JOINT PAIN IN PRIMARY GONARTHRITIS IN THE ELDERLY: WAYS TO INCREASE THE EFFECTIVENESS OF REHABILITATION
DOI:
https://doi.org/10.11603/1811-2471.2018.v0.i2.8904Keywords:
primary gonarthritis, pain syndrome, rehabilitation, volume pneumatic pressuring.Abstract
The source of pain in osteoarthritis (OA) may be cartilaginous tissue, synovial membrane, subchondral bone and periarticular tissue. Correction of all leading parts of the pathogenesis of OA with medication is insufficient, and ways to increase the effectiveness of treatment of the disease are associated with the use of methods that can affect mechanisms like pathogenesis and sanogenesis. All this is a motive for finding ways to improve the effectiveness of rehabilitation.
The aim of the work is to investigate the effectiveness of using volumetric pneumopressing (VPP) in ambulatory conditions in patients with primary gonarthritis (PGA) in the elderly.
Material and Methods. Clinical observations were performed on 47 patients with PGA aged 60 to 74 years (64.83±0.48) who underwent an outpatient stage of rehabilitation. By randomization, the patients were divided into two groups. The rehabilitation complex was characterized by application in one of the groups of VPP on the lower extremities.
Results and Discussion. According to reovazographic studies in patients with PGA following a rehabilitation complex using VPP, acceleration of hemodynamics (p<0.05) was determined, and according to artrosonography, reduction of excess fluid in the tissues of the joint. Also, reliable (p<0.05) reduction of pain syndrome, improvement of functional activity of joints and physical capacity have been established.
Conclusions. On the basis of the obtained results, application in the rehabilitation program for patients with PGA volumetric pneumatic pressures, which helps to normalize the functional state of reflex-altered muscles, activates local blood circulation and reduces venous stasis. The rehabilitation complex with the inclusion of VPP allows to increase the efficiency of the rehabilitation measures performed at the outpatient stage of rehabilitation in elderly patients at the PGA.
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