Ефективність комплексної фізичної реабілітації при гонартрозах на базі санаторію "Гопри"

Abstract

Стаття присвячена оцінці ефективності фізичної реабілітації на етапі санаторно-курортного лікування артрозів колінних суглобів, яке проводилось за програмою чергування процедур пелоідотерапії, бальнеотерапії та гідротерапії в комплексі з лікувальною фізкультурою, масажем і апаратною фізіотерапією. Показано, що використання природних факторів у реабілітації при гонартрозах сприяє зменшенню больових відчуттів, збільшенню амплітуди і обсягу рухів у колінних суглобах, збільшенню маси і сили м'язів стегна, тим самим покращуючи функціональний стан хворих.

The article is devoted to studies the effectiveness of methods of physical rehabilitation at the stage of spa treatment of arthrosis of the knee at the sanatorium "Gopry", which was conducted by the method of systematic rotation procedures mud therapy, balneotherapy and hydrotherapy combined with therapeutic physical training and therapeutic massage. It is shown that the use of natural factors in the complex physical rehabilitation with the gonarthrosis a positive effect on all parts of the pathological process, namely, reduces pain, increases the amplitude and range of motion in the knee joints, increase muscle mass and strength of the thigh muscles, thereby improving the functional state of patients. The positive dynamics of the functional state of patients with gonarthrosis and reduce the subjective feeling of pain and severity of morning stiffness in the joint, confirmed by a significant decrease of algofunctional index of Lekena. To improve joint function under the influence of complex application of methods and means of physical rehabilitation indicate results of goniometry, which showed an increase in the mobility of the knee joint in patients with gonarthrosis at the stage of spa treatment. The state of the thigh muscles was assessed by the dynamics of indicators thigh circumference, which increased significantly after conducting a physical rehabilitation in all groups of patients with a primary diagnosis - deforming osteoarthritis of the knee II of clinical and radiological stage. But the greatest rehabilitation potential were detected in patients with gonarthrosis second adulthood, as evidenced by the more pronounced changes in the indices of the amplitude and range of motion in the knee joint and a more pronounced dynamic difference thigh circumference. Thus, the spa treatment is a very important part of physical rehabilitation of patients with gonarthrosis and is recommended only after decrease of acute phenomena and in remission.