REHABILITATION OF PATIENTS WITH CERVICAL AND LUMBAR SPINE INSTABILITY USING TYMO ROBOTIC STABILOMETRICAL PLATFORM.

Abstract

Introduction. The musculoskeletal system plays a vital role in maintaining posture and facilitating human movement, with the muscles often subjected to significant stress. Stabilometry can be used for evaluating postural balance and aiding in rehabilitation. This study aimed to assess the efficacy of the TYMO robotic stabilometric platform for the rehabilitation of patients with cervical and lumbar spine instability.Participants and methods. The study was conducted on the stable platform TYMO (Tyromotion). The study included 30 healthy students (group 1), 28 patients with instability of the cervical vertebra, who underwent standard rehabilitation treatment (group 2), 28 patients with instability of the cervical vertebra, who additionally used with a stabiloplatform (group 3), 29 patients with with instability of the lumbar spine, who received standard rehabilitation treatment (group 4), 29 patients with instability of the lumbar spine, who were additionally treated with a stabiloplatform (group 5). Groups 3 and 5, alongside with standard rehabilitation treatment, received a 10-day course involving stabiloplatform training. The parameters of the Center of Force (COF) section and load distribution were analyzed. Results and Discussion. When analyzing the respective indices across all groups in various functional positions prior to the treatment, the values were significantly increased. The use of the stabiloplatform proved to be effective in the treatment of patients, leading to the normalization of these indices. Notably, its application yielded a lasting therapeutic effect, whereas conventional physiotherapeutic methods fell short in achieving a lasting impact. Conclusions: Patients with cervical or lumbar spine instability demonstrate impaired balance test indicators. Following a 10-day treatment regimen with traditional rehabilitation methods, improvements are observed across all indicators, but they do not fully restore to the control levels in all functional positions. Furthermore, after one month, indicators deteriorate in nearly all functional positions. Training using a stabiloplatform is an effective approach in the treatment of patients with cervical or lumbar spine instability, and its use demonstrates a sustained therapeutic benefit.