AGE CHANGES MUSCULOSKELETAL SYSTEM: TIMELY DETECTION, TREATMENT AND REHABILITATION

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Issue: 
6
Year: 
2015

I. Zlobina (1), A. Krivtsunov (2), K. Bacharova (1), Candidate of Medical Science 1 -Belgorod National Research University 2 -Research Medical Center, «Gerontology», Moscow

Pathology of the musculoskeletal system is widespread in the population and, together with involutive changes are among the most frequent diseases of elderly patients. The most significant of them – osteoporosis, osteoarthritis, and sarcopenia. All three components in isolation, of course, lead to reduced quality of life. In this paper, the problem of interference of these states and their joint impact on the musculoskeletal system as a target organ; examined ways to improve the diagnostic search of osteoporosis, osteoarthritis, and sarcopenia. It was noted that in addition to performing standard diagnostic algorithm of these states, the important is to use specialized (geriatric) diagnostics. It emphasizes that, given the integration of the pathology of the musculoskeletal system for the effectiveness of medical and medico-social rehabilitation programs require the use and development is integrated techniques.
Keywords: 
musculoskeletal system
osteoporosis
osteoarthritis
sarcopenia
elderly age
specialty (geriatric) inspection

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References: 
  1. Benevolenskaja L.I. Problema osteoporoza v sovremennoj meditsine // Nauchno-prakticheskaja revmatologija. – 2005; 1: 4–7.
  2. Benevolenskaja L.I. Rukovodstvo po osteoporozu / M.: Laboratorija Bazovyh Znanij, Binom; Laboratorija znanij, 2003; 524 s.
  3. Volkov A.I., Gusev E.I., Zborovskij A.B. i dr. Osnovnye zadachi mezhdunarodnoj dekady (The Bone and Joint Decade 2000–2001) v sovershenstvova-nii bor'by s naibolee rasprostranennymi zabolevanijami oporno-dvigatel'nogo apparata v Rossii // Nauchno-prakt. revmatol. – 2001; 2: 4–8.
  4. Il'nitskij A.N. Sindrom starcheskoj astenii // Meditsinskaja sestra. – 2014; 5: 11–3.
  5. Il'nitskij A.N., Proschaev K.I. Starcheskaja astenija (frailty) kak kontseptsija sovremennoj gerontologii // Elektronnyj nauch. Zhurn. Gerontologija. – 2013; 1: URL: http://gerontology.esrae.ru/1-2 (data obraschenija: 18.02.14).
  6. Kazimirko V.K., Kovalenko V.N., Mal'tsev V.I. Osteoporoz: patogenez, 6. klinika, profilaktika i lechenie. 2-e izd., steriotip. / K.: Morion, 2006; 160 c.
  7. Nasonov E.L. Sovremennye napravlenija terapii osteoartroza // 7. Consilium Medicum. – 2001; 9: 408–15.
  8. Problema padenij sredi pozhilyh ljudej: chto mozhno schitat' osnovnymi faktorami riska i naibolee profilakticheskimi merami? Doklad Vsemirnoj organizatsii zdravoohranenija. VOZ. – 2004; s. 5, 8–14.
  9. Proschaev K.I., Il'nitskij A.N., Konovalov S.S. Izbrannye lektsii po geriatrii / SPb: Prajm-Evroznak, 2008; s. 369–71, 392–4.
  10. Proschaev K.I., Il'nitskij A.N., Zhernakova N.I. Osnovnye geriatricheskie sindromy / Belgorod: ANO «NIMTs «Gerontologija», 2012; s. 125–35.
  11. Terapevticheskaja sreda v domah-internatah dlja pozhilyh grazhdan i invalidov. Pod red. K.I. Proschaeva i dr. / M.; Belgorod: Belgor. obl. tip., 2012; 172 s.
  12. Toroptsova N.V., Benevolenskaja L.I. Osteoporoz: sovremennye aspekty diagnostiki i lechenija // Rus. med. zhurn. – 2010; 6: 389.
  13. Toroptsova N.V., Benevolenskaja L.I. Osteoporoz: sovremennyj vzgljad na problemu // Lechaschij vrach. – 2008; 4: 38–40.
  14. Tsurko V.V. Osteoartroz: faktory riska i vozmozhnye puti profilaktiki // Klin. gerontol. – 2001; 7 (1–2): 45–51.
  15. Brocklehurst J. et al. Fracture of the femur in old age: a two-centre study of associated clinical factors and the cause of the fall // Age Ageing. – 1978; 7: 15.
  16. Chevalley T., Guilley E., Herrmann F. et al. Incidence of hip fracture over a 10-year period (1991-2000): reversal of a secular trend // Bone. – 2007; 140: 1284–9.
  17. Jordan K., Arden N., Doherty M. et al. EULAR recommendations 2003: an evidence based approach to the management of knee osteoarthritis report of a task force ofthe Standing Committee for international Clinical Studies Including Therapeutic Trials (ESCISIT) I // Ann. Rheum. Dis. – 2003; 62: 1145–55.
  18. Kadam U., Jordan K., Craft P. Clinical comorbidity in patients with osteoarthritis: a case–control study of general practice consulters in England and Walls // Ann. Rheum. Dis. – 2004; 63: 408–14.
  19. Lequesne M., Mery C., Samson M. et al. Indexes of severity for osteoarthritis of the hip and knee: validation in comparison with other assessment tests // Scand. J. Rheumatol. – 1987; 65: 85–9.
  20. Sarcopenia: European consensus on definition and diagnosis. Report of the European Working Group on Sarcopenia in Older People // Age Ageing. – 2010; 39 (4): 412–23.
  21. Thompson J. Ideal perioperative management of patients with cardiovascular disease: the quest continues // Anaesthesia. – 2004; 59 (5): 417–21.
  22. Zhang W., Doherty M., Arden N. et al. EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT) // Ann. Rheum. Dis. – 2005; 64: 669–81.