PHYSICAL THERAPY OF THE ELDERLY AGE, PATIENTS WITH OSTEOARTHRITIS LARGE JOINTS, TAKING INTO ACCOUNT RISK FACTORS
ФІЗИЧНА ТЕРАПІЯ ОСІБ ЛІТНЬОГО ВІКУ, ХВОРИХ НА ОСТЕОАРТРОЗ КРУПНИХ СУГЛОБІВ, З УРАХУВАННЯМ ФАКТОРІВ РИЗИКУ
Sergey Afanasyev, Prydniprovska State Academy of Physical Culture and Sports, Sergey Rokutov, Viktoriya Proskura, Alexander Afanasieva, Prydniprovska State Academy of Physical Culture and Sports, Prydniprovska State Academy of Physical Culture and Sports, Prydniprovska State Academy of Physical Culture and Sports
2020
Sports Bulletin of the Dnieper
Introduction. The data of the analysis of scientific and methodical literature on physical therapy of musculoskeletal lesions in elderly people with osteoarthritis, depending on sex, age and other risk factors are presented. Currently, osteoarthritis (OA) is a fairly common disease, especially in the elderly. As life expectancy increases, the problem becomes even more important. In Ukraine, the frequency of OA has remained quite high in recent years and continues to increase. The purpose of the
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... study is systematization and generalization of modern scientific and methodical knowledge and practical experience in physical therapy of large joints of elderly patients taking into account risk factors. Material and Methods: analysis of special scientific methodical literature and Internet resources. Results. Chronic pain syndrome and the functional inability of the joints that accompany OA lead to a restriction of domestic physical activity and a decrease in quality of life. With age, the frequency of OA increases and among those over 65 years of age reaches 97%. Other factors include female sex, excessive body weight, low economic status, alcohol and smoking, congenital joint dysplasia, hormone changes, imbalance of cytokines. Local OA (mono- and oligoartrosis) and generalized (polyarthrosis) with the defeat of three or more joints are distinguished. Gonarthrosis is more common, because the knee joints are under constant load of body weight, more often exposed to traumatic factors. Treatment of OA using physical therapy methods is aimed at reducing pain and local inflammation, reducing the frequency of exacerbations, improving the quality of life, slowing the progression of the disease, reducing the probability of development disability of patients with this pathology. Scientists mainly pay attention to the treatment and rehabilitation of patients in the early stages of the disease. Conclusions. Many aspects of this problem have already been well studied and described. At the same time, a significant number of issues remain that require further study and discussion, in particular insufficient work on OA prevention; the problem of a differentiated approach to the development of modern rehabilitation programs for patients taking into account age, sex and complications remains incompletely investigated. Keywords: knee-joint arthrosis, aged, methods of physical rehabilitation
doi:10.32540/2071-1476-2019-1-425
fatcat:ht5wwlxb2ndahargezhx6xeche
