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  • 55 -10 (84) 2025 - Davranov E.E., Kadirov Zh.F. - KINESITHERAPY AS A KEY METHOD OF FUNCTIONAL RECOVERY IN PATIENTS AFTER SPINAL CORD INJURY: A SYSTEMATIC REVIEW AND ANALYSIS OF EFFECTIVENESS

55 -10 (84) 2025 - Davranov E.E., Kadirov Zh.F. - KINESITHERAPY AS A KEY METHOD OF FUNCTIONAL RECOVERY IN PATIENTS AFTER SPINAL CORD INJURY: A SYSTEMATIC REVIEW AND ANALYSIS OF EFFECTIVENESS

KINESITHERAPY AS A KEY METHOD OF FUNCTIONAL RECOVERY IN PATIENTS AFTER SPINAL CORD INJURY: A SYSTEMATIC REVIEW AND ANALYSIS OF EFFECTIVENESS

Davranov E.E. - Samarkand Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Department of Radiation Diagnostics

Kadirov Zh.F. - Samarkand State Medical University

Gaibullaev Sh.O. - Samarkand State Medical University

Resume

Background: Spinal cord injury (SCI) is one of the most severe pathologies of the central nervous system, leading to persistent disability. Functional recovery remains a key goal of neurorehabilitation. Kinesiotherapy, based on the principles of neuroplasticity, occupies a central place in comprehensive rehabilitation programs. Study Objective: To systematize and analyze scientific data on the effectiveness of various kinesiotherapy methods in the functional recovery of patients after SCI and to assess their impact on motor function, daily activities, and quality of life. Materials and Methods: A systematic review and analysis of 28 randomized clinical trials (RCTs), meta-analyses, and clinical guidelines published between 2018 and 2025 in PubMed, Scopus, the Cochrane Library, and eLibrary was conducted. The analysis included studies evaluating the effectiveness of passive, active, robotic kinesitherapy, hydrokinesitherapy, and functional techniques (locomotor therapy, Bobath, PNF). Efficacy was assessed using the ASIA (American Spinal Injury Association Impairment Scale), FIM (Functional Independence Measure), Barthel Index, and electromyography (EMG) data. Results: Data analysis showed that early initiation and high intensity of kinesitherapy statistically significantly correlated with improvements in motor and sensory function (p < 0.01). Robotic kinesitherapy demonstrates superiority in restoring gait patterns in patients with incomplete spinal cord injuries compared to traditional methods. Combined programs including strength, functional, and aerobic exercises demonstrate the greatest effectiveness in improving FIM and Barthel Index scores (average improvement of 15-25 points over 6 months). Long-term effects include reduced spasticity, contracture prevention, and improved cardiorespiratory performance. Conclusion: Kinesiotherapy is a fundamental and pathogenetically sound method for the rehabilitation of patients with SCI. Its effectiveness has been confirmed by numerous international studies. The integration of modern technologies, such as robotic systems and virtual reality, significantly expands therapeutic options. The development of personalized kinesiotherapy protocols based on injury severity (ASIA scale) and individual patient goals is a priority for further research.

Keywords: spinal cord injury, kinesiotherapy, rehabilitation, neuroplasticity, functional recovery, locomotor therapy, robotic rehabilitation, ASIA scale, quality of life.

First page

301

Last page

309

For citation:Davranov E.E., Kadirov Zh.F., Gaibullaev Sh.O. - KINESITHERAPY AS A KEY METHOD OF FUNCTIONAL RECOVERY IN PATIENTS AFTER SPINAL CORD INJURY: A SYSTEMATIC REVIEW AND ANALYSIS OF EFFECTIVENESS//New Day in Medicine 10(84)2025 301-309 https://newdayworldmedicine.com/en/new_day_medicine/10-84-2025

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