Efficiency of an Individual Rehabilitation Program for Patients With Rheumatoid Arthritis

Orlova, Ekaterina; Каратеев, Дмитрий Евгеньевич; Amirjanova, V. N.

doi:10.14412/1995-4484-2012-504

rsp

2012

DOI: 10.14412/1995-4484-2012-504

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Efficiency of an Individual Rehabilitation Program for Patients With Rheumatoid Arthritis

Ekaterina Orlova¹,

Дмитрий Евгеньевич Каратеев²,

V. N. Amirjanova³

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“…Regular high-intensity dynamic training has been shown to reduce pain and decrease the amount of prescribed DMARDs. 7 In the international scene, the approach to RA management has changed significantly in the last 2 decades. Important improvements in the assessment of RA in clinical practice have taken place (e.g., the use of standardized assessments of disease activity and severity such as the DAS28 and the utilization of novel imaging modalities such as ultrasound and MRI).…”

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Current and future trends in Russian Rheumatology Care and Research

Tchetina¹

2017

MJR

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This short article provides a description of the present state of rheumatology care and research in Russia and discusses opportunities for development and cooperation. Rheumatic diseases (RDs) in Russia represent the second most common pathology after cardiovascular disorders. Although RDs include more than 200 diseases and syndromes, the most common in Russia are osteoarthritis (OA), rheumatoid arthritis (RA), gout, and low back pain, largely similar to those seen in most Western societies. Interestingly, the prevalence of RA appears to have increased from 0.42% to 1% in the Russian population since the last large-scale epidemiologic study, which was conducted 25 years ago in the former USSR; this is an opposite trend to that seen in most Western countries 1 and is similar to other reports that have indicated that RA prevalence has risen in Europe and North America due to the underlying aging population 2 and increasing patient survival. 3 This would be interesting to study in comparative collaborative research. Approximately 10% of the Russian population is presently affected by RDs. 4 The major factors responsible for the increased prevalence of RDs in Russia include increased mutation activity associated with environmental pollution and an augmented incidence of concomitant disorders such as obesity, diabetes mellitus, hypertension, and others. Recent large epidemiologic study including 76,000 subjects from 18 regions of the Russian Federation revealed that statistical indices are significantly lower (up to 5-fold) than real prevalence of RDs among adults registered according to the attendance in clinics. 5 Besides, individual federal regions demonstrate different dynamics. For example, in Central Russia, the incidence of almost all RDs excluding osteoporosis decreased, while in the Western region, an increase in the incidence of RA and OA during one year of follow-up was observed. 6 Russia is a large territory and has a multinational population. This provides the opportunity to study different disease subtypes and phenotypes associated with genetic variability, national psychological traits, various climates, ecological conditions, and environmental factors. However, all these possibilities are limited by the insufficient funding of rheumatic research. Therefore, such type of research is a subject for future studies. Recently, Russia is developing a three-level standardized system for management of RD patients involving primary medical care, specialized treatment protocols, and rehabilitation technologies developed by the leading rheumatologic centers. Russia has great tradition in rehabilitation. Recent studies on combination of "treat to target" therapies with concomitant rehabilitation program have demonstrated that this approach is more efficient than pharmacological therapy alone primarily for early RA patients. It involves

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confidence: 99%

Current and future trends in Russian Rheumatology Care and Research

Tchetina¹

2017

MJR

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The role of rehabilitation and apparatus physiotherapy in rheumatic disease treatment strategies

Каратеев¹,

Лучихина²,

Osnovina³

et al. 2020

Vopr. kurortol. fizioter. lech. fiz. kul't.

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Substantiation of the method of local deep hypothermia for the relief of synovitis of the knee joint in patients with osteoarthritis

Tereshenkov,

Shevelev,

Zagorodniy

et al. 2023

Medical Journal of the Russian Federation

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BACKGROUND: In patients with osteoarthritis, the long course of synovitis changes the nature of the inflammatory process, it becomes more resistant and resistant to a number of therapeutic techniques. In the arsenal of a practicing doctor, there are no reliable and affordable therapeutic methods that reliably provide relief of synovitis in the knee joint and objectively monitor the effectiveness of the therapy. Among the numerous methods of application in the treatment of diseases and injuries of the musculoskeletal system, low-molecular technologies with anti-inflammatory and analgesic effects are distinguished. One of these methods is local deep hypothermia. AIM: To substantiate the use of different low-temperature modes of local deep hypothermia in patients with knee osteoarthritis aggravated by synovitis, to study clinical efficacy and safety. MATERIALS AND METHODS: The study included 90 patients with osteoarthritis of the knee joints, burdened with synovitis. To determine the therapeutic parameters of local deep hypothermia, all patients were divided into three groups of 30 people. The effectiveness of the performed local deep hypothermia was assessed by the dynamics of the algofunctional Leken index, the intensity of joint pain on a 100-point Visual Analogue Scale (VAS) in millimeters and a decrease in the need for nonsteroidal anti-inflammatory drugs (NSAIDs). RESULTS: Technical and clinical parameters have been developed for carrying out the local deep hypothermia technique: area, cooling depth, rate of heat removal from the joint, duration of reproduction and number of procedures. Against the background of the performed local deep hypothermia, patients in three groups showed significant positive dynamics on the VAS and algofunctional Leken index, and in all three groups the difference between the initial and final values of these parameters was statistically significant (p 0.001). The use of local deep hypothermia allowed a significant part of patients to refuse to take NSAIDs, or to reduce the need to 50 mg and take episodically according to need. In our study, we did not record a recurrence of synovitis in all three groups during the first 3 months, which was 100%. After 12 months, the duration of remission in group I was 10.0%, in group II patients 73.3% and in group III patients 86.6%. CONCLUSION: Local deep hypothermia improves the effectiveness of synovitis treatment and can be recommended as an independent method for the treatment of patients with osteoarthritis of the knee aggravated by synovitis. The recommended local deep hypothermia exposure is 90 min, which allows for the longest period of remission of synovitis in the knee joint.

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Efficiency of an Individual Rehabilitation Program for Patients With Rheumatoid Arthritis

Cited by 4 publications

References 0 publications

Current and future trends in Russian Rheumatology Care and Research

Current and future trends in Russian Rheumatology Care and Research

The role of rehabilitation and apparatus physiotherapy in rheumatic disease treatment strategies

Substantiation of the method of local deep hypothermia for the relief of synovitis of the knee joint in patients with osteoarthritis

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