NEW APPROACHES TO THE APPOINTMENT OF PHYSIOTHERAPEUTIC METHODS IN PATIENTS WITH PRIMARY GONARTHRITIS WITH COMORBID PATHOLOGY
DOI:
https://doi.org/10.11603/1811-2471.2017.v0.i4.8324Keywords:
primary gonarthritis, interferential therapy, magnetic-laser therapy, rehabilitation.Abstract
In the elderly the problem of osteoarthritis (OA) becomes very important in connection with concomitant diseases and invulative changes in the body. The achievement of the analgesic effect of rehabilitation measures in older people in degenerative-degenerative diseases of the joints remains unresolved. All this is a motive for finding ways to optimize the rehabilitation of patients with OA in the elderly.
The purpose of the work is to evaluate the effectiveness of the use of physiotherapeutic methods in patients with primary gonarthritis (PGA) in the elderly on the basis of studying the use of rehabilitation complexes at the outpatient stage of rehabilitation.
Material and methods. Clinical observations were performed on 54 patients with primary gonarthrtritis who were in the outpatient stage of rehabilitation. By randomization, the patients were divided into three groups. The rehabilitation complex was distinguished by the use of physiotherapy methods: in 18 patients of the I group in during the duration of the outpatient stage of rehabilitation, the method of interferential therapy (ITT) on the knee joints was performed; In 17 patients of the II group in the rehabilitation program included the use of magnetic-laser therapy (MLT) on the knee joints; In 19 patients of the III group received combined physiotherapy with the inclusion of MLT and ITT.
Research results and their discussion. The results of the studies have shown that the use of MLT and ITT reduces the severity of the pain syndrome and improves motor activity in elderly people with PGA, both in a separate application and in combination of these two methods. However, with the combined application of physiotherapeutic methods, a statistically significant difference (p <0,05) of the VAS, index WOMAC and the Lovetta test compared to the I and II groups was noted, indicating the benefits of simultaneously applying two physiotherapeutic methods of multi-directional action in the rehabilitation complex.
Conclusions. Combined application of physiotherapeutic methods, namely, IF and MLT in patients with PGA with comorbid pathology at the outpatient stage of rehabilitation, has a more pronounced analgesic effect in arthralgia compared with the separate application of these methods, which makes it possible to perform better rehabilitation and maintains the functional capabilities of the locomotor system the device and improve the quality of life of the patient.
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