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About the Authors

L.K. Amanzholova – National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan

Surgeon, Department №6 – Surgical Treatment of extrapulmonary TB and MDR TB, Candidate of Medical Sciences, National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan, Almaty, Kazakhstan, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; ORCID: https://orcid.org/ 0000-0001-8551-8674

G.B. Umutbayeva – National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan

ACSM Coordinator of Department of monitoring and evaluation, epidemiology, statistics and information, National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan, Almaty, Kazakhstan, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; ORCID: https://orcid.org/0000-0002-0624- 7712

Abstract

Objective: to evaluate the effectiveness of complex rehabilitation treatment of patients with tuberculous spondylitis using therapeutic and functional therapy in the early and late postoperative periods.

Methods. The effectiveness of the interventions was assessed using the Barthel Index (muscle strength assessment), the Medical Research Council (MRC) Scale for Muscle Strength and the ASIA (American Spinal Injury Association) Impairment Scale (AIS), and mobility activity was assessed in points.

Results. A comparative analysis of the motor activity of patients upon discharge improved their method of movement: motor activity was completely restored in 36 (38.3%) patients, walking without support increased by 1.7 times and amounted to 34%, walking with support (crutch, cane, walker) decreased by 3 times (13.8%), walking with support (on parallel bars) decreased by 2.5 times, amounting to 6.4%, and walking in a wheelchair decreased by 3 times, amounting to 7.5%. Evaluation of the effectiveness of restorative treatment of tuberculous spondylitis using the Barthel Index for Activities of Daily Living (Barthel ADL Index) showed that in 87.2% of all operated patients an increase in life activity was achieved. According to the Medical Research Council Scale in the late postoperative period, it was 5 points in 36 (38.3%) patients, 4 points in 45 (47.9%) patients, 3 points in 6 (6.4%) patients, 2 points in 7 (7.5%) patients. According to the Spinal Cord Injury Severity Scale (AIS), among patients with spinal disorders, restoration of the state of motor functions of the lower extremities was achieved, and the results were: grade A (complete preservation of motor and sensory function) - 65 patients (69.1%), grade B ( incomplete with preservation of sensitivity) – 22 patients (23.4%), grade C – (incomplete with preservation of movements) – 7 patients (7.5%)

Conclusion. Результат проведенного исследования показал, что правильная и вовремя начатая послеоперационная реабилитация приводит к повышению мышечной силы, расширению объема двигательной функции и улучшению качества жизни пациентов с туберкулёзным спондилитом в условиях специализированного учреждения с применением лечебной и функциональной терапии в раннем и позднем послеоперационном периодах.

Keywords

Spinal tuberculosis, Spondylitis, Rehabilitation

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