Individual rehabilitation therapy techniques for osteoarthritis

DOI: https://doi.org/10.29296/25877305-2018-07-15
Download full text PDF
Issue: 
7
Year: 
2018

O. Borisova; Professor E. Belyaeva, MD Medical Institute, Tula State University

Osteoarthritis (OA) is one of the most common joint diseases. The problem of its treatment needs to form the new approaches meeting the high safety requirements, especially in elderly people with comorbidity. A patient group of 72 people aged 38 to 76 years with a reliable diagnosis of OA and long-standing severe pain syndrome was selected. Thirty-two patients received treatment with ionized gel with hyaluronic acid and transcranial electrostimulation sessions, resulting in a reduction in pain by 56% of the baseline value on the visual analog scale, which was 2.3 times higher than that in the control group (24.3%). Upon completion of a 10-session cycle, the dose of used nonsteroidal anti-inflammatory drugs (NSAIDs) was reduced by 2 times in 58% of cases in the study group; 10% of patients completely discontinued the drugs; 4 weeks later only 25% of patients resumed taking NSAIDs at an average therapeutic dose. The use of ionized hyalurone-containing gel and transcranial electrical stimulation in patients with chronic pain syndrome in OA can be a promising rehabilitation technique at the stage of restorative treatment.
Keywords: 
rheumatology
chronic pain
osteoarthritis
restorative treatment
air ionization
transcranial electrical stimulation

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Gatchel R. Early development of physical and mental deconditioning in painful spinal disorders. In T. Mayer, V. Mooney, R. Gatchel (Eds.). Contemporary conservative care for painful spinal disorders (pp. 278–289) / Philadelphia: Lea & Febiger, 1991.
  2. Rachin A.P., Anisimova S.Ju. Dorsopatija: aktual'naja problema praktikujuschego vracha // RMZh. – 2012; 20 (19): 964–7.
  3. Folomeeva O.M., Erdes Sh.F. Rasprostranennost' i sotsial'naja znachimost' revmaticheskih zabolevanij v Rossijskoj Federatsii // Doktor (revmatologija). – 2007; 10: 3–12.
  4. Vjalkov A.I., Gusev E.I., Zborovskij A.B. i dr. Osnovnye zadachi mezhdunarodnoj Dekady (The Bone and Joint Decade 2000–2010) v sovershenstvovanii bor'by s naibolee rasprostranennymi zabolevanijami oporno-dvigatel'nogo apparata v Rossii // Nauchno-prakt. revmatol. – 2001; 2: 4–8.
  5. Galushko E.A., Bol'shakova T.Ju., Vinogradova I.B. i dr. Struktura revmaticheskih zabolevanij sredi vzroslogo naselenija Rossii po dannym epidemiologicheskogo issledovanija // Nauchno-prakt. revmatol. – 2009; 1: 11–7.
  6. Folomeeva O.M., Erdes Sh.F. Problema revmaticheskih zabolevanij v Rossii // Ros. med. zhurn. Elektronnoe izdanie. – 2004; 20: Publikatsija 1121. URL: http://www.rmj.ru/articles_167.htm
  7. Shuhov V.S. Bol'. Klinicheskie rekomendatsii po vedeniju bol'nyh s razlichnymi bolevymi sindromami // RMZh. – 2004; 12 (7): 437.
  8. Folomeeva O.M., Erdes Sh.F. Revmaticheskie zabolevanija u vzroslogo naselenija v Federal'nyh okrugah Rossii // Nauchno-prakt. revmatol. – 2014; 52 (1): 5–7.
  9. Hadartsev A.A., Tutel'jan V.A., Zilov V.G. i dr. Teorija i praktika vosstanovitel'noj meditsiny: Monografija. Pod red. V.A. Tutel'jana / M.: Rossijskaja akademija meditsinekih nauk; Tula: Tul'skij poligrafist, 2004; T. 1: 248 s.
  10. Vosstanovitel'naja meditsina: monografija. Pod red. A.A. Hadartseva, S.N. Gontareva, V.M. Es'kova / Tula: TulGU–Belgorod: ZAO «Belgorodskaja oblastnaja tipografija», 2010; T. I: 298 s.
  11. Vosstanovitel'naja meditsina: monografija. Pod red. A.A. Hadartseva, S.N. Gontareva, S.V. Krjukovoj / Tula: TulGU-Belgorod: ZAO «Belgorodskaja oblastnaja tipografija», 2010; T. II: 264 s.
  12. Epifanov V.A. Vosstanovitel'naja meditsina: uchebnik / M.: GEOTAR-Media, 2012; s. 13–9.
  13. Revmatologija. Klinicheskie rekomendatsii. Pod red. E.L. Nasonova / M.: GEOTAR-Media, 2008; 282 s.
  14. Avdeeva O.S., Beljaeva E.A., Borisova O.N. i dr. Vosstanovitel'noe lechenie patsientov s gonartrozom preparatami gialuronovoj kisloty // Vestn. novyh med. tehnologij. – 2012; 1: 85–7.
  15. Beljaeva E.A., Hadartsev A.A. Teoreticheskie aspekty vosstanovitel'nogo lechenija osteoproza pri komorbidnoj patologii // Vestn. novyh med. tehnologij. – 2010; 3: 96–8.
  16. Avdeeva O.S., Beljaeva E.A., Hadartsev A.A. i dr. Opyt primenenija lokal'noj applikatsionnoj terapii gialuronatsoderzhaschim gelem «Giasul'f» pri sustavnom sindrome // Vestn. novyh med. tehnologij. – 2008; 4: 183–5.
  17. Beljaeva E.A., Avdeeva O.S. Effektivnost' i bezopasnost' terapii gialuronatsoderzhaschim gelem «Giasul'f» pri sustavnom sindrome. Sb. mat. V S'ezda revmatologov Rossii. M., 2009; s. 6.
  18. Beljaeva E.A., Fedorischev I.A. Lazeroferez gialuronatsoderzhaschego gelja «Giasul'f» pri oslozhnennom postmenopauzal'nom osteoporoze // Vestn. novyh med. tehnologij. – 2010; 1: 36–8.
  19. Fedorischev I.A. Gialuronovaja kislota: monografija. Kn. I / Tula: Izd-vo TulGU, 2011; 238 s.
  20. Tehnika i metodiki fizioterapevticheskih protsedur. Spravochnik. Pod red. V.M. Bogoljubova, M.F. Vasil'evoj, M.G. Vorob'eva / Tver': «Gubernskaja meditsina», 2001; 402 s.
  21. Chizhevskij A.L. Aeroionifikatsija v narodnom hozjajstve. Pod red. A.G. Pogosova, F.T. Sadovskogo / M.: Gosplanizdat, 1960; s. 554–663.