strength in patients with degenerative lumbar spine disorder: Secondary outcomes of the PREPARE randomised controlled trial. BMC Musculoskelet Disord. 2019;20(1):468.  https://doi.org/10.1186/s12891-019-2850-3
  34. He W, Wang Q, Hu J, et al. A randomized trial on the application of a nurse-led early rehabilitation program after minimally invasive lumbar internal fixation. Ann Palliat Med. 2021;10(9):9820-9829. https://doi.org/10.21037/apm-21-2294
  35. Lotzke H, Brisby H, Gutke A, et al. A Person-Centered Prehabilitation Program Based on Cognitive-Behavioral Physical Therapy for Patients Scheduled for Lumbar Fusion Surgery: A Randomized Controlled Trial. Phys Ther. 2019;99(8):1069-1088. https://doi.org/10.1093/ptj/pzz020
  36. Sayfullin AP, Aleynik AY, Bokov AE, Israelyan YuA, Mlyavykh SG. Enhanced recovery after surgery (ERAS) in spine surgery: A systematic review. Russian journal of neurosurgery. 2022;24(1):83-100. (In Russ.). https://doi.org/10.17650/1683-3295-2021-24-1-83-100
  37. Hara S, Andresen H, Solheim O, et al. Effect of Spinal Cord Burst Stimulation vs Placebo Stimulation on Disability in Patients With Chronic Radicular Pain After Lumbar Spine Surgery: A Randomized Clinical Trial. JAMA. 2022;328(15):1506-1514. https://doi.org/10.1001/jama.2022.18231
  38. Barbosa TP, Raposo AR, Cunha PD, et al. Rehabilitation after cervical and lumbar spine surgery. EFORT Open Reviews. 2023;8(8):626-638.  https://doi.org/10.1530/EOR-23-0015
  39. Ling J, Thirumavalavan J, Shin C, et al. Postoperative Rehabilitation to Improve Outcomes After Cervical Spine Fusion for Degenerative Cervical spondylosis: a systematic Review. Cureus. 2023;15(5):e39081. https://doi.org/10.7759/cureus.39081
  40. Dupeyron A, Ribinik P, Rannou F, et al. Rehabilitation and lumbar surgery: the French recommendations for clinical practice. Ann Phys Rehabil Med. 2021;64(6):101548. https://doi.org/10.1016/j.rehab.2021.101548
  41. Omar AS, Awadalla MA, El-Latif MA. Evaluation of pulsed electromagnetic field therapy in the management of patients with discogenic lumbar radiculopathy. Int J Rheum Dis. 2012;15(5):e101-108.  https://doi.org/10.1111/j.1756-185X.2012.01745.x
  42. Obando AFT, Velasco JM, Romeo P. Variable Low Frequency-High Intensity-Pulsed Electromagnetic Fields in the Treatment of Low Back Pain: A Case Series Report and a Review of the Literature. J Orthop Res Ther. 2020;5:1174.
  43. Lee PB, Kim YC, Lim YJ, et al. Efficacy of pulsed electromagnetic therapy for chronic lower back pain: a randomized, double-blind, placebo-controlled study. J Int Med Res. 2006;34(2):160-167.  https://doi.org/10.1177/147323000603400205
  44. Fortina M, Vittoria A, Giannotti S, et al. Short time effects of a low-frequency, high intensity magnetic field in the treatment of chronic neck and low back pain. AIMS Public Health. 2022;9(2):307-315.  https://doi.org/10.3934/publichealth.2022021
  45. Taradaj J, Ozon M, Dymarek R, et al. Impact of selected magnetic fields on the therapeutic effect in patients with lumbar discopathy: A prospective, randomized, single-blinded, and placebo-controlled clinical trial. Adv Clin Exp Med. 2018;27(5):649-666.  https://doi.org/10.17219/acem/68690
  46. Elshiwi AM, Hamada HA, Mosaad D, et al. Effect of pulsed electromagnetic field on nonspecific low back pain patients: a randomized controlled trial. Braz J Phys Ther. 2019;23(3):244-249.  https://doi.org/10.1016/j.bjpt.2018.08.004
  47. Andrade R, Duarte H, Pereira R, et al. Pulsed electromagnetic field therapy effectiveness in low back pain: A systematic review of randomized controlled trials. Porto Biomed J. 2016;1(5):156-163.  https://doi.org/10.1016/j.pbj.2016.09.001
  48. Konstantinovic LM, Kanjuh ZM, Milovanovic AN, et al. Acute low back pain with radiculopathy: a double-blind, randomized, placebo-controlled study. Photomed Laser Surg. 2010;28(4):553-560.  https://doi.org/10.1089/pho.2009.2576
  49. Berry TS, Quarneri PJ, Roche G, et al. Low-Lever Laser Therapy for Treating Low Back Pain: 12-Month Follow-Up. J Pain Relief. 2020;9:347. 
  50. Momenzadeh S, Hasanzadeh Kiabi F, et al. Low Level Laser Therapy (LLLT) Combined with Physical Exercise, A More Effective Treatment in Low Back Pain. J Lasers Med Sci. 2012;3(2):67-70. 
  51. Senarath MKID, Dasanayaka DARK, Mayooran S, et al. The effectiveness of low-level LASER therapy for nonspecific chronic low back pain. International Journal of Science Healthcare Research. 2021;6(1):218-224. 
  52. Glazov G, Yelland M, Emery J. Low-level laser therapy for chronic non-specific low back pain: a meta-analysis of randomised controlled trials. Acupunct Med. 2016;34:328-341. 
  53. Huang Z, Ma J, Chen J, et al. The effectiveness of low-level laser therapy for nonspecific chronic low back pain: a systematic review and meta-analysis. Arthritis Res Ther. 2015;17:360.  https://doi.org/10.1186/s13075-015-0882-0
  54. Clijsen R, Brunner A, Barbero M, et al. Effects of low-level laser therapy on pain in patients with musculoskeletal disorders: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2017;53(4):603-610.  https://doi.org/10.23736/S1973-9087.17.04432-X
  55. Yousefi-Nooraie R, Schonstein E, Heidari K, et al. Low level laser therapy for nonspecific low-back pain. Cochrane Database Syst Rev. 2008;2008(2):CD005107. https://doi.org/10.1002/14651858.CD005107
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.