RU2012104819A

RU2012104819A - METHOD FOR TREATING GONARTROSIS

Info

Publication number: RU2012104819A
Application number: RU2012104819/14A
Authority: RU
Inventors: Елена Геннадьевна Ефимова; Татьяна Ивановна Харитонова; Мария Александровна Андрианова
Original assignee: Елена Геннадьевна Ефимова; Татьяна Ивановна Харитонова; Мария Александровна Андрианова
Priority date: 2012-02-10
Filing date: 2012-02-10
Publication date: 2013-08-20
Also published as: RU2497557C2

Abstract

1. Способ лечения гонартроза, включающий многократное сеансовое накожное облучение коленных суставов в период синовита инфракрасным импульсным лазерным излучением с длиной волны 0,89 мкм и выбор частоты следования импульсов лазерного излучения по интенсивности боли отличающийся тем, что сначала определяют реабилитационный потенциал больного по индексу реабилитации больных гонартрозом, затем при сумме баллов по индексу реабилитации больных гонартрозом 19 и менее на коже нижней конечности отмечают границы зоны облучения, в которую включают всю подколенную область и всю переднюю область колена, затем определяют площадь зоны облучения.2. Способ по п.1, отличающийся тем, что сначала определяют объем выпота в суставе и интенсивность боли в суставе по визуально-аналоговой шкале, затем при значительном выпоте и сильной боли вышеуказанную зону облучают сначала с частотой следования импульсов 80 Гц, потом - с частотой 1500 Гц, при значительном выпоте и умеренной или легкой боли - сначала с частотой 80 Гц, потом - с частотой 300 Гц, при умеренном или незначительном выпоте и сильной боли - сначала с частотой 300 Гц, потом - с частотой 1500 Гц, при умеренном или незначительном выпоте и умеренной или легкой боли - только с частотой следования импульсов 300 Гц.3. Способ по п.1, отличающийся тем, что облучают пациентов с индексом массы тела менее 25, без метаболического синдрома и без сахарного диабета, с высоким реабилитационным потенциалом с экспозиционной дозой излучения для 0,2 мДж/смна сеанс, а пациентов с индексом массы тела, равным 25 и более, или для больных, имеющих метаболический синдром, сахарный диабет, или при низком реабилитационны�1. A method of treating gonarthrosis, including multiple session cutaneous irradiation of the knee joints during the synovitis period with infrared pulsed laser radiation with a wavelength of 0.89 μm and selecting a pulse repetition rate of the laser radiation according to the pain intensity, characterized in that the patient’s rehabilitation potential is first determined by the patient rehabilitation index gonarthrosis, then when the total score for the rehabilitation index of patients with gonarthrosis 19 or less on the skin of the lower limb mark the boundaries of the irradiation zone, which includes The entire popliteal region and the entire front region of the knee are covered, then the area of the irradiation zone is determined. 2. The method according to claim 1, characterized in that the volume of the effusion in the joint and the intensity of pain in the joint are first determined on a visual analogue scale, then with significant effusion and severe pain, the above zone is irradiated first with a pulse repetition rate of 80 Hz, then with a frequency of 1500 Hz, with significant effusion and moderate or mild pain - first with a frequency of 80 Hz, then with a frequency of 300 Hz, with moderate or slight effusion and severe pain - first with a frequency of 300 Hz, then with a frequency of 1500 Hz, with moderate or slight effusion and moderate sludge mild pain - only a repetition rate of 300 Gts.3. The method according to claim 1, characterized in that patients with a body mass index less than 25, without metabolic syndrome and without diabetes mellitus, with a high rehabilitation potential with an exposure dose of radiation for 0.2 mJ / cm session, and patients with a body mass index are irradiated. equal to 25 or more, or for patients with metabolic syndrome, diabetes mellitus, or with low rehabilitation

Claims

1. A method of treating gonarthrosis, including multiple session cutaneous irradiation of the knee joints during the synovitis period with infrared pulsed laser radiation with a wavelength of 0.89 μm and selecting a pulse repetition rate of the laser radiation according to the pain intensity, characterized in that the patient’s rehabilitation potential is first determined by the patient rehabilitation index gonarthrosis, then when the total score for the rehabilitation index of patients with gonarthrosis 19 or less on the skin of the lower limb mark the boundaries of the irradiation zone, which includes The entire popliteal region and the entire front region of the knee are covered, then the area of the irradiation zone is determined.

2. The method according to claim 1, characterized in that the volume of the effusion in the joint and the intensity of pain in the joint are first determined on a visual-analogue scale, then with significant effusion and severe pain, the above zone is irradiated first with a pulse repetition rate of 80 Hz, then with with a frequency of 1500 Hz, with significant effusion and moderate or mild pain - first with a frequency of 80 Hz, then with a frequency of 300 Hz, with moderate or slight effusion and severe pain - first with a frequency of 300 Hz, then with a frequency of 1500 Hz, with moderate or slight effusion and moderate and whether there is mild pain - only with a pulse repetition rate of 300 Hz.

3. The method according to claim 1, characterized in that patients with a body mass index less than 25, without metabolic syndrome and without diabetes mellitus, with a high rehabilitation potential with an exposure dose of radiation for 0.2 mJ / cm ² per session are irradiated, and patients with a body mass index of 25 or more, or for patients with metabolic syndrome, diabetes mellitus, or with a low rehabilitation potential - 0.02 mJ / cm ² , and when used for irradiation of two frequencies, the exposure dose of radiation for each frequency is 1 / 2 from exposure doses per session with calculated individual duration of exposure at each frequency and per session.