Email this article Novel non-pharmacological treatment for degenerative joint and disc disease
- Authors: Gerasimenko M.Y.1, Badalov N.G.2,3, Borodulina I.V.1, Mukhina A.A.4
-
Affiliations:
- Russian Medical Academy of Continuing Professional Education
- Scientific and Practical Center of Medical and Social Rehabilitation of Disabled People named after L.I. Shvetsova
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- National Medical Research Center for Rehabilitation and Balneology
- Issue: Vol 20, No 1 (2021)
- Pages: 13-21
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/82993
- DOI: https://doi.org/10.17816/1681-3456-2021-20-1-13-22
- ID: 82993
Cite item
Open Access
Access granted
Subscription Access
Abstract
BACKGROUND: The most common pathologies in the structure of musculoskeletal disorders are osteoarthritis and non-specific back pain caused by degenerative disc disease, proportion is 20% and 46%, respectively. According to the new WHO initiative "Rehabilitation-2030: call for action", the implementation of non-pharmacological methods in the treatment programs for patients with degenerative joint and disc disease is of great importance.
AIMS: A clinical study was conducted to evaluate the effectiveness of a new method of balneo-thalassotherapy — seaweed in the form of local applications and general baths in patients with osteoarthritis and back pain.
MATERIALS AND METHODS: A randomized controlled clinical trial included 40 patients (mean age 51.67±0.65 years). Patients were divided into 3 groups: 1group (n=15) — patients received local applications of seaweed on the joints and affected segments of the spine, and basic medical treatment; 2 group (n=15) — patients received procedures of seaweed general baths, and basic medical treatment; 3 group (control, n=10) — patients received only basic medical therapy. The treatment course was 20 days (15 procedures with a break for the weekend).
RESULTS: A significant positive effect of the method of seaweed therapy on the clinical symptoms of degenerative pathology of the joints and spine was demonstrated: decreasing of pain, improving of the level of motor activity and daily functioning, and an increase in the quality of life was noted. The effectiveness of the treatment was 73.3–80%.
CONCLUSION: The obtained results prove the effectiveness of using seaweed in patients with degenerative pathology of the joints and spine with pain syndrome. This treatment method can be included in rehabilitation programs for these patients as local applications or general bath procedure.
Full Text
##article.viewOnOriginalSite##About the authors
Marina Y. Gerasimenko
Russian Medical Academy of Continuing Professional Education
Email: irina.borodulina@gmail.com
Dr. Sci. (Med.), Professor
Russian Federation, MoscowNazim G. Badalov
Scientific and Practical Center of Medical and Social Rehabilitation of Disabled People named after L.I. Shvetsova; I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: irina.borodulina@gmail.com
ORCID iD: 0000-0002-1407-3038
SPIN-code: 2264-4351
Dr. Sci. (Med.), Professor
Russian Federation, Moscow; MoscowIrina V. Borodulina
Russian Medical Academy of Continuing Professional Education
Author for correspondence.
Email: irina.borodulina@gmail.com
ORCID iD: 0000-0001-7526-1553
SPIN-code: 2152-5737
Cand. Sci. (Med.)
Russian Federation, MoscowAnastasiya A. Mukhina
National Medical Research Center for Rehabilitation and Balneology
Email: irina.borodulina@gmail.com
ORCID iD: 0000-0001-8960-4318
SPIN-code: 4615-3727
Cand. Sci. (Med.)
Russian Federation, MoscowReferences
- Cieza A, Causey K, Kamenov K, et al. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021;396(10267):2006–2017.
- doi: 10.1016/S0140-6736(20)32340-0
- WHO. Musculoskeletal conditions. [Electronic resource]. (In Russ). Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions
- Rheumatic diseases: a guide for doctors. Ed. by V.A. Nasonova, N.V. Bunchuk. Moscow: Medicine; 1997. Р. 385–396. (In Russ).
- Khitrov NA. Osteoarthritis and osteoarthritis-pathomorphosis of the name and the progress of knowledge about the disease. RMJ. Rheumatology. 2011;25:1525–1529. (In Russ).
- Rheumatology: National guidelines. Ed. by E.L. Nasonov, V.A. Nasonova. Moscow: GEOTAR-Media; 2008. Р. 573–588. (In Russ).
- Hedbom E, Huselmann HJ. Molecular aspects of pathogenesis in osteoarthritis: the role of inflammation. Cell Mol Life Sci. 2002;59(1):45–53. doi: 10.1007/s00018-002-8404-z
- Borodulina IV, Rachin AP. Pathogenetic approaches to the treatment of exacerbation of chronic back pain: description of a clinical case. Medical Advice. 2019;12:42–47.
- doi: 10.21518/2079-701X-2019-12-42-47
- WHO. Rehabilitation 2030: A call for action. [Electronic resource]. (In Russ). Available from: https://www.who.int/publications/m/item/rehabilitation-2030-a-call-for-action
- Stucki G. Advancing the rehabilitation sciences. Front Rehabilit Sci. 2021. doi: 10.3389/fresc.2020.617749
- Borodulina IV, Badalov NG, Mukhina AA, Gushcha AO. Evaluation of the effectiveness of complex treatment using rhythmic transcranial magnetic stimulation and general hydrogalvanic baths in patients with lumbosacral radiculopathy. Bulletin of Restorative Medicine. 2019;(1):33–41. (In Russ).
- Park SK, Park SJ, Park SM, et al. Inhibition of acute phase inflammation by Laminaria japonica through regulation of iNOS-NF-κB Pathway. Evid Based Complement Alternat Med. 2013;2013:439498. doi: 10.1155/2013/439498
- Kyung J, Kim D, Park D, et al. Synergistic anti-inflammatory effects of Laminaria japonica fucoidan and Cistanchetubulosa extract. Lab Anim Res. 2012;28(2):91–97. doi: 10.5625/lar.2012.28.2.91
- Vázquez AI, Sánchez CM, Delgado NG, et al. Anti-inflammatory and analgesic activities of red seaweed Dichotomaria obtusata. Brazilian Journal of Pharmaceutical Sciences. 2011;47(1):111–118.
- doi: 10.1590/S1984-82502011000100014
- Myers SP, O’Connor J, Fitton H. A combined phase I and II open label study on the effects of a seaweed extract nutrient complex on osteoarthritis. Biologics. 2010;4:33–44.
Supplementary files
