Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome

Objective. To assess hemodynamic disturbances in pts with low back pain syndrome (LBPS). Material and methods. 57 pts with LBPS were examined (12 female and 45 male) aged 18 to 53 years (mean age 36,7 years). Spine osteochondritis was diagnosed in most of them. 34 had subacute and 23 - chronic LBPS...

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Main Authors: D. A. Shemetov, E S Mach, N A Shostak, A. V. Aksenova, J O Korsakova
Format: Article
Language:Russian
Published: IMA PRESS LLC 2003-08-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/1206
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author D. A. Shemetov
E S Mach
N A Shostak
A. V. Aksenova
J O Korsakova
author_facet D. A. Shemetov
E S Mach
N A Shostak
A. V. Aksenova
J O Korsakova
author_sort D. A. Shemetov
collection DOAJ
description Objective. To assess hemodynamic disturbances in pts with low back pain syndrome (LBPS). Material and methods. 57 pts with LBPS were examined (12 female and 45 male) aged 18 to 53 years (mean age 36,7 years). Spine osteochondritis was diagnosed in most of them. 34 had subacute and 23 - chronic LBPS course. In 32 pts peripheral hemodinamic indices were examined with tetrapolar rheo- vasography by “ARM-RhEO" apparatus. In 25 pts total local blood flow was assessed in pain points with laser-Doppler fluometry (LDF-2 apparatus). 35 healthy individuals of comparable age and sex were included in control group. Results. 77% of pts showed small vessels tone decrease most prominent in pts with subacute LBPS course. Arterial wall elasticity diminution was revealed in 63% of cases, significant reduction of blood filling level - in 82%, venous flow-out obstacle - in 87%. There was a connection between degree of local blood flow increase in back pain points and (PI) score: 0,19 V in pts with PI>60 u and 0,13 V in pts with PK40 u (in control group - 0,08 V, p<0,05) what shows perifocal edema in most painful points. Conclusion. Revealed regional hemodynamic and microcirculation disturbances can objectively confirm participation of hemodynamic disturbances in pain syndrome genesis and serve as a basis for perfection of LBPS treatment methods.
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spelling doaj.art-747f867f977942459e01c2761f77c4e12023-03-22T13:45:39ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922003-08-01414272910.14412/1995-4484-2003-13281146Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndromeD. A. ShemetovE S MachN A ShostakA. V. AksenovaJ O KorsakovaObjective. To assess hemodynamic disturbances in pts with low back pain syndrome (LBPS). Material and methods. 57 pts with LBPS were examined (12 female and 45 male) aged 18 to 53 years (mean age 36,7 years). Spine osteochondritis was diagnosed in most of them. 34 had subacute and 23 - chronic LBPS course. In 32 pts peripheral hemodinamic indices were examined with tetrapolar rheo- vasography by “ARM-RhEO" apparatus. In 25 pts total local blood flow was assessed in pain points with laser-Doppler fluometry (LDF-2 apparatus). 35 healthy individuals of comparable age and sex were included in control group. Results. 77% of pts showed small vessels tone decrease most prominent in pts with subacute LBPS course. Arterial wall elasticity diminution was revealed in 63% of cases, significant reduction of blood filling level - in 82%, venous flow-out obstacle - in 87%. There was a connection between degree of local blood flow increase in back pain points and (PI) score: 0,19 V in pts with PI>60 u and 0,13 V in pts with PK40 u (in control group - 0,08 V, p<0,05) what shows perifocal edema in most painful points. Conclusion. Revealed regional hemodynamic and microcirculation disturbances can objectively confirm participation of hemodynamic disturbances in pain syndrome genesis and serve as a basis for perfection of LBPS treatment methods.https://rsp.mediar-press.net/rsp/article/view/1206low back pain syndrometetrapolar rheovasographylaser-doppler fluometrytotal pain index
spellingShingle D. A. Shemetov
E S Mach
N A Shostak
A. V. Aksenova
J O Korsakova
Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome
Научно-практическая ревматология
low back pain syndrome
tetrapolar rheovasography
laser-doppler fluometry
total pain index
title Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome
title_full Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome
title_fullStr Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome
title_full_unstemmed Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome
title_short Complex assessment of regional hemodynamics with tetrapolar rheography and laser Doppler fluometry in patients with low back pain syndrome
title_sort complex assessment of regional hemodynamics with tetrapolar rheography and laser doppler fluometry in patients with low back pain syndrome
topic low back pain syndrome
tetrapolar rheovasography
laser-doppler fluometry
total pain index
url https://rsp.mediar-press.net/rsp/article/view/1206
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