Structure and content of rehabilitation of 45–50 year old women with knee arthrosis

2020 ◽  
pp. 64-71
Author(s):  
Ekaterina Yu. MUKINA ◽  
Artem V. SAVELYEV
Keyword(s):  
Knee Joint ◽  
Pain Syndrome ◽  
Subjective Assessment ◽  
Rehabilitation Program ◽  
Physical Rehabilitation ◽  
Knee Joints ◽  
Muscle Testing ◽  
Knee Arthrosis ◽  
Subjective Pain ◽  
Descriptive Scale

Abstract. The purpose of the work is to develop and substantiate a technique for physical rehabilitation in knee arthrosis. We assumed that the technique we developed will contribute to the speedy restoration of knee joint functions, the removal of pain syndrome and an increase in the physical activity of patients. Of greatest importance in kinesitherapy is the determination of women's motor capabilities, abilities for household and labor skills, for which muscle testing on multifunctional simulators is used. For subjective assessment of pain, we proposed a verbal descriptive scale. This method is designed to determine the intensity of pain and allows you to evaluate the subjective pain sensations that the patient experiences at the time of the study. Hydroxynesitherapy is in the physical rehabilitation program. When performing gymnastics in water, different depth of immersion is used, dynamic exercises, exercises with elastic (rubber) bandage, rubber espanders, shovels (to increase rowing resistance), flippers and special cuffs on knee joints are used. Duration of classes 15–20 min 2–3 times a week, course 30–45 days and subsequent application of teips. The rehabilitation included treatment baths, which women conducted independently at home. When conducting kinesitherapeutic measures, we took into account the patient's complaints, we carried out medical supervision, control of heart rate and blood pressure. We presented the results of the study of influence of the proposed technique on morphofunctional state of women 45–50 years old. We noted positive dynamics of influence of kinesitherapy on motor functions of knee joint.

Functional Arthralgies of Knee Joint as a Complex Problem in the Modern Rehabilitation System

2021 ◽  
Vol 6 (5) ◽  
pp. 56-62
Author(s):  
T. G. Turitska ◽  
◽  
A. A. Vinnyk ◽  
O. S. Snisar
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Local Level ◽  
Pain Syndrome ◽  
Rehabilitation Program ◽  
Google Scholar ◽  
Sources Of Information ◽  
Surgical Interventions ◽  
Muscle Imbalance ◽  
The Impact

The purpose of the study was to search for and analyze data from modern sources of information on the features of the occurrence and manifestations of pain in the knee joint and approaches to treatment. Materials and methods. The paper presents an analysis and generalization of modern scientific and methodological literature of domestic and foreign authors according to the Internet and Google Scholar service on the peculiarities of arthralgia of the knee joint and concomitant manifestations of this disorder (back pain, posture, etc.). Results and discussion. The article analyzed modern views on the occurrence and development of the process of pain syndrome in the knee joint. Sources on request in the Google Scholar service were analyzed, where the overwhelming majority of publications are described by pain slander and approaches to its treatment after the occurrence of anatomical changes in the structures of bone and soft-wound structures or after surgical interventions. Thus, the prevailing approach is the purpose of non-steroidal anti-inflammatory drugs in combination with chondroprotectors. According to the authors of the article, this approach to the treatment of pain in the area of the knee joint does not take into account one of the main components of the occurrence of arthralgia – muscle imbalance, both at the local level of the lower extremities and muscular-fascial chains. According to the theory of muscular chains, the dislocation of bones forming the knee joint leads to uneven loading of the femoral and tibial bones to the metaphizar deposits, which leads to a circulatory disorder and further leads to degenerative-dystrophic diseases. Understanding this component of pathogenesis can give a specialist in physical therapy and ergotherapy a more informed approach to the development of balanced treatment tactics aimed at eliminating the primary causes of pain syndrome. Conclusion. Pain in the knee joint can be caused not only by degenerative-dystrophic changes in the bones, but also can be associated with muscle imbalance of the posterior surface line. The development of a rehabilitation program for knee pain should include not only the use of local remedies, but also take into account the impact on the relevant reflex areas in the spine. Emerging degenerative-dystrophic processes in the bones that are part of the structure of the knee joint can be caused by their dislocation due to muscle imbalance. Uncontrolled and unauthorized use of analgesics by patients with knee pain can smooth the clinical picture and reduce the effectiveness of rehabilitation measures

scholarly journals ARGON APPLICATION FOR CREATION OF PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES

2021 ◽  
Vol 29 (2) ◽  
pp. 167-174
Author(s):  
O.L. Tkachuk ◽  
◽  
R.L. Parakhoniak ◽  
S.A. Plaksin ◽  
A.S. Glushenkov ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Patient Reported Outcomes ◽  
Gallstone Disease ◽  
Pain Syndrome ◽  
Shoulder Girdle ◽  
Subjective Assessment ◽  
Patient Treatment ◽  
Hospitalization Period ◽  
Patient Reported ◽  
Subjective Pain

Objective. To advance the patients’ rehabilitation after laparoscopic surgeries by using insufflation with argon gas for pneumoperitoneum formation. Methods. The given study is the investigation of sequentially admitted 360patients with gallstone disease (cholelithiasis). The patients have been randomly divided into 4 groups: Group1 - uncomplicated gallstone disease, carboxyperitoneum (n=192); Group1a - acute cholelithiasis (n=37), carboxyperitoneum; Group2 - uncomplicated gallstone disease, argonperitoneum (n=102); Group2a - acute cholelithiasis (n=29), argonoperitoneum. All the patients have undergone laparoscopic cholecystectomies. Subjective assessment of the pain syndrome intensity has been studied on the basis of patient-reported outcomes questionnaire according to the visual analogue scale (VAS), need for analgesic injections, presence and intensity of the shoulder pain syndrome as well as the duration of in-patient treatment. Results. In accordance with patient-reported outcomes (with argonperitoneum application) subjective pain sensation has proved to decrease by 1.5-2 fold. On the first day of the postoperative period both in uncomplicated gallstone disease and in acute cholelithiasis, argonperitoneum has statistically significantly reduced the need for analgesics. Pain in the shoulder girdle (omalgia) was observed in 48.9% of the patients having been applied carboxyperitoneum whereas it was noticed in only 5.3% of the patients having been applied argonperitoneum during the operation. Argonperitoneum application statistically significantly reduces in-patient treatment period by 30% (from 2.3 - to 1.6 days) in uncomplicated gallstone disease and by 23% (from 4.3 - to 3.3 days) in gallstone disease complicated by acute cholelithiasis. Conclusion. Application of argon for pneumoperitoneum formation in laparoscopic cholecystectomies reliably reduces pain syndrome intensity in the postoperative period. The number of postoperative omalgia cases is reduced by 42% in patients having undergone cholecystectomies with argonperitoneum application. Application of argonperitoneum in management of patients with cholelithiasis may reduce the hospitalization period by 25-30%. What this paper adds The effect of argon application as an insufflation gas in laparoscopic operations upon the intensity of the postoperative pain syndrome has been studied for the first time. Argonperitoneum application has been found to improve the postoperative course by reducing pain irritation. Argon application leads to reduce analgesics consumption.

Experience of the Use of Chondroitin Sulfate in the Recovery Treatment of Posttraumatic Chondropathy of the Knee in Athletes Playing Sports

10.12737/7270 ◽  
2014 ◽  
Vol 21 (4) ◽  
pp. 61-67
Author(s):  
Сахарова ◽  
M. Sakharova ◽  
Капустина ◽  
N. Kapustina ◽  
Смоленский ◽  
...  
Keyword(s):  
Knee Joint ◽  
Chondroitin Sulfate ◽  
Pain Syndrome ◽  
Main Group ◽  
Knee Joints ◽  
Osteoarthritis Of The Knee ◽  
Isokinetic Testing ◽  
Deficit Reduction ◽  
Recovery Treatment ◽  
Angular Velocities

The article presents results of research on the effectiveness of comprehensive rehabilitation treatment of athletes with post-traumatic chondropathies of knee joints by means of chondro-protective therapy (chondroitin sulfate injections). The study involved 60 athletes playing sports. Athletes were examined through a survey questionnaire Knee injury and osteoarthritis outcome score - Scale Exodus of injury and osteoarthritis of the knee joint, as well as clinical examination, ultrasound examination of the knee joints, bilateral isokinetic testing of the muscles of the flexor-extensor of the knee joint. 2 groups of 30 athletes (the main group and the comparison group) had course of treatment: physical therapy by alternating magnetic field, therapeutic physical training, massage. Athletes of the main group was additionally applied intramuscularly drug chondroitin-sulfate (Astragal). The study showed greater efficacy of the treatment of athletes in the main group, this is confirmed by a significant decrease of pain syndrome, improving of functional status of the knee joints, increase sporting activity and improving the quality of life of athletes according to the survey; improving the biomechanical characteristics of the periarticular muscles and deficit reduction extensor tibiae between damaged and intact limb at angular velocities of 60 and 180 0/с, the positive dynamics of the ultrasonic examination of the knee joints.

scholarly journals USE OF DEEP OSCILLATION - THERAPY IN REHABILITATION PROGRAM FOR PATIENT AFTER DISTAL RADIUS FRACTURE WITH A COMPLEX REGIONAL PAIN SYNDROME: A CASE REPORT

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 187-193
Author(s):  
G. Мratskova
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Distal Radius ◽  
Sagittal Plane ◽  
Clinical Symptoms ◽  
Pain Syndrome ◽  
Rehabilitation Program ◽  
Manual Muscle Testing ◽  
Muscle Testing ◽  
Number Of Patients ◽  
Therapeutic Exercises

THE PURPOSE is to present a clinical case of a patient with a fracture of the distal radius and complex regional pain syndrome I, in which complex rehabilitation was applied, including Deep Oscillation, cryotherapy and therapeutic exercises. MATERIALS AND METHODS: The rehabilitation program was conducted to a 62-year-old woman, four months after the injury. The intervention includes Deep Oscillation in biphasic mode (up to 7μA) and therapeutic exercises 10 procedures. The clinical symptoms were assessed before and after therapy and after 1-st and 3-rd months after therapy. RESULTS: Reduction in pain (VAS) after therapy from “very strong” (75mm) before therapy, to “mild” at 3 months (12mm) was observed. Reduction of wrist swelling and muscle weakness as assessed by manual muscle testing was observed. The range of movement in the sagittal plane from 25º-0-35º to 70º-0º-85º and the frontal plane from 5º-0-15º to 20º-0º-35º was increase. Improved performance of activities of daily living was observed. No adverse events with Deep Oscillation therapy were observed. CONCLUSION: Deep Oscillation and therapeutic exercises effectively reduce the clinical symptoms of regional pain syndrome. To establish the therapeutic efficacy of Deep Oscillation treatment after a fracture of the distal radius with complex regional pain syndrome, randomized studies involving a larger number of patients are required.

Experience in the use of kinesio taping for the relief of algomenorrhea in adolescent girls in a children′s rehabilitation hospital

2021 ◽  
pp. 77-84
Author(s):  
S. V. Vasilevich ◽  
S. S. Petrov
Keyword(s):  
Adolescent Girls ◽  
Pain Syndrome ◽  
Subjective Assessment ◽  
Pain Scale ◽  
Rehabilitation Program ◽  
Kinesio Tape ◽  
Rehabilitation Hospital ◽  
Kinesio Taping ◽  
Before And After ◽  
Reduction Of Pain

Introduction. The method of kinesio taping (Kenzo Kase, 1973) is actively gaining popularity among various medical specialists. This is due to the safety of the method and its proven effectiveness in certain pathological conditions and functional disorders. There are isolated publications showing the effectiveness of kinesio taping to reduce the manifestations of algomenorrhea.The aim of the study is to evaluate the effectiveness of using the kinesio taping method for relieving pain in adolescent girls with functional algomenorrhea in a children′s rehabilitation hospital.Materials and methods. The material for the study was the results of observation of 38 girls aged 13 to 17 years, who were on inpatient treatment in the St. Petersburg Children′s rehabilitation center of orthopedics and traumatology «Ogonyok» and turned to the medical staff for help with painful mēnsēs in order to receive pharmacological correction (taking antispasmodics and/or NSAIDs), as well as with a request to change the rehabilitation program (cancellation of physical therapy or physiotherapy procedures for the period of pain). Based on the experience of Seyda Toprak Celenay and María Isabel Tomás-Rodríguez, in order to influence the severity of algomenorrhea syndrome in patients, kinesio taping of the suprapubic region was performed with a 5 cm wide cotton tape with a light tension in the range of 10–15 %. The intensity of the pain syndrome before and after kinesio taping was evaluated by the patient himself using a modified facial pain Scale [The Faces Pain Scale-Revised (FPS-R) according to Von Baeyer C. L. et al., 2001], and an instrumental assessment of the intensity of pain sensations was additionally performed using a dynamometer-algometer «MEGEON 04300».Results. The method of kinesio taping allows you to exclude (in 58 % of patients) or reduce (in 16% of patients) the use of pharmacological drugs. The inverse relationship between the subjective assessment of the intensity of pain syndrome by patients and the reduction of pain syndrome was established: that is, the greater the intensity of pain, the less likely the analgesic effect from the use of kinesio tape. The decrease in the pain syndrome of the girls was noted in the period of 1–12 hours (on average 3 hours 51 minutes) from the moment of applying the kinesio tape. Unfortunately, in the remaining 26 % of cases, the kinesiotaping method was not effective.Conclusion. The kinesiotaping method is justified for use in patients with algomenorrhea and often allows you to exclude or reduce the intake of pharmacological drugs.

INFLUENCE OF THE ORTOSANO RESTORATION METHOD ON CHRONIC PAIN SYNDROME IN DEGENERATIVE-DYSTROPHIC DISEASES OF THE SPINE

2021 ◽  
Vol 74 (6) ◽  
pp. 1485-1487
Author(s):  
Iuliia O. Maliarenko ◽  
Olha I. Riznyk
Keyword(s):  
Chronic Pain ◽  
Pain Syndrome ◽  
Physical Rehabilitation ◽  
Knee Joints ◽  
Psychological State ◽  
Lumbosacral Spine ◽  
Hip Joints ◽  
Ankle Joints ◽  
Group Members ◽  
Restoration Method

The aim: Was to assess the influence and the effectiveness of complex physical rehabilitation using the ORTOSANO technique for people with degenerative-dystrophic diseases of the spine (DDS) on the severity of chronic pain (CHD). Materials and methods: We studied the condition of 166 patients. The observation group included patients with chronic pain caused by DDS of the spine. The patients underwent a course of complex physical rehabilitation in the center using the ORTOSANO method. Results: The following results were obtained statistically: pain with localization in the lumbosacral spine was registered in 67 patients (40.4%), in the cervical spine – in 42 patients (25.3%), in the thoracic spine – in 37 patients (22.3%). Pain in the shoulder joints was registered in 24 patients (14.5%), in the hip joints in 16 (9.6%), knee joints – in 12 (7.2%), in the ankle joints – in 9 patients (5.4%). Initially, the level of pain among all the group members according to the VAS scale was on average (7.6 ± 0.35) points in men and (6.4 ± 0.72) in women (p <0.05). Conclusions: 1.It was established that the proposed complex physical rehabilitation using the ORTOSANO method reduces the severity of chronic pain significantly, improves functional and daily activity, quality of life, and stabilizes the neuro-psychological state of patients. 2. The ORTOSANO method can be recommended to be used in the complex of rehabilitation exercises in physiotherapeutic departments of educational and medical establishments.

Visualization of Cartilage from Knee Joint Magnetic Resonance Images and Quantitative Assessment to Study the Effect of Age, Gender and Body Mass Index (BMI) in Progressive Osteoarthritis (OA)

2019 ◽  
Vol 15 (6) ◽  
pp. 565-572
Author(s):  
Mallikarjunaswamy Shivagangadharaiah Matada ◽  
Mallikarjun Sayabanna Holi ◽  
Rajesh Raman ◽  
Sujana Theja Jayaramu Suvarna
Keyword(s):  
Body Mass Index ◽  
Magnetic Resonance ◽  
Knee Joint ◽  
Body Mass ◽  
3D Visualization ◽  
Cartilage Degradation ◽  
Magnetic Resonance Images ◽  
Cartilage Thickness ◽  
Knee Joints ◽  
Data Set

Background: Osteoarthritis (OA) is a degenerative disease of joint cartilage affecting the elderly people around the world. Visualization and quantification of cartilage is very much essential for the assessment of OA and rehabilitation of the affected people. Magnetic Resonance Imaging (MRI) is the most widely used imaging modality in the treatment of knee joint diseases. But there are many challenges in proper visualization and quantification of articular cartilage using MRI. Volume rendering and 3D visualization can provide an overview of anatomy and disease condition of knee joint. In this work, cartilage is segmented from knee joint MRI, visualized in 3D using Volume of Interest (VOI) approach. Methods: Visualization of cartilage helps in the assessment of cartilage degradation in diseased knee joints. Cartilage thickness and volume were quantified using image processing techniques in OA affected knee joints. Statistical analysis is carried out on processed data set consisting of 110 of knee joints which include male (56) and female (54) of normal (22) and different stages of OA (88). The differences in thickness and volume of cartilage were observed in cartilage in groups based on age, gender and BMI in normal and progressive OA knee joints. Results: The results show that size and volume of cartilage are found to be significantly low in OA as compared to normal knee joints. The cartilage thickness and volume is significantly low for people with age 50 years and above and Body Mass Index (BMI) equal and greater than 25. Cartilage volume correlates with the progression of the disease and can be used for the evaluation of the response to therapies. Conclusion: The developed methods can be used as helping tool in the assessment of cartilage degradation in OA affected knee joint patients and treatment planning.

No Additive Clinical or Physiological Effects of Short-term Anti-inflammatory Treatment to Physical Rehabilitation in the Early Phase of Human Achilles Tendinopathy: A Randomized Controlled Trial

2021 ◽  
pp. 036354652199190
Author(s):  
Nikolaj M. Malmgaard-Clausen ◽  
Oscar H. Jørgensen ◽  
Rikke Høffner ◽  
Peter E.B. Andersen ◽  
Rene B. Svensson ◽  
...  
Keyword(s):  
Early Phase ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Achilles Tendinopathy ◽  
Physical Rehabilitation ◽  
Symptom Duration ◽  
Short Term ◽  
Nsaid Treatment ◽  
T2 Mri

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in the treatment of Achilles tendinopathy, but whether they have any additive clinical effect on physical rehabilitation in the early phase of tendinopathy remains unknown. Purpose/Hypothesis: To investigate whether an initial short-term NSAID treatment added to a physical rehabilitation program in the early phase of Achilles tendinopathy would have an additive effect. We hypothesized that the combination of NSAID and rehabilitation would be superior to rehabilitation alone. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 69 patients with early phase Achilles tendinopathy (lasting <3 months) were randomly assigned to either a naproxen group (7 days of treatment; 500 mg twice daily; n = 34) or a placebo group (7 days of placebo treatment; n = 35). Both groups received an identical 12-week physical rehabilitation program. The clinical outcome of the study was evaluated using the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire and a numerical rating scale (NRS), and the physiological outcome was evaluated using ultrasonography, magnetic resonance imaging (MRI), and ultra-short time to echo T2* mapping MRI (UTE T2* MRI). Follow-up was performed at 1 week, 3 months, and 1 year. Time effects are presented as mean difference ± SEM. Results: No significant differences were found between the 2 treatment groups for any of the outcome measures at any time point ( P > .05). For the VISA-A score, a significant time effect was observed between baseline and 3-month follow-up (14.9 ± 2.3; P < .0001), and at 1-year follow-up, additional improvements were observed (6.1 ± 2.3; P < .01). Furthermore, the change in VISA-A score between baseline and 3-month follow-up was greater in patients with very short symptom duration (<1 month) at baseline compared with patients who had longer symptom duration (>2 months) (interaction between groups, 11.7 ± 4.2; P < .01). Despite clinical improvements, total weekly physical activity remained lower compared with preinjury levels at 3 months (–2.7 ± 0.5 h/wk; P < .0001) and 1 year (–3.0 ± 0.5 h/wk; P < .0001). At baseline, ultrasonography showed increased thickness (0.12 ± 0.03 cm; P < .0001) and vascularity (0.3 ± 0.1 cm2; P < .005) on the tendinopathic side compared with the contralateral side, but no changes over time were observed for ultrasonography, MRI, or UTE T2* MRI results. Conclusion: Clinical symptoms in early tendinopathy improved with physical rehabilitation, but this improvement was not augmented with the addition of NSAID treatment. Furthermore, this clinical recovery occurred in the absence of any measurable structural alterations. Finally, clinical improvements after a physical rehabilitation program were greater in patients with very short symptom duration compared with patients who had longer symptom duration. Registration: NCT03401177 (ClinicalTrials.gov identifier) and BFH-2016-019 (Danish Data Protection Agency)

Clinical overlap of functional neurologic symptom disorder and complex regional pain syndrome in pediatrics: A case report

2021 ◽  
pp. 1-8
Author(s):  
Heidi Kempert
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Gait Pattern ◽  
Rehabilitation Program ◽  
Neurologic Symptom ◽  
Physical Mobility ◽  
Unsteady Gait ◽  
Full Day

This case study documents a 13-year-old female who presented to our intensive inpatient chronic pain rehabilitation program with complex regional pain syndrome (CRPS) of her left leg, which was significantly interfering with her normal daily functioning. She participated in a full day of traditional interdisciplinary therapies, including physical and occupational therapy for 3 hours daily. As assistive equipment was altered or weaned her physical mobility, balance, and tremors worsened and/or increased. As she began advancing her legs more independently (versus requiring physical assist), she demonstrated more variable functional strength and stability, inconsistent balance reactions, and a more unsteady gait pattern. The team was treating her according to her incoming CRPS diagnosis; however, as treatment progressed, her physical and psychological presentation seemed more aligned with diagnostic criteria of functional neurologic symptom disorder (FND). Staff then treated according to the FND diagnosis resulting in successful long-term outcomes. The clinical impact from this case study includes highlighting the commonalities between CPRS and FND clinically, discussing differentiating treatment suggestions depending on the diagnosis, and emphasizing key components of family/patient education.

scholarly journals VASTUS LATERALIS OBLIQUE ACTIVITY DURING GAIT OF SUBJECTS WITH PATELLOFEMORAL PAIN

2017 ◽  
Vol 23 (2) ◽  
pp. 88-92
Author(s):  
Gilmar Moraes Santos ◽  
Karina Gramani Say ◽  
Flávio Pulzatto ◽  
Thiele de Cássia Libardoni ◽  
Larissa Milani Brognoli Sinhorim ◽  
...  
Keyword(s):  
Knee Joint ◽  
Vastus Lateralis ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Flexion Angle ◽  
Oblique Muscle ◽  
Electromyographic Activity ◽  
Healthy Controls ◽  
Patellar Stability

ABSTRACT Introduction: So far, little is known about the behavior of electromyographic activity of vastus lateralis oblique muscle during treadmill gait in subjects with and without patellofemoral pain syndrome. Objective: The purpose of this study was to investigate the electromyographic activity of the patellar stabilizers muscles and the angle of the knee joint flexion in subjects with and without patellofemoral pain syndrome. Method: Fifteen subjects without (21 ± 3 years) and 12 with patellofemoral pain syndrome (20 ± 2 years) were evaluated. The electromyographic activity and flexion angle of the knee joint were obtained during gait on the treadmill with a 5 degree inclination. Results: The knee flexion angle was significantly lower in the subjects with patellofemoral pain syndrome when compared with the healthy controls. The electromyographic activity of vastus lateralis longus was significantly greater during gait on the treadmill with inclination in subjects with patellofemoral pain syndrome. The results also showed that the electromyographic activity of vastus lateralis oblique and vastus medialis oblique were similar in both groups, regardless of the condition (with/without inclination). Conclusion: We have shown that knee kinematics during gait differs among patients with and without patellofemoral pain syndrome and healthy controls and that a different motor strategy persists even when the pain is no longer present. In addition, the findings suggested that the vastus lateralis oblique has a minor role in patellar stability during gait.

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