Factors determining the direction of the process of physical rehabilitation of men with osteochondrosis of the lumbar spine in remission


  • Rymma Bannikova
  • Volodymyr Kormiltsev
  • Victoria Brushko
  • Mariia Balazh


physical rehabilitation, spinal osteochondrosis, factors


Purpose: identify relationships based on the results of clinical, biomechanical and functional data to identify the main factors influencing the nature and direction of the process of physical rehabilitation of men with osteochondrosis of the lumbar spine in remission.

Material & Methods: analysis of special scientific and methodical literature; content analysis of medical records, results of computer tomograms and radiographs; clinical research methods; pedagogical research methods; biomedical research methods; computer photometry; methods of mathematical statistics. In the analysis of medical records (n=60), data of men of the second adult age were used with a diagnosis of osteochondrosis of the lumbar spine in the stage of incomplete and complete remission.

Results: representatives of the studied population constitute a level of pain in visual analogue scale (VAS) below the average, and during periods of exacerbation of the disease, this indicator is above 50%. After testing the musculoskeletal system according to the method of A. V. Vasilenko, a result was obtained that corresponds to a low level. During the Romberg test, a tendency to a decrease in vertical stability was observed, which may be due to the increased angles of the biogeometric posture profile. During the analysis of heart rate variability, the mode amplitude index in the examined population was 78,1±5,5% (͞Х±S), which indicates the prevalence of moderate sympathicotonia.

Conclusion: in the course of factor analysis, four factors were identified that affect the nature and direction of rehabilitation measures and describe 77,33% of the total variance. The most informative and significant indicators for this category of patients, which characterize each factor, were determined.


Antonevych, B.R., Alieksieienko, Ye.Yu. (2017), "Application of stretching in the physical rehabilitation of men 40-50 years old with degenerative-dystrophic lesions of the spine in the lumbar department at the outpatient stage", Naukovyi chasopys NPU imeni M.P. Drahomanova, No. 3k84, pp. 26-29. (in Ukr.)

Afanasiev, S.M. (2017), Profilaktyka pervynnoi invalidnosti vnaslidok zakhvoriuvan i travm oporno-rukhovoho aparatu zasobamy fizychnoi reabilitatsii [Prevention of primary disability due to diseases and injuries of the locomotor apparatus by means of physical rehabilitation], Zhurfond, Dnipro. (in Ukr.)

Babov, K.D., Kosoverov, Ye.O. & Zoiarniuk, O.S. (2018), "Rehabilitation of patients with chronic non-specific pain in the lower back region", Pain Medicine Journal, No. 3 (2/1), pp. 26. (in Ukr.)

Vasilenko, O.B. & Stepanova, N.V. (2007), "Physical rehabilitation of patients with osteochondrosis of the lumbosacral spine in remission", Fizicheskoe vospitanie studentov tvorcheskikh spetsialnostey, No. 03, pp. 29-34. (in Russ.)

Krasnoiaruzhskyi, A.H., Hasanov, N.H. & Omelianenko, K.V.

(2016), "Complex physical rehabilitation of patients with lumbar sacral osteochondrosis of the spine", Fizychna reabilitatsiia ta rekreatsiino-ozdorovchi tekhnolohii, No. 2, pp. 41-42. (in Ukr.)

Lazareva, Ye.B. (2012), Fizicheskaya reabilitatsiya pri khirurgicheskom lechenii vertebrogennykh poyasnichno-kresttsovykh sindromov: monografiya [Physical rehabilitation in the surgical treatment of vertebral lumbosacral syndromes], Ekspress, Kiev. (in Russ.)

Popovych, D.V., Koval, V.B., Salaida, Y.M., Vaida, O.V. & Rutskaia, A.V. (2017), "Rehabilitation of patients with spinal osteochondrosis", Zdobutky klinichnoi i eksperymentalnoi medytsyny, No. 4, pp. 74-77. (in Ukr.)

Samoshkina, A. & Moskalenko, N. (2017), "Method of the use of Pilates physical exercises for women with osteochondrosis of the lumbar-sacral spine", Sportyvnyi visnyk Prydniprov’ia, No. 1(56), pp. 299-302. (in Ukr.)

Furman, Yu. (2017), "The role of risk factors for the occurrence of osteodeficiency in patients with degenerative-dystrophic diseases of the spine and in their physical rehabilitation", Molodizhnyi naukovyi visnyk Skhidnoievpropeiskoho natsionalnoho universytetu imeni Lesi Ukrainky, No. 27, pp. 185-189. (in Ukr.)

Oliveira, C.B. et al. (2018), "Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview", European Spine Journal, No. 27(11), pp. 2791-2803.

Stochkendahl, M.J. et al. (2018), "National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy", European Spine Journal, No. 27(1), pp. 60-75.

Will, J.S., Bury, D.C. & Miller, J.A. (2018), "Mechanical Low Back Pain", American Family Physician, No. 98(7), pp. 421-428.