rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2025.44rehab-74Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESПольза и побочные эффекты реабилитационных технологий, применяемых у пациентов с хронической неспецифической болью в нижней части спиныBenefits and side effects of rehabilitation therapies used for patients with chronic non-specific low back painhttps://orcid.org/0000-0002-5168-8752СонЕ. А.SonЕ. А.

Сон Елена Алексеевна, к.м.н.

Author ID: 19837664400;

ул. Трубецкая, д. 8, стр. 2, Москва 119048

Elena А. Son, PhD

Author ID: 19837664400;

8 bldg 2 Trubetskaya Str., Moscow 119048

son_e_a@staff.sechenov.ruhttps://orcid.org/0000-0003-4950-144XИсайкинА. И.IsaikinА. I.

Исайкин Алексей Иванович, к.м.н., доцент

ул. Трубецкая, д. 8, стр. 2, Москва 119048

Aleksei I. Isaikin, PhD, Assoc. Prof.

8 bldg 2 Trubetskaya Str., Moscow 119048

Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской ФедерацииРоссияSechenov UniversityRussian Federation20251302202632112131Copyright © Сон Е.А., Исайкин А.И., 20262026Сон Е.А., Исайкин А.И.Son Е.А., Isaikin А.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/74

Неспецифическая боль в нижней части спины (БНЧС) относится к наиболее распространенным заболеваниям, существенно влияющим на рутинную активность человека. Хроническая форма БНЧС значительно снижает качество жизни пациентов, нередко сопровождается осложнениями психологического характера, требует медицинского вмешательства и проведения продолжительной реабилитации. В обзоре рассмотрены патофизиологические основы хронической БНЧС, приведена классификация методов реабилитации, дана оценка эффективности и безопасности их применения. Обобщены результаты систематических обзоров, метаанализов и исследований, посвященных изучению отдельных методов реабилитации и их механизмов действия. Представлены практические рекомендации для клиницистов, которые ведут пациентов с хронической БНЧС на восстановительном этапе.

Non-specific low back pain (LBP) is one of the most common conditions that significantly affects a person's daily activities. Chronic LBP negatively impacts the quality of life of patients, often is accompanied by psychological complications and requires medical intervention with a lengthy rehabilitation program. This review studies the pathophysiological reasons underlying chronic LBP, presents a classification of rehabilitation methods, and evaluates effectiveness and safety of their use. Based on the summarized data from systematic reviews and meta-analyses, guidelines and recommendations for the management of patients with chronic LBP during rehabilitation are presented.

реабилитацияметоды реабилитациихроническая неспецифическая боль в нижней части спинымультидисциплинарная реабилитационная командаперсонализированная медицинаrehabilitationrehabilitation therapieschronic non-specific low back painmultidisciplinary rehabilitation teampersonalized medicineReferencesGlobal Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386 (9995): 743–800. https://doi.org/10.1016/S0140-6736(15)60692-4.Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. 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The authors declare that there are no conflicts of interest present.