The dynamics of quality of life in young patients with vertebrobasilar insufficiency and pathobiomechanical changes in the musculoskeletal system against the background of complex non-drug therapy

Abstract

The main reason for the development of dysgemic disorders in the vertebrobasilar system in young people is pathobiomechanical changes in the cervical spine and myofascial pain syndrome of the cervico-brachial localization. The aim of the study was to study the dynamics of life quality in young patients withVBI, biomechanical disorders of the cervical spine and myofascial pain syndrome of the neck and shoulder localization on the background of complex non-drug therapy (biomechanical correction of the musculoskeletal system, medical exercises, acupuncture and the dry needling). 83 patients (mean age – 37,4 ± 4,8 years) with clinical manifestations of VBI on the background of pathobiomechanical changes of the cervical spine and myofascial pain syndrome of the neck-brachial localization were investigated. They were divided into 2 groups depending on the chosen treatment strategy: 1 group - 42 patients, in the treatment of which were used complex non-drug therapy, 2 group - 41 patients, in the treatment of which were used drug therapy (nicergoline 30 mg / day, meloxicam 15 mg / day). The control group consisted of 20 healthy individuals (37 ± 3,7 years). Evaluation of the severity of VBI according to the VBI scale, vertebro-neurological examination with the calculation of the muscle syndrome index, pain syndrome assessment (VAS), affective disorders (HADS), quality of life (MOS SF-36) in the dynamics - before the start of therapy, at 11 and on the 31st day after the start of therapy. The results of evaluating QOL using the MOS SF-36 questionnaire in young patients with VBI on the background of pathobiomechanical changes in the musculoskeletal system showed a significant decrease in all indicators of the questionnaire scales, which is associated with the presence of clinical manifestations of VBI in these patients, as well as painful , musculo-tonic syndrome of neck and shoulder localization and affective disorders. The use of complex non-drug therapy in the treatment of these patients, aimed at the biomechanical correction of the musculoskeletal system and the elimination of myofascial pain of neck and shoulder localization, has contributed to a more effective regression of manifestations of VBI, affective disorders, pain and musculo-tonic syndrome, leading to a significant increase in all indicators of QOL and had advantages over traditional treatment with the use of vasoactive drugs and non-steroidal anti-inflammatory drugs.