engleski

Physiatrist and back pain patient : from electrokinesiologic assessment to the rehabilitation in community

Physiatrist main concern in back pain (BP) management is impairment and activity limitation, as a basis for treatment and follow up. Electrokinesiologic (EK) method provides data of surface EMG of erector spine muscles and polarized light goniometry of trunk movement in sagital plane (Bobinac Georgievski A, Graberski M, Wolf SL., Braus V. Electrokinesiologic assessment of spinal function in low back pain patients. CMJ 1996; 37:93-97). Discriminative analysis of 88 EK measures resulted with four functions useful for clinical work: "flexibility", "contractility", "time for movement performace" and "peak relaxation". This finding is discussed with the patient serving as a feedback of spinal activity during bending movement. Informed patient has been included for therapeutic exercise program in community rehabilitation setting for 8 weeks (Bobinac Georgievski A. Rehabilitation in the community. Int J Rehabil Research 2000 in press). Physiatrist may facilitate the process of improving BP patient's motivation and responsibility, investing in useful functional diagnosis and developing community based rehabilitation program.

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