TREATMENT OF MECHANICAL BACK PAIN WITH COMBINED PHYSICAL THERAPY

Jedan od najučestalijih zdravstvenih problema današnjice postala je križobolja. Procjenjuje se da 80% populacije tijekom svog života ima barem jednom bolove u križima ili slabinskom dijelu kralježnice. Smatra se velikim javnozdravstvenim problemom, jer je najčešći uzrok izostanka s posla i velikog broja dana bolovanja. Najčešća križobolja je mehanička (čak u 90 posto slučajeva), dok upalna križobolja čini jedan do pet posto svih slučajeva križobolja. Najizloženije su osobe čija zanimanja zahtijevaju provođenje radnog vremena u nepovoljnom položaju za kralježnicu ili težak fizički rad, dok je kod starijih osoba najčešće riječ o degeneracijskim promjenama kralješaka. Česta je i kod upalnih reumatskih bolesti, prirođenih iskrivljenja kralježnice, kod osteoporoze ili je riječ o ozljedi kralježnice. Osteoartritis je najčešća reumatska bolest i jedan on najčešćih uzoraka boli, a nakon kardiovaskularnih bolesti drugi najčešći uzrok onesposobljenosti. Obilježava ga progresivno oštećenje i gubitak zglobne hrskavice te s vremenom i ostale zglobne strukture. Kod starije populacije prijelome kralješaka povezujemo s osteoporozom, metaboličkom bolesti koju karakterizira smanjena mineralna gustoća i poremećena mikroarhitektura kosti, što uzrokuje povećanu lomljivost i smanjenje koštane mase. Ostale ozljede kralježnice događaju se pri raznim nesrećama, najčešće je riječ o prometnim nesrećama. Koristimo kombiniranu rehabilitaciju kako bismo poboljšali ili uklonili simptome boli. Uz fizikalnu rehabilitaciju, koja se provodi uz pomoć fizioterapeuta, bol uklanjamo raznim oblicima elektroterapije. Također je bitno educirati pacijente kako da nastave vježbati u budućnosti ne bi li održali ili poboljšali trenutno stanje. Nakon provedenog istraživanja možemo zaključiti da je terapija uspješna.Back pain has become one of the most common health problems of today. It is estimated that 80% of the population during their life time feels at least ones pain in the back or spinal part of the spine. It is considered a major public health problem because it is the most common cause of absence from work and a large number of sick days. The most common back pain are mechanical (even in 90 percent of cases), while inflammatory back pain account for one to five percent of all cases of back pains. The most prominent are persons whose work require to stay a long time in a bad position for the spine or hard physical work while elderly people are most often to have degenerative changes in the vertebrae. It is also common in inflammatory rheumatic diseases, congenital deformations of the spine, osteoporosis, or spinal injuries. Osteoarthritis is the most common rheumatic disease and one of the most common pain patterns, and after cardiovascular disease the second most common cause of inability. It is marked by progressive damage and loss of joint cartilage and with time and other joint structures. In the elderly, the vertebral fracture is associated with osteoporosis, a metabolic disease characterized by reduced mineral density and disturbed bone microarrays, which causes increased fracture and bone mass reduction. Other spinal injuries occur in various accidents, most often involving traffic accidents. We use combined rehabilitation to improve or remove the symptoms of pain. With physical rehabilitation, carried out with the aid of a physiotherapist, the pain is removed by various forms of electrotherapy. It is also important to educate patients how to continue to practice in the future in order to maintain or improve their current condition. After the research we can conclude that the therapy is successful