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Dorsopathies: Routine checkups as a procedure necessary for early diagnostics, risk factors and comorbidities identification
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01.01.2018 |
Denisov I.
Zaugolnikova T.
Popova T.
Morozova T.
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Bulletin of Russian State Medical University |
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0 |
Ссылка
© 2018 Pirogov Russian National Research Medical University. All rights reserved. Early detection of dorsopathies is an urgent task for primary care physicians, since such conditions can combine with other chronic noncommunicable diseases (NСD) and adversely affect the course all comorbidities, consequently disimproving the quality of life of patients and increasing the frequency of their requests for medical assistance. This study aimed to determine the value of routine checkups in the context of detection of dorsopathies, NCD, and identification of risk factors (RF). We have retrospectively analyzed the patient records database of a rural outpatient clinic in the Tver region (years 2015 to 2017). The prevalence of dorsopathies and NCD RF were the subjects investigated. Fisher's exact test and Spearman's rank correlation coefficient (SRCC) were applied for the purposes of statistical processing of the results. We discovered that dorsopathy most often was a comorbidity to arterial hypertension and gastrointestinal tract diseases; it was strongly related to the NCD (SRCC = 0.506), age (SRCC = 0.383), slightly less so - to hypodynamia (SRCC = 0.146), type of the patient's occupation (intellectual or physical labor) (SRCC = 0.07). Routine checkups improve the rate of detection of dorsopathy: the more patients undergo such examinations, the more cases of dorsopathy are diagnosed. Thus, it is necessary to increase the number of working people attending the checkups in order to detect dorsopathies early and prevent them effectively.
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A systematic review of using myorelaxants in treatment of low back pain
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01.01.2018 |
Csiba L.
Zhussupova A.
Likhachev S.
Parfenov V.
Churyukanov M.
Guekht A.
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Zhurnal Nevrologii i Psihiatrii imeni S.S. Korsakova |
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0 |
Ссылка
© 2018, Media Sphera Publishing Group. All rights reserved. A systematic review summarizes the results of studies on the efficacy of myorelaxants (tolperisone, tizanidine, thiocolchicoside or baclofen) in the treatment of acute nonspecific low back pain published up to Dec. 2017. The authors conclude that there are enough data to confirm the efficacy of myorelaxants in treatment of nonspecific low back pain, myorelaxants are recommended as monotherapy or in combination with analgesics or NSAID, the nonsedative drugs tolperisone or thiocolchicoside should be preferred.
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