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CERVICOBRACHIAL SYNDROME IN PATIENTS WITH SPINAL OSTEOCHONDROSIS

https://doi.org/10.29413/ABS.2018-3.5.10

Abstract

The article presents clinical profile of patients with cervical osteochondrosis and cervicobrachial syndrome, results of cliniconeurological examination including X-ray diagnostics (plain frontal and lateral radiography of cervical spine, functional tests, frontal and lateral X-ray imaging of large joints of upper limbs), MRI of cervical spine, stimulation electroneuromyography and osteodensimetry. Statistical processing with definition of nonparametric test and correlation coefficient was performed using SPSS 22.0.0 software. Pearson and Spearman nonparametric tests were used for correlation analysis. Examination of patients with cervicobrachial syndrome revealed that bone tissue condition of a limb with pain syndrome slightly differs from the bone tissue condition of a healthy limb and is within normal range. Neuromyography showed that abnormality of a functional condition of studied nerves of upper limbs was not pronounced and was registered on both limbs. As a result of our research we can suppose that asymmetric abnormal focus inhibits peripheral and central chains of locomotor system both on injured and healthy limbs. Differences in functional condition of peripheral nerves of upper limbs in patients with cervicobrachial syndrome and healthy people are statistically significant and allow us to consider them as a sign of decompensation which prevent healthy performance.

About the Authors

O. V. Sklyarenko
Irkutsk Scientific Centre of Surgery and Traumatology.
Russian Federation

ul. Bortsov Revolyutsii 1, Irkutsk 664003.

Candidate of Medical Sciences, Senior Research Officer at the Research Clinical Department of Neurosurgery.



A. P. Zhivotenko
Irkutsk Scientific Centre of Surgery and Traumatology.
Russian Federation

ul. Bortsov Revolyutsii 1, Irkutsk 664003.

Research Officer at the Research Clinical Department of Neurosurgery.



Z. V. Koshkareva
Irkutsk Scientific Centre of Surgery and Traumatology.
Russian Federation

ul. Bortsov Revolyutsii 1, Irkutsk 664003.

Candidate of Medical Sciences, Leading Research Officer at the Research Clinical Department of Neurosurgery.



E. G. Ippolitova
Irkutsk Scientific Centre of Surgery and Traumatology.
Russian Federation

ul. Bortsov Revolyutsii 1, Irkutsk 664003.

Research Officer at the Research Clinical Department of Neurosurgery.



T. K. Verkhozina
Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education.
Russian Federation

ul. Bortsov Revolyutsii 1, Irkutsk 664003.

Yubileyniy 100, Irkutsk 664049.

Candidate of Medical Sciences, Head of the Function Test Department; Associate Professor at the Department of Reflexotherapy and Cosmetology.



E. S. Tsyslyak
Irkutsk Scientific Centre of Surgery and Traumatology.
Russian Federation

ul. Bortsov Revolyutsii 1, Irkutsk 664003.

Research Officer at the Research Clinical Department of Neurosurgery.



References

1. Abelskaya IS, Mikhaylov OA, Smyshek VB. (2007). Cervical osteochondrosis: diagnostics and medical rehabilitation [Sheynyy osteokhondroz: diagnostika i meditsinskaya reabilitatsiya]. Minsk, 347 p.

2. Verkhozina TK, Ippolitova EG, Tsyslyak ES. (2013). Neurophysiological approach to the treatment of scapulohumeral periarthritis [Neyrofiziologicheskiy podkhod k lecheniyu plechelopatochnogo periartrita]. Acta biomedica scientifica, (2), 13-15.

3. . Gordeeva IE, Matokhina NV. (2013). Periarthropathia in neurology: Optimization of treatment [Periartropatii v praktike nevrologa: Optimizatsiya terapii]. Aktual’nye problemy sovremennoy revmatologii: Sbornik nauchnykh rabot, XXX. Volgograd, 26-27.

4. Ippolitova EG, Verkhozina TK, Arsentieva NI. (2016). Comparative analysis of electroneuromyographic values at degenerative-dystrophic scapulohumeral pain syndrome and cervical osteochondrosis [Sravnitel’nyy analiz elektroneyromiograficheskikh pokazateley pri pleche-lopatochnom bolevom sindrome degenerativno-distroficheskogo geneza i osteokhondroze sheynogo otdela pozvonochnika]. Acta biomedica scientifica, (4), 36-39.

5. Ippolitova EG, Koshkareva ZV, Sklyarenko OV, Gorbunov AV. (2009). Clinical findings and diagnostics in patients with postoperative cicatrical commissural epiduritis and spinal stenosis [Osobennosti kliniki i diagnostiki u bol’nykh s posleoperatsionnym rubtsovo-spaechnym epiduritom i stenozami pozvonochnogo kanala]. Sibirskiy meditsinskiy zhurnal, (6), 102-105.

6. Levin OG. (2006). Diagnostics and treatment of pain in cervical spine and upper limbs [Diagnostika i lechenie boli v shee i verkhnikh konechnostyakh]. Russkiy meditsinskiy zhurnal, (9), 71-73.

7. Nikiforov AS, Mendel OI. (2006). Scapulohumeral pain syndrome: modern approaches to the diagnostics and treatment [Plechelopatochnyy bolevoy sindrom: sovremennye podkhody k diagnostike i lecheniyu]. Russkiy meditsinskiy zhurnal, (8), 621-626.

8. Sklyarenko OV, Koshkareva ZV, Sorokovikov VA. (2016). Some aspects of conservative treatment of patients with cervical osteochondrosis [Nekotorye aspekty konservativnogo lecheniya bol’nykh s osteokhondrozom sheynogo otdela pozvonochnika]. Acta biomedica scientifica, 1 (4), 72-77.

9. Solokha ZA, Yakhno NN. (2006). Diagnostics and treatment of scapulohumeral periarthritis [Diagnostika i lechenie sindroma plechelopatochnoy periartropatii]. Nevrologicheskiy zhurnal, (1), 26-31.

10. Sorokovikov VA, Koshkareva ZV, Sklyarenko OV. (2016). Osteochondrosis: some aspects of an issue [Osteokhondroz: nekotorye aspekty sostoyaniya voprosa]. Sibirskiy meditsinskiy zhurnal (Irkutsk), 141 (2), 22-28.

11. Firsov AA, Kusaykin AYu, Nikonov AA. (2012). Vertebrogenic cervical radiculopathy: clinical aspects of diagnostics and treatment [Vertebrogennaya tservikal’naya radikulopatiya: klinicheskie aspekty diagnostiki i lecheniya]. Arkhiv vnutrenney meditsiny, 5 (7), 34-39.

12. Tsurko VV, Khitrov NA, Ivanova TB, Agapova LA. (2006). Humeral pain (between the old cliches of scapulohumeral periarthritis and new data of NSAID therapy [Bol’ v pleche (mezhdu starymi shtampami pleche-lopatochnogo periartrita i novymi dannymi terapii NPVP)]. Russkiy meditsinskiy zhurnal, 14 (27), 34-39.

13. Coppieters MV, Stappaerts KH, Wouters LL, Janssens K. (2003) The immediate effects of a cervical lateral glide treatment technique in patients with neurogenic cervicobrachial pain. J Orthop Sports Phys Ther, 33 (7), 369-376.

14. Gangavelli R, Sreekumaran N, Bhat AK, Solomon JM. (2016). Cervicobrachial pain – how often is it neurogenic? J Clin Diagn Res, 10 (3), 14-16. DOI: 10.7860/ JCDR/2016/16456.7492

15. Kietrys D, Palombaro K, Azzaretto E, Hubler C, Schaller B, Schlussel J, Tucker M. (2013) Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis. J Orthop Sports Phys Ther, 43 (9), 620-634. DOI: 10.2519/jospt.2013.4668

16. Manchikanti L, Kaye AD, Boswell MV, Bakshi S, Gharibo CG, Grami V, Grider JS, Gupta S, Jha SS, Mann DP, Nampiaparampil DE, Sharma ML, Shroyer LN, Singh V, Soin A, Vallejo R, Wargo BW, Hirsch JA. (2015) A systematic review and best evidence synthesis of effectiveness of therapeutic facet joint interventions in managing chronic spinal pain. Pain Physician, 18 (4), 535- 82.


Review

For citations:


Sklyarenko O.V., Zhivotenko A.P., Koshkareva Z.V., Ippolitova E.G., Verkhozina T.K., Tsyslyak E.S. CERVICOBRACHIAL SYNDROME IN PATIENTS WITH SPINAL OSTEOCHONDROSIS. Acta Biomedica Scientifica. 2018;3(5):66-71. (In Russ.) https://doi.org/10.29413/ABS.2018-3.5.10

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