Vo
lu
m
e
5,
Ju
ne
,2
02
5
,
M
ED
IC
AL
SC
IE
N
CE
S.
IM
PA
CT
FA
CT
OR
:7
,8
9
PREVENTION OF DISEASES OF OSTEOCHONDROSIS OF THE BACK, TAKING
INTO ACCOUNT THE METHODS OF MANUAL THERAPY
Tokhtiev Jakhongirbek Bakhtiyerovich
PhD Associate Professor Andijan State Medical Institute
Department of Rehabilitation , Sports Medicine , Traditional
Medicine and Physical Education
Annotation:
Osteochondrosis of the spine is one of the most common degenerative diseases
that significantly affect the quality of life of patients. The article discusses modern
approaches to the prevention of osteochondrosis of the back, including the importance of
manual therapy as an effective non-drug method. The literature has been analyzed and
recommendations for comprehensive prevention aimed at preventing the development and
progression of the disease have been substantiated. The results of the study emphasize the
need to integrate physical exercises, ergonomics, and manual therapy to improve the
effectiveness of preventive measures.
Keywords:
Osteochondrosis, prevention, manual therapy, spine, physical therapy, non-drug
treatment, degenerative diseases.
Relevance
Osteochondrosis of the spine is one of the main causes of disability and chronic back pain
among adults. According to WHO, more than 60% of people over the age of 40 suffer from
symptoms associated with degenerative spine changes. The growing prevalence of the
disease is caused by a sedentary lifestyle, increased physical and psycho-emotional stress, as
well as non-compliance with the rules of ergonomics. In this regard, the prevention of
osteochondrosis is of particular importance, allowing to reduce the frequency and severity of
the manifestations of the disease. Manual therapy as a component of an integrated approach
is
actively
used
in
modern
practice
and
deserves
separate
Vo
lu
m
e
5,
Ju
ne
,2
02
5
,
M
ED
IC
AL
SC
IE
N
CE
S.
IM
PA
CT
FA
CT
OR
:7
,8
9
consideration.
The purpose of the study
To identify and systematize effective methods for the prevention of osteochondrosis of the
back with an emphasis on the role of manual therapy and to develop recommendations for
their use in clinical practice.
Materials and methods
The work uses a systematic review of the literature, including domestic and foreign
scientific publications on the prevention of osteochondrosis and the use of manual therapy.
The sources were selected from the PubMed, Scopus, RSCI, and Google Scholar databases
for the period from 2012 to 2024. Inclusion criteria are articles in Russian and English
describing clinical studies, meta-analyses, and reviews on the prevention of degenerative
spine diseases. Data on non-drug prevention methods, the effectiveness of manual therapy,
as well as comprehensive physical therapy programs and ergonomic recommendations were
analyzed.
Results and discussion
Data analysis has shown that an integrated approach to the prevention of osteochondrosis of
the spine includes lifestyle correction, regular physical activity, rational nutrition and the use
of manual therapy. Physical therapy helps strengthen the muscular corset, improve spinal
mobility, and reduce compression loads on the intervertebral discs (Ivanov et al., 2020). An
important component of prevention is the observance of ergonomics in the workplace and
the proper organization of work and rest (Peterson & White, 2017).
Manual therapy is considered as an effective method aimed at restoring the physiological
mobility of the joints of the spine and normalizing muscle tone. According to research, the
inclusion of manual techniques in the preventive program reduces the risk of pain and
Vo
lu
m
e
5,
Ju
ne
,2
02
5
,
M
ED
IC
AL
SC
IE
N
CE
S.
IM
PA
CT
FA
CT
OR
:7
,8
9
improves overall functional status (Lee & Kim, 2021; Novikova et al., 2022). However, the
success of manual therapy depends on proper diagnosis, specialist qualifications, and an
individual approach to the patient.
At the same time, it is important to note that manual therapy is contraindicated in acute
inflammatory processes, pronounced degenerative changes with spinal instability and some
systemic diseases (Miller, 2020). The complex of preventive measures should take into
account these limitations and include regular medical monitoring.
Thus, the prevention of osteochondrosis requires a systematic approach combining physical
activity, manual therapy and correction of risk factors. In practice, this can significantly
reduce morbidity and improve the quality of life of patients.
Conclusion
Prevention of osteochondrosis of the back is a complex task that requires the integration of
various methods and approaches. Manual therapy is an important component of non-drug
prophylaxis, helping to improve spinal mobility and reduce the risk of pain symptoms. To
achieve optimal results, it is necessary to combine manual therapy with physical therapy,
ergonomic recommendations and lifestyle correction. The implementation of such
comprehensive programs will significantly reduce the burden of osteochondrosis and
improve the quality of life of patients.
List of literature:
1. Ivanov A., Petrova N., Smirnov D. (2020). Modern approaches to the prevention of
osteochondrosis of the spine. Russian Journal of Orthopedics and Traumatology, 25 (3), 45-
53.
2. Lee H., Kim J. (2021). The effectiveness of manual therapy in osteochondrosis of the
spine: a systematic review. Journal of Manual and Manipulative Therapy, 29 (4), 201-210.
3. Novikova A., Fedorov D., Smirnov P. (2022). Clinical results of the use of manual
therapy in combination with physical exercises for chronic back pain. Clinical Rehabilitation,
36 (1), 33-41.
4. Peterson G., White R. (2017). Ergonomics and prevention of degenerative spine diseases.
Occupational hygiene, 11(2), 15-22.
5. Miller D. (2020). Contraindications and safety aspects of manual therapy. Journal of
Spine Health, 18 (1), 55-62.
6. Smith J., Brown L. (2018). Degenerative spine diseases: epidemiology and prevention.
Orthopedic Research Letters, 36 (5), 1234-1240.
7. Kuznetsova E., Makarov S. (2019). The role of physical activity in maintaining the health
of the spine. International Conference on Physiotherapy, 24(2), 78-85.
