Constitutional psychic human qualities influence on the clinical picture of reflex neurological cervical spine disorders

Abstract

Objective - to study the constitutional psychic human qualities influence on the symptoms without pain in clinical picture of reflex neurological cervical spine disorders (RNCSD). Methods and subjects. 93 patients (18-44 years old) were examined by clinical-anamnestic, clinical-functional (vertebroneurological), clinical-neurological methods. A.M. Vein’s questionnaire was used and his others diagnostic approaches. Psychic functions of human constitution were studied by temperament type determining with using Eysenck’s EPQ questionnaire. All patients had RNCSD as cervicocranialgia, cervicalgia and cervicobrachialgia. Results and discussion. Muscle-tonic disturbances in the cervical spine segments were morpho-functional basis for RNCSD and clinical symptoms were formed for all sicks from this study. RNCSD characterized by symptoms without pain in clinical picture, except pain. There are pain sensitivity and tactile sensitivity disturbances in the cervical spine segments and dizziness and lack of coordination. Constitutional psychic human qualities were examined and pointed domination temperament types among ills with RNCSD. It are choleric and melancholic temperament types. Differentiation clinical pecularitіes were determined for every temperament type. Constitutional psychic human qualities influence on the forming, many symptoms, expression and hard course RNCSD. Worser being have ills with cervicalgia, cervicocranialgia, cervicobrachialgia whith melancholic and choleric temperament types. Better being and course of RNCSD have sicks with sanguine and phlegmatic temperament types. For treatment and preventions there disorders should considere temperament types. Studies about constitutional approach are relevant. Conclusions. Constitutional psychic human qualities which including in temperament influenced on the clinical picture of RNCSD. It create clinical structure and add different tints to sympthoms coloring. Constitutional psychic human quality can use as predictors of burden cource, choose criteries of treatment and prevention for patients with RNCSD.