Rehabilitation methods for musculoskeletal disorders

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Abstract

BACKGROUND: The increasing number of patients requiring treatment for musculoskeletal disorders due to degenerative changes in the spine and joints, as well as sports-related injuries, highlights the urgency of exploring non-pharmacological rehabilitation methods.

AIM: To assess the prevalence of musculoskeletal disorders in the Russian Federation and analyze the frequency of non-pharmacological treatment methods used for these conditions.

MATERIALS AND METHODS: The study describes the most common forms of musculoskeletal disorders and provides a detailed structural analysis of patient visits to outpatient and inpatient facilities for musculoskeletal disorder treatment, highlighting the high demand for non-pharmacological rehabilitation methods in managing these conditions. A statistical evaluation of non-pharmacological rehabilitation methods was conducted based on data collected from healthcare institutions in Moscow and the Moscow region from 2022 to 2023.

RESULTS: The findings emphasize the importance of expanding the use of non-pharmacological therapy due to its high efficacy, adaptability across different age groups, and safety, making it suitable for both young athletes and older adults with comorbid conditions.

CONCLUSION: The combination of specially selected physical exercises (kinesitherapy) and the simultaneous application of at least three physical therapy modalities provides enhanced analgesic and anti-inflammatory effects. The choice of specific modalities should be based on a personalized assessment of the patient, considering age, primary and comorbid conditions, and the pathogenetic mechanisms of the selected physical factors.

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About the authors

Natalya G. Kulikova

The First Sechenov Moscow State Medical University; Peoples' Friendship University of Russia

Author for correspondence.
Email: Kulikovang777@mail.ru
ORCID iD: 0009-0007-0374-6763
SPIN-code: 1827-7880

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

Mustafa K. Al-Zamil

Peoples' Friendship University of Russia

Email: alzamil@mail.ru
ORCID iD: 0000-0002-3643-982X
SPIN-code: 3434-9150

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Albina S. Tkachenko

Peoples' Friendship University of Russia

Email: rocstar-fo@to.ru
ORCID iD: 0000-0001-8506-8562
SPIN-code: 6126-1475

Cand. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

Pavel V. Naydenov

Rehabilitation Center of the Moscow Regional Rozanov Hospital

Email: pnaidenov@mos.ru
SPIN-code: 5184-8161

Cand. Sci. (Med.)

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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2. Fig. 1. Distribution of patients by age.

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3. Fig. 2. Distribution of the most frequently encountered rehabilitation technologies by the degree of their application in patients with musculoskeletal pathology. МП — manual therapy; УВТ — shock wave therapy.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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