A.K. Shulgaubayev

https://orcid.org/0009-0003-6646-7690

Articles found: 2

  • Clinical observation of hand function recovery using various methods of autotendon reconstruction and rehabilitation (Issue № 1, 2025)

    M. Muradov, K. Kazantayev, D. Koshkarbayev, D. Dosymkhanov, D. Makataeva, M. Eм, V. Zhao, A. Shulgaubayev
    2025-03-31
    54–58
    Abstract

    Background. The purpose of the study was to compare objective (range of motion, hand strength) and subjective (Arm, Shoulder, and Hand Disability Questionnaire, Visual Analogue Pain Rating Scale) indicators of the effectiveness of one-stage and two-stage autograft reconstruction combined with Kleinert and SMART rehabilitation methods in hand injuries of different ages.

    Methods. The study included 200 patients (2021-2024) who underwent surgical treatment of flexor tendon injuries of the fingers at the Syzganov National Scientific Center of Surgery. Patients were divided into the main group (n = 80), which received two-stage reconstruction and rehabilitation according to the SMART method, and the control group (n = 120), which received one-stage reconstruction and rehabilitation according to the Kleinert method. Efficacy was assessed by range of motion, hand grip strength, Rozov's scale, Disabilities of the Arm, Shoulder, and Hand questionnaire, and visual analog scale pain scores.

    Results. By the 6th month of rehabilitation, the SMART method demonstrated better results in functional movement assessment (65% vs. 60%, p = 0.05), pain reduction (4.0 vs. 3.2, p < 0.05), and shorter return-to-work time (10 vs. 12 weeks, p < 0.05). However, the Kleinert method proved effective in patients with subacute injuries.

    Conclusion. The Stimulated Motion And Recovery Therapy hand rehabilitation method combined with two-stage reconstruction is effective in the long-term consequences of trauma, while the Kleinert method is preferable in subacute injuries. Restoration of hand function requires a multidisciplinary approach.

    Keywords

    Autograft reconstruction, hand injuries, Kleinert method, SMART Hand Rehabilitation Method, rehabilitation

  • Experience of resorption of lumbar spine hernias (Issue № 1, 2024)

    N.S. Akhmetov, G.S. Kaishibaeva, K.E. Kazantaev, A.A. Sultangulov, A.B. Tashbenbetov, A.K. Shulgaubayev, M.A. Em, M.A. Zagainova
    2024-05-21
    29–37
    Abstract

    Background. In most cases, the reduction in pain and clinical manifestations is associated with a decrease in the size of the hernia or its resorption, which is the natural process of reduction or complete disappearance of the hernia without the need for surgical intervention. Currently, there are several intensive physical therapy methods that influence the process of hernia resorption, making conservative treatment preferable.

    Materials and methods. At the «Expert Neuro» clinic, as part of a prospective observational study from 2023 to 2024, 30 patients with a confirmed diagnosis of “herniated intervertebral discs of the lumbar spine” were analyzed based on the results of magnetic resonance imaging. The main group of patients received conservative treatment using modern high-intensity physiotherapy methods, the control group received classical methods of conservative treatment.

    Results. According to magnetic resonance of the spine, 3 patients developed resorption of a herniated intervertebral disc. In all patients, radiculopathy symptoms improved after 1 month and lower back pain symptoms improved after 2 to 3 months.

    Conclusion. According to our clinical experience and relevant literature, sequestered disc herniations have a high rate of resorption. Pathophysiological processes of inflammation and regeneration are the main mechanisms of this phenomenon. Conservative management of such patients in the absence of definitive surgical indications should not be underestimated.

    Keywords

    resorption, hernia, intervertebral discs, physiotherapy