• Home
  • NEW DAY MEDICINE
  • 5 (91) 2026
  • 10 -5 (91) 2026 - Tilyakov Kh.A., Khushmurodov U.R. - THREE-STAGE REHABILITATION BASED ON MCKENZIE MECHANICAL DIAGNOSIS AND THERAPY IN PATIENTS AFTER LUMBAR DECOMPRESSION SURGERY: RESULTS OF A CONTROLLED STUDY

10 -5 (91) 2026 - Tilyakov Kh.A., Khushmurodov U.R. - THREE-STAGE REHABILITATION BASED ON MCKENZIE MECHANICAL DIAGNOSIS AND THERAPY IN PATIENTS AFTER LUMBAR DECOMPRESSION SURGERY: RESULTS OF A CONTROLLED STUDY

THREE-STAGE REHABILITATION BASED ON MCKENZIE MECHANICAL DIAGNOSIS AND THERAPY IN PATIENTS AFTER LUMBAR DECOMPRESSION SURGERY: RESULTS OF A CONTROLLED STUDY

Tilyakov Kh.A. - Samarkand State Medical University

Khushmurodov U.R. - Perfect Diagnostic Clinic, Samarkand, Uzbekistan

Resume

Objective: To develop and evaluate the clinical effectiveness of a three-stage rehabilitation program based on McKenzie MDT with integration of stabilization and neurodynamic training after lumbar decompression surgery. Methods: Controlled study of 187 patients randomized into three groups: McKenzie MDT + basic therapy (n=63), standard therapeutic exercise + basic therapy (n=62), and basic therapy only (n=62). Outcomes assessed at T0, T1 and T2 (6 months). Results: At T2, the MDT group demonstrated VAS reduction of 66.0% (vs. 48.1% and 33.3%), ODI decrease of 27.4 pp (reaching "minimal disability" category), Schober's test recovery to normal (6.1±0.6 cm), EMG tibialis anterior amplitude increase of 18.0%, and 28.2% reduction in CoP velocity in eyes-closed posturography. All between-group differences were statistically significant (p<0.05). Conclusion: The three-stage McKenzie program is superior to standard approaches across clinical, neurophysiological and posturological parameters, with a continuing effect at follow-up attributable to the educational component.

Keywords: medical rehabilitation, intervertebral disc herniation, decompression surgery, McKenzie method, stabilization training, neurodynamic exercises, EMG, stabilometry, pain, ODI.

First page

58

Last page

67

For citation:Tilyakov Kh.A., Khushmurodov U.R. - THREE-STAGE REHABILITATION BASED ON MCKENZIE MECHANICAL DIAGNOSIS AND THERAPY IN PATIENTS AFTER LUMBAR DECOMPRESSION SURGERY: RESULTS OF A CONTROLLED STUDY//New Day in Medicine 5(91)2026 58-67 https://newdayworldmedicine.com/en/new_day_medicine/5-91-2026

List of References

  1. Battié MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine. 2004;29(23):2679-2690. doi:10.1097/01.BRS.0000146457.83240.EB.
  2. Ilieva EM, Minchev RM, Petrova NS. Low-frequency magnetic field in rehabilitation of patients after lumbar disc surgery. Folia Med (Plovdiv).2012;54(3):46-51. doi:10.2478/v10153-012-0007-5.
  3. Kirkaldy-Willis WH, Farfan HF. Instability of the lumbar spine. Clin Orthop Relat Res. 1982;(165):110-123.
  4. Modic MT, Ross JS. Lumbar degenerative disk disease. Radiology. 2007;245(1):43-61. doi:10.1148/radiol.2451051706.
  5. Paolucci T, Pezzi L, Centra AM, et al. Magnetic field therapy in low back pain for function improvement: a systematic review and meta-analysis. Disabil Rehabil. 2020;42(9):1234-1246. doi:10.1080/09638288.2018.1514453.
  6. Urban JP, Roberts S. Degeneration of the intervertebral disc. Arthritis Res Ther. 2003;5(3):120-130. doi:10.1186/ar629.
  7. Гуща АО, Шевелев ИН, Касымов ФХ. Современные принципы хирургического лечения дегенеративных заболеваний пояснично-крестцового отдела позвоночника. Анналы клинической и экспериментальной неврологии. 2019;13(1):51-59. doi:10.25692/ACEN.2019.1.7.
  8. Демецкий АМ, Попова ЛИ. Магнитотерапия: теоретические основы и клиническое применение. Минск: Беларусь; 1993. 232 с.
  9. Епифанов ВА, Епифанов АВ. Реабилитация в неврологии. Москва: ГЭОТАР-Медиа; 2014. 416
  10. Камчатнов ПР, Чугунов АВ. Дегенеративные поражения позвоночника — актуальная клиническая проблема. Consilium Medicum. 2021;23(2):14-19.

    file

    download